A Phase 2, Double-Blind, Multiple-Dose Escalation Study t... | NCT00600119 | Trialant
NCT00600119
Sponsor
AstraZeneca
Status
Completed
Last Update Posted
Jun 12, 2015Estimated
Enrollment
207Actual
Phase
Phase 2
Conditions
Opioid Induced Constipation (OIC)
Interventions
placebo
NKTR-118
Countries
United States
Protocol Section
Identification Module
NCT ID
NCT00600119
Obsolete or Duplicate NCT IDs
Not provided
Organization Study
07-IN-NX003
Secondary IDs
Not provided
Brief Title
A Phase 2, Double-Blind, Multiple-Dose Escalation Study to Evaluate NKTR-118 (Oral PEG-Naloxol) in Patients With Opioid-Induced Constipation (OIC)
Official Title
A Phase 2, Double-Blind, Randomized, Placebo-Controlled, Multiple-Dose, Dose Escalation Study to Evaluate the Efficacy, Safety and Tolerability of NKTR-118 in Patients With Opioid-Induced Constipation (OIC)
Acronym
Not provided
Organization
AstraZenecaINDUSTRY
Status Module
Record Verification Date
May 2015
Overall Recruitment Status or Expanded Access Status
Completed
Last Known Status
Not provided
Delayed Posting
Not provided
Why Stopped
Not provided
Expanded Access Info
No
Start Date
Dec 2007
Primary Completion Date
Mar 2009Actual
Completion Date
Apr 2009Actual
First Submitted Date
Jan 11, 2008
First Submission Date that Met QC Criteria
Jan 11, 2008
First Posted Date
Jan 24, 2008Estimated
Results Waived
Not provided
Results First Submitted Date
Oct 13, 2014
Results First Submitted that Met QC Criteria
May 28, 2015
Results First Posted Date
Jun 12, 2015Estimated
Certification/Extension (aka Delayed Results) First Submitted Date
Jan 28, 2013
Certification/Extension First Submitted that Passed QC Review
Jan 28, 2013
Certification/Extension First Posted Date
Jan 29, 2013Estimated
Last Update Submitted Date
May 28, 2015
Last Update Posted Date
Jun 12, 2015Estimated
Sponsor/Collaborators Module
Responsible Party, by Official Title
Sponsor
Lead Sponsor
AstraZenecaINDUSTRY
Collaborators
Name
Class
Nektar Therapeutics
INDUSTRY
Oversight Module
Has Data Monitoring Committee (DMC)
No
Is FDA Regulated Drug
Not provided
Is FDA Regulated Device
Not provided
Is Unapproved Device
Not provided
Pediatric Postmarket Surveillance of a Device Product
Not provided
Product Exported from US
Not provided
FDAAA801 Violation
Not provided
Description Module
Brief Summary
Study (07-IN-NX003) is a Phase 2, multi-center, placebo-controlled, double-blind, randomized, dose-escalation trial. It is designed to investigate the safety, efficacy and tolerability of NKTR-118 (PEG-naloxol) in patients with opioid-induced constipation (OIC) and other clinical manifestations of opioid-induced bowel dysfunction (OBD). The objective of this study is to evaluate the safety, effectiveness and pharmacokinetics of NKTR-118 at 4 different doses.
Change From Baseline in Spontaneous Bowel Movements (SBMs) Per Week During Week 1
Change from baseline in SBMs/week during Week 1 was defined as SBMs/week during the first week of double-blind study medication (between Visit 4 and Visit 6) minus baseline SBMs/week. Baseline was defined as the average SBMs/week during the 2-week OIC screening period. An SBM was defined as a BM without the use of laxatives in the previous 24 hours as recorded in the e-diary.
Days 1 through 7
Secondary Outcomes
Measure
Description
Time Frame
Change From Baseline in SBMs/Week Across the 28-day Double-blind Period
Change from baseline in SBMs/week across the 28-day double-blind period was calculated as SBMs/week during 28-day double-blind study treatment period minus baseline SBMs/week. Baseline was defined as the average SBMs/week during the 2-week OIC screening period.
Days 1 through 28
Other Outcomes
Not provided
Eligibility Module
Eligibility Criteria
Main Inclusion Criteria:
18 years of age or older, male or female
Receiving a stable opioid regimen
Documented opioid-induced constipation
Willingness to stop all laxatives and other bowel regimens. The use of constipation rescue medication will be allowed during the study.
Main Exclusion Criteria:
Life expectancy less than 6 months
Active substance abuse
Fecal incontinence, irritable bowel syndrome, inflammatory bowel disease, or other active medical disorders associated with diarrhea or intermittent loose stools or constipation
Pregnant or breast-feeding
Any receipt of an investigational medication within 30 days of screening
History or presence of specific cardiac, neurologic, endocrine and/or psychiatric conditions
Accepts Healthy Volunteers
No
Sex
All
Sex/Gender Based
Not provided
Sex/Gender Description
Not provided
Minimum Age
18 Years
Maximum Age
Not provided
Standard Ages
AdultOlder Adult
Study Population
Not provided
Sampling Method
Not provided
Contacts/Locations Module
Central Contacts
Not provided
Overall Officials
Name
Affiliation
Role
Mark Sostek
AstraZeneca Pharmaceuticals, Wilm DE
Study Director
Locations
Facility
Status
City
State
ZIP
Country
Contacts
Tennessee Valley Pain Consultants / Center for Pain Management
The study duration was up to 11 weeks, consisting of an initial screening period lasting up to 10 days, a 14-day OIC confirmation period, during which the OIC diagnosis was confirmed, a 7-day single-blind placebo run-in period, a 29-day double-blind treatment period, and a follow-up visit 2 weeks after the last dose of study drug.
