Pharmacokinetics and Safety of Commonly Used Drugs in Lactating Women and Breastfed Infants
2 other identifiers
observational
1,600
2 countries
22
Brief Summary
Over half of women in the US who are breastfeeding their infants take prescription drugs. You are being asked to participate in this study because you are breastfeeding your infant and are currently taking, as part of your medical care, at least one of the drugs we are studying. We are interested in studying drugs commonly prescribed to women who are breastfeeding so we can learn more about the amount of drug that is transferred to breastmilk and estimate how much of drug that is consumed by breastfed infants.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for all trials
Started Oct 2018
Longer than P75 for all trials
22 active sites
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
Click on a node to explore related trials.
Study Timeline
Key milestones and dates
First Submitted
Initial submission to the registry
April 23, 2018
CompletedFirst Posted
Study publicly available on registry
April 27, 2018
CompletedStudy Start
First participant enrolled
October 4, 2018
CompletedPrimary Completion
Last participant's last visit for primary outcome
July 23, 2027
ExpectedStudy Completion
Last participant's last visit for all outcomes
July 31, 2028
April 24, 2026
April 1, 2026
8.8 years
April 23, 2018
April 23, 2026
Conditions
Outcome Measures
Primary Outcomes (4)
M/P ratio
Characterize the pharmacokinetics using maternal milk/plasma exposure ratio is calculated by dividing the BMS01 drug of interest breastmilk concentration by the BMS01 drug of interest in maternal plasma concentration.
Until the infant becomes 180 days of age
DID
Pharmacokinetics is characterized by estimated daily infant dose-daily infant dose which estimates the quantity of drug delivered to an infant via breastmilk in a given day.
Until the infant becomes 180 days of age
RID
Pharmacokinetics is characterized by relative infant dose is a method of relating the potential dose of the drug delivered to the infant to the typical therapeutic dose given to the mother.
Until the infant becomes 180 days of age
I/M ratio
Pharmacokinetics is characterized using infant maternal/exposure ratio. IM ratio is calculated using the average infant plasma concentration of the BMS01 drug of interest and historical value of clearance in infants.
Until the infant becomes 180 days of age
Secondary Outcomes (4)
Safety profile of commonly used drugs in infants exposed to drugs in breastmilk
Until the infant becomes 180 days of age
AE
Up until 180 days of age
SAE
Up until 180 days of age
ESI
Until the infant becomes 180 days of age
Study Arms (38)
Tranexamic acid (TXA)
No intervention, observational study and PK collections The study objectives are to characterize the PK and safety profile of DOIs that are commonly administered to lactating women. The primary focus of this analysis will be to determine drug concentrations in breastmilk and to estimate the relative infant dose.
labetalol
No intervention, observational study and PK collections The study objectives are to characterize the PK and safety profile of DOIs that are commonly administered to lactating women. The primary focus of this analysis will be to determine drug concentrations in breastmilk and to estimate the relative infant dose.
metformin
No intervention, observational study and PK collections The study objectives are to characterize the PK and safety profile of DOIs that are commonly administered to lactating women. The primary focus of this analysis will be to determine drug concentrations in breastmilk and to estimate the relative infant dose.
nifedipine
No intervention, observational study and PK collections The study objectives are to characterize the PK and safety profile of DOIs that are commonly administered to lactating women. The primary focus of this analysis will be to determine drug concentrations in breastmilk and to estimate the relative infant dose.
clindamycin
No intervention, observational study and PK collections The study objectives are to characterize the PK and safety profile of DOIs that are commonly administered to lactating women. The primary focus of this analysis will be to determine drug concentrations in breastmilk and to estimate the relative infant dose.
oxycodone
No intervention, observational study and PK collections The study objectives are to characterize the PK and safety profile of DOIs that are commonly administered to lactating women. The primary focus of this analysis will be to determine drug concentrations in breastmilk and to estimate the relative infant dose.
