Trial Outcomes & Findings for Naloxegol in Cancer Opioid-Induced Constipation (NCT NCT02745353)

NCT ID: NCT02745353

Last Updated: 2019-12-09

Results Overview

completion of treatment defined as participants receiving all single daily doses for 2 weeks

Recruitment status

TERMINATED

Study phase

PHASE2

Target enrollment

7 participants

Primary outcome timeframe

4 weeks

Results posted on

2019-12-09

Participant Flow

Participant milestones

Participant milestones
Measure
A- Naloxegol/ Standard of Care
Patients in Arm A will receive a single daily dose of 25mg naloxegol for the 2-week initial treatment period, followed by a 3-day washout period and 2-week crossover treatment period in which the patient will receive the treating physician's usual care for OIC using a stimulant laxative + rescue medication. naloxegol
B- Standard of Care/ Naloxegol
Patients in Arm B will receive the treating physician's usual care for OIC using a stimulant laxative + rescue medication for the 2-week initial treatment period, followed by a 3-day washout period and 2-week crossover period in which the patient will receive a single daily dose of 25mg naloxegol. naloxegol
First Intervention (2 Weeks)
STARTED
4
3
First Intervention (2 Weeks)
COMPLETED
1
1
First Intervention (2 Weeks)
NOT COMPLETED
3
2
Washout (3 Days)
STARTED
1
1
Washout (3 Days)
COMPLETED
1
1
Washout (3 Days)
NOT COMPLETED
0
0
Second Intervention (2 Weeks)
STARTED
1
1
Second Intervention (2 Weeks)
COMPLETED
1
0
Second Intervention (2 Weeks)
NOT COMPLETED
0
1

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Naloxegol in Cancer Opioid-Induced Constipation

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
A- Naloxegol/Standard of Care
n=4 Participants
Patients in Arm A will receive a single daily dose of 25mg naloxegol for the 2-week initial treatment period, followed by a 3-day washout period and 2-week crossover treatment period in which the patient will receive the treating physician's usual care for OIC using a stimulant laxative + rescue medication. naloxegol
B - Standard of Care/Naloxegol
n=3 Participants
Patients in Arm B will receive the treating physician's usual care for OIC using a stimulant laxative + rescue medication for the 2-week initial treatment period, followed by a 3-day washout period and 2-week crossover period in which the patient will receive a single daily dose of 25mg naloxegol. naloxegol
Total
n=7 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
3 Participants
n=5 Participants
2 Participants
n=7 Participants
5 Participants
n=5 Participants
Age, Categorical
>=65 years
1 Participants
n=5 Participants
1 Participants
n=7 Participants
2 Participants
n=5 Participants
Sex: Female, Male
Female
2 Participants
n=5 Participants
1 Participants
n=7 Participants
3 Participants
n=5 Participants
Sex: Female, Male
Male
2 Participants
n=5 Participants
2 Participants
n=7 Participants
4 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
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
White
4 Participants
n=5 Participants
3 Participants
n=7 Participants
7 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
Region of Enrollment
United States
4 participants
n=5 Participants
3 participants
n=7 Participants
7 participants
n=5 Participants

PRIMARY outcome

Timeframe: 4 weeks

completion of treatment defined as participants receiving all single daily doses for 2 weeks

Outcome measures

Outcome measures
Measure
Arm A (Naloxegol/Standard of Care)
n=4 Participants
Patients in Arm A will receive a single daily dose of 25mg naloxegol for the 2-week initial treatment period, followed by a 3-day washout period and 2-week crossover treatment period in which the patient will receive the treating physician's usual care for OIC using a stimulant laxative + rescue medication. naloxegol
Arm B (Standard of Care/ Naloxego)
n=3 Participants
Patients in Arm B will receive the treating physician's usual care for OIC using a stimulant laxative + rescue medication for the 2-week initial treatment period, followed by a 3-day washout period and 2-week crossover period in which the patient will receive a single daily dose of 25mg naloxegol. naloxegol
Number of Participants That Completed Naloxegol 25mg and the Number of Participants That Completed Standard of Care
Naloxegol
4 Participants
3 Participants
Number of Participants That Completed Naloxegol 25mg and the Number of Participants That Completed Standard of Care
Standard of Care
1 Participants
1 Participants

Adverse Events

Naloxegol

Serious events: 3 serious events
Other events: 3 other events
Deaths: 2 deaths

Standard of Care

Serious events: 1 serious events
Other events: 2 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
Naloxegol
n=5 participants at risk
All patients who received a single daily dose of 25 mg Naloxegol during the entire study duration
Standard of Care
n=4 participants at risk
All patients who received Standard of Care during the entire study duration
Blood and lymphatic system disorders
Anemia
40.0%
2/5 • Number of events 2 • 1 year
0.00%
0/4 • 1 year
Immune system disorders
Fever
20.0%
1/5 • Number of events 1 • 1 year
0.00%
0/4 • 1 year
Surgical and medical procedures
Hospitalization
40.0%
2/5 • Number of events 3 • 1 year
25.0%
1/4 • Number of events 1 • 1 year
Blood and lymphatic system disorders
platelet count decreased
20.0%
1/5 • Number of events 1 • 1 year
0.00%
0/4 • 1 year

Other adverse events

Other adverse events
Measure
Naloxegol
n=5 participants at risk
All patients who received a single daily dose of 25 mg Naloxegol during the entire study duration
Standard of Care
n=4 participants at risk
All patients who received Standard of Care during the entire study duration
Blood and lymphatic system disorders
Hypoalbuminemia
20.0%
1/5 • Number of events 1 • 1 year
0.00%
0/4 • 1 year
Blood and lymphatic system disorders
Anemia
20.0%
1/5 • Number of events 2 • 1 year
25.0%
1/4 • Number of events 1 • 1 year
General disorders
Fever
20.0%
1/5 • Number of events 1 • 1 year
0.00%
0/4 • 1 year
Blood and lymphatic system disorders
Hyperkalemia
0.00%
0/5 • 1 year
25.0%
1/4 • Number of events 1 • 1 year

Additional Information

Eric Roeland, MD

UCSD

Phone: (858) 534-7079

Results disclosure agreements

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