Program for Pain & Prescription Opioid Use in Pregnancy

April 4, 2022 updated by: Medical University of South Carolina

A Novel Approach to Reduce Pain, Prescription Opioid Use & Misuse in Pregnancy

Pregnant women using prescription opioid medication (pain medications) are invited to take part in a program for the reduction of pain and prescription opioid misuse.

Study Overview

Status

Status

Indicates the current recruitment status or the expanded access status.
Completed

Conditions

Conditions

The disease, disorder, syndrome, illness, or injury that is being studied. On ClinicalTrials.gov, conditions may also include other health-related issues, such as lifespan, quality of life, and health risks.

Intervention / Treatment

Intervention / Treatment

A process or action that is the focus of a clinical study. Interventions include drugs, medical devices, procedures, vaccines, and other products that are either investigational or already available. Interventions can also include noninvasive approaches, such as education or modifying diet and exercise.

Detailed Description

Subjects: Participants will be 200 adult, pregnant women receiving prenatal care and using POs for chronic pain. Women must be willing to consider a PO dose reduction, and cannot meet criteria for a Substance Use Disorder. Specific inclusion and exclusion criteria can be found in the Protections of Human Subjects section below.

Procedures: Pregnant women using POs will be identified by the obstetric care team, or self-referred via study advertisements, and referred to study personnel. The obstetric care team will serve as a referral source and will not be taking part in any research related activities. Women will be scheduled to meet with study personnel either in-person, via telemedicine or by phone and will undergo a brief eligibility screening. If women are eligible they will be given a full description of the study procedures and asked to read and sign an IRB-approved consent form in-person or consent online before any study procedures or assessments are conducted using doxyme software. Ineligible women, or those not wanting to take part will be referred for clinical treatment in-person or via telemedicine.

Baseline Visit: Eligible participants will complete online assessments (see primary outcome assessments below) via a Redcap survey. They will have their cell phones registered into the daily diary system described below and will be given instruction on how to respond to daily queries regarding pain, functioning, craving, mood etc. Participants without a cell phone will be provided a cell phone for use during the study. Eligible participants will complete daily ratings for no more than 21 days.

Treatment Phase: Immediately following the 21 day data collection phase, subjects will take part in 8, 75-minute sessions of the modified, individual CBT for Chronic Pain program. This treatment will be delivered once weekly over 8 weeks by the study therapist. Participants will continue their daily diary ratings and these will be reviewed by the study therapist and participant each week during the therapy session. Subjects will not receive any other CBT services during the study. All services received (e.g., pain management, self-help groups, case management) will be carefully monitored and tracked at weekly visits.

Each week, following the CBT for Chronic Pain session, the participant will meet with the study physician or APRN, for 15 minutes. PO use will be reviewed, symptoms of maternal or fetal withdrawal will be assessed (see Safety Measures and Appendix for medication management session) and based on the participant's preference, the provider will continue the same prescribed regime of the PO medication(s) or decrease the overall dose by 20%- a safe and recommended reduction of opioid medication during pregnancy14. Participant rational for their individual decision will be recorded and the appropriate amount of PO medication will be prescribed by the in-person provider or if via telemedicine, in collaboration with in-person obstetric provider. Use of POs from other providers will be carefully monitored and tracked at each weekly visit using the Prescription Drug Monitoring Program (PDMP) database and review of the EMR (see Safety Measures). Following each weekly treatment session, the participants will complete online assessments (see primary outcome assessments below) via a Redcap survey.

Follow-up: Women will be asked to continue their daily ratings for one month after completing the 8 week treatment. They will also be asked to complete an online assessment (see primary outcome assessments below) via a Redcap survey at one month post-treatment. At 6 weeks postpartum, women will be asked to complete their final online assessment (see primary outcome assessments below) via a Redcap survey.

Study Type

Study Type

Describes the nature of a clinical study. Study types include interventional studies (also called clinical trials), observational studies (including patient registries), and expanded access.
Interventional

Enrollment (Actual)

Enrollment

The number of participants in a clinical study. The "anticipated" enrollment is the target number of participants that the researchers need for the study.
10

Phase

Phase

The stage of a clinical trial studying a drug or biological product, based on definitions developed by the U.S. Food and Drug Administration (FDA). The phase is based on the study's objective, the number of participants, and other characteristics. There are five phases: Early Phase 1 (formerly listed as Phase 0), Phase 1, Phase 2, Phase 3, and Phase 4. Not Applicable is used to describe trials without FDA-defined phases, including trials of devices or behavioral interventions.
  • Not Applicable

Contacts and Locations

This section provides the contact details for those conducting the study, and information on where this study is being conducted.

