National Pregnancy Registry for Psychiatric Medications

Trial statusRecruiting
Trial phaseNot listed
Trial typeObservational
Biological sexFemale
Age18-45
SponsorMassachusetts General Hospital

About this trial

The National Pregnancy Registry for Psychiatric Medications is dedicated to evaluating the safety of psychiatric medications such as antidepressants, ADHD medications, sedative hypnotics, and atypical antipsychotics that many people take during pregnancy to treat a wide range of mood, anxiety, executive function, or psychiatric disorders. The goal of this Registry is to gather information on the safety of these medications during pregnancy, as current data is limited.

Eligibility criteria

This trial accepts healthy volunteers

Qualifiers

Pregnant women

Age 18-45

Subjects will be willing to participate over the phone

Subjects will be able to provide informed consent

Disqualifiers

Women who have completed their pregnancy

Women who are planning to become pregnant

Women who are not taking any psychiatric medications and/or have no history of psychiatric illness

Trial population

Pregnant women from across the United States will be enrolled in this registry.

Trial design

Design model

Case-control

Time perspective

Prospective

Treatments tested in this trial

Not listed

Trial groups

5,000 Participants
are grouped into 5 trial groups
Group A: Atypical Antipsychotic Cohort
Group B: Antidepressant Medications
Group C: ADHD Medications
Group D: Sedative Hypnotic Medications
Group E: Other Psychiatric Medications

Trial outcomes

Primary outcomes

1

Major Malformations in Infants

The primary outcome for this study is rates of major malformations among infants exposed in-utero to psychiatric medications. A major malformation is defined as a structural abnormality with surgical, medical, or cosmetic importance. Exclusions include (1) minor anomalies; (2) deformations; (3) physiologic features due to prematurity, such as undescended testes; (4) birthmarks; (5) genetic disorders and chromosomal abnormalities; and (6) any finding by prenatal sonography, such as absence of 1 kidney, or at surgery (or autopsy) that was not identified by an examining pediatrician. This data is collected through review of pediatric medical records through the first twelve months of infants' lives.

Time frame
Birth up to 1 year; assessed at 8-12 weeks postpartum, assessed through medical records through 1 year of age.

Secondary outcomes

1

Maternal Gestational Weight Gain

Maternal gestational weight gain is measured by the change in maternal weight from pre-pregnancy to weight at delivery, recorded in pounds.

Time frame
Change from pre-pregnancy to delivery; assessed at 7 months' gestation and 8-12 weeks postpartum.
2

Live Birth

Did the pregnancy end in a live birth, assessed as a yes/no outcome.

Time frame
Birth; assessed at 8-12 weeks postpartum.
3

Spontaneous Abortion (SAB)

Did a spontaneous abortion (SAB) occur during the pregnancy, assessed as a yes/no outcome.

Time frame
Any time during pregnancy; assessed at 7 months' gestation and 8-12 weeks postpartum.
4

Intrauterine Fetal Demise (IUFD)

Did intrauterine fetal demise (IUFD) occur during the pregnancy, assessed as a yes/no outcome.

Time frame
Any time during pregnancy; assessed at 7 months' gestation and 8-12 weeks postpartum.

Other outcomes

Sponsors and contacts

Click on the lead sponsor to view all of their trials.

Massachusetts General Hospital

Lead sponsor

Alkermes, Inc.

Collaborator

Eisai Inc.

Collaborator

Otsuka America Pharmaceutical

Collaborator

Supernus Pharmaceuticals, Inc.

Collaborator

Sage Therapeutics

Collaborator

Bristol-Myers Squibb

Collaborator