Optimal Morphine Dosing Schedule for Neonatal Abstinence Syndrome

NCT ID: NCT04298853

Last Updated: 2022-10-06

Study Results

Results available

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE4

Total Enrollment

17 participants

Study Classification

INTERVENTIONAL

Study Start Date

2020-06-30

Study Completion Date

2021-10-01

Brief Summary

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Randomized pilot trial comparing scheduled morphine dosing with a weaning protocol to intermittent morphine dosing on an as-needed basis for newborns with neonatal abstinence syndrome.

Detailed Description

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Conditions

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Neonatal Abstinence Syndrome Neonatal Opioid Withdrawal Neonatal Opioid Withdrawal Syndrome

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

OTHER

Blinding Strategy

NONE

Study Groups

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Standard

Infants randomized to the standard arm will receive morphine based on the current institutional treatment protocol: oral morphine 0.05 mg/kg/dose given every 3 hours, initiated if threshold Finnegan score is met. Once stabilized, dose will be weaned by 10% of peak dose per day until discontinuation.

Group Type ACTIVE_COMPARATOR

Morphine scheduled

Intervention Type DRUG

Dose given every 3 hours on a scheduled basis and slowly weaned once stabilized.

Study

Infants randomized to the study arm will receive oral morphine 0.05 mg/kg/dose as needed for an elevated Finnegan score. May receive morphine as frequently as every 3 hours if needed.

Group Type EXPERIMENTAL

Morphine PRN

Intervention Type DRUG

Dose given every 3 hours as-needed for severe NAS, defined by a threshold Finnegan score.

Interventions

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Morphine PRN

Dose given every 3 hours as-needed for severe NAS, defined by a threshold Finnegan score.

Intervention Type DRUG

Morphine scheduled

Dose given every 3 hours on a scheduled basis and slowly weaned once stabilized.

Intervention Type DRUG

Other Intervention Names

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morphine morphine sulfate morphine morphine sulfate

Eligibility Criteria

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Inclusion Criteria

* newborn greater than or equal to 35 weeks gestation
* intrauterine opioid exposure
* signs and symptoms of opioid withdrawal

Exclusion Criteria

* congenital anomalies or suspected genetic condition
* co-morbid conditions that require sedation or analgesia due to clinical condition
* ongoing need for respiratory support
Maximum Eligible Age

28 Days

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Indiana University

OTHER

Sponsor Role lead

Responsible Party

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Anna Thomas

Assistant Professor of Clinical Pediatrics

Responsibility Role PRINCIPAL_INVESTIGATOR

Locations

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Indiana University Health Methodist Hospital

Indianapolis, Indiana, United States

Site Status

Countries

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United States

Provided Documents

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Document Type: Study Protocol and Statistical Analysis Plan

View Document

Other Identifiers

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1910620136

Identifier Type: -

Identifier Source: org_study_id

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