Research Topics
| Robert Douglas BruceSummaryAffiliation: Yale University Country: USA Publications
Research Grants
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Detail Information
Publications
Initiation, adherence, and retention in a randomized controlled trial of directly administered antiretroviral therapyDuncan Smith Rohrberg Maru
Yale University AIDS Program, 135 College Street, Suite 323, New Haven, CT 06510 2283, USA
AIDS Behav 12:284-93. 2008..The presence of depression and the lack of willingness to travel greater than four blocks to receive DAART predicted time-to-discontinuation...
Tipranavir/ritonavir induction of buprenorphine glucuronide metabolism in HIV-negative subjects chronically receiving buprenorphine/naloxoneR Douglas Bruce
AIDS Program, Yale University School of Medicine, New Haven, CT, USA
Am J Drug Alcohol Abuse 37:224-8. 2011..This study was conducted to characterize how tipranivir/ritonavir effects the glucuronide metabolites of BUP and may explain the reduction in the norBUP...
Ethical and human rights imperatives to ensure medication-assisted treatment for opioid dependence in prisons and pre-trial detentionR Douglas Bruce
Yale University AIDS Program, HIV AIDS and Human Rights Program, Human Rights Watch, United States
Int J Drug Policy 19:17-23. 2008..e., do good/do no harm). Governments must take immediate action to ensure access to opioid substitution to prisoners to ensure fulfilment of ethical and human rights obligations...
HIV treatment access and scale-up for delivery of opiate substitution therapy with buprenorphine for IDUs in Ukraine--programme description and policy implicationsR Douglas Bruce
Yale University AIDS Program, New Haven, CT 06510 2283, United States
Int J Drug Policy 18:326-8. 2007..Until buprenorphine maintenance therapy (BMT) was introduced, few effective strategies aimed at achieving reduction in illicit drug use were available as a conduit to anti-retroviral therapy (ARV) among IDUs...
Case series of buprenorphine injectors in Kuala Lumpur, MalaysiaR Douglas Bruce
AIDS Program, Section of Infectious Diseases, Yale University School of Medicine, New Haven, Connecticut 06510 2283, USA
Am J Drug Alcohol Abuse 34:511-7. 2008..Prospective cohort studies, rather than hospital-derived samples, are needed to better understand the safety of buprenorphine injection...
Lack of reduction in buprenorphine injection after introduction of co-formulated buprenorphine/naloxone to the Malaysian marketR Douglas Bruce
Yale University AIDS Program, New Haven, Connecticut, USA
Am J Drug Alcohol Abuse 35:68-72. 2009..To address this concern, co-formulation of buprenorphine/naloxone (BPN/NLX) replaced buprenorphine alone in Malaysia in December 2006...
Pharmacokinetic interactions between buprenorphine and antiretroviral medicationsR Douglas Bruce
Yale University AIDS Program, New Haven, CT 06511, USA
Clin Infect Dis 43:S216-23. 2006..Review of the current state of knowledge regarding specific interactions between buprenorphine and antiretrovirals is followed by a review of the clinical applicability of these interactions...
Pharmacokinetic drug interactions between opioid agonist therapy and antiretroviral medications: implications and management for clinical practiceR Douglas Bruce
Yale University AIDS Program, 135 College Street, New Haven, CT 06511, USA
J Acquir Immune Defic Syndr 41:563-72. 2006..Global access to opioid agonist therapy and HIV treatment is expanding but when concurrently used, problematic pharmacokinetic drug interactions can occur...
Pharmacokinetic interactions between buprenorphine/naloxone and tipranavir/ritonavir in HIV-negative subjects chronically receiving buprenorphine/naloxoneR Douglas Bruce
Yale University AIDS Program, 135 College Street, Suite 323, New Haven, CT, United States
Drug Alcohol Depend 105:234-9. 2009..BUP/NLX and TPV/r should therefore be used cautiously to avoid decreased efficacy of TPV in patients taking these agents concomitantly...
Medication-assisted treatment and HIV/AIDS: aspects in treating HIV-infected drug usersR Douglas Bruce
Yale University School of Medicine, Yale University AIDS Program, 135 College Street, Suite 323, New Haven, CT 06510, USA
AIDS 24:331-40. 2010..The current review presents an overview of issues regarding the use of medication-assisted treatments for substance abuse and dependence among HIV-infected individuals, providing medical management paradigms for their care and treatment...
