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NCT05704543

Evaluation of Buprenorphine Extended-Release Subcutaneous Injection at Alternative Injection Locations

Completed Phase 4 Results posted Last updated 7 January 2025
What this trial tests

Phase 4 trial testing Buprenorphine Extended-Release Injection in Opioid Use Disorder in 132 participants. Completed in 1 November 2023.

Timeline
1 March 2023
Primary endpoint
1 November 2023
1 November 2023

Quick facts

Lead sponsorIndivior Inc.
PhasePhase 4
StatusCompleted
Study typeINTERVENTIONAL
Allocationrandomized
Designparallel
Maskingnone
Primary purposetreatment
Enrollment132
Start date1 March 2023
Primary completion1 November 2023
Estimated completion1 November 2023
Sites6 locations across United States

Drugs / interventions tested

Conditions studied

Sponsor

Indivior Inc. — full company profile →

Who can join

Adults 18 to 65, any sex, with Opioid Use Disorder. Patients with the condition only — healthy volunteers not accepted.

Results — posted to ClinicalTrials.gov

Per-arm endpoint measurements with 95% confidence intervals where reported. Source: trial results section.

Area Under the Plasma Concentration-time Curve From Study Day 1 to Day 29 (AUC0-28days) of Buprenorphine Primary · Day 1 at predose and at 1, 2, 4, 6, 8, 12, 16, 20, 24, 28, 32, 36, 40, 44, and 48 hours post-dose and on Days 4, 6, 8, 11, 15, 18, 22, 25, and 29
GroupValue95% CI
Extended-release Buprenorphine: Abdomen1640± 41.8
Extended-release Buprenorphine: Upper Arm1720± 57.4
Extended-release Buprenorphine: Buttocks1570± 42.7
Extended-release Buprenorphine: Thigh1870± 56.2
Maximum Observed Plasma Concentration (Cmax) of Buprenorphine Primary · Day 1 at predose and at 1, 2, 4, 6, 8, 12, 16, 20, 24, 28, 32, 36, 40, 44, and 48 hours post-dose and on Days 4, 6, 8, 11, 15, 18, 22, 25, and 29
GroupValue95% CI
Extended-release Buprenorphine: Abdomen6.61± 46.9
Extended-release Buprenorphine: Upper Arm9.17± 85.8
Extended-release Buprenorphine: Buttocks7.11± 39.7
Extended-release Buprenorphine: Thigh10.1± 73.2
Participants With Treatment-emergent Adverse Events Secondary · 28 days
Any treatment-emergent adverse event (TEAE)
GroupValue95% CI
Extended-release Buprenorphine: Abdomen22.7
Extended-release Buprenorphine: Upper Arm14.3
Extended-release Buprenorphine: Buttocks18.2
Extended-release Buprenorphine: Thigh8.7
TEAE identified as injection site reaction
GroupValue95% CI
Extended-release Buprenorphine: Abdomen9.1
Extended-release Buprenorphine: Upper Arm4.8
Extended-release Buprenorphine: Buttocks4.5
Extended-release Buprenorphine: Thigh4.3
Related TEAE
GroupValue95% CI
Extended-release Buprenorphine: Abdomen9.1
Extended-release Buprenorphine: Upper Arm4.8
Extended-release Buprenorphine: Buttocks13.6
Extended-release Buprenorphine: Thigh4.3
Severe TEAE
GroupValue95% CI
Extended-release Buprenorphine: Abdomen0
Extended-release Buprenorphine: Upper Arm0
Extended-release Buprenorphine: Buttocks0
Extended-release Buprenorphine: Thigh0
TEAE of opioid withdrawal symptom
GroupValue95% CI
Extended-release Buprenorphine: Abdomen0
Extended-release Buprenorphine: Upper Arm0
Extended-release Buprenorphine: Buttocks0
Extended-release Buprenorphine: Thigh0
TEAE leading to death
GroupValue95% CI
Extended-release Buprenorphine: Abdomen0
Extended-release Buprenorphine: Upper Arm0
Extended-release Buprenorphine: Buttocks0
Extended-release Buprenorphine: Thigh0
Number of Participants With Treatment-emergent Adverse Events Identified as Injection Site Reactions Secondary · 28 days
Injection site erythema
GroupValue95% CI
Extended-release Buprenorphine: Abdomen4.5
Extended-release Buprenorphine: Upper Arm0
Extended-release Buprenorphine: Buttocks4.5
Extended-release Buprenorphine: Thigh0
Injection site induration
GroupValue95% CI
Extended-release Buprenorphine: Abdomen0
Extended-release Buprenorphine: Upper Arm4.8
Extended-release Buprenorphine: Buttocks4.5
Extended-release Buprenorphine: Thigh0
Injection site pain
GroupValue95% CI
Extended-release Buprenorphine: Abdomen4.5
Extended-release Buprenorphine: Upper Arm4.8
Extended-release Buprenorphine: Buttocks0
Extended-release Buprenorphine: Thigh0
Injection site swelling
GroupValue95% CI
Extended-release Buprenorphine: Abdomen0
Extended-release Buprenorphine: Upper Arm4.8
Extended-release Buprenorphine: Buttocks0
Extended-release Buprenorphine: Thigh4.3
Injection site reaction
GroupValue95% CI
Extended-release Buprenorphine: Abdomen4.5
Extended-release Buprenorphine: Upper Arm0
Extended-release Buprenorphine: Buttocks0
Extended-release Buprenorphine: Thigh0
Number of Participants With Treatment-emergent Serious Adverse Events Secondary · 28 days
GroupValue95% CI
Extended-release Buprenorphine: Abdomen0
Extended-release Buprenorphine: Upper Arm0
Extended-release Buprenorphine: Buttocks0
Extended-release Buprenorphine: Thigh0
Injection Site Grading Secondary · Day 1 at 10 minutes and 2 hours post dosing

