ClinicalTrials.gg
CompletedNCT03911466MOMs-CMAUpdated Mar 16, 2026

Medication Treatment for Opioid Use Disorder in Expectant Mothers: Conceptual Model Assessments Sub-study

An observational study in Opioid-Related Disorders, Drug Addiction and Pregnancy Related, sponsored by T. John Winhusen, PhD. Completed at 12 sites in United States. Open to female participants aged 18 Years to 41 Years. Per ClinicalTrials.gov, last updated 2026-03-16.

Sponsored by T. John Winhusen, PhD · Observational

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Study type
Observational
Model
Cohort
Time perspective
Prospective
Enrollment
97
Ages
18 Years to 41 Years
Sex
Female
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Where this study stands

Counted across the records on this site · 2026-11-14

Among 1,222 studies in Opioid-Related Disorders with a site in United States — 245 open to participants now, 315 under way, 18 of them phase 3. Opioid-Related Disorders · United States.

Enrollment
58th of 122
97 · median 85
Started
2020
with 93 others
Observational
122 of 1,222
29 open now
Registered
541st of 1,222
by date

Among the 1,222 studies in Opioid-Related Disorders with a site in United States, this one is the 58th largest by enrollment of the 122 observational ones that give a count, is one of 94 that started in 2020, is one of 122 observational ones, and was the 541st registered.

Opioid-Related Disorders

1,473 studies on the registry are indexed under Opioid-Related Disorders; 290 are open to participants now.

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Open to participants now

245 of the 1,222 studies in Opioid-Related Disorders with a site in United States are open now. Recruiting first, the newest first:

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All 245 open studies →

A study can be open while its sites in United States have not opened yet or have stopped. Only those recruiting at a site in United States →

Who these studies take

Of the 210 Opioid-Related Disorders studies recruiting now, 122 (58%) set no upper age limit and 74 (35%) stop at 75 or younger; 14 take children under 18; 53 take healthy volunteers.

This study: 18 Years to 41 Years · female · no healthy volunteers.

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Study summary

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).

03

Conditions studied

  • Opioid-Related Disorders
  • Drug Addiction
  • Pregnancy Related
  • Substance Abuse
  • Drug Abuse
  • Neonatal Abstinence Syndrome
  • Neonatal Opioid Withdrawal Syndrome
  • Drug Abuse in Pregnancy

Keywords

  • CTN-0080
  • clinical trials network
  • medication assisted treatment
  • pharmacokinetics
04

Who can participate

Ages eligible
18 Years to 41 Years
Sexes eligible
Female
Accepts healthy volunteers
No
Sampling method
Non-probability sample

Study population

Participants in this study were recruited from the main CTN-0080 MOMs (NCT03918850) study sample.

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

  • Participating in the MOMs trial (Unique protocol ID: 2019-0429-1)

Exclusion criteria

Exclusion Criteria:

-

05

Study design

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

Groups and cohorts

  • BUP-XR

    Weekly subcutaneous Buprenorphine Injection (CAM2038) during pregnancy. During the 12-month postpartum phase, participants who are breastfeeding will continue receiving subcutaneous Buprenorphine Injection weekly; participants who are not breastfeeding will receive subcutaneous Buprenorphine Injection monthly. The target doses will be 24 mg for the weekly formulation and 96 mg for the monthly formulation, but the actual dose may be lower or higher as determined by the prescribing clinician (e.g., based on craving/withdrawal experienced by the participant, etc.).

    Drug: Buprenorphine Injection

  • BUP-SL

    Daily sublingual buprenorphine, with or without naloxone, based on site preference, during pregnancy and during the 12-month postpartum phase. The target dose will be 16 mg daily, but the actual dose may be lower or higher as determined by the prescribing clinician (e.g., based on craving/withdrawal experienced by the participant, etc.).

    Drug: Buprenorphine Sublingual Product

Interventions

06

What researchers measure

Primary outcomes

  1. Cmin of buprenorphine and metabolites in plasma

    A blood draw at the estimated time of minimum drug concentration ("trough") to evaluate adequacy of dose for the conceptual model.

    Time frame: 2 weeks post-randomization

  2. Cmin of buprenorphine and metabolites in plasma

    A blood draw at the estimated time of minimum drug concentration ("trough") to evaluate adequacy of dose for the conceptual model.

    Time frame: 4 weeks post-randomization

  3. Fetal heart rate variability

    This is the measure of primary interest from the fetal evaluation (non-stress test and biophysical profile).

