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Table 3 Incidence proportion (in %) for TEAEs and elevated liver laboratory tests by initiation vs. maintenance dosing period in injecting users and non-injecting participants (Before vs. after the 3rd injection)

From: Examining the benefit of a higher maintenance dose of extended-release buprenorphine in opioid-injecting participants treated for opioid use disorder

 

Initiation period

Maintenance dose period

Maintenance dose groups

BUP-XR 300/300 mg

BUP-XR 300/100 mg

Placeboa

BUP-XR 300/300 mg

BUP-XR 300/100 mg

Placeboa

Opioid-injecting participants

(N = 63)

(N = 66)

(N = 27)

(N = 63)

(N = 66)

(N = 27)

Participants with any TEAEs

31 (49.2)

44 (66.7)

13 (48.1)

38 (60.3)

44 (66.7)

10 (37.0)

With treatment-related TEAEs

17 (27.0)

14 (21.2)

4 (14.8)

16 (25.4)

12 (18.2)

0

With serious TEAEs

1 (1.6)

0

1 (3.7)

3 (4.8)

1 (1.5)

3 (11.1)

With severe TEAEs

2 (3.2)

0

1 (3.7)

1 (1.6)

4 (6.1)

1 (3.7)

With TEAE leading to treatment discontinuation

0

0

0

1 (1.6)

1 (1.5)

1 (3.7)

Participants with TEAEs of special interest

Injection site reactions

6 (9.5)

7 (10.6)

2 (7.4)

10 (15.9)

5 (7.6)

0

Hepatic disorders

3 (4.8)

3 (4.5)

0

5 (7.9)

6 (9.1)

0

Opioid withdrawal signs and symptoms

16 (25.4)

17 (25.8)

5 (18.5)

12 (19.0)

16 (24.2)

6 (22.2)

Central nervous system depression

2 (3.2)

6 (9.1)

0

1 (1.6)

2 (3.0)

1 (3.7)

Elevated liver laboratory tests

ALT > 3 × ULN

8 (12.7)

2 (3.0)

1 (3.7)

9 (14.3)

5 (7.6)

0

AST > 3 × ULN

8 (12.7)

4 (6.1)

1 (3.7)

9 (14.3)

8 (12.1)

0

ALT & AST ≥ 3 × ULN

4 (6.3)

1 (1.5)

1 (3.7)

5 (7.9)

3 (4.5)

0

Non-injecting opioid participants

(N = 92)

(N = 90)

(N = 22)

(N = 92)

(N = 90)

(N = 22)

Participants with any TEAEs

50 (54.3)

55 (61.1)

12 (54.5)

50 (54.3)

50 (55.6)

11 (50.0)

With treatment-related TEAEs

22 (23.9)

25 (27.8)

5 (22.7)

19 (20.7)

16 (17.8)

5 (22.7)

With serious TEAEs

0

1 (1.1)

1 (4.5)

2 (2.2)

2 (2.2)

0

With severe TEAEs

4 (4.3)

5 (5.6)

1 (4.5)

4 (4.3)

5 (5.6)

0

With TEAE leading to treatment discontinuation

2 (2.2)

1 (1.1)

0

2 (2.2)

1 (1.1)

0

Participants with TEAEs of special interest

Injection site reactions

9 (9.8)

9 (10.0)

4 (18.2)

13 (14.1)

8 (8.9)

1 (4.5)

Hepatic disorders

0

1 (1.1)

1 (4.5)

4 (4.3)

3 (3.3)

0

Opioid withdrawal signs and symptoms

20 (21.7)

22 (24.4)

7 (31.8)

14 (15.2)

13 (14.4)

6 (27.3)

Central nervous system depression

6 (6.5)

7 (7.8)

2 (9.1)

1 (1.1)

5 (5.6)

0

Elevated liver laboratory tests

ALT > 3 × ULN

6 (6.5)

0

0

5 (5.4)

2 (2.2)

0

AST > 3 × ULN

3 (3.3)

2 (2.2)

0

6 (6.5)

4 (4.4)

0

ALT & AST ≥ 3 × ULN

3 (3.3)

0

0

3 (3.3)

2 (2.2)

0

  1. The safety set consists of participants who received at least one maintenance dose; thus, the denominators are the same for both initiation and maintenance dose periods. During the initiation period, almost all participants had 2 BUP-XR injections of 300 mg (except one opioid-injecting participants in the 300-/100-mg group with one 300-mg injection)
  2. AE adverse event, ALT alanine transaminase, AST aspartate aminotransferase, TEAE treatment-emergent adverse event, ULN upper limit of normal
  3. aPlacebo participants who received at least one placebo maintenance dose were included in the summary table for reference