ClinicalTrials.gg
CompletedNCT03918850MOMsUpdated Jun 4, 2026Results posted

Medication Treatment for Opioid Use Disorder in Expectant Mothers

A Phase 3 interventional study of Buprenorphine Injection and Buprenorphine Sublingual Product 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 2026-06-04.

Sponsored by T. John Winhusen, PhD · Phase 3, Interventional, and Treatment

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Phase
Phase 3
Study type
Interventional
Enrollment
140
Allocation
Randomized
Ages
18 Years to 41 Years
Sex
Female
01

Where this study stands

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

Among 173 studies testing buprenorphine in Opioid-Related Disorders — 19 open to participants now, 21 under way, 5 of them phase 3. Buprenorphine · Opioid-Related Disorders.

Enrollment
35th of 172
140 · median 19
Started
2020
with 5 others
Phase 3
37 of 173
2 open now
Registered
132nd of 173
by date

Among the 173 studies testing buprenorphine in Opioid-Related Disorders, this one is the 35th largest by enrollment of the 172 interventional ones that give a count, is one of 6 that started in 2020, is one of 37 in phase 3, and was the 132nd registered.

Opioid-Related Disorders

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

Browse Opioid-Related Disorders studies →

Open to participants now

19 of the 173 studies testing buprenorphine in Opioid-Related Disorders are open now, in 2 countries. Recruiting first, the newest first:

14 more — sign in →

By country, each count listing its studies:

All 19 open studies →

About buprenorphine

Buprenorphine: first FDA approval 1981 (BUPRENEX), first EMA approval 2006. What it is approved for, and how studies give it, is on its page →

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.

The full table on the hub →

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Watch this landscapeDownload CSVNarrow it in search →With an account: a weekly mail of what changed among 173 studies testing buprenorphine in Opioid-Related Disorders, or all of them as a file.
02

Study summary

The primary objective of this study is to evaluate the impact of treating opioid use disorder (OUD) in pregnant women with extended-release buprenorphine (BUP-XR), compared to sublingual buprenorphine (BUP-SL), on mother and infant outcomes. The primary hypothesis is that the BUP-XR group will not have greater illicit opioid use than the BUP-SL group during pregnancy (non-inferiority).

Read the detailed description

This is an intent-to-treat, two-arm, open-label, pragmatic randomized controlled trial. Eligible participants will be randomized in a 1:1 ratio to BUP-XR or BUP-SL, balancing on site, estimated gestational age (EGA) at time of randomization (6 weeks-18 weeks vs. 19 weeks-30 weeks), and whether they are on BUP-SL at the time of randomization (yes vs. no). Participants will be provided with study medication and attend weekly medication visits through 12 months postpartum.

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
04

Who can participate

Ages eligible
18 Years to 41 Years
Sexes eligible
Female
Accepts healthy volunteers
No

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

Potential participants must:

  1. be 18-41 years of age
  2. be pregnant with an estimated gestational age (EGA) of 6 - 30 weeks at randomization, has evidence of a viable intrauterine pregnancy if EGA \< 12 weeks and is not planning to terminate the pregnancy
  3. have a single fetus pregnancy (can be based on self-report if an objective assessment is unavailable)
  4. meet Diagnostic and Statistical Manual (DSM)-5 criteria for moderate/severe OUD and be a good candidate for BUP maintenance and/or be currently prescribed BUP for the treatment of OUD
  5. be willing to be randomized to BUP-XR or BUP-SL and to comply with study procedures, including weekly Medication Check Visits
  6. be planning to deliver at one of the hospitals for which the BORN survey was completed and that: a) has a written protocol for the management of neonatal abstinence syndrome (NAS) / neonatal withdrawal syndrome (NOWS), b) offers rooming-in while infants are being observed for NAS/NOWS; and c) does not send infants home on opioids for the treatment of NAS/NOWS
  7. be enrolled in outpatient addiction treatment at a participating site (e.g., have completed intake)
  8. be able to understand the study, and having understood, provide written in English

Exclusion criteria

Exclusion Criteria:

