NIH-funded research R01 grant

Comparing safety and effectiveness of opioid-use disorder medicines for pregnant people

Official title: The Comparative Effectiveness and Safety of Pharmacotherapies for the Treatment of Opioid Use Disorder in Pregnancy

Funded at Brigham and Women's Hospital · NIH-11358414 · Data updated 2026-11-12

This project looks at how different medications for opioid use disorder work for people who are pregnant, aiming to understand which options are safer and more effective for both mom and baby.

More Pregnancy research and trials

Quick facts

Grant typeR01 grant
Study typeNIH-funded research
Funding institutionBrigham and Women's Hospital
NIH-funded
Lab location1 site (Boston, United States)
Project startApril 1, 2020
Project endMay 31, 2029
Funding year2026
Award (this year)$751,816
NIH project number5R01DA049822-07
Project IDNIH-11358414 on NIH RePORTER

Who could benefit from this research

Could help

Pregnant individuals diagnosed with opioid use disorder who are receiving or considering medications for MOUD.

Less likely to help

Pregnant individuals without opioid use disorder or those not considering MOUD may not benefit from these findings.

What this research studies

This grant studies pregnant patients with opioid use disorder to compare different MOUD options and their outcomes for mothers and newborns. It builds on prior findings that buprenorphine may be linked to certain better neonatal outcomes but notes challenges with staying in treatment after delivery. The study will examine co-exposures to other psychotropic medicines and non-opioid substance use, and how these affect treatment safety and effectiveness. Results could guide clinicians on choosing MOUD strategies that improve retention and reduce adverse neonatal events.

Why it matters

Potential benefit: If successful, the findings could help clinicians tailor MOUD choices for pregnant people to improve maternal health and birth outcomes.

How similar studies have gone: Previous studies suggest differing neonatal outcomes between buprenorphine and methadone, with ongoing questions about postpartum retention and safety.

Where this research is happening

  • Brigham and Women's Hospital
    Boston, United States
    Active

Researchers

  • Principal investigator: Huybrechts, Krista F — Brigham and Women's Hospital
  • Study coordinator: Huybrechts, Krista F

Related research

Other NIH-funded projects on the same topics.

  • Big data insights to improve opioid-use disorder treatment during pregnancy

    A skilled clinician-researcher is using large health data to understand which FDA-approved meds for opioid use disorder work best for pregnant people and how access to care affects safety and outcomes.

    NIH research Washington University · Saint Louis, United States · NIH-11381804

  • Fetal brain health markers in pregnant people exposed to opioids

    A study of fetal brain health using baby’s circulating RNA carriers in the blood of pregnant people with opioid exposure to help identify which infants may need early treatment.

    NIH research University of Washington · Seattle, United States · NIH-11377012

  • Comparing treatments for opioid use disorder in pregnant women

    This study is looking at how well different medications for opioid use disorder work and how safe they are for pregnant women and their babies, with the goal of finding better ways to support moms-to-be who are dealing with this issue.

    NIH research Brigham and Women's Hospital · Boston, United States · NIH-11194370

  • Understanding Fetal Brain Health in Pregnancies with Opioid Use

    This research aims to find ways to predict which babies exposed to opioids during pregnancy might develop Neonatal Abstinence Syndrome (NAS) by looking at tiny particles from the baby's brain in the mother's blood.

    NIH research University of Washington · Seattle, United States · NIH-11117160

  • Improving treatment for pregnant women with opioid use disorder in jails

    This study is working to make sure that pregnant women in jail who are dealing with opioid use disorder get the right medication and care they need, so both they and their babies can be healthier.

    NIH research Johns Hopkins University · Baltimore, United States · NIH-11045721

  • Optimizing opioid treatment for pregnant individuals using big data

    This study is looking at how to make treatment for opioid use disorder better for pregnant people, especially in Black communities, by checking how well medications like buprenorphine and methadone are prescribed and used.

    NIH research Washington University · Saint Louis, United States · NIH-10948171

About this research

  1. This is an active NIH-funded research project — typically early-stage science, not a clinical trial accepting patient enrollment.
  2. Some NIH-funded labs run parallel clinical studies or seek volunteers for related work. To check, contact the principal investigator or institution listed above.
  3. For full project details, budget, and progress reports, visit the official NIH RePORTER page.
Last reviewed 2026-11-14 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.