Medication Treatment for Opioid Use Disorder in Expectant Mothers: Conceptual Model Assessments Sub-study

NCT ID: NCT03911466

Last Updated: 2025-02-20

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE3

Total Enrollment

97 participants

Study Classification

INTERVENTIONAL

Study Start Date

2020-07-21

Study Completion Date

2024-11-06

Brief Summary

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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). Participants in MOMs will be offered the opportunity to enroll in this sub-study, which is designed to evaluate conceptual models of the mechanisms by which extended-release buprenorphine (BUP-XR), may improve mother-infant outcomes, compared to sublingual buprenorphine (BUP-SL). The additional data collected in this sub-study will be combined with data from the main MOMs trial.

It is hypothesized that: (1) the buprenorphine blood levels will vary, depending on which formulation of buprenorphine was received, (2) the variation in buprenorphine blood levels will be associated with fetal behavior (including fetal heart rate variability) (3) the variation in buprenorphine blood levels will be associated with differences in mother outcomes (including medication adherence and illicit opioid use) (4) the variation in buprenorphine blood levels and in fetal behavior will be associated with infant outcomes (including neonatal opioid withdrawal syndrome and infant development).

Detailed Description

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Conditions

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Opioid-Related Disorders Drug Addiction Pregnancy Related Substance Abuse Drug Abuse Neonatal Abstinence Syndrome Neonatal Opioid Withdrawal Syndrome Drug Abuse in Pregnancy

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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BUP-XR

Weekly 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.).

Group Type EXPERIMENTAL

Buprenorphine Injection

Intervention Type DRUG

Weekly and monthly formulations of injectable, extended-release buprenorphine (BUP-XR).

BUP-SL

Daily 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.).

Group Type ACTIVE_COMPARATOR

Buprenorphine Sublingual Product

Intervention Type DRUG

Sublingual buprenorphine (BUP-SL), administered daily.

Interventions

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Buprenorphine Injection

Weekly and monthly formulations of injectable, extended-release buprenorphine (BUP-XR).

Intervention Type DRUG

Buprenorphine Sublingual Product

Sublingual buprenorphine (BUP-SL), administered daily.

Intervention Type DRUG

Other Intervention Names

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CAM2038 Subutex Suboxone

Eligibility Criteria

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Inclusion Criteria

* Participating in the MOMs trial (Unique protocol ID: 2019-0429-1)

Exclusion Criteria

\-
Minimum Eligible Age

18 Years

Maximum Eligible Age

41 Years

Eligible Sex

FEMALE

Accepts Healthy Volunteers

No

Sponsors

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National Institute on Drug Abuse (NIDA)

NIH

Sponsor Role collaborator

The Emmes Company, LLC

INDUSTRY

Sponsor Role collaborator

T. John Winhusen, PhD

OTHER

Sponsor Role lead

Responsible Party

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T. John Winhusen, PhD

Professor; Vice Chair and Division Director of Addiction Sciences

Responsibility Role SPONSOR_INVESTIGATOR

Principal Investigators

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T. John Winhusen, PhD

Role: PRINCIPAL_INVESTIGATOR

University of Cincinnati

Locations

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Gateway Community Services

Jacksonville, Florida, United States

Site Status

Massachusetts General Hospital HOPE Clinic

Boston, Massachusetts, United States

Site Status

Boston Medical Center

Boston, Massachusetts, United States

Site Status

University of New Mexico Milagro Clinic

Albuquerque, New Mexico, United States

Site Status

University of Cincinnati Health Perinatal Addictions Program

Cincinnati, Ohio, United States

Site Status

CODA, Inc.

Portland, Oregon, United States

Site Status

Pregnancy Recovery Center at Magee-Womens Hospital of UPMC

Pittsburgh, Pennsylvania, United States

Site Status

Medical University of South Carolina

Charleston, South Carolina, United States

Site Status

Vanderbilt University Medical Center

Nashville, Tennessee, United States

Site Status

University of Utah SUPeRAD Clinic

Salt Lake City, Utah, United States

Site Status

Addiction Recovery Services (ARS), Swedish Medical Center

Seattle, Washington, United States

Site Status

Marshall Health MARC Program

Huntington, West Virginia, United States

Site Status

Countries

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United States

References

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Kropp FB, Smid MC, Lofwall MR, Wachman EM, Martin PR, Murphy SM, Wilder CM, Winhusen TJ. Collaborative care programs for pregnant and postpartum individuals with opioid use disorder: Organizational characteristics of sites participating in the NIDA CTN0080 MOMs study. J Subst Use Addict Treat. 2023 Jun;149:209030. doi: 10.1016/j.josat.2023.209030. Epub 2023 Apr 4.

Reference Type DERIVED
PMID: 37023858 (View on PubMed)

Provided Documents

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Document Type: Informed Consent Form

View Document

Other Identifiers

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UG1DA013732

Identifier Type: NIH

Identifier Source: secondary_id

View Link

2019-0429-2

Identifier Type: -

Identifier Source: org_study_id

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