Clonidine as Adjunct Therapy for the Treatment of Neonatal Abstinence Syndrome

To test the hypothesis that the combination of the tincture of opium (DTO) and clonidine will be more effective in treating infants with neonatal abstinence syndrome (opioid withdrawal) than tincture of opium (DTO) alone...

Date First Received: July 31, 2007

Last Updated: July 31, 2007

Verified by: National Institute on Drug Abuse (NIDA), July 2007

Clinical Trial Phase: Phase 2 | Start Date: July 2002

Overall Status: Completed

Estimated Enrollment: 80

Brief Summary

Official Title: “Efficacy of Clonidine in the Treatment of Neonatal Abstinence Syndrome: A Prospective, Double Blind, Randomized Controlled Trial”

Condition Keyword(s):

Additional Keyword(s) Provided by Sponsor:

Intervention(s):

Condition MeSH Term(s), Assigned with an Experimental Algorithm:

Intervention MeSH Term(s), Assigned with an Experimental Algorithm:

To test the hypothesis that the combination of the tincture of opium (DTO) and clonidine will be more effective in treating infants with neonatal abstinence syndrome (opioid withdrawal) than tincture of opium (DTO) alone.

Study Type: Interventional

Study Design: Allocation: Randomized, Control: Placebo Control, Endpoint Classification: Safety/Efficacy Study, Intervention Model: Parallel Assignment, Masking: Double-Blind, Primary Purpose: Treatment

Intervention(s) in this Clinical Trial

  • Drug: Clonidine HCL
    • Duraclon 1 microgram/kg every 4 hours given p.o. as per algorithm

Arms, Groups and Cohorts in this Clinical Trial

  • Experimental: Clonidine treatment
    • Infants intrauterine exposed to opioids (heroin or methadone) that demonstrate signs and symptoms of withdrawal with withdrawal scores (modified Finnegan score) greater than 9 on to consecutive scores taken 4 hours apart.

Outcome Measures for this Clinical Trial

Primary Measures

  • Length of treatment for neonatal abstinence syndrome
    • Time Frame: duration of the treatment

Criteria for Participation in this Clinical Trial

- neonates born at gestational age of 35 weeks or greater
  • neonates aged 0 to 14 days
  • prenatally exposed to opioids
  • severe NAS defined as 2 consecutive modified Finnegan Scores (MFS) > or = 9
  • Exclusion Criteria:

    • < 35 weeks gestational age
    • Intrauterine growth retardation defined as <5%tile of gestational age
    • postnatal treatment with barbiturates or benzodiazepines,
    • major congenital anomalies
    • major concomitant medical illness requiring oxygen therapy, intravenous fluids or medications.
    • breastfed infants

    Gender Eligibility for this Clinical Trial: Both

    Minimum Age for this Clinical Trial: N/A

    Maximum Age for this Clinical Trial: 14 Days

    Are Healthy Volunteers Accepted for this Clinical Trial?: No

    Clinical Trial Sponsor Information

    Lead Sponsor: National Institute on Drug Abuse (NIDA)

    Overall Clinical Trial Officials and Contacts

    Estelle B Gauda, M.D. Principal Investigator Johns Hopkins Medical Institutions  

    Related Publications

    References

    Hoder EL, Leckman JF, Poulsen J, Caruso KA, Ehrenkranz RA, Kleber HD, Cohen DJ. Clonidine treatment of neonatal narcotic abstinence syndrome. Psychiatry Res. 1984 Nov;13(3):243-51.

    Gold MS, Pottash AL, Extein I, Kleber HD. Clonidine and opiate withdrawal. Lancet. 1980 Nov 15;2(8203):1078-9. No abstract available.

    Additional Information

    Information obtained from ClinicalTrials.gov on September 07, 2010

    Link to the current ClinicalTrials.gov record. http://clinicaltrials.gov/show/NCT00510016

    Study ID Number: 1R21DA016288-01A1

    ClinicalTrials.gov Identifier: NCT00510016

    Health Authority: United States: Food and Drug Administration

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