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New implant could replace monthly shots for opioid addiction

NCT ID NCT07064564

What the study statuses mean

This study's is highlighted.

Recruitment status, easiest to join first

Recruiting now This study
This trial is taking on new participants right now.
Not yet recruiting
Registered, but not yet taking participants.
By invitation only
Not open to general applications. Only people the study team invites can take part.
Paused
Paused for now. It may or may not start again.
Ongoing
Running, but no longer taking on new participants.
Completed
The trial has finished. Results may not be published yet.
Stopped early
Stopped early, before it reached the end. That can be for many reasons, including safety.
Cancelled
Cancelled before anyone took part.

Expanded access (not trials)

Expanded access
Not a trial. This treatment can be requested outside a study, case by case, for people who qualify.
Expanded access (paused)
Not a trial. The treatment can normally be requested outside a study, but is unavailable right now.
Expanded access (ended)
Not a trial. The treatment could once be requested outside a study, but no longer can.
Approved
The treatment has been approved, so it is available normally rather than through this programme.

When the status isn't known

Details not published
The full record has not been published yet, so there is little to show here.
Status unknown
This status has not been confirmed recently, so it may be out of date.

First seen Jun 27, 2026 · Last updated Jul 31, 2026 · Updated 2 times

Summary

This early-stage trial tests a new naltrexone implant (iSTEP-N) that slowly releases medication over 12 months to block opioids. It will enroll 33 healthy adults and compare two implant doses to standard monthly injections. The goal is to see if the implant can maintain steady drug levels and be a more convenient treatment option.

What this could mean

Our plain-language read of the trial. This is informational only, not medical advice or a prediction.

Active substance
naltrexone implant
What this could lead to
If successful, this implant could provide a more convenient, long-lasting treatment option for opioid use disorder, reducing the need for monthly injections.
What could go wrong
This is an early Phase 1 study with only 33 healthy volunteers, so it may not show the expected drug levels or safety profile. The implant might not work as well as hoped, and side effects are still being studied.

This is an AI summary of the original study and may miss details. Read our disclaimer.

Study facts

What this study's own registry entry says, in plain language.

Phase

Phase 1

The first testing in people. Mainly checks safety and dose, usually in a small group.

Participants

About 33 people

The number the study aims to enrol. It can still change while the study runs.

Started

Jul 2026

Expected to finish

Dec 2029

An estimate. End dates often move.

Lead sponsor

A company

The lead sponsor is a pharmaceutical, biotech, or medical-device company.

Who can take part

This study's own entry requirements. Only the study team can say for certain whether you qualify.

Ages

18 to 65 years

Sex

Anyone

Healthy volunteers

Accepted

You do not need to have the condition being studied to take part.

Show 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: Participants must meet all of the following criteria to be eligible for the study: Healthy adult male or female volunteers, ages 18 to 55 years. Able and willing to provide written informed consent prior to any study procedures. In good general health as determined by medical history, physical examination, vital signs, ECG, and laboratory tests (chemistry, hematology, and coagulation). No clinically significant abnormalities in lab results, as determined by the investigator. Negative urine drug screen for opioids, cocaine, amphetamines, benzodiazepines, cannabinoids, and other substances of abuse. Negative breath alcohol test at screening and baseline. Negative naloxone challenge test, indicating no physiological opioid dependence. For females of childbearing potential: Negative serum pregnancy test at screening and Day 0. Agreement to use acceptable contraception (including oral hormonal contraception) for the duration of the study. For males with female partners of childbearing potential: Agreement to use effective contraception throughout the study. Negative infectious disease panel, including HIV, hepatitis B surface antigen, and hepatitis C antibody. No evidence of suicidal ideation or behavior on the Columbia-Suicide Severity Rating Scale (C-SSRS) at screening. Hamilton Depression Rating Scale (HAM-D17) total score of 0 to 10, consistent with no or minimal depressive symptoms. Willing and able to comply with all study visits, procedures, and restrictions, including pharmacokinetic sampling. Willing to refrain from donating blood during the study period. Agree not to use opioid-containing medications for the duration of the study unless medically necessary and approved by the investigator. Exclusion Criteria: Participants who meet any of the following conditions will be excluded: Current or recent history (past 12 months) of opioid use disorder, substance use disorder, or alcohol dependence. Positive urine drug test or breath alcohol test at screening or prior to randomization. Failure of the naloxone challenge test, indicating possible physical opioid dependence. Use of any investigational drug or device within 30 days prior to screening. Use of any opioid-containing medications (prescription or OTC) within 14 days prior to screening. Known hypersensitivity or allergy to naltrexone, polycaprolactone (PCL), polylactic acid (PLA), polymeric implants, or any other component of the study drug. History of chronic pain, neurological or psychiatric disorders, or any condition requiring regular use of medications. Active medical condition or past medical history that, in the opinion of the investigator, could interfere with the study or pose an undue risk, including: Cardiovascular disease Hepatic or renal impairment Gastrointestinal disorders affecting absorption Respiratory disease Seizure disorder Autoimmune or inflammatory disorders Females who are pregnant, breastfeeding, or planning to become pregnant during the study period. Baseline systolic blood pressure \>160 mmHg or diastolic blood pressure \>100 mmHg. History of major depressive disorder, bipolar disorder, psychosis, or other severe psychiatric illness. HAM-D17 score \>10 at screening or Day 0. Any suicidal ideation or behavior as defined by the C-SSRS in the past 6 months. Participation in another clinical trial with investigational medication or device within the past 30 days. Known coagulation disorder or current use of anticoagulants. Inability to comply with study procedures due to geographic, social, or mental limitations. Presence of any implantable medical device that may interfere with study procedures or assessments. History of keloid formation or abnormal wound healing, which may affect implant insertion site. History of HIV, hepatitis B, or hepatitis C, unless determined to be false positive or clinically insignificant by the investigator. Any condition that, in the investigator's opinion, would make the subject unsuitable for the study.

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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.

How to take part

Only the study team decides who joins. These are the ways to reach them.

  1. The places running it

    1 site. The list below names each one and where it is.

  2. The official record

    ClinicalTrials.gov lists the study team's own contact details, including names and phone numbers. We don't republish those.

    Open the record ↗

  3. A doctor treating you

    A doctor who knows your case can contact a study site on your behalf, and can tell you whether this study is worth pursuing at all.

Contacts and locations

Locations

  • JBR Cenexel

    RECRUITING

    Millcreek, Utah, 84107, United States

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