Potential participants must not:

  1. have a physiological dependence on alcohol or sedatives requiring medical detoxification
  2. have a psychiatric condition that, in the judgment of the site medical clinician (MC), would make study participation unsafe or which would make treatment compliance difficult. Examples include:

    • Suicidal or homicidal ideation requiring immediate attention
    • Severe, inadequately-treated mental health disorder (e.g., active psychosis, uncontrolled bipolar disorder)
  3. have a medical condition that, in the judgment of the study MC, would make study participation unsafe or which would make treatment compliance difficult. Medical conditions that may compromise participant safety or study conduct include, but are not limited to, allergy/sensitivity to study medications and the following based on clinical labs:

    • (AST) / alanine aminotransferase (ALT) greater than 5X
    • serum creatinine greater than 1.5X upper limit of normal
    • total greater than 1.5X upper limit of normal
  4. be currently in jail, prison or any inpatient overnight facility as required by court of law or have pending legal action or other situation (e.g., unstable living arrangements) that, in the judgement of the site investigator, could prevent participation in the study or in any study activities;
  5. be currently receiving methadone or naltrexone for the treatment of OUD;
  6. be enrolled in or planning to enroll in treatment beyond the level 3.3 (Clinically Managed Population-Specific High-Intensity Residential Services) of the American Society of Addiction Medicine criteria; for level 3.3, the participant must have the ability to leave the facility unaccompanied by staff as needed;
  7. be enrolled in or planning to enroll in: a) a trial testing medication for managing OUD during pregnancy; b) research testing an intervention for substance use disorder or NOWS in their infant unless they are willing to provide a release for the research records.
Terms in these criteria, in plain language(4)

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.

ALT and AST (liver enzymes)

Two enzymes measured in a routine blood test of the liver. Higher levels can mean the liver is under strain or damaged. SGPT and SGOT are older names for ALT and AST.

Criteria usually give a limit as a multiple of the upper limit of normal (ULN), often higher when cancer has spread to the liver.

ULN (upper limit of normal)

The top of the normal range for a blood test, as set by the laboratory that runs it. Each lab prints its own range next to your result.

“≤ 2.5 × ULN” means the result can be up to two and a half times that top value.

Bilirubin

A yellow substance made when red blood cells are broken down, which the liver clears. A high level can mean a problem with the liver or the bile ducts.

Criteria often allow more for people with Gilbert’s syndrome, a harmless inherited condition that raises bilirubin.

05

Study design

Phase
Phase 3
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
140 participants (actual)

Study arms

  • Experimental
    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

  • Active comparator
    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. Percentage of Illicit Opioid-negative Urine Samples During Pregnancy

    Weekly urine samples are shipped to a central laboratory, where they are analyzed for presence of illicit opioids and/or their metabolites. Participants were randomized when they were 6-30 weeks estimated gestational age and, thus, the number of scheduled assessments varied between participants.

    Time frame: From screening (at 6-30 weeks estimated gestational age) to delivery, an average of 10-34 weeks

Secondary outcomes

  1. Percentage of Illicit Opioid-negative Urine Samples Postpartum

    Weekly urine samples are shipped to a central laboratory, where they are analyzed for presence of illicit opioids and/or their metabolites.

    Time frame: Delivery through 12 months postpartum

  2. Percentage of Days With Study Medication Adherence During Pregnancy

    Adherence to treatment from screening to delivery, checked weekly. Participants were randomized when they were 6-30 weeks estimated gestational age and, thus, the number of scheduled assessments varied between participants.

    Time frame: From screening (at 6-30 weeks estimated gestational age) to delivery, an average of 10-34 weeks

  3. Percentage of Days With Study Medication Adherence - Postpartum

    Adherence to treatment from delivery through 12 months postpartum, checked weekly.

    Time frame: Delivery through 12 months postpartum

  4. Percentage of Drug and Alcohol-negative Urine Samples During Pregnancy

    Weekly urine samples are shipped to a central laboratory, where they are analyzed for presence of alcohol, illicit drugs and/or their metabolites. Participants were randomized when they were 6-30 weeks estimated gestational age and, thus, the number of scheduled assessments varied between participants.

