Study Evaluating Subcutaneous Methylnaltrexone For Treatment Of Opioid-Induced Constipation In Patients With Advanced Illness

NCT ID: NCT00672477

Last Updated: 2018-03-08

Study Results

Results available

Outcome measurements, participant flow, baseline characteristics, and adverse events have been published for this study.

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE4

Total Enrollment

237 participants

Study Classification

INTERVENTIONAL

Study Start Date

2008-06-30

Study Completion Date

2013-02-28

Brief Summary

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This study will evaluate the safety and efficacy of methylnaltrexone administered as subcutaneous injections in subjects who have opioid-induced constipation and an advanced illness. The hypothesis is that methylnaltrexone will be safe and effective in relieving opioid-induced constipation in these subjects.

Detailed Description

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Conditions

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Opioid-Induced Constipation

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

DOUBLE

Participants Investigators

Study Groups

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Methylnaltrexone

Methylnaltrexone subcutaneously every other day for 14 days (ie, 7 doses). Subjects received 0.6 mL (12 mg) every other day if weight ≥ 62kg; or 0.4 mL (8 mg) every other day if weight between 38 and \<62 kg. Subjects with impaired kidney function received reduced doses according to instructions in the Relistor prescribing information.

Group Type EXPERIMENTAL

Methylnaltrexone

Intervention Type DRUG

Placebo

Placebo subcutaneously every other day for 14 days (ie, 7 doses). Subjects received 0.6 mL every other day if weight ≥ 62kg; or 0.4 mL every other day if weight between 38 and \< 62 kg. Subjects with impaired kidney function received reduced volumes of placebo solution to match the volumes used in the experimental group.

Group Type PLACEBO_COMPARATOR

Placebo

Intervention Type DRUG

Interventions

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Methylnaltrexone

Intervention Type DRUG

Placebo

Intervention Type DRUG

Other Intervention Names

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MOA-728 Relistor Control

Eligibility Criteria

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Inclusion Criteria

* Is an adult 18 years of age or older
* Has a diagnosis of advanced illness (ie, a terminal illness such as incurable cancer or other end-stage disease)
* Has a life expectancy of at least 1 month.
* Is receiving opioids on a regular schedule (not just as-needed or rescue doses) for the control of pain or discomfort for at least 2 weeks before the first dose of study drug.
* Has constipation that is caused by opioid medications.

Exclusion Criteria

* Has a known or suspected allergy to methylnaltrexone or other similar compounds (e.g. naltrexone or naloxone).
* Has a known or suspected mechanical gastrointestinal obstruction.
* Has any potential nonopioid cause of bowel dysfunction that might be a major contributor to the constipation.
* Has any other clinically important abnormalities as determined by the investigator that may interfere with his or her participation in or compliance with the study.
* Receiving opioid antagonist or partial antagonist products.
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Progenics Pharmaceuticals, Inc.

INDUSTRY

Sponsor Role collaborator

Bausch Health Americas, Inc.

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Enoch Bortey

Role: STUDY_DIRECTOR

Bausch Health Americas, Inc.