Recruitment Details
This multicenter study was conducted in Canada, Germany, Romania, and the United States between 04 January 2008 and 23 March 2009.
Change From Baseline in Patient Assessment of Constipation-Quality of Life (PAC-QOL) Questionnaire
The PAC-QOL scale is a 28-item self-report instrument designed to evaluate the burden of constipation on patients' everyday functioning and well-being in the 2 weeks (14 days) prior to assessment. Each item is rated on a 5-point Likert scale ranging from 0 (not at all) to 4 (extremely).The instrument can be used to generate an overall score, but is also reported to assess 4 specific constipation-related domains including: 1) worries and concerns (11 items), 2) physical discomfort (4 items), 3) psychosocial discomfort (8 items), and 4) satisfaction (5 items). Each domain score is the mean of the non-missing items for that domain. The total score is the mean of all non-missing items. The range is 0 (response is 'not at all' for each item) to 4 (response is 'extremely' for each item). A negative change from baseline indicates improvement.
Days 1 through 28
Change From Baseline in Patient Assessment of Constipation-Symptoms (PAC-SYM) Questionnaire
The PAC-SYM questionnaire is a 12-item questionnaire that evaluates the severity of symptoms of constipation in 3 domains (stool, rectal, and abdominal symptoms) on a 5-point Likert scale ranging from 0 (absent) to 4 (very severe) in the 2 weeks (14 days) prior to assessment. Each domain score is the mean of the non-missing items for that domain. The total score is the mean of all non-missing items (ie, symptoms). The range is 0 (response is 'absent' for each item) to 4 (response is 'very severe' for each item). A negative change from baseline indicates improvement.
Days 1 through 28
Deerfoot Internal Medicine
Pinson
Alabama
35126
United States
Genova Clinical Research, Inc.
Tucson
Arizona
85741
United States
Therapeutic Research Institute of Orange County
Laguna Hills
California
92653
United States
San Diego Managed Care Group
San Diego
California
92128
United States
Arapahoe Gastroenterology, PC
Littleton
Colorado
80120
United States
Southeast Clinical Research
Chiefland
Florida
32626
United States
Osler Medical, Inc. / Osler Clinical Research
Melbourne
Florida
32901
United States
Palm Beach Research Center
West Palm Beach
Florida
33409
United States
Gold Coast Research LLC
Weston
Florida
33324
United States
PMI Health Research Group
Atlanta
Georgia
30312
United States
Northwest Clinical Trials
Boise
Idaho
83704
United States
Millennium Pain Center
Bloomington
Illinois
61701
United States
Pain & Rehabilitation Clinic of Chicago
Chicago
Illinois
60610
United States
Investigative Clinical Research of Indiana, LLC
Indianapolis
Indiana
46254
United States
Pain Treatment Center of the Bluegrass
Lexington
Kentucky
40503
United States
Gulf Coast Reserach
Baton Rouge
Louisiana
70808
United States
Centennial Medical Group
Elkridge
Maryland
21075
United States
MAPS Applied Research Center
Edina
Minnesota
55435
United States
Midwest Pharmaceutical Research, Inc.
City of Saint Peters
Missouri
63376
United States
Lovelace Scientific Resources, Inc.
Albuquerque
New Mexico
87108
United States
Long Island Gastrointestinal Research Group
Great Neck
New York
11023
United States
Four Seasons Hospice and Palliative Care
Flat Rock
North Carolina
28731
United States
The Center for Clinical Research, LLC
Winston-Salem
North Carolina
27103
United States
Gabrail Cancer Center
Canton
Ohio
44718
United States
Riverhills Healthcare Research Division
Cincinnati
Ohio
45219
United States
Options Health Research
Tulsa
Oklahoma
74104
United States
Medford Medical Clinic
Medford
Oregon
97504
United States
Anderson Gastroenterology Associates, LLC
Anderson
South Carolina
29621
United States
Singleton Health Center
Orangeburg
South Carolina
29118
United States
ClinSearch, LLC
Chattanooga
Tennessee
37421
United States
Lifetree Clinical Research
Salt Lake City
Utah
84106
United States
Spokane Internal Medicine
Spokane
Washington
99216
United States
FG002
Placebo 25 mg
Placebo for NKTR-118 25 mg QD, oral treatment
FG003
NKTR-118 25 mg
NKTR-118 25 mg QD, oral treatment
FG004
Placebo 50 mg
Placebo for NKTR-118 50 mg QD, oral treatment
FG005
NKTR-118 50 mg