    Time frame: From screening (at 6-30 weeks estimated gestational age) to delivery, an average of 10-34 weeks

  5. Percentage of Drug and Alcohol-negative Urine Samples - Postpartum Phase

    Weekly urine samples are shipped to a central laboratory, where they are analyzed for presence of alcohol, illicit drugs and/or their metabolites, excluding cotinine.

    Time frame: Delivery through 12 months postpartum

  6. Opioid Craving Scale - Pregnancy

    The scale consists of 3 items, measuring craving, cue-induced craving, and likelihood of using, rated on a visual analogue scale from 0-10. The total is calculated by averaging the 3 item scores. Higher scores indicate greater levels of opioid craving. Participants were randomized when they were 6-30 weeks estimated gestational age and, thus, the number of scheduled assessments varied between participants. The measure was assessed at randomization (6-30 weeks estimated gestational age), two weeks post randomization and then monthly until delivery, average score reported.

    Time frame: Assessed at randomization (6-30 weeks estimated gestational age), two weeks post randomization and then monthly until delivery

  7. Opioid Craving Scale - Postpartum

    The scale measures craving, cue-induced craving, and likelihood of using, rated on a visual analogue scale from 0-10. The total is calculated by averaging the 3 item scores. Higher scores indicate greater levels of opioid craving. The measure was assessed at months 1, 3, 6, 9, and 12 post-delivery, average score reported

    Time frame: Assessed at months 1, 3, 6, 9, and 12 post-delivery

  8. Adequacy of Prenatal Care Utilization Index

    The information was derived from either medical records or the birth certificate. Information was not obtained for 74 participants.

    Time frame: At delivery

  9. Short Opiate Withdrawal Scale (SOWS)-Gossop - Pregnancy

    Measure of maternal opioid withdrawal symptoms. The Short Opiate Withdrawal Scale-Gossop has scores rated on a scale of 0 (none) to 3 (severe) per question. The total score of the SOWS-Gossop ranges from 0-30. Participants were randomized when they were 6-30 weeks estimated gestational age and, thus, the number of scheduled assessments varied between participants. The measure was assessed at randomization (6-30 weeks estimated gestational age), two weeks post randomization and then monthly until delivery, average score reported.

    Time frame: Assessed at randomization (6-30 weeks estimated gestational age), two weeks post randomization and then monthly until delivery

  10. Short Opiate Withdrawal Scale (SOWS)-Gossop - Postpartum

    Measure of maternal opioid withdrawal symptoms. The Short Opiate Withdrawal Scale-Gossop has scores rated on a scale of 0 (none) to 3 (severe) per question. The total score of the SOWS-Gossop ranges from 0-30. The measure was assessed at months 1, 3, 6, 9, and 12 post-delivery, average score reported.

    Time frame: Assessed at months 1, 3, 6, 9, and 12 post-delivery

  11. Opioid Medication for Neonatal Opioid Withdrawal Syndrome (NOWS) Symptoms

    Use of opioid medication for NOWS symptoms will be abstracted from the medical record.

    Time frame: Neonate discharge from hospital, typically within 1 month postpartum

  12. Total Days of Neonatal Opioid Treatment During the Hospital Stay

    Number of days of NOWS treatment for those infants that did receive it, abstracted from the medical record.

    Time frame: Neonate discharge from hospital, typically within 1 month postpartum

  13. Infant Hospital Length of Stay

    Infant hospital length of stay (LOS) defined as the infant's age, in days, at discharge will be abstracted from the medical record. (all infants)

    Time frame: Neonate discharge from hospital, typically within 1 month postpartum

  14. Neonatal Opioid Withdrawal Syndrome (NOWS) Peak Score

    NOWS peak score will be abstracted from the medical record. The scale used is the Finnegan-modified; the score ranges from 0-46, a score of 8 or higher indicates withdrawal.

