NCT00600119

Brief Summary

Study (07-IN-NX003) is a Phase 2, multi-center, placebo-controlled, double-blind, randomized, dose-escalation trial. It is designed to investigate the safety, efficacy and tolerability of NKTR-118 (PEG-naloxol) in patients with opioid-induced constipation (OIC) and other clinical manifestations of opioid-induced bowel dysfunction (OBD). The objective of this study is to evaluate the safety, effectiveness and pharmacokinetics of NKTR-118 at 4 different doses.

Trial Health

87
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
207

participants targeted

Target at P75+ for phase_2

Timeline
Completed

Started Dec 2007

Shorter than P25 for phase_2

Geographic Reach
1 country

33 active sites

Status
completed

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

Study Start

First participant enrolled

December 1, 2007

Completed
1 month until next milestone

First Submitted

Initial submission to the registry

January 11, 2008

Completed
13 days until next milestone

First Posted

Study publicly available on registry

January 24, 2008

Completed
1.1 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

March 1, 2009

Completed
1 month until next milestone

Study Completion

Last participant's last visit for all outcomes

April 1, 2009

Completed
6.2 years until next milestone

Results Posted

Study results publicly available

June 12, 2015

Completed
Last Updated

June 12, 2015

Status Verified

May 1, 2015

Enrollment Period

1.2 years

First QC Date

January 11, 2008

Results QC Date

October 13, 2014

Last Update Submit

May 28, 2015

Conditions

Keywords

NKTR, constipation, opioid, induced, bowel, dysfunction, Naloxol, Naloxone, Narcan, PEG naloxol, OIC, OBD, Nektar

Outcome Measures

Primary Outcomes (1)

  • Change From Baseline in Spontaneous Bowel Movements (SBMs) Per Week During Week 1

    Change from baseline in SBMs/week during Week 1 was defined as SBMs/week during the first week of double-blind study medication (between Visit 4 and Visit 6) minus baseline SBMs/week. Baseline was defined as the average SBMs/week during the 2-week OIC screening period. An SBM was defined as a BM without the use of laxatives in the previous 24 hours as recorded in the e-diary.

    Days 1 through 7

Secondary Outcomes (3)

  • Change From Baseline in SBMs/Week Across the 28-day Double-blind Period

    Days 1 through 28

  • Change From Baseline in Patient Assessment of Constipation-Quality of Life (PAC-QOL) Questionnaire

    Days 1 through 28

  • Change From Baseline in Patient Assessment of Constipation-Symptoms (PAC-SYM) Questionnaire

    Days 1 through 28

Study Arms (2)

A

PLACEBO COMPARATOR

Placebo

Drug: placebo

B

EXPERIMENTAL

NKTR-118

Drug: NKTR-118

Interventions

placebo, oral, once daily (QD)

A

5 mg, 25 mg, 50 mg or 100 mg, oral,once daily (QD)

B

Eligibility Criteria

Age18 Years+
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • years of age or older, male or female
  • Receiving a stable opioid regimen
  • Documented opioid-induced constipation
  • Willingness to stop all laxatives and other bowel regimens. The use of constipation rescue medication will be allowed during the study.

You may not qualify if:

  • Life expectancy less than 6 months
  • Active substance abuse
  • Fecal incontinence, irritable bowel syndrome, inflammatory bowel disease, or other active medical disorders associated with diarrhea or intermittent loose stools or constipation
  • Pregnant or breast-feeding
  • Any receipt of an investigational medication within 30 days of screening
  • History or presence of specific cardiac, neurologic, endocrine and/or psychiatric conditions

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (33)

Tennessee Valley Pain Consultants / Center for Pain Management

Huntsville, Alabama, 35801, United States

Location

Deerfoot Internal Medicine

Pinson, Alabama, 35126, United States

Location

Genova Clinical Research, Inc.

