Clinical trial

NIDA CTN Protocol 0080: Medication Treatment for Opioid Use Disorder in Expectant Mothers (MOMs): a Pragmatic Randomized Trial Comparing Extended-release and Daily Buprenorphine Formulations: Conceptual Model Assessments (CMA) Sub-study

Name
2019-0429-2
Description
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).
Trial arms
Trial start
2020-07-21
Estimated PCD
2025-01-31
Trial end
2025-01-31
Status
Active (not recruiting)
Phase
Early phase I
Treatment
Buprenorphine Injection
Weekly and monthly formulations of injectable, extended-release buprenorphine (BUP-XR).
Arms:
BUP-XR
Other names:
CAM2038
Buprenorphine Sublingual Product
Sublingual buprenorphine (BUP-SL), administered daily.
Arms:
BUP-SL
Other names:
Subutex, Suboxone
Size
97
Primary endpoint
Cmin of buprenorphine and metabolites in plasma
2 weeks post-randomization
Cmin of buprenorphine and metabolites in plasma
4 weeks post-randomization
Fetal heart rate variability
Estimated gestational age (EGA) approximately 36 weeks
Cmin of buprenorphine and metabolites in plasma
Estimated gestational age (EGA) approximately 36 weeks
Cmax of buprenorphine and metabolites in plasma
Estimated gestational age (EGA) approximately 36 weeks
Concentration of buprenorphine and metabolites in maternal plasma
Delivery
Concentration of buprenorphine and metabolites in cord plasma
Delivery
Eligibility criteria
Inclusion Criteria: * Participating in the MOMs trial (Unique protocol ID: 2019-0429-1) Exclusion Criteria: -
Protocol
{'studyType': 'INTERVENTIONAL', 'phases': ['PHASE3'], 'designInfo': {'allocation': 'RANDOMIZED', 'interventionModel': 'PARALLEL', 'primaryPurpose': 'TREATMENT', 'maskingInfo': {'masking': 'NONE'}}, 'enrollmentInfo': {'count': 97, 'type': 'ACTUAL'}}
Updated at
2023-11-07

1 organization

1 product

6 indications