Nurses take the lead: could nurse-led methadone dosing keep more people in treatment?
NCT ID NCT07085377
First seen Jun 25, 2026 · Last updated Aug 04, 2026 · Updated 3 times
Summary
This study tests a new approach where nurses, rather than doctors, adjust methadone doses for people starting treatment for opioid addiction. The goal is to see if this makes it easier for patients to stay in care for at least three months. The trial will enroll 182 adults in French addiction centers and compare the nurse-led method to usual care.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- methadone
- What this could lead to
- If successful, this could make methadone treatment more accessible and flexible, helping more people stay in care for opioid addiction.
- What could go wrong
- This is a small, early-stage study in France, so results may not apply elsewhere. The approach relies on nurse training and local regulations, which may limit broader use.
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
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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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About 182 people
The number the study aims to enrol. It can still change while the study runs.
- Started
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Dec 2025
- Expected to finish
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Apr 2028
An estimate. End dates often move.
- 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: * Subject 18 years of age or older, * With opioid use disorder (OUD) according to DSM-5 (Diagnostic and Statistical Manual of Mental Disorders) criteria (other authorized psychoactive substance use), * Intending to start methadone treatment for OUD in a CSAPA center within 7 days, * Agreeing to be followed up in a CSAPA over the next 3 months, Exclusion Criteria: * Having taken methadone treatment (on prescription) in the three months prior to inclusion, * Simultaneous medical care in another addictology facility, * with a day-hospital project, * Referral to town prescriber or town pharmacy planned and/or requested by patient before 3 month, * Non-stabilized psychiatric disorder or cognitive impairment likely to compromise compliance and involvement in care (at investigator's discretion), * Inability to communicate and express themselves in French language, * Subject to a legal protection measure other than curatorship, * Pregnant or breast-feeding.
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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.
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The places running it
8 sites. The list below names each one and where it is.
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The official record
ClinicalTrials.gov lists the study team's own contact details, including names and phone numbers. We don't republish those.
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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
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CSAPA de Brioude
NOT_YET_RECRUITINGBrioude, 43100, France
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CSAPA du Griffon, Oppelia Aria 69
RECRUITINGVilleurbanne, 69100, France
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CSAPA, Association Bizia, Centre Hospitalier de la Côte Basque
RECRUITINGBayonne, 64109, France
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CSAPA, Association Nationale de Prévention en Alcoologie et Addictologie (ANPAA), Résidence Le Victor Hugo
NOT_YET_RECRUITINGLe Puy-en-Velay, 43000, France
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CSAPA, Hôpital de la Croix Rousse, Hospices Civils de Lyon
RECRUITINGLyon, 69004, France
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CSAPA, Service Universitaire d'Addictologie de Lyon, Hôpital Edouard Herriot, Hospices Civils de Lyon
RECRUITINGLyon, 69003, France
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CSAPA, Service d'Addictologie, Centre Hospitalier Charles Perrens, CHU de Bordeaux
NOT_YET_RECRUITINGBordeaux, 33000, France
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CSAPA, Service de Psychiatrie et d'Addictologie, Hôpital Civil, CHRU de Strasbourg
NOT_YET_RECRUITINGStrasbourg, 690910, France
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