Evidence map›Paper›PMID 23333292›Full record

Trial reportDrug and alcohol dependence2013

Patient characteristics associated with buprenorphine/naloxone treatment outcome for prescription opioid dependence: Results from a multisite study.

Jessica A Dreifuss, Margaret L Griffin, Katherine Frost, Garrett M Fitzmaurice, Jennifer Sharpe Potter, David A Fiellin, Jeffrey Selzer, Mary Hatch-Maillette, Susan C Sonne, Roger D Weiss

Registry-linked trialOpen access · greenAbstract readClinical Trial, Phase IClinical Trial, Phase IIMulticenter Study
In one paragraph

Trial report in Drug and alcohol dependence, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT00316277 (A Two-Phase Randomized Controlled Clinical Trial of Buprenorphine/Naloxone Treatment Plus Standard Medical Management or Enhanced Medical Management for Opioid Analgesic Dependence), which is not on this map. Cited by 73 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
73citing papers in PubMed, 3 pooled it
13.4field-weighted citation impact, top 1% 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.

NCT00316277 phase3completednot on this map

A Two-Phase Randomized Controlled Clinical Trial of Buprenorphine/Naloxone Treatment Plus Standard Medical Management or Enhanced Medical Management for Opioid Analgesic Dependence

TypeinterventionalSponsorMclean HospitalRan2006 to 2013Enrolled653ConditionsOpiate Dependence, Substance-related Disorders, Opioid-related DisordersArmsStandard Medical Management (SMM) of Prescription Opiate Abuse, Enhanced Medical Management (EMM) of Prescription Opiate Abuse
3 · Its place in the literature

Who cites it

73 citing papers in PubMed, 3 syntheses or guidelines pooled it, 122 citations in OpenAlex.

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  9. Correlates of Long-Term Opioid Abstinence After Randomization to Methadone Versus Buprenorphine/Naloxone in a Multi-Site Trial.Journal of neuroimmune pharmacology : the official journal of the Society on NeuroImmune Pharmacology · 2018
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13 more citing papers are in PubMed but not listed here.

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

10 authors at 7 institutions in 1 country.

Jessica A DreifussDivision of Alcohol and Drug Abuse, McLean Hospital, Belmont, MA 02478, USA. jdreifuss@mclean.harvard.edu
Margaret L Griffin
Katherine Frost
Garrett M Fitzmaurice
Jennifer Sharpe Potter
David A Fiellin
Jeffrey Selzer
Mary Hatch-Maillette
Susan C Sonne
Roger D Weiss
McLean Hospital · USHarvard University · USMedical University of South Carolina · USSeattle Indian Health Board · USThe University of Texas Health Science Center at San Antonio · USYale University · USYeshiva University · US