    Time frame: Neonate discharge from hospital, typically within 1 month postpartum

  15. Custody at Discharge

    For example, whether the infant is discharged in custody of mother, other relative, foster/adoptive family, etc. This will be abstracted from the medical record. Maternal custody - number \& percentage.

    Time frame: Neonate discharge from hospital, typically within 1 month postpartum

  16. Child Protective Services Open Case

    Whether or not there is an open child protective services at discharge (yes/no) will be abstracted from the medical record. Percentage of cases open with child protective services.

    Time frame: Neonate discharge from hospital, typically within 1 month postpartum

  17. Ages and Stages Questionnaire, Third Edition (ASQ-3)

    To screen for developmental issues in the infant. Developmental issues at 12 months - percentage. Developmental issues assessed with The Ages and Stages Questionnaire, third edition scores each item as Yes (10 points), Sometimes (5 points), or Not Yet (0 points), with total scores compared to cutoffs to identify delays.

    Time frame: 12 months postpartum

07

Results

Posted Jun 4, 2026

Participant flow

Participant flow — Overall Study
MilestoneBUP-XRBUP-SL
Started6971
Completed5757
Not completed1214

Outcome measures

PrimaryPercentage of Illicit Opioid-negative Urine Samples During Pregnancy

Weekly urine samples are shipped to a central laboratory, where they are analyzed for presence of illicit opioids and/or their metabolites. Participants were randomized when they were 6-30 weeks estimated gestational age and, thus, the number of scheduled assessments varied between participants.

Time frame:
From screening (at 6-30 weeks estimated gestational age) to delivery, an average of 10-34 weeks
Reported as:
Mean · % Illicit opioid-negative urine samples
Percentage of Illicit Opioid-negative Urine Samples During Pregnancy
% Illicit opioid-negative urine samplesBUP-XRBUP-SL
Percentage of Illicit Opioid-negative Urine Samples During Pregnancy82.5 ± 4.272.6 ± 4.2
SecondaryPercentage of Illicit Opioid-negative Urine Samples Postpartum

Weekly urine samples are shipped to a central laboratory, where they are analyzed for presence of illicit opioids and/or their metabolites.

Time frame:
Delivery through 12 months postpartum
Reported as:
Mean · % Illicit opioid-negative urine samples
Percentage of Illicit Opioid-negative Urine Samples Postpartum
% Illicit opioid-negative urine samplesBUP-XRBUP-SL
Percentage of Illicit Opioid-negative Urine Samples Postpartum60.2 ± 4.259.5 ± 4.1
SecondaryPercentage of Days With Study Medication Adherence During Pregnancy

Adherence to treatment from screening to delivery, checked weekly. Participants were randomized when they were 6-30 weeks estimated gestational age and, thus, the number of scheduled assessments varied between participants.

Time frame:
From screening (at 6-30 weeks estimated gestational age) to delivery, an average of 10-34 weeks
Reported as:
Mean · percentage of expected days adherent
Percentage of Days With Study Medication Adherence During Pregnancy
percentage of expected days adherentBUP-XRBUP-SL
Percentage of Days With Study Medication Adherence During Pregnancy84.4 ± 3.184.9 ± 3.0
SecondaryPercentage of Days With Study Medication Adherence - Postpartum

Adherence to treatment from delivery through 12 months postpartum, checked weekly.

Time frame:
Delivery through 12 months postpartum
Reported as:
Mean · percentage of expected days adherent
Percentage of Days With Study Medication Adherence - Postpartum
percentage of expected days adherentBUP-XRBUP-SL
Percentage of Days With Study Medication Adherence - Postpartum69.3 ± 4.375.5 ± 4.2
SecondaryPercentage of Drug and Alcohol-negative Urine Samples During Pregnancy

Weekly urine samples are shipped to a central laboratory, where they are analyzed for presence of alcohol, illicit drugs and/or their metabolites. Participants were randomized when they were 6-30 weeks estimated gestational age and, thus, the number of scheduled assessments varied between participants.

