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Neonatal Abstinence SyndromeNCT02801331

Efficacy and Outcomes of a Non-Pharmacological Intervention for Neonatal Abstinence Syndrome

A study testing Stochastic Vibrotactile Stimulation (SVS) in people with Neonatal Abstinence Syndrome, run by Elisabeth B Salisbury at 1 site in United States.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

The purpose of this study is to examine the efficacy of a specially-constructed crib mattress that delivers gentle vibrations (stochastic vibrotactile stimulation) as a complementary, non-pharmacological intervention for treating drug withdrawal in newborns exposed to opioids in utero. Read more about this study

Who is it for?
Ages 1 hour to 18 months
Conditions the study is for
Neonatal Abstinence Syndrome
What is being tested?
Stochastic Vibrotactile Stimulation (SVS)
Type of treatment
Medical device
Could I receive a placebo?
No, everyone receives an active treatment
How many people
208 participants
Where
1 siteUnited States
Study dates
9 Mar 2017to 6 Jun 2021
Phase
Interventional
Are there results?
Yes, posted in the registrySummary in the doctors' view

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 1 hour to 18 months
  • All sexes
  • No healthy volunteers
  • Child

Inclusion Criteria: Eligible subjects are infants currently in the NICU or Newborn Nursery at University of Massachusetts Memorial Hospital or at Magee Women's Hospital of UPMC and:

  • Full-term infants (≥37 wks gestational age)
  • Newborns at risk for NAS due to opioid-exposure in utero
  • At-risk infants will be infants who present with confirmed meconium and/or urine toxicology report and/or documented medical record for opioids (e.g., methadone, buprenorphine/subutex, oxycodone, heroin); may also have prenatal exposure to benzodiazepines, barbiturates, amphetamines, cannabinoids, alcohol, nicotine and/or caffeine.

Exclusion Criteria: Eligible infants meeting the inclusion criteria above will be excluded from participation in the study if he/she:

  • Born less than <37weeks.
  • Has a clinically significant congenital abnormality
  • Has a clinically significant fetal anomaly
  • Has hydrocephalus or intraventricular hemorrhage >grade 2
  • Has a seizure disorder not related to drug withdrawal
  • Has a clinically significant cardiac shunt
  • Has anemia (hemoglobin<8g/dL)
  • Requires mechanical respiratory support
  • Has MRSA or infection at time of the study

Trial locations and contacts

1 site in 1 country.

United States1 site
  • University of Pittsburgh School of Medicine

    Pittsburgh, Pennsylvania, 15213

Other trials in United States

About this study

Official title: A Randomized Controlled Study of Stochastic Vibrotactile Stimulation for Neonatal Abstinence Syndrome: Therapeutic Efficacy and Neurobehavioral Outcomes

The purpose of this study is to examine the efficacy of a specially-constructed crib mattress that delivers gentle vibrations (stochastic vibrotactile stimulation) as a complementary, non-pharmacological intervention for treating drug withdrawal in newborns exposed to opioids in utero.

Read the detailed description

This study will test the therapeutic efficacy of stochastic vibrotactile stimulation (SVS) for reducing withdrawal symptoms, pharmacological treatment and hospitalization, and for improving neurobehavioral developmental outcomes in opioid-exposed newborns.

Candidates at-risk for NAS due opioid exposure in utero will be identified to investigators by medical caregiver and/or prescreened using HIPAA Waiver for recruitment (maternal-prenatal; infant-postnatal). Infants will be randomized into either SVS (complementary to standard of care) or Treatment as Usual (TAU), restricted by equipment (mattress) availability. Infants will be enrolled and assigned to a condition within 48 hours post birth and participate throughout hospitalization. Infants assigned SVS will receive daily intervention of continuous intervals of SVS throughout hospitalization using a specially constructed crib mattress that delivers gentle vibrations at preset intervals.

Specific Aim 1. Determine the efficacy of SVS as a non-pharmacological therapy complementary to standard of care for reducing severity and duration of opioid withdrawal in newborns compared to TAU alone. Quantify clinical variables: NAS severity, treatment days, days in hospital, velocity of weight gain, cumulative morphine dose.

