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RecruitingNCT06423664INTACTUpdated Jun 24, 2025

Improving Neurodevelopmental ouTcomes After Prenatal Cannabinoid in uTero Exposure

An interventional study of Play and Learn Strategies (PALS) Program in Developmental Delay, sponsored by IDeA States Pediatric Clinical Trials Network. Recruiting at 3 sites in United States. Open to participants aged Up to 7 Days, including healthy volunteers. Per ClinicalTrials.gov, last updated 2025-06-24.

Sponsored by IDeA States Pediatric Clinical Trials Network · Not applicable, Interventional, and Prevention

From the registry’s dates

  • Primary completion was expected by Jun 2026, 5 months ago, but the record still lists the study as recruiting.
  • Started Feb 2025; still recruiting 1 year 9 months later.
Phase
Not applicable
Study type
Interventional
Enrollment
20
Allocation
Not applicable
Ages
Up to 7 Days
Sex
All
01

Study summary

The INTACT trial is a multisite pilot feasibility study aimed at testing the effectiveness of the INTACT Intervention program in improving neurodevelopmental outcomes in infants prenatally exposed to cannabinoids. The trial will enroll 20 birthing parent/infant dyads across three sites and will evaluate feasibility endpoints rather than clinical outcomes. The study duration is 22 months, including study start-up, enrollment and intervention, and data analysis and manuscript preparation.

Read the detailed description

The INTACT trial is designed to address the need for interventions to improve neurodevelopmental outcomes in infants exposed to cannabinoids in utero. It is a multi-site pilot study conducted across three Institutional Development Award (IDeA) States Pediatric Clinical Trials Network (ISPCTN) sites. The trial aims to evaluate the feasibility of the INTACT Intervention program, which focuses on training birthing parents in contingent responding to promote early language, cognitive, and social development in their infants.

The study intervention consists of 12 monthly INTACT intervention coaching sessions, each comprising online module completion followed by personalized coaching sessions with interventionists certified to deliver the Play and Learn Strategies (PALS) methodology, which forms the basis for the INTACT intervention. The online modules focus on strengthening effective parenting practices, while the coaching sessions guide birthing parents in contingent responding techniques, such as reading infant signals and responding with warm and sensitive behaviors. There are three objectives for this study, examining 1) Participant Recruitment, 2) Participant Completion, and 3) Participant Adherence.

Objective 1 examines if birthing parents can be recruited and enrolled in the study. The endpoint of this objective is the percentage of potential participants approached for the study that are consented and determined to be eligible for study participation.

Objective 2 evaluates participant completion, as measured by the percent of birthing parent/infant dyads that complete the coaching session scheduled when the child is 12 months of age.

Objective 3 evaluates the number of individual INTACT intervention coaching sessions completed.

The study duration is planned for 22 months, including 1-4 months for study development and start-up, 3 months for enrollment, 12 months for the intervention, and 3 months for data organization, clean-up, and manuscript preparation.

The INTACT trial will not assess clinical outcomes but will inform the design of a future larger-scale clinical trial to evaluate the effectiveness of the INTACT Intervention program in improving neurodevelopmental outcomes in infants prenatally exposed to cannabinoids.

02

Conditions studied

  • Developmental Delay

Keywords

  • Behavioral health intervention
  • Prenatal substance exposure
  • Neurodevelopmental outcomes
  • Pediatric intervention
  • Developmental disorders
  • Pediatric health
03

In context

Learning Disabilities

270 studies on the registry are indexed under Learning Disabilities; 62 are open to participants now.

This study's planned enrollment of 20 is below the median of 60 across 181 interventional studies indexed under Learning Disabilities.

Browse Learning Disabilities studies →

Lead sponsor

IDeA States Pediatric Clinical Trials Network is the lead sponsor of 8 studies on the registry; 3 are open to participants now.