Time frame:
From screening (at 6-30 weeks estimated gestational age) to delivery, an average of 10-34 weeks
Reported as:
Mean · Percentage of negative urine samples
Percentage of Drug and Alcohol-negative Urine Samples During Pregnancy
Percentage of negative urine samplesBUP-XRBUP-SL
Percentage of Drug and Alcohol-negative Urine Samples During Pregnancy58.8 ± 3.452.2 ± 3.4
SecondaryPercentage of Drug and Alcohol-negative Urine Samples - Postpartum Phase

Weekly urine samples are shipped to a central laboratory, where they are analyzed for presence of alcohol, illicit drugs and/or their metabolites, excluding cotinine.

Time frame:
Delivery through 12 months postpartum
Reported as:
Mean · Percentage of negative urine samples
Percentage of Drug and Alcohol-negative Urine Samples - Postpartum Phase
Percentage of negative urine samplesBUP-XRBUP-SL
Percentage of Drug and Alcohol-negative Urine Samples - Postpartum Phase34.7 ± 3.335.0 ± 3.2
SecondaryOpioid Craving Scale - Pregnancy

The scale consists of 3 items, measuring craving, cue-induced craving, and likelihood of using, rated on a visual analogue scale from 0-10. The total is calculated by averaging the 3 item scores. Higher scores indicate greater levels of opioid craving. Participants were randomized when they were 6-30 weeks estimated gestational age and, thus, the number of scheduled assessments varied between participants. The measure was assessed at randomization (6-30 weeks estimated gestational age), two weeks post randomization and then monthly until delivery, average score reported.

Time frame:
Assessed at randomization (6-30 weeks estimated gestational age), two weeks post randomization and then monthly until delivery
Reported as:
Mean · score on a scale
Opioid Craving Scale - Pregnancy
score on a scaleBUP-XRBUP-SL
Opioid Craving Scale - Pregnancy1.9 ± 0.22.5 ± 0.2
SecondaryOpioid Craving Scale - Postpartum

The scale measures craving, cue-induced craving, and likelihood of using, rated on a visual analogue scale from 0-10. The total is calculated by averaging the 3 item scores. Higher scores indicate greater levels of opioid craving. The measure was assessed at months 1, 3, 6, 9, and 12 post-delivery, average score reported

Time frame:
Assessed at months 1, 3, 6, 9, and 12 post-delivery
Reported as:
Mean · score on a scale
Opioid Craving Scale - Postpartum
score on a scaleBUP-XRBUP-SL
Opioid Craving Scale - Postpartum1.5 ± 0.21.7 ± 0.2
SecondaryAdequacy of Prenatal Care Utilization Index

The information was derived from either medical records or the birth certificate. Information was not obtained for 74 participants.

Time frame:
At delivery
Reported as:
Number · percentage of participants
Adequacy of Prenatal Care Utilization Index
percentage of participantsBUP-XRBUP-SL
Inadequate36.7 ± 8.919.4 ± 6.7
Intermediate13.3 ± 6.316.7 ± 6.3
Adequate23.3 ± 7.913.9 ± 5.8
Adequate Plus26.7 ± 8.250.0 ± 8.5
SecondaryShort Opiate Withdrawal Scale (SOWS)-Gossop - Pregnancy

Measure of maternal opioid withdrawal symptoms. The Short Opiate Withdrawal Scale-Gossop has scores rated on a scale of 0 (none) to 3 (severe) per question. The total score of the SOWS-Gossop ranges from 0-30. Participants were randomized when they were 6-30 weeks estimated gestational age and, thus, the number of scheduled assessments varied between participants. The measure was assessed at randomization (6-30 weeks estimated gestational age), two weeks post randomization and then monthly until delivery, average score reported.