Specific Aim 2. Compare neurobehavioral outcomes in fetal drug-exposed infants between infants who received SVS and those who received TAU. Longitudinal outcomes assessment at 6-months and 1 year to test whether early intervention with SVS compared to standard care improves physical, social, emotional and cognitive development.

Being tested
Stochastic Vibrotactile Stimulation (SVS)
Keywords
Stochastic Resonance, Fetus/Newborn Infant, Drug Withdrawal, Substance Abuse
Medical subject headings
Neonatal Abstinence Syndrome, Substance Withdrawal Syndrome, Substance-Related Disorders

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Stochastic Vibrotactile Stimulation (SVS)Device

    Infant crib mattress will be replaced with a specially constructed mattress (non-commercially available) to provide gentle, stochastic vibration during mattress stimulations.

Study groups in NCT02801331
Study groupRoleWhat they receive
Stochastic Vibrotactile Stimulation (SVS)ExperimentalInfants randomized to this arm will receive daily intervals of continuous SVS (ON) and no SVS (OFF) throughout hospitalization, starting within 48-hrs post birth. SVS will be complementary to standard of clinical care (e.g., clinically-determined pharmacological management; routine parental/volunteer holding; breast and/or bottle feed).
Receives: Device: Stochastic Vibrotactile Stimulation (SVS)
Treatment as Usual (TAU)No interventionInfants randomized to this arm will be enrolled within 48-hours post birth and receive treatment as usual (TAU)- standard of clinical care (e.g., clinically-determined pharmacological management, routine/volunteer holding; breast and/or bottle feed). Infants will not receive any SVS.

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Number of Participants Administered Morphine Treatment

    Number of infants treated with morphine (first line pharmacotherapy at both sites).

    Number of infants who received pharmacotherapy (met clinical criteria to treat), index of NAS severity (per Finnegan scores).

    Measured: Participants will be monitored for the duration of their newborn nursery stay, which is an expected mean of 7 days

  2. Cumulative Pharmacological Treatment- Morphine Dose

    Normalized cumulative morphine dose for infants who completed treatment at respective hospital site (mg/kg).

    Measured: Participants will be monitored for the duration of their hospitalization, which is an expected mean of 21 days

  3. Hospitalization Length of Stay

    Day of life discharged home for untreated and treated infants who completed hospitalization at study site.

    Duration of infant hospitalization-Days

    Measured: Day of life infants discharged home, which is an expected mean of 21 days.

  4. Hospitalization Length of Stay for Untreated Infants

    Day of life discharged home for untreated infants (infants whose Finnegan scores did not meet criteria to treat) who completed hospitalization at study site.

    Duration of infant hospitalization-Days

    Measured: Day of life untreated infants discharged home, which is an expected mean of 21 days.

  5. Hospitalization Length of Stay for Treated Infants

    Day of life discharged home for treated infants (infants whose Finnegan scores met criteria to treat) who completed hospitalization at study site.

    Duration of infant hospitalization-Days

    Measured: Day of life treated infants discharged home, which is an expected mean of 21 days.

  6. Length of Pharmacological Treatment-Duration

    For infants who received pharmacotherapy, total days of morphine treatment.

    Measured: Participants will be monitored for the duration of their hospitalization, which is an expected mean of 21 days

  7. Trajectory of Symptom Severity Among Treated Infants

    Days to start morphine treatment based on Finnegan severity scores among infants who met clinical criteria to treat

    Measured: Day of life infant started morphine treatment

  8. Velocity of Weight Gain

    Weight loss precedes weight gain in newborns. Days to weight nadir, defined as the lowest weight following birthweight. Velocity of weight gain was measured as days to return to birthweight, i.e., the day on which weight reached or surpassed birthweight following initial weight loss from birth.

