National Drug Abuse Treatment 

  PROTOCOL NIDA-CTN-0002


Buprenorphine/Naloxone versus Clonidine for Outpatient Opiate Detoxification

Walter Ling, Ph.D.
Lead Investigator

Director, Integrated Substance Abuse Programs, UCLA
11075 Santa Monica Boulevard
Suite 225
Los Angeles, CA 90025
lwalter@ix.netcom.com

For decades clinicians have been frustrated by the inability to successfully detoxify opiate addicted patients because opiate-based detoxification, one of the most effective means to achieving that goal, has been unavailable outside the very restrictive confines of narcotic treatment programs (NTPs). A new medication, Buprenorphine, shows promise as an effective aid for opiate detoxification. However, little data have been generated for the shorter-term use of Buprenorphine/Naloxone (Suboxone) for this indication. Since the diversity of clinics in the CTN provides an unparalleled opportunity to conduct such a clinical endeavor, the utility of Buprenorphine/Naloxone in short term (13 day) detoxification in outpatient settings will be tested in the CTN.

Primary Findings: A total of 46 of the 157 (29%) outpatients assigned to the Buprenorphine/Naloxone condition achieved the treatment success criterion, compared to only 4 of the 74 (5%) assigned to clonidine. The study supported the benefits of Buprenorphine/Naloxone for opioid detoxification in outpatient treatment programs and illustrated important ways in which clinical research can be conducted in community treatment programs.

Primary Outcomes Paper: Ling W, et al. A Multi-Center Randomized Trial of Buprenorphine-Naloxone versus Clonidine for Opioid Detoxification: Findings for the National Institute on Drug Abuse Clinical Trials Network. Addiction 2005;100:1090-1110. [more. . .]

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