Study Locations

  • United States
    • South Carolina
      • Charleston, South Carolina, United States, 29405
        • The Medical University of South Carolina

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.

Eligibility Criteria

Eligibility Criteria

The key requirements that people who want to participate in a clinical study must meet or the characteristics they must have. Eligibility criteria consist of both inclusion criteria (which are required for a person to participate in the study) and exclusion criteria (which prevent a person from participating). Types of eligibility criteria include whether a study accepts healthy volunteers, has age or age group requirements, or is limited by sex.

Ages Eligible for Study

18 years to 45 years (Adult)

Accepts Healthy Volunteers

No

Genders Eligible for Study

Female

Description

Inclusion Criteria:

  • Adult females, any race or ethnicity, age 18-45 years.
  • Pregnant and receiving prenatal care
  • Willing to consider a decrease in their dose of their prescription opioid medication.
  • Does not meet DSM-V criteria for a Substance Use Disorder.
  • Able to comprehend English.
  • Able to provide informed consent.

Exclusion Criteria:

  • Unable to provide informed consent.
  • Not currently pregnant, or receiving prenatal care
  • Not currently taking a prescription opioid medication during pregnancy.
  • Unwilling to consider a reduction in their prescription opioid medication dose.
  • Meets DSM-V criteria for a Substance Use Disorder.
  • Participation is not recommended by the participant's primary obstetrician

Study Plan

This section provides details of the study plan, including how the study is designed and what the study is measuring.

How is the study designed?

Design Details

  • Primary Purpose: Treatment
  • Allocation: N/A
  • Interventional Model: Single Group Assignment
  • Masking: None (Open Label)

Arms and Interventions

Participant Group / Arm

Participant Group / Arm

A group or subgroup of participants in a clinical trial that receives a specific intervention/treatment, or no intervention, according to the trial's protocol.
Intervention / Treatment

Intervention / Treatment

A process or action that is the focus of a clinical study. Interventions include drugs, medical devices, procedures, vaccines, and other products that are either investigational or already available. Interventions can also include noninvasive approaches, such as education or modifying diet and exercise.
Other: CBT for Chronic Pain
single arm open-label design
Behavioral: CBT for Chronic Pain in Pregnancy
The content will be included in 8 weekly sessions, i.e., sessions 1-3 ("Education on chronic pain", "Theories of pain and diaphragmatic breathing" and "Progressive muscle relaxation and visual imagery"), sessions 4 and 5 ("Automatic thoughts and pain" and "Cognitive restructuring"), sessions 7, 8 and 10 ("Pleasant activity scheduling", "Time-based pacing" and "Sleep hygiene"), sessions 6 and 9 ("Stress management" and "Anger management"). Following this content, 1-2 sessions will be dedicated to review and reinforcement of key concepts or addressing any "stuck points" as well as cover content in session 11 ("Relapse Prevention"). The last session of therapy would include a review of achievements and commitment to continued application of CBT for chronic pain in participants daily lives.

What is the study measuring?

Primary Outcome Measures

Primary Outcome Measures

In a clinical study's protocol, the planned outcome measure that is the most important for evaluating the effect of an intervention/treatment. Most clinical studies have one primary outcome measure, but some have more than one.
Outcome Measure
Measure Description
Time Frame
Brief Pain Inventory (BPI)
Time Frame: change from baseline in BPI at 8 weeks, 1 month post treatment, and 6 weeks postpartum
Pain Severity and Functioning
change from baseline in BPI at 8 weeks, 1 month post treatment, and 6 weeks postpartum
Current Opioid Misuse Measure (COMM)
Time Frame: change from baseline in COMM at 8 weeks, 1 month post treatment, and 6 weeks postpartum
opioid misuse behaviors
change from baseline in COMM at 8 weeks, 1 month post treatment, and 6 weeks postpartum
Current Opioid Dose
Time Frame: change from baseline in current opioid dose at 8 weeks, 1 month post treatment, and 6 weeks postpartum
Use of opioid medications in pregnancy
change from baseline in current opioid dose at 8 weeks, 1 month post treatment, and 6 weeks postpartum

Collaborators and Investigators

This is where you will find people and organizations involved with this study.

