Evidence map›Paper›PMID 34184798›Full record

ArticleAddiction (Abingdon, England)2022

Treatment of opioid dependence with depot buprenorphine (CAM2038) in custodial settings.

Adrian J Dunlop, Bethany White, Jillian Roberts, Michelle Cretikos, Dena Attalla, Rod Ling, Andrew Searles, Judith Mackson, Michael F Doyle, Elizabeth McEntyre and 6 more

Open access · hybridAbstract read
In one paragraph

Article in Addiction (Abingdon, England), 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed, 1 pooled it
6.1field-weighted citation impact, top 3% 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

20 citing papers in PubMed, 1 synthesis or guideline pooled it, 49 citations in OpenAlex.

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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

16 authors at 8 institutions in 2 countries.

Adrian J DunlopDrug and Alcohol Clinical Services, Hunter New England Local Health District, Newcastle, NSW, Australia.ORCID 0000-0003-2394-5966
Bethany WhiteDrug and Alcohol Clinical Research and Improvement Network, NSW, Australia.ORCID 0000-0002-2049-2669
Jillian RobertsDrug and Alcohol Clinical Research and Improvement Network, NSW, Australia.ORCID 0000-0002-2429-2541
Michelle CretikosCentre for Population Health, NSW Ministry of Health, NSW, Australia.
Dena AttallaJustice Health and Forensic Mental Health Network, Malabar, NSW, Australia.
Rod LingHunter Medical Research Institute, University of Newcastle, Newcastle, NSW, Australia.ORCID 0000-0002-6862-6363
Andrew SearlesHunter Medical Research Institute, University of Newcastle, Newcastle, NSW, Australia.ORCID 0000-0002-9452-9735
Judith MacksonChief Pharmacist Unit, Legal and Regulatory Services Branch, NSW Ministry of Health, NSW, Australia.
Michael F DoyleEdith Collins Translational Research Centre, Drug Health Services, Sydney Local Health District, Camperdown, NSW, Australia.ORCID 0000-0003-2083-8575
Elizabeth McEntyreIndependent Aboriginal Researcher, NSW, Australia.
John AttiaSchool of Medicine and Public Health, Faculty of Health and Medicine, University of Newcastle, Callaghan, NSW, Australia.ORCID 0000-0001-9800-1308
Christopher OldmeadowHunter Medical Research Institute, University of Newcastle, Newcastle, NSW, Australia.ORCID 0000-0001-6104-1322
Mark V HowardCorrective Services New South Wales, Sydney, NSW, Australia.
Terry MurrellCorrective Services New South Wales, Sydney, NSW, Australia.
Paul Steven HaberDrug and Alcohol Clinical Research and Improvement Network, NSW, Australia.ORCID 0000-0001-8915-8872
Nicholas LintzerisDrug and Alcohol Clinical Research and Improvement Network, NSW, Australia.ORCID 0000-0001-5229-8257
The University of Sydney · AUHunter Medical Research Institute · AUAlcohol and Drug Foundation · AUCollaborative Research Group · AUNew South Wales Department of Health · AUHealth Net · USJohn Hunter Hospital · AUTharawal Aboriginal · AU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND AND

aimsOpioid agonist treatment is effective but resource intensive to administer safely in custodial settings, leading to significant under-treatment of opioid dependence in these settings world-wide. This study assessed the safety of subcutaneous slow-release depot buprenorphine in custody.

designOpen-label, non-randomized trial.

settingCorrectional centres in New South Wales, Australia.

participantsSixty-seven men and women, aged ≥ 18 years of various security classifications with a diagnosis of moderate to severe DSM-5 opioid use disorder currently serving a custodial sentence of ≥ 6 months were recruited between November 2018 and July 2019. Patients not in opioid agonist treatment at recruitment commenced depot buprenorphine; patients already stable on oral methadone treatment were recruited to the comparison arm. INTERVENTION AND COMPARATOR: Depot buprenorphine (CAM2038 weekly for 4 weeks then monthly) and daily oral methadone. MEASUREMENTS: Safety was assessed by adverse event (AE) monitoring and physical examinations at every visit. Participants were administered a survey assessing self-reported diversion and substance use at baseline and weeks 4 and 16.

findingsRetention in depot buprenorphine treatment was 92.3%. Ninety-four per cent of patients reported at least one adverse event, typically mild and transient. No diversion was identified. The prevalence of self-reported non-prescribed opioid use among depot buprenorphine patients decreased significantly between baseline (97%) and week 16 (12%, odds ratio = 0.0035, 95% confidence interval = 0.0007-0.018, P < 0.0001).

conclusionsThis first study of depot buprenorphine in custodial settings showed treatment retention and outcomes comparable to those observed in community settings and for other opioid agonist treatment used in custodial settings, without increased risk of diversion.

Indexed as

BuprenorphineOpioid-Related DisordersAnalgesics, OpioidFemaleHumansMaleMethadoneNarcotic AntagonistsOpiate Substitution TreatmentAnalgesics, OpioidBuprenorphineMethadoneNarcotic AntagonistsBuprenorphineCAM2038depotopioid use disorderprisonersprisonssafetyslow-releasesubcutaneous

Identifiers

PMID34184798
PMCPMC9291502
OpenAlexW3174388830

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.