NKTR-118 50 mg QD, oral treatment
FG00036 subjects
FG00135 subjects
FG00229 subjects
FG00331 subjects
FG00439 subjects
FG00537 subjects
COMPLETED
FG00032 subjects
FG00133 subjects
FG00227 subjects
FG00330 subjects
FG00437 subjects
FG00535 subjects
NOT COMPLETED
FG0004 subjects
FG0012 subjects
FG0022 subjects
FG0031 subjects
FG0042 subjects
FG0052 subjects
Type
Comment
Reasons
Other - Not specified
FG0001 subjects
FG0010 subjects
FG0020 subjects
FG0030 subjects
FG0041 subjects
FG0051 subjects
Inclusion/Exclusion Criteria Not Met
FG0000 subjects
FG0011 subjects
FG0021 subjects
FG0030 subjects
FG004
Sponsor Decision
FG0000 subjects
FG0010 subjects
FG0021 subjects
FG0030 subjects
FG004
Lost to Follow-up
FG0001 subjects
FG0010 subjects
FG0020 subjects
FG0030 subjects
FG004
Adverse Event
FG0000 subjects
FG0010 subjects
FG0020 subjects
FG0031 subjects
FG004
Withdrawal by Subject
FG0002 subjects
FG0011 subjects
FG0020 subjects
FG0030 subjects
FG004
Double-blind Treatment Period
Type
Comment
Milestone Data
STARTED
FG00032 subjects
FG00133 subjects
FG00227 subjects
FG00330 subjects
FG00437 subjects
FG00535 subjects
COMPLETED
FG00027 subjects
FG00128 subjects
FG00227 subjects
FG00328 subjects
FG004
NOT COMPLETED
FG0005 subjects
FG0015 subjects
FG0020 subjects
FG0032 subjects
FG004
Type
Comment
Reasons
Withdrawal by Subject
FG0002 subjects
FG0010 subjects
FG0020 subjects
FG003
Follow-up Period
Type
Comment
Milestone Data
STARTED
FG00027 subjects
FG00128 subjects
FG00227 subjects
FG00328 subjects
FG00431 subjects
FG00521 subjects
COMPLETED
FG00026 subjects
FG00128 subjects
FG00227 subjects
FG00328 subjects
FG004
NOT COMPLETED
FG0001 subjects
FG0010 subjects
FG0020 subjects
FG0030 subjects
FG004
Type
Comment
Reasons
Adverse Event
FG0000 subjects
FG0010 subjects
FG0020 subjects
FG003
Baseline characteristics are summarized based on the MITT analysis population, which consisted of all randomized patients who received at least 1 dose of double-blind study treatment, had a baseline value and Visit 6 evaluable data (where Visit 6 was the Week 1 visit during the double-blind study treatment period).
Type of Units Analyzed
Not provided
Arm/Group Information
ID
Title
Description
BG000
Placebo 5 mg
Placebo for NKTR-118 5 mg QD, oral treatment
BG001
NKTR-118 5 mg
NKTR-118 5 mg QD, oral treatment
BG002
Placebo 25 mg
Placebo for NKTR-118 25 mg QD, oral treatment
BG003
NKTR-118 25 mg
NKTR-118 25 mg QD, oral treatment
BG004
Placebo 50 mg
Placebo for NKTR-118 50 mg QD, oral treatment
BG005
NKTR-118 50 mg
NKTR-118 50 mg QD, oral treatment
BG006
Total
Total of all reporting groups
Denominators
Units
Counts
Participants
BG00031
BG00131
BG00227
BG00329
BG00437
BG00530
BG006185
Baseline Measures
Title
Description
Population Description
Parameter Type
Dispersion Type
Unit of Measure
Calculate Percentage
Denominator Units Selected
Denominators
Classes
Age, Continuous
Mean
Standard Deviation
Years
Title
Denominators
Categories
Title
Measurements
BG00047.5± 12.0
BG00150.3± 13.1
BG00251.0± 13.2
BG003
Sex: Female, Male
Count of Participants
Participants
Title
Denominators
Categories
Title
Measurements
Female
BG00019
BG00119
BG002
Race/Ethnicity, Customized
Number
Participants
Title
Denominators
Categories
Caucasian
Title
Measurements
BG00027
BG00128
BG002
Type
Title
Description
Population Description
Reporting Status
Anticipated Posting Date
Parameter Type
Dispersion Type
Unit of Measure
Calculate Percentage
Time Frame
Units Analyzed
Denominator Units Selected
Arm/Group Information
Denominators
Classes
Analyses
Primary
Change From Baseline in Spontaneous Bowel Movements (SBMs) Per Week During Week 1
Change from baseline in SBMs/week during Week 1 was defined as SBMs/week during the first week of double-blind study medication (between Visit 4 and Visit 6) minus baseline SBMs/week. Baseline was defined as the average SBMs/week during the 2-week OIC screening period. An SBM was defined as a BM without the use of laxatives in the previous 24 hours as recorded in the e-diary.
The MITT analysis population consisted of all randomized patients who received at least 1 dose of double-blind study treatment, had a baseline value and Visit 6 evaluable data (where Visit 6 was the Week 1 visit during the double-blind study treatment period).
