Trial Outcomes & Findings for Alvimopan as Rescue in Post op Ileus (NCT NCT02742181)

NCT ID: NCT02742181

Last Updated: 2022-11-18

Results Overview

Date of surgery until discharge

Recruitment status

TERMINATED

Study phase

PHASE3

Target enrollment

14 participants

Primary outcome timeframe

up to 30 days

Results posted on

2022-11-18

Participant Flow

Participant milestones

Participant milestones
Measure
Alvimopan Group
In addition to standard postoperative care, patients randomized to the study group will be given 12mg of alvimopan orally twice a day, from the time of diagnosis of postoperative ileus to the time of return of bowel function or for 5 days. Alvimopan: Subjects diagnosed with a post operative ileus after surgery will be given alvimopan
Control Group
Patients randomized to the control group receive standard postoperative care which includes but is not limited to NPO status, IV fluid rehydration, and nasogastric decompression. Control Group: Standard postoperative care
Overall Study
STARTED
6
8
Overall Study
COMPLETED
5
8
Overall Study
NOT COMPLETED
1
0

Reasons for withdrawal

Reasons for withdrawal
Measure
Alvimopan Group
In addition to standard postoperative care, patients randomized to the study group will be given 12mg of alvimopan orally twice a day, from the time of diagnosis of postoperative ileus to the time of return of bowel function or for 5 days. Alvimopan: Subjects diagnosed with a post operative ileus after surgery will be given alvimopan
Control Group
Patients randomized to the control group receive standard postoperative care which includes but is not limited to NPO status, IV fluid rehydration, and nasogastric decompression. Control Group: Standard postoperative care
Overall Study
Physician Decision
1
0

Baseline Characteristics

Alvimopan as Rescue in Post op Ileus

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Alvimopan Group
n=6 Participants
In addition to standard postoperative care, patients randomized to the study group will be given 12mg of alvimopan orally twice a day, from the time of diagnosis of postoperative ileus to the time of return of bowel function or for 5 days. Alvimopan: Subjects diagnosed with a post operative ileus after surgery will be given alvimopan
Control Group
n=8 Participants
Patients randomized to the control group receive standard postoperative care which includes but is not limited to NPO status, IV fluid rehydration, and nasogastric decompression. Control Group: Standard postoperative care
Total
n=14 Participants
Total of all reporting groups
Age, Categorical
<=18 years
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Age, Categorical
Between 18 and 65 years
2 Participants
n=5 Participants
5 Participants
n=7 Participants
7 Participants
n=5 Participants
Age, Categorical
>=65 years
4 Participants
n=5 Participants
3 Participants
n=7 Participants
7 Participants
n=5 Participants
Sex: Female, Male
Female
4 Participants
n=5 Participants
3 Participants
n=7 Participants
7 Participants
n=5 Participants
Sex: Female, Male
Male
2 Participants
n=5 Participants
5 Participants
n=7 Participants
7 Participants
n=5 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Asian
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Black or African American
2 Participants
n=5 Participants
2 Participants
n=7 Participants
4 Participants
n=5 Participants
Race (NIH/OMB)
White
4 Participants
n=5 Participants
6 Participants
n=7 Participants
10 Participants
n=5 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants

PRIMARY outcome

Timeframe: up to 30 days

Date of surgery until discharge

Outcome measures

Outcome measures
Measure
Alvimopan Group
n=6 Participants
In addition to standard postoperative care, patients randomized to the study group will be given 12mg of alvimopan orally twice a day, from the time of diagnosis of postoperative ileus to the time of return of bowel function or for 5 days. Alvimopan: Subjects diagnosed with a post operative ileus after surgery will be given alvimopan
Control Group
n=8 Participants
Patients randomized to the control group receive standard postoperative care which includes but is not limited to NPO status, IV fluid rehydration, and nasogastric decompression. Control Group: Standard postoperative care
Hospital Length of Stay
9 Days
Standard Deviation 4.56
8.5 Days
Standard Deviation 1.48

SECONDARY outcome

Timeframe: 30 days

Population: Data not collected

Date ileus identified to time of passing flatus, stool and tolerating diet

Outcome measures

Outcome data not reported

SECONDARY outcome

Timeframe: 30 days

All adverse events

Outcome measures

Outcome measures
Measure
Alvimopan Group
n=6 Participants
In addition to standard postoperative care, patients randomized to the study group will be given 12mg of alvimopan orally twice a day, from the time of diagnosis of postoperative ileus to the time of return of bowel function or for 5 days. Alvimopan: Subjects diagnosed with a post operative ileus after surgery will be given alvimopan
Control Group
n=8 Participants
Patients randomized to the control group receive standard postoperative care which includes but is not limited to NPO status, IV fluid rehydration, and nasogastric decompression. Control Group: Standard postoperative care
Complications
4 Number of AEs
6 Number of AEs

