NCT01336205

Brief Summary

The purpose of this study is to evaluate the long-term safety and tolerability of NKTR-118 treatment of opioid-induced constipation (OIC) in patients with non-cancer-related pain.

Trial Health

87
On Track

Trial Health Score

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

Enrollment
844

participants targeted

Target at P75+ for phase_3

Timeline
Completed

Started Apr 2011

Geographic Reach
1 country

169 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

April 1, 2011

Completed
13 days until next milestone

First Submitted

Initial submission to the registry

April 14, 2011

Completed
1 day until next milestone

First Posted

Study publicly available on registry

April 15, 2011

Completed
1.6 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

December 1, 2012

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

December 1, 2012

Completed
1.9 years until next milestone

Results Posted

Study results publicly available

October 20, 2014

Completed
Last Updated

October 20, 2014

Status Verified

October 1, 2014

Enrollment Period

1.7 years

First QC Date

April 14, 2011

Results QC Date

October 13, 2014

Last Update Submit

October 13, 2014

Conditions

Keywords

Non-Cancer-Related PainOpioid-Induced Constipation

Outcome Measures

Primary Outcomes (3)

  • Incidence of Patients Experiencing at Least One Adverse Event (AE)

    The incidence of patients experiencing at least one AE during the randomized treatment and follow-up periods was calculated.

    Baseline (Week 0) to end of the follow-up period

  • Incidence of Patients Experiencing AEs That Resulted in Discontinuation of Investigational Product (IP)

    The incidence of patients experiencing AEs that resulted in discontinuation of IP during the randomized treatment or follow-up periods was calculated.

    Baseline (Week 0) to end of the follow-up period

  • Incidence of Patients Experiencing Severe Adverse Events (SAEs)

    The incidence of patients experiencing SAEs during the randomized treatment and follow-up periods was calculated.

    Baseline (Week 0) to end of the follow-up period

Study Arms (2)

1

EXPERIMENTAL

Oral Treatment

Drug: NKTR-118

2

ACTIVE COMPARATOR

Oral treatment

Drug: Usual care

Interventions

25 mg oral tablet once daily

1

As prescribed by the investigator

2

Eligibility Criteria

Age18 Years - 84 Years
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • Provision of written informed consent prior to any study-specific procedures.
  • NEW PATIENTS ONLY: Self-reported active symptoms of OIC at screening (\<3 SBMs/week and experiencing \>1 reported symptom of hard/lumpy stools, straining, or sensation of incomplete evacuation/anorectal obstruction in at least 25% of the BMs over the previous 4 weeks); and Documented confirmed OIC (\<3 SBMs/week on average over the 2-week OIC confirmation period.
  • PATIENTS ENROLLING FROM OTHER NKTR-118 STUDIES: Receiving a stable maintenance opioid regimen consisting of a total daily dose of 30 mg to 1000 mg or oral morphine, or equianalgesic amount(s) of 1 or more opioid therapies.
  • FOR PATIENTS RANDOMIZED TO RECEIVE NKTR-118: Willingness to stop all laxatives and other bowel regimens including prune juice and herbal products throughout the 52-week treatment period, and to use only bisacodyl as rescue medication if BM has not occurred within at least 72 hours of the last recorded BM.

You may not qualify if:

  • Patients receiving Opioid regimen for treatment of pain related to cancer.
  • History of cancer within 5 years from first study visit with the exception of basal cell cancer and squamous cell skin cancer.
  • Medical conditions and treatments associated with diarrhea, intermittent loose stools, or constipation.
  • Other issues related to the gastrointestinal tract that could impose a risk to the patient.
  • Pregnancy or lactation.

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (169)

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Athens, Alabama, United States

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Birmingham, Alabama, United States

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Huntsville, Alabama, United States

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Mobile, Alabama, United States

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Pell City, Alabama, United States

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Garden Grove, Arizona, United States

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Goodyear, Arizona, United States

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Mesa, Arizona, United States

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Phoenix, Arizona, United States

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Tucson, Arizona, United States

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Tuscon, Arizona, United States

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Jonesboro, Arkansas, United States

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Little Rock, Arkansas, United States

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North Little Rock, Arkansas, United States

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Sherwood, Arkansas, United States

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Arcadia, California, United States

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Chino, California, United States

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Encino, California, United States

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Fremont, California, United States

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Garden Grove, California, United States

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Huntington Park, California, United States

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La Mesa, California, United States

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Laguna Hills, California, United States

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Lakewood, California, United States

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Long Beach, California, United States

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Oceanside, California, United States

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Orange, California, United States

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Pasadena, California, United States

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Riverside, California, United States

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San Bernardino, California, United States

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San Diego, California, United States

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San Francisco, California, United States

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Santa Ana, California, United States

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Walnut Creek, California, United States

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Whittier, California, United States

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Colorado Springs, Colorado, United States

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Stamford, Connecticut, United States

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Boynton Beach, Florida, United States

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Bradenton, Florida, United States

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Brooksville, Florida, United States

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Chiefland, Florida, United States

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Clearwater, Florida, United States

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Crystal River, Florida, United States

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Daytona Beach, Florida, United States

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DeBary, Florida, United States

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Deerfield Beach, Florida, United States

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Delray Beach, Florida, United States

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Edgewater, Florida, United States

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Eustis, Florida, United States

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Fort Myers, Florida, United States

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Inverness, Florida, United States

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Jacksonville, Florida, United States

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Jackson, Florida, United States

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Jupiter, Florida, United States

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Largo, Florida, United States

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Lauderhill, Florida, United States

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Miami, Florida, United States

