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NCT03511118Recruiting

Pharmacokinetics and Safety of Commonly Used Drugs in Lactating Women and Breastfed Infants

Duke University

Start Date

10/4/2018

Completion Date

7/31/2028

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.

Detailed Description

The purpose of this study is to understand if the study drugs of interest are found in breastmilk and how much; to estimate the amount of drug that is consumed by breastfed infants and what effect this may have on infants; and to share what we learn with other researchers. The study drugs of interest have Food and Drug Administration (FDA) approval, but there is little or no information about the amount of drug found in the breastmilk of mothers who take them; the amount of drug that may be transferred to their infant's through breastmilk; or the effects this transfer may have on their infants. During this study we will ask to collect breastmilk and blood from mothers, and blood from infants, to measure the amount of study drug of interest in these body fluids. Results from this study will help researchers better understand how much of the study drug of interest is in your blood and breastmilk, and how much of the study drug of interest may be in your infant's blood because of breastfeeding.

Eligibility Criteria

Age Range: No minimum to No maximum

Inclusion Criteria: * 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. Exclusion Criteria: * 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.

Interventions

DRUG

Tranexamic acid (TXA)

DRUG

labetalol

DRUG

metformin

DRUG

nifedipine

DRUG

clindamycin

DRUG

oxycodone

DRUG

azithromycin

DRUG

escitalopram

DRUG

sertraline

DRUG

ondansetron

DRUG

Ciprofloxacin

DRUG

Doxycycline

DRUG

Levofloxacin

DRUG

Methylphenidate

DRUG

Sumatriptan

DRUG

Citalopram

DRUG

Cyclobenzaprine

DRUG

Furosemide

DRUG

Gabapentin

DRUG

Hydrochlorothiazide

DRUG

Hydroxyurea

DRUG

Rosuvastatin

DRUG

Topiramate

DRUG

Trazodone

DRUG

Valganciclovir

DRUG

Venlafaxine

DRUG

Verapamil

DRUG

Remdesivir

DRUG

Anakinra

DRUG

Tocilizumab

DRUG

Fluvoxamine

DRUG

Amoxicillin

DRUG

Bupropion

DRUG

Duloxetine

DRUG

Hydrocodone

DRUG

Levetiracetam

DRUG

Paroxetine

DRUG

Buprenorphine

Interested in This Trial?

Contact the trial locations directly using the information below to learn more about enrollment.

Expressing interest lets you review the study and consent before we connect you with the research site.

Conditions

Lactating Women on Select DOIBreastfed Infants of Mothers on Select DOI

Locations

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