Long-acting Injectable Antipsychotics for Mental Ill-Health in Pregnancy and Postpartum

Summary

The goal of this observational study is to learn about how long-acting injectable antipsychotic (LAIA) medications are affected by the changes that take place in the body during pregnancy, and how much an unborn baby is exposed to. The investigators are also interested in the amount of these drugs that enters into breastmilk and taken by babies during breastfeeding.

In addition to their regular clinic visits to receive long-acting mental health medicine injection, participants will be invited for up to four study visits between day 2 and 14 after the injection. This will happen only once during pregnancy, and once during the breastfeeding period to collect a few drops of blood on special filter paper card from the finger using safety lancet. A few drops of breastmilk will also be collected. Immediately after delivery, a few drops of blood will be collected from the mother, umbilical cord and the baby heel.

The investigators will use these samples to determine the amount of the drug in the body during pregnancy and compare this to the amount during the breastfeeding period. Additionally, every month during the third trimester, and during the first 3 months postpartum, participants will complete a questionnaire (using the Liverpool University Neuroleptic Side Effect Scale) to document how they are feeling. Clinical improvement will be documented by the primary care provider using the Clinical Global Impressions Scale.

Findings from this study are expected to help healthcare providers to understand these drugs better so that they can make informed decisions about if and how to use these drugs in women who become pregnant or are breastfeeding.

Conditions

• Schizophrenia
• Psychosis
• Mania
• Pregnancy
• Drug Exposure in Utero
• Drug Exposure Via Breast Milk
• Antipsychotic Agents
• Breastfeeding

Sponsors & Collaborators

• Federal Neuropsychiatric Hospital, Yaba

  collaborator UNKNOWN

• Federal Neuropsychiatric Hospital, Kaduna

  collaborator UNKNOWN

• Neuropsychiatric Hospital, Abeokuta

  collaborator UNKNOWN

• Neuropsychiatric Specialist Hospital, Akure

  collaborator UNKNOWN

• Federal Medical Centre, Makurdi

  collaborator UNKNOWN

• University of Liverpool

  lead OTHER

Principal Investigators

• Adeniyi Olagunju, PhD · University of Liverpool

Eligibility

Min Age

18 Years

Max Age

49 Years

Sex

FEMALE

Healthy Volunteers

No

Timeline & Regulatory

Start

2023-08-01

Primary Completion

2025-11-21

Completion

2025-11-21

Countries

• Nigeria

Study Locations