Treatment outcomes

long-acting Nalmefene

(Nalmefene Consta 393.1 mg) (n = 1500)

extended-release Naltrexone (Vivitrol 380 mg)

(n = 1500)

Treatment effect

3200 Assessed for eligibility

3000 Randomized

1500 Randomized to receive

Long-acting intramuscular formulation of Nalmefene (Nalmefene Consta 393.1 mg)

1500 Randomized to receive

Extended-release Naltrexone (Vivitrol 380 mg)

1815 Completed 12 weeks treatment

Opioid relapse patients weeks 4 - 12

14% (n = 210)

67% (n = 855)

(P < 0.0001)

Opioid-free patients weeks 4 - 12

86% (n = 1290)

43% (n = 645)

(P < 0.0001)

Retention in treatment

83% (n = 1245)

38% (n = 570)

(P < 0.0001).

Median time in treatment

>84 days

48 days

(P < 0.0001).

Adverse reaction and adverse events

31.7% (n = 465)

60.0% (n = 900)

(P < 0.001)