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AzTrials

ConstipationPhase 3NCT00529087

Study Evaluating Subcutaneous MOA-728 for the Treatment of Opioid-Induced Constipation (OIC) in Subjects With Chronic Non-Malignant Pain

A Phase 3 study testing N-methylnaltrexone bromide (MOA-728) in people with Constipation, run by Bausch Health Americas, Inc. at 78 sites in United States.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
Search all trials

Trial summary

The primary purpose of the protocol is to evaluate the safety, efficacy, and tolerability of subcutaneous MOA-728 versus placebo in subjects with chronic non-malignant pain who have Opioid-Induced Constipation (OIC). Read more about this study

Who is it for?
Ages 18 years and older
Conditions the study is for
Constipation
What is being tested?
N-methylnaltrexone bromide (MOA-728)
Type of treatment
Injection or infusion
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
460 participants
Where
78 sitesUnited States
Study dates
Aug 2007to Dec 2008
Phase
Phase 3
Are there results?
Yes, posted in the registrySummary in the doctors' view

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 years and older
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Adult outpatients with opioid-induced constipation and chronic non-malignant pain.
  • Taking oral, transdermal, intravenous, or subcutaneous opioids.
  • Willingness to discontinue all pre-study laxative therapy and use only study permitted rescue laxatives.

Who cannot join

  • History of chronic constipation before the initiation of opioid therapy.
  • Other GI disorders known to affect bowel transit.
  • Women who are pregnant, breast-feeding, or plan to become pregnant.

Trial locations and contacts

78 sites in 1 country.

