Evidence map›Paper›PMID 22024000›Full record

Trial reportJournal of the American Academy of Child and Adolescent Psychiatry2011

Predictors of abstinence: National Institute of Drug Abuse multisite buprenorphine/naloxone treatment trial in opioid-dependent youth.

Geetha A Subramaniam, Diane Warden, Abu Minhajuddin, Marc J Fishman, Maxine L Stitzer, Bryon Adinoff, Madhukar Trivedi, Roger Weiss, Jennifer Potter, Sabrina A Poole and 1 more

Registry-linked trialOpen access · greenAbstract readMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in Journal of the American Academy of Child and Adolescent Psychiatry, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT00078130 (Bup/Nx - Facilitated Rehab for Opioid Dependent Adolescents), which is not on this map. Cited by 29 papers, 7 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
29citing papers in PubMed, 7 pooled it
5.0field-weighted citation impact, top 5% 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.

NCT00078130 phase3completednot on this map

Bup/Nx - Facilitated Rehab for Opioid Dependent Adolescents

TypeinterventionalSponsorUniversity of PennsylvaniaRan2003 to 2006Enrolled223ConditionsOpioid-Related DisordersArmsBuprenorphine/naloxone
3 · Its place in the literature

Who cites it

29 citing papers in PubMed, 7 syntheses or guidelines pooled it, 53 citations in OpenAlex.

  1. Pooled it
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  3. Pharmacological therapies for management of opium withdrawal.The Cochrane database of systematic reviews · 2018
    Pooled it
  4. Buprenorphine for managing opioid withdrawal.The Cochrane database of systematic reviews · 2017
    Pooled it
  5. Pooled it
  6. Maintenance treatments for opiate -dependent adolescents.The Cochrane database of systematic reviews · 2014
    Pooled it
  7. Detoxification treatments for opiate dependent adolescents.The Cochrane database of systematic reviews · 2014
    Pooled it
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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

11 authors at 6 institutions in 1 country.

Geetha A SubramaniamNational Institute on Drug Abuse, Bethesda, MD 20892, USA. geetha.subramaniam@nih.gov
Diane Warden
Abu Minhajuddin
Marc J Fishman
Maxine L Stitzer
Bryon Adinoff
Madhukar Trivedi
Roger Weiss
Jennifer Potter
Sabrina A Poole
George E Woody
The University of Texas Southwestern Medical Center · USJohns Hopkins University · USTreatment Research Institute · USJohns Hopkins Medicine · USMcLean Hospital · USSouthwestern Medical Center

Funding

AACAP Physician Scientist Program in Substance UseK12DA000357 · NIDA · AMERICAN ACADEMY-CHILD/ADOLESCENT PSYCH · PI Kevin M. Gray · 1998 to 2026
$29.1M
The National Drug Abuse Treatment Clinical Trials Network (U10)U10DA015831 · NIDA · MC LEAN HOSPITAL (BELMONT, MA) · PI CARROLL, KATHLEEN M., WEISS, ROGER D. · 2002 to 2015
$28.8M
Delaware Valley Node of the Clinical Trials NetworkU10DA013043 · NIDA · UNIVERSITY OF PENNSYLVANIA · PI WOODY, GEORGE EDWARD · 1999 to 2015
$25.8M
CLINICAL TRIALS NETWORK MID-ATLANTIC COLLABORATIVE GROUPU10DA013034 · NIDA · JOHNS HOPKINS UNIVERSITY · PI SCHWARTZ, ROBERT P, STITZER, MAXINE L · 1999 to 2015
$25.2M
Concept ProjectU10DA020024 · NIDA · UT SOUTHWESTERN MEDICAL CENTER · PI TRIVEDI, MADHUKAR H. · 2005 to 2015
$22.6M
Mentoring in Drug Abuse and Dual Diagnosis ResearchK24DA022288 · NIDA · MCLEAN HOSPITAL · PI WEISS, ROGER D. · 2007 to 2016
$1.8M
Treatment/Substance Use Disorders/HIV Risk ReductionK05DA017009 · NIDA · UNIVERSITY OF PENNSYLVANIA · PI WOODY, GEORGE EDWARD · 2003 to 2012
$1.3M
Treatment of Opioid Dependence and Chronic PainK23DA022297 · NIDA · UNIVERSITY OF TEXAS HLTH SCIENCE CENTER · PI POTTER, JENNIFER SHARPE · 2008 to 2012
$878k
Intramural NIH HHS Z99 DA999999NIDA NIH HHS K05 DA017009NIDA NIH HHS K12 DA000357NIDA NIH HHS K12-DA000357NIDA NIH HHS K23 DA022297NIDA NIH HHS K24 DA022288NIDA NIH HHS K24-DA022288NIDA NIH HHS KO5 DA-17009NIDA NIH HHS U10 DA013034NIDA NIH HHS U10 DA013043NIDA NIH HHS U10 DA015831NIDA NIH HHS U10-DA015831NIDA NIH HHS U10 DA020024NIDA NIH HHS U10-DA020024NIDA NIH HHS U10-DA13043PHS HHS U10-013034
6 · The paper itself

Abstract

objectiveTo examine predictors of opioid abstinence in buprenorphine/naloxone (Bup/Nal)-assisted psychosocial treatment for opioid-dependent youth.

methodSecondary analyses were performed of data from 152 youth (15-21 years old) randomly assigned to 12 weeks of extended Bup/Nal therapy or up to 2 weeks of Bup/Nal detoxification with weekly individual and group drug counseling. Logistic regression models were constructed to identify baseline and during-treatment predictors of opioid-positive urine (OPU) at week 12. Predictors were selected based on significance or trend toward significance (i.e., p < .1), and backward stepwise selection was used, controlling for treatment group, to produce final independent predictors at p ≤ .05.

resultsYouth presenting to treatment with previous 30-day injection drug use and more active medical/psychiatric problems were less likely to have a week-12 OPU. Those with early treatment opioid abstinence (i.e., weeks 1 and 2) and those who received additional nonstudy treatments during the study were less likely to have a week-12 OPU and those not completing 12 weeks of treatment were more likely to have an OPU.

conclusionsYouth with advanced illness (i.e., reporting injection drug use and additional health problems) and those receiving ancillary treatments to augment study treatment were more likely to have lower opioid use. Treatment success in the first 2 weeks and completion of 12 weeks of treatment were associated with lower rates of OPU. These findings suggest that youth with advanced illness respond well to Bup/Nal treatment and identify options for tailoring treatment for opioid-dependent youth presenting at community-based settings. CLINICAL TRIAL REGISTRATION INFORMATION: Buprenorphine/Naloxone-Facilitated Rehabilitation for Opioid Dependent Adolescents; http://www.clinicaltrials.gov; NCT00078130.

Indexed as

AdolescentAdultBuprenorphineCombined Modality TherapyCounselingFemaleHumansMaleNaloxoneNarcotic AntagonistsNational Institute on Drug Abuse (U.S.)Opiate Substitution TreatmentOpioid-Related DisordersSeverity of Illness IndexSubstance Abuse DetectionTreatment OutcomeBuprenorphineNaloxoneNarcotic Antagonists

Identifiers

PMID22024000
PMCPMC3786351
OpenAlexW1976503420

What OpenQuestion holds

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Registered trials

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.