Clinical trial Recruiting at 1 site Observational Ages 1 Day to 5 Days

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.

More Neonatal Opioid Withdrawal Syndrome trials

Quick facts

Study typeObservational
Ages1 Day to 5 Days
SexAll
Enrollment50 (estimated)
SponsorMilton S. Hershey Medical Center
Academic / other
Locations1 site (Hershey, Pennsylvania)
StatusRecruiting
StartedJanuary 15, 2020
Main results expectedDecember 10, 2026
Study endsApril 10, 2027
Registry record updatedFebruary 10, 2026
Trial IDNCT05937594 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

  • Penn State Milton S. Hershey Medical Center
    Hershey, Pennsylvania, United States
    Recruiting

Study contacts

Similar studies

Other studies for the same condition or treatment. Recruiting studies are listed first.

How to take part

  1. Review the eligibility criteria above with your treating physician.
  2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
  3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.
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.