Evidence map›Paper›PMID 19283561›Full record

Trial reportThe American journal on addictions

Early outcomes following low dose naltrexone enhancement of opioid detoxification.

Paolo Mannelli, Ashwin A Patkar, Kathleen Peindl, Edward Gottheil, Li-Tzy Wu, David A Gorelick

Open access · greenAbstract readMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in The American journal on addictions. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 3 pooled it
0.7field-weighted citation impact, top 26% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

16 citing papers in PubMed, 3 syntheses or guidelines pooled it, 22 citations in OpenAlex.

  1. Pooled it
  2. Pharmacological therapies for management of opium withdrawal.The Cochrane database of systematic reviews · 2018
    Pooled it
  3. Opioid antagonists with minimal sedation for opioid withdrawal.The Cochrane database of systematic reviews · 2017
    Pooled it
  4. Trial
  5. Article
  6. Article
  7. Review
  8. Article
  9. Article
  10. Review
  11. Low-Dose Naltrexone (LDN)-Review of Therapeutic Utilization.Medical sciences (Basel, Switzerland) · 2018
    Review
  12. Review
  13. Review
  14. Review
  15. Article
  16. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 5 institutions in 1 country.

Paolo MannelliDepartment of Psychiatry & Behavioral Sciences, Duke University Medical Center, Durham, North Carolina 27705, USA. paolo.mannelli@duke.edu
Ashwin A Patkar
Kathleen Peindl
Edward Gottheil
Li-Tzy Wu
David A Gorelick
Duke Medical Center · USDuke University · USDuke University Hospital · USNational Institutes of Health · USUniversity of Washington · US

Funding

Place of low-dose naltrexone in opiate detoxificationR21DA015469 · NIDA · THOMAS JEFFERSON UNIVERSITY · PI MANNELLI, PAOLO · 2003 to 2005
$557k
Intramural NIH HHSNIDA NIH HHS DA15469NIDA NIH HHS R21 DA015469
6 · The paper itself

Abstract

Although withdrawal severity and treatment completion are the initial focus of opioid detoxification, post-detoxification outcome better defines effective interventions. Very low dose naltrexone (VLNTX) in addition to methadone taper was recently associated with attenuated withdrawal intensity during detoxification. We describe the results of a seven-day follow-up evaluation of 96 subjects who completed inpatient detoxification consisting of the addition of VLNTX (0.125 or 0.250 mg per day) or placebo to methadone taper in a double blind, randomized investigation. Individuals receiving VLNTX during detoxification reported reduced withdrawal and drug use during the first 24 hours after discharge. VLNTX addition was also associated with higher rates of negative drug tests for opioids and cannabis and increased engagement in outpatient treatment after one week. Further studies are needed to test the utility of this approach in easing the transition from detoxification to various follow-up treatment modalities designed to address opioid dependence.

Indexed as

AdultContinuity of Patient CareDouble-Blind MethodFemaleFollow-Up StudiesHumansMaleMethadoneNaltrexoneNarcotic AntagonistsNarcoticsOpioid-Related DisordersPlacebosSubstance Withdrawal SyndromeTreatment OutcomeMethadoneNaltrexoneNarcotic AntagonistsNarcoticsPlacebos

Identifiers

PMID19283561
PMCPMC3190236
OpenAlexW2000388826

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.