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Clonidine as Adjunct Therapy for the Treatment of Neonatal Abstinence Syndrome (NAS)

This study has been completed.
Johns Hopkins University
Information provided by:
National Institute on Drug Abuse (NIDA) Identifier:
First received: July 31, 2007
Last updated: January 10, 2017
Last verified: July 2007
To test the hypothesis that the combination of the tincture of opium (DTO) and clonidine will be more effective in treating infants with neonatal abstinence syndrome (opioid withdrawal) than tincture of opium (DTO) alone.

Condition Intervention Phase
Neonatal Abstinence Syndrome Drug: Clonidine HCL Phase 2

Study Type: Interventional
Study Design: Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Double
Primary Purpose: Treatment
Official Title: Efficacy of Clonidine in the Treatment of Neonatal Abstinence Syndrome: A Prospective, Double Blind, Randomized Controlled Trial

Resource links provided by NLM:

Further study details as provided by National Institute on Drug Abuse (NIDA):

Primary Outcome Measures:
  • Length of treatment for neonatal abstinence syndrome [ Time Frame: duration of the treatment ]

Enrollment: 80
Study Start Date: July 2002
Study Completion Date: December 2005
Arms Assigned Interventions
Experimental: Clonidine treatment
Infants intrauterine exposed to opioids (heroin or methadone) that demonstrate signs and symptoms of withdrawal with withdrawal scores (modified Finnegan score) greater than 9 on to consecutive scores taken 4 hours apart.
Drug: Clonidine HCL
Duraclon 1 microgram/kg every 4 hours given p.o. as per algorithm
Other Name: Duraclon


Ages Eligible for Study:   up to 14 Days   (Child)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   No
  • neonates born at gestational age of 35 weeks or greater
  • neonates aged 0 to 14 days
  • prenatally exposed to opioids
  • severe NAS defined as 2 consecutive modified Finnegan Scores (MFS) > or = 9

Exclusion Criteria:

  • < 35 weeks gestational age
  • Intrauterine growth retardation defined as <5%tile of gestational age
  • postnatal treatment with barbiturates or benzodiazepines,
  • major congenital anomalies
  • major concomitant medical illness requiring oxygen therapy, intravenous fluids or medications.
  • breastfed infants
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Please refer to this study by its identifier: NCT00510016

United States, Maryland
Johns Hopkins Medical Institutions
Baltimore, Maryland, United States, 21287-3200
Sponsors and Collaborators
National Institute on Drug Abuse (NIDA)
Johns Hopkins University
Principal Investigator: Estelle B Gauda, M.D. Johns Hopkins University
  More Information

Publications automatically indexed to this study by Identifier (NCT Number): Identifier: NCT00510016     History of Changes
Other Study ID Numbers: 1R21DA016288-01A1 ( U.S. NIH Grant/Contract )
Study First Received: July 31, 2007
Last Updated: January 10, 2017

Keywords provided by National Institute on Drug Abuse (NIDA):
opioid withdrawal
abstinence syndrome

Additional relevant MeSH terms:
Neonatal Abstinence Syndrome
Pathologic Processes
Infant, Newborn, Diseases
Substance-Related Disorders
Chemically-Induced Disorders
Mental Disorders
Sensory System Agents
Peripheral Nervous System Agents
Physiological Effects of Drugs
Antihypertensive Agents
Autonomic Agents
Adrenergic alpha-2 Receptor Agonists
Adrenergic alpha-Agonists
Adrenergic Agonists
Adrenergic Agents
Neurotransmitter Agents
Molecular Mechanisms of Pharmacological Action processed this record on September 20, 2017