Evidence map›Paper›PMID 38886826›Full record

ArticleAddiction science & clinical practice2024

Rapid induction of transdermal buprenorphine to subcutaneous extended-release buprenorphine for the treatment of opioid use disorder.

Pouya Azar, Hannah Schneiderman, Henry Barron, James S H Wong, Maximilian Meyer, Dayyon Newman-Azar, Matin Narimani, Martha J Ignaszewski, Nickie Mathew, Rodney Mullen and 2 more

Registry-linked trialAbstract readCase Reports
In one paragraph

Article in Addiction science & clinical practice, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07148206 (Dronabinol and Epidiolex to Manage Uncontrolled Residual Symptoms of Buprenorphine Initiation Trial), which is not on this map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
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.

NCT07148206 phase3not yet recruitingnot on this mapstarted 2026, after this paper: background citation

Dronabinol and Epidiolex to Manage Uncontrolled Residual Symptoms of Buprenorphine Initiation Trial

TypeinterventionalSponsorMontefiore Medical CenterRan2026 to 2028Enrolled40ConditionsOpioid Use DisorderArmsDronabinol Capsules, Epidiolex 100 mg/mL Oral Solution, Placebo Dronabinol, Placebo Epidiolex
3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

  1. Article
  2. Article
  3. Review
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

12 authors.

Pouya AzarIntegrated Psychiatry, Pain, and Addiction Service, Vancouver General Hospital, Flr 8-2775 Laurel St, V5Z 1M9, Vancouver, BC, Canada. pouya.azar@vch.ca.ORCID http://orcid.org/0009-0009-8054-6911
Hannah SchneidermanSchool of Medicine, University College Cork, Cork, Ireland.
Henry BarronDepartment of Psychiatry, Faculty of Medicine, University of British Columbia, Vancouver, BC, Canada.
James S H WongIntegrated Psychiatry, Pain, and Addiction Service, Vancouver General Hospital, Flr 8-2775 Laurel St, V5Z 1M9, Vancouver, BC, Canada.
Maximilian MeyerAddictions and Concurrent Disorders Research Group, Department of Psychiatry, Faculty of Medicine, University of British Columbia, Vancouver, BC, Canada.
Dayyon Newman-AzarIntegrated Psychiatry, Pain, and Addiction Service, Vancouver General Hospital, Flr 8-2775 Laurel St, V5Z 1M9, Vancouver, BC, Canada.
Matin NarimaniIntegrated Psychiatry, Pain, and Addiction Service, Vancouver General Hospital, Flr 8-2775 Laurel St, V5Z 1M9, Vancouver, BC, Canada.
Martha J IgnaszewskiIntegrated Psychiatry, Pain, and Addiction Service, Vancouver General Hospital, Flr 8-2775 Laurel St, V5Z 1M9, Vancouver, BC, Canada.
Nickie MathewIntegrated Psychiatry, Pain, and Addiction Service, Vancouver General Hospital, Flr 8-2775 Laurel St, V5Z 1M9, Vancouver, BC, Canada.
Rodney MullenIntegrated Psychiatry, Pain, and Addiction Service, Vancouver General Hospital, Flr 8-2775 Laurel St, V5Z 1M9, Vancouver, BC, Canada.
Reinhard M KrauszAddictions and Concurrent Disorders Research Group, Department of Psychiatry, Faculty of Medicine, University of British Columbia, Vancouver, BC, Canada.
Anil R MaharajPharmacokinetics Modeling and Simulation Laboratory, Faculty of Pharmaceutical Sciences, University of British Columbia, Vancouver, BC, Canada.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundBuprenorphine is an effective and safe treatment for opioid use disorder, but the requirement for moderate opioid withdrawal symptoms to emerge prior to initiation is a significant treatment barrier. CASE PRESENTATION: We report on two cases of hospitalized patients with severe, active opioid use disorder, in which we initiated treatment with transdermal buprenorphine over 48 h, followed by the administration of a single dose of sublingual buprenorphine/naloxone and then extended-release subcutaneous buprenorphine. The patients did not experience precipitated withdrawal and only had mild withdrawal symptoms.

conclusionsThis provides preliminary evidence for a rapid induction strategy that may improve tolerability, caregiver burden, and treatment retention as compared to previous induction strategies.

Indexed as

Administration, CutaneousBuprenorphineDelayed-Action PreparationsOpioid-Related DisordersSubstance Withdrawal SyndromeAdultAnalgesics, OpioidBuprenorphine, Naloxone Drug CombinationFemaleHumansInjections, SubcutaneousMaleMiddle AgedNarcotic AntagonistsOpiate Substitution TreatmentAnalgesics, OpioidBuprenorphineBuprenorphine, Naloxone Drug CombinationDelayed-Action PreparationsNarcotic AntagonistsButransLow-dose inductionMicro-dosing buprenorphineMicro-inductionSubcutaneousSublocadeTransdermal

Identifiers

PMID38886826
PMCPMC11184727

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Registered trials

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.