78 sites in 1 country

United States78 sites
  • Study site

    Albuquerque, New Mexico, 87102

  • Study site

    Alexandria, Virginia, 22304

  • Study site

    Anaheim, California, 92801

  • Study site

    Atlanta, Georgia, 30329

  • Study site

    Austin, Texas, 78705

  • Study site

    Avon, Indiana, 46123

  • Study site

    Beaumont, Texas, 77701

  • Study site

    Biloxi, Mississippi, 39531

  • Study site

    Boston, Massachusetts, 02115

  • Study site

    Brandon, Florida, 33511

  • Study site

    Brockton, Massachusetts, 02301

  • Study site

    Cadillac, Michigan, 49601

  • Study site

    Charleston, West Virginia, 25304-1965

  • Study site

    Charlotte, North Carolina, 28204

  • Study site

    Chattanooga, Tennessee, 37404

  • Study site

    Cheifland, Florida, 32626

  • Study site

    Chicago, Illinois, 60610

  • Study site

    Christiansburg, Virginia, 24073

  • Study site

    Clearwater, Florida, 33756

  • Study site

    Colleyville, Texas, 76034

  • Study site

    Dallas, Texas, 75230

  • Study site

    Dallas, Texas, 75251

  • Study site

    Dayton, Ohio, 45439

  • Study site

    DeKalb, Illinois, 60115

  • Study site

    Elkridge, Maryland, 21075

  • Study site

    Gainesville, Florida, 32607

  • Study site

    Garden Grove, California, 92843

  • Study site

    Great Neck, New York, 11023

  • Study site

    Hampton, Virginia, 23666

  • Study site

    Hawaiian Gardens, California, 90716

  • Study site

    Hot Springs, Arkansas, 71913

  • Study site

    Indianapolis, Indiana, 46250

  • Study site

    Jacksonville, Florida, 32216

  • Study site

    Jupiter, Florida, 33458

  • Study site

    Kalispell, Montana, 59901

  • Study site

    Largo, Florida, 33770

  • Study site

    Las Vegas, Nevada, 89119

  • Study site

    Levittown, Pennsylvania, 19056-2404

  • Study site

    Long Beach, California, 90813

  • Study site

    Los Angeles, California, 90048

  • Study site

    Marietta, Georgia, 30060

  • Study site

    Medford, Oregon, 97504

  • Study site

    Miami, Florida, 33180

  • Study site

    Missoula, Montana, 59808

  • Study site

    Mobile, Alabama, 36606

  • Study site

    Mobile, Alabama, 36608

  • Study site

    Naples, Florida, 34104

  • Study site

    Nixa, Missouri, 65719

  • Study site

    Ocala, Florida, 34471

  • Study site

    Ocala, Florida, 34474

  • Study site

    Ocean Springs, Mississippi, 39564

  • Study site

    Oklahoma City, Oklahoma, 73112

  • Study site

    Omaha, Nebraska, 68114

  • Study site

    Orlando, Florida, 32806

  • Study site

    Ormond Beach, Florida, 32174

  • Study site

    Paw Paw, Michigan, 49079

  • Study site

    Portland, Oregon, 97210

  • Study site

    Raleigh, North Carolina, 27607-6475

  • Study site

    San Antonio, Texas, 78209

  • Study site

    San Antonio, Texas, 78229

  • Study site

    San Diego, California, 92121

  • Study site

    Shreveport, Louisiana, 71105

  • Study site

    Spokane, Washington, 99204

  • Study site

    Spokane, Washington, 99208

  • Study site

    Spring Hill, Florida, 34609

  • Study site

    Stockbridge, Georgia, 30281

  • Study site

    Sun City, Arizona, 85351

  • Study site

    Sunset, Louisiana, 70584

  • Study site

    Tampa, Florida, 33603

  • Study site

    Toledo, Ohio, 43623

  • Study site

    Traverse City, Michigan, 49684

  • Study site

    Tucson, Arizona, 85710

  • Study site

    Tucson, Arizona, 85741

  • Study site

    Valley Stream, New York, 11580

  • Study site

    West Des Moines, Iowa, 50265

  • Study site

    West Palm Beach, Florida, 33409

  • Study site

    Winston-Salem, North Carolina, 27103

  • Study site

    Winter Park, Florida, 32789

Other trials in United States

About this study

Official title: A Mulitcenter, Randomized, Double-Blind, Placebo-Controlled, Parallel-Group Study of Subcutaneous MOA-728 for the Treatment of Opioid-Induced Constipation in Subjects With Chronic Non-Malignant Pain

The primary purpose of the protocol is to evaluate the safety, efficacy, and tolerability of subcutaneous MOA-728 versus placebo in subjects with chronic non-malignant pain who have Opioid-Induced Constipation (OIC).

Conditions
Constipation
Being tested
N-methylnaltrexone bromide (MOA-728), placebo
Keywords
Opioid-Induced Constipation
Medical subject headings
Constipation, Opioid-Induced Constipation

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • N-methylnaltrexone bromide (MOA-728)Drug

    Subcutaneous

  • placeboOther

    placebo

Study groups in NCT00529087
Study groupRoleWhat they receive
1Placebo comparatorNot described
Receives: Other: placebo
2ExperimentalNot described
Receives: Drug: N-methylnaltrexone bromide (MOA-728)
3ExperimentalNot described
Receives: Drug: N-methylnaltrexone bromide (MOA-728)

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Percentage of Patients Having a Rescue-free Bowel Movement (RFBM) Within 4 Hours of the First Dose

    A rescue-free bowel movement was defined as a bowel movement where no laxatives were used during the prior 24 hours. Information on laxative use, bowel movements and bowel movement assessments were self reported daily by the patient using a telephone interactive voice response system (IVRS).

    Measured: up to 4 hours

  2. Percentage of Active Injections Resulting in Any Rescue-free Bowel Movement (RFBM) Within 4 Hours of Injection During the Double-blind Period

    A rescue-free bowel movement was defined as a bowel movement where no laxatives were used during the prior 24 hours. Information on laxative use, bowel movements and bowel movement assessments were self reported daily by the patient using a telephone interactive voice response system (IVRS). Active injections are those that contain study drug (e.g., daily injections in MOA-728 QD treatment group and every other injection for the MOA-728 QOD treatment group). The corresponding injections in the placebo group were used as controls.

    Measured: 4 weeks

Secondary outcomes (20)
  1. Time to the First Rescue-free Bowel Movement (RFBM) After First Dose

    A rescue-free bowel movement was defined as a bowel movement where no laxatives were used during the prior 24 hours. Information on laxative use, bowel movements and bowel movement assessments were self reported daily by the patient using a telephone interactive voice response system (IVRS). Responses following first injection were censored at 24 hours or at time of the second injection, which ever occurred first.