Posted
Mean
Standard Deviation
Number of SBMs/week
Days 1 through 7
ID
Title
Description
OG000
Placebo 5 mg
Placebo for NKTR-118 5 mg QD, oral treatment
OG001
NKTR-118 5 mg
NKTR-118 5 mg QD, oral treatment
OG002
Placebo 25 mg
Placebo for NKTR-118 25 mg QD, oral treatment
OG003
NKTR-118 25 mg
NKTR-118 25 mg QD, oral treatment
OG004
Placebo 50 mg
Placebo for NKTR-118 50 mg QD, oral treatment
OG005
NKTR-118 50 mg
NKTR-118 50 mg QD, oral treatment
Units
Counts
Participants
OG00031
OG00131
OG00227
OG003
Title
Denominators
Categories
Title
Measurements
OG0001.8± 2.4
OG0012.6± 3.6
OG0021.9± 2.5
OG003
Group IDs
Group Description
Statistical Method
Statistical Comment
P-Value
P-Value Comment
Parameter Type
Parameter Value
Dispersion Type
Dispersion Value
Confidence Interval Sides
Confidence Interval %
CI Lower Limit
CI Upper Limit
CI Lower Limit Comment
CI Upper Limit Comment
Estimate Comment
Tested Non-Inferiority
Non-Inferiority Type
Non-Inferiority Comment
Other Analysis Description
OG000
OG001
Wilcoxon (Mann-Whitney)
0.7781
No
Superiority or Other
OG002
OG003
Wilcoxon (Mann-Whitney)
0.0020
Secondary
Change From Baseline in SBMs/Week Across the 28-day Double-blind Period
Change from baseline in SBMs/week across the 28-day double-blind period was calculated as SBMs/week during 28-day double-blind study treatment period minus baseline SBMs/week. Baseline was defined as the average SBMs/week during the 2-week OIC screening period.
The MITT analysis population consisted of all randomized patients who received at least 1 dose of double-blind study treatment, had a baseline value and Visit 6 evaluable data (where Visit 6 was the Week 1 visit during the double-blind study treatment period).
Posted
Mean
Standard Deviation
Number of SBMs/week
Days 1 through 28
ID
Title
Description
OG000
Placebo 5 mg
Placebo for NKTR-118 5 mg QD, oral treatment
OG001
NKTR-118 5 mg
NKTR-118 5 mg QD, oral treatment
OG002
Placebo 25 mg
Placebo for NKTR-118 25 mg QD, oral treatment
OG003
NKTR-118 25 mg
NKTR-118 25 mg QD, oral treatment
Secondary
Change From Baseline in Patient Assessment of Constipation-Quality of Life (PAC-QOL) Questionnaire
The PAC-QOL scale is a 28-item self-report instrument designed to evaluate the burden of constipation on patients' everyday functioning and well-being in the 2 weeks (14 days) prior to assessment. Each item is rated on a 5-point Likert scale ranging from 0 (not at all) to 4 (extremely).The instrument can be used to generate an overall score, but is also reported to assess 4 specific constipation-related domains including: 1) worries and concerns (11 items), 2) physical discomfort (4 items), 3) psychosocial discomfort (8 items), and 4) satisfaction (5 items). Each domain score is the mean of the non-missing items for that domain. The total score is the mean of all non-missing items. The range is 0 (response is 'not at all' for each item) to 4 (response is 'extremely' for each item). A negative change from baseline indicates improvement.
The MITT analysis population consisted of all randomized patients who received at least 1 dose of double-blind study treatment, had a baseline value and Visit 6 evaluable data (where Visit 6 was the Week 1 visit during the double-blind study treatment period).
Posted
Mean
Standard Deviation
units on a scale
Days 1 through 28
ID
Title
Description
OG000
Placebo 5 mg
Placebo for NKTR-118 5 mg QD, oral treatment
OG001
NKTR-118 5 mg
NKTR-118 5 mg QD, oral treatment
Secondary
Change From Baseline in Patient Assessment of Constipation-Symptoms (PAC-SYM) Questionnaire
The PAC-SYM questionnaire is a 12-item questionnaire that evaluates the severity of symptoms of constipation in 3 domains (stool, rectal, and abdominal symptoms) on a 5-point Likert scale ranging from 0 (absent) to 4 (very severe) in the 2 weeks (14 days) prior to assessment. Each domain score is the mean of the non-missing items for that domain. The total score is the mean of all non-missing items (ie, symptoms). The range is 0 (response is 'absent' for each item) to 4 (response is 'very severe' for each item). A negative change from baseline indicates improvement.
The MITT analysis population consisted of all randomized patients who received at least 1 dose of double-blind study treatment, had a baseline value and Visit 6 evaluable data (where Visit 6 was the Week 1 visit during the double-blind study treatment period).
