Study to Evaluate the Safety and Efficacy of Naldemedine (S-297995) for the Treatment of Opioid-Induced Bowel Dysfunction in Subjects With Chronic Pain

NCT ID: NCT01122030

Last Updated: 2017-05-30

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

PHASE2

Total Enrollment

72 participants

Study Classification

INTERVENTIONAL

Study Start Date

2010-05-19

Study Completion Date

2011-03-22

Brief Summary

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The primary objective of the study is to evaluate the safety of single doses of oral naldemedine in adults physically dependent on opioids.

Detailed Description

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A single dose of naldemedine or matching placebo will be administered orally to each cohort of 12 participants (9 treatments, 3 placebos) in the morning of Day 15 under fasted conditions. The first cohort will receive a 0.1 mg dose. Cohorts will continue to be enrolled at the next higher dose level until the highest dose level (3 mg) has been achieved or until the study is discontinued due to adverse events or Clinical Opioid Withdrawal Score of \>8. A 0.03 mg dose will also be tested. A 0.01 mg dose will be tested if 4 or more subjects experience 1 or more bowel movements within the 24 hour period post dose in the 0.03 mg dosing cohort.

Conditions

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Opioid Induced Bowel Dysfunction

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

SINGLE_GROUP

Primary Study Purpose

TREATMENT

Blinding Strategy

TRIPLE

Participants Caregivers Investigators

Study Groups

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Cohort 1

In this cohort 9 participants received one 0.1 mg naldemedine tablet and 3 participants received matching placebo administered on Day 15 under fasted conditions.

Group Type EXPERIMENTAL

Naldemedine

Intervention Type DRUG

Tablets or solution for oral administration

Placebo

Intervention Type DRUG

Tablets or solution for oral administration

Cohort 2

In this cohort 9 participants received a single dose of 0.3 mg naldemedine tablets and 3 participants received matching placebo tablets administered on Day 15 under fasted conditions.

Group Type EXPERIMENTAL

Naldemedine

Intervention Type DRUG

Tablets or solution for oral administration

Placebo

Intervention Type DRUG

Tablets or solution for oral administration

Cohort 3

In this cohort 9 participants received a single dose of 1 mg naldemedine tablets and 3 participants received matching placebo tablets administered on Day 15 under fasted conditions.

Group Type EXPERIMENTAL

Naldemedine

Intervention Type DRUG

Tablets or solution for oral administration

Placebo

Intervention Type DRUG

Tablets or solution for oral administration

Cohort 4

In this cohort 9 participants received a single dose of 3 mg naldemedine tablets and 3 participants received matching placebo tablets administered on Day 15 under fasted conditions.

Group Type EXPERIMENTAL

Naldemedine

Intervention Type DRUG

Tablets or solution for oral administration

Placebo

Intervention Type DRUG

Tablets or solution for oral administration

Cohort 5

In this cohort 9 participants received a single dose of 0.03 mg naldemedine oral solution and 3 participants received matching placebo oral solution administered on Day 15 under fasted conditions.

Group Type EXPERIMENTAL

Naldemedine

Intervention Type DRUG

Tablets or solution for oral administration

Placebo

Intervention Type DRUG

Tablets or solution for oral administration

Cohort 6

In this cohort 9 participants received a single dose of 0.01 mg naldemedine oral solution and 3 participants received matching placebo oral solution administered on Day 15 under fasted conditions.

Group Type EXPERIMENTAL

Naldemedine

Intervention Type DRUG

Tablets or solution for oral administration

Placebo

Intervention Type DRUG

Tablets or solution for oral administration

Interventions

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Naldemedine

Tablets or solution for oral administration

Intervention Type DRUG

Placebo

Tablets or solution for oral administration

Intervention Type DRUG

Other Intervention Names

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S-297995 Symproic®

Eligibility Criteria

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Inclusion Criteria

* Understand and sign an informed consent form
* Males will agree to use an approved double-barrier method of contraception from Day 1 until 1 month after study completion
* Subject tests negative on urine drug test unless the subject has a prescription for the drug(s) that test positive

Exclusion Criteria

* Subjects under opioid therapy for cancer-related pain or for the management of drug addiction
* Fecal incontinence, irritable bowel syndrome, inflammatory bowel disease, or other active medical disorders associated with diarrhea, intermittent loose stools, or constipation
* Subjects who have participated in any other investigational drug study within 30 days prior to Day 1
* Prior exposure to S-297995
Minimum Eligible Age

18 Years

Maximum Eligible Age

65 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Shionogi

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Shionogi Clinical Trials Administrator Clinical Support Help Line

Role: STUDY_DIRECTOR

Shionogi

Locations

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Shionogi Research Site

Salt Lake City, Utah, United States

Site Status

Countries

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United States

Other Identifiers

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1007V9214

Identifier Type: -

Identifier Source: org_study_id

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