TABLE 7.
Results of individual studies
STUDY | COMPARISON | LIST OF PRIMARY OUTCOMES* | RESULTS REPORTED |
---|---|---|---|
Jones | BUP vs. MET |
|
No significant difference No significant difference 89% less morphine in BUP group 43% less hospital stay in BUP group No significant difference |
Strang 2010 | Inj. heroin and Inj. MET vs. standard MET | Reduction of regular use of street heroin: 50% or more of negative specimens for street heroin on weekly urinalysis during Weeks 14–26 | Significant difference between inj. heroin and oral methadone in favor of inj. heroin in ITT as well as PP population |
Beck 2013 | SROM vs. MET | The primary efficacy endpoint: the proportion of positive urine samples per patient and per treatment for coconsumption of heroin | Non-inferiority of SROM to MET reported in ITT and PP populations |
Saxon 2013 | BUP/naloxone vs. MET |
|
No significant difference between medication groups. No significant difference between medication groups. No significant difference between medication groups. No significant difference between medication groups. No significant difference between medication groups. |
Demaret 2015 | HAT vs. MET | Street heroin use during the previous month decreased significantly more in the experimental group than in the control group Main effect of group not statistically significant in Results section but stated as significantly lower in Discussion section Main effect of group not statistically significant |
Primary outcomes as described in the article.
Evaluable participants defined by the article: “The criteria for ‘evaluable’ were completion of 24 weeks on assigned medication and provision of at least half of the eight liver tests scheduled between weeks 1–24, at weeks 1, 2, 4, 8, 12, 16, 20, and 24.” BUP: buprenorphine; MET: methadone; NAS: neonatal syndrome; ITT: intention to treat; PP: per protocol; SROM: slow-release oral morphine; BUP/naloxone: buprenorphine and naloxone combination; ULN: upper limit of normal; ALT: alanine amino transferase; AST: aspartate amino transferase.
Drug/Alcohol section of the European Addiction Severity Index.
Maudsley Addiction Profile - Health Symptoms Scale (MAP-HSS).
Symptom Check-List (SCL-90-R). HAT: Heroine Assisted Treatment