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Methamphetamine-dependenceEarly Phase 1NCT05128071

PRevention Of Methamphetamine Use Among Postpartum Women Trial (PROMPT)

A Early Phase 1 study testing Progesterone in people with Methamphetamine-dependence and Postpartum Abstinence, run by University of Utah 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 PRevention Of Methamphetamine Use among Postpartum Women Trial (PROMPT) is randomized controlled trial of postpartum individuals with methamphetamine use disorder to 12 weeks of 200 mg oral micronized progesterone twice daily or placebo. Read more about this study

Who is it for?
Ages 18 years and older, women only
What is being tested?
Progesterone
Type of treatment
Pill or oral medicine
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
34 participants
Where
1 siteUnited States
Study dates
4 Feb 2022to 30 May 2024
Phase
Early Phase 1
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 18 years and older
  • Women only
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Meeting criteria for substance use disorder of methamphetamine in the six months prior to conception or during pregnancy
  • No active methamphetamine use at time of enrollment or within past 4 weeks prior to enrollment by self-report or urine toxicology.
  • If diagnosis of active opioid use disorder (OUD) and no use at time of enrollment or within past 4 weeks prior to enrollment by self-report or urine toxicology and on stable dose of medication for OUD (methadone, buprenorphine, naltrexone) for two weeks prior to enrollment in order to allow for postpartum dose adjustments.
  • Intrauterine device or barrier method for contraception during the study period
  • End of pregnancy within past 12 weeks
  • Residing within 100 miles of study site
  • Stable on allowable psychiatric medications including selective serotonin reuptake inhibitors, serotonin-norepinephrine reuptake inhibitors, and mood stabilizers for four weeks prior to enrollment

Who cannot join

  • Major medical illness in which progesterone may be contraindicated (significant liver disease, history of thrombophlebitis, stroke, heart disease, suspected or known malignancy, deep vein thrombosis, pulmonary embolus, clotting or bleeding disorders)
  • Any of the following laboratory abnormalities (within 2 weeks of screening and enrollment)
  • Active hepatic dysfunction
  • Anemia defined as hemoglobin less than 8 g/dL indicating anemia
  • Renal impairment defined as creatinine greater than 2.0 mg/dL
  • Hypothyroidism defined as TSH greater than 5 mIU/L
Show all 18Show fewer
  • Abnormal vital signs at baseline visit
  • Allergy to micronized progesterone or ingredients in placebo including peanut oil, gelatin or cellulose
  • Self-reported progestin-containing oral or depot containing contraceptives intolerance.
  • Do not speak English or Spanish
  • Taking potent inhibitors of CY P450 3A4 including clarithromycin, erythromycin, diltiazem, itraconazole, ketoconazole, ritonavir, verapamil and goldenseal.
  • Severe depressive symptoms
  • Active suicidality
  • Current or past history of psychosis, suicidal attempts or psychiatric hospitalizations
  • Current or pending incarceration
  • Active alcohol use disorder within past six months
  • Use of the following concomitant drugs, supplements and over-the-counter medications in the two week prior to enrollment: stimulants, barbiturates, benzodiazepines, non-benzodiazepine hypnotics, orexin antagonists, first generation anti-histamine, herbal sedatives, methaqualone and analogues, skeletal muscle relaxants, opioids (other than methadone or buprenorphine), anti-psychotic medications, certain anti-depressants or other medication with significant sedative properties as evaluated by the PI and/or study clinician.
  • Progestin containing medications including oral hormonal contraceptive methods

Trial locations and contacts

1 site in 1 country.

United States1 site
  • University of Utah

    Salt Lake City, Utah, 84132

Other trials in United States

About this study

The PRevention Of Methamphetamine Use among Postpartum Women Trial (PROMPT) is randomized controlled trial of postpartum individuals with methamphetamine use disorder to 12 weeks of 200 mg oral micronized progesterone twice daily or placebo. The aims of this study are to assess the feasibility, safety and preliminary efficacy of micronized progesterone for the prevention of return to methamphetamine use. A secondary aim is to assess participant's salivary levels of allopregnanolone with methamphetamine cravings. This study has the potential to provide effective interventions to prevent methamphetamine use among postpartum women.

Read the detailed description

While substantial attention and resources have been directed at the opioid epidemic in the US, another deadly drug epidemic - methamphetamine use (MU) - has been evolving. While most pregnant women achieve abstinence by late pregnancy, the postpartum period is a particularly vulnerable time. Postpartum return to use is high and potentially deadly. Data from the Utah Maternal Mortality Review Committee indicate that from 2005-2016 (n=176), MU contributed to one out of every five deaths of pregnant and postpartum women; 85% of these deaths occurred in the postpartum period and, 70% of methamphetamine-related deaths also involved opioids. While medications for OUD reduce return to opioid use among postpartum women, similar interventions to reduce return to MU are lacking.