azithromycin
No intervention, observational study and PK collections The study objectives are to characterize the PK and safety profile of DOIs that are commonly administered to lactating women. The primary focus of this analysis will be to determine drug concentrations in breastmilk and to estimate the relative infant dose.
escitalopram
No intervention, observational study and PK collections The study objectives are to characterize the PK and safety profile of DOIs that are commonly administered to lactating women. The primary focus of this analysis will be to determine drug concentrations in breastmilk and to estimate the relative infant dose.
sertraline
No intervention, observational study and PK collections The study objectives are to characterize the PK and safety profile of DOIs that are commonly administered to lactating women. The primary focus of this analysis will be to determine drug concentrations in breastmilk and to estimate the relative infant dose.
ondansetron
No intervention, observational study and PK collections The study objectives are to characterize the PK and safety profile of DOIs that are commonly administered to lactating women. The primary focus of this analysis will be to determine drug concentrations in breastmilk and to estimate the relative infant dose.
Ciprofloxacin
No intervention, observational study and PK collections The study objectives are to characterize the PK and safety profile of DOIs that are commonly administered to lactating women. The primary focus of this analysis will be to determine drug concentrations in breastmilk and to estimate the relative infant dose.
Doxycycline
No intervention, observational study and PK collections The study objectives are to characterize the PK and safety profile of DOIs that are commonly administered to lactating women. The primary focus of this analysis will be to determine drug concentrations in breastmilk and to estimate the relative infant dose.
Levofloxacin
No intervention, observational study and PK collections The study objectives are to characterize the PK and safety profile of DOIs that are commonly administered to lactating women. The primary focus of this analysis will be to determine drug concentrations in breastmilk and to estimate the relative infant dose.
Methylphenidate
No intervention, observational study and PK collections The study objectives are to characterize the PK and safety profile of DOIs that are commonly administered to lactating women. The primary focus of this analysis will be to determine drug concentrations in breastmilk and to estimate the relative infant dose.
Sumatriptan
No intervention, observational study and PK collections The study objectives are to characterize the PK and safety profile of DOIs that are commonly administered to lactating women. The primary focus of this analysis will be to determine drug concentrations in breastmilk and to estimate the relative infant dose.
Citalopram
No intervention, observational study and PK collections The study objectives are to characterize the PK and safety profile of DOIs that are commonly administered to lactating women. The primary focus of this analysis will be to determine drug concentrations in breastmilk and to estimate the relative infant dose.
Cyclobenzaprine
No intervention, observational study and PK collections The study objectives are to characterize the PK and safety profile of DOIs that are commonly administered to lactating women. The primary focus of this analysis will be to determine drug concentrations in breastmilk and to estimate the relative infant dose.
Furosemide
No intervention, observational study and PK collections The study objectives are to characterize the PK and safety profile of DOIs that are commonly administered to lactating women. The primary focus of this analysis will be to determine drug concentrations in breastmilk and to estimate the relative infant dose.
Gabapentin
No intervention, observational study and PK collections The study objectives are to characterize the PK and safety profile of DOIs that are commonly administered to lactating women. The primary focus of this analysis will be to determine drug concentrations in breastmilk and to estimate the relative infant dose.
Hydrochlorothiazide
No intervention, observational study and PK collections The study objectives are to characterize the PK and safety profile of DOIs that are commonly administered to lactating women. The primary focus of this analysis will be to determine drug concentrations in breastmilk and to estimate the relative infant dose.
Hydroxyurea
No intervention, observational study and PK collections The study objectives are to characterize the PK and safety profile of DOIs that are commonly administered to lactating women. The primary focus of this analysis will be to determine drug concentrations in breastmilk and to estimate the relative infant dose.
Rosuvastatin
No intervention, observational study and PK collections The study objectives are to characterize the PK and safety profile of DOIs that are commonly administered to lactating women. The primary focus of this analysis will be to determine drug concentrations in breastmilk and to estimate the relative infant dose.
