Evidence map›Paper›PMID 30417173›Full record

ArticleEC psychology and psychiatry2018

Analysis of Evidence for the Combination of Pro-dopamine Regulator (KB220PAM) and Naltrexone to Prevent Opioid Use Disorder Relapse.

Kenneth Blum, Edward J Modestino, Rajendra D Badgaiyan, David Baron, Panayotis K Thanos, Igor Elman, David Siwicki, Marcelo Febo, Mark S Gold

Open access · greenAbstract read
In one paragraph

Article in EC psychology and psychiatry, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed
1.3field-weighted citation impact, top 22% 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

16 citing papers in PubMed, 22 citations in OpenAlex.

  1. Opioid-Induced Nodding-Not a Nice Nap.Acta scientific neurology · 2026
    Article
  2. Article
  3. Article
  4. Review
  5. Article
  6. Article
  7. Article
  8. Article
  9. Review
  10. Article
  11. Article
  12. Review
  13. Article
  14. Article
  15. Article
  16. 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

9 authors at 5 institutions in 2 countries.

Kenneth BlumDepartment of Psychiatry, McKnight Brain Institute, University of Florida College of Medicine, Gainesville FL. USA.
Edward J ModestinoDepartment of Psychology, Curry College, Milton, MA, USA.
Rajendra D BadgaiyanDepartment of Psychiatry, Ichan at Mount Sinai School of Medicine, New York, NY, USA.
David BaronWestern University Health Sciences, Pomona, CA, USA.
Panayotis K ThanosDepartment of Psychology, and Institute of Addiction Research, University of Buffalo, Buffalo, NY, USA.
Igor ElmanDepartment of Psychiatry, Cooper University School of Medicine, Camden NJ, USA.
David SiwickiDivision of Precision Addiction Management, Geneus Health, LLC, San Antonio, TX, USA.
Marcelo FeboDepartment of Psychiatry, McKnight Brain Institute, University of Florida College of Medicine, Gainesville FL. USA.
Mark S GoldDepartment of Psychiatry, Washington University, School of Medicine, St. Louis, MO, USA.
Curry College · USFlorida College · USUniversity of Florida · USWashington University in St. Louis · USWestern University of Health Sciences · US

Funding

Anandamide Transport InhibitorsR01DA035923 · NIDA · STATE UNIVERSITY NEW YORK STONY BROOK · PI KACZOCHA, MARTIN · 2013 to 2017
$3.8M
FABPs: Novel Roles in Pain and InflammationR01DA035949 · NIDA · STATE UNIVERSITY NEW YORK STONY BROOK · PI KACZOCHA, MARTIN · 2014 to 2022
$3.0M
Dopamine Neurotransmission in Tourette SyndromeR01NS073884 · NINDS · UNIVERSITY OF MINNESOTA · PI BADGAIYAN, RAJENDRA D · 2012 to 2016
$2.2M
Brain Imaging of Cocaine and Maternal RewardR01DA019946 · NIDA · UNIVERSITY OF FLORIDA · PI FEBO, MARCELO · 2007 to 2011
$1.6M
Detection of Dopamine Release During a Cognitive TaskR21MH073624 · NIMH · MASSACHUSETTS GENERAL HOSPITAL · PI BADGAIYAN, RAJENDRA D · 2005 to 2006
$368k
A Systematic Medical Approach to Reward Transformation (SMART) for Brain Health in Opioid Use DisorderR41MD012318 · NIMHD · VERSA INTEGRATED SOLUTIONS, INC. · PI BLUM, KENNETH, GONDRE-LEWIS, MARJORIE C · 2017 to 2017
$221k
Gambling Disorder: Neuroimaging of Reward and Anti-Reward CircuitryI01CX001118 · VA · PROVIDENCE VA MEDICAL CENTER · PI ELMAN, IGOR · 2016 to 2017
–
Dopamine Neurotransmission in AddictionI01CX000479 · VA · VA WESTERN NEW YORK HEALTHCARE SYSTEM · PI BADGAIYAN, RAJENDRA D · 2013 to 2014
–
CSRD VA I01 CX000479CSRD VA I01 CX001118NIDA NIH HHS R01 DA019946NIDA NIH HHS R01 DA035923NIDA NIH HHS R01 DA035949NIMHD NIH HHS R41 MD012318NIMH NIH HHS R21 MH073624NINDS NIH HHS R01 NS073884
6 · The paper itself

Abstract

Blum's laboratory first showed the benefits of naloxone or narcotic antagonists in the treatment of alcohol dependence. This seminal work published in Nature in the early 70's, in conjunction with many other studies, later served as the basis for the development of the narcotic antagonist (NTX) now used to treat both alcohol and opioid dependence. In 2006 an extended-release injectable of Naltrexone (XR-NTX) was approved by the FDA. Naltrexone is a relatively weak antagonist of κ- and δ-receptors and is also a potent μ-receptor antagonist. Dosages of naltrexone that effectively reduce opioid and alcohol consumption also actively block μ-receptors, but chronically down-regulate mesolimbic dopamine release. While studies show benefit especially in the short term, there is ongoing evidence that the retention and compliance with NTX are not sufficient to characterize adherence as high. However, extended-release NTX opioid treatment is associated with superior outcomes including less likely relapse (defined as daily use), and much longer time to relapse despite higher rates of concurrent non-opioid substance use like cocaine. Regarding long-term extended-release injectable (XR-NTX) for opioid dependence; there was higher compliance with Opioid Use Disorder (OUD) than for Alcohol Use Disorder (AUD.). Consideration of modalities in combination with XR-NTX is imperative. Research by Blum.,

Indexed as

Combination TherapyExtended-Release Injectable Naltrexone (XR-NTX)NeuronutrientOpioid TreatmentReward Deficiency

Identifiers

PMID30417173
PMCPMC6226033
OpenAlexW2889937907

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.