    Measured: up to 24 hours

  2. Change From Baseline in Weekly Number of Rescue-free Bowel Movements (RFBM) for the Double-blind Period at 4 Weeks

    A rescue-free bowel movement defined as a bowel movement with no laxatives use during the prior 24 hours. Information on laxative use, bowel movements and bowel movement assessments were reported daily by patient using a telephone interactive voice response system (IVRS). The weekly number of RFBM was defined as the total number of RFBM reported during the double-blind period divided by the number of days the patient reported diary information in that period, and then multiplied by 7 to normalize to a weekly number.

    Measured: Baseline and 4 weeks

  3. Weekly Number of Rescue-free Bowel Movements (RFBM) (Open-label Period)

    A rescue-free bowel movement was defined as a bowel movement where no laxatives were used during the prior 24 hours. Information on laxative use, bowel movements and bowel movement assessments were self reported daily by the patient using a telephone IVRS. The weekly number of RFBM was defined as the total number of RFBMs reported during study period divided by the number of days the patient reported diary information in that period, and then multiplied by 7 to normalize to a weekly number. Weekly number of RFBM determined as missing for <4 days of information.

    Measured: 8 weeks

  4. Percentage of Patients Achieving at Least 3 Rescue-free Bowel Movements (RFBM) Per Week in Double-blind Period

    A rescue-free bowel movement was defined as a bowel movement where no laxatives were used during the prior 24 hours. Information on laxative use, bowel movements and bowel movement assessments were self reported daily by the patient using a telephone IVRS. The weekly number of RFBM was defined as the total number of RFBM reported during the study week divided by the number of days the patient reported diary information in that period, and then multiplied by 7 to normalize to a weekly number.

    Measured: 4 weeks

  5. Percentage of Active Injections Resulting in Any Rescue-free Bowel Movement (RFBM) Within 1, 2, 3 and 6 Hour(s) in Double-blind Period

    A rescue-free bowel movement was defined as a bowel movement where no laxatives were used during the prior 24 hours. Information on laxative use, bowel movements and bowel movement assessments were self reported daily by the patient using a telephone interactive voice response system (IVRS). Active injections are those that contain study drug (e.g., daily injections in MOA-728 QD treatment group and every other injection for the MOA-728 QOD treatment group). The corresponding injections in the placebo group were used as controls.

    Measured: Within 1-6 hours during 4 week double-blind period

  6. Percentage of Injections Resulting in Any Rescue-free Bowel Movement (RFBM) Within 1, 2, 3, 4 and 6 Hours in Double-blind Period

    A rescue-free bowel movement was defined as a bowel movement where no laxatives were used during the prior 24 hours. Information on laxative use, bowel movements and bowel movement assessments were self reported daily by the patient using a telephone interactive voice response system (IVRS).

    Measured: Within 1-6 hours during 4-week double-blind period

  7. Percentage of Patients With a Weekly Rescue-free Bowel Movement (RFBM) Rate ≥ 3 and an Increase of at Least 1 in the Weekly RFBM Rate From Baseline for the Double-blind Period

    A rescue-free bowel movement was defined as a bowel movement where no laxatives were used during the prior 24 hours. Information on laxative use, bowel movements and bowel movement assessments were self reported daily by the patient using a telephone IVRS. The weekly RFBM rate was defined as the total number of RFBM reported during study period divided by the number of days the subject reported diary information in that period, and then multiplied by 7 to normalize to a weekly rate.

    Measured: 4 weeks

  8. Percentage of Patients With an Increase of at Least 1 in the Weekly Rescue-free Bowel Movement (RFBM) Rate From Baseline for the Double-blind Period at 4 Weeks

    A rescue-free bowel movement was defined as a bowel movement where no laxatives were used during the prior 24 hours. Information on laxative use, bowel movements and bowel movement assessments were self reported daily by the patient using a telephone IVRS. The weekly RFBM rate was defined as the total number of RFBM reported during study period divided by the number of days the subject reported diary information in that period, and then multiplied by 7 to normalize to a weekly rate.

    Measured: Baseline and 4 weeks

  9. Change in Weekly Number of Bowel Movements During Double-blind Period

    Information on laxative use, bowel movements and bowel movement assessments were self reported daily by the patient using a telephone interactive voice response system (IVRS). The weekly number of BM was defined as the total number of BMs reported during study period divided by the number of days the subject reported diary information in that period, and then multiplied by 7 to normalize to a weekly number.

