Status:
COMPLETED
Naloxone SR Capsules in Patients With Opioid Induced Constipation
Lead Sponsor:
S.L.A. Pharma AG
Conditions:
Chronic Pain
Opioid Induced Constipation
Eligibility:
All Genders
18+ years
Phase:
PHASE2
Brief Summary
For many patients taking opioids for pain relief one of the most distressing side effects is constipation. Naloxone is effective in the reversal of the effects of opioids and is used following opioid ...
Detailed Description
Naloxone has been used for many years as an IV or IM injection for the reversal of opioid effects (following opioid overdose) and has been evaluated as an oral formulation to manage opioid-induced con...
Eligibility Criteria
Inclusion
- All subjects must give written informed consent
- Male or female subjects greater than 18 years of age
- Taking opioid full agonist therapy(oral or transdermal) for persistent non-cancer pain, for at least 4 weeks prior to baseline visit
- Subjects with at least a 3 week history of OIC prior to baseline; where bowel dysfunction is predominantly due to opioids and started following commencement of opioid therapy
- Subjects with \<3 SBMs a week and experiencing one or more bowel symptoms (incomplete evacuation, straining, hard/small pellets) for 25% or more of bowel movements during the screening period
- Subjects must be willing to discontinue all current laxative (constipation) therapy. Bisacodyl will be provided and taken as required
Exclusion
- Women of childbearing potential, unless surgically sterile or using adequate contraception (either IUD, oral or depot contraceptive, or barrier plus spermicide). Women using oral contraception must have started using it at least 2 months prior to enrolment
- Women who are pregnant or breastfeeding
- Symptoms suggestive of non-opioid related bowel dysfunction (e.g. IBS - intermittent constipation or diarrhoea) or have diarrhoea or loose stools in the 4 weeks prior to baseline
- History of chronic constipation prior to commencing opioid therapy
- Gastrointestinal disorders known to affect bowel transit, or contribute to bowel dysfunction (other than OIC)
- Chronic faecal incontinence
- Subjects who have a colostomy, ileostomy, or colectomy with ileorectal anastomosis
- Subjects with a history of neoplastic disease within 5 years (except for basal cell carcinoma or non-metastatic squamous cell carcinoma of the skin)
- Subjects taking opioids for the management of drug addiction Subjects who do not meet any of the following criteria regarding baseline medications. Analgesia (including opioids and NSAIDs) should be stable throughout the trial.
- Any baseline analgesia must have been administered at a stable dose for a minimum of 4 weeks. If non-opioid analgesia recently discontinued, must have stopped at least 4 weeks prior to baseline
- Laxatives (outside that allowed by the protocol) are not permitted; these agents must have been discontinued at the screening visit.
- Use of drugs known to affect gut transit time (other than opioids) are not permitted (see Section 6.9 for exceptions)
- Use of mixed agonist/antagonist, or partial agonist opioids are not permitted (e.g. buprenorphine, pentazocine, cyclazocine, nalbuphine, nalorphine)
- Experimental agents must have been discontinued at least 8 weeks prior to screening, or for a period equivalent to 5 half-lives (t½) of the agent (whichever is longer)
- Subjects with a history of clinically significant and/or persistent disorder that, in the investigators opinion, may affect the clinical trial assessments
- Subjects with any laboratory tests considered clinically significant at screening.
- Subjects not ambulatory i.e. bedridden or require use of a commode
- Subjects who will be unavailable for the duration of the trial, likely to be non-compliant with the protocol, or who are felt to be unsuitable by the Investigator for any other reason
Key Trial Info
Start Date :
October 1 2009
Trial Type :
INTERVENTIONAL
Allocation :
ACTUAL
End Date :
April 1 2012
Estimated Enrollment :
40 Patients enrolled
Trial Details
Trial ID
NCT00984334
Start Date
October 1 2009
End Date
April 1 2012
Last Update
December 27 2013
Active Locations (8)
Enter a location and click search to find clinical trials sorted by distance.
1
Schmerzzentrum Berlin
Berlin, Germany, 10435
2
Schmerzzentrum Frankfurt
Frankfurt, Germany, 60311
3
Gemeinschaftspraxis Tamm-Albert-Schroter-Uhmann
Hanover, Germany, 30167
4
Gemeinschaftspraxis Loewenstein-Hesselbarth
Mainz, Germany, 55116