Clinical trial Recruiting at 1 site Phase 4 Interventional Ages 18 and up

Low-dose buprenorphine for treating opioid use disorder

Official title: A Pilot Randomized Controlled Trial of Low-dose Buprenorphine Initiation for Opioid Use Disorder

Run by Montefiore Medical Center · NCT05450718 · Data updated 2026-11-12

This study is testing if starting treatment for opioid use disorder with low-dose buprenorphine is safe and effective compared to standard treatment, while tracking participants' symptoms and cravings using their mobile phones.

Quick facts

PhasePhase 4
Study typeInterventional
Ages18 Years and up
SexAll
Enrollment70 (estimated)
SponsorMontefiore Medical Center
Academic / other
Locations1 site (The Bronx, New York)
StatusRecruiting
StartedNovember 11, 2024
Main results expectedMarch 17, 2027
Study endsJune 30, 2027
Registry record updatedJuly 21, 2026
Trial IDNCT05450718 on ClinicalTrials.gov

Is this trial a fit for you?

Likely a good fit

Ideal candidates include adults aged 18 and older with a diagnosis of opioid use disorder who are willing to comply with study procedures.

Probably not a fit

Patients currently using FDA-approved medications for opioid use disorder treatment or those with severe mental health issues 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 study aims to evaluate the safety and effectiveness of initiating treatment for opioid use disorder with low-dose buprenorphine. Participants will be randomly assigned to either an 8-day low-dose buprenorphine initiation protocol or standard treatment. Throughout the study, participants will use mobile phones to provide real-time data on their withdrawal symptoms, anxiety, cravings, and substance use through electronic Ecological Momentary Assessment (EMA) technology. The study will involve visits at baseline and at weeks 2 and 4 to monitor progress and outcomes.

Why it matters

Potential benefit: If successful, this approach could provide a safer and more effective method for initiating treatment in patients with opioid use disorder.

How similar studies have gone: Other studies have shown promise with low-dose buprenorphine approaches, suggesting potential for success in this area.

Who can join: the full rules

Show full inclusion / exclusion criteria
Inclusion Criteria:

1. Provision of signed and dated informed consent form
2. Stated willingness to comply with all study procedures and availability for the duration of the study
3. Any gender, aged 18 years or greater
4. Opioid Use Disorder (based on Diagnostic and Statistical Manual- Version 5 criteria)
5. Ability to take sublingual medication
6. Willingness to adhere to the assigned buprenorphine initiation regimen
7. Fluency in English or Spanish
8. For participants of reproductive potential: agreement to use highly effective contraception during study participation

Exclusion Criteria:

1. Use of FDA-approved medications for opioid use disorder treatment (within 7 days prior to screening), including methadone, buprenorphine, or naltrexone
2. Diagnosis of Alcohol Use Disorder, severe or Benzodiazepine Use Disorder, severe (based on Diagnostic and Statistical Manual- Version 5 criteria)
3. Severe untreated mental illness, meaning psychosis or suicidality
4. Presence of an acute or chronic medical condition that would make participation medically hazardous
5. Pregnancy or lactation
6. Known allergic reactions to buprenorphine or naloxone
7. Inability to consent due to cognitive impairment

Where it's running

  • Montefiore Medical Center
    The Bronx, New York, United States
    Recruiting

Study contacts

  • Principal investigator: Benjamin T Hayes, MD, MS, MPH — Montefiore Medical Center
  • Study coordinator: Benjamin T Hayes, MD, MS, MPH
  • Email: bhayes@montefiore.org
  • Phone: 4156700850

Similar studies

Other studies for the same condition or treatment. Recruiting studies are listed first.

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.