Tucson, Arizona, 85741, United States

Location

Therapeutic Research Institute of Orange County

Laguna Hills, California, 92653, United States

Location

San Diego Managed Care Group

San Diego, California, 92128, United States

Location

Arapahoe Gastroenterology, PC

Littleton, Colorado, 80120, United States

Location

Southeast Clinical Research

Chiefland, Florida, 32626, United States

Location

Osler Medical, Inc. / Osler Clinical Research

Melbourne, Florida, 32901, United States

Location

Palm Beach Research Center

West Palm Beach, Florida, 33409, United States

Location

Gold Coast Research LLC

Weston, Florida, 33324, United States

Location

PMI Health Research Group

Atlanta, Georgia, 30312, United States

Location

Northwest Clinical Trials

Boise, Idaho, 83704, United States

Location

Millennium Pain Center

Bloomington, Illinois, 61701, United States

Location

Pain & Rehabilitation Clinic of Chicago

Chicago, Illinois, 60610, United States

Location

Investigative Clinical Research of Indiana, LLC

Indianapolis, Indiana, 46254, United States

Location

Pain Treatment Center of the Bluegrass

Lexington, Kentucky, 40503, United States

Location

Gulf Coast Reserach

Baton Rouge, Louisiana, 70808, United States

Location

Centennial Medical Group

Elkridge, Maryland, 21075, United States

Location

MAPS Applied Research Center

Edina, Minnesota, 55435, United States

Location

Midwest Pharmaceutical Research, Inc.

City of Saint Peters, Missouri, 63376, United States

Location

Lovelace Scientific Resources, Inc.

Albuquerque, New Mexico, 87108, United States

Location

Long Island Gastrointestinal Research Group

Great Neck, New York, 11023, United States

Location

Four Seasons Hospice and Palliative Care

Flat Rock, North Carolina, 28731, United States

Location

The Center for Clinical Research, LLC

Winston-Salem, North Carolina, 27103, United States

Location

Gabrail Cancer Center

Canton, Ohio, 44718, United States

Location

Riverhills Healthcare Research Division

Cincinnati, Ohio, 45219, United States

Location

Options Health Research

Tulsa, Oklahoma, 74104, United States

Location

Medford Medical Clinic

Medford, Oregon, 97504, United States

Location

Anderson Gastroenterology Associates, LLC

Anderson, South Carolina, 29621, United States

Location

Singleton Health Center

Orangeburg, South Carolina, 29118, United States

Location

ClinSearch, LLC

Chattanooga, Tennessee, 37421, United States

Location

Lifetree Clinical Research

Salt Lake City, Utah, 84106, United States

Location

Spokane Internal Medicine

Spokane, Washington, 99216, United States

Location

Related Links

MeSH Terms

Conditions

Opioid-Induced ConstipationConstipation

Interventions

naloxegol

Condition Hierarchy (Ancestors)

Signs and Symptoms, DigestiveSigns and SymptomsPathological Conditions, Signs and SymptomsNarcotic-Related DisordersSubstance-Related DisordersChemically-Induced DisordersMental Disorders

Results Point of Contact

Title
Mark Sostek
Organization
AstraZeneca

Study Officials

  • Mark Sostek

    AstraZeneca Pharmaceuticals, Wilm DE

    STUDY DIRECTOR

Publication Agreements

PI is Sponsor Employee
No
Restriction Type
GT60
Restrictive Agreement
Yes

Study Design

Study Type
interventional
Phase
phase 2
Allocation
RANDOMIZED
Masking
DOUBLE
Who Masked
PARTICIPANT, INVESTIGATOR
Purpose
TREATMENT
Intervention Model
PARALLEL
Sponsor Type
INDUSTRY
Responsible Party
SPONSOR

Study Record Dates

First Submitted

January 11, 2008

First Posted

January 24, 2008

Study Start

December 1, 2007

Primary Completion

March 1, 2009

Study Completion

April 1, 2009

Last Updated

June 12, 2015

Results First Posted

June 12, 2015

Record last verified: 2015-05

Locations