Doctor alert letters aim to curb opioid overprescribing
NCT ID NCT04758637
First seen Jun 27, 2026 ยท Last updated Jun 27, 2026
Summary
This study tested whether sending letters to doctors about their patients' opioid overdoses would reduce how often they prescribe strong painkillers. Researchers looked at 61 clinicians who had prescribed opioids to patients who later had a non-fatal or fatal overdose. The goal was to see if making the harm more visible would encourage safer prescribing.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- overdose notification letter
- What this could lead to
- If effective, this approach could help reduce unnecessary opioid prescriptions and prevent future overdoses.
- What could go wrong
- This is a small, completed trial with 61 clinicians. The intervention is behavioral and may not work in all settings or sustain long-term effects.
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Study facts
What this study's own registry entry says, in plain language.
- Phase
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Not a phased trial
Phase numbers describe drug development. The registry uses this when they do not apply, as it does for trials of devices, procedures or behaviour changes, and for observational studies.
- Participants
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61 people
The number who actually took part.
- Started
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Jan 2023
- Finished
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Mar 2024
- Lead sponsor
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Other sponsor
The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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18 years and older
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: * 1\) The clinician prescribed a qualifying scheduled drug to a patient in the 12 months prior to their non-fatal or fatal overdose 2) the patient is 18 years old or older at the time of the overdose, 3) the provider practices within a health system enrolled in the study, and 4) the overdose occurs during the 12-month observation period. Qualifying prescriptions include those for one of the following scheduled drugs: opioids, benzodiazepines, muscle relaxants or sedative-hypnotics. Exclusion Criteria: * Prescriptions to patients in hospice or with active cancer
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
Contacts and locations
Locations
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Northwestern University
Chicago, Illinois, 60611, United States
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