A Bundled Intervention

Trial statusRecruiting
Trial phasePhase 1, Phase 2
Trial typeInterventional
Biological sexAll
Age19+
SponsorUniversity of Alabama at Birmingham

About this trial

Opioid overdose deaths have reached historically high records in the United States and are particularly concentrated among patients after emergency department (ED) discharge. Evidence-based treatment modules to reduce repeat opioid overdose and mortality are lacking in this patient population. A bundled intervention is proposed, including telehealth, peer support specialist, buprenorphine, and linkage for definitive care, that is designed to increase treatment uptake in this patient population post-ED discharge, reduce repeat opioid overdoses, and end overdose deaths.

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

discharged from the ED and inpatient settings at the UAB hospital

19 years or older (the age of majority in Alabama);

diagnosis of OUD and experiencing opioid overdose in the last 12 months;

prescribed buprenorphine in the ED and willing to continue buprenorphine post-ED discharge;

Disqualifiers

living in a restricted environment (e.g., prison or jail facility, etc.);

currently enrolled in other clinical studies;

anticipated to take other prescribed opioids except buprenorphine for a medical condition longer than three months;

known allergic reaction to buprenorphine;

Trial design

Design model

Parallel

Treatments tested in this trial

  • a bundled intervention

    Other intervention

    a bundled intervention, including peer support, buprenorphine (ranging from 4mg-24mg, oral, daily), telehealth, and community-based addiction programs.

  • control group

    Other intervention

    participants will not be intervened with this bundled treatment, but continue the usual care that has been established at UAB ED.

Treatment groups

190 Participants
are divided into 3 treatment groups
Group A: phase 1Experimental treatment 1 intervention
Group B: phase 2- experimentalExperimental treatment 1 intervention
Group C: phase 2- controlPlacebo comparator 1 intervention

Trial outcomes

Primary outcomes

1

participant retention rate

measure the total number of participants who complete 1- month and 3-month treatment in the study

Time frame
1 month and 3 months post ED discharge
2

buprenorphine adherent rate

checking prescription rate and patients' report of their taking medication rate

Time frame
1 month and 3 months post ED discharge
3

linkage rate to addiction treatment programs

patients' self report and reports from addiction treatment programs

Time frame
1 month and 3 months post ED discharge

Secondary outcomes

Other outcomes

Sponsors and contacts

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

University of Alabama at Birmingham

Lead sponsor

National Institute on Drug Abuse (NIDA)

Collaborator