Topiramate
No intervention, observational study and PK collections The study objectives are to characterize the PK and safety profile of DOIs that are commonly administered to lactating women. The primary focus of this analysis will be to determine drug concentrations in breastmilk and to estimate the relative infant dose.
Trazodone
No intervention, observational study and PK collections The study objectives are to characterize the PK and safety profile of DOIs that are commonly administered to lactating women. The primary focus of this analysis will be to determine drug concentrations in breastmilk and to estimate the relative infant dose.
Valganciclovir
No intervention, observational study and PK collections The study objectives are to characterize the PK and safety profile of DOIs that are commonly administered to lactating women. The primary focus of this analysis will be to determine drug concentrations in breastmilk and to estimate the relative infant dose.
Venlafaxine
No intervention, observational study and PK collections The study objectives are to characterize the PK and safety profile of DOIs that are commonly administered to lactating women. The primary focus of this analysis will be to determine drug concentrations in breastmilk and to estimate the relative infant dose.
Verapamil
No intervention, observational study and PK collections The study objectives are to characterize the PK and safety profile of DOIs that are commonly administered to lactating women. The primary focus of this analysis will be to determine drug concentrations in breastmilk and to estimate the relative infant dose.
Remdesivir
No intervention, observational study and PK collections The study objectives are to characterize the PK and safety profile of DOIs that are commonly administered to lactating women. The primary focus of this analysis will be to determine drug concentrations in breastmilk and to estimate the relative infant dose.
Anakinra
No intervention, observational study and PK collections The study objectives are to characterize the PK and safety profile of DOIs that are commonly administered to lactating women. The primary focus of this analysis will be to determine drug concentrations in breastmilk and to estimate the relative infant dose.
Tocilizumab
No intervention, observational study and PK collections The study objectives are to characterize the PK and safety profile of DOIs that are commonly administered to lactating women. The primary focus of this analysis will be to determine drug concentrations in breastmilk and to estimate the relative infant dose.
Fluvoxamine
No intervention, observational study and PK collections The study objectives are to characterize the PK and safety profile of DOIs that are commonly administered to lactating women. The primary focus of this analysis will be to determine drug concentrations in breastmilk and to estimate the relative infant dose.
Amoxicillin
No intervention, observational study and PK collections The study objectives are to characterize the PK and safety profile of DOIs that are commonly administered to lactating women. The primary focus of this analysis will be to determine drug concentrations in breastmilk and to estimate the relative infant dose.
Bupropion
No intervention, observational study and PK collections The study objectives are to characterize the PK and safety profile of DOIs that are commonly administered to lactating women. The primary focus of this analysis will be to determine drug concentrations in breastmilk and to estimate the relative infant dose.
Buprenorphine
No intervention, observational study and PK collections The study objectives are to characterize the PK and safety profile of DOIs that are commonly administered to lactating women. The primary focus of this analysis will be to determine drug concentrations in breastmilk and to estimate the relative infant dose.
Hydrocodone
No intervention, observational study and PK collections The study objectives are to characterize the PK and safety profile of DOIs that are commonly administered to lactating women. The primary focus of this analysis will be to determine drug concentrations in breastmilk and to estimate the relative infant dose.
Levetiracetam
No intervention, observational study and PK collections The study objectives are to characterize the PK and safety profile of DOIs that are commonly administered to lactating women. The primary focus of this analysis will be to determine drug concentrations in breastmilk and to estimate the relative infant dose.
Paroxetine
No intervention, observational study and PK collections The study objectives are to characterize the PK and safety profile of DOIs that are commonly administered to lactating women. The primary focus of this analysis will be to determine drug concentrations in breastmilk and to estimate the relative infant dose.
Duloxetine
No intervention, observational study and PK collections The study objectives are to characterize the PK and safety profile of DOIs that are commonly administered to lactating women. The primary focus of this analysis will be to determine drug concentrations in breastmilk and to estimate the relative infant dose.
Interventions
Understudied drugs will be administered in accordance with local SOC as prescribed by the lactating woman's healthcare provider.