Funding

Project-004UG1DA020024 · NIDA · UT SOUTHWESTERN MEDICAL CENTER · PI Steven J Shoptaw, MADHUKAR H. TRIVEDI · 2015 to 2026
$71.6M
Using Coincidence Analysis to Investigate Factors Affecting PrEP Initiation and Continuation in Southern ending the Epidemic CountiesP30MH062294 · NIMH · YALE UNIVERSITY · PI John Edward Pachankis · 2001 to 2026
$48.5M
CU PARTNERS: NY/LONG ISLAND REGIONAL NODEU10DA013035 · NIDA · NEW YORK STATE PSYCHIATRIC INSTITUTE DBA RESEARCH FOUNDATION FOR MENTAL HYGIENE, INC · PI NUNES, EDWARD V., ROTROSEN, JOHN P · 2001 to 2015
$47.6M
Southern Consortium Node of the Clinical Trials NetworkU10DA013727 · NIDA · MEDICAL UNIVERSITY OF SOUTH CAROLINA · PI BRADY, KATHLEEN T. · 2000 to 2015
$34.4M
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
CLINICAL TRIALS NETWORK: PACIFIC NORTHWEST NODEU10DA013714 · NIDA · UNIVERSITY OF WASHINGTON · PI DONOVAN, DENNIS MICHAEL, ROLL, JOHN M. · 2001 to 2015
$25.5M
Concept ProjectU10DA020024 · NIDA · UT SOUTHWESTERN MEDICAL CENTER · PI TRIVEDI, MADHUKAR H. · 2005 to 2015
$22.6M
Integrated Stepped Care for Unhealthy Alcohol Use in HIVU01AA020795 · NIAAA · YALE UNIVERSITY · PI FIELLIN, DAVID · 2011 to 2020
$5.2M
Models of SBIRT for Opioid Dependent Patients in the Emergency DepartmentR01DA025991 · NIDA · YALE UNIVERSITY · PI D'ONOFRIO, GAIL, FIELLIN, DAVID · 2008 to 2012
$4.8M
Buprenorphine Maintenance vs. Detoxification in Prescription Opioid DependenceR01DA020576 · NIDA · YALE UNIVERSITY · PI FIELLIN, DAVID · 2007 to 2011
$2.9M
Counseling for Primary Care Office-Based BuprenorphineR01DA019511 · NIDA · YALE UNIVERSITY · PI FIELLIN, DAVID · 2005 to 2009
$2.8M
Mentoring in Drug Abuse and Dual Diagnosis ResearchK24DA022288 · NIDA · MCLEAN HOSPITAL · PI WEISS, ROGER D. · 2007 to 2016
$1.8M
NIAAA NIH HHS U01 AA020795NIDA NIH HHS K23 DA022297NIDA NIH HHS K24 DA022288NIDA NIH HHS K24 DA022412NIDA NIH HHS R01 DA019511NIDA NIH HHS R01 DA020576NIDA NIH HHS R01 DA025991NIDA NIH HHS RC1 DA028245NIDA NIH HHS U10 DA013035NIDA NIH HHS U10 DA013714NIDA NIH HHS U10 DA013727NIDA NIH HHS U10 DA015831NIDA NIH HHS U10 DA020024NIDA NIH HHS U10 DA13035NIDA NIH HHS UG1 DA020024NIMH NIH HHS P30 MH062294
6 · The paper itself

Abstract

backgroundPrescription opioid dependence is a growing problem, but little research exists on its treatment, including patient characteristics that predict treatment outcome.

methodsA secondary analysis of data from a large multisite, randomized clinical trial, the National Drug Abuse Treatment Clinical Trials Network Prescription Opioid Addiction Treatment Study (POATS) was undertaken to examine baseline patient characteristics (N=360) associated with success during 12-week buprenorphine/naloxone treatment for prescription opioid dependence. Baseline predictor variables included self-reported demographic and opioid use history information, diagnoses assessed via the Composite International Diagnostic Interview, and historical opioid use and related information from the Pain And Opiate Analgesic Use History.

resultsIn bivariate analyses, pre-treatment characteristics associated with successful opioid use outcome included older age, past-year or lifetime diagnosis of major depressive disorder, initially obtaining opioids with a medical prescription to relieve pain, having only used opioids by swallowing or sublingual administration, never having used heroin, using an opioid other than extended-release oxycodone most frequently, and no prior opioid dependence treatment. In multivariate analysis, age, lifetime major depressive disorder, having only used opioids by swallowing or sublingual administration, and receiving no prior opioid dependence treatment remained as significant predictors of successful outcome.

conclusionsThis is the first study to examine characteristics associated with treatment outcome in patients dependent exclusively on prescription opioids. Characteristics associated with successful outcome after 12 weeks of buprenorphine/naloxone treatment include some that have previously been found to predict heroin-dependent patients' response to methadone treatment and some specific to prescription opioid-dependent patients receiving buprenorphine/naloxone.

Indexed as

AdultAnalgesics, OpioidBuprenorphineDrug Therapy, CombinationFemaleHumansMaleNaloxoneOpioid-Related DisordersPrescription DrugsTreatment OutcomeYoung AdultAnalgesics, OpioidBuprenorphineNaloxonePrescription Drugs

Identifiers

PMID23333292
PMCPMC3638044
OpenAlexW2011421419

What OpenQuestion holds

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Read underepoch 390

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.