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CTRI Number  CTRI/2025/08/092948 [Registered on: 12/08/2025] Trial Registered Prospectively
Last Modified On: 12/08/2025
Post Graduate Thesis  No 
Type of Trial  Interventional 
Type of Study   Drug 
Study Design  Randomized, Parallel Group, Multiple Arm Trial 
Public Title of Study   A study to compare effectiveness of buprenorphine film with buprenorphine tablet in those addicted to opioids  
Scientific Title of Study   An Open-Label trial assessing acceptability of Buprenorphine sublingual films 
Trial Acronym  NIL 
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Atul Ambekar 
Designation  Professor 
Affiliation  All India Institute of Medical Sciences DELHI 
Address  4090 B TEACHING BLOCK All India Institute of Medical Sciences NEW DELHI 110029

New Delhi
DELHI
110029
India 
Phone  9811155682  
Fax    
Email  atul.ambekar@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Atul Ambekar 
Designation  Professor 
Affiliation  All India Institute of Medical Sciences DELHI 
Address  4090 B TEACHING BLOCK All India Institute of Medical Sciences NEW DELHI 110029

New Delhi
DELHI
110029
India 
Phone  9811155682  
Fax    
Email  atul.ambekar@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Atul Ambekar 
Designation  Professor 
Affiliation  All India Institute of Medical Sciences DELHI 
Address  4090 B TEACHING BLOCK All India Institute of Medical Sciences NEW DELHI 110029

New Delhi
DELHI
110029
India 
Phone  9811155682  
Fax    
Email  atul.ambekar@gmail.com  
 
Source of Monetary or Material Support  
Zim Laboratories Limited Sadoday Gyan (Ground Floor), Opp. N.A.D.T, Nelson Square, Nagpur – 440013, Maharashtra, India. 
 
Primary Sponsor  
Name  Zim Laboratories Limited 
Address  B-21/22 MIDC industrial Area, Kalmeshwar, Nagpur-441501 Maharashtra, India.  
Type of Sponsor  Pharmaceutical industry-Indian 
 
Details of Secondary Sponsor  
Name  Address 
NIL  NIL 
 
Countries of Recruitment     India  
Sites of Study  
No of Sites = 1  
Name of Principal Investigator  Name of Site  Site Address  Phone/Fax/Email 
Prof Atul Ambekar  National Drug Dependence Treatment Center, AIIMS, Delhi  Room no. 308, Department of Addiction Psychiatry, NDDTC, Kamla Nehru Nagar, C.G.O. Complex, Ghaziabad - 201002
Ghaziabad
UTTAR PRADESH 
9811155682

ATUL.AMBEKAR@GMAIL.COM 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
AIIMSDELHIIEC  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Approved/Obtained 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: F112||Opioid dependence,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Intervention  Test Product: Buprenorphine sublingual films 8/6/4 mg manufactured by Zim Laboratories Limited, Nagpur, India   Dose: 8/6/4/mg Frequency: Once a day Route of administration: Sublingual Total duration of such intervention: 4 weeks Buprenorphine was first approved in India as injectable in 1986 and as sublingual tablets in 1987. Later it was also approved as transdermal patches. As per the New Drugs and Clinical Trials Rules 2019, “Buprenorphine Sublingual films 8/6/4 mg” will fall under the category of “New Drugs”. This is a drug approved by the Central Licensing Authority as sublingual tablet dosage form and the sponsor eventually will seek approval for manufacturing and marketing of new sublingual dosage form (films), after the phase III trial. Thus, these sublingual films are the additional dosage form for the already approved sublingual tablets. 
Comparator Agent  Vernor-SL 2 Buprenorhine Sublingual Tablet 2mg manufactured by Verve Human Care Laboratories Ltd  Dose: 8/6/4/mg Frequency: Once a day Route of administration: Sublingual Total duration of such intervention: 4 weeks This tablet is routinely used at all treatment centers to provide buprenorphine maintenance treatment to those with opioid dependence syndrome. It is used at the study site as a part of routine, standard care.  
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  99.00 Year(s)
Gender  Male 
Details  Adult male meeting criteria for opioid dependence as defined by the International Statistical Classification of Diseases and Related Health Problems eleventh edition who are an appropriate candidate for Opioid Agonist Maintenance Treatment with buprenorphine on a daily dispensing schedule and stabilized on a constant dose between 4 mg to 18 mg per day for a minimum period of one week and willing to remain on buprenorphine during the phase of the trial 
 
ExclusionCriteria 
Details  1. Any known allergy, hypersensitivity or intolerance to BPN or NX or any related drug, or history of any drug hypersensitivity or intolerance which in the opinion of the Investigator, would compromise the safety of the patient or the trial.
2. Patients with serious oral lesions/pathology which makes sublingual film administration difficult.
 
 
Method of Generating Random Sequence   Computer generated randomization 
Method of Concealment   Sequentially numbered, sealed, opaque envelopes 
Blinding/Masking   Open Label 
Primary Outcome  
Outcome  TimePoints 
Retention in treatment at 4 weeks
Negative urine drug screening for opioids at 4 weeks
• Subjective dose effects of buprenorphine films (craving, withdrawal, drug liking) (Weekly)
 
weekly visit upto 4 weeks 
 
Secondary Outcome  
Outcome  TimePoints 
Self-reported abstinence (Weekly)
Side effects & Adverse events (AEs) (Weekly)
• Ease of Handling & dispensing by healthcare providers
 
weekly visit upto 4 weeks 
 
Target Sample Size   Total Sample Size="120"
Sample Size from India="120" 
Final Enrollment numbers achieved (Total)= "Applicable only for Completed/Terminated trials"
Final Enrollment numbers achieved (India)="Applicable only for Completed/Terminated trials" 
Phase of Trial   Phase 3 
Date of First Enrollment (India)   01/09/2025 
Date of Study Completion (India) Applicable only for Completed/Terminated trials 
Date of First Enrollment (Global)  Date Missing 
Date of Study Completion (Global) Applicable only for Completed/Terminated trials 
Estimated Duration of Trial   Years="0"
Months="6"
Days="0" 
Recruitment Status of Trial (Global)   Not Applicable 
Recruitment Status of Trial (India)  Not Yet Recruiting 
Publication Details   N/A 
Individual Participant Data (IPD) Sharing Statement

Will individual participant data (IPD) be shared publicly (including data dictionaries)?  

Response - NO
Brief Summary  

This is an open label, prospective, randomized, study to assess acceptability of Buprenorphine sublingual films 8/6/4 mg in adult opioid dependence patients and in healthcare providers. Subjects with opioid dependence who meet all the eligibility criteria, based on medical history and clinical examination will be recruited in this study. After written informed consent, patients will be randomized to either of the two treatment arms: intervention arm i.e. Buprenorphine sublingual films or comparator arm i.e. continued treatment with Buprenorphine sublingual tablets, which represents treatment as usual.

 
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