Expert Panel Meeting Discuss Study Design a Longitudinal Study the Impact Prenatal Opioid other Substance Exposure Brain Behavioral Development Notice Number: NOT-DA-18-047 Key Dates Release Date: October 19, 2018 Related Announcements None Issued National Institute Drug Abuse NIDA) National Institute Alcohol Abuse Alcoholism NIAAA) Eunice Kennedy Shriver National Institute Child Health Human Development NICHD) National Institute Mental Health NIMH) National Institute Neurological Disorders Stroke NINDS) National Institute Minority Health Health Disparities NIMHD) Purpose Problem Statement: has a dramatic increase the number babies have prenatally exposed opioids due the opioid crisis. Between 2004 2014, number infants born neonatal opioid withdrawal syndrome NOWS; also known neonatal abstinence syndrome NAS]) increased 433% 1.5 8.0 per 1000 hospital births translates one neonate born NOWS every 15 minutes. the opioid crisis continues escalate, numbers also increase, we not know the long-term implications early exposure opioids to medications used treat opioid disorder) be. addition, drugs continue be used during pregnancy afterwards many women breastfeeding. National Survey Drug and Health indicates in 2016, 6.3% pregnant women used illicit drug Center Behavioral Health Statistics Quality, 2017), many used than drug. large growing body evidence indicates early exposure substances, including pre- perinatally, linked greater risk developing substance disorders. Prenatal exposure also associated other behavioral problems, including ADHD, conduct disorder, anxiety, etc. However, causal link difficult establish due confounding factors such socioeconomic, environmental, genetic influences. Thus, meeting being convened discuss research needs understand disentangle complex interrelated factors may impact long-term consequences pre- perinatal substance exposure. Key research objectives include, are limited to: Understanding variability individual developmental trajectories e.g., brain, cognitive, emotional, social, academic) birth through childhood. Understanding impact pre- postnatal exposure opioids, opioid treatment medications, cannabis, alcohol, tobacco, prescription illicit substances alone in combination) developmental trajectories. Investigating role sex, genetic, epigenetic, social other environmental factors risk/resilience related structural functional brain development, social/behavioral/academic achievement, future substance and mental disorders. goal this meeting to discuss study design related issues e.g., sampling strategy, recruitment retention high risk populations, bioethical social service implications) a longitudinal study the impact pre- postnatal substance exposure including opioids, opioid treatment medications, cannabis, alcohol, tobacco, prescription illicit substances, alone in combination) brain development, mental illness, substance use, social/behavioral/academic achievement. is envisioned successful execution a program this breadth depth require broad interdisciplinary team investigators collective expertise pregnancy, neonatal, early childhood affective, cognitive, social development; longitudinal cohort studies; developmental neuroimaging; social/legal environmental issues. Input advice the extramural community be actively encouraged through multiple mechanisms. NIH hold workshop October 22, 2018 at 6001 Executive Blvd Bethesda MD 20892, is open the public, although seating limited. meeting also webcast. more information see
https://www.drugabuse.gov/news-events/meetings-events. will followed a formal Request Information potential issues such study. Inquiries Please direct inquiries to: Gayathri J. Dowling, Ph.D. Director, Adolescent Brain Cognitive Development ABCD) Study National Institute Drug Abuse Telephone: 301-443-4877 Email:
gayathri.dowling@nih.gov