This study will examine the safety and efficacy of the O'Neil Long Acting Naltrexone Implant (OLANI) in persons with opioid dependency who are seeking relapse-prevention treatment. All participants will be treated in an open label manner. No randomization will occur. The OLANI is a long-acting biodegradable form of naltrexone which is implanted in the abdominal region. It is hypothesized that the OLANI will produce blood levels sufficient to block the effects of opioids for an extended period allowing patients to engage in psychosocial treatment and recovery over the long term. After the initial set of implants, participants will be offered 3 sets of single implants 13 weeks, each with an acceptable window of 12-16 weeks after the previous dose.
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Treatment Emergent Adverse Events (TEAEs)
Timeframe: time from from placement of first implant set until end of study at 60 weeks.
Adverse Events of Special Interest (AESI)
Timeframe: time from from placement of first implant set until end of study at 60 weeks.
Deaths
Timeframe: time from from placement of first implant set until end of study at 60 weeks.
Serious Adverse Events (SAEs)
Timeframe: time from from placement of first implant set until end of study at 60 weeks.
Adverse events (AEs) causing study discontinuation
Timeframe: time from from placement of first implant set until end of study at 60 weeks.
Opioid overdose events
Timeframe: time from from placement of first implant set until end of study at 60 weeks.
Laboratory abnormalities
Timeframe: time from from placement of first implant set until end of study at 60 weeks.
Suicidality
Timeframe: time from from placement of first implant set until end of study at 60 weeks.
Concomitant medications
Timeframe: time from from placement of first implant set until end of study at 60 weeks.