Table 2.
Analysis | SoC (n = 156) | BUP-XR (n = 158) | Difference (SE) | Adjusted IRR (95% CI) | p-value |
---|---|---|---|---|---|
Primary outcome measure—mean days abstinent from opioids | 104.37 (9.89) | 123.43 (4.76) | 19.05 (5.48) | 1.18 (1.05–1.33) | 0.004 |
Primary outcome measure—sensitivity analysis | |||||
Adjustment of analysis period | |||||
Including 1-week grace perioda | 111.86 (10.36) | 130.44 (4.89) | 18.58 (5.84) | 1.16 (1.04–1.31) | 0.008 |
TLFB data truncated by 14 days at endpointb | 96.72 (9.28) | 114.37 (4.32) | 17.65 (5.27) | 1.18 (1.05–1.33) | 0.006 |
Duration of treatment episode at study enrolmentc | 104.27 (9.71) | 123.09 (4.68) | 18.82 (6.03) | 1.18 (1.05–1.32) | 0.004 |
Inclusion of baseline predictors of missing data | |||||
ADAPT ‘addiction severity’ score and QUID-SR score | 102.47 (5.42) | 119.92 (1.19) | 17.45 (6.03) | 1.17 (1.05–1.31) | 0.007 |
Missing TLFB data scenario | |||||
Best case—all missing data indicate opioid abstinence | 131.19 (11.00) | 152.34 (3.56) | 21.15 (7.85) | 1.16 (1.03–1.31) | 0.018 |
Worst case—all missing data indicate opioid use | 94.37 (7.59) | 133.41 (7.28) | 39.04 (10.40) | 1.41 (1.17–1.71) | 0.001 |
Missing UDS data scenario | |||||
Best case—all missing data indicate opioid abstinence | 122.04 (12.61) | 150.06 (4.55) | 28.02 (9.15) | 1.23 (1.05–1.44) | 0.009 |
Worst case—all missing data indicate opioid use | 121.98 (12.68) | 149.96 (4.65) | 27.98 (9.16) | 1.23 (1.05–1.44) | 0.010 |
All analysis is mixed-effects, negative binomial regression with baseline drug injecting status (fixed effect) and treatment clinic (random intercept).
Difference is calculated as BUP-XR minus SoC.
ADAPT, Addiction Dimensions for Assessment and Personalised Treatment; BUP-XR, extended-release buprenorphine; IRR, incidence rate ratio; QIDS-SR, Quick Inventory of Depressive Symptomatology–Self-Report; SE, standard error; SoC, the standard of care; TLFB, Timeline Follow-back; UDS, urine drug screen.
All means are adjusted.
Analysis period is day 0–168.
Analysis period is day 8–154.
Days in treatment at study enrolment.