Long-Term Safety and Tolerability Study of NKTR-181 in Subjects With Chronic Low Back Pain or Chronic Non-Cancer Pain

NCT ID: NCT02367820

Last Updated: 2021-06-22

Study Results

Results available

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE3

Total Enrollment

638 participants

Study Classification

INTERVENTIONAL

Study Start Date

2015-04-14

Study Completion Date

2018-01-31

Brief Summary

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The purpose of this 52-week open label study is to determine the long-term safety of a new opioid molecule, NKTR-181, in patients with moderate to severe chronic low back pain or chronic non-cancer pain.

Detailed Description

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This is an open-label safety and tolerability study in which approximately 600 subjects will receive NKTR-181 for up to 52 weeks. Subjects may include newly enrolled subjects and subjects who have recently completed SUMMIT-07 study.

This study will also investigate the pharmacokinetics of NKTR-181 in patients with chronic low back pain or chronic non-cancer pain.

Conditions

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Low Back Pain Chronic Pain

Study Design

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Allocation Method

NA

Intervention Model

SINGLE_GROUP

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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NKTR-181

NKTR-181 twice daily (BID) tablets

Group Type EXPERIMENTAL

NKTR-181 BID tablets

Intervention Type DRUG

NKTR-181 tablets 100-600 mg twice daily (BID)

Interventions

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NKTR-181 BID tablets

NKTR-181 tablets 100-600 mg twice daily (BID)

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* Male or non-pregnant, non-nursing female aged 18 to 75 years old
* Clinical diagnosis of moderate to severe, chronic low back or non-cancer pain for at least three months
* Not experiencing adequate pain relief or have failed previous treatment with non-opioid analgesics
* Opioid analgesia is necessary
* Currently taking no less than 10 mg but no more than 60 mg of morphine sulfate equivalents (MSE) per day of opioid analgesics for at least 7 days prior to entry
* Females of child bearing potential must be using a highly effective form of birth control. All subjects must agree to use double-barrier contraception during participation in this study and for at least 2 months after the last dose of the study drug.
* Willing and able to provide informed consent

Exclusion Criteria

* History of hypersensitivity, intolerance, or allergy to opioids
* Surgical procedures in the last 4 weeks or plans to undergo surgical procedures during the study period
* Untreated moderate to severe sleep apnea
* Chronic migraines as the primary pain condition
* Cancer related pain
Minimum Eligible Age

18 Years

Maximum Eligible Age

75 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Nektar Therapeutics

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Locations

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Investigator Site - Saraland

Saraland, Alabama, United States

Site Status

Investigator Site - Phoenix

Phoenix, Arizona, United States

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Investigator Site - Tempe

Tempe, Arizona, United States

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Investigator Site - Little Rock

Little Rock, Arkansas, United States

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Investigator Site - Stamford

Stamford, Connecticut, United States

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Investigator Site - Clearwater

Clearwater, Florida, United States

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Investigator Site - Fort Lauderdale

Fort Lauderdale, Florida, United States

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Investigator Site - Fort Myers

Fort Myers, Florida, United States

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Investigator Site - Jacksonville

Jacksonville, Florida, United States

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Investigator Site - Orlando

Orlando, Florida, United States

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Investigator Site - Ormond Beach

Ormond Beach, Florida, United States

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Investigator Site - Plantation

Plantation, Florida, United States

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Investigator Site - Tampa

Tampa, Florida, United States

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Investigator Site - West Palm Beach

West Palm Beach, Florida, United States

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Investigator Site - Atlanta

Atlanta, Georgia, United States

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Investigator Site - Blue Ridge

Blue Ridge, Georgia, United States

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Investigator Site - Marietta

Marietta, Georgia, United States

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Investigator Site - Norcross

Norcross, Georgia, United States

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Investigator Site - Gurnee

Gurnee, Illinois, United States

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Investigator Site - West Des Moines

