Last Updated: August 9, 2026

CLINICAL TRIALS PROFILE FOR BRIXADI


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All Clinical Trials for BRIXADI

Trial ID Title Status Sponsor Phase Start Date Summary
NCT04454411 ↗ Brain Mechanisms of Pharmacotherapy in Opioid Use Disorder Not yet recruiting University of Pennsylvania Phase 2 2021-08-02 This study will investigate the mechanisms of cognitive-behavioral response to medications used for relapse prevention in opioid use disorder (opioid addiction, OUD), through investigation of the neural circuits underlying key cognition functions. The study will use previously validated cognitive probes, functional Magnetic Resonance Imaging (fMRI), and novel extended-release injectable preparations of opioid partial agonist buprenorphine and antagonist naltrexone, in OUD patients to explain the individual heterogeneity of OUD treatment response.
NCT04464980 ↗ Optimizing Retention, Duration and Discontinuation Strategies for Opioid Use Disorder Pharmacotherapy (RDD) Recruiting Columbia University Phase 2 2021-06-07 This is a two phase study investigating combinations of pharmacological and behavioral interventions to optimize the treatment of Opioid Use Disorder (OUD). The Retention Phase will assess strategies for improving retention on buprenorphine (BUP) and extended-release injectable naltrexone (XR-NTX). The Discontinuation Phase will assess which approaches are most likely to lead to long-term success (absence of relapse), and what characteristics of participants distinguish those who can safely discontinue Medications for Opioid Use Disorder (MOUD) from those who remain at risk of relapse and should not discontinue.
NCT04464980 ↗ Optimizing Retention, Duration and Discontinuation Strategies for Opioid Use Disorder Pharmacotherapy (RDD) Recruiting Columbia University Irving Medical Center Phase 2 2021-06-07 This is a two phase study investigating combinations of pharmacological and behavioral interventions to optimize the treatment of Opioid Use Disorder (OUD). The Retention Phase will assess strategies for improving retention on buprenorphine (BUP) and extended-release injectable naltrexone (XR-NTX). The Discontinuation Phase will assess which approaches are most likely to lead to long-term success (absence of relapse), and what characteristics of participants distinguish those who can safely discontinue Medications for Opioid Use Disorder (MOUD) from those who remain at risk of relapse and should not discontinue.
NCT04464980 ↗ Optimizing Retention, Duration and Discontinuation Strategies for Opioid Use Disorder Pharmacotherapy (RDD) Recruiting Harvard Medical School Phase 2 2021-06-07 This is a two phase study investigating combinations of pharmacological and behavioral interventions to optimize the treatment of Opioid Use Disorder (OUD). The Retention Phase will assess strategies for improving retention on buprenorphine (BUP) and extended-release injectable naltrexone (XR-NTX). The Discontinuation Phase will assess which approaches are most likely to lead to long-term success (absence of relapse), and what characteristics of participants distinguish those who can safely discontinue Medications for Opioid Use Disorder (MOUD) from those who remain at risk of relapse and should not discontinue.
>Trial ID >Title >Status >Phase >Start Date >Summary

Clinical Trial Conditions for BRIXADI

Condition Name

Condition Name for BRIXADI
Intervention Trials
Opioid Use Disorder 4
Opioid Use Disorder (OUD) 1
Opioid-Related Disorders 1
Substance-Related Disorders 1
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Condition MeSH

Condition MeSH for BRIXADI
Intervention Trials
Opioid-Related Disorders 7
Substance-Related Disorders 3
Narcotic-Related Disorders 1
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Clinical Trial Locations for BRIXADI

Trials by Country

Trials by Country for BRIXADI
Location Trials
United States 25
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Trials by US State

Trials by US State for BRIXADI
Location Trials
West Virginia 2
Pennsylvania 2
Oregon 2
Maryland 2
Connecticut 2
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Clinical Trial Progress for BRIXADI

Clinical Trial Phase

Clinical Trial Phase for BRIXADI
Clinical Trial Phase Trials
PHASE4 2
PHASE3 2
Phase 2 3
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Clinical Trial Status

Clinical Trial Status for BRIXADI
Clinical Trial Phase Trials
NOT_YET_RECRUITING 2
RECRUITING 2
Not yet recruiting 2
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Clinical Trial Sponsors for BRIXADI

Sponsor Name

Sponsor Name for BRIXADI
Sponsor Trials
National Institute on Drug Abuse (NIDA) 3
The Emmes Company, LLC 2
University of Pennsylvania 2
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Sponsor Type

Sponsor Type for BRIXADI
Sponsor Trials
Other 21
NIH 4
Industry 2
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Last updated: July 28, 2026

BRIXADI (buprenorphine extended-release) clinical trials update, market analysis, and projection

BRIXADI (buprenorphine extended-release; weekly/monthly depot formulations) is an established treatment for opioid use disorder (OUD) with an FDA-approve­d portfolio that remains in a market dominated by branded maintenance and depot competitors. Publicly available clinical-trials, exclusivity, and patent/Orange Book execution details are not sufficiently provided here to produce a complete, accurate trials update and forward-looking market projection tied to specific regulatory timelines and IP constraints.

What clinical trials are evaluating BRIXADI (buprenorphine XR) and what do latest results show?

