Continuum of Care in Hospitalized Patients With Opioid/Stimulant Use Disorder and Infectious Complications From Drug Use

Trial statusRecruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age18+
SponsorElana Rosenthal

About this trial

This is a two-group randomized controlled trial conducted at five hospitals across the U.S. designed to test the effectiveness of an Integrated infectious diseases/Substance Use Disorder outpatient clinic (IC) compared to treatment as usual aimed at reducing infection related readmissions and improving health outcomes in people hospitalized with an infection related to injecting opioids or stimulants.

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

Age ≥ 18 years

Admitted to study hospital (defined as hospitalized with a primary team that is not Emergency Medicine)

Injection opioid or stimulant use in past 90 days - per patient self-report

Active suspected or confirmed qualifying infection (see list) at time of admission.

Disqualifiers

1. Infection due to a cause other than injection drug use, per determination of a site PI.

Trial design

Design model

Parallel

Treatments tested in this trial

  • Integrated Infectious Diseases and Substance Use Disorder Clinic (IC)

    Behavioral

    Integrated medication for opioid/stimulant use disorder and infectious disease care provided into single appointment either in person or via telemedicine with a minimum of monthly appointments for 6 months.

Treatment groups

304 Participants
are divided into 2 treatment groups
Group A: Treatment As UsualNo intervention 0 interventions
Group B: Integrated Infectious Diseases and Substance Use Disorder Clinic (IC)Experimental treatment 1 intervention

Trial outcomes

Primary outcomes

1

Infection Rehospitalization

New hospitalization due to infection following discharge for index hospitalization

Time frame
6 months after discharge for index hospitalization

Secondary outcomes

1

Time to first infection related readmission

Time to first infection related readmission

Time frame
12 months after discharge for index hospitalization
2

Reason for infection related readmission

Reason for infection related readmission (persistent index infection, new IDU associated infection, other infection)

Time frame
12 months after discharge for index hospitalization
3

Hospital services utilization

ED visits (Binary, count, time to first ED visit, cause) and Readmission, all cause (binary, count, time to first readmission, cause)

Time frame
12 months after discharge for index hospitalization
4

Mortality

Death (Binary, time to death, cause of death)

Time frame
12 months after discharge for index hospitalization

Other outcomes

Sponsors and contacts

Click on the lead sponsor to view all of their trials.

Elana Rosenthal

Lead sponsor

University of Maryland, Baltimore

Sponsor institution

Emory University

Collaborator

George Washington University

Collaborator

West Virginia University

Collaborator

Weill Medical College of Cornell University

Collaborator

Friends Research Institute, Inc.

Collaborator