Identifying microRNA biomarkers for infants with opioid withdrawal
Official title: Understanding the microRNA Response to Opioid Withdrawal and Their Uses as Potential Biomarkers for Neonatal Abstinence Syndrome
Run by Milton S. Hershey Medical Center · NCT05937594 · Data updated 2026-11-12
This study is trying to see if certain tiny molecules in the saliva of newborns exposed to opioids can help predict their treatment needs and development outcomes.
Quick facts
| Study type | Observational |
|---|---|
| Ages | 1 Day to 5 Days |
| Sex | All |
| Enrollment | 50 (estimated) |
| Sponsor | Milton S. Hershey Medical Center Academic / other |
| Locations | 1 site (Hershey, Pennsylvania) |
| Status | Recruiting |
| Started | January 15, 2020 |
| Main results expected | December 10, 2026 |
| Study ends | April 10, 2027 |
| Registry record updated | February 10, 2026 |
| Trial ID | NCT05937594 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Ideal candidates for this study are newborns born at or transferred to Penn State Hershey Medical Center who have chronic in-utero opioid exposure and are at least 35 weeks gestation.
✕Probably not a fit
Patients who are less than 35 weeks gestation or have major congenital anomalies will not benefit from this study.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
This observational study aims to explore the molecular mechanisms behind Neonatal Opioid Withdrawal Syndrome (NAS) by focusing on specific microRNAs that respond to opioid exposure. It will involve collecting buccal swab saliva samples from newborns with chronic in-utero opioid exposure to analyze the levels of candidate microRNAs. The study seeks to determine if these microRNA levels can predict treatment needs and neurodevelopmental outcomes in affected infants. By enhancing our understanding of NAS biology, the research aims to improve individualized care for these vulnerable patients.
Why it matters
Potential benefit: If successful, this study could lead to more accurate assessments and tailored treatments for infants suffering from Neonatal Opioid Withdrawal Syndrome.
How similar studies have gone: While the approach of using microRNA biomarkers in this context is innovative, similar studies have shown promise in understanding the biological mechanisms of opioid exposure in other populations.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion Criteria: * Newborns ≥35weeks gestation with chronic in-utero opioid exposure (\>1month of gestation exposure). Maternal exposure will be determined by evaluating the medical records for maternal medication use, maternal urine toxicology and neonatal meconium toxicology results per standard clinical care * Neonates born at Penn State Hershey Medical Center or transferred at \<48 hours after birth * Mothers with chronic in-utero opioid use during pregnancy ( ≥1month of gestation) Exclusion Criteria: * \<35 week gestation * Infant required mechanical ventilation or non-invasive mechanical support * Infant exposure to magnesium sulfate * Opioid-exposed neonates who are actively receiving dextrose infusion for persistent neonatal hypoglycemia at the time of enrollment (\<48hours after birth). * Infant with major congenital anomalies * Parent or guardian unable to provide consent * Mothers and neonates without history of opioid exposure/dependence
Where it's running
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Penn State Milton S. Hershey Medical Center
Hershey, Pennsylvania, United States Recruiting
Study contacts
- Principal investigator: Steven D. Hicks, MD, PhD — Associate Professor of Pediatrics
- Study coordinator: Rhea E Sullivan, B.S.
- Email: rsullivan2@pennstatehealth.psu.edu
- Phone: 717-531-0003
Similar studies
Other studies for the same condition or treatment. Recruiting studies are listed first.
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Brain blood flow and oxygen use in newborns with prenatal opioid exposure
The study tests a new optical device to see if brain blood flow and oxygen use differ in newborns exposed to opioids before birth compared with unexposed newborns.
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Comparing buprenorphine and morphine for newborn opioid withdrawal recovery
This study will compare buprenorphine and morphine to see if one helps newborns (born at or after 36 weeks) with neonatal opioid withdrawal recover and become ready to go home sooner.
-
Improving care for mothers with opioid use disorder and their infants in NICUs
This study is trying to see if a new treatment plan for mothers with opioid use disorder can help them and their babies in the NICU feel better and get the care they need.
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Improving care for babies with Neonatal Abstinence Syndrome through mother-baby rooming-in
This study is testing if keeping mothers and their babies together in the hospital can help infants with Neonatal Abstinence Syndrome spend less time in the NICU and improve care for both.
How to take part
- Review the eligibility criteria above with your treating physician.
- Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
- Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.