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Trial · NCT04995029

Buprenorphine Extended-Release Subcutaneous Injection (RBP-6000) in High-risk Users

NCT04995029, Phase 4, Completed, Indivior Inc.; results first posted 2025-09-25

3 sourcestrials-2026-11-12-0.5.0

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ConductScience Library. Buprenorphine Extended-Release Subcutaneous Injection (RBP-6000) in High-risk Users. Trials, record NCT04995029. Release trials-2026-11-12-0.5.0, 12 Nov 2026. https://conductscience.org/library/trials/NCT04995029

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Trial

As registered on ClinicalTrials.gov, in the graph's capture of the registry.

Title
Buprenorphine Extended-Release Subcutaneous Injection (RBP-6000) in High-risk Users
NCT number
NCT04995029
Status
Completed
Phases
Phase 4
Enrollment
785 participants, actual
Lead sponsor
Indivior Inc.
Conditions
Moderate to Severe Opioid-use Disorder
Interventions
Transmucosal Buprenorphine, Extended-release Buprenorphine
First posted
2021-08-06
Last updated
2026-02-06
Results first posted
2025-09-25

Source ClinicalTrials.gov

Registered outcomes19

Each outcome the trial registered, primary first, in ClinicalTrials.gov's words.

ListOutcomeTime frameDescription
PrimaryMaintenance Phase: Percentage of Responders for Weekly Opioid Use Over Weeks 20 to 38Weeks 20 to 38
A responder for weekly opioid use is defined as a participant whose percentage of visits with opioid abstinence is greater than or equal to 80% over Weeks 20 to 38 inclusive. Opioid abstinence is defined as a negative urine drug screen (UDS) result and negative responses to the TimeLine Follow Back (TLFB) interview for opioid use. The TLFB asks participants to retrospectively estimate their daily drug use for each of the past 7 days prior to the visit.
PrimaryInduction Phase: Percentage of Participants Receiving Injection 2 at the Week 2 VisitWeek 2
Treatment retention at Injection 2 was defined as the proportion of participants receiving Injection 2 at the Week 2 Visit among those in the Evaluable Population for Treatment Retention/Discontinuation. Participants who received Injection 2 at Week 2 (nominal) Visit and those who missed Injection 2 at Week 2 (nominal) Visit but received Injection 3 at the Week 6 Day 36 Visit were counted as "Yes" for treatment retention at Injection 2; otherwise, participants were counted as "No".
SecondaryMaintenance Phase: Percentage of Days Opioids Were Used Over Weeks 10 to 38Weeks 10 to 38Participants' percentage of days opioids were used out of days assessed over Weeks 10 to 38 (inclusive), based on the TLFB for the prior week.
SecondaryMaintenance Phase: Percentage of Responders for Weekly Opioid Use Over Weeks 10 to 38Weeks 10 to 38
A responder for weekly opioid use is defined as a participant whose percentage of visits with opioid abstinence is greater than or equal to 80% over Weeks 10 to 38 inclusive. Opioid abstinence is defined as a negative urine drug screen (UDS) result and negative responses to the TimeLine Follow Back (TLFB) interview for opioid use. The TLFB asks participants to retrospectively estimate their daily drug use for each of the past 7 days prior to the visit. Opioid use will be assessed at 15 visits between Weeks 10 and 38.
SecondaryMaintenance Phase: Percentage of Visits With Opioid Abstinence Over Weeks 10 to 38Weeks 10 to 38
Opioid abstinence is defined as negative urine drug screen results and negative responses to the TimeLine Follow Back (TLFB) interview for opioids. The TLFB asks participants to retrospectively estimate their daily drug use for each of the past 7 days prior to the visit.
SecondaryMaintenance Phase: Percentage of Responders for Weekly Opioid Use Over Weeks 30 to 38Week 30 to 38
A responder for weekly opioid use is defined as a participant whose percentage of visits with opioid abstinence is greater than or equal to 80% for the last 5 visits planned for urine drug screen (UDS) and TimeLine Follow Back (TLFB) over Weeks 30 to 38 (inclusive). Opioid abstinence is defined as a negative UDS result and negative responses to the TLFB interview for opioid use. The TLFB asks participants to retrospectively estimate their daily drug use for each of the past 7 days prior to the visit.
SecondaryMaintenance Phase: Percentage of Responders for Daily Opioid UseWeek 30 to 38
A responder for daily opioid use is defined as a participant with 20% or less days of opioid use, based on the TimeLine Follow Backs (TLFBs) collected at the last 5 observed visits post randomization. The TLFB asks participants to retrospectively estimate their daily drug use for each of the past 7 days prior to the visit.
SecondaryMaintenance Phase: Percentage of Visits With Opioid Abstinence OverallWeek 2 to 38
Opioid abstinence is defined as negative urine drug screen results and negative responses to the TimeLine Follow Back (TLFB) interview for opioids at all assessments between Weeks 2 and 38. The TLFB asks participants to retrospectively estimate their daily drug use for each of the past 7 days prior to the visit.
SecondaryMaintenance Phase: Percentage of Days Opioids Were Used OverallWeek 2 to 38For each participant, the percentage of days opioids were used out of days assessed over Weeks 2 to 38 (inclusive), based on the TimeLine Follow Back (TLFB) for the prior week of each visit.
SecondaryMaintenance Phase: Percentage of Days Opioids Were Used Via the Injection RouteWeeks 10 to 38
For participants who use opioids via the injection route for an average of 5 or more days per week in the last 4 weeks prior to Screening, the percentage of days opioids were used via the injection route out of days assessed based on the Timeline Follow Back (TLFB) interview for the prior week of each visit.

