Based on: Opioid Use Disorder — gene targets, candidate compounds and trials, OSMF Research Tracker (DGIdb, Open Targets, ChEMBL, PubMed and ClinicalTrials.gov data). Numbers are a snapshot taken 8 October 2026; the tracker page is the live version.
Short answer: as of October 2026, the OSMF Research Tracker lists 50 candidate interventions for opioid Use Disorder that are either approved medicines or have at least one registered clinical trial, built on 6 druggable gene targets, with 14 recent trials on ClinicalTrials.gov. 0 are already approved medicines, for this condition or another one; where the approval is for a different condition, the trial is testing a new use, which is what drug repurposing means. Being in a trial says an intervention is being studied, not that it works; that is what the trial is for.
Which candidates have the most trial activity?
Ranked by the number of registered trials the tracker found. Each trial ID links to the registry entry, where you can read the design, status and sponsor.
- Ketorolac — 2 registered trials · investigational · NCT02509312 NCT03820193
- Paracetamol 1000 Mg Oral Tablet — 2 registered trials · investigational · NCT04087317
- ANS-6637 — 1 registered trial · investigational · NCT03831971
- Autonomic neural blockade — 1 registered trial · investigational · NCT06753500
- Brief intervention (BI) — 1 registered trial · investigational · NCT04550715
- buprenorphine/naloxone — 1 registered trial · investigational · NCT03908437
- CAM2038 — 1 registered trial · investigational · NCT02710526
- Cannabidiol (CBD) 600 mg — 1 registered trial · investigational · NCT03787628
- Capnographic Monitoring — 1 registered trial · investigational · NCT01994785
- CBT4CBT COPES — 1 registered trial · investigational · NCT05204576
- Chain-referral — 1 registered trial · investigational · NCT04873401
- Comfort Coach — 1 registered trial · investigational · NCT04051021
Which gene targets are these built on?
The tracker starts from genes with evidence of being druggable in opioid Use Disorder and asks which compounds act on them. Each symbol links to its DGIdb entry, which lists the interacting drugs and the papers behind them: DRD2, GRIN2B, OPRD1, OPRK1, OPRM1, SLC6A2.
Which trials are registered?
- ERAS Protocols in Breast Conserving Surgery NCT06938581 · Recruiting · Phase NA · started 2025-07-11
- Towards Testing the Effectiveness of Recovery Community Centers (RCCs) NCT07010978 · Active Not Recruiting · Phase NA · started 2025-08-20
- Mindfulness in Fracture Recovery and Reduction of Opioid Reliance: Evaluating the Feasibility of Implementing a Brief, Mindfulness-based Intervention to Manage Pain and Anxiety Before and After Fracture Surgery NCT07486505 · Recruiting · Phase NA · started 2026-08-27
- Parental Attitudes and Beliefs Regarding Risks Associated With Opioid Use in Children With Cancer NCT05055011 · Active Not Recruiting · started 2020-12-03
- A Study of Brenipatide in Participants With Opioid Use Disorder NCT07420283 · Recruiting · Phase PHASE2 · started 2026-02-13
- Multimodal Analgesic Regimen for Total Hip Arthroplasty: An Initiative to Minimize Postoperative Opioid Use NCT07672808 · Recruiting · Phase NA · started 2026-07-20
- Peer Recovery Coaching for Tobacco Abstinence in People With Opioid Use Disorder NCT06965153 · Recruiting · Phase NA · started 2026-06-01
- Machine-Learning Prediction and Reducing Overdoses With EHR Nudges NCT06806163 · Active Not Recruiting · Phase NA · started 2025-03-10
- Cannabidiol in Opioid Use Disorder and Chronic Pain NCT04587791 · Active Not Recruiting · Phase EARLY_PHASE1 · started 2021-12-08
- How Does the Addition of Adductor Canal Block to Local Infiltration Affect Recovery in Patients Undergoing Total Knee Arthroplasty? A Feasibility Study. NCT04648072 · Completed · Phase NA · started 2020-11-04
How to read this
Evidence is graded on the tracker page in three tiers: clinical (tested in people), mechanistic (a documented action on the target) and correlative (an association in the literature). Most candidates sit in the lower tiers, and many trials are small or early-phase. The purpose of this list is to show where the research is, with sources, so that patients, clinicians and researchers can look further; it is not a ranking of what to take.
Related on this site
Research information, not medical advice. Decisions about any medicine belong with you and your clinician. The underlying data are open (CC BY 4.0) and refreshed daily; this note was generated from the tracker page on 8 October 2026.