Status:

COMPLETED

Comparison Between Methadone and Morphine for Neonatal Opiate Withdrawal

Lead Sponsor:

Eastern Maine Medical Center

Conditions:

Neonatal Abstinence Syndrome

Eligibility:

All Genders

2-28 years

Phase:

PHASE4

Brief Summary

Hypothesis is that the effectiveness of opiate treatment with morphine will result in shorter duration of opiate medication treatment and fewer infants treated with a second drug.

Detailed Description

The purpose is to compare treatment of NAS with two different initial medications with primary outcome of (1) reducing the duration of opiate medication treatment and (2) reducing the number of infant...

Eligibility Criteria

Inclusion

  • i. Evidence of opioid withdrawal clinically defined by at least 2 NAS scores \> 8 in an 8 hour time period, AND
  • ii. Gestation =\> 35 weeks at entry defined by best obstetrical and physical exam criteria, AND
  • iii. Medically stable condition in the opinion of the attending neonatologist, other than opiate withdrawal, AND
  • iv. Mother on opiate replacement treatment therapy - methadone or buprenorphine.

Exclusion

  • i. Gestation \< 35 weeks at entry defined by best obstetrical and physical exam criteria.
  • ii. Hypoglycemia, hypomagnesaemia, or hypocalcemia until corrected,
  • iii. Serious medical illness such as sepsis, pneumonia, thyroid dysfunction, meningitis, intracranial hemorrhage, perinatal depression, or respiratory failure requiring admission to the NICU.
  • iv. Evidence of major congenital anomalies or genetic syndromes that impact the neonatal course
  • v. Mother consistently taking prescribed benzodiazepine at the time of delivery

Key Trial Info

Start Date :

January 1 2011

Trial Type :

INTERVENTIONAL

Allocation :

ACTUAL

End Date :

October 1 2012

Estimated Enrollment :

31 Patients enrolled

Trial Details

Trial ID

NCT01804075

Start Date

January 1 2011

End Date

October 1 2012

Last Update

September 28 2017

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