Evidence map›Paper›PMID 23577900›Full record

Trial reportSubstance abuse2013

Aversion to injection limits acceptability of extended-release naltrexone among homeless, alcohol-dependent patients.

Peter D Friedmann, Dawn Mello, Sean Lonergan, Claire Bourgault, Thomas P O'Toole

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

Trial report in Substance abuse, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01155869 (Pilot Study of Depot Naltrexone in Alcohol-Dependent, Homeless Veterans), which is not on this map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
4.8field-weighted citation impact, top 6% 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.

NCT01155869 phase4terminatednot on this map

Pilot Study of Depot Naltrexone in Alcohol-Dependent, Homeless Veterans

TypeinterventionalSponsorUS Department of Veterans AffairsRan2010 to 2012Enrolled7ConditionsAlcohol DependenceArmsDepot naltrexone, Oral Naltrexone
3 · Its place in the literature

Who cites it

8 citing papers in PubMed, 14 citations in OpenAlex.

  1. Trial
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  3. Trial
  4. Article
  5. Survey of Treatment Preferences for Opioid Use Disorder.Jacobs journal of addiction and therapy · 2018
    Article
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  7. Article
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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

5 authors at 3 institutions in 1 country.

Peter D FriedmannCenter on System, Outcomes & Quality in Chronic Disease & Rehabilitation, Research Service , Providence Veterans Affairs Medical Center , Providence , Rhode Island , USA. pfriedmann@lifespan.org
Dawn Mello
Sean Lonergan
Claire Bourgault
Thomas P O'Toole
Providence VA Medical Center · USBrown University · USProvidence College · US

Funding

Pilot Study of Depot Naltrexone in Alcohol-Dependent, Homeless VeteransI01HX000444 · VA · PROVIDENCE VA MEDICAL CENTER · PI FRIEDMANN, PETER D · 2011 to 2011
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Transformative Health systems Research to Improve Veteran Equity and Independence (THRIVE) Center of InnovationI50HX001245 · VA · PROVIDENCE VA MEDICAL CENTER · PI JAMES L RUDOLPH · 2015 to 2026
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HSRD VA I01 HX000444HSRD VA I50 HX001245
6 · The paper itself

Abstract

backgroundEnding homelessness is a major priority of the Department of Veteran Affairs (VA), and alcohol use can be a barrier to stable housing. Clinical trials suggest that depot extended-release naltrexone (XR-NTX) is efficacious in reducing alcohol consumption among alcohol-dependent subjects.

methodsAn open-label, randomized pilot study sought to examine the feasibility and effectiveness of XR-NTX versus oral naltrexone to improve alcohol consumption and housing stability among homeless, alcohol-dependent veterans at the Providence Veteran Affairs Medical Center.

resultsOf 215 potential candidates approached over a 16-month recruitment period, only 15 agreed to consider study entry and 7 were randomized. The primary reasons given for refusal were not wanting an injection; fear of needles; and not wanting to change drinking habits. Only 1 participant in the XR-NTX group returned after the first injection. Three participants in the oral naltrexone group attended all 7 visits and had good outcomes.

conclusionsAlthough XR-NTX has demonstrated efficacy in reducing heavy drinking, limited acceptance of the injection might reduce its effectiveness among homeless, alcohol-dependent patients.

Indexed as

NeedlesAdministration, OralAlcoholismDelayed-Action PreparationsFearHumansIll-Housed PersonsMaleMiddle AgedNaltrexoneNarcotic AntagonistsPatient Acceptance of Health CarePilot ProjectsVeteransDelayed-Action PreparationsNaltrexoneNarcotic Antagonists

Identifiers

PMID23577900
PMCPMC4394196
OpenAlexW1606827522

What OpenQuestion holds

Textmetadata
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.