Cardiovascular Effects of Prenatal Methamphetamine Exposure
1 other identifier
observational
26
1 country
2
Brief Summary
Methamphetamine (MA) is one of the commonly used drugs during pregnancy. Cardiovascular effects of MA include elevated blood pressure, acute vasospasm, atherosclerotic disease, structural and electrical remodeling of cardiac tissue leading to arrhythmias and heart failure, and pulmonary hypertension.1 In addition, MA can cause neurotoxicity with harmful effects on neurodevelopment in the children who had prenatal exposure.5-8 Currently neonatal providers do not perform detailed cardiovascular evaluation in newborn period or long term neurodevelopmental assessments as outpatient for the newly born infants with prenatal exposure to MA, and they do not qualify for early intervention. The goal of the investigators is to perform detailed cardiovascular evaluation in neonatal period and estimate baseline prevalences and follow up with developmental and cardiovascular assessment using a questionnaire at 12 months in a cohort of neonates enriched with those who had prenatal exposure to MA.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at below P25 for all trials
Started Oct 2020
Typical duration for all trials
2 active sites
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
Study Start
First participant enrolled
October 5, 2020
CompletedFirst Submitted
Initial submission to the registry
October 8, 2020
CompletedFirst Posted
Study publicly available on registry
November 5, 2020
CompletedPrimary Completion
Last participant's last visit for primary outcome
June 30, 2023
CompletedStudy Completion
Last participant's last visit for all outcomes
June 30, 2023
CompletedNovember 1, 2024
October 1, 2024
2.7 years
October 8, 2020
October 30, 2024
Conditions
Keywords
Outcome Measures
Primary Outcomes (2)
Estimation of prevalence of MA use among births
Through study completion, an average of 2 years.
Evaluation of effects of prenatal MA exposure on neonatal cardiovascular status.
Perfusion index by pulse-oximeter, heart function by echocardiogram, EKG and detailed cardiac exam in the newborn period between 24-48 hours after birth.
Through study completion, an average of 2 years.
Secondary Outcomes (1)
Infant's neurodevelopmental outcome and general assessment at 12 months of age.
Through study completion, an average of 2 years.
Study Arms (2)
Methamphetamine exposed
Infants born to mothers with prenatal history of MA use during current pregnancy and/or positive meconium toxicology positive for MA in infant.
Methamphetamine non-exposed
Infants born to mothers without prenatal history of MA use during this pregnancy and negative meconium toxicology for MA in infant.
Eligibility Criteria
Infants born at UCDCH and at AHRO at gestational age \>34 weeks. (\<34 weeks excluded to avoid the effects of prematurity)
You may qualify if:
- Infants born at UCDCH and at AHRO at gestational age \>34 weeks. (\<34 weeks excluded to avoid the effects of prematurity)
- For the MA exposed subgroup (n=30): Infants born to mothers with prenatal history of MA use during current pregnancy and/or positive meconium toxicology positive for MA in infant.
- For the MA unexposed subgroup (n=12): Infants born to mothers without prenatal history of MA use during this pregnancy and negative meconium toxicology for MA in infant.
You may not qualify if:
- a) Presence of congenital anomalies and known fatal conditions.
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- University of California, Davislead
- Adventist Health and Rideoutcollaborator
Study Sites (2)
Adventist Health and Rideout
Marysville, California, 95901, United States
UC Davis Children's Hospital
Sacramento, California, 95817, United States
Related Links
Study Design
- Study Type
- observational
- Observational Model
- COHORT
- Time Perspective
- PROSPECTIVE
- Sponsor Type
- OTHER
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
October 8, 2020
First Posted
November 5, 2020
Study Start
October 5, 2020
Primary Completion
June 30, 2023
Study Completion
June 30, 2023
Last Updated
November 1, 2024
Record last verified: 2024-10
Data Sharing
- IPD Sharing
- Will not share