    Measured: 4 weeks

  10. Change From Baseline in Weekly Number of Quality Rescue-free Bowel Movements (RFBM)

    RFBM defined as bowel movement with no laxatives during the prior 24 hours. Information on laxative use, bowel movements and assessments were reported daily by patient. Weekly number of quality RFBM was the total number of quality RFBM reported in study period divided by number of days with information and multiplied by 7 for a normalized weekly number. Stool quality assessed with the Bristol Stool Form Scale (7-points) (1=difficult to pass, 7=entirely liquid). A quality RFBM defined as one other than diarrhea (Bristol Type 1-5).

    Measured: 4 weeks

  11. Change in Weekly Number of Complete Rescue-free Bowel Movements (RFBM)

    A rescue-free bowel movement defined as a bowel movement with no laxatives use during the prior 24 hours. Information on laxative use, bowel movements and bowel movement assessments were reported daily by patient using a telephone interactive voice response system (IVRS). Weekly number of complete RFBM was the total number of complete RFBM reported in study period divided by the number of days with information, and multiplied by 7 for a normalized weekly number. A complete RFBM has a sensation of complete evacuation.

    Measured: 4 weeks

  12. Change in Bristol Stool Form Scale Score for Rescue-free Bowel Movements (RFBM)

    A rescue-free bowel movement was defined as a bowel movement where no laxatives were used during the prior 24 hours. Information on laxative use, bowel movements and bowel movement assessments were self reported daily by the patient using a telephone interactive voice response system (IVRS). The Bristol Stool Form Scale assessed stool quality using a 7-point scale, where Type 1 = separate hard lumps like nuts (difficult to pass) and Type 7 = watery, no solid pieces (entirely liquid.)

    Measured: 4 weeks

  13. Change in Straining Scale Score of Rescue-free Bowel Movements (RFBM) From Baseline During Double-blind Period

    A rescue-free bowel movement was defined as a bowel movement where no laxatives were used during the prior 24 hours. Information on laxative use, bowel movements and bowel movement assessments were self reported daily by the patient using a telephone interactive voice response system (IVRS). The amount of straining associated with bowel movements was assessed using a 5-point straining scale, where 0=none and 4=very severe.

    Measured: 4 weeks

  14. Percentage of Patients With Improvement in Bristol Stool Form Scale Score for Rescue-free Bowel Movements (RFBM) by 1 Point During Open Label Period

    A rescue-free bowel movement was defined as a bowel movement where no laxatives were used during the prior 24 hours. Information on laxative use, bowel movements and bowel movement assessments were self reported daily by the patient using a telephone interactive voice response system (IVRS). The Bristol Stool Form Scale assessed stool quality using a 7-point scale, where Type 1 = separate hard lumps like nuts (difficult to pass) and Type 7 = watery, no solid pieces (entirely liquid.)

    Measured: 8 weeks

  15. Percentage of Patients With Improvement in Straining Scale Score for Rescue-free Bowel Movements (RFBM) by 1 Point During Open Label Period

    A rescue-free bowel movement was defined as a bowel movement where no laxatives were used during the prior 24 hours. Information on laxative use, bowel movements and bowel movement assessments were self reported daily by the patient using a telephone interactive voice response system (IVRS). The amount of straining associated with bowel movements was assessed using a 5-point straining scale, where 0=none and 4=very severe.

    Measured: 8 weeks

  16. Change in Percentage of Rescue-free Bowel Movements (RFBM) With Bristol Stool Form Scale in Type 3 or Type 4 From Baseline During Double-blind Period

    A rescue-free bowel movement was defined as a bowel movement where no laxatives were used during the prior 24 hours. Information on laxative use, bowel movements and bowel movement assessments were self reported daily by the patient using a telephone IVRS. The Bristol Stool Form Scale assessed stool quality using a 7-point scale, where Type 1=separate hard lumps like nuts (difficult to pass) and Type 7=watery, no solid pieces (entirely liquid.) Specifically, Type 3=like a sausage but with cracks on the surface, Type 4=Like a sausage or snake, smooth and soft.