SECONDARY outcome

Timeframe: 30 days

Any reoperations within 30 days of surgery

Outcome measures

Outcome measures
Measure
Alvimopan Group
n=6 Participants
In addition to standard postoperative care, patients randomized to the study group will be given 12mg of alvimopan orally twice a day, from the time of diagnosis of postoperative ileus to the time of return of bowel function or for 5 days. Alvimopan: Subjects diagnosed with a post operative ileus after surgery will be given alvimopan
Control Group
n=8 Participants
Patients randomized to the control group receive standard postoperative care which includes but is not limited to NPO status, IV fluid rehydration, and nasogastric decompression. Control Group: Standard postoperative care
Number of Reoperations
0 Number of reoperations
0 Number of reoperations

SECONDARY outcome

Timeframe: 30 days

Any readmissions within 30 days of surgery

Outcome measures

Outcome measures
Measure
Alvimopan Group
n=6 Participants
In addition to standard postoperative care, patients randomized to the study group will be given 12mg of alvimopan orally twice a day, from the time of diagnosis of postoperative ileus to the time of return of bowel function or for 5 days. Alvimopan: Subjects diagnosed with a post operative ileus after surgery will be given alvimopan
Control Group
n=8 Participants
Patients randomized to the control group receive standard postoperative care which includes but is not limited to NPO status, IV fluid rehydration, and nasogastric decompression. Control Group: Standard postoperative care
Number of Readmissions
0 Number of readmissions
0 Number of readmissions

Adverse Events

Alvimopan Group

Serious events: 1 serious events
Other events: 3 other events
Deaths: 0 deaths

Control Group

Serious events: 1 serious events
Other events: 5 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
Alvimopan Group
n=6 participants at risk
In addition to standard postoperative care, patients randomized to the study group will be given 12mg of alvimopan orally twice a day, from the time of diagnosis of postoperative ileus to the time of return of bowel function or for 5 days. Alvimopan: Subjects diagnosed with a post operative ileus after surgery will be given alvimopan
Control Group
n=8 participants at risk
Patients randomized to the control group receive standard postoperative care which includes but is not limited to NPO status, IV fluid rehydration, and nasogastric decompression. Control Group: Standard postoperative care
Blood and lymphatic system disorders
Leukocytosis
0.00%
0/6 • 30 days
12.5%
1/8 • Number of events 1 • 30 days
General disorders
Recurrent ileu
16.7%
1/6 • Number of events 1 • 30 days
0.00%
0/8 • 30 days

Other adverse events

Other adverse events
Measure
Alvimopan Group
n=6 participants at risk
In addition to standard postoperative care, patients randomized to the study group will be given 12mg of alvimopan orally twice a day, from the time of diagnosis of postoperative ileus to the time of return of bowel function or for 5 days. Alvimopan: Subjects diagnosed with a post operative ileus after surgery will be given alvimopan
Control Group
n=8 participants at risk
Patients randomized to the control group receive standard postoperative care which includes but is not limited to NPO status, IV fluid rehydration, and nasogastric decompression. Control Group: Standard postoperative care
Gastrointestinal disorders
Bloody NG output
0.00%
0/6 • 30 days
12.5%
1/8 • Number of events 1 • 30 days
Blood and lymphatic system disorders
Leukocytosis
16.7%
1/6 • Number of events 1 • 30 days
0.00%
0/8 • 30 days
Renal and urinary disorders
Urinary retention
0.00%
0/6 • 30 days
12.5%
1/8 • Number of events 1 • 30 days
General disorders
Thrush
0.00%
0/6 • 30 days
12.5%
1/8 • Number of events 1 • 30 days
Psychiatric disorders
Hallucinations
0.00%
0/6 • 30 days
12.5%
1/8 • Number of events 1 • 30 days
General disorders
Exacerbation hypertension
0.00%
0/6 • 30 days
12.5%
1/8 • Number of events 1 • 30 days
Renal and urinary disorders
Acute Kidney injury
16.7%
1/6 • Number of events 1 • 30 days
0.00%
0/8 • 30 days
Renal and urinary disorders
Urinary tract infection
16.7%
1/6 • Number of events 1 • 30 days
0.00%
0/8 • 30 days

Additional Information

Sharon Stein

University Hospitals Cleveland Medical Center

Phone: (216)844-2873

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place