A Study of Alvimopan for the Management of Postoperative Ileus in Participants Undergoing Radical Cystectomy

NCT ID: NCT00708201

Last Updated: 2016-01-08

Study Results

Results available

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE4

Total Enrollment

280 participants

Study Classification

INTERVENTIONAL

Study Start Date

2009-03-31

Study Completion Date

2012-01-31

Brief Summary

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This study is being conducted to determine whether alvimopan can accelerate recovery of gastrointestinal function following radical cystectomy when compared with a placebo. Secondary objectives of the study are:

* to evaluate the effect of alvimopan on hospital length of stay
* to evaluate the effect of alvimopan on prespecified postoperative ileus (POI)-related morbidities
* to evaluate the overall and cardiovascular safety of alvimopan

Detailed Description

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Conditions

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Postoperative Ileus

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

QUADRUPLE

Participants Caregivers Investigators Outcome Assessors

Study Groups

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Alvimopan

12 milligrams (mg)

Alvimopan, 12mg, capsule. Administered orally. One 30 minutes to 5 hours before the scheduled start of surgery on Day 0, and twice daily beginning on Postoperative Day 1 (POD 1) until hospital discharge or for a maximum of 7 days (up to 15 doses) of postoperative treatment

Group Type EXPERIMENTAL

Alvimopan

Intervention Type DRUG

Placebo

300 mg polyethylene glycol in a capsule

Administered orally at least 30 minutes and no later than 5 hours before the scheduled start of surgery on Day 0. On Day 1, a single dose of placebo was given twice a day for a maximum of 7 days in hospital after surgery.

Group Type PLACEBO_COMPARATOR

Placebo

Intervention Type DRUG

Interventions

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Alvimopan

Intervention Type DRUG

Placebo

Intervention Type DRUG

Other Intervention Names

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ADL2698 Entereg

Eligibility Criteria

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Inclusion Criteria

* are either Male or Female at least 18 years of age
* are scheduled for radical cystectomy
* are scheduled to receive postoperative pain management with intravenous participant-controlled opioid analgesics

Exclusion Criteria

* are scheduled for a partial cystectomy
* have taken more than 3 doses of opioids (oral or parenteral) within 7 days before the day of surgery
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Cubist Pharmaceuticals LLC, a subsidiary of Merck & Co., Inc. (Rahway, New Jersey USA)

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Lee Techner, DPM

Role: STUDY_DIRECTOR

Cubist Pharmaceuticals LLC, a subsidiary of Merck & Co., Inc. (Rahway, New Jersey USA)

Locations

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Saddleback Memorial Medical Center

Laguna Hills, California, United States

Site Status

University of Colorado Hospital

Aurora, Colorado, United States

Site Status

University of Miami

Miami, Florida, United States

Site Status

H. Lee Moffitt Cancer Center & Research Institute

Tampa, Florida, United States

Site Status

The University of Chicago Medical Center

Chicago, Illinois, United States

Site Status

University of Chicago, Section of Urology MC6038

Chicago, Illinois, United States

Site Status

Indiana University Hospital

Indianapolis, Indiana, United States

Site Status

Ochsner Clinic Foundation

New Orleans, Louisiana, United States

Site Status

University of Michigan Health System

Ann Arbor, Michigan, United States

Site Status

University of Minnesota Hospital

Minneapolis, Minnesota, United States

Site Status

Mayo Clinic

Rochester, Minnesota, United States

Site Status

CRC of Jackson

Jackson, Mississippi, United States

Site Status

University of North Carolina Hospitals

Chapel Hill, North Carolina, United States

Site Status

Wake Forest University Baptist Medical Center

Winston-Salem, North Carolina, United States

Site Status

Cleveland Clinic

Cleveland, Ohio, United States

Site Status

Bend Memorial Clinic

Bend, Oregon, United States

Site Status

Oregon Health and Science University Knight Cancer Institute

Portland, Oregon, United States

Site Status

Vanderbilt University Medical Center, Department of Urology Surgery

Nashville, Tennessee, United States

Site Status

The Methodist Hospital

Houston, Texas, United States

Site Status

The University of Texas MD Anderson Cancer Center

Houston, Texas, United States

Site Status

Countries

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United States

References

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Lee CT, Chang SS, Kamat AM, Amiel G, Beard TL, Fergany A, Karnes RJ, Kurz A, Menon V, Sexton WJ, Slaton JW, Svatek RS, Wilson SS, Techner L, Bihrle R, Steinberg GD, Koch M. Alvimopan accelerates gastrointestinal recovery after radical cystectomy: a multicenter randomized placebo-controlled trial. Eur Urol. 2014 Aug;66(2):265-72. doi: 10.1016/j.eururo.2014.02.036. Epub 2014 Feb 26.

Reference Type DERIVED
PMID: 24630419 (View on PubMed)

Other Identifiers

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14CL403

Identifier Type: OTHER

Identifier Source: secondary_id

3753-002

Identifier Type: -

Identifier Source: org_study_id

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