Evaluation of the Safety and Effects of Psychoactive Substances in People With Past Opioid Use

Trial statusRecruiting
Trial phasePhase 1
Trial typeInterventional
Biological sexAll
Age18-55
SponsorChristopher D. Verrico

About this trial

The purpose of this study is to understand how kratom affects people. In this study, kratom will be compared with another substance and a placebo (an inactive substance). Researchers will also study how the substances move through and affect the body. This includes examining how the body absorbs, processes, and eliminates the drug (pharmacokinetics), as well as how the drug affects the body and how it may make you feel (pharmacodynamics). The information collected will help researchers better understand the effects and potential risks of kratom.

Eligibility criteria

This trial accepts healthy volunteers

Qualifiers

English-speaking, 18- to 55-year-old males or females.

Is a woman of non-childbearing potential defined as no menses for at least 12 months with status confirmed by FSH and estradiol levels at screening or surgically sterile at screening visit OR

Is a woman of childbearing potential and using a contraceptive method that is highly effective, with a failure rate of <1%, from Screening until 9 months after receiving the study medication. The investigator should evaluate the potential for contraceptive method failure (e.g., noncompliance, recently initiated) in relationship to the dose of study intervention.

Be abstinent from heterosexual intercourse as their preferred and usual lifestyle (abstinent on a long term and persistent basis) and agree to remain abstinent OR

Disqualifiers

Seeking treatment for a substance or alcohol use disorder as determined by self-report during the intake interview.

Current or past diagnosis of opioid use disorder or other substance use disorder (SUD) within the past year, excluding THC and nicotine-containing products. With regard to marijuana/THC, an individual must be able to tolerate 48 hours of abstinence from marijuana/THC products.

History of opioid overdose.

Using medication or supplements that might interact with kratom or oxycodone as determined by self-report during intake interview.

Trial design

Design model

Crossover

Treatments tested in this trial

  • Placebo

    Drug

    Placebo: A single dose of placebo to match kratom (over-encapsulated placebo in 32 opaque 00 capsules) will be administered orally.

  • Oxycodone HCl

    Drug

    Active Control: A single 30 mg dose of oxycodone (1 X 30 mg tablet over-encapsulated placebo in 32 opaque 00 capsules) will be administered orally.

  • Kratom 8g

    Drug

    Kratom: A single 8 g dose of kratom (in 32 opaque 00 capsules) will be administered orally.

  • Kratom 12g

    Drug

    Kratom: A single 12 g dose of kratom (in 32 opaque 00 capsules) will be administered orally.

  • Kratom 16g

    Drug

    Kratom: A single 16 g dose of kratom (in 32 opaque 00 capsules) will be administered orally.

  • Kratom 4g

    Drug

    Kratom: A single 4 g dose of kratom (in 32 opaque 00 capsules) will be administered orally.

Treatment groups

72 Participants
are divided into 6 treatment groups

6

Treatment groups

See each treatment group below.

Group A: Treatment Sequence APlacebo comparator 1 intervention
Group B: Treatment Sequence BActive comparator 1 intervention
Group C: Treatment Sequence CActive comparator 1 intervention
Group D: Treatment Sequence DExperimental treatment 1 intervention
Group E: Treatment Sequence EExperimental treatment 1 intervention
Group F: Treatment Sequence FExperimental treatment 1 intervention

Trial outcomes

Primary outcomes

1

Drug Liking Visual Analog Scale

The primary endpoint of this study will be maximum (peak) effect (Emax) over 24 hours for Drug Liking ("at this moment"), assessed on a bipolar (0 to 100 points) visual analog scale (VAS).

Time frame
From Treatment Week 1 to Treatment Week 8

Secondary outcomes

1

Overall Drug Liking Visual Analog Scale

Overall drug liking of the study products will be assessed 12 and 24 hours following each dose in the Treatment phase. VAS assessments will be scored on a 100-point scale, where a rating of "0" reflects the complete absence of a subjective effect while a rating of "100" reflects the maximum presence of a subjective effect.

Time frame
From Treatment Week 1 to Treatment Week 8
2

Take Drug Again Visual Analog Scale

Take Drug Again will be assessed 12 and 24 hours following each dose in the Treatment phase. VAS assessments will be scored on a 100-point scale, where a rating of "0" reflects the complete absence of a subjective effect while a rating of "100" reflects the maximum presence of a subjective effect.

Time frame
From Treatment Week 1 to Treatment Week 8
3

Pharmacokinetic (PK)- maximum observed concentration (Cmax)

Pharmacokinetic parameters of kratom alkaloids include maximum observed concentration (Cmax).

Time frame
Treatment Week 1 to Treatment Week 8
4

Safety- Adverse Events

Endpoints will include a summary of the incidence of adverse events (AEs), serious adverse events (SAEs), as well as descriptive summary and statistics of the safety parameters.

Time frame
Treatment Week 1 to Treatment Week 8

Other outcomes

Sponsors and contacts

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

Christopher D. Verrico

Lead sponsor

Baylor College of Medicine

Sponsor institution

Baylor College of Medicine

Collaborator