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Naples, Florida, United States

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North Miami, Florida, United States

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Ocala, Florida, United States

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Orange City, Florida, United States

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Orlando, Florida, United States

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Oviedo, Florida, United States

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Pembroke Pines, Florida, United States

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Pinellas Park, Florida, United States

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Plantation, Florida, United States

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Port Orange, Florida, United States

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Port Saint Lucie, Florida, United States

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Saint Doral, Florida, United States

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South Miami, Florida, United States

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St. Petersburg, Florida, United States

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Tamarac, Florida, United States

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Tampa, Florida, United States

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West Palm Beach, Florida, United States

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West Palm, Florida, United States

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Winter Park, Florida, United States

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Alpharetta, Georgia, United States

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Atlanta, Georgia, United States

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Columbus, Georgia, United States

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Marietta, Georgia, United States

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Suwanee, Georgia, United States

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Tucker, Georgia, United States

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Boise, Idaho, United States

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Bloomington, Illinois, United States

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Chicago, Illinois, United States

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Peoria, Illinois, United States

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Schaumburg, Illinois, United States

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Evansville, Indiana, United States

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Indianapolis, Indiana, United States

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Council Bluffs, Iowa, United States

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Kansas City, Kansas, United States

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Lansing, Kansas, United States

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Overland Park, Kansas, United States

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Wichita, Kansas, United States

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Louisville, Kentucky, United States

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New Orleans, Louisiana, United States

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Shreveport, Louisiana, United States

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Baltimore, Maryland, United States

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Columbia, Maryland, United States

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Hollywood, Maryland, United States

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Pikesville, Maryland, United States

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Reisterstown, Maryland, United States

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Watertown, Massachusetts, United States

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Calamazoo, Michigan, United States

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Traverse City, Michigan, United States

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St Louis, Missouri, United States

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Bellevue, Nebraska, United States

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Fremont, Nebraska, United States

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Lincoln, Nebraska, United States

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Omaha, Nebraska, United States

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Henderson, Nevada, United States

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Las Vegas, Nevada, United States

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Clifton, New Jersey, United States

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Freehold, New Jersey, United States

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Lumberton, New Jersey, United States

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Toms River, New Jersey, United States

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Voorhees Township, New Jersey, United States

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Willingboro, New Jersey, United States

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Albuquerque, New Mexico, United States

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Great Neck, New York, United States

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Hartsdale, New York, United States

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New York, New York, United States

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North Massapequa, New York, United States

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Charlotte, North Carolina, United States

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Elkin, North Carolina, United States

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Flat Rock, North Carolina, United States

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Harrisburg, North Carolina, United States

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Mooresville, North Carolina, United States

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Morganton, North Carolina, United States

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Morrisville, North Carolina, United States

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Winston-Salem, North Carolina, United States

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Akron, Ohio, United States

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Beavercreek, Ohio, United States

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Centerville, Ohio, United States

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Toledo, Ohio, United States

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Oklahoma City, Oklahoma, United States

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Downingtown, Pennsylvania, United States

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Jenkintown, Pennsylvania, United States

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Norristown, Pennsylvania, United States

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Philadelphia, Pennsylvania, United States

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Pottstown, Pennsylvania, United States

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Anderson, South Carolina, United States

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Charleston, South Carolina, United States

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Greer, South Carolina, United States

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Myrtle Beach, South Carolina, United States

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Chattanooga, Tennessee, United States

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Clarksville, Tennessee, United States

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Jackson, Tennessee, United States

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Memphis, Tennessee, United States

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Milan, Tennessee, United States

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New Tazewell, Tennessee, United States

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Austin, Texas, United States

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Dallas, Texas, United States

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Houston, Texas, United States

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Hurst, Texas, United States

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Lexington, Texas, United States

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Marshall, Texas, United States

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San Antonio, Texas, United States

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Sugarland, Texas, United States

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Victoria, Texas, United States

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Clinton, Utah, United States

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Ogden, Utah, United States

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Salt Lake City, Utah, United States

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St. George, Utah, United States

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West Jordan, Utah, United States

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Richmond, Virginia, United States

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Springfield, Virginia, United States

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Virginia Beach, Virginia, United States

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Middleton, Wisconsin, United States

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Related Publications (1)

  • Webster L, Chey WD, Tack J, Lappalainen J, Diva U, Sostek M. Randomised clinical trial: the long-term safety and tolerability of naloxegol in patients with pain and opioid-induced constipation. Aliment Pharmacol Ther. 2014 Oct;40(7):771-9. doi: 10.1111/apt.12899. Epub 2014 Aug 12.

Related Links

MeSH Terms

Conditions

Opioid-Induced Constipation

Interventions

naloxegol

Condition Hierarchy (Ancestors)

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

Results Point of Contact

Title
Gerard Lynch
Organization
AstraZeneca

Study Officials

  • Mark Sostek

    AstraZeneca

    STUDY DIRECTOR

Publication Agreements

PI is Sponsor Employee
No
Restriction Type
GT60
Restrictive Agreement
Yes

Study Design

Study Type
interventional
Phase
phase 3
Allocation
RANDOMIZED
Masking
NONE
Purpose
TREATMENT
Intervention Model
PARALLEL
Sponsor Type
INDUSTRY
Responsible Party
SPONSOR

Study Record Dates

First Submitted

April 14, 2011

First Posted

April 15, 2011

Study Start

April 1, 2011

Primary Completion

December 1, 2012

Study Completion

December 1, 2012

Last Updated

October 20, 2014

Results First Posted

October 20, 2014

Record last verified: 2014-10

Locations