    Measured: Participants will be monitored for the duration of their hospitalization, which is an expected mean of 21 days

  9. Neurobehavioral Outcomes Assessment

    Scores for Cognitive Domain Bayley Scales of Infant and Toddler Development Third Edition. The standardized scores have a mean of 100 and standard deviation (SD) of 15. Scores below 1 SD (= or less than 84) is considered below normal. Scores above 1 SD (>115) represent higher than normal functioning.

    Measured: 6 month and 12 months of life

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted15 Jun 2016 (estimated)
  2. Study start9 Mar 2017
  3. Primary completion5 Mar 2021
  4. Study completion6 Jun 2021

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase N/A
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
Single blind
Who is masked
Outcomes assessor
Enrolment
208 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT02801331
Sponsor's protocol ID
STUDY21040054
Other IDs
1R01DA042074-01
Status last verified
May 2025
First submitted
9 Jun 2016
Last updated
11 Jun 2025
Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
Yes
Individual data sharing
No

Publications

  • Bloch-Salisbury E, Bogen D, Vining M, Netherton D, Rodriguez N, Bruch T, Burns C, Erceg E, Glidden B, Ayturk D, Aurora S, Yanowitz T, Barton B, Beers S. Study design and rationale for a randomized controlled trial to assess effectiveness of stochastic vibrotactile mattress stimulation versus standard non-oscillating crib mattress for treating hospitalized opioid-exposed newborns. Contemp Clin Trials Commun. 2021 Feb 11;21:100737. doi: 10.1016/j.conctc.2021.100737. eCollection 2021 Mar.

    PubMed 33748529
  • Bloch-Salisbury E, Rodriguez N, Bruch T, McKenna L, Goldschmidt L. Physiologic dysregulation in newborns with prenatal opioid exposure: Cardiac, respiratory and movement activity. Neurotoxicol Teratol. 2022 Jul-Aug;92:107105. doi: 10.1016/j.ntt.2022.107105. Epub 2022 May 27.

    PubMed 35636580
  • Liu VY, Flahive JM, Bloch-Salisbury E. Actigraphy: An Adjunctive Method to Measure Irritability in Opioid-Exposed Newborns. J Nurs Meas. 2024 Oct 24;32(3):467-476. doi: 10.1891/JNM-2023-0020.

    PubMed 37353324
  • Bloch-Salisbury E, Wilson JD, Rodriguez N, Bruch T, McKenna L, Derbin M, Glidden B, Ayturk D, Aurora S, Yanowitz T, Barton B, Vining M, Beers SR, Bogen DL. Efficacy of a Vibrating Crib Mattress to Reduce Pharmacologic Treatment in Opioid-Exposed Newborns: A Randomized Clinical Trial. JAMA Pediatr. 2023 Jul 1;177(7):665-674. doi: 10.1001/jamapediatrics.2023.1077.

    PubMed 37184872
  • Bloch-Salisbury E, Rodriguez N, Bruch T, McKenna L, Derbin M, Netherton D, Yanowitz T, Beers SR, Vining M, Wilson JD. Stochastic vibration and early weight growth in opioid-exposed newborns: a randomized trial. J Perinatol. 2026 Aug 24. doi: 10.1038/s41372-026-02862-z. Online ahead of print.

    PubMed 42637897
  • Pahl A, Young L, Buus-Frank ME, Marcellus L, Soll R. Non-pharmacological care for opioid withdrawal in newborns. Cochrane Database Syst Rev. 2020 Dec 21;12(12):CD013217. doi: 10.1002/14651858.CD013217.pub2.

    PubMed 33348423

Questions about this trial

What is this clinical trial studying?

A study testing Stochastic Vibrotactile Stimulation (SVS) in people with Neonatal Abstinence Syndrome, run by Elisabeth B Salisbury at 1 site in United States.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 11 Jun 2025. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in United States. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

Yes. Results are posted in the registry (first posted 23 May 2024). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Number of Participants Administered Morphine Treatment (time frame: Participants will be monitored for the duration of their newborn nursery stay, which is an expected mean of 7 days). The study lists 9 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT02801331, which also lists 6 linked publications.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 11 Jun 2025; AzTrials last refreshed its copy on 7 Nov 2026.

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