Study Evaluating Long-Term Safety of MOA-728 in Participants With Opioid-Induced Constipation
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ClinicalTrials.gov Identifier: NCT00804141 |
Recruitment Status :
Completed
First Posted : December 8, 2008
Results First Posted : October 18, 2019
Last Update Posted : October 18, 2019
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Condition or disease | Intervention/treatment | Phase |
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Constipation | Drug: N-methylnaltrexone bromide (MOA-728) | Phase 3 |
Study Type : | Interventional (Clinical Trial) |
Actual Enrollment : | 1040 participants |
Allocation: | N/A |
Intervention Model: | Single Group Assignment |
Masking: | None (Open Label) |
Primary Purpose: | Treatment |
Official Title: | An Open-Label Study to Evaluate the Long-Term Safety of Subcutaneous MOA-728 for Treatment of Opioid-Induced Constipation in Subjects With Nonmalignant Pain |
Actual Study Start Date : | December 3, 2008 