250 Participants Needed

Telemedicine Buprenorphine for Opioid Use Disorder

LM
AB
Overseen ByAndrea Baron, MPH
Age: 18+
Sex: Any
Trial Phase: Phase 1
Sponsor: Boulder Care
Must be taking: Buprenorphine
No Placebo GroupAll trial participants will receive the active study treatment (no placebo)

What You Need to Know Before You Apply

What is the purpose of this trial?

This trial tests a telemedicine approach to treating Opioid Use Disorder (OUD) with buprenorphine, a medication that helps manage withdrawal and cravings. The goal is to determine if a virtual platform can effectively reach individuals who might not otherwise receive help, particularly those needing culturally specific support. Individuals with OUD who are starting or have recently started buprenorphine treatment, and who can speak and understand English, may be suitable for this study. As a Phase 1 trial, the research focuses on understanding how the treatment works in people, offering participants the opportunity to contribute to groundbreaking insights.

Do I have to stop taking my current medications for the trial?

The trial information does not specify if you need to stop taking your current medications. It's best to discuss this with the trial coordinators or your doctor.

What prior data suggests that this telemedicine treatment is safe for opioid use disorder?

Research has shown that starting buprenorphine treatment for opioid use disorder through telehealth can help patients remain in treatment longer. For instance, in Ohio, 32% of patients who began this treatment via telehealth continued for 90 consecutive days, compared to 28% who started in person. Another study found that telemedicine can effectively substitute for in-person visits in maintaining patient engagement in treatment programs.

While these studies mainly focus on telehealth's effectiveness in retaining patients, they also suggest that this method is generally safe and well-tolerated. Since this trial is in an early stage, it primarily examines safety. Early trials often assess a treatment's safety before evaluating its effectiveness. Buprenorphine is already used for opioid use disorder, so its safety is somewhat established. However, delivering it via telemedicine is new. So far, this approach seems promising for keeping patients engaged without major safety concerns.12345

Why are researchers excited about this trial?

Researchers are excited about telemedicine buprenorphine treatment for opioid use disorder because it offers a unique delivery method that could significantly increase access to care. Unlike traditional in-person treatments, which often require regular visits to a healthcare provider, this method allows patients to receive care remotely. This is particularly important for individuals in rural or underserved areas who may struggle to access regular treatment. Additionally, telemedicine can reduce the stigma some patients feel when seeking help, making it a more appealing option for those who are hesitant to visit a clinic in person.

What evidence suggests that telemedicine buprenorphine treatment might be an effective treatment for opioid use disorder?

Research has shown that telemedicine for buprenorphine treatment effectively helps people with Opioid Use Disorder (OUD). Buprenorphine, an FDA-approved medication, reduces cravings and withdrawal symptoms. Studies indicate that starting buprenorphine treatment through telehealth increases the likelihood of staying in treatment longer. Telehealth also simplifies access to care, especially for those who find it difficult to travel to a clinic. Overall, telemedicine offers a promising way to support people with OUD.678910

Who Is on the Research Team?

AB

Andrea Baron, MPH

Principal Investigator

Boulder Care

Are You a Good Fit for This Trial?

This trial is for individuals with a history of Opioid Use Disorder who are starting or have recently started treatment with buprenorphine. Participants must speak and understand English and plan to stay in a Boulder Care-affiliated state for at least the next year. Those with untreated mental or medical health conditions that could interfere with participation, or an allergy to buprenorphine, cannot join.

Inclusion Criteria

History of Opioid Use Disorder (OUD)
I am starting or have recently started buprenorphine for opioid use disorder.
Speak and understand English

Exclusion Criteria

Plans to move out of a Boulder Care-affiliated state site in the next 12 months (precluding continuation of care)
Untreated mental or medical health conditions that, in the opinion of the participant, would preclude study participation
History of allergic reaction to buprenorphine

Timeline for a Trial Participant

Screening

Participants are screened for eligibility to participate in the trial

2-4 weeks

Treatment

Participants receive telehealth-based treatment for Opioid Use Disorder

48 weeks

Follow-up

Participants are monitored for safety and effectiveness after treatment

4 weeks

What Are the Treatments Tested in This Trial?

Interventions

  • Telemedicine Buprenorphine Treatment
Trial Overview The study is testing whether Boulder Care's telehealth platform can effectively deliver culturally-specific and equitable treatment for OUD using telemedicine to prescribe buprenorphine, while also being financially sustainable.
How Is the Trial Designed?
1Treatment groups
Experimental Treatment
Group I: Receiving InterventionExperimental Treatment1 Intervention

Find a Clinic Near You

Who Is Running the Clinical Trial?

Boulder Care

Lead Sponsor

Trials
1
Recruited
160+

National Institute on Drug Abuse (NIDA)

Collaborator

Trials
2,658
Recruited
3,409,000+

Citations

Outcomes for patients receiving telemedicine-delivered ...Effective evidence-based treatments for Opioid Use Disorder (OUD) exist. Methadone, buprenorphine, and naltrexone are all FDA approved for the treatment of OUD.
Retention rates and cost-effectiveness of telehealth vs. in- ...Study uses real-world data to evaluate treatment and economic outcomes. ... Findings highlight telehealth's role in overcoming access barriers for OUD care.
Tele-Buprenorphine Initiations for Opioid Use Disorder ...This cross-sectional study examines the proportion of individuals with opioid use disorder (OUD) who initiated buprenorphine treatment ...
Telehealth supports retention in treatment for opioid use ...Starting buprenorphine treatment for opioid use disorder through telehealth was associated with an increased likelihood of staying in treatment longer.
Treatment of Opioid Use Disorder Delivered Exclusively by ...These studies found treatment of OUD exclusively by telehealth was not significantly different for retention in treatment outcomes or rates of.
Telehealth supports retention in treatment for opioid use ...Starting buprenorphine treatment for opioid use disorder through telehealth was associated with an increased likelihood of staying in treatment longer.
Telehealth Supports Retention for Treatment of Opioid Use ...In Ohio, 32% of those who started buprenorphine treatment via telehealth remained in treatment for 90 continuous days, compared to 28% of those ...
Emergency Department-Based Medication for Opioid Use ...A total of 53 patients (4.9%) were inducted through telemedicine. The number of patients inducted declined yearly; however, inpatient admissions for OUD ...
Impact of Telemedicine on Retention in Medications for ...This study suggests telemedicine as an alternative to in-person meetings and is efficacious in retaining patients in MOUD with buprenorphine treatment programs ...
Mobile Telemedicine for Buprenorphine Treatment in Rural ...Data from the initial TM-MTU cohort demonstrate that, at 3 months, approximately 60% of patients remained in continuous treatment and reduced ...
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