Locations

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Salix Investigational Site

Mobile, Alabama, United States

Site Status

Salix Investigational Site

Laguna Hills, California, United States

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Salix Investigational Site

Lancaster, California, United States

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Salix Investigational Site

Aurora, Colorado, United States

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Salix Investigational Site

Auburndale, Florida, United States

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Salix Investigational Site

Hudson, Florida, United States

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Salix Investigational Site

Lakeland, Florida, United States

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Salix Investigational Site

Lakeland, Florida, United States

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Salix Investigational Site

Miami Springs, Florida, United States

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Salix Investigational Site

Ruskin, Florida, United States

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Salix Investigational Site

Sebring, Florida, United States

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Salix Investigational Site

Tampa, Florida, United States

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Salix Investigational Site

Tampa, Florida, United States

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Salix Investigational Site

Tampa, Florida, United States

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Salix Investigational Site

Temple Terrace, Florida, United States

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Salix Investigational Site

West Palm Beach, Florida, United States

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Salix Investigational Site

Orange, New Jersey, United States

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Salix Investigational Site

Albuquerque, New Mexico, United States

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Salix Investigational Site

Flat Rock, North Carolina, United States

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Salix Investigational Site

Winston-Salem, North Carolina, United States

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Salix Investigational Site

Cleveland, Ohio, United States

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Salix Investigational Site

Philadelphia, Pennsylvania, United States

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Salix Investigational Site

Austin, Texas, United States

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Salix Investigational Site

Houston, Texas, United States

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Salix Investigational Site

American Fork, Utah, United States

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Salix Investigational Site

Orem, Utah, United States

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Salix Investigational Site

Provo, Utah, United States

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Salix Investigational Site

Salt Lake City, Utah, United States

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Salix Investigational Site

Madison, Wisconsin, United States

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Salix Investigational Site

Darlinghurst, New South Wales, Australia

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Salix Investigational Site

Coburg, Victoria, Australia

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Salix Investigational Site

East Melbourne, Victoria, Australia

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Salix Investigational Site

Leuven, , Belgium

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Salix Investigational Site

Liberdade, São Paulo, Brazil

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Salix Investigational Site

São Paulo, São Paulo, Brazil

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Salix Investigational Site

Edmonton, Alberta, Canada

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Salix Investigational Site

Winnipeg, Manitoba, Canada

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Salix Investigational Site

Hamilton, Ontario, Canada

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Salix Investigational Site

Montreal, Quebec, Canada

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Salix Investigational Site

Montreal, Quebec, Canada

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Salix Investigational Site

Québec, Quebec, Canada

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Salix Investigational Site

Besançon, , France

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Salix Investigational Site

Bordeaux, , France

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Salix Investigational Site

Bordeaux, , France

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Salix Investigational Site

Grenoble, , France

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Salix Investigational Site

Montpellier, , France

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Salix Investigational Site

Villejuif, , France

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Salix Investigational Site

Aachen, , Germany

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Salix Investigational Site

Berlin, , Germany

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Salix Investigational Site

München, , Germany

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Salix Investigational Site

L’Aquila, , Italy

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Salix Investigational Site

Milan, , Italy

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Salix Investigational Site

Milan, , Italy

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Pfizer Investigational Site

Mexico City DF, , Mexico

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Salix Investigational Site

Barcelona, , Spain

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Salix Investigational Site

L'Hospitalet de Llobregat, , Spain

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Salix Investigational Site

Seville, , Spain

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Salix Investigational Site

Kungsbacka, , Sweden

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Salix Investigational Site

Norrköping, , Sweden

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Salix Investigational Site

Cheltenham, Gloucestershire, United Kingdom

Site Status

Countries

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United States Australia Belgium Brazil Canada France Germany Italy Mexico Spain Sweden United Kingdom

References

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Liao SS, Slatkin NE, Stambler N. The Influence of Age on Central Effects of Methylnaltrexone in Patients with Opioid-Induced Constipation. Drugs Aging. 2021 Jun;38(6):503-511. doi: 10.1007/s40266-021-00850-w. Epub 2021 Mar 31.

Reference Type DERIVED
PMID: 33788162 (View on PubMed)

Janku F, Johnson LK, Karp DD, Atkins JT, Singleton PA, Moss J. Treatment with methylnaltrexone is associated with increased survival in patients with advanced cancer. Ann Oncol. 2016 Nov;27(11):2032-2038. doi: 10.1093/annonc/mdw317. Epub 2016 Aug 29.

Reference Type DERIVED
PMID: 27573565 (View on PubMed)

Other Identifiers

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B2541005

Identifier Type: -

Identifier Source: secondary_id

3200K1-4000

Identifier Type: -

Identifier Source: org_study_id

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