Merotocin in Mothers With Inadequate Milk Production and Infants Delivered Prematurely (MERMAID)
A Randomized, Double-blind, Placebo-controlled, Multicenter Trial Exploring the Efficacy and Safety of Intra-nasal Administration of Merotocin in Increasing Milk Production in Maternal Subjects With Preterm Delivery and Inadequate Milk Production
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Study Type
Study Type
Enrollment (Actual)
Enrollment
Phase
Phase
- Phase 2
Contacts and Locations
Study Contact
Study Contact
- Name: Global Clinical Compliance
- Phone Number: 1-888-FERRING (1-888-337-7464)
- Email: MedqueriesUS@ferring.com
Study Locations
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Connecticut
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New Haven, Connecticut, United States, 06520
- Ferring Investigational Site
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Indiana
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South Bend, Indiana, United States, 46601
- Ferring Investigational Site
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Maryland
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Baltimore, Maryland, United States, 21201
- Ferring Investigational Site
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Massachusetts
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Boston, Massachusetts, United States, 02115
- Ferring Investigational Site
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New York
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Valhalla, New York, United States, 10595
- Ferring Investigational Site
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North Carolina
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Raleigh, North Carolina, United States, 27610
- Ferring Investigational Site
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Ohio
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Cincinnati, Ohio, United States, 45229
- Ferring Investigational Site
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South Carolina
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Charleston, South Carolina, United States, 29425
- Ferring Investigational Site
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Texas
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Houston, Texas, United States, 77030
- Ferring Investigational Site
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San Antonio, Texas, United States, 78229
- Ferring Investigational Site
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Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Description
Inclusion Criteria:
- Delivered at the hospital system associated with the trial center
- Delivered preterm singleton gestational age 24 weeks + 0 days to 34 weeks + 2 days
- Willing to express milk at least 5 times every 24 hours during the observation period and 6 to 8 times every 24 hours during the treatment and post-treatment follow up
- Produced < 200 mL milk in 24 hours prior to randomization
- Delivered 96 to 192 (+4) hours prior to randomization
Exclusion Criteria:
- Pre-pregnancy body mass index (BMI) > 50 kg/m^2
- Mastitis
- History of breast trauma, breast surgery, nipple piercing
- Prolactin-releasing pituitary tumor, history of Sheehan's syndrome, pituitary surgery/radiation therapy
- Pre-pregnancy insulin-dependent diabetes mellitus, polycystic ovarian syndrome. Note: gestational diabetes is allowed (also when requiring the use of insulin for treatment)
- Unstable thyroid disease
- Moderate or severe renal or hepatic impairment
- Mental illness
- Significant nasal congestion or mucous production
- Use of anti-psychotic drugs within past 12 months
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: Double
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
|
Placebo Comparator: Placebo
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Placebo nasal spray, 2 sprays with 1 spray in each nostril administered 6 to 8 times/day (Day 1 to Day 14).
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Experimental: Merotocin (a selective oxytocin-receptor agonist)
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Merotocin nasal spray 400 μg/dose, 2 sprays with 1 spray in each nostril administered 6 to 8 times/day (Day 1 to Day 14).
Other Names:
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What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Volume of Mother's Own Milk (MoM)
Time Frame: Daily days 1 to 14
|
Measured by weight in grams converted to volume in milliliters (mL)
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Daily days 1 to 14
|
Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Volume of MoM
Time Frame: Days 15 to 17
|
Measured by weight in grams converted to volume in milliliters (mL)
|
Days 15 to 17
|
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Time to First Occurrence of Daily Volume of MoM ≥ 500 mL
Time Frame: From randomization (Day 1) to Day 14
|
Number of days
|
From randomization (Day 1) to Day 14
|
|
Time to First Occurrence of Daily Volume of MoM ≥ 750 mL
Time Frame: From randomization (Day 1) to Day 14
|
Number of days
|
From randomization (Day 1) to Day 14
|
|
Proportion of Participants With a Daily Volume of MoM ≥ 500 mL
Time Frame: Days 1 to 14
|
Measured by weight in grams converted to volume in milliliters (mL)
|
Days 1 to 14
|
|
Proportion of Participants With a Daily Volume of MoM ≥ 750 mL
Time Frame: Days 1 to 14
|
Measured by weight in grams converted to volume in milliliters (mL)
|
Days 1 to 14
|
|
Volume of MoM Fed to the Infant
Time Frame: Days 1 to 14
|
Measured by weight in grams converted to volume in milliliters (mL)
|
Days 1 to 14
|
|
Volume of Formula/Donor Milk Fed to the Infant
Time Frame: Days 1 to 14
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Measured by weight in grams converted to volume in milliliters (mL)
|
Days 1 to 14
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Merotocin Concentration in Milk
Time Frame: Day 3
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Day 3
|
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Merotocin Concentration in Milk
Time Frame: Day 10
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Day 10
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Change in Infant Body Weight
Time Frame: From baseline (Day 1) to Day 14
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From baseline (Day 1) to Day 14
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Frequency of Adverse Events (AEs) in Maternal Participants
Time Frame: From Screening (0-144 hours of delivery) up to Day 18
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From Screening (0-144 hours of delivery) up to Day 18
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Intensity of AEs in Maternal Participants
Time Frame: From Screening (0-144 hours of delivery) up to Day 18
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From Screening (0-144 hours of delivery) up to Day 18
|
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Frequency of AEs in Infants
Time Frame: From screening until milk expressed Days 1-14 is consumed/discarded or infant discharged from neonatal intensive care unit (NICU), whichever occurs last.
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From screening until milk expressed Days 1-14 is consumed/discarded or infant discharged from neonatal intensive care unit (NICU), whichever occurs last.
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Intensity of AEs in Infants
Time Frame: From screening until milk expressed Days 1-14 is consumed/discarded or infant discharged from neonatal intensive care unit (NICU), whichever occurs last.
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From screening until milk expressed Days 1-14 is consumed/discarded or infant discharged from neonatal intensive care unit (NICU), whichever occurs last.
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Changes in Routine Safety Laboratory Parameters in Maternal Participants
Time Frame: From screening up to Day 15
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From screening up to Day 15
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Proportion of Maternal Participants With Markedly Abnormal Changes in Laboratory Values
Time Frame: From screening up to Day 15
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From screening up to Day 15
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Collaborators and Investigators
Sponsor
Sponsor
Investigators
Investigators
- Study Director: Global Clinical Compliance, Ferring Pharmaceuticals
Study record dates
Study Major Dates
Study Start (Actual)
Study Start
Primary Completion (Actual)
Primary Completion
Study Completion (Actual)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Estimated)
First Posted
Study Record Updates
Last Update Posted (Estimated)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Keywords
Additional Relevant MeSH Terms
Other Study ID Numbers
Other Study ID Numbers
- 000050
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
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