Evidence map›Paper›PMID 24560438›Full record

Trial reportJournal of substance abuse treatment

A placebo-controlled trial of memantine as an adjunct to injectable extended-release naltrexone for opioid dependence.

Adam Bisaga, Maria A Sullivan, Andrew Glass, Kaitlyn Mishlen, Kenneth M Carpenter, John J Mariani, Frances R Levin, Edward V Nunes

Open access · greenAbstract readComparative StudyRandomized Controlled Trial
In one paragraph

Trial report in Journal of substance abuse treatment. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed, 1 pooled it
4.0field-weighted citation impact, top 7% 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

19 citing papers in PubMed, 1 synthesis or guideline pooled it, 40 citations in OpenAlex.

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  17. Sex Differences in Regional Brain Glucose Metabolism Following Opioid Withdrawal and Replacement.Neuropsychopharmacology : official publication of the American College of Neuropsychopharmacology · 2017
    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

8 authors at 1 institution in 1 country.

Adam BisagaDepartment of Psychiatry, Columbia University College of Physicians and Surgeons, New York NY. Electronic address: amb107@columbia.edu.
Maria A SullivanDepartment of Psychiatry, Columbia University College of Physicians and Surgeons, New York NY.
Andrew GlassDepartment of Psychiatry, Columbia University College of Physicians and Surgeons, New York NY.
Kaitlyn MishlenDepartment of Psychiatry, Columbia University College of Physicians and Surgeons, New York NY.
Kenneth M CarpenterDepartment of Psychiatry, Columbia University College of Physicians and Surgeons, New York NY.
John J MarianiDepartment of Psychiatry, Columbia University College of Physicians and Surgeons, New York NY.
Frances R LevinDepartment of Psychiatry, Columbia University College of Physicians and Surgeons, New York NY.
Edward V NunesDepartment of Psychiatry, Columbia University College of Physicians and Surgeons, New York NY.
Columbia University · US

Funding

Memantine Naltrexone Treatment for Opioid DependenceR01DA015822 · NIDA · NEW YORK STATE PSYCHIATRIC INSTITUTE DBA RESEARCH FOUNDATION FOR MENTAL HYGIENE, INC · PI BISAGA, ADAM · 2005 to 2009
$2.7M
Drug Abuse Treatment Development and Research MentoringK24DA022412 · NIDA · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI NUNES, EDWARD V. · 2007 to 2016
$1.7M
NIDA NIH HHS DA15822NIDA NIH HHS K24 DA022412NIDA NIH HHS R01 DA015822
6 · The paper itself

Abstract

There is preclinical support for using NMDA receptor glutamatergic antagonists to aid in naltrexone-based treatment of opioid dependence. We hypothesized that adding memantine will improve efficacy of extended-release (XR) naltrexone to prevent relapse. In this double blind study opioid-dependent participants (N=82) underwent inpatient detoxification and naltrexone induction. During naltrexone initiation participants were randomized to receive memantine 40 mg or placebo and continued treatment for 12-weeks with XR naltrexone and relapse-prevention therapy. Sixty eight percent of participants completed detoxification and received the first dose of XR naltrexone. Rates of trial completion were significantly greater in participants receiving placebo than memantine (70% vs. 43%, p<0.05). Severity of opioid withdrawal symptoms during the first 3 weeks of the trial appeared to be lower in the group receiving memantine (p=0.07). Adding memantine does not appear to increase the effectiveness of injectable XR naltrexone as a relapse prevention strategy in opioid dependence and may lead to an increase in treatment drop-out.

Indexed as

AdultDelayed-Action PreparationsDouble-Blind MethodDrug Therapy, CombinationExcitatory Amino Acid AntagonistsFemaleHumansMaleMemantineMiddle AgedNaltrexoneNarcotic AntagonistsOpioid-Related DisordersRecurrenceSubstance Withdrawal SyndromeDelayed-Action PreparationsExcitatory Amino Acid AntagonistsMemantineNaltrexoneNarcotic AntagonistsMemantineNaltrexoneNMDA receptorsOpiate dependencePharmacotherapy trials

Identifiers

PMID24560438
PMCPMC4007510
OpenAlexW1999484743

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.