Assessment of Efficacy and Safety in Relieving Opioid-induced Constipation in Patients With Cancer-related Pain

NCT ID: NCT01384292

Last Updated: 2015-06-01

Study Results

Results available

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Basic Information

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Recruitment Status

TERMINATED

Clinical Phase

PHASE3

Total Enrollment

14 participants

Study Classification

INTERVENTIONAL

Study Start Date

2011-06-30

Study Completion Date

2012-09-30

Brief Summary

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The purpose of this study is to compare the effect of NKTR-118 with placebo in the treatment of opioid-induced constipation (OIC) in patients with cancer-related pain, including those patients that have inadequate response to laxative therapy (LIR).

The study consists of 2 parts; A initial 4-week treatment period (part A) and then a 12 week extension with active treatment (part B).

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

QUADRUPLE

Participants Caregivers Investigators Outcome Assessors

Study Groups

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1 (part A and B)

Oral treatment

Group Type EXPERIMENTAL

NKTR-118

Intervention Type DRUG

12.5 mg oral tablet once daily

2 (part A and B)

Oral treatment

Group Type EXPERIMENTAL

NKTR-118

Intervention Type DRUG

25 mg oral tablet once daily

3 (part A only)

Oral treatment

Group Type PLACEBO_COMPARATOR

Placebo

Intervention Type DRUG

Oral treatment

Interventions

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NKTR-118

12.5 mg oral tablet once daily

Intervention Type DRUG

NKTR-118

25 mg oral tablet once daily

Intervention Type DRUG

Placebo

Oral treatment

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* Provision of written informed consent prior to any study-specific procedures.
* Men and women aged 18 or older.
* Histologically or cytologically confirmed neoplasm causing pain and requiring management with opioids.
* Self-reported active symptoms of OIC at screening (\<3 RFBMs/week and experiencing \>1 reported symptom of hard/lumpy stools, straining, or sensation of incomplete evacuation/anorectal obstruction in at least 25% of BMs over the previous 4 weeks); and Documented confirmed OIC (\<3 RFBMs/week on average aver the 2-week OIC confirmation period.
* Receiving a stable maintenance opioid regimen consisting of a total daily dose of \>30 mg of oral morphine, or equianalgesic amount(s) of 1 or more opioid therapies for a minimum of 4 weeks prior to screening for cancer-related pain with no anticipated change in opioid dose requirement over the proposed study period as a result of disease progression.

Exclusion Criteria

* Patients receiving Opioid regimen for treatment of pain other than related to cancer.
* Any condition that may have affected the permeability of the blood-brain barrier, eg, known brain metastases, meningeal metastases, brain injury, multiple sclerosis, recent brain injury, uncontrolled epilepsy.
* Patients with cancer-related pain due to ovarian cancer, leukaemia, or lymphoma are excluded. Patients with multiple myeloma will be allowed.
* Patients requiring radiation therapy between the diaphragm and pelvis 4 weeks prior to Visit 1 (screening) and/or during Part A of the study are excluded. Any patients with suspected clinically relevant radiation-induced injury of small or large intestine are excluded.
* Pregnancy or lactation.
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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AstraZeneca

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Locations

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Huntsville, Alabama, United States

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Casa Grande, Arizona, United States

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Phoenix, Arizona, United States

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Tucson, Arizona, United States

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Fort Smith, Arkansas, United States

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Hot Springs, Arkansas, United States

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North Little Rock, Arkansas, United States

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Encino, California, United States

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Fountain Valley, California, United States

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Gilroy, California, United States

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Laguna Hills, California, United States

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Montebello, California, United States

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Orange, California, United States

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Riverside, California, United States

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San Bernardino, California, United States

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Aurora, Colorado, United States

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Denver, Colorado, United States

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Baypines, Florida, United States

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Boynton Beach, Florida, United States

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Celebration, Florida, United States

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Clearwater, Florida, United States

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Coral Gables, Florida, United States

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Hialeah, Florida, United States

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Jacksonville, Florida, United States

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Lake Worth, Florida, United States

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Lakeland, Florida, United States

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Miami, Florida, United States

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Miami Lakes, Florida, United States

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Naples, Florida, United States

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Plantation, Florida, United States

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Tavares, Florida, United States

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Albany, Georgia, United States

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Marietta, Georgia, United States