In developing novel interventions to address MU in this vulnerable population, it is critical to consider important hormonal changes that mediate drug cravings and place postpartum women at particular risk of return to MU. Among women, higher systemic levels of progesterone and its active metabolite allopregnanolone appear to attenuate drug craving, urges, and return to use. Postpartum women may be particularly sensitive to increased craving and urges given the precipitous post-delivery drop in endogenous progesterone and allopregnanolone levels. Supplementation of exogenous progesterone is a novel therapy that has shown promising results in decreasing return to use among women using cocaine, tobacco, and benzodiazepines. Among postpartum women who used cocaine in pregnancy, micronized progesterone (which metabolizes to allopregnanolone) was associated with a reduction in cocaine use in the first 12 weeks postpartum in a randomized, placebo-controlled trial.

The investigator's long-term goal is to advance the understanding of how pregnant and postpartum women's unique physiology impacts the trajectory of MUD and to apply this knowledge to developing novel interventions aimed at reducing MU in this population. The objectives of the PROMPT study is to determine: 1) the effect of micronized progesterone on return to MU among postpartum women with MUD, and, 2) determine the association between allopregnanolone levels and methamphetamine craving in this population. The central hypothesis is that micronized progesterone is a feasible, safe, and effective intervention that reduces the risk of return to MU among postpartum women with methamphetamine use disorder

Being tested
Progesterone, Placebo
Keywords
Pregnancy, Postpartum
Medical subject headings
Sexual Abstinence

What participants receive

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

  • ProgesteroneDrug

    Randomized to 400 mg (200 mg twice daily) oral micronized progesterone daily

  • PlaceboDrug

    Randomized to placebo twice daily

Study groups in NCT05128071
Study groupRoleWhat they receive
Progesterone ArmActive comparatorRandomized to receive progesterone
Receives: Drug: Progesterone
Placebo ArmPlacebo comparatorRandomized to receive placebo
Receives: Drug: Placebo

What is being measured

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

  1. Successful Recruitment and Randomization of 40 Postpartum Women Into the PROMPT Study

    Recruit and enroll 40 eligible women (postpartum individuals with MUD) in a 15 month period from time of study initiation.

    Measured: 15 months after study initiation

Secondary outcomes (5)
  1. Number of Participants With Severe Medication Side Effects

    Number of enolled participants with Severe Medication Side Effects

    Measured: Baseline and 12 weeks

  2. Assess Depression and Suicidality Status in Enrolled Participants

    A lower score on the Edinburgh Postpartum Depression Scale (EPDS) scale indicates a better outcome.

    The Edinburgh Postnatal Depression Scale (EPDS) is a 10-item screening tool (maximum score 30) used to identify perinatal depression, where scores 0-9 indicate minimal depression, scores of 10 or higher typically indicate possible depression, and scores of 13 or greater strongly suggest a depressive illness.

    Measured: Baseline and 12 weeks

  3. Assess Anxiety Status in Enrolled Participants

    Assess anxiety status in enrolled participants using validated surveys/ GAD-7

    The GAD-7 (Generalized Anxiety Disorder-7) is a 7-item, self-reported questionnaire used to measure anxiety severity over the past two weeks. Scores range from 0 to 21, categorized as mild (0-4), moderate (5-9), moderately severe (10-14), and severe (15-21) anxiety. A score of 10 or higher is the typical cutoff for identifying clinical anxiety

    Measured: Baseline and 12 weeks

  4. Difference in Tobacco Use From Baseline

    Secondarily we assessed the association between the exposures of doses of progesterone administered and tobacco use.

    Measured: Baseline and 12 weeks

  5. Assess Return to Methamphetamine Use (MU) in Enrolled Participants

    Assess the efficacy of micronized progesterone to decrease return to methamphetamine use (MU) among postpartum women with methamphetamine use disorder. Return to use will be defined as either self-reported MU or positive urine toxicology result. Results will be compared between placebo and active ingredient groups.