    Measured: 4 weeks

  17. Change in Percentage of Rescue-free Bowel Movements (RFBM) Classified as Diarrhea or Watery Stools From Baseline During Double-blind Period

    A rescue-free bowel movement was defined as a bowel movement where no laxatives were used during the prior 24 hours. Information on laxative use, bowel movements and bowel movement assessments were self reported daily by the patient using a telephone interactive voice response system (IVRS). The Bristol Stool Form Scale assessed stool quality using a 7-point scale, where Type 1 = separate hard lumps like nuts (difficult to pass), Type 6 = fluffy pieces with ragged edges, a mushy stool, and Type 7 = watery, no solid pieces (entirely liquid.) This analysis included types 6 and 7.

    Measured: 4 weeks

  18. Percentage of Patients With Any Diarrhea or Watery Rescue-free Bowel Movements (RFBM) During Open-label Period.

    A rescue-free bowel movement was defined as a bowel movement where no laxatives were used during the prior 24 hours. Information on laxative use, bowel movements and bowel movement assessments were self reported daily by the patient using a telephone interactive voice response system (IVRS). The Bristol Stool Form Scale assessed stool quality using a 7-point scale, where Type 1 = separate hard lumps like nuts (difficult to pass), Type 6 = fluffy pieces with ragged edges, a mushy stool, and Type 7 = watery, no solid pieces (entirely liquid.) This analysis included types 6 and 7.

    Measured: weeks 5-12

  19. Change in Percentage of Rescue-free Bowel Movements (RFBM) With Straining Scale Scores of 0 or 1 (no, or Mild) From Baseline During Double-blind Period

    A rescue-free bowel movement was defined as a bowel movement where no laxatives were used during the prior 24 hours. Information on laxative use, bowel movements and bowel movement assessments were self reported daily by the patient using a telephone interactive voice response system (IVRS). The amount of straining associated with bowel movements was assessed using a 5-point straining scale, where 0=none, 1 = mild and 4=very severe.

    Measured: 4 weeks

  20. Change in Percentage of Rescue-free Bowel Movements (RFBM) With a Sensation of Complete Evacuation From Baseline During Double-blind Period

    A rescue-free bowel movement was defined as a bowel movement where no laxatives were used during the prior 24 hours. Information on laxative use, bowel movements and bowel movement assessments were self reported daily by the patient using a telephone interactive voice response system (IVRS). A complete RFBM has a sensation of complete evacuation.

    Measured: 4 weeks

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted14 Sep 2007 (estimated)
  2. Study startAug 2007
  3. Primary completionDec 2008
  4. Study completionDec 2008

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase 3
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
Quadruple blind
Who is masked
Participant, Care provider, Investigator, Outcomes assessor
Enrolment
460 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT00529087
Sponsor's protocol ID
3200K1-3356
Status last verified
Nov 2019
First submitted
11 Sep 2007
Last updated
25 Nov 2019

Publications

  • Liao SS, Slatkin NE, Stambler N. The Influence of Age on Central Effects of Methylnaltrexone in Patients with Opioid-Induced Constipation. Drugs Aging. 2021 Jun;38(6):503-511. doi: 10.1007/s40266-021-00850-w. Epub 2021 Mar 31.

    PubMed 33788162
  • Michna E, Weil AJ, Duerden M, Schulman S, Wang W, Tzanis E, Zhang H, Yu D, Manley A, Randazzo B. Efficacy of subcutaneous methylnaltrexone in the treatment of opioid-induced constipation: a responder post hoc analysis. Pain Med. 2011 Aug;12(8):1223-30. doi: 10.1111/j.1526-4637.2011.01189.x. Epub 2011 Aug 2.

    PubMed 21810165

Questions about this trial

What is this clinical trial studying?

A Phase 3 study testing N-methylnaltrexone bromide (MOA-728) in people with Constipation, run by Bausch Health Americas, Inc. at 78 sites in United States.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 3 inclusion and 3 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 25 Nov 2019. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 78 sites in United States. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. Some participants in this study may receive a placebo. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

What does this phase mean?

Phase 3 studies compare the treatment with the current standard treatment or a placebo in a large group, to confirm how well it works and watch for side effects.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

Yes. Results are posted in the registry (first posted 11 May 2010). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Percentage of Patients Having a Rescue-free Bowel Movement (RFBM) Within 4 Hours of the First Dose (time frame: up to 4 hours). The study lists 2 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT00529087, which also lists 2 linked publications.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 25 Nov 2019.

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