In a 5-day treatment study

LUCEMYRA® demonstrated significant improvement when symptoms were most severe1,2

SOWS-Gossop is a subject-rated instrument that measures symptom severity3

  • Reductions in SOWS-Gossop scores indicate alleviation of opioid withdrawal symptoms
  • Scoring differences of approximately 2–4 points represent a clinically meaningful improvement on SOWS-Gossop assessments
5-day study design1,2

US-based, phase 3, randomized, multicenter, double-blind, placebo-controlled study involving patients (N=264) who were dependent on opioids (based on DSM-IV™ criteria). The study utilized a parallel-group design that consisted of two main phases conducted over an 8-day period: a 5-day treatment phase and a 2-day post-treatment phase. During the 5-day treatment phase, one cohort received LUCEMYRA 2.88 mg total daily (0.72 mg four times daily), while the other cohort received a matching placebo dose four times daily. All patients received four placebo tablets QID on Days 6 and 7. On Day 8, patients did not receive medication and were discharged after completing the required assessments. Efficacy and safety were also assessed on Days 6-7. Clinical endpoints included mean SOWS-Gossop total score on Days 1 through 5 of treatment, and proportion of patients who completed 5 days of treatment.

Patients receiving LUCEMYRA were significantly more likely to stay in treatment, as compared with placebo (P=0.0034)

  • Patients taking LUCEMYRA stayed in treatment approximately 2 days longer than patients taking placebo

LUCEMYRA significantly improved the percentage of patients who successfully completed withdrawal treatment (P=0.0087)

  • In this study, both groups receiving LUCEMYRA demonstrated statistically significant lower average daily SOWS-Gossop scores over Days 1 through 7, as compared with the placebo group
7-day study design1

US-based, phase 3, randomized, multicenter, double-blind, placebo-controlled, two-part study examining the efficacy, safety, and dose-response in patients (N=602) dependent on opioids (based on DSM-IV™ criteria). The first part of the study included 3 cohorts treated over 7 days following abrupt opioid discontinuation: one arm received LUCEMYRA 2.16 mg total daily (0.54 mg four times daily); the second arm received LUCEMYRA 2.88 mg total daily (0.72 mg four times daily); and the third arm received a matching placebo dose four times daily. The second part of the study (Days 8-14) was an open-label design where all patients who successfully completed Days 1-7 were eligible to receive open-label treatment with variable-dose LUCEMYRA treatment as determined by the investigator (but not to exceed 2.88 mg total daily dose). Clinical endpoints included mean SOWS-Gossop total score on Days 1 through 7 of treatment, and proportion of patients who completed 7 days of treatment.

References:

  1. LUCEMYRA® (lofexidine) [Prescribing Information]. USWM, LLC; 2020.
  2. Data on file. US WorldMeds; 2017.
  3. Vernon MK, Reinders S, Mannix S, et al. Psychometric evaluation of the 10-item Short Opiate Withdrawal Scale-Gossop (SOWS-Gossop) in patients undergoing opioid detoxification. Addict Behav. 2016;60:109-116.