Posted
Mean
Standard Deviation
units on a scale
Days 1 through 28
ID
Title
Description
OG000
Placebo 5 mg
Placebo for NKTR-118 5 mg QD, oral treatment
OG001
NKTR-118 5 mg
NKTR-118 5 mg QD, oral treatment
OG002
Placebo 25 mg
Placebo for NKTR-118 25 mg QD, oral treatment
Time Frame
Not provided
Description
Not provided
All-Cause Mortality Comment
Not provided
Arm/Groups
ID
Title
Description
Deaths (Affected)
Deaths (At Risk)
Serious Events (Affected)
Serious Events (At Risk)
Other Events (Affected)
Other Events (At Risk)
EG000
NKTR-118 25 mg
1
30
19
30
EG001
NKTR-118 5 mg
1
33
18
33
EG002
NKTR-118 50 mg
1
35
26
35
EG003
Placebo 25 mg
0
27
15
27
EG004
Placebo 5 mg
1
32
15
32
EG005
Placebo 50 mg
1
37
13
37
Serious Adverse Events
Term
Organ System
Source Vocabulary
Assessment Type
Notes
Statistical Information
ANGINA UNSTABLE
Cardiac disorders
MedDRA 9.0
Systematic Assessment
EG0000 events0 affected30 at risk
EG0010 events0 affected33 at risk
EG0020 events0 affected35 at risk
EG0030 events0 affected27 at risk
EG0041 events1 affected32 at risk
EG0050 events0 affected37 at risk
MYOCARDIAL INFARCTION
Cardiac disorders
MedDRA 9.0
Systematic Assessment
EG0000 events0 affected30 at risk
EG0010 events0 affected33 at risk
EG0020 events0 affected35 at risk
EG003
ABDOMINAL PAIN UPPER
Gastrointestinal disorders
MedDRA 9.0
Systematic Assessment
EG0000 events0 affected30 at risk
EG0010 events0 affected33 at risk
EG0021 events1 affected35 at risk
EG003
ACCIDENTAL OVERDOSE
Injury, poisoning and procedural complications
MedDRA 9.0
Systematic Assessment
EG0000 events0 affected30 at risk
EG0011 events1 affected33 at risk
EG0020 events0 affected35 at risk
EG003
ARTHRITIS
Musculoskeletal and connective tissue disorders
MedDRA 9.0
Systematic Assessment
EG0000 events0 affected30 at risk
EG0010 events0 affected33 at risk
EG0020 events0 affected35 at risk
EG003
PULMONARY EMBOLISM
Respiratory, thoracic and mediastinal disorders
MedDRA 9.0
Systematic Assessment
EG0001 events1 affected30 at risk
EG0010 events0 affected33 at risk
EG0020 events0 affected35 at risk
EG003
RESPIRATORY FAILURE
Respiratory, thoracic and mediastinal disorders
MedDRA 9.0
Systematic Assessment
EG0000 events0 affected30 at risk
EG0011 events1 affected33 at risk
EG0020 events0 affected35 at risk
EG003
Other Adverse Events
Term
Organ System
Source Vocabulary
Assessment Type
Notes
Statistical Information
ABDOMINAL DISTENSION
Gastrointestinal disorders
MedDRA 9.0
Systematic Assessment
EG0000 events0 affected30 at risk
EG0012 events2 affected33 at risk
EG0021 events1 affected35 at risk
EG0031 events1 affected27 at risk
EG0042 events2 affected32 at risk
EG0050 events0 affected37 at risk
ABDOMINAL PAIN
Gastrointestinal disorders
MedDRA 9.0
Systematic Assessment
EG00012 events9 affected30 at risk
EG0011 events1 affected33 at risk
EG0029 events6 affected35 at risk
EG003
ABDOMINAL PAIN UPPER
Gastrointestinal disorders
MedDRA 9.0
Systematic Assessment
EG0004 events3 affected30 at risk
EG0016 events6 affected33 at risk
EG00210 events9 affected35 at risk
EG003
DIARRHOEA
Gastrointestinal disorders
MedDRA 9.0
Systematic Assessment
EG0004 events4 affected30 at risk
EG0015 events5 affected33 at risk
EG00211 events11 affected35 at risk
EG003
DYSPEPSIA
Gastrointestinal disorders
MedDRA 9.0
Systematic Assessment
EG0005 events3 affected30 at risk
EG0011 events1 affected33 at risk
EG0023 events3 affected35 at risk
EG003
FLATULENCE
Gastrointestinal disorders
MedDRA 9.0
Systematic Assessment
EG0002 events2 affected30 at risk
EG0013 events3 affected33 at risk
EG0023 events3 affected35 at risk
EG003
GASTROOESOPHAGEAL REFLUX DISEASE
Gastrointestinal disorders
MedDRA 9.0
Systematic Assessment
EG0000 events0 affected30 at risk
EG0014 events4 affected33 at risk
EG0021 events1 affected35 at risk
EG003
NAUSEA
Gastrointestinal disorders
MedDRA 9.0
Systematic Assessment
EG0005 events4 affected30 at risk
EG0017 events5 affected33 at risk
EG0027 events7 affected35 at risk
EG003
VOMITING
Gastrointestinal disorders
MedDRA 9.0
Systematic Assessment
EG0004 events4 affected30 at risk
EG0010 events0 affected33 at risk
EG0024 events4 affected35 at risk
EG003
CHILLS
General disorders
MedDRA 9.0
Systematic Assessment
EG0002 events1 affected30 at risk
EG0012 events2 affected33 at risk
EG0021 events1 affected35 at risk