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Riverdale, Georgia, United States

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Roswell, Georgia, United States

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Honolulu, Hawaii, United States

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Chicago, Illinois, United States

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Springfield, Illinois, United States

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Anderson, Indiana, United States

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Evansville, Indiana, United States

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Owensboro, Kentucky, United States

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Lafayette, Louisiana, United States

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Elkridge, Maryland, United States

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Hollywood, Maryland, United States

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Boston, Massachusetts, United States

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Fairhaven, Massachusetts, United States

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Detroit, Michigan, United States

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Kalamazoo, Michigan, United States

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Southaven, Mississippi, United States

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Jefferson City, Missouri, United States

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St Louis, Missouri, United States

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Missoula, Montana, United States

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Omaha, Nebraska, United States

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Las Vegas, Nevada, 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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Great Neck, New York, United States

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Syracuse, New York, United States

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Chapel Hill, North Carolina, United States

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Flat Rock, North Carolina, United States

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Morrisville, North Carolina, United States

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Wilmington, North Carolina, United States

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Winston-Salem, North Carolina, United States

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Bismarck, North Dakota, United States

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Akron, Ohio, United States

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Beavercreek, Ohio, United States

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Cleveland, Ohio, United States

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Middleton, Ohio, United States

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Danville, Pennsylvania, United States

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East Providence, Rhode Island, United States

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Charleston, South Carolina, United States

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Chattanooga, Tennessee, United States

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Beaumont, Texas, United States

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Bellaire, Texas, United States

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Corpus Christi, Texas, United States

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Dallas, Texas, United States

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Houston, Texas, United States

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Lubbock, Texas, United States

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San Antonio, Texas, United States

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Sugarland, Texas, United States

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Fairfax, Virginia, United States

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Broadmeadow, New South Wales, Australia

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Frankston, Victoria, Australia

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Malvern, Victoria, Australia

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Parkville, Victoria, Australia

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Fremantle, Western Australia, Australia

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Edegem, Belgium, Belgium

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Mons, Belgium, Belgium

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Brussels, , Belgium

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Wetteren, , Belgium

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Haskovo, , Bulgaria

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Pleven, , Bulgaria

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Rousse, , Bulgaria

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Shumen, , Bulgaria

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Sofia, , Bulgaria

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Varna, , Bulgaria

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Zagreb, , Croatia

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Benešov, , Czechia

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České Budějovice, , Czechia

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Prague, , Czechia

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Hamburg, City state of Hamburg, Germany

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Wiesbaden, Hesse, Germany

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Berlin, State of Berlin, Germany

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Offenbach, , Germany

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Brzozów, , Poland

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Bydgoszcz, , Poland

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Gdansk, , Poland

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Gliwice, , Poland

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Poznan, , Poland

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Warsaw, , Poland

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Wroclaw, , Poland

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Ponce, , Puerto Rico

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Craiova, Dolj, Romania

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Ploieşti, Prahova, Romania

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Baia Mare, , Romania

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Brasov, , Romania

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Brăila, , Romania

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Bucharest, , Romania

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Cluj-Napoca, , Romania

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Onești, , Romania

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Bardejov, , Slovakia

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Bratislava, , Slovakia

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Košice, , Slovakia

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Prešov, , Slovakia

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Port Elizabeth, Eastern Cape, South Africa

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Bloemfontein, Free State, South Africa

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Benoni, Gauteng, South Africa

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Pretoria, Gauteng, South Africa

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Vereeniging, Gauteng, South Africa

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Durban, Kz-natal, South Africa

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Goodwood, W Cape, South Africa

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Seville, Andalusia, Spain

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A Coruña, Galicia, Spain

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Valencia, Valencia, Spain

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Penarth, CRF, United Kingdom

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Norwich, Norfolk, United Kingdom

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Guildford, Surrey, United Kingdom

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Chippenham, Wilts, United Kingdom

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Coventry, , United Kingdom

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London, , United Kingdom

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Countries

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United States Australia Belgium Bulgaria Croatia Czechia Germany Poland Puerto Rico Romania Slovakia South Africa Spain United Kingdom

Related Links

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Other Identifiers

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2011-001985-16

Identifier Type: -

Identifier Source: secondary_id

D3820C00006

Identifier Type: -

Identifier Source: org_study_id

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