ClinicalTrials.gg
CompletedNCT06262347TOMEUpdated May 11, 2025Results posted

Personally-Tailored Opioid-overdose and Medication for Opioid Use Disorder (MOUD) Education (TOME) for Pregnant and Postpartum Persons in MOUD

An interventional study of Personally-Tailored Opioid-overdose and Medication for opioid use disorder (MOUD) Education (TOME) and Control in Opioid Use Disorder, Pregnancy Related and Substance Use, sponsored by T. John Winhusen, PhD. Completed at 6 sites in United States. Open to female participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2025-05-11.

Sponsored by T. John Winhusen, PhD · Not applicable, Interventional, and Treatment

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Phase
Not applicable
Study type
Interventional
Enrollment
131
Allocation
Randomized
Ages
18 Years and older
Sex
Female
01

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
327th of 1,097
131 · median 56
Started
2024
with 86 others
No phase
570 of 1,222
132 open now
Registered
981st of 1,222
by date

Among the 1,222 studies in Opioid-Related Disorders with a site in United States, this one is the 327th largest by enrollment of the 1,097 interventional ones that give a count, is one of 87 that started in 2024, is one of 570 with no phase, and was the 981st 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

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

240 more — sign in →

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 and older · female · no healthy volunteers.

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02

Study summary

The primary objective of this study is to evaluate the ability of TOME to increase Medication for Opioid Use Disorder (MOUD) and opioid-overdose knowledge in pregnant and postpartum persons.

Read the detailed description

This is an intent-to-treat, two-arm, open-label, randomized controlled trial. Eligible participants will be randomized in a 1:1 ratio to TOME or Control, balancing on site. Participants will receive the assigned intervention following randomization and will complete a three week follow-up assessment.

03

Conditions studied

  • Opioid Use Disorder
  • Pregnancy Related
  • Substance Use
  • Drug Abuse
  • Drug Abuse in Pregnancy
  • Drug Addiction

Keywords

  • CTN-0150
  • clinical trials network
04

Who can participate

Ages eligible
18 Years and older
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 be:

  1. 18 years of age or older;
  2. Pregnant or be within 12 months postpartum;
  3. Enrolled in MOUD (either buprenorphine or methadone) at the study site or affiliated clinic where enrollment can be confirmed;
  4. Able to understand the study, and having understood, provide written in English

Exclusion criteria

Exclusion Criteria:

Potential participants must not:

  1. have suicidal or homicidal ideation requiring immediate attention.
Terms in these criteria, in plain language(1)

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.

05

Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
131 participants (actual)

Study arms

  • Experimental
    Personally-Tailored Opioid-overdose and Medication for opioid use disorder (MOUD) Education (TOME)

    Drug: Naloxone kit Naloxone nasal spray (NARCAN) is a potentially life-saving medication that can stop or reverse the effects of an opioid overdose. This nasal spray is approved by the FDA for reversing OODs and has a favorable side-effects profile. A take-home kit will be provided to participants, which may be useful in the event of a future opioid overdose. Behavioral: Personally-Tailored Opioid-overdose and Medication for opioid use disorder (MOUD) Education (TOME) TOME entails a trained RA: 1) administering a REDCap survey to assess an individual's opioid-overdose/MOUD knowledge; and 2) reviewing the personal feedback reports with the recipient.

    Behavioral: Personally-Tailored Opioid-overdose and Medication for opioid use disorder (MOUD) Education (TOME)

  • Active comparator
    Control

    Drug: Naloxone kit Naloxone nasal spray (NARCAN) is a potentially life-saving medication that can stop or reverse the effects of an opioid overdose. This nasal spray is approved by the FDA for reversing OODs and has a favorable side-effects profile. A take-home kit will be provided to participants, which may be useful in the event of a future opioid overdose. Behavioral: SAMHSA handouts SAMHSA handouts: 1) "Opioid Overdose Prevention Toolkit: Safety Advice for Patients and Family Members"; 2) "Opioid Overdose Prevention Toolkit: Recovering from Opioid Overdose"; and 3) "Medication-Assisted Treatment for Opioid Addiction: Facts for Families and Friends". These handouts can be offered as physical copies or electronically.

    Behavioral: Control

Interventions

  • BehavioralPersonally-Tailored Opioid-overdose and Medication for opioid use disorder (MOUD) Education (TOME)

    The TOME intervention is a modified version of the personally-tailored opioid overdose prevention education and naloxone distribution (PTOEND) intervention (Winhusen et al. Evaluation of a personally-tailored opioid overdose prevention education and naloxone distribution intervention to promote harm reduction and treatment readiness in individuals actively using illicit opioids. Drug Alcohol Depend. Nov 1 2020;216:108265). Modifications include updating the knowledge assessment/education to reflect changes in the drug supply (i.e., the current high prevalence of fentanyl and increasing prevalence of xylazine) and the addition of items specific to pregnancy. Like PTOEND, TOME is a computer-guided intervention which utilizes REDCap to complete assessments and automatically generate personally-tailored feedback reports.