Outcomes19

Each outcome the trial posted results for, in ClinicalTrials.gov's words.

TypeOutcomeTime framePopulationUnitsMeasured as
PRIMARYMaintenance Phase: Percentage of Responders for Weekly Opioid Use Over Weeks 20 to 38Weeks 20 to 38
The Full Analysis Set (FAS): Participants who met all inclusion/exclusion criteria, were randomized, and received at least 1 maintenance RBP-6000 injection post DB Randomization. Participants were analyzed according to the randomized treatment arm. This population served as the primary analysis population for efficacy analyses.
ParticipantsCOUNT_OF_PARTICIPANTS
PRIMARYInduction Phase: Percentage of Participants Receiving Injection 2 at the Week 2 VisitWeek 2
Evaluable Population for Treatment Retention/Discontinuation: For analysis pertaining to treatment retention and time to treatment discontinuation, the Substudy Full Analysis Set participants who discontinued treatment due to not meeting inclusion/exclusion criteria were also excluded. The participants were analyzed corresponding to the induction arm they received (as treated, ie, actual arm).
ParticipantsCOUNT_OF_PARTICIPANTS
SECONDARYMaintenance Phase: Percentage of Days Opioids Were Used Over Weeks 10 to 38Weeks 10 to 38
Full Analysis Set (FAS): Participants who met all inclusion/exclusion criteria, were randomised, and received at least 1 maintenance RBP-6000 injection post DB Randomisation. Participants were analysed according to the randomised treatment arm. This population served as the primary analysis population for efficacy analyses.
Participants' Percentage of DaysMEAN
SECONDARYMaintenance Phase: Percentage of Responders for Weekly Opioid Use Over Weeks 10 to 38Weeks 10 to 38
Full Analysis Set (FAS): Participants who met all inclusion/exclusion criteria, were randomized, and received at least 1 maintenance RBP-6000 injection post DB Randomization. Participants were analyzed according to the randomized treatment arm. This population served as the primary analysis population for efficacy analyses.
ParticipantsCOUNT_OF_PARTICIPANTS
SECONDARYMaintenance Phase: Percentage of Visits With Opioid Abstinence Over Weeks 10 to 38Weeks 10 to 38
Full Analysis Set (FAS): Participants who met all inclusion/exclusion criteria, were randomized, and received at least 1 maintenance RBP-6000 injection post DB Randomization. Participants were analyzed according to the randomized treatment arm. This population served as the primary analysis population for efficacy analyses.
Participants' Percentage of VisitsMEAN
SECONDARYMaintenance Phase: Percentage of Responders for Weekly Opioid Use Over Weeks 30 to 38Week 30 to 38
Full Analysis Set (FAS): Participants who met all inclusion/exclusion criteria, were randomized, and received at least 1 maintenance RBP-6000 injection post DB Randomization. Participants were analyzed according to the randomized treatment arm. This population served as the primary analysis population for efficacy analyses.
ParticipantsCOUNT_OF_PARTICIPANTS
SECONDARYMaintenance Phase: Percentage of Responders for Daily Opioid UseWeek 30 to 38
Full Analysis Set (FAS): Participants who met all inclusion/exclusion criteria, were randomized, and received at least 1 maintenance RBP-6000 injection post DB Randomization. Participants were analyzed according to the randomized treatment arm. This population served as the primary analysis population for efficacy analyses.
ParticipantsCOUNT_OF_PARTICIPANTS
SECONDARYMaintenance Phase: Percentage of Visits With Opioid Abstinence OverallWeek 2 to 38
Full Analysis Set (FAS): Participants who met all inclusion/exclusion criteria, were randomized, and received at least 1 maintenance RBP-6000 injection post DB Randomization. Participants were analyzed according to the randomized treatment arm. This population served as the primary analysis population for efficacy analyses.
Participants' Percentage of VisitsMEAN
SECONDARYMaintenance Phase: Percentage of Days Opioids Were Used OverallWeek 2 to 38
Full Analysis Set (FAS): Participants who met all inclusion/exclusion criteria, were randomized, and received at least 1 maintenance RBP-6000 injection post DB Randomization. Participants were analyzed according to the randomized treatment arm. This population served as the primary analysis population for efficacy analyses.
Participants' Percentage of DaysMEAN
SECONDARYMaintenance Phase: Percentage of Days Opioids Were Used Via the Injection RouteWeeks 10 to 38
Full Analysis Set (FAS) Subpopulation: Participants who met all inclusion/exclusion criteria, were randomized, and received at least 1 maintenance RBP-6000 injection post DB Randomization; for this analysis, only participants who use opioids via the injection route for an average of ≥5 days per week in the last 4 weeks prior to Screening were included. Participants were analyzed according to the randomized treatment arm.
Participants' Percentage of DaysMEAN