Time frame:
Assessed at randomization (6-30 weeks estimated gestational age), two weeks post randomization and then monthly until delivery
Reported as:
Mean · score on a scale
Short Opiate Withdrawal Scale (SOWS)-Gossop - Pregnancy
score on a scaleBUP-XRBUP-SL
Short Opiate Withdrawal Scale (SOWS)-Gossop - Pregnancy5.6 ± 0.56.2 ± 0.5
SecondaryShort Opiate Withdrawal Scale (SOWS)-Gossop - Postpartum

Measure of maternal opioid withdrawal symptoms. The Short Opiate Withdrawal Scale-Gossop has scores rated on a scale of 0 (none) to 3 (severe) per question. The total score of the SOWS-Gossop ranges from 0-30. The measure was assessed at months 1, 3, 6, 9, and 12 post-delivery, average score reported.

Time frame:
Assessed at months 1, 3, 6, 9, and 12 post-delivery
Reported as:
Mean · score on a scale
Short Opiate Withdrawal Scale (SOWS)-Gossop - Postpartum
score on a scaleBUP-XRBUP-SL
Short Opiate Withdrawal Scale (SOWS)-Gossop - Postpartum4.1 ± 0.55.3 ± 0.5
SecondaryOpioid Medication for Neonatal Opioid Withdrawal Syndrome (NOWS) Symptoms

Use of opioid medication for NOWS symptoms will be abstracted from the medical record.

Time frame:
Neonate discharge from hospital, typically within 1 month postpartum
Reported as:
Mean · Total amount of morphine for NOWS-mg
Opioid Medication for Neonatal Opioid Withdrawal Syndrome (NOWS) Symptoms
Total amount of morphine for NOWS-mgBUP-XRBUP-SL
Opioid Medication for Neonatal Opioid Withdrawal Syndrome (NOWS) Symptoms10.0 ± 3.210.4 ± 3.2
SecondaryTotal Days of Neonatal Opioid Treatment During the Hospital Stay

Number of days of NOWS treatment for those infants that did receive it, abstracted from the medical record.

Time frame:
Neonate discharge from hospital, typically within 1 month postpartum
Reported as:
Mean · Days of opioid treatment
Total Days of Neonatal Opioid Treatment During the Hospital Stay
Days of opioid treatmentBUP-XRBUP-SL
Total Days of Neonatal Opioid Treatment During the Hospital Stay10.9 ± 2.214.8 ± 3.0
SecondaryInfant Hospital Length of Stay

Infant hospital length of stay (LOS) defined as the infant's age, in days, at discharge will be abstracted from the medical record. (all infants)

Time frame:
Neonate discharge from hospital, typically within 1 month postpartum
Reported as:
Mean · Hospital length of stay, days
Infant Hospital Length of Stay
Hospital length of stay, daysBUP-XRBUP-SL
Infant Hospital Length of Stay8.5 ± 0.99.5 ± 1.0
SecondaryNeonatal Opioid Withdrawal Syndrome (NOWS) Peak Score

NOWS peak score will be abstracted from the medical record. The scale used is the Finnegan-modified; the score ranges from 0-46, a score of 8 or higher indicates withdrawal.

Time frame:
Neonate discharge from hospital, typically within 1 month postpartum
Reported as:
Mean · score on a scale
Neonatal Opioid Withdrawal Syndrome (NOWS) Peak Score
score on a scaleBUP-XRBUP-SL
Neonatal Opioid Withdrawal Syndrome (NOWS) Peak Score10.4 ± 0.810.0 ± 0.9
SecondaryCustody at Discharge

For example, whether the infant is discharged in custody of mother, other relative, foster/adoptive family, etc. This will be abstracted from the medical record. Maternal custody - number \& percentage.

Time frame:
Neonate discharge from hospital, typically within 1 month postpartum
Reported as:
Number · % of participants with maternal custody
Custody at Discharge
% of participants with maternal custodyBUP-XRBUP-SL
Custody at Discharge90.9 ± 3.589.7 ± 3.7
SecondaryChild Protective Services Open Case

Whether or not there is an open child protective services at discharge (yes/no) will be abstracted from the medical record. Percentage of cases open with child protective services.

