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Medication Treatment for Opioid Use Disorder in Expectant Mothers: Infant Neurodevelopmental Outcomes Sub-study

Phase 3
Completed
Conditions
Drug Abuse
Pregnancy Related
Neonatal Opiate Withdrawal Syndrome
Drug Addiction
Neonatal Abstinence Syndrome
Opioid-Related Disorders
Substance Abuse
Drug Abuse in Pregnancy
Interventions
Registration Number
NCT03911739
Lead Sponsor
T. John Winhusen, PhD
Brief Summary

This is a sub-study of NIDA CTN Protocol 0080: Medication Treatment for Opioid Use Disorder in Expectant Mothers (MOMs; Unique protocol ID: 2019-0429-1). Caretakers of the infants delivered by MOMs participants will be offered the opportunity to enroll in this sub-study, which is designed to evaluate the impact of extended-release buprenorphine (BUP-XR), relative to sublingual buprenorphine (BUP-SL), on infant neurodevelopment. The additional data collected in this sub-study will be combined with data from the main MOMs trial.

Detailed Description

Not available

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
71
Inclusion Criteria
  • The participant must be the caretaker of an infant that was delivered as part of the MOMs trial (Unique protocol ID: 2019-0429-1).
Exclusion Criteria

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
BUP-XRBuprenorphine InjectionWeekly subcutaneous Buprenorphine Injection (CAM2038) during pregnancy. During the 12-month postpartum phase, participants who are breastfeeding will continue receiving subcutaneous Buprenorphine Injection weekly; participants who are not breastfeeding will receive subcutaneous Buprenorphine Injection monthly. The target doses will be 24 mg for the weekly formulation and 96 mg for the monthly formulation, but the actual dose may be lower or higher as determined by the prescribing clinician (e.g., based on craving/withdrawal experienced by the participant, etc.).
BUP-SLBuprenorphine Sublingual ProductDaily sublingual buprenorphine, with or without naloxone, based on site preference, during pregnancy and during the 12-month postpartum phase. The target dose will be 16 mg daily, but the actual dose may be lower or higher as determined by the prescribing clinician (e.g., based on craving/withdrawal experienced by the participant, etc.).
Primary Outcome Measures
NameTimeMethod
Bayley Scales of Infant Development24 months post-partum

The Bayley Scales of Infant Development is considered the gold standard assessment of early child development and includes cognitive, language, fine motor, and gross motor subscales. Subscale scores each range from 1 - 19, with higher scores indicating higher performance.

Secondary Outcome Measures
NameTimeMethod
Bayley Scales of Infant Development12 months post-partum

The Bayley Scales of Infant Development is considered the gold standard assessment of early child development and includes cognitive, language, fine motor, and gross motor subscales. Subscale scores each range from 1 - 19, with higher scores indicating higher performance.

Child Behavior Checklist24 months post-partum

The Child Behavior Checklist includes items that describe behavioral, emotional, and social problems that characterize preschool children.

Trial Locations

Locations (10)

Gateway Community Services

🇺🇸

Jacksonville, Florida, United States

Massachusetts General Hospital HOPE Clinic

🇺🇸

Boston, Massachusetts, United States

Boston Medical Center

🇺🇸

Boston, Massachusetts, United States

CODA, Inc.

🇺🇸

Portland, Oregon, United States

Pregnancy Recovery Center at Magee-Womens Hospital of UPMC

🇺🇸

Pittsburgh, Pennsylvania, United States

Medical University of South Carolina

🇺🇸

Charleston, South Carolina, United States

Vanderbilt University Medical Center

🇺🇸

Nashville, Tennessee, United States

University of Utah SUPeRAD Clinic

🇺🇸

Salt Lake City, Utah, United States

Addiction Recovery Services (ARS), Swedish Medical Center

🇺🇸

Seattle, Washington, United States

Marshall Health MARC Program

🇺🇸

Huntington, West Virginia, United States

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