Injection sites will be assessed for pain, tenderness, erythema/redness, induration, or swelling. Local injection site tolerability will be assigned a severity grade, including none (grade 0), mild (grade 1), moderate (grade 2), severe (grade 3), or potentially life-threatening (grade 4) utilizing the Injection Site Grading Scale.

Pain, None (Grade 0) at 10 minutes
GroupValue95% CI
Extended-release Buprenorphine: Abdomen59.1
Extended-release Buprenorphine: Upper Arm57.1
Extended-release Buprenorphine: Buttocks68.2
Extended-release Buprenorphine: Thigh56.5
Pain, Mild (Grade 1) at 10 minutes
GroupValue95% CI
Extended-release Buprenorphine: Abdomen31.8
Extended-release Buprenorphine: Upper Arm28.6
Extended-release Buprenorphine: Buttocks18.2
Extended-release Buprenorphine: Thigh34.8
Pain, Moderate (Grade 2) at 10 minutes
GroupValue95% CI
Extended-release Buprenorphine: Abdomen9.1
Extended-release Buprenorphine: Upper Arm14.3
Extended-release Buprenorphine: Buttocks13.6
Extended-release Buprenorphine: Thigh8.7
Tenderness, None (Grade 0) at 10 minutes
GroupValue95% CI
Extended-release Buprenorphine: Abdomen59.1
Extended-release Buprenorphine: Upper Arm66.7
Extended-release Buprenorphine: Buttocks77.3
Extended-release Buprenorphine: Thigh56.5
Tenderness, Mild (Grade 1) at 10 minutes
GroupValue95% CI
Extended-release Buprenorphine: Abdomen31.8
Extended-release Buprenorphine: Upper Arm33.3
Extended-release Buprenorphine: Buttocks22.7
Extended-release Buprenorphine: Thigh39.1
Tenderness, Moderate (Grade 2) at 10 minutes
GroupValue95% CI
Extended-release Buprenorphine: Abdomen9.1
Extended-release Buprenorphine: Upper Arm0
Extended-release Buprenorphine: Buttocks0
Extended-release Buprenorphine: Thigh4.3
Erythema/redness, None (Grade 0) at 10 minutes
GroupValue95% CI
Extended-release Buprenorphine: Abdomen86.4
Extended-release Buprenorphine: Upper Arm81.0
Extended-release Buprenorphine: Buttocks86.4
Extended-release Buprenorphine: Thigh100.0
Erythema/redness, Mild (Grade 1) at 10 minutes
GroupValue95% CI
Extended-release Buprenorphine: Abdomen13.6
Extended-release Buprenorphine: Upper Arm19.0
Extended-release Buprenorphine: Buttocks13.6
Extended-release Buprenorphine: Thigh0
Injection Site Pain Secondary · Day 1 at 1, 5, 10, 15, and 30 minutes post dosing

Measured on a 100 mm visual analog scale (VAS), where 0 represents no pain and 100 represents maximum pain.