    Time frame: Estimated gestational age (EGA) approximately 36 weeks

  4. Cmin of buprenorphine and metabolites in plasma

    A blood draw at the estimated time of minimum drug concentration ("trough") to evaluate trough-to-peak fluctuation for the conceptual model.

    Time frame: Estimated gestational age (EGA) approximately 36 weeks

  5. Cmax of buprenorphine and metabolites in plasma

    A blood draw at the estimated time of maximum drug concentration ("peak") to evaluate trough-to-peak fluctuation for the conceptual model.

    Time frame: Estimated gestational age (EGA) approximately 36 weeks

  6. Concentration of buprenorphine and metabolites in maternal plasma

    A blood draw around the time of delivery to evaluate the association between drug concentration and neonatal opioid withdrawal syndrome outcomes.

    Time frame: Delivery

  7. Concentration of buprenorphine and metabolites in cord plasma

    Cord blood will be collected and used to estimate fetal exposure to buprenorphine.

    Time frame: Delivery

07

Study locations

12 sites
  • Gateway Community Services
    Jacksonville, Florida 32204, United States
  • Massachusetts General Hospital HOPE Clinic
    Boston, Massachusetts 02114, United States
  • Boston Medical Center
    Boston, Massachusetts 02118, United States
  • University of New Mexico Milagro Clinic
    Albuquerque, New Mexico 87106, United States
  • University of Cincinnati Health Perinatal Addictions Program
    Cincinnati, Ohio 45229, United States
  • CODA, Inc.
    Portland, Oregon 97214, United States
  • Pregnancy Recovery Center at Magee-Womens Hospital of UPMC
    Pittsburgh, Pennsylvania 15213, United States
  • Medical University of South Carolina
    Charleston, South Carolina 29425, United States
  • Vanderbilt University Medical Center
    Nashville, Tennessee 37232, United States
  • University of Utah SUPeRAD Clinic
    Salt Lake City, Utah 84108, United States
  • Addiction Recovery Services (ARS), Swedish Medical Center
    Seattle, Washington 98107, United States
  • Marshall Health MARC Program
    Huntington, West Virginia 25701, United States
08

References and documents

Publications

  • Kropp FB, Smid MC, Lofwall MR, Wachman EM, Martin PR, Murphy SM, Wilder CM, Winhusen TJ. Collaborative care programs for pregnant and postpartum individuals with opioid use disorder: Organizational characteristics of sites participating in the NIDA CTN0080 MOMs study. J Subst Use Addict Treat. 2023 Jun;149:209030. doi: 10.1016/j.josat.2023.209030. Epub 2023 Apr 4. PubMed 37023858 ↗

Study documents

PDFs hosted by the registry, ClinicalTrials.gov.

Individual participant data

Plan to share: Yes — Data will be transmitted by the study Data and Statistics Center to the designated party for de-identification, posting, storing, and archiving on NIDA's Data Share website. Data Share is an online repository of data from studies funded by the National Institute on Drug Abuse. All de-identified individual participant data is expected to be made available.

Supporting information: Study protocol

09

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Ran from Jul 2020 to primary completion in Nov 2024, 51 months.

Of 74 non-industry observational studies under Opioid-Related Disorders, half reached primary completion within 30 months of starting (the median), counting those still running; a quarter within 13 and three quarters within 51. This study's 51 months is above that.

Counting every sponsor, half of 88 studies reached it within 27 months; a quarter within 13 and three quarters within 47.

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

Registered
Apr 9, 2019
First posted
Apr 11, 2019
StartActual
Jul 21, 2020
Primary completionActual
Nov 6, 2024
CompletionActual
Nov 6, 2024
Last update
Mar 16, 2026
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 Mar 16, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT03911466
Lead sponsor
T. John Winhusen, PhD
Collaborators
National Institute on Drug Abuse (NIDA), The Emmes Company, LLC
Responsible party
T. John Winhusen, PhD (Professor; Vice Chair and Division Director of Addiction Sciences, University of Cincinnati) — Sponsor-investigator
First posted
Apr 11, 2019
Start date
Jul 21, 2020
Primary completion
Nov 6, 2024
Completion
Nov 6, 2024
Last update
Mar 16, 2026

Study contacts

T. John Winhusen, PhD
principal investigator · University of Cincinnati

Oversight

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

Not currently enrolling

This study is completed, as verified in Mar 2026. You cannot join it, but the record below documents what was studied.

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