E.1 Medical condition or disease under investigation |
E.1.1 | Medical condition(s) being investigated |
Oppiate addicts(heroin, methadone and buprenorphine) |
Dipendenza da Oppiacei (eroina, metadone e buprenorfina) |
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E.1.1.1 | Medical condition in easily understood language |
Drug addiction from heroin, methadone and buprenorphine |
Tossicodipendenza da eroina, metadone e buprenorfina |
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E.1.1.2 | Therapeutic area | Psychiatry and Psychology [F] - Behaviours [F01] |
MedDRA Classification |
E.1.2 Medical condition or disease under investigation |
E.1.2 | Version | 14.1 |
E.1.2 | Level | LLT |
E.1.2 | Classification code | 10032707 |
E.1.2 | Term | Other specified drug dependence, continuous use |
E.1.2 | System Organ Class | 10037175 - Psychiatric disorders |
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E.1.3 | Condition being studied is a rare disease | No |
E.2 Objective of the trial |
E.2.1 | Main objective of the trial |
a) To confirm the tollerability and safety profile with the use of Lofexidine during the entire time of treatment. b) To evaluate Lofexidine efficacy undergoing drug free detoxification. |
a) Confermare il profilo di tollerabilità e di sicurezza d’uso di Lofexidina per tutta la durata del trattamento. b) Valutare l’efficacia di Lofexidina nel processo di detossificazione drug-free. |
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E.2.2 | Secondary objectives of the trial |
To evaluate if Lofexidine standard dosage used in English clinical practice, can be used in italian detoxification centre (Ser.T e/o Presidi delle tossicodipendenze nelle Carceri e/o Unità Operative Ospedaliere)undergoing a drug free detoxification process from heroin, methadone, buprenorphine and buprenorphine/naloxone. |
Valutare se lo schema posologico standard di Lofexidina utilizzato nella pratica clinica inglese possa essere utilizzato in maniera soddisfacente nei servizi italiani per le tossicodipendenze (Ser.T e/o Presidi delle tossicodipendenze nelle Carceri e/o Unità Operative Ospedaliere) in un processo di detossificazione drug-free da eroina, metadone, buprenorfina o buprenorfina/naloxone. |
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E.2.3 | Trial contains a sub-study | No |
E.3 | Principal inclusion criteria |
a)Mail and femal between 18 and 60 years. b)Subjects addicted from heroin follwing DSM-IV criteria, whom have already been decided the inclusion in a fast detoxification program or Subjects addicted from heroin following DSM IV criteria treated with methadone maintenance treatement(< 40 mg/die) o buprenorphine (< 8 mg/die) o buprenorphine/naloxone (< 8 mg/die)undergoing a drug free detoxification process from heroin, methadone, buprenorphine and buprenprphine/naloxone. c) Subjects with positive urine test for heroin and syntesis opiate (methadone, buprenorphine) and negative for other drugs. d) Subjects with laboratory results that must have non clinical significant results that could interfire with the study conduction and evaluation. e) Subjects able to understand and sign the Informed Consent form. |
a) Uomini e donne di età compresa tra 18 e 60 anni. b)Soggetti diagnosticati come dipendenti da eroina in base ai criteri del DSM-IV, per i quali sia stato già preventivamente deciso l’inserimento in un programma rapido di detossificazione; oppure Soggetti diagnosticati come dipendenti da eroina in base ai criteri del DSM-IV ed in corso di trattamento di mantenimento con metadone (< 40 mg/die) o buprenorfina (< 8 mg/die) o buprenorfina/naloxone (< 8 mg/die), per i quali sia stato già preventivamente deciso l’inserimento in un programma di detossificazione da oppiacei. c)Soggetti con screening tossicologico delle urine positivo per eroina e oppiacei di sintesi (metadone, buprenorfina) e negativo per altre sostanze. d)Soggetti con risultati di laboratorio che devono essere privi di anomalie clinicamente significative che potrebbero interferire con la conduzione e valutazione dello studio. e)Soggetti capaci e disponibili a comprendere e firmare un Consenso Informato scritto |
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E.4 | Principal exclusion criteria |
a)Subjects with blood pressure < 90/60 mm/Hg and/or in treatement with hypotensive drug. b)Subsects with heart insufficiency(NYHA, classe II)or resting heart frequency < 55 bpm or severe cardiac disorders during anamnesis. c)Subjects with diabetes mellitus. d)Subjects with significant liver disease (AST and/or ALT > 3N). e) Subjects positiv to HBV and /or HCV in pharmacological treatment. f)Subjects with gastric disease that could change the absorption of study drug. g)Subjects with asthma in chronic treatment. h) Subjects with severe psychiatric disorders including psychosis, bipolar disorder, schizophrenia, depression. j)Epileptics or subjects that have been treated with anticonvulsants in the last 3 years. k)Non-compliance during the study, in accordance with the Investigator opinion. |