1 minute
GroupValue95% CI
Extended-release Buprenorphine: Abdomen37.5± 27.95
Extended-release Buprenorphine: Upper Arm29.0± 24.10
Extended-release Buprenorphine: Buttocks27.4± 32.02
Extended-release Buprenorphine: Thigh29.3± 28.99
5 minutes
GroupValue95% CI
Extended-release Buprenorphine: Abdomen23.2± 26.13
Extended-release Buprenorphine: Upper Arm16.0± 16.59
Extended-release Buprenorphine: Buttocks13.6± 23.62
Extended-release Buprenorphine: Thigh19.0± 23.56
10 minutes
GroupValue95% CI
Extended-release Buprenorphine: Abdomen12.0± 14.88
Extended-release Buprenorphine: Upper Arm9.4± 11.80
Extended-release Buprenorphine: Buttocks8.2± 14.15
Extended-release Buprenorphine: Thigh12.5± 21.30
15 minutes
GroupValue95% CI
Extended-release Buprenorphine: Abdomen4.8± 6.58
Extended-release Buprenorphine: Upper Arm6.0± 8.76
Extended-release Buprenorphine: Buttocks4.9± 11.80
Extended-release Buprenorphine: Thigh8.6± 20.64
30 minutes
GroupValue95% CI
Extended-release Buprenorphine: Abdomen1.8± 2.56
Extended-release Buprenorphine: Upper Arm4.5± 8.69
Extended-release Buprenorphine: Buttocks1.4± 2.46
Extended-release Buprenorphine: Thigh6.6± 19.93

Adverse events — posted to ClinicalTrials.gov

Time frame: Up to 86 days. Reporting threshold: 5%. Adverse-event reports describe events observed during the trial — not all are caused by the drug.

Pre-injection (Run-In Period)
Serious: 0/132 (0%)
Deaths: 0/132
Extended-release Buprenorphine: Abdomen (Post-injection)
Serious: 0/22 (0%)
Deaths: 0/22
Extended-release Buprenorphine: Upper Arm (Post-injection)
Serious: 0/21 (0%)
Deaths: 0/21
Extended-release Buprenorphine: Buttocks (Post-injection)
Serious: 0/22 (0%)
Deaths: 0/22
Extended-release Buprenorphine: Thigh (Post-injection)
Serious: 0/23 (0%)
Deaths: 0/23
Other adverse events (7 terms — click to expand)

ReactionSystemPre-injection (Run-In Peri…Extended-release Buprenorp…Extended-release Buprenorp…Extended-release Buprenorp…Extended-release Buprenorp…
Gastrointestinal disordersGastrointestinal disorders
Nervous system disordersNervous system disorders
Psychiatric disordersPsychiatric disorders
Infections and infestationsInfections and infestations
General disorders and administration site conditionsGeneral disorders
InvestigationsInvestigations
Immune system disordersImmune system disorders

Data from ClinicalTrials.gov NCT05704543 adverse events section.

Sponsor's own description

Extended-release buprenorphine (SUBLOCADE®) injection is currently approved for subcutaneous administration in the abdomen for treatment of opioid use disorder (OUD). Having alternative injection sites is desirable to provide additional flexibility to patients, particularly for those who may prefer less visible or more convenient injection locations. The primary objective of this study is to assess the relative bioavailability of extended-release buprenorphine when administered at alternative injection locations (test treatments), in comparison to the abdomen (reference treatment).

Publications & conference data

1 peer-reviewed publication reference this trial (live from Europe PMC):

  1. A Single-Dose Study to Evaluate the Relative Bioavailability, Safety, and Tolerability of Monthly Extended-Release Buprenorphine at Alternative Injection Locations in Adult Participants with Opioid Use Disorder.
    Laffont CM, Lapeyra O, Mangal D, Dobbins R. · · 2024 · cited 4× · PMID 39543001 · DOI 10.1007/s40261-024-01406-7

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