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

04

Who can participate

Ages eligible
Up to 7 Days
Sexes eligible
All
Accepts healthy volunteers
Yes

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

Birthing Parent

  • Age of majority, as defined by the state of residency
  • Cannabinoid use during pregnancy confirmed with self-report
  • Have the ability to speak, read, and understand English
  • Birthing parent who delivered at one of the hospitals where study team members have clinical privileges to access medical records
  • Has parental custody of the infant
  • Singleton pregnancy with live birth
  • Has an electronic device capable of watching videos and able to stream/download videos for viewing and permitting video conferencing
  • Has study access to the internet

Infant

  • Term infants at birth (>37 weeks' gestation)
  • Biological child of the birthing parent

Exclusion criteria

Exclusion Criteria:

Birthing Parent

  • Other illicit drug use, excluding cannabinoids, during pregnancy (such as heroin or cocaine) per self-reported or toxicology results
  • Opiate use (prescribed or unprescribed) per self-report or toxicology results during this pregnancy
  • Prolonged hospitalization following delivery longer than 7 days

Infant

  • Has major birth defect(s) including physical anomalies including limb malformations/absence of limbs or chromosomal abnormalities
  • Diagnosed with neonatal encephalopathy, metabolic disorder, stroke, intracranial hemorrhage, or meningitis during birth hospitalization
  • Received any major surgical intervention during the birth hospitalization or required a prolonged birth hospitalization (prolonged hospitalization being any hospitalization longer than 7 days)
05

Study design

Phase
Not applicable
Primary purpose
Prevention
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
20 participants (estimated)

Study arms

  • Experimental
    Personalized coaching sessions

    A novel program to train birthing parents in contingent responding with the goal of improving neurodevelopmental outcomes in infants prenatally exposed to cannabinoids. 1 personalized coaching session per month for 12 months.

    Behavioral: Play and Learn Strategies (PALS) Program

Interventions

  • BehavioralPlay and Learn Strategies (PALS) Program

    Monthly modules and personalized coaching sessions designed to strengthen maternal responsiveness and sensitivity which, in turn, improves infant social-emotional behavior and development outcomes.

    Also known as: ePALS

06

What researchers measure

Primary outcomes

  1. Percentage of approached participants that are eligible for study participation

    Whether a potential participant approached for study participation will eventually be consented and determined to be eligible for study participation.

    Time frame: 3 months

  2. Percentage of participants that complete their final visit

    Whether a birthing parent/infant dyad will complete the final coaching session when the child is 12 months of age.

    Time frame: 12 months following enrollment

  3. Percentage of participants that receive a sufficient number of coaching sessions

    Whether a participant will complete the sufficient number of INTACT intervention coaching sessions, defined as completion of at least 8 out of 12 coaching sessions.

    Time frame: 12 months following enrollment

07

Study locations

3 of 3 sites recruiting
08

References and documents

Publications

  • Maxwell JR, Cioffredi LA, Talavera-Barber MM, Henry M, Beauman S, Hittson A, McCoy M, Chassereau L, Jin J, Abraham PA, Fu LY, Raissy H, Snowden JN. The protocol for a pilot feasibility trial of Improving Neurodevelopmental ouTcomes After prenatal Cannabinoid in uTero exposure (INTACT) study for a multi-center trial. PLoS One. 2025 May 12;20(5):e0322035. doi: 10.1371/journal.pone.0322035. eCollection 2025. PubMed 40354465 ↗

Individual participant data

Plan to share: Yes — We will conduct this trial in accordance with the following publication and data sharing policies and regulations: NIH Public Access Policy. It requires scientists to submit final peer-reviewed journal manuscripts that arise from NIH funds to the digital archive PubMed Central upon acceptance for publication. ECHO ISPCTN Publications and Presentations Policy. It ensures accurate, responsible, and efficient communication of findings from ECHO ISPCTN clinical trials. NIH Data Sharing Policy and the policy on the Dissemination of NIH-Funded Clinical Trial Information and the Clinical Trials Registration and Resulting Information Submission Rule. Other researchers may request data from this trial by contacting Song Ounpraseugh, PhD, at the ISPCTN Data Coordinating and Operations Center (DCOC).

Supporting information: Statistical analysis plan, Informed consent form

Time frame: Per data sharing polices of NIH and the ISPCTN

Access criteria: to be announced

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Jun 24, 2025, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT06423664
Lead sponsor
IDeA States Pediatric Clinical Trials Network
Responsible party
Sponsor
First posted
May 21, 2024
Start date
Feb 6, 2025
Primary completion
Jun 10, 2026 (estimated)
Completion
Aug 31, 2026 (estimated)
Last update
Jun 24, 2025

Study contacts

Song Ounpraseuth, PhD
Contact
STOunpraseuth@uams.edu
(501) 686-5647
Matthew Henry, MSc
Contact
mhenry3@uams.edu
(501) 686-5647
Jessie Maxwell, MD
principal investigator · University of New Mexico
Leigh-Anne Cioffredi, MD
principal investigator · University of Vermont
Maria Barber, DO
principal investigator · Avera Research Institute

Oversight

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

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