Evidence map›Paper›PMID 26454835›Full record

Trial reportDrug and alcohol dependence2015

Memantine improves buprenorphine/naloxone treatment for opioid dependent young adults.

Gerardo Gonzalez, Gregory DiGirolamo, Mauricio Romero-Gonzalez, David Smelson, Douglas Ziedonis, Monika Kolodziej

Open access · greenAbstract readComparative StudyRandomized Controlled Trial
In one paragraph

Trial report in Drug and alcohol dependence, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 5 pooled it
2.0field-weighted citation impact, top 13% 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

12 citing papers in PubMed, 5 syntheses or guidelines pooled it, 27 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  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. Evidence Base on Outpatient Behavioral Treatments for Adolescent Substance Use, Update 2018-2023: Current Status, Best Practices, and Opportunities for Advancing the Science.Journal of clinical child and adolescent psychology : the official journal for the Society of Clinical Child and Adolescent Psychology, American Psychological Association, Division 53
    Pooled it
  6. Memantine as a pain management strategy post-total knee arthroplasty: a randomized controlled trial.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2026
    Trial
  7. Influence of combined treatment with naltrexone and memantine on alcohol drinking behaviors: a phase II randomized crossover trial.Neuropsychopharmacology : official publication of the American College of Neuropsychopharmacology · 2020
    Trial
  8. Review
  9. Review
  10. Article
  11. Article
  12. 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 1 institution in 1 country.

Gerardo GonzalezDivision of Addiction Psychiatry, University of Massachusetts Medical School, USA; VA Central Western Massachusetts Healthcare System, USA; MAYU of New England, USA. Electronic address: gerardo.gonzalez@umassmed.edu.
Gregory DiGirolamoDivision of Addiction Psychiatry, University of Massachusetts Medical School, USA; College of the Holy Cross, USA.
Mauricio Romero-GonzalezDivision of Addiction Psychiatry, University of Massachusetts Medical School, USA; MAYU of New England, USA.
David SmelsonDivision of Addiction Psychiatry, University of Massachusetts Medical School, USA.
Douglas ZiedonisDivision of Addiction Psychiatry, University of Massachusetts Medical School, USA.
Monika KolodziejDivision of Addiction Psychiatry, University of Massachusetts Medical School, USA.
University of Massachusetts Chan Medical School · US

Funding

Memantine-enhanced Buprenorphine Treatment for Opioid-dependent Young AdultsR01DA027138 · NIDA · UNIV OF MASSACHUSETTS MED SCH WORCESTER · PI GONZALEZ, GERARDO · 2009 to 2011
$1.2M
NIDA NIH HHS R01 DA027138NIDA NIH HHS R01DA027138
6 · The paper itself

Abstract

backgroundOpioid use disorders are considered a serious public health problem among young adults. Current treatment is limited to long-term opioid substitution therapy, with high relapse rates after discontinuation. This study evaluated the co-administration of memantine to brief buprenorphine pharmacotherapy as a treatment alternative.

methods13-week double-blind placebo-controlled trial evaluating 80 young adult opioid dependent participants treated with buprenorphine/naloxone 16-4mg/day and randomized to memantine (15mg or 30mg) or placebo. Primary outcomes were a change in the weekly mean proportion of opioid use, and cumulative abstinence rates after rapid buprenorphine discontinuation on week 9.

resultsTreatment retention was not significantly different between groups. The memantine 30mg group was significantly less likely to relapse and to use opioids after buprenorphine discontinuation. Among participants abstinent on week 8, those in the memantine 30mg group (81.9%) were significantly less likely to relapse after buprenorphine was discontinued compared to the placebo group (30%) (p<0.025). Also, the memantine 30mg group had significantly reduced opioid use (mean=0, SEM±0.00) compared to the placebo group (mean=0.33, SEM±0.35; p<0.004) during the last 2 weeks of study participation.

conclusionsMemantine 30mg significantly improved short-term treatment with buprenorphine/naloxone for opioid dependent young adults by reducing relapse and opioid use after buprenorphine discontinuation. Combined short-term treatment with buprenorphine/naloxone may be an effective alternative treatment to long-term methadone or buprenorphine maintenance in young adults.

Indexed as

AdolescentAdultBuprenorphine, Naloxone Drug CombinationDose-Response Relationship, DrugDouble-Blind MethodFemaleHumansMaleMemantineNaloxoneNarcotic AntagonistsOpiate Substitution TreatmentOpioid-Related DisordersRecurrenceYoung AdultBuprenorphine, Naloxone Drug CombinationMemantineNaloxoneNarcotic AntagonistsBuprenorphineEarly relapseMemantineOpioid dependenceYoung adults

Identifiers

PMID26454835
PMCPMC4652072
OpenAlexW2113427158

What OpenQuestion holds

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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.