No complete, source-supported dataset is available in this prompt to enumerate BRIXADI’s ongoing or recently completed clinical studies (NCT listings, endpoints, topline results, or phase transitions). A trials update that includes study identifiers, dates, and outcomes is not possible without complete sourcing.

Which BRIXADI formulations are in trials (weekly vs monthly)

A formulation-level trials inventory requires trial registry and publication details (dose strengths, cohorts, comparator arms, and endpoints) that are not present here.

Are trials studying special populations for BRIXADI

A credible special-population view (adolescents, pregnancy, hepatic/renal impairment, co-medications, induction vs maintenance settings) also requires registry and protocol specifics not included here.

What endpoints are being measured (retention, abstinence, safety)

Endpoints and statistical conclusions must be grounded in trial reports and publications, which are not provided.


What is the current market size for BRIXADI and how is the category growing?

A BRIXADI market analysis needs quantitative baselines (U.S. and ex-U.S. sales, unit trends, payer mix, WAC and net pricing, inventory channel movements, and category growth for OUD maintenance). None of those inputs are provided here, so a projection would not be accurate.

How do BRIXADI sales compare with other buprenorphine depot products

A comparison requires current competitor sales/market share and product-level prescribing trends. Those data are not provided.

Which segments drive demand (commercial vs Medicaid, OTP vs office-based)

Segment analysis requires claims, payer mix, and site-of-care distribution, none included here.

What pricing and reimbursement dynamics affect BRIXADI demand

Pricing and reimbursement depend on contracted net pricing, copay support usage, and formulary status. No such data is present.


When does BRIXADI lose exclusivity and what patent cliffs could affect the market?

An exclusivity and patent-cliff analysis requires Orange Book listing extraction (application numbers, listed patents, expiry dates), patent term adjustments, pediatric exclusivity, and any relevant litigation outcomes. This information is not provided here, so timing and legal-risk mapping cannot be completed.

What is the Orange Book status of BRIXADI

Orange Book status cannot be determined from the prompt.

What patent estate protects BRIXADI depots (formulations, methods of use, manufacturing)

A correct estate map requires specific patent numbers and assignee/ownership details, which are not provided.

Is there Paragraph IV risk for BRIXADI

A Paragraph IV risk view requires ANDA pathway filings, notice letters, and court records. None are included.


How strong is the BRIXADI competitive position vs generic buprenorphine and other depots?

Market competitive strength depends on dosing convenience, adherence and retention evidence, payer access, clinic workflow fit, and switching behavior. Without sales, prescribing, and payer-access information, a defensible comparative strength assessment cannot be produced.

How does BRIXADI compare with sublingual buprenorphine products

This requires comparative adherence and retention outcomes plus market share data. Not provided.

How does BRIXADI compare with CAM2038 and other depot programs

Pipeline and competitor depot readiness must be tied to trial phases and regulatory status, which are not provided.

What generic entry risks exist for BRIXADI depots

Generic risk requires IP and regulatory pathway mapping, not available in the prompt.


What FDA regulatory milestones affect BRIXADI uptake and labeling over time?

A regulatory timeline needs FDA action dates, label changes, REMS or abuse-deterrence labeling updates, and any supplement approvals. None are included.

What is the FDA approval history for BRIXADI

Approval history cannot be compiled from the prompt.

Has BRIXADI labeling changed for dosing frequency, titration, or indications

Labeling deltas require label history extracts that are not provided.

What adverse event safety signals matter for payer acceptance

Safety signals require published pharmacovigilance and labeling sections, not included.


What patent litigation or settlements affect BRIXADI commercialization or generic timing?

A litigation and settlement impact analysis requires docket-level events (cases, parties, dates, claims, injunction status, and settlement terms). None of that is included in the prompt, so a legal-impact section cannot be produced accurately.

Which companies are challenging BRIXADI patents

Challengers and filing routes are not provided.

What settlements changed expected generic entry dates

Settlement terms are not provided.

What court rulings affect enforceability of BRIXADI patents

Rulings are not provided.


Market projection for BRIXADI: 3-year and 5-year outlook (units, revenue, and key drivers)

A numerical projection cannot be generated without any baseline numbers, assumptions, or source-backed drivers (category growth rate, expected switching from rivals, pricing trend, formulary access, and entry/competition timeline). The prompt contains no such inputs, so producing a forecast would be inaccurate.

Base case scenario drivers

Not available.

Bull case scenario drivers

Not available.

Bear case scenario drivers

Not available.

Geographic projection scope (US vs ex-US)

Not available.


Key Takeaways

  • A complete BRIXADI clinical trials update requires sourced trial registry and publication details that are not included here.
  • A defensible market analysis and 3-to-5-year projection requires sales, prescribing, payer, pricing, and competition inputs that are not included here.
  • Patent/exclusivity, Orange Book status, and litigation-driven generic timing cannot be mapped without Orange Book listing and docket-level sources.

FAQs

  1. What are BRIXADI’s approved dosing regimens for opioid use disorder maintenance?
  2. What are the most common endpoints reported in BRIXADI phase 3 and extension studies?
  3. Is BRIXADI considered a first-line depot option versus other buprenorphine maintenance strategies?
  4. How does formulary coverage influence BRIXADI patient access and retention outcomes?
  5. What pathways would a generic or biosimilar competitor use to enter the BRIXADI market?

References

  1. No cited sources are available in the prompt content, so no references can be listed.

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