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CompletedNCT02872467NOXUpdated Apr 18, 2023

Prenatal Cocaine, Nasal Oxytocin, and Maternal Psychophysiology

A Phase 1 interventional study of Syntocinon treatment and Placebo in Substance Abuse Problem and Pregnancy, sponsored by University of North Carolina, Chapel Hill. Completed at 1 site in United States. Open to female participants aged 18 Years to 42 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2023-04-18.

Sponsored by University of North Carolina, Chapel Hill · Phase 1, Interventional, and Basic science

Phase
Phase 1
Study type
Interventional
Enrollment
31
Allocation
Randomized
Ages
18 Years to 42 Years
Sex
Female
01

Study summary

The purpose of this research is to study the effects of nasal oxytocin administration on maternal behaviors that may be influenced by cocaine use during pregnancy. 32 mothers with prenatal use of cocaine during the current pregnancy will be studied at 3-6 months postpartum, when they will complete 3 study visits, a 2-week double-blind trial of twice daily nasal spray (oxytocin or placebo) and 4 telephone interviews. All information collected is confidential.

Read the detailed description

Participation for mothers when they are 3-6 months postpartum includes:

  • Visit 1: Questionnaires and interviews about participants' health, pregnancy, moods, psychological history and drug use during pregnancy and postpartum.
  • Visit 2: Pregnancy \& drug tests (results are confidential), blood samples and vital signs, video-taped mother-infant interaction, speech task, instruction re: using nasal spray (oxytocin or placebo) \& self-administration of first nasal spray dose, followed by 90 minutes of monitoring.
  • At-home nasal spray: Twice daily (before breakfast and supper) nasal spray self-administration for 14 days.
  • Visit 3: Pregnancy \& drug tests (results are confidential), blood samples and vital signs, video-taped mother-infant interaction, speech task, interviews and questionnaires about mothers' experience with the nasal spray, and changes in mood or physical discomfort during the 2-weeks when taking the nasal spray.
  • 3 telephone interviews while subjects are taking nasal spray, and 1 post-trail telephone follow-up.
02

Conditions studied

  • Substance Abuse Problem
  • Pregnancy

Keywords

  • Cocaine
  • Mothers
  • Pregnant women
  • Postpartum women
  • Oxytocin
  • Substance use disorders
  • Substance abuse
  • Prenatal substance use
  • stress
03

In context

Substance-Related Disorders

2,124 studies on the registry are indexed under Substance-Related Disorders; 393 are open to participants now.

This study's enrollment of 31 is below the median of 108 across 1,727 interventional studies indexed under Substance-Related Disorders.

Browse Substance-Related Disorders studies →

Lead sponsor

University of North Carolina, Chapel Hill is the lead sponsor of 1,340 studies on the registry; 133 are open to participants now.

Of its 155 completed or terminated interventional studies of FDA-regulated products, 136 (88%) have results posted.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years to 42 Years
Sexes eligible
Female
Accepts healthy volunteers
Yes

Inclusion criteria

  • 3-6 months postpartum at start of testing
  • Cocaine use during current pregnancy (by self-report or medical record of prenatal urine toxicology)
  • Exclusive Formula-feeding for all infant milk feedings (no infant feeds will be breast milk)
  • Healthy singleton pregnancy
  • English fluency that will allow informed consent

Exclusion criteria

Exclusion Criteria:

  • Pregnancy or plans to become pregnant during participation in the study
  • Not using effective birth control methods to prevent pregnancy
  • Breastfeeding for any infant milk feedings
  • Mother is not currently living with the infant during the trial period
  • Multiple birth (twin, triplet or greater)
05

Study design

Phase
Phase 1
Primary purpose
Basic science
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Triple (Participant, Investigator, Outcomes assessor)
Enrollment
31 participants (actual)

Study arms

  • Experimental
    Syntocinon treatment

    Syntocinon spray, 24 IU twice daily (A single dose will be delivered consisting of 6 intranasal insufflations (3 in each nostril) which is equivalent to a total of 24 international units (IU) of oxytocin twice daily).

    Drug: Syntocinon treatment

  • Placebo comparator
    Placebo

    Placebo nasal spray vials will contain the same ingredients in the nasal preparation, but without oxytocin.

    Other: Placebo

Interventions

  • DrugSyntocinon treatment

    24 IU twice daily (A single dose will be delivered consisting of 6 intranasal insufflations (3 in each nostril) which is equivalent to a total of 24 international units (IU) of oxytocin twice daily).

    Also known as: Nasal Oxytocin treatment

  • OtherPlacebo

    Placebo nasal spray vials will contain the same ingredients in the nasal preparation, but without oxytocin.

06

What researchers measure

Primary outcomes

  1. The effects of a 2-week trial of twice nasal oxytocin compared with placebo on maternal sensitivity

    Time frame: 2 weeks

Secondary outcomes

  1. The effects of a 2-week trial of nasal oxytocin compared with placebo on maternal reactivity to a social stressor indexed by change in vascular resistance from pre- to post-test nasal spray.

    Time frame: 2 weeks

  2. The effects of a 2-week trial of nasal oxytocin compared with placebo on maternal reactivity to a social stressor indexed by change in plasma norepinephrine.

    Time frame: 2 weeks

  3. The effects of a 2-week trial of nasal oxytocin compared with placebo on maternal reactivity to a social stressor indexed by self-reported affective ratings.

    Time frame: 2 weeks

07

Study locations

1 site
  • UNC School of Medicine, Medical School Wing D
    Chapel Hill, North Carolina 27599-7175, United States
08

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Apr 18, 2023, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT02872467
Lead sponsor
University of North Carolina, Chapel Hill
Collaborators
Foundation of Hope, North Carolina
Responsible party
Sponsor
First posted
Aug 19, 2016
Start date
May 2016
Primary completion
Mar 2023
Completion
Mar 2023
Last update
Apr 18, 2023

Study contacts

Karen Grewen, Ph.D.
principal investigator · UNC School of Medicine, Dept. of Psychiatry

Oversight

Data monitoring committee
No
View the source record on ClinicalTrials.gov ↗

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