Understudied drugs will be administered in accordance with local SOC as prescribed by the lactating woman's healthcare provider.
Understudied drugs will be administered in accordance with local SOC as prescribed by the lactating woman's healthcare provider.
Understudied drugs will be administered in accordance with local SOC as prescribed by the lactating woman's healthcare provider.
Understudied drugs will be administered in accordance with local SOC as prescribed by the lactating woman's healthcare provider.
Understudied drugs will be administered in accordance with local SOC as prescribed by the lactating woman's healthcare provider.
Understudied drugs will be administered in accordance with local SOC as prescribed by the lactating woman's healthcare provider.
Understudied drugs will be administered in accordance with local SOC as prescribed by the lactating woman's healthcare provider.
Understudied drugs will be administered in accordance with local SOC as prescribed by the lactating woman's healthcare provider.
Understudied drugs will be administered in accordance with local SOC as prescribed by the lactating woman's healthcare provider.
Understudied drugs will be administered in accordance with local SOC as prescribed by the lactating woman's healthcare provider.
Understudied drugs will be administered in accordance with local SOC as prescribed by the lactating woman's healthcare provider.
Understudied drugs will be administered in accordance with local SOC as prescribed by the lactating woman's healthcare provider.
Understudied drugs will be administered in accordance with local SOC as prescribed by the lactating woman's healthcare provider.
Understudied drugs will be administered in accordance with local SOC as prescribed by the lactating woman's healthcare provider.
Understudied drugs will be administered in accordance with local SOC as prescribed by the lactating woman's healthcare provider.
Understudied drugs will be administered in accordance with local SOC as prescribed by the lactating woman's healthcare provider.
Understudied drugs will be administered in accordance with local SOC as prescribed by the lactating woman's healthcare provider.
Understudied drugs will be administered in accordance with local SOC as prescribed by the lactating woman's healthcare provider.
Understudied drugs will be administered in accordance with local SOC as prescribed by the lactating woman's healthcare provider.
Understudied drugs will be administered in accordance with local SOC as prescribed by the lactating woman's healthcare provider.
Understudied drugs will be administered in accordance with local SOC as prescribed by the lactating woman's healthcare provider.
Understudied drugs will be administered in accordance with local SOC as prescribed by the lactating woman's healthcare provider.
Understudied drugs will be administered in accordance with local SOC as prescribed by the lactating woman's healthcare provider.
Understudied drugs will be administered in accordance with local SOC as prescribed by the lactating woman's healthcare provider.
Understudied drugs will be administered in accordance with local SOC as prescribed by the lactating woman's healthcare provider.
Understudied drugs will be administered in accordance with local SOC as prescribed by the lactating woman's healthcare provider.
Understudied drugs will be administered in accordance with local SOC as prescribed by the lactating woman's healthcare provider.
Understudied drugs will be administered in accordance with local SOC as prescribed by the lactating woman's healthcare provider.
Understudied drugs will be administered in accordance with local SOC as prescribed by the lactating woman's healthcare provider.
Understudied drugs will be administered in accordance with local SOC as prescribed by the lactating woman's healthcare provider.
Understudied drugs will be administered in accordance with local SOC as prescribed by the lactating woman's healthcare provider.
Understudied drugs will be administered in accordance with local SOC as prescribed by the lactating woman's healthcare provider.
Understudied drugs will be administered in accordance with local SOC as prescribed by the lactating woman's healthcare provider.
Understudied drugs will be administered in accordance with local SOC as prescribed by the lactating woman's healthcare provider.
Understudied drugs will be administered in accordance with local SOC as prescribed by the lactating woman's healthcare provider.
Understudied drugs will be administered in accordance with local SOC as prescribed by the lactating woman's healthcare provider.
Understudied drugs will be administered in accordance with local SOC as prescribed by the lactating woman's healthcare provider.
Eligibility Criteria
Lactating women receiving DOIs per SOC, as prescribed by their healthcare providers, and their breastfed infants.