    Measured: Baseline and 12 weeks

Timeline

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

  1. First posted19 Nov 2021
  2. Study start4 Feb 2022
  3. Primary completion30 May 2024
  4. Study completion30 May 2024

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
Early Phase 1
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
Triple blind
Who is masked
Participant, Care provider, Investigator
Enrolment
34 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT05128071
Sponsor's protocol ID
138663
Status last verified
May 2026
First submitted
9 Sep 2021
Last updated
3 Jun 2026
Data monitoring committee
Yes
FDA-regulated drug
Yes
FDA-regulated device
No
Individual data sharing
No

Publications

  • Forray A, Merry B, Lin H, Ruger JP, Yonkers KA. Perinatal substance use: a prospective evaluation of abstinence and relapse. Drug Alcohol Depend. 2015 May 1;150:147-55. doi: 10.1016/j.drugalcdep.2015.02.027. Epub 2015 Mar 3.

    PubMed 25772437
  • Smid MC, Stone NM, Baksh L, Debbink MP, Einerson BD, Varner MW, Gordon AJ, Clark EAS. Pregnancy-Associated Death in Utah: Contribution of Drug-Induced Deaths. Obstet Gynecol. 2019 Jun;133(6):1131-1140. doi: 10.1097/AOG.0000000000003279.

    PubMed 31135726
  • Jones HE, Kaltenbach K, Heil SH, Stine SM, Coyle MG, Arria AM, O'Grady KE, Selby P, Martin PR, Fischer G. Neonatal abstinence syndrome after methadone or buprenorphine exposure. N Engl J Med. 2010 Dec 9;363(24):2320-31. doi: 10.1056/NEJMoa1005359.

    PubMed 21142534
  • Wiegand SL, Stringer EM, Stuebe AM, Jones H, Seashore C, Thorp J. Buprenorphine and naloxone compared with methadone treatment in pregnancy. Obstet Gynecol. 2015 Feb;125(2):363-368. doi: 10.1097/AOG.0000000000000640.

    PubMed 25569005
  • Yonkers KA, Forray A, Nich C, Carroll KM, Hine C, Merry BC, Shaw H, Shaw J, Sofuoglu M. Progesterone Reduces Cocaine Use in Postpartum Women with a Cocaine Use Disorder: A Randomized,Double-Blind Study. Lancet Psychiatry. 2014 Oct 1;1(5):360-367. doi: 10.1016/S2215-0366(14)70333-5.

    PubMed 25328863
  • Battle DE. Diagnostic and Statistical Manual of Mental Disorders (DSM). Codas. 2013;25(2):191-2. doi: 10.1590/s2317-17822013000200017. No abstract available.

    PubMed 24413388
  • Ellis MS, Kasper ZA, Cicero TJ. Twin epidemics: The surging rise of methamphetamine use in chronic opioid users. Drug Alcohol Depend. 2018 Dec 1;193:14-20. doi: 10.1016/j.drugalcdep.2018.08.029. Epub 2018 Oct 10.

    PubMed 30326396
  • Kuo CJ, Liao YT, Chen WJ, Tsai SY, Lin SK, Chen CC. Causes of death of patients with methamphetamine dependence: a record-linkage study. Drug Alcohol Rev. 2011 Nov;30(6):621-8. doi: 10.1111/j.1465-3362.2010.00255.x. Epub 2010 Oct 18.

    PubMed 21355920
  • Chen LH, Hedegaard H, Warner M. Drug-poisoning Deaths Involving Opioid Analgesics: United States, 1999-2011. NCHS Data Brief. 2014 Sep;(166):1-8.

    PubMed 25228059
  • Hedegaard H, Minino AM, Warner M. Drug Overdose Deaths in the United States, 1999-2018. NCHS Data Brief. 2020 Jan;(356):1-8.

    PubMed 32487285
  • Smid MC, Charles JE, Allshouse AA, Castro S, Humiston GE, Cash E, Turner E, Carlston K, Gibson M, Gordon AJ, Cochran GT. Prevention of postpartum methamphetamine use with micronized progesterone trial (PROMPT): A pilot randomized controlled trial. Drug Alcohol Depend. 2026 Aug 27;287:113325. doi: 10.1016/j.drugalcdep.2026.113325. Online ahead of print.

    PubMed 42673669

Questions about this trial

What is this clinical trial studying?

A Early Phase 1 study testing Progesterone in people with Methamphetamine-dependence and Postpartum Abstinence, run by University of Utah 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?

The sponsor lists 7 inclusion and 18 exclusion criteria. 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 3 Jun 2026. 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. Some participants in this study may receive a placebo. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

What does this phase mean?

Early Phase 1 (sometimes called Phase 0) studies give a very small amount of a treatment to a few people, mainly to see how the body handles it.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

Yes. Results are posted in the registry (first posted 3 Jun 2026). 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?

Successful Recruitment and Randomization of 40 Postpartum Women Into the PROMPT Study (time frame: 15 months after study initiation). 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 NCT05128071, which also lists 11 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 3 Jun 2026.

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