West Des Moines, Iowa, United States

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Investigator Site - Wichita

Wichita, Kansas, United States

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Investigator Site - Louisville

Louisville, Kentucky, United States

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Investigator Site - Bossier

Bossier City, Louisiana, United States

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Investigator Site - New Orleans

New Orleans, Louisiana, United States

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Investigator Site - Shreveport

Shreveport, Louisiana, United States

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Investigator Site - Bay City

Bay City, Michigan, United States

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Investigator Site - Pinconning

Pinconning, Michigan, United States

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Investigator Site - Biloxi

Biloxi, Mississippi, United States

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Investigator Site - Saint Louis 1

St Louis, Missouri, United States

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Investigator Site - Saint Louis 2

St Louis, Missouri, United States

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Investigator Site - Omaha

Omaha, Nebraska, United States

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Investigator Site - Las Vegas 2

Las Vegas, Nevada, United States

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Investigator Site - Las Vegas 1

Las Vegas, Nevada, United States

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Investigator Site - Rochester

Rochester, New York, United States

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Investigator Site - Williamsville

Williamsville, New York, United States

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Investigator Site - Greensboro

Greensboro, North Carolina, United States

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Investigator Site - Winston Salem

Winston-Salem, North Carolina, United States

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Investigator Site - Fargo

Fargo, North Dakota, United States

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Investigator Site - Beavercreek

Beavercreek, Ohio, United States

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Investigator Site - Cincinnati 1

Cincinnati, Ohio, United States

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Investigator Site - Cincinnati 2

Cincinnati, Ohio, United States

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Investigator Site - Columbus

Columbus, Ohio, United States

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Investigator Site - Duncansville

Duncansville, Pennsylvania, United States

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Investigator Site - Jenkintown

Jenkintown, Pennsylvania, United States

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Investigator Site - Dakota Dunes

Dakota Dunes, South Dakota, United States

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Investigator Site - Rapid City

Rapid City, South Dakota, United States

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Investigator Site - Memphis

Memphis, Tennessee, United States

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Investigator Site - Arlington

Arlington, Texas, United States

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Investigator Site - Austin

Austin, Texas, United States

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Investigator Site - Killeen

Killeen, Texas, United States

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Investigator Site - San Antonio

San Antonio, Texas, United States

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Investigator Site - Salt Lake City

Salt Lake City, Utah, United States

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Investigator Site - West Jordan

West Jordan, Utah, United States

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Investigator Site - Midlothian

Midlothian, Virginia, United States

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Investigator Site - Norfolk

Norfolk, Virginia, United States

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Investigator Site - Kenosha

Kenosha, Wisconsin, United States

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Countries

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United States

References

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Gudin J, Rauck R, Argoff C, Agaiby E, Gimbel J, Katz N, Doberstein SK, Tagliaferri M, Tagliaferri M, Potts J, Wild J, Lu L, Siddhanti S, Hale M, Markman J. Long-term Safety and Tolerability of NKTR-181 in Patients with Moderate to Severe Chronic Low Back Pain or Chronic Noncancer Pain: A Phase 3 Multicenter, Open-Label, 52-Week Study (SUMMIT-08 LTS). Pain Med. 2020 Nov 7;21(7):1347-1356. doi: 10.1093/pm/pnz169.

Reference Type BACKGROUND
PMID: 31361019 (View on PubMed)

Park EJ, Choi J, Lee KC, Na DH. Emerging PEGylated non-biologic drugs. Expert Opin Emerg Drugs. 2019 Jun;24(2):107-119. doi: 10.1080/14728214.2019.1604684. Epub 2019 Apr 19.

Reference Type DERIVED
PMID: 30957581 (View on PubMed)

Provided Documents

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Document Type: Study Protocol

View Document

Document Type: Statistical Analysis Plan

View Document

Other Identifiers

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14-181-08

Identifier Type: -

Identifier Source: org_study_id

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