You may qualify if:
- Lactating women who are receiving at least one DOI per SOC who are ≤180 days postpartum, and their infants (≤180 days of age) who receive maternal breastmilk.
- Informed consent/HIPAA obtained, according to local IRB/REB/IEC guidelines, prior to any study-related procedures. Lactating women who are not legal adults and their breastfed infants may be enrolled if they assent to participate in the study and consent is obtained from their legal guardian according to local IRB/REB/IEC guidelines.
You may not qualify if:
- Any concomitant condition which, in the opinion of the physicians providing patient care or the principal investigator conducting the study, would preclude a subject's participation in the study.
- Known pregnancy during PK sampling.
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (22)
University of California-San Diego Medical Center
La Jolla, California, 92093, United States
Loma Linda University Health
Loma Linda, California, 92354, United States
Northwestern University
Chicago, Illinois, 60611, United States
Ann and Robert H. Lurie Childrens Hospital of Chicago
Chicago, Illinois, 60614, United States
Indiana University Health
Indianapolis, Indiana, 46202, United States
University of Iowa Hospitals and Clinics
Iowa City, Iowa, 52242, United States
Children's Hospital and Clinics - Minneapolis
Minneapolis, Minnesota, 55404, United States
University of New Mexico, Health Sciences Center
Albuquerque, New Mexico, 87131, United States
University of North Carolina Hospital
Chapel Hill, North Carolina, 27599, United States
Duke University Maternal and Fetal Medicine
Durham, North Carolina, 27705, United States
Oregon Health & Science University
Portland, Oregon, 97239, United States
Hospital of the University of Pennsylvania Department of Maternal Fetal Medicine
Philadelphia, Pennsylvania, 19104, United States
University of Pittsburgh School of Medicine
Pittsburgh, Pennsylvania, 15213, United States
Texas Tech University Health Sciences Center School of Medicine.
Amarillo, Texas, 79106, United States
University of Texas Medical Branch - Galveston
Galveston, Texas, 77555, United States
University of Texas Health Science Center at Houston
Houston, Texas, 77030, United States
The Women's Hospital of Texas
Houston, Texas, 77054, United States
University of Texas Health Science Center
San Antonio, Texas, 78229, United States
University of Utah
Salt Lake City, Utah, 84132, United States
University of Washington
Seattle, Washington, 98195-7630, United States
Lawson Health Research Institute
London, Ontario, N6A 5W9, Canada
Centre Hospitalier Universitaire Sainte-Justine
Montreal, Quebec, H3T IC5, Canada
Related Publications (1)
Job KM, Dallmann A, Parry S, Saade G, Haas DM, Hughes B, Berens P, Chen JY, Fu C, Humphrey K, Hornik C, Balevic S, Zimmerman K, Watt K. Development of a Generic Physiologically-Based Pharmacokinetic Model for Lactation and Prediction of Maternal and Infant Exposure to Ondansetron via Breast Milk. Clin Pharmacol Ther. 2022 May;111(5):1111-1120. doi: 10.1002/cpt.2530. Epub 2022 Mar 5.
PMID: 35076931DERIVED
Biospecimen
Leftover specimens will be sent to NICHD repository for unknown future use
MeSH Terms
Interventions
Intervention Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Samia Aleem, MD
Duke University
Central Study Contacts
Study Design
- Study Type
- observational
- Observational Model
- OTHER
- Time Perspective
- PROSPECTIVE
- Sponsor Type
- OTHER
- Responsible Party
- PRINCIPAL INVESTIGATOR
- PI Title
- Associate Professor of Pediatrics
Study Record Dates
First Submitted
April 23, 2018
First Posted
April 27, 2018
Study Start
October 4, 2018
Primary Completion (Estimated)
July 23, 2027
Study Completion (Estimated)
July 31, 2028
Last Updated
April 24, 2026
Record last verified: 2026-04
Data Sharing
- IPD Sharing
- Will not share