Evidence map›Paper›PMID 37730015›Full record

Trial reportJournal of substance use and addiction treatment2024

Comparing outcomes of extended-release naltrexone in adolescents and young adults with opioid use disorder.

Shannon Gwin Mitchell, Jesse B Fletcher, Laura B Monico, Jan Gryczynski, Marc J Fishman, Kevin E O'Grady, Robert P Schwartz

Open access · greenAbstract readComparative StudyRandomized Controlled Trial
In one paragraph

Trial report in Journal of substance use and addiction treatment, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
1.4field-weighted citation impact, top 18% 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

1 citing paper in PubMed, 5 citations in OpenAlex.

  1. Medications for OUD: Extended-Release Naltrexone.Current addiction reports · 2025
    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

7 authors at 2 institutions in 1 country.

Shannon Gwin MitchellFriends Research Institute, 1040 Park Avenue, Suite 103, Baltimore, MD, USA. Electronic address: smitchell@friendsresearch.org.
Jesse B FletcherFriends Research Institute, 1040 Park Avenue, Suite 103, Baltimore, MD, USA. Electronic address: jfletcher@friendsresearch.org.
Laura B MonicoFriends Research Institute, 1040 Park Avenue, Suite 103, Baltimore, MD, USA. Electronic address: lmonico@friendsresearch.org.
Jan GryczynskiFriends Research Institute, 1040 Park Avenue, Suite 103, Baltimore, MD, USA. Electronic address: jgryczynski@friendsresearch.org.
Marc J FishmanMountain Manor Treatment Center, 3800 Frederick Avenue, Baltimore 21229, MD, USA.
Kevin E O'GradyDepartment of Psychology, University y 8Maryland, College Park, College Park, MD, USA. Electronic address: ogrady@umd.edu.
Robert P SchwartzFriends Research Institute, 1040 Park Avenue, Suite 103, Baltimore, MD, USA. Electronic address: rschwartz@friendsresearch.org.
Friends Research Institute · USHCR Manor Care · US

Funding

Health Services Research: Extended Release Naltrexone for Opioid-Dependent YouthR01DA033391 · NIDA · FRIENDS RESEARCH INSTITUTE, INC. · PI MITCHELL, SHANNON GWIN · 2013 to 2018
$3.3M
NIDA NIH HHS R01 DA033391
6 · The paper itself

Abstract

introductionOpioid use among youth is a public health concern in the United States, with >3300 overdose deaths occurring nationally each year. Unfortunately, youth in the United States are still prescribed medication for opioid use disorder (OUD) at a lower rate than their adult counterparts.

methodsFrom 10/2013 to 01/2018, adolescents (ages 15-17; n = 25) and young adults (ages 18-21; n = 263) with moderate to severe OUD enrolled in the parent trial of extended-release naltrexone (XR-NTX; n = 82) versus treatment-as-usual (TAU; either buprenorphine maintenance [n = 94] or counseling without buprenorphine maintenance [n = 112]). The study assessed opioid use outcomes for adolescents vs. young adults using timeline follow-back self-report procedures at baseline and 3-/6-month follow-up assessments. Mixed-effects longitudinal and clustered panel regression models compared treatment effects over time of XR-NTX and TAU on opioid use outcomes in this secondary analysis.

resultsThough adolescent participants reported significantly less opioid use at baseline relative to their young adult counterparts (p < 0.05), the two age groups reported similar rates of opioid use throughout the intervention period. Additionally, both adolescents and young adults receiving XR-NTX evidenced lower rates of opioid use than those receiving TAU at all time points, and adolescents on XR-NTX were the only group who reduced their opioid use at all time points. Mixed-effects models indicated adolescents receiving XR-NTX demonstrated a 48 % lower rate of opioid use days [Incidence Rate Ratio (IRR) = 0.52; p = 0.020], while young adults receiving XR-NTX reported an estimated 26 % lower rate (IRR = 0.74; p = 0.009).

conclusionsResults indicate that adolescents respond favorably to XR-NTX relative to TAU for treatment of OUD, demonstrating similar outcomes to young adults.

Indexed as

Delayed-Action PreparationsNaltrexoneNarcotic AntagonistsOpioid-Related DisordersAdolescentAdultBuprenorphineFemaleHumansMaleOpiate Substitution TreatmentTreatment OutcomeUnited StatesYoung AdultBuprenorphineDelayed-Action PreparationsNaltrexoneNarcotic AntagonistsAdolescentsBuprenorphineExtended-release naltrexone (XR-NTX)Opioid use disorder (OUD)Vivitrol

Identifiers

PMID37730015
PMCPMC10948374
OpenAlexW4386866385

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.