Case series on the safe use of buprenorphine/naloxone in individuals with acute hepatitis C infection and abnormal hepatic liver transaminasesRobert D Bruce
Yale University AIDS Program, New Haven, Connecticut 06511, USA
Am J Drug Alcohol Abuse 33:869-74. 2007..Previous reports in the literature have suggested hepatotoxicity with buprenorphine tempering initial enthusiasm of the safety of buprenorphine in HCV-infected patients...
Pharmacokinetic interactions between buprenorphine/naloxone and once-daily lopinavir/ritonavirRobert Douglas Bruce
Department of Medicine, Yale University AIDS Program, New Haven, CT, USA
J Acquir Immune Defic Syndr 54:511-4. 2010..This study was conducted to examine the pharmacokinetic interactions between buprenorphine/naloxone (BUP/NLX) and lopinavir/ritonavir (LPV/r) in HIV-seronegative subjects chronically maintained on BUP/NLX...
Methadone as HIV prevention: high volume methadone sites to decrease HIV incidence rates in resource limited settingsR Douglas Bruce
Yale University, School of Medicine, AIDS Programme, 135 College Street, Suite 323, New Haven, CT 06510, United States
Int J Drug Policy 21:122-4. 2010..To delay access to methadone only increases the probability that the individual will acquire an infectious disease that is more costly to the individual in terms of morbidity and mortality and more costly to society as a whole...
Clinical outcomes of hepatitis C treatment in a prison setting: feasibility and effectiveness for challenging treatment populationsDuncan Smith Rohrberg Maru
Yale AIDS Program, Yale University School of Medicine, New Haven, Connecticut, USA
Clin Infect Dis 47:952-61. 2008..Data are lacking on outcomes of treatment with pegylated interferon plus ribavirin (PEG-RBV) in correctional settings...
Persistence of virological benefits following directly administered antiretroviral therapy among drug users: results from a randomized controlled trialDuncan Smith Rohrberg Maru
Section of Infectious Diseases, AIDS Program, Yale University School of Medicine, New Haven, CT, USA
J Acquir Immune Defic Syndr 50:176-81. 2009....
Initial strategies for integrating buprenorphine into HIV care settings in the United StatesLynn E Sullivan
Yale University School of Medicine, New Haven, CT 06520 8025, USA
Clin Infect Dis 43:S191-6. 2006....
Developing a directly administered antiretroviral therapy intervention for HIV-infected drug users: implications for program replicationFrederick L Altice
Section of Infectious Diseases, Yale University School of Medicine, New Haven, Connecticut 06510 2283, USA
Clin Infect Dis 38:S376-87. 2004..Moreover, DAART should incorporate enhanced elements such as convenience, flexibility, confidentiality, cues and reminders, responsive pharmacy and medical services, and specialized training for staff...
Pharmacokinetic drug interactions and adverse consequences between psychotropic medications and pharmacotherapy for the treatment of opioid dependenceAli S Saber-Tehrani
Yale University AIDS Program, Section of Infectious Diseases, Department of Internal Medicine, Yale School of Medicine, Yale University, New Haven, CT 06510, USA
Am J Drug Alcohol Abuse 37:1-11. 2011..When medication-assisted treatment for opioid dependence is concurrently used with psychotropic medications, problematic pharmacokinetic drug interactions may occur...
A pilot survey of attitudes and knowledge about opioid substitution therapy for HIV-infected prisonersSandra A Springer
Yale School of Medicine, New Haven, CT, USA
J Opioid Manag 4:81-6. 2008..This study found that more education of individuals treating and caring for HIV-infected opioid dependent prisoners is needed...
Adherence to hepatitis B virus vaccination at syringe exchange sitesFrederick L Altice
Yale University AIDS Program, 135 College Street, Suite 323, New Haven, CT 06510 2283, USA
J Urban Health 82:151-61. 2005..Trust engendered by and mutual respect afforded by such programs result in repeated encounters by active IDUs over time...
Directly administered antiretroviral therapy for HIV-infected drug users does not have an impact on antiretroviral resistance: results from a randomized controlled trialDuncan Smith Rohrberg Maru
Yale University AIDS Program, Yale University School of Medicine, New Haven, CT 06510 2283, USA
J Acquir Immune Defic Syndr 46:555-63. 2007..Directly administered antiretroviral therapy (DAART) is an effective intervention that improves clinical outcomes among HIV-infected drug users. Its effects on antiretroviral drug resistance, however, are unknown...