Results by group100

Each measurement the trial posted, group by group, in the words and numbers it posted.

OutcomeGroupCategoryValueSpreadUnits
Maintenance Phase: Percentage of Responders for Weekly Opioid Use Over Weeks 20 to 38Maintenance Phase: Extended-release Buprenorphine 100 mg44Participants
Maintenance Phase: Percentage of Responders for Weekly Opioid Use Over Weeks 20 to 38Maintenance Phase: Extended-release Buprenorphine 300 mg50Participants
Induction Phase: Percentage of Participants Receiving Injection 2 at the Week 2 VisitInduction Phase: Rapid Induction312Participants
Induction Phase: Percentage of Participants Receiving Injection 2 at the Week 2 VisitInduction Phase: Standard of Care Induction138Participants
Maintenance Phase: Percentage of Days Opioids Were Used Over Weeks 10 to 38Maintenance Phase: Extended-release Buprenorphine 100 mg17.7Standard Deviation 27.80Participants' Percentage of Days
Maintenance Phase: Percentage of Days Opioids Were Used Over Weeks 10 to 38Maintenance Phase: Extended-release Buprenorphine 300 mg15.9Standard Deviation 26.13Participants' Percentage of Days
Maintenance Phase: Percentage of Responders for Weekly Opioid Use Over Weeks 10 to 38Maintenance Phase: Extended-release Buprenorphine 100 mg42Participants
Maintenance Phase: Percentage of Responders for Weekly Opioid Use Over Weeks 10 to 38Maintenance Phase: Extended-release Buprenorphine 300 mg45Participants
Maintenance Phase: Percentage of Visits With Opioid Abstinence Over Weeks 10 to 38Maintenance Phase: Extended-release Buprenorphine 100 mg31.1Standard Deviation 37.18Participants' Percentage of Visits
Maintenance Phase: Percentage of Visits With Opioid Abstinence Over Weeks 10 to 38Maintenance Phase: Extended-release Buprenorphine 300 mg32.1Standard Deviation 36.94Participants' Percentage of Visits

Participant flow36

How many started, completed or left each group, period by period.

PeriodMilestoneGroupParticipantsUnits counted
Induction PhaseSTARTEDInduction Phase: Rapid Induction518
Induction PhaseSTARTEDInduction Phase: Standard of Care Induction267
Induction PhaseSTARTEDMaintenance Phase: Extended-release Buprenorphine 100 mg0
Induction PhaseSTARTEDMaintenance Phase: Extended-release Buprenorphine 300 mg0
Induction PhaseReceived TM BUPInduction Phase: Rapid Induction513
Induction PhaseReceived TM BUPInduction Phase: Standard of Care Induction264
Induction PhaseReceived TM BUPMaintenance Phase: Extended-release Buprenorphine 100 mg0
Induction PhaseReceived TM BUPMaintenance Phase: Extended-release Buprenorphine 300 mg0
Induction PhaseReceived RBP-6000 Injection 1Induction Phase: Rapid Induction444
Induction PhaseReceived RBP-6000 Injection 1Induction Phase: Standard of Care Induction159

Adverse events148

Each adverse event the trial posted, group by group: the participants affected out of those at risk.

TypeEventOrgan systemGroupAffectedAt riskEvents
otherNauseaGastrointestinal disordersInduction Phase: Rapid Induction65474
otherNauseaGastrointestinal disordersInduction Phase: Standard of Care Induction31255
otherNauseaGastrointestinal disordersMaintenance Phase: Extended-release Buprenorphine 100 mg0218
otherNauseaGastrointestinal disordersMaintenance Phase: Extended-release Buprenorphine 300 mg0217
otherVomitingGastrointestinal disordersInduction Phase: Rapid Induction32474
otherVomitingGastrointestinal disordersInduction Phase: Standard of Care Induction15255
otherVomitingGastrointestinal disordersMaintenance Phase: Extended-release Buprenorphine 100 mg0218
otherVomitingGastrointestinal disordersMaintenance Phase: Extended-release Buprenorphine 300 mg0217
otherAnxietyPsychiatric disordersInduction Phase: Rapid Induction50474
otherAnxietyPsychiatric disordersInduction Phase: Standard of Care Induction21255

Adverse event totals12

The totals the trial posted for each group.

