Clinical trial Recruiting at 1 site Early Phase 1 Interventional Ages 18 to 65

Evaluating the effects of suvorexant on drug demand in people with opioid use disorder

Official title: Measuring Acute Drug Demand in Humans

Run by University of Maryland, Baltimore · NCT05829655 · Data updated 2026-11-12

This study is testing if the sleep medication suvorexant can help people with opioid use disorder reduce their cravings for drugs.

More Opioid Use Disorder trials

Quick facts

PhaseEarly Phase 1
Study typeInterventional
Ages18 Years to 65 Years
SexAll
Enrollment75 (estimated)
SponsorUniversity of Maryland, Baltimore
Academic / other
Locations1 site (Baltimore, Maryland)
StatusRecruiting
StartedAugust 8, 2023
Main results expectedJanuary 1, 2028
Study endsJanuary 1, 2028
Registry record updatedJune 23, 2026
Trial IDNCT05829655 on ClinicalTrials.gov

Is this trial a fit for you?

Likely a good fit

Ideal candidates are adults aged 18 to 65 who meet the criteria for moderate or severe opioid use disorder.

Probably not a fit

Patients who are pregnant, breastfeeding, or seeking opioid use treatment may not benefit from this study.

A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.

What this trial studies

This research evaluates whether suvorexant, a medication approved for treating insomnia, can reduce the use and demand for various drugs in individuals with opioid use disorder. Participants will undergo a screening visit followed by a 14 to 16 day inpatient stay at Johns Hopkins Bayview Medical Center, where they will be stabilized on hydromorphone. They will be randomly assigned to receive either suvorexant or a placebo and will participate in five experimental sessions involving blinded study medications. The study aims to assess the subjective liking and demand for drugs while on treatment.

Why it matters

Potential benefit: If successful, this study could provide a new approach to reducing drug demand and improving outcomes for patients with opioid use disorder.

How similar studies have gone: While suvorexant is not currently approved for this purpose, similar studies exploring its effects on drug demand are limited, making this approach relatively novel.

Who can join: the full rules

Show full inclusion / exclusion criteria
Inclusion Criteria:

* Age between 18 and 65 years old
* Meets Diagnostic and Statistical Manual-5 criteria for Opioid Use Disorder (OUD) (moderate or severe)
* Lifetime substance use history criterion \[blinded\]
* Medically cleared to take suvorexant and blinded study medications
* Be in good general health based on a physical examination, medical history, vital signs, and screening urine and blood tests

Exclusion Criteria:

* Pregnant or breast feeding
* Seeking opioid use treatment
* Significant mental health or physical disorder that is expected to interfere with study participation as assessed by the study physicians or medical staff
* Known contraindications or allergies to suvorexant and/or the blinded study medications

Where it's running

  • General Clinical Research Center
    Baltimore, Maryland, United States
    Recruiting

Study contacts

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How to take part

  1. Review the eligibility criteria above with your treating physician.
  2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
  3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.
Last reviewed 2026-11-14 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.