EG003
FATIGUE
General disorders
MedDRA 9.0
Systematic Assessment
EG0001 events1 affected30 at risk
EG0010 events0 affected33 at risk
EG0021 events1 affected35 at risk
EG003
PAIN
General disorders
MedDRA 9.0
Systematic Assessment
EG0003 events3 affected30 at risk
EG0013 events3 affected33 at risk
EG0021 events1 affected35 at risk
EG003
NASOPHARYNGITIS
Infections and infestations
MedDRA 9.0
Systematic Assessment
EG0000 events0 affected30 at risk
EG0012 events2 affected33 at risk
EG0021 events1 affected35 at risk
EG003
SINUSITIS
Infections and infestations
MedDRA 9.0
Systematic Assessment
EG0000 events0 affected30 at risk
EG0011 events1 affected33 at risk
EG0021 events1 affected35 at risk
EG003
URINARY TRACT INFECTION
Infections and infestations
MedDRA 9.0
Systematic Assessment
EG0002 events2 affected30 at risk
EG0012 events2 affected33 at risk
EG0021 events1 affected35 at risk
EG003
BACK PAIN
Musculoskeletal and connective tissue disorders
MedDRA 9.0
Systematic Assessment
EG0000 events0 affected30 at risk
EG0011 events1 affected33 at risk
EG0022 events2 affected35 at risk
EG003
PAIN IN EXTREMITY
Musculoskeletal and connective tissue disorders
MedDRA 9.0
Systematic Assessment
EG0003 events2 affected30 at risk
EG0011 events1 affected33 at risk
EG0020 events0 affected35 at risk
EG003
DIZZINESS
Nervous system disorders
MedDRA 9.0
Systematic Assessment
EG0002 events2 affected30 at risk
EG0013 events3 affected33 at risk
EG0020 events0 affected35 at risk
EG003
HEADACHE
Nervous system disorders
MedDRA 9.0
Systematic Assessment
EG0002 events2 affected30 at risk
EG0012 events2 affected33 at risk
EG0022 events2 affected35 at risk
EG003
COLD SWEAT
Skin and subcutaneous tissue disorders
MedDRA 9.0
Systematic Assessment
EG0001 events1 affected30 at risk
EG0012 events2 affected33 at risk
EG0021 events1 affected35 at risk
EG003
HYPERHIDROSIS
Skin and subcutaneous tissue disorders
MedDRA 9.0
Systematic Assessment
EG0002 events2 affected30 at risk
EG0016 events5 affected33 at risk
EG0023 events3 affected35 at risk
EG003
Certain Agreements
Are all PI(s) employees of the sponsor?
No
Restriction Type
GT60
Results Disclosure Restriction on PI(s)?
Yes
Other Details
Not provided
Point of Contact
Title
Organization
Phone
Extension
Email
Mark Sostek
AstraZeneca
ClinicalTrialTransparency@astrazeneca.com
ID
Term
D000079689
Opioid-Induced Constipation
D003248
Constipation
Ancestor Terms
ID
Term
D012817
Signs and Symptoms, Digestive
D012816
Signs and Symptoms
D013568
Pathological Conditions, Signs and Symptoms
D000079524
Narcotic-Related Disorders
D019966
Substance-Related Disorders
D064419
Chemically-Induced Disorders
D001523
Mental Disorders
Browse Leaves
Not provided
Browse Branches
Not provided
ID
Term
C000589308
naloxegol
Ancestor Terms
Not provided
Browse Leaves
Not provided
Browse Branches
Not provided
0 subjects
FG0050 subjects
1 subjects
FG0050 subjects
0 subjects
FG0050 subjects
0 subjects
FG0051 subjects
0 subjects
FG0050 subjects
31 subjects
FG00521 subjects
6 subjects
FG00514 subjects
1 subjects
FG0040 subjects
FG0053 subjects
Other
FG0000 subjects
FG0010 subjects
FG0020 subjects
FG0030 subjects
FG0042 subjects
FG0051 subjects
Inclusion/Exclusion Criteria Not Met
FG0000 subjects
FG0011 subjects
FG0020 subjects
FG0030 subjects
FG0041 subjects
FG0050 subjects
Moderate to Severe Opioid Withdrawal
FG0000 subjects
FG0011 subjects
FG0020 subjects
FG0030 subjects
FG0040 subjects
FG0050 subjects
Sponsor Decision
FG0000 subjects
FG0011 subjects
FG0020 subjects
FG0030 subjects
FG0041 subjects
FG0050 subjects
Physician Decision
FG0002 subjects
FG0010 subjects
FG0020 subjects
FG0030 subjects
FG0040 subjects
FG0050 subjects
Lost to Follow-up
FG0000 subjects
FG0011 subjects
FG0020 subjects
FG0030 subjects
FG0040 subjects
FG0050 subjects
Adverse Event
FG0001 subjects
FG0011 subjects
FG0020 subjects
FG0031 subjects
FG0042 subjects
FG00510 subjects
31 subjects
FG00520 subjects
0 subjects
FG0051 subjects
0 subjects
FG0040 subjects
FG0051 subjects
Other
FG0001 subjects
FG0010 subjects
FG0020 subjects
FG0030 subjects
FG0040 subjects
FG0050 subjects
51.8
± 11.4
BG00448.4± 10.2
BG00549.6± 11.0
BG00649.7± 11.7
18
BG00315
BG00423
BG00521
BG006115
Male
BG00012
BG00112
BG0029
BG00314
BG00414
BG0059
BG00670
23
BG00326
BG00431
BG00525
BG006160