Sponsor

Sponsor

The organization or person who initiates the study and who has authority and control over the study.
Medical University of South Carolina

Publications and helpful links

The person responsible for entering information about the study voluntarily provides these publications. These may be about anything related to the study.

General Publications

Study record dates

These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.

Study Major Dates

Study Start (Actual)

Study Start

The actual date on which the first participant was enrolled in a clinical study. The "anticipated" study start date is the date that the researchers think will be the study start date.
July 1, 2016

Primary Completion (Actual)

Primary Completion

The date on which the last participant in a clinical study was examined or received an intervention to collect final data for the primary outcome measure. Whether the clinical study ended according to the protocol or was terminated does not affect this date. For clinical studies with more than one primary outcome measure with different completion dates, this term refers to the date on which data collection is completed for all the primary outcome measures. The "anticipated" primary completion date is the date that the researchers think will be the primary completion date for the study.
January 1, 2019

Study Completion (Actual)

Study Completion

The date on which the last participant in a clinical study was examined or received an intervention/treatment to collect final data for the primary outcome measures, secondary outcome measures, and adverse events (that is, the last participant's last visit). The "anticipated" study completion date is the date that the researchers think will be the study completion date.
July 1, 2019

Study Registration Dates

First Submitted

First Submitted

The date on which the study sponsor or investigator first submitted a study record to ClinicalTrials.gov. There is typically a delay of a few days between the first submitted date and the record's availability on ClinicalTrials.gov (the first posted date).
May 10, 2016

First Submitted That Met QC Criteria

First Submitted That Met QC Criteria

The date on which the study sponsor or investigator first submits a study record that is consistent with National Library of Medicine (NLM) quality control (QC) review criteria. The sponsor or investigator may need to revise and submit a study record one or more times before NLM's QC review criteria are met. It is the responsibility of the sponsor or investigator to ensure that the study record is consistent with the NLM QC review criteria.
June 14, 2016

First Posted (Estimate)

First Posted

The date on which the study record was first available on ClinicalTrials.gov after National Library of Medicine (NLM) quality control (QC) review has concluded. There is typically a delay of a few days between the date the study sponsor or investigator submitted the study record and the first posted date.
June 17, 2016

Study Record Updates

Last Update Posted (Actual)

Last Update Posted

The most recent date on which changes to a study record were made available on ClinicalTrials.gov. There may be a delay between when the changes were submitted to ClinicalTrials.gov by the study's sponsor or investigator (the last update submitted date) and the last update posted date.
April 6, 2022

Last Update Submitted That Met QC Criteria

Last Update Submitted That Met QC Criteria

The most recent date on which the study sponsor or investigator submitted changes to a study record that are consistent with National Library of Medicine (NLM) quality control (QC) review criteria. It is the responsibility of the sponsor or investigator to ensure that the study record is consistent with the NLM QC review criteria.
April 4, 2022

Last Verified

Last Verified

The most recent date on which the study sponsor or investigator confirmed the information about a clinical study on ClinicalTrials.gov as accurate and current. If a study with a recruitment status of recruiting; not yet recruiting; or active, not recruiting has not been confirmed within the past 2 years, the study's recruitment status is shown as unknown.
April 1, 2022

More Information

Terms related to this study

Keywords

Additional Relevant MeSH Terms

Other Study ID Numbers

Other Study ID Numbers

Identifiers or ID numbers other than the NCT number that are assigned to a clinical study by the study's sponsor, funders, or others. These numbers may include unique identifiers from other trial registries and National Institutes of Health grant numbers.
  • 1K23DA039318-01 (U.S. NIH Grant/Contract)

Plan for Individual participant data (IPD)

Plan to Share Individual Participant Data (IPD)?

No

Drug and device information, study documents

Studies a U.S. FDA-regulated drug product

No

Studies a U.S. FDA-regulated device product

No

This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.

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