The FASTER-BUP Study, Extended-Release Injectable Buprenorphine for the Treatment of Opioid Use Disorder Among Individuals at High Risk of Overdose : Protocol for an Observational Prospective Study

North America is facing an unprecedented public health emergency of opioid-related morbidity and mortality. The mortality benefits of oral medication treatment for opioid use disorder (MOUD), such as methadone or buprenorphine, are well documented. However, barriers to access and long-term engagement have prevented maximizing their benefits. Long-acting injectable buprenorphine formulations were developed to address some of the challenges associated with oral MOUD. The "Pilot study to assess the feasibility, efficacy, and safety of extended-release injectable buprenorphine for the treatment of opioid use disorder among individuals at high risk of overdose" (FASTER-BUP) was developed to explore this treatment option in populations at high risk of overdose in a real-world Canadian setting. FASTER-BUP is a 24-week observational prospective study evaluating the feasibility and clinical utility of extended-release injectable buprenorphine (XR-BUP) for the treatment of opioid use disorder (OUD) among 40 adults at high risk of overdose (ie, lifetime history of overdose or a positive urine drug test (UDT) for fentanyl within 30 days prior to screening) in Vancouver, BC. The primary outcome is retention in treatment and secondary outcomes include: use of unregulated opioids, safety, overdose events, treatment satisfaction, changes in drug-related problems, changes in quality of life, opioid cravings, health service utilization, and criminal activity. FASTER-BUP is the first study to explore XR-BUP among individuals at high risk of overdose in a real-world Canadian setting. This commentary provides a brief narrative about the study thus far and presents insights on key adaptations to the study protocol, including those adopted to mitigate recruitment challenges.

Medienart:

E-Artikel

Erscheinungsjahr:

2024

Erschienen:

2024

Enthalten in:

Zur Gesamtaufnahme - volume:45

Enthalten in:

Substance use & addiction journal - 45(2024), 2 vom: 23. März, Seite 176-180

Sprache:

Englisch

Beteiligte Personen:

Langlois, Jenna [VerfasserIn]
Nolan, Seonaid [VerfasserIn]
Dickhout, Piper [VerfasserIn]
Cui, Zishan [VerfasserIn]
Paterson, Josh [VerfasserIn]
Fairbairn, Nadia [VerfasserIn]
Socías, M Eugenia [VerfasserIn]

Links:

Volltext

Themen:

40D3SCR4GZ
5S6W795CQM
Analgesics, Opioid
Buprenorphine
Extended-release injectable buprenorphine
Journal Article
Naltrexone
Narcotic Antagonists
Observational prospective study
Opioid use disorder
Overdose

Anmerkungen:

Date Completed 14.03.2024

Date Revised 29.03.2024

published: Print-Electronic

Citation Status MEDLINE

doi:

10.1177/29767342231222103

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM367447762