NCT04173858

Brief Summary

Opioid-induced constipation (OIC) is a common feature in patients treated with strong opioids. Such medication is often prescribed together with a laxative (osmotic, emollient), with effectiveness depending on the individual patient. Peripherally-acting, mu-opioid receptor antagonists (PAMORAs), such as Naloxegol, have proven to be effective against OIC in patients with inadequate response to laxatives without reducing opioid analgesic effect. However, evidence regarding efficacy and safety on patients with cancer is still scarce. The objective of this study was to analyze the efficacy of naloxegol in a real-world setting by assessing Quality of Life outcomes, and to obtain data on its safety in the long term in patients with cancer.

Trial Health

87
On Track

Trial Health Score

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

Enrollment
126

participants targeted

Target at P50-P75 for all trials

Timeline
Completed

Started Sep 2017

Typical duration for all trials

Geographic Reach
1 country

1 active site

Status
completed

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

Trial Relationships

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Study Timeline

Key milestones and dates

Study Start

First participant enrolled

September 21, 2017

Completed
2.1 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

October 31, 2019

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

October 31, 2019

Completed
18 days until next milestone

First Submitted

Initial submission to the registry

November 18, 2019

Completed
4 days until next milestone

First Posted

Study publicly available on registry

November 22, 2019

Completed
Last Updated

November 22, 2019

Status Verified

November 1, 2019

Enrollment Period

2.1 years

First QC Date

November 18, 2019

Last Update Submit

November 21, 2019

Conditions

Keywords

Naloxegol, PAMORA

Outcome Measures

Primary Outcomes (1)

  • Assessment of Quality of Life

    Patient Assessment of Constipation Quality of Life (PAC-QoL) Questionnaire

    12 months

Secondary Outcomes (4)

  • Assessment of Constipation Symptoms

    15 days

  • Assessment of Constipation Symptoms

    1 month

  • Assessment of Constipation Symptoms

    3 months

  • Assessment of Constipation Symptoms

    6 months

Study Arms (1)

Experimental

Patients with confirmed opioid-induced constipation diagnosis and inadequate response to laxatives.

Drug: Naloxegol

Interventions

25 mg oral naloxegol once daily.

Experimental

Eligibility Criteria

Age18 Years+
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)
Sampling MethodProbability Sample
Study Population

Ambulatory oncology patients in Spain with diagnosis of OIC.

You may qualify if:

  • Diagnosis of Cancer
  • Treatment with opioids
  • OIC symptoms
  • Inadequate response to laxatives
  • Karnofsky equal or above 50
  • Ambulatory
  • Must be able to complete questionnaire forms

You may not qualify if:

  • Hypersensitivity to Naloxegol or vehicle
  • Suspicion or high risk of gastrointestinal block
  • High risk of GI perforation
  • Severe liver failure
  • Pregnancy or breastfeeding
  • Use of potent CYP3A4 inhibitors
  • Cognitive impairment

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

Hospital Universitario de Torrejon

Torrejón de Ardoz, Madrid, 28850, Spain

Location

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

Study Design

Study Type
observational
Observational Model
COHORT
Time Perspective
PROSPECTIVE
Sponsor Type
INDUSTRY
Responsible Party
SPONSOR

Study Record Dates

First Submitted

November 18, 2019

First Posted

November 22, 2019

Study Start

September 21, 2017

Primary Completion

October 31, 2019

Study Completion

October 31, 2019

Last Updated

November 22, 2019

Record last verified: 2019-11

Locations