ClinicalTrials.gg
CompletedNCT03268759Updated May 4, 2021

Development of Reward Processing in Prenatally Exposed Adolescents and Young Adults

An observational study in Pre-natal Cocaine Exposure and Risk-Taking, sponsored by Yale University. Completed at 1 site in United States. Open to participants aged 18 Years to 20 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2021-05-04.

Sponsored by Yale University · Observational

Study type
Observational
Model
Cohort
Time perspective
Prospective
Enrollment
78
Ages
18 Years to 20 Years
Sex
All
01

Study summary

Reward processing will be examined in prenatally exposed emerging adults in a longitudinal design. Participants will be followed for one year to see if neural markers of reward processing prospectively predict risk-taking behavior.

Read the detailed description

This cohort will be drawn from a pre-existing cohort of individuals recruited as part of an already existing study, and who have been followed since birth. Reward processing will be measured in two temporally close testing sessions involving two methodologies, electrophysiology and fMRI. Information will also be collected pertaining to experimental and problematic drug use, as well as information about mood, at the recording sessions. Drug use and mood information will then be collected once again in quarterly follow-up sessions for one year. The goal is to examine if PCE status and reward processing are risk factors for problematic drug abuse and risky behaviors in emerging adulthood, and if these factors interact to increase such risk.

02

Conditions studied

  • Pre-natal Cocaine Exposure
  • Risk-Taking

Keywords

  • substance abuse
03

In context

Risk-Taking

136 studies on the registry are indexed under Risk-Taking; 18 are open to participants now.

This study's enrollment of 78 is below the median of 120 across 17 observational studies indexed under Risk-Taking.

Browse Risk-Taking studies →

Lead sponsor

Yale University is the lead sponsor of 1,770 studies on the registry; 294 are open to participants now.

Of its 221 completed or terminated interventional studies of FDA-regulated products, 129 (58%) have results posted.

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

04

Who can participate

Ages eligible
18 Years to 20 Years
Sexes eligible
All
Accepts healthy volunteers
Yes
Sampling method
Non-probability sample

Study population

Emerging adults in this study will be drawn from a sample of 359 individuals who have been participating in a longitudinal study of the effects of PCE on physical, social, cognitive and emotional development. Children and their mothers who were exposed to drugs other than cocaine were also enrolled, as were non-drug exposed controls. Prenatal drug exposure status was ascertained at time of recruitment via a detailed interview that covered lifetime substance use and use in the past 30 days, as well as a urine screening of mother and infant and meconium toxicology. The sample from which participants will be recruited consists of 81% African American, 6.5% Hispanic and 12.5% Caucasian children, all of who come from the greater New Haven area. The sample was recruited at birth over a 5-year period.

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  1. Ability to provide written and to comply with all study procedures.
  2. Healthy emerging adults between 18-20 years of age (the age of the currently followed sample at the time of the proposed start date).

Exclusion criteria

Exclusion Criteria:

    1. A serious neurological or endocrine disorder or any medical condition or treatment known to affect the brain. 2. A medical condition that requires treatment with a medication with psychotropic effects.

      1. Evidence of stroke or space occupying lesions observed on conventional, clinical MR images.
      1. Any to MRI scanning (i.e., metal implants, pacemakers, etc.) 5. History of loss of consciousness (LOC) for longer than 30 minutes or LOC with any neurological sequelae.
      1. criteria for intellectual disability. 7. Current or a history of active neurological or psychiatric disorders, such as psychosis, bipolar illness, major depression, organic brain disease, dementia or DSM-V Axis I Psychiatric Disorder, including current alcohol or substance disorders. Participants will not be excluded for substance or alcohol use, only the presence of substance disorders.
      1. Current pregnancy. Female participants will be excluded if they report being currently pregnant or present positive for pregnancy after being given a urine test at the time of recruitment or scanning. If they become pregnant during the one-year follow-up duration of the study after the MRI scan is completed, they will remain in the study for the quarterly follow-ups and be referred to pre-natal care if they have not begun such care already.
Terms in these criteria, in plain language(3)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

Contraindication

A reason a treatment, test or procedure should not be given to a particular person, such as an allergy, another illness or a medicine they take.

DSM diagnostic criteria

The American Psychiatric Association’s manual of mental health diagnoses. DSM-5 (2013, revised as DSM-5-TR in 2022) replaced DSM-IV, and some studies still name the older edition. “Meets DSM criteria for …” means diagnosed by that edition’s diagnostic criteria, usually by a clinician in an interview.

05

Study design

Observational model
Cohort
Time perspective
Prospective
Enrollment
78 participants (actual)
Patient registry
No

Groups and cohorts

  • PCE

    Emerging adult individuals who were exposed to cocaine in-utero

    Other: fMRI

  • NCE

    Emerging adult individuals who were not exposed to cocaine in-utero

    Other: fMRI

Interventions

  • OtherfMRI

    Observation of neural markers of reward processing

    Also known as: EEG

06

What researchers measure

Primary outcomes

  1. Change in Risk-taking behavior:Drug and alcohol use

    Teen Addiction Severity Index (Interview)

    Time frame: 4x per year for one year (Baseline, 4 months, 8 months, 12 months)

  2. Change in Risk-taking behavior:gambling behaviors

    Massachusetts gambling screen (MAGS)

    Time frame: 4x per year for one year (Baseline, 4 months, 8 months, 12 months)

Secondary outcomes

  1. Change in affect over time

    Positive and Negative Affect Scales (PANAS)

    Time frame: 4x per year for one year (Baseline, 4 months, 8 months, 12 months)

  2. Change in alexithymia over time

    Toronto Alexithymia Scale (TAS-20)

    Time frame: 4x per year for one year (Baseline, 4 months, 8 months, 12 months)

  3. Change in experience of reward

    Chapman Social and Physical Anhedonia Questionnaires

    Time frame: 4x per year for one year (Baseline, 4 months, 8 months, 12 months)

  4. Change in emotion regulation strategies

    Emotion regulation questionaire (ERQ)

    Time frame: 4x per year for one year (Baseline, 4 months, 8 months, 12 months)

07

Study locations

1 site
  • Child Study Center
    New Haven, Connecticut 06520, United States
08

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reached

Ran from Sep 2017 to primary completion in Sep 2020, 35 months.

How these figures are worked out, and which studies are left out of them.

Registered
Aug 25, 2017
First posted
Aug 31, 2017
StartActual
Sep 15, 2017
Primary completionActual
Sep 14, 2020
CompletionActual
Sep 14, 2020
Last update
May 4, 2021
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on May 4, 2021, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT03268759
Lead sponsor
Yale University
Responsible party
Sponsor
First posted
Aug 31, 2017
Start date
Sep 15, 2017
Primary completion
Sep 14, 2020
Completion
Sep 14, 2020
Last update
May 4, 2021

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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This study is completed, as verified in May 2021. You cannot join it, but the record below documents what was studied.

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