Behavioral counseling content for optimizing the use of buprenorphine for treatment of opioid dependence in community-based settings: a review of the empirical evidenceMichael M Copenhaver
Department of Psychology, University of Connecticut, Storrs, Connecticut 06269, USA
Am J Drug Alcohol Abuse 33:643-54. 2007..Evidence points toward the use of behavioral counseling aimed at enhancing patients' motivation during treatment entry followed by an emphasis on improving coping/relapse prevention skills during the primary phase of treatment...
Integration of pharmacotherapy for opioid addiction into HIV primary care for HIV/hepatitis C virus-co-infected patientsThomas F Kresina
Center on AIDS and Other Medical Consequences of Drug Abuse, National Institute on Drug Abuse, National Institutes of Health, Bethesda, MD, USA
AIDS 19:S221-6. 2005..The integration of buprenorphine treatment for opioid addiction into HIV primary care thus provides a new treatment paradigm to address substance abuse in patients with HIV and HCV infections...
Integrating care for hepatitis C virus (HCV) and primary care for HIV for injection drug users coinfected with HIV and HCVThomas F Kresina
Division of Pharmacotherapies and Medical Consequences of Drug Abuse, National Institute on Drug Abuse, Bethesda, MD 20892, USA
Clin Infect Dis 41:S83-8. 2005..These elements, in particular treatment for substance abuse, can be focal points for model care systems that provide integrative care for both HCV and HIV infections...
Models for integrating buprenorphine therapy into the primary HIV care settingSanjay Basu
AIDS Program, Section of Infectious Diseases, Department of Internal Medicine, Yale University School of Medicine, New Haven, Connecticut 06510, USA
Clin Infect Dis 42:716-21. 2006..The key barriers against effective integration of buprenorphine maintenance therapy and primary HIV services are discussed, and we suggest several mechanisms to overcome such obstacles...
Three case reports of a clinical pharmacokinetic interaction with buprenorphine and atazanavir plus ritonavirR Douglas Bruce
AIDS 20:783-4. 2006
Impact of enhanced services on virologic outcomes in a directly administered antiretroviral therapy trial for HIV-infected drug usersDuncan Smith-Rohrberg
Yale University AIDS Program, New Haven, Connecticut 06510-2283, USA
J Acquir Immune Defic Syndr 43:S48-53. 2006..These results suggest the potential utility of integrating these services into DAART interventions (DAART-Plus) targeting HIV-infected drug users with problematic adherence...
Pharmacological pain control for human immunodeficiency virus-infected adults with a history of drug dependenceSanjay Basu
Yale University AIDS Program, Yale University School of Medicine, New Haven, CT 06511, USA
J Subst Abuse Treat 32:399-409. 2007....
Clinical care of the HIV-infected drug userR Douglas Bruce
Yale University AIDS Program, Yale University School of Medicine, New Haven, CT 06510, USA
Infect Dis Clin North Am 21:149-79, ix. 2007....
Integration and co-location of HIV/AIDS, tuberculosis and drug treatment servicesLaurie Sylla
Yale University AIDS Programme, 135 College Street, Suite 323, New Haven, CT 06510, United States
Int J Drug Policy 18:306-12. 2007....
Superiority of directly administered antiretroviral therapy over self-administered therapy among HIV-infected drug users: a prospective, randomized, controlled trialFrederick L Altice
Yale University AIDS Program, Yale University, New Haven, CT 06510 2283, USA
Clin Infect Dis 45:770-8. 2007..Directly administered antiretroviral therapy (DAART) is one approach to improve treatment adherence among human immunodeficiency virus (HIV)-infected drug users...
Editorial comment: primary care and psychosocial issues in painR Douglas Bruce
AIDS Read 17:313. 2007
Clinical management of depression and anxiety in HIV-infected adultsSanjay Basu
AIDS 19:2057-67. 2005
Editorial comment: why treat three conditions when it is one patient?R Douglas Bruce
AIDS Read 13:378-9. 2003
Research Grants
- Substance Abuse, HIV and HCV Treatments to Improve Health Outcomes in Drug UsersRobert Bruce; Fiscal Year: 2007..Data used from the two phases of this study will provide an effect estimate that will be used for a R01 submission to conduct a randomized controlled trial. ..
