{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,27]],"date-time":"2026-02-27T22:30:25Z","timestamp":1772231425231,"version":"3.50.1"},"reference-count":17,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2019,4,8]],"date-time":"2019-04-08T00:00:00Z","timestamp":1554681600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["ascpt.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Clin Pharma and Therapeutics"],"published-print":{"date-parts":[[2019,9]]},"abstract":"<jats:p>Extensive 12\u2010lead electrocardiogram monitoring and drug concentrations were obtained during development of <jats:styled-content style=\"fixed-case\">BUP<\/jats:styled-content>\u2010<jats:styled-content style=\"fixed-case\">XR<\/jats:styled-content>, a monthly subcutaneous injection for the treatment of opioid use disorder (<jats:styled-content style=\"fixed-case\">OUD<\/jats:styled-content>). Matched <jats:styled-content style=\"fixed-case\">QT<\/jats:styled-content> and plasma drug concentrations (11,925) from 1,114 subjects were pooled from 5 studies in <jats:styled-content style=\"fixed-case\">OUD<\/jats:styled-content>. A concentration\u2010<jats:styled-content style=\"fixed-case\">QT<\/jats:styled-content> model was developed, which accounted for confounding factors (e.g., comedications) affecting heart rate and heart rate\u2010corrected <jats:styled-content style=\"fixed-case\">QT<\/jats:styled-content> interval (<jats:styled-content style=\"fixed-case\">QT<\/jats:styled-content>c). Bias\u2010corrected nonparametric two\u2010sided 90% confidence intervals (<jats:styled-content style=\"fixed-case\">CI<\/jats:styled-content>s) were derived for the mean predicted effect of <jats:styled-content style=\"fixed-case\">BUP<\/jats:styled-content>\u2010<jats:styled-content style=\"fixed-case\">XR<\/jats:styled-content> on <jats:styled-content style=\"fixed-case\">QT<\/jats:styled-content>c (\u0394<jats:styled-content style=\"fixed-case\">QT<\/jats:styled-content>c) at therapeutic and supratherapeutic doses. Changes in <jats:styled-content style=\"fixed-case\">QT<\/jats:styled-content>c were associated with age, central vs. noncentral reading, sex, methadone, and barbiturates. The upper 90% <jats:styled-content style=\"fixed-case\">CI<\/jats:styled-content> of \u0394<jats:styled-content style=\"fixed-case\">QT<\/jats:styled-content>c was 0.29, 0.67, and 1.34\u00a0ms at the steady\u2010state peak concentration (C<jats:sub>max<\/jats:sub>) for 100, 300, and 2\u00a0\u00d7\u00a0300 mg doses, respectively. An effect of <jats:styled-content style=\"fixed-case\">BUP<\/jats:styled-content>\u2010<jats:styled-content style=\"fixed-case\">XR<\/jats:styled-content> on <jats:styled-content style=\"fixed-case\">QT<\/jats:styled-content> can be ruled out at therapeutic and supratherapeutic doses of <jats:styled-content style=\"fixed-case\">BUP<\/jats:styled-content>\u2010<jats:styled-content style=\"fixed-case\">XR<\/jats:styled-content>, after accounting for covariates that may influence heart rate and <jats:styled-content style=\"fixed-case\">QT<\/jats:styled-content> interval in <jats:styled-content style=\"fixed-case\">OUD<\/jats:styled-content>.<\/jats:p>","DOI":"10.1002\/cpt.1406","type":"journal-article","created":{"date-parts":[[2019,2,26]],"date-time":"2019-02-26T02:27:05Z","timestamp":1551148025000},"page":"576-584","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":10,"title":["Evaluation of the Effects of a Monthly Buprenorphine Depot Subcutaneous Injection on <scp>QT<\/scp> Interval During Treatment for Opioid Use Disorder"],"prefix":"10.1111","volume":"106","author":[{"given":"Virginia D.","family":"Schmith","sequence":"first","affiliation":[{"name":"Nuventra Pharma Sciences  Durham North Carolina USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Laura","family":"Curd","sequence":"additional","affiliation":[{"name":"Nuventra Pharma Sciences  Durham North Carolina USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lauren R. L.","family":"Lohmer","sequence":"additional","affiliation":[{"name":"Nuventra Pharma Sciences  Durham North Carolina USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Celine M.","family":"Laffont","sequence":"additional","affiliation":[{"name":"Indivior Inc.  Richmond Virginia USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Anne","family":"Andorn","sequence":"additional","affiliation":[{"name":"Indivior Inc.  Richmond Virginia USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Malcolm A.","family":"Young","sequence":"additional","affiliation":[{"name":"Indivior Inc.  Richmond Virginia USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2019,4,8]]},"reference":[{"key":"e_1_2_10_1_1","doi-asserted-by":"publisher","DOI":"10.1001\/archinte.167.22.2469"},{"key":"e_1_2_10_2_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1360-0443.2009.02549.x"},{"key":"e_1_2_10_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.drugalcdep.2012.09.016"},{"key":"e_1_2_10_4_1","doi-asserted-by":"publisher","DOI":"10.1345\/aph.1G524"},{"key":"e_1_2_10_5_1","unstructured":"US Food and Drug Administration (FDA).Clinical pharmacology and biopharmaceutics review \u2013 BuTrans. Food and Drug Administration (2010)."},{"key":"e_1_2_10_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ahj.2012.02.023"},{"key":"e_1_2_10_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(18)32259-1"},{"key":"e_1_2_10_8_1","unstructured":"SublocadeTM[package insert]. Indivior North Chesterfield VA 2017."},{"key":"e_1_2_10_9_1","unstructured":"International Conference on Harmonisation of Technical Requirements for Registration of Pharmaceuticals for Human Use. Implementation Working Group ICH E14 Guideline.The clinical evaluation of QT\/QTc interval prolongation and proarrhythmic potential for non\u2010antiarrhythmic drugs. Q&A R3. International Conference on Harmonisation of Technical Requirements for Registration of Pharmaceuticals for Human Usehttp:\/\/www.ich.org\/fileadmin\/Public_Web_Site\/ICH_Products\/Guidelines\/Efficacy\/E14\/E14_Q_As_R3__Step4.pdf(2015)."},{"key":"e_1_2_10_10_1","unstructured":"International Conference on Harmonisation of Technical Requirements for Registration of Pharmaceuticals for Human Use.The clinical evaluation of QT\/QTc interal prolongation and proarrhythmic potential for non\u2010antiarrhythmic drugs. International Conference on Harmonisation of Technical Requirements for Registration of Pharmaceuticals for Human Use.https:\/\/www.ich.org\/fileadmin\/Public_Web_Site\/ICH_Products\/Guidelines\/Efficacy\/E14\/E14_Guideline.pdf(2005)."},{"key":"e_1_2_10_11_1","doi-asserted-by":"publisher","DOI":"10.4330\/wjc.v5.i4.87"},{"key":"e_1_2_10_12_1","doi-asserted-by":"publisher","DOI":"10.1093\/bja\/aet412"},{"key":"e_1_2_10_13_1","doi-asserted-by":"publisher","DOI":"10.1186\/cc6166"},{"key":"e_1_2_10_14_1","first-page":"9","article-title":"Phencyclidine intoxication and adverse effects: a clinical and pharmacological review of an illicit drug","volume":"8","author":"Bey T.","year":"2007","journal-title":"Cal. J. Emerg. 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