a)Soggetti con valori di pressione arteriosa < 90/60 mm/Hg e/o in terapia con farmaci ipotensivi. b)Soggetti con insufficienza cardiaca (NYHA, classe II) o frequenza cardiaca a riposo < 55 bpm o grave cardiopatia in anamnesi. c)Soggetti con diabete mellito. d)Soggetti con patologie epatiche significative (valori di AST e/o ALT > 3N). e)Soggetti HBV e/o HCV positivi e in trattamento farmacologico. f)Soggetti con patologie gastriche tali da alterare significativamente l’assorbimento del farmaco in studio. g)Soggetti asmatici in trattamento cronico. h)Soggetti con gravi patologie psichiatriche incluse psicosi, disturbi bipolari, schizofrenia, depressione maggiore. i)Soggetti epilettici o che siano stati in terapia con anticonvulsivanti negli ultimi 3 anni. j)Soggetti con test per HIV positivo. k)Soggetti potenzialmente non collaborativi durante lo studio, secondo il giudizio dello Sperimentatore. |
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E.5 End points |
E.5.1 | Primary end point(s) |
a) Frequency and type of adverse events. b) Quantification of withdrawal symptoms by SOWS scale and evaluation of the ''craving'' by VAS scale. |
a) Frequenza e tipo di eventi avversi. b) Quantificazione dei sintomi di astinenza tramite SOWS e valutazione del craving tramite VAS. |
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E.5.1.1 | Timepoint(s) of evaluation of this end point |
Adverse events will be observed at each visit from the first treatment administration. Withdrawal and ''craving'' will be observed for each day of treatment. |
Gli eventi avversi verranno rilevati ad ogni visita a partire dall'inizio del trattamento; L'astinenza e il ''craving'' verranno rilevati per ogni giorno di trattamento. |
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E.5.2 | Secondary end point(s) |
1)Number of patients who completed treatment 2)Number of subjects relapsed to opiate use during follow-up. |
a) Numero di pazienti che hanno concluso il trattamento. b) Numero di soggetti ricaduti nell’uso di oppiacei durante il follow-up. |
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E.5.2.1 | Timepoint(s) of evaluation of this end point |
1)Number of patients who completed treatment will be observed at the end of treatment 2)Number of subjects relapsed to opiate use during follow-up will bw observed after the follow-up |
a) Il numero di pazienti che concluderà il trattamento verrà rilevato alla fine del trattamento b)Numero di soggetti ricaduti nell’uso di oppiacei durante il follow-up verrà rilevato al termine del follow-up. |
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E.6 and E.7 Scope of the trial |
E.6 | Scope of the trial |
E.6.1 | Diagnosis | No |
E.6.2 | Prophylaxis | No |
E.6.3 | Therapy | No |
E.6.4 | Safety | Yes |
E.6.5 | Efficacy | Yes |
E.6.6 | Pharmacokinetic | No |
E.6.7 | Pharmacodynamic | No |
E.6.8 | Bioequivalence | No |
E.6.9 | Dose response | Yes |
E.6.10 | Pharmacogenetic | No |
E.6.11 | Pharmacogenomic | No |
E.6.12 | Pharmacoeconomic | No |
E.6.13 | Others | No |
E.7 | Trial type and phase |
E.7.1 | Human pharmacology (Phase I) | No |
E.7.1.1 | First administration to humans | No |
E.7.1.2 | Bioequivalence study | No |
E.7.1.3 | Other | No |
E.7.1.3.1 | Other trial type description | |
E.7.2 | Therapeutic exploratory (Phase II) | No |
E.7.3 | Therapeutic confirmatory (Phase III) | Yes |
E.7.4 | Therapeutic use (Phase IV) | No |
E.8 Design of the trial |
E.8.1 | Controlled | No |
E.8.1.1 | Randomised | Information not present in EudraCT |
E.8.1.2 | Open | Information not present in EudraCT |
E.8.1.3 | Single blind | Information not present in EudraCT |
E.8.1.4 | Double blind | Information not present in EudraCT |
E.8.1.5 | Parallel group | Information not present in EudraCT |
E.8.1.6 | Cross over | Information not present in EudraCT |
E.8.1.7 | Other | Information not present in EudraCT |
E.8.2 | Comparator of controlled trial |
E.8.2.1 | Other medicinal product(s) | Information not present in EudraCT |
E.8.2.2 | Placebo | Information not present in EudraCT |
E.8.2.3 | Other | Information not present in EudraCT |
E.8.2.4 | Number of treatment arms in the trial | 3 |
E.8.3 |
The trial involves single site in the Member State concerned
| No |
E.8.4 | The trial involves multiple sites in the Member State concerned | Yes |
E.8.4.1 | Number of sites anticipated in Member State concerned | 20 |
E.8.5 | The trial involves multiple Member States | No |
E.8.6 Trial involving sites outside the EEA |
E.8.6.1 | Trial being conducted both within and outside the EEA | No |
E.8.6.2 | Trial being conducted completely outside of the EEA | No |
E.8.7 | Trial has a data monitoring committee | No |
E.8.8 |
Definition of the end of the trial and justification where it is not the last
visit of the last subject undergoing the trial
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E.8.9 Initial estimate of the duration of the trial |
E.8.9.1 | In the Member State concerned years | 0 |
E.8.9.1 | In the Member State concerned months | 17 |
E.8.9.1 | In the Member State concerned days | 0 |