Black
Title
Measurements
BG0004
BG0013
BG0023
BG0032
BG0044
BG0055
BG00621
Not Allowed to Ask
Title
Measurements
BG0000
BG0010
BG0020
BG0031
BG0040
BG0050
BG0061
Hispanic/Latino
Title
Measurements
BG0000
BG0010
BG0021
BG0030
BG0042
BG0050
BG0063
29
OG00437
OG00530
3.6
± 2.3
OG0041.9± 5.2
OG0054.4± 3.8
No
Superiority or Other
OG004
OG005
Wilcoxon (Mann-Whitney)
0.0001
No
Superiority or Other
OG004
Placebo 50 mg
Placebo for NKTR-118 50 mg QD, oral treatment
OG005
NKTR-118 50 mg
NKTR-118 50 mg QD, oral treatment
Units
Counts
Participants
OG00031
OG00131
OG00227
OG00329
OG00437
OG00530
Title
Denominators
Categories
Title
Measurements
OG0001.7± 1.9
OG0012.3± 2.9
OG0021.7± 2.2
OG0033.2± 2.0
OG0041.2± 2.0
OG0054.6± 3.4
Group IDs
Group Description
Statistical Method
Statistical Comment
P-Value
P-Value Comment
Parameter Type
Parameter Value
Dispersion Type
Dispersion Value
Confidence Interval Sides
Confidence Interval %
CI Lower Limit
CI Upper Limit
CI Lower Limit Comment
CI Upper Limit Comment
Estimate Comment
Tested Non-Inferiority
Non-Inferiority Type
Non-Inferiority Comment
Other Analysis Description
OG000
OG001
Wilcoxon (Mann-Whitney)
0.5118
No
Superiority or Other
OG002
OG003
Wilcoxon (Mann-Whitney)
0.0022
No
Superiority or Other
OG004
OG005
Wilcoxon (Mann-Whitney)
<0.0001
No
Superiority or Other
OG002
Placebo 25 mg
Placebo for NKTR-118 25 mg QD, oral treatment
OG003
NKTR-118 25 mg
NKTR-118 25 mg QD, oral treatment
OG004
Placebo 50 mg
Placebo for NKTR-118 50 mg QD, oral treatment
OG005
NKTR-118 50 mg
NKTR-118 50 mg QD, oral treatment
Units
Counts
Participants
OG00028
OG00130
OG00225
OG00328
OG00435
OG00529
Title
Denominators
Categories
Physical Discomfort domain
Title
Measurements
OG0001.4± 1.0
OG0011.2± 0.8
OG0021.7± 0.9
OG0031.2± 1.0
OG0041.7± 1.1
OG0051.3± 1.0
Worries/Concerms domain
Title
Measurements
OG0001.5± 1.1
OG0011.3± 0.9
OG0021.6± 1.1
OG003
Psychosocial Discomfort domain
Title
Measurements
OG0000.8± 0.7
OG0010.8± 0.8
OG0021.1± 1.0
OG003
Satisfaction domain
Title
Measurements
OG0002.6± 1.1
OG0012.4± 1.1
OG0022.8± 0.9
OG003
Total Score
Title
Measurements
OG0001.5± 0.8
OG0011.3± 0.8
OG0021.7± 0.8
OG003
Group IDs
Group Description
Statistical Method
Statistical Comment
P-Value
P-Value Comment
Parameter Type
Parameter Value
Dispersion Type
Dispersion Value
Confidence Interval Sides
Confidence Interval %
CI Lower Limit
CI Upper Limit
CI Lower Limit Comment
CI Upper Limit Comment
Estimate Comment
Tested Non-Inferiority
Non-Inferiority Type
Non-Inferiority Comment
Other Analysis Description
OG000
OG001
Wilcoxon (Mann-Whitney)
0.5522
Analysis for change in PAC-QOL Physical Discomfort domain from Baseline (Week 1) to end of treatment (Week 4).
No
Superiority or Other
OG002
OG003
Wilcoxon (Mann-Whitney)
0.0589
Analysis for change in PAC-QOL Physical Discomfort domain from Baseline (Week 1) to end of treatment (Week 4).
No
Superiority or Other
OG004
OG005
Wilcoxon (Mann-Whitney)
0.1691
Analysis for change in PAC-QOL Physical Discomfort domain from Baseline (Week 1) to end of treatment (Week 4).
No
Superiority or Other
OG000
OG001
Wilcoxon (Mann-Whitney)
0.6293
Analysis for change in PAC-QOL Worries/Concerns domain from Baseline (Week 1) to end of treatment (Week 4).
No
Superiority or Other
OG002
OG003
Wilcoxon (Mann-Whitney)
0.0836
Analysis for change in PAC-QOL Worries/Concerns domain from Baseline (Week 1) to end of treatment (Week 4).
No
Superiority or Other
OG004
OG005
Wilcoxon (Mann-Whitney)
0.1155
Analysis for change in PAC-QOL Worries/Concerns domain from Baseline (Week 1) to end of treatment (Week 4).
No
Superiority or Other
OG000
OG001
Wilcoxon (Mann-Whitney)
0.9938
Analysis for change in PAC-QOL Psychosocial Discomfort domain from Baseline (Week 1) to end of treatment (Week 4).
No
Superiority or Other
OG002
OG003
Wilcoxon (Mann-Whitney)
0.2101
Analysis for change in PAC-QOL Psychosocial Discomfort domain from Baseline (Week 1) to end of treatment (Week 4).
No
Superiority or Other
OG004
OG005
Wilcoxon (Mann-Whitney)
0.4597
Analysis for change in PAC-QOL Psychosocial Discomfort domain from Baseline (Week 1) to end of treatment (Week 4).
No
Superiority or Other
OG000
OG001
Wilcoxon (Mann-Whitney)
0.4822
Analysis for change in PAC-QOL Satisfaction domain from Baseline (Week 1) to end of treatment (Week 4).