Time frame:
Neonate discharge from hospital, typically within 1 month postpartum
Reported as:
Number · % Case with child protective services
Child Protective Services Open Case
% Case with child protective servicesBUP-XRBUP-SL
Child Protective Services Open Case32.8 ± 5.938.8 ± 6.0
SecondaryAges and Stages Questionnaire, Third Edition (ASQ-3)

To screen for developmental issues in the infant. Developmental issues at 12 months - percentage. Developmental issues assessed with The Ages and Stages Questionnaire, third edition scores each item as Yes (10 points), Sometimes (5 points), or Not Yet (0 points), with total scores compared to cutoffs to identify delays.

Time frame:
12 months postpartum
Reported as:
Number · % infants w/ dev. issues
Ages and Stages Questionnaire, Third Edition (ASQ-3)
% infants w/ dev. issuesBUP-XRBUP-SL
Ages and Stages Questionnaire, Third Edition (ASQ-3)17.3 ± 5.215.4 ± 5.0

Adverse events

Collected over Consent through 1 year postpartum, up to 1 year and 8 months. Non-serious events are listed at a 5% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
BUP-XR0/69 (0%)9/69 (13%)49/69 (71%)
BUP-SL0/71 (0%)27/71 (38%)59/71 (83.1%)
BUP-XR - Neonates0/67 (0%)9/67 (13.4%)—
BUP-SL - Neonates1/70 (1.4%)11/70 (15.7%)—
Most frequent serious events
Showing 10 of 67
Most frequent serious events
EventBUP-XRBUP-SLBUP-XR - NeonatesBUP-SL - Neonates
Gestational hypertensionPregnancy, puerperium and perinatal conditions0/694/710/670/70
Pre-EclampsiaPregnancy, puerperium and perinatal conditions3/693/710/670/70
OverdoseInjury, poisoning and procedural complications3/690/710/670/70
Suicidal ideationPsychiatric disorders0/693/710/670/70
Weight gain poorMetabolism and nutrition disorders0/690/712/670/70
PyelonephritisInfections and infestations2/691/710/670/70
Drug use disorderPsychiatric disorders0/692/710/670/70
COVID-19Infections and infestations0/692/710/671/70
HospitalisationSurgical and medical procedures0/692/710/670/70
Pyloric StenosisCongenital, familial and genetic disorders——1/670/70
Most frequent other events
Showing 10 of 21
Most frequent other events
EventBUP-XRBUP-SLBUP-XR - NeonatesBUP-SL - Neonates
COVID-19Infections and infestations9/6915/71——
VomitingGastrointestinal disorders12/697/71——
Upper Respiratory Tract InfectionInfections and infestations10/6911/71——
NauseaGastrointestinal disorders10/695/71——
Urinary Tract InfectionInfections and infestations4/699/71——
HeadacheNervous system disorders6/698/71——
ConstipationGastrointestinal disorders6/697/71——
GastroenteritisInfections and infestations6/693/71——
Abdominal painGastrointestinal disorders2/696/71——
Tooth abscessInfections and infestations1/696/71——

Baseline characteristics

Age, Continuous
Age, Continuous(years)BUP-XRBUP-SLTotal
Mean31.1 ± 4.631.4 ± 4.731.2 ± 4.6
Sex: Female, Male
Sex: Female, Male(Participants)BUP-XRBUP-SLTotal
Female6971140
Male000
Ethnicity (NIH/OMB)
Ethnicity (NIH/OMB)(Participants)BUP-XRBUP-SLTotal
Hispanic or Latino4610
Not Hispanic or Latino6565130
Unknown or Not Reported000
Race (NIH/OMB)
Race (NIH/OMB)(Participants)BUP-XRBUP-SLTotal
American Indian or Alaska Native033
Asian101
Native Hawaiian or Other Pacific Islander101
Black or African American3710
White5957116
More than one race527
Unknown or Not Reported022
Opioid Craving Scale
Opioid Craving Scale(score on a scale)BUP-XRBUP-SLTotal
Mean2.7 ± 2.53.7 ± 3.03.2 ± 2.8
Short Opioid Withdrawal Scale
Short Opioid Withdrawal Scale(score on a scale)BUP-XRBUP-SLTotal
Mean7.0 ± 7.05.8 ± 6.66.4 ± 6.8
08