TotalGroupAffectedAt risk
Total, all-cause mortalityInduction Phase: Rapid Induction1474
Total, all-cause mortalityInduction Phase: Standard of Care Induction0255
Total, all-cause mortalityMaintenance Phase: Extended-release Buprenorphine 100 mg0218
Total, all-cause mortalityMaintenance Phase: Extended-release Buprenorphine 300 mg1217
Total, other adverse eventsInduction Phase: Rapid Induction135474
Total, other adverse eventsInduction Phase: Standard of Care Induction58255
Total, other adverse eventsMaintenance Phase: Extended-release Buprenorphine 100 mg11218
Total, other adverse eventsMaintenance Phase: Extended-release Buprenorphine 300 mg30217
Total, serious adverse eventsInduction Phase: Rapid Induction7474
Total, serious adverse eventsInduction Phase: Standard of Care Induction1255

Papers2

The papers the trial lists on ClinicalTrials.gov.

PMIDListed asSource
41085986RESULTPubMed
41405885RESULTPubMed

Grants0

The grants NIH RePORTER links to the trial, newest funded first: NIH's, and some of AHRQ's, CDC's, FDA's and VA's. Each shows its title, principal investigators, organization and funder in its newest year.

None in this release.

Trial comparisons8

Comparisons of the trial's two groups, calculated by ConductScience from the counts it posted.

ComparisonSource
Maintenance Phase: Extended-release Buprenorphine 100 mg vs Maintenance Phase: Extended-release Buprenorphine 300 mg: Maintenance Phase: Percentage of Participants Who Complete the Last Scheduled Injection
Trial comparisons
Induction Phase: Rapid Induction vs Induction Phase: Standard of Care Induction: Induction Phase: Number of Participants With Adverse Events Between Injections 2 and 3Trial comparisons
Maintenance Phase: Extended-release Buprenorphine 100 mg vs Maintenance Phase: Extended-release Buprenorphine 300 mg: Maintenance Phase: Percentage of Responders for Daily Opioid UseTrial comparisons
Induction Phase: Rapid Induction vs Induction Phase: Standard of Care Induction: Induction Phase: Percentage of Participants Receiving Injection 2 at the Week 2 VisitTrial comparisons
Maintenance Phase: Extended-release Buprenorphine 100 mg vs Maintenance Phase: Extended-release Buprenorphine 300 mg: Maintenance Phase: Percentage of Responders for Weekly Opioid Use Over Weeks 20 to 38
Trial comparisons
Maintenance Phase: Extended-release Buprenorphine 100 mg vs Maintenance Phase: Extended-release Buprenorphine 300 mg: Maintenance Phase: Percentage of Responders for Weekly Opioid Use Over Weeks 10 to 38
Trial comparisons
Induction Phase: Rapid Induction vs Induction Phase: Standard of Care Induction: Induction Phase: Number of Participants With Adverse Events up to Injection 2Trial comparisons
Maintenance Phase: Extended-release Buprenorphine 100 mg vs Maintenance Phase: Extended-release Buprenorphine 300 mg: Maintenance Phase: Percentage of Responders for Weekly Opioid Use Over Weeks 30 to 38
Trial comparisons

Tests0

The ConductCognition tests this trial's registered outcomes name, as ScienceGraph matched them in trial-tests-2026-11-12-0.2.1.

None in this release.

Data dates

The day each source was copied for this release.

ClinicalTrials.gov
2026-11-12
ClinicalTrials.gov
Results, from AACT
2026-03-23
AACT
NIH grant links
2026-11-13
NIH RePORTER

Sources 3

  • ClinicalTrials.gov's posted results, through CTTI's AACTFreely available. Acknowledgement requested
  • ClinicalTrials.govNo license stated
  • NIH RePORTER's clinical studies and project filesPublic domain
Each source's terms
  • ClinicalTrials.gov's posted results, through CTTI's AACTClinicalTrials.gov data via Aggregate Analysis of ClinicalTrials.gov (AACT), CTTI. CTTI makes its materials freely available and requests acknowledgement. https://aact.ctti-clinicaltrials.org/documentation/299
  • ClinicalTrials.govnone stated
  • NIH RePORTER's clinical studies and project filesPublic domain (NIH RePORTER)

ClinicalTrials.gov's data carry an international copyright outside the United States: https://clinicaltrials.gov/about-site/terms-conditions.

For software

Read this trial from software.

The record and each of its lists are JSON, twenty rows a page. No key.

GET https://conductscience.org/api/trials/v1/NCT04995029

GET https://conductscience.org/api/trials/v1/NCT04995029/results?page=2