  • BehavioralControl

    Participants randomized to the control condition will be offered three SAMHSA handouts.

06

What researchers measure

Primary outcomes

  1. Medication for Opioid Use Disorder (MOUD) Knowledge Score

    This outcome is measured by the Opioid Overdose and Treatment Awareness Survey (OOTAS) knowledge evaluation: MOUD knowledge, potential score of 0-10; higher score indicates more knowledge. Values are converted to a percentage of correct answers from 0-100% where higher percentages mean more knowledge.

    Time frame: Week 3

  2. Opioid Overdose Knowledge Score

    This outcome is measured by the first three sections of the Opioid Overdose and Treatment Awareness Survey (OOTAS). Opioid-overdose knowledge, potential score of 0-31; higher score indicates more knowledge. Values are converted to a percentage of correct answers from 0-100% where higher percentages mean more knowledge.

    Time frame: Week 3

Secondary outcomes

  1. Medication for Opioid Use Disorder (MOUD) Internalized Stigma

    This will be assessed with the The Methadone Maintenance Treatment Stigma Mechanisms Scale (MMT-SMS) questionnaire. Score range: 1 - 5; higher score indicates greater MOUD stigma

    Time frame: Week 3

  2. Drug Self-efficacy

    This will be assessed with the Thoughts about abstinence (TAA) instrument. Drug Self-efficacy Score range: 0 - 9; higher score indicates greater expected success in avoiding drug use

    Time frame: Week 3

07

Results

Posted May 11, 2025
Limitations and caveats
A significant limitation is that the participant sample was primarily White (89.3%) and non-Latino (92.4%) and, thus, it is unknown whether the results would generalize to a more racially and ethnically diverse population.

Participant flow

Participant flow — Overall Study
MilestonePersonally-Tailored Opioid-overdose and Medication for Opioid Use Disorder (MOUD) Education (TOME)Control
Started6764
Completed6360
Not completed44
Withdrew: Lost to follow-up43
Withdrew: Withdrawal by subject01

Outcome measures

PrimaryMedication for Opioid Use Disorder (MOUD) Knowledge Score

This outcome is measured by the Opioid Overdose and Treatment Awareness Survey (OOTAS) knowledge evaluation: MOUD knowledge, potential score of 0-10; higher score indicates more knowledge. Values are converted to a percentage of correct answers from 0-100% where higher percentages mean more knowledge.

Time frame:
Week 3
Reported as:
Mean · percentage of correct answers
Medication for Opioid Use Disorder (MOUD) Knowledge Score
percentage of correct answersPersonally-Tailored Opioid-overdose and Medication for Opioid Use Disorder (MOUD) Education (TOME)Control
Medication for Opioid Use Disorder (MOUD) Knowledge Score83.5 ± 15.672.0 ± 14.2
PrimaryOpioid Overdose Knowledge Score

This outcome is measured by the first three sections of the Opioid Overdose and Treatment Awareness Survey (OOTAS). Opioid-overdose knowledge, potential score of 0-31; higher score indicates more knowledge. Values are converted to a percentage of correct answers from 0-100% where higher percentages mean more knowledge.

Time frame:
Week 3
Reported as:
Mean · percentage of correct answers
Opioid Overdose Knowledge Score
percentage of correct answersPersonally-Tailored Opioid-overdose and Medication for Opioid Use Disorder (MOUD) Education (TOME)Control
Opioid Overdose Knowledge Score90.1 ± 7.682.6 ± 6.2
SecondaryMedication for Opioid Use Disorder (MOUD) Internalized Stigma

This will be assessed with the The Methadone Maintenance Treatment Stigma Mechanisms Scale (MMT-SMS) questionnaire. Score range: 1 - 5; higher score indicates greater MOUD stigma

Time frame:
Week 3
Reported as:
Mean · average score
Medication for Opioid Use Disorder (MOUD) Internalized Stigma
average scorePersonally-Tailored Opioid-overdose and Medication for Opioid Use Disorder (MOUD) Education (TOME)Control
Medication for Opioid Use Disorder (MOUD) Internalized Stigma1.5 ± 0.71.6 ± 0.8
SecondaryDrug Self-efficacy

This will be assessed with the Thoughts about abstinence (TAA) instrument. Drug Self-efficacy Score range: 0 - 9; higher score indicates greater expected success in avoiding drug use