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
09

References and documents

Publications

  • Winhusen TJ, Lofwall MR, Kropp F, Lewis D, Smid MC, Young JL, Hodgkins C, Krans EE, Hansen Z, Wachman EM, Schiff DM, Guille C, Rudolf V, Chowdhury T, Leeman L, Lewis M, Matthews AG, Cochran G, King J, Wilder C, Rosa C. Extended-Release vs Sublingual Buprenorphine in Pregnancy Through 12 Months Post Partum: A Randomized Clinical Trial. JAMA Intern Med. 2026 May 1;186(5):533-543. doi: 10.1001/jamainternmed.2026.0057. PubMed 41837971 ↗
  • Krans EE, Lewis D, Douaihy A, Lofwall MR, Kropp F, Martin PR, Sanghani RS, Cottrell JN, Winhusen TJ. Cigarette use and smoking cessation goals among pregnant women with opioid use disorder. J Subst Use Addict Treat. 2025 Dec 20:209865. doi: 10.1016/j.josat.2025.209865. Online ahead of print. PubMed 41429292 ↗
  • Cash E, Cochran G, Smid MC, Charles JE, Humiston G, Wei Y, Mauerman N, Carlston K, Broussard G, Sengpraseut B, Martin PR, Winhusen TJ. Overdose risk profiles in pregnancy: Latent class analysis of pregnant individuals with opioid use disorder. J Subst Use Addict Treat. 2025 Sep 25:209809. doi: 10.1016/j.josat.2025.209809. Online ahead of print. PubMed 41015387 ↗
  • Snyder AM, Math S, Campbell K, Schiff DM, Wheeler A, Carlston K, Gordon AJ, Winhusen TJ, Cochran G, Smid MC. Protocol Commentary for the SUCCESS (Successful Recruitment and Retention in a Randomized Controlled Trial of Pregnant Participants with Opioid Use Disorder) Study. Subst Use Addctn J. 2025 Oct;46(4):1040-1046. doi: 10.1177/29767342251334490. Epub 2025 Jul 11. PubMed 40643178 ↗
  • Winhusen TJ, Kropp F, Greenfield SF, Krans EE, Lewis D, Martin PR, Gordon AJ, Davies TH, Wachman EM, Douaihy A, Parker K, Xin X, Jalali A, Lofwall MR. Trauma Prevalence and Its Association With Health-related Quality of Life in Pregnant Persons With Opioid Use Disorder. J Addict Med. 2025 Jan-Feb 01;19(1):20-25. doi: 10.1097/ADM.0000000000001366. Epub 2024 Aug 6. PubMed 39105509 ↗
  • 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

Data sharing details ↗ · datashare.nida.nih.gov

10

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 Jan 2025, 54 months.

Results were first posted in Jun 2026, 1 year 4 months after primary completion.

Of 31 phase 3 interventional studies under Opioid-Related Disorders, half reached primary completion within 42 months of starting (the median), counting those still running; a quarter within 18 and three quarters within 56. This study's 54 months is above that.

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

Registered
Apr 9, 2019
First posted
Apr 18, 2019
StartActual
Jul 21, 2020
Primary completionActual
Jan 31, 2025
CompletionActual
Jan 31, 2025
Results first posted
Jun 4, 2026
Last update
Jun 4, 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 Jun 4, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
11

Registry details

Key details

Study ID
NCT03918850
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 18, 2019
Start date
Jul 21, 2020
Primary completion
Jan 31, 2025
Completion
Jan 31, 2025
Results posted
Jun 4, 2026
Last update
Jun 4, 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 May 2026. You cannot join it, but the record below documents what was studied.

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Discussion

Questions and observations about this study, from anyone following it. Not medical advice, and not a channel to the study team — their contact details are on the registry record.

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Nothing here yet. If you are running this trial, taking part in it, or weighing whether to, this is the place to say so.

Studies of the drug tested here: Buprenorphine

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