Evidence map›Paper›PMID 40538333›Full record

Trial reportAddiction (Abingdon, England)2025

Extended-release buprenorphine treatment for opioid use disorder: A mixed-methods study of response and experience.

Natalie Lowry, Andrew McKechnie, Edward Day, Eilish Gilvarry, Fiona Cowden, Rachel Evans, Rosie Locke, Robbie Murray, Rob Vanderwaal, Stacey Johnstone and 4 more

Abstract readRandomized Controlled TrialMulticenter StudyClinical Trial, Phase III
In one paragraph

Trial report in Addiction (Abingdon, England), 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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.

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

2 citing papers in PubMed.

  1. Trial
  2. 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

14 authors.

Natalie LowryAddictions Department, School of Academic Psychiatry, Institute of Psychiatry, Psychology and Neuroscience, King's College London, London, UK.ORCID https://orcid.org/0000-0002-9137-5005
Andrew McKechnieDundee Drug and Alcohol Recovery Service, Dundee Health and Social Care Partnership, Scotland, UK.
Edward DaySolihull Integrated Addiction Service, Birmingham and Solihull Mental Health NHS Foundation Trust, Birmingham, UK.
Eilish GilvarryNewcastle Treatment and Recovery, Cumbria, Northumberland, Tyne and Wear NHS Foundation, Newcastle Upon Tyne, UK.
Fiona CowdenDundee Drug and Alcohol Recovery Service, Dundee Health and Social Care Partnership, Scotland, UK.
Rachel EvansSchool of Health Sciences, Bangor University, Wales, UK.
Rosie LockeNewcastle Treatment and Recovery, Cumbria, Northumberland, Tyne and Wear NHS Foundation, Newcastle Upon Tyne, UK.
Robbie MurrayNewcastle Treatment and Recovery, Cumbria, Northumberland, Tyne and Wear NHS Foundation, Newcastle Upon Tyne, UK.
Rob VanderwaalLambeth Drug and Alcohol Service, South London and Maudsley NHS Foundation Trust, London, UK.
Stacey JohnstoneDundee Drug and Alcohol Recovery Service, Dundee Health and Social Care Partnership, Scotland, UK.
Zoe HoareSchool of Health Sciences, Bangor University, Wales, UK.
Michael KelleherAddictions Department, School of Academic Psychiatry, Institute of Psychiatry, Psychology and Neuroscience, King's College London, London, UK.
Luke MitchesonAddictions Department, School of Academic Psychiatry, Institute of Psychiatry, Psychology and Neuroscience, King's College London, London, UK.
John MarsdenAddictions Department, School of Academic Psychiatry, Institute of Psychiatry, Psychology and Neuroscience, King's College London, London, UK.ORCID https://orcid.org/0000-0002-1307-2498

Funding

Indivior UK Limited
6 · The paper itself

Abstract

BACKGROUND AND

aimsAn investigation of 24 weeks of extended-release buprenorphine (BUP-XR; Sublocade®) treatment for adults with opioid use disorder (OUD). Study aims were to characterise variations in clinical response, investigate personal factors influencing BUP-XR experience and identify opportunities to tailor treatment interventions.

designA convergent parallel mixed-methods evaluation embedded in a five-centre, phase 3, randomised controlled trial of BUP-XR versus daily oral methadone or sublingual buprenorphine.

settingFour of five National Health Service addictions treatment clinics in England and Scotland from the trial.

participantsParticipants were recruited after they completed the 24-week endpoint. Forty-nine participants (31%) from the trial completed the qualitative interview. MEASUREMENTS: Three outcome measures from the trial's dataset were used descriptively: (1) fortnightly clinic visit administered TimeLine Follow-Back interview and urine drug screen data on use of non-medical opioids, cocaine and benzodiazepines; (2) the frequency version of the 11-item Craving Experience Questionnaire administered at baseline and endpoint; and (3) the Structured Clinical Interview for DSM-5 disorders for diagnosis of early OUD and cocaine use disorder (CUD) remission. Data visualisation (by heatmap) identified drug use response sub-groups. A topic-guided, semi-structured qualitative interview was analysed by Interactive Categorisation.

findingsThree response sub-groups were identified: Group 1 [14 (28.5%) of 49 participants] had the highest level of response, characterised by continuous abstinence from opioids, cocaine and benzodiazepines, improvements in craving control and mental and physical health in the majority, and a high level of remission and satisfaction with care; Group 2 [14 (28.5%) of 49 participants] had the next level of response, characterised by continuous abstinence from opioids, but some with opioid craving and some with compensatory use of cocaine and benzodiazepine to cope with anxiety and stress; Group 3 [21 (43.0%) of 49 participants] were not continuously abstinent from opioids during follow-up, the majority had dual OUD and CUD at trial enrolment, some reported breakthrough opioid withdrawal symptoms during follow-up, the majority reported improvements in mental health, but many reported opioid and cocaine cravings and compensatory use of cocaine and benzodiazepines.

conclusionsThere appears to be variation in response and experience of extended-release buprenorphine during the first six months of treatment, depending on substance use and physical health. This highlights the need for tailored treatment plans based on differing individual needs.

Indexed as

BuprenorphineNarcotic AntagonistsOpiate Substitution TreatmentOpioid-Related DisordersAdministration, SublingualAdultCocaine-Related DisordersCravingDelayed-Action PreparationsEnglandFemaleHumansMaleMethadoneMiddle AgedScotlandBuprenorphineDelayed-Action PreparationsMethadoneNarcotic Antagonistsextended‐release buprenorphinelong‐acting injectable buprenorphinemixed‐methodsopioid use disorderpatient experiencequalitative evaluation

Identifiers

PMID40538333
PMCPMC12426361

What OpenQuestion holds

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LicenceCC BY
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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.