No
Superiority or Other
OG002
OG003
Wilcoxon (Mann-Whitney)
0.0171
Analysis for change in PAC-QOL Satisfaction domain from Baseline (Week 1) to end of treatment (Week 4).
No
Superiority or Other
OG004
OG005
Wilcoxon (Mann-Whitney)
0.0160
Analysis for change in PAC-QOL Satisfaction domain from Baseline (Week 1) to end of treatment (Week 4).
No
Superiority or Other
OG000
OG001
Wilcoxon (Mann-Whitney)
0.6857
Analysis for change in PAC-QOL Total Score from Baseline (Week 1) to end of treatment (Week 4).
No
Superiority or Other
OG002
OG003
Wilcoxon (Mann-Whitney)
0.0253
Analysis for change in PAC-QOL Total Score from Baseline (Week 1) to end of treatment (Week 4).
No
Superiority or Other
OG004
OG005
Wilcoxon (Mann-Whitney)
0.0772
Analysis for change in PAC-QOL Total Score from Baseline (Week 1) to end of treatment (Week 4).
No
Superiority or Other
OG003
NKTR-118 25 mg
NKTR-118 25 mg QD, oral treatment
OG004
Placebo 50 mg
Placebo for NKTR-118 50 mg QD, oral treatment
OG005
NKTR-118 50 mg
NKTR-118 50 mg QD, oral treatment
Units
Counts
Participants
OG00028
OG00130
OG00225
OG00328
OG00435
OG00529
Title
Denominators
Categories
Abdominal Symptoms domain
Title
Measurements
OG0001.2± 0.8
OG0011.1± 0.9
OG0021.4± 0.9
OG0031.1± 0.9
OG0041.2± 1.0
OG0051.3± 1.0
Rectal Symptoms domain
Title
Measurements
OG0000.7± 0.8
OG0010.7± 0.7
OG0020.8± 0.8
OG003
Stool Symptoms domain
Title
Measurements
OG0001.5± 1.0
OG0011.5± 0.8
OG0021.7± 0.8
OG003
Total Score
Title
Measurements
OG0001.2± 0.8
OG0011.2± 0.7
OG0021.4± 0.6
OG003
Group IDs
Group Description
Statistical Method
Statistical Comment
P-Value
P-Value Comment
Parameter Type
Parameter Value
Dispersion Type
Dispersion Value
Confidence Interval Sides
Confidence Interval %
CI Lower Limit
CI Upper Limit
CI Lower Limit Comment
CI Upper Limit Comment
Estimate Comment
Tested Non-Inferiority
Non-Inferiority Type
Non-Inferiority Comment
Other Analysis Description
OG000
OG001
Wilcoxon (Mann-Whitney)
0.5008
Analysis for change in PAC-SYM Abdominal Symptoms domain from baseline (Week 1) to end of treatment (Week 4).
No
Superiority or Other
OG002
OG003
Wilcoxon (Mann-Whitney)
0.1823
Analysis for change in PAC-SYM Abdominal Symptoms domain from baseline (Week 1) to end of treatment (Week 4).
No
Superiority or Other
OG004
OG005
Wilcoxon (Mann-Whitney)
0.7045
Analysis for change in PAC-SYM Abdominal Symptoms domain from baseline (Week 1) to end of treatment (Week 4).
No
Superiority or Other
OG000
OG001
Wilcoxon (Mann-Whitney)
0.7088
Analysis for change in PAC-SYM Rectal Symptoms domain from baseline (Week 1) to end of treatment (Week 4).
No
Superiority or Other
OG002
OG003
Wilcoxon (Mann-Whitney)
0.5828
Analysis for change in PAC-SYM Rectal Symptoms domain from baseline (Week 1) to end of treatment (Week 4).
No
Superiority or Other
OG004
OG005
Wilcoxon (Mann-Whitney)
0.0116
Analysis for change in PAC-SYM Rectal Symptoms domain from baseline (Week 1) to end of treatment (Week 4).
No
Superiority or Other
OG000
OG001
Wilcoxon (Mann-Whitney)
0.7848
Analysis for change in PAC-SYM Stool Symptoms domain from baseline (Week 1) to end of treatment (Week 4).
No
Superiority or Other
OG002
OG003
Wilcoxon (Mann-Whitney)
0.0335
Analysis for change in PAC-SYM Stool Symptoms domain from baseline (Week 1) to end of treatment (Week 4).
No
Superiority or Other
OG004
OG005
Wilcoxon (Mann-Whitney)
0.0591
Analysis for change in PAC-SYM Stool Symptoms domain from baseline (Week 1) to end of treatment (Week 4).
No
Superiority or Other
OG000
OG001
Wilcoxon (Mann-Whitney)
0.9317
Analysis for change in PAC-SYM Total Score from baseline (Week 1) to end of treatment (Week 4).
No
Superiority or Other
OG002
OG003
Wilcoxon (Mann-Whitney)
0.0675
Analysis for change in PAC-SYM Total Score from baseline (Week 1) to end of treatment (Week 4).
No
Superiority or Other
OG004
OG005
Wilcoxon (Mann-Whitney)
0.1745
Analysis for change in PAC-SYM Total Score from baseline (Week 1) to end of treatment (Week 4).