Time frame:
Week 3
Reported as:
Mean · average score
Drug Self-efficacy
average scorePersonally-Tailored Opioid-overdose and Medication for Opioid Use Disorder (MOUD) Education (TOME)Control
Drug Self-efficacy2.3 ± 2.91.9 ± 2.6

Adverse events

Collected over Consent through Week 3. Non-serious events are listed at a 0% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
Personally-Tailored Opioid-overdose and Medication for Opioid Use Disorder (MOUD) Education (TOME)0/67 (0%)0/67 (0%)0/67 (0%)
Control0/64 (0%)0/64 (0%)0/64 (0%)

Baseline characteristics

Age, Categorical
Age, Categorical(Participants)Personally-Tailored Opioid-overdose and Medication for Opioid Use Disorder (MOUD) Education (TOME)ControlTotal
<=18 years000
Between 18 and 65 years6764131
>=65 years000
Age, Continuous
Age, Continuous(years)Personally-Tailored Opioid-overdose and Medication for Opioid Use Disorder (MOUD) Education (TOME)ControlTotal
Mean31.6 ± 5.030.7 ± 4.831.2 ± 4.9
Sex: Female, Male
Sex: Female, Male(Participants)Personally-Tailored Opioid-overdose and Medication for Opioid Use Disorder (MOUD) Education (TOME)ControlTotal
Female6764131
Male000
Ethnicity (NIH/OMB)
Ethnicity (NIH/OMB)(Participants)Personally-Tailored Opioid-overdose and Medication for Opioid Use Disorder (MOUD) Education (TOME)ControlTotal
Hispanic or Latino3710
Not Hispanic or Latino6457121
Unknown or Not Reported000
Race (NIH/OMB)
Race (NIH/OMB)(Participants)Personally-Tailored Opioid-overdose and Medication for Opioid Use Disorder (MOUD) Education (TOME)ControlTotal
American Indian or Alaska Native112
Asian000
Native Hawaiian or Other Pacific Islander000
Black or African American314
White5859117
More than one race538
Unknown or Not Reported000
Medication for Opioid Use Disorder (MOUD) Knowledge Score
Medication for Opioid Use Disorder (MOUD) Knowledge Score(percentage of correct answers)Personally-Tailored Opioid-overdose and Medication for Opioid Use Disorder (MOUD) Education (TOME)ControlTotal
Mean64.0 ± 15.469.5 ± 12.166.7 ± 14.1
Opioid Overdose Knowledge Score
Opioid Overdose Knowledge Score(percentage of correct answers)Personally-Tailored Opioid-overdose and Medication for Opioid Use Disorder (MOUD) Education (TOME)ControlTotal
Mean81.7 ± 7.182.5 ± 5.682.1 ± 6.4
Medication for Opioid Use Disorder (MOUD) Internalized Stigma
Medication for Opioid Use Disorder (MOUD) Internalized Stigma(average score)Personally-Tailored Opioid-overdose and Medication for Opioid Use Disorder (MOUD) Education (TOME)ControlTotal
Mean1.8 ± 0.71.7 ± 0.81.7 ± 0.8

1 further baseline measures are reported on the registry.

08

Study locations

6 sites
  • Gateway Community Services
    Jacksonville, Florida 32204, 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
  • Marshall Health MARC Program
    Huntington, West Virginia 25701, United States
09

References and documents

Study documents

PDFs hosted by the registry, ClinicalTrials.gov.

Individual participant data

Plan to share: Yes — Primary data for this study will be available to the public in the NIDA data repository, per NIDA CTN policy.

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 Jun 2024 to primary completion in Nov 2024, 4 months.

Results were first posted in May 2025, 6 months after primary completion.

Of 464 non-industry interventional studies with no phase under Opioid-Related Disorders, half reached primary completion within 29 months of starting (the median), counting those still running; a quarter within 14 and three quarters within 47. This study's 4 months is below that.

Counting every sponsor, half of 495 studies reached it within 29 months; a quarter within 13 and three quarters within 46.

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

Registered
Feb 5, 2024
First posted
Feb 16, 2024
StartActual
Jun 13, 2024
Primary completionActual
Nov 11, 2024
CompletionActual
Nov 11, 2024
Results first posted
May 11, 2025
Last update
May 11, 2025
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 11, 2025, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
11

Registry details

Key details

Study ID
NCT06262347
Lead sponsor
T. John Winhusen, PhD
Responsible party
T. John Winhusen, PhD (Professor; Vice Chair and Division Director of Addiction Sciences, University of Cincinnati) — Sponsor-investigator
First posted
Feb 16, 2024
Start date
Jun 13, 2024
Primary completion
Nov 11, 2024
Completion
Nov 11, 2024
Results posted
May 11, 2025
Last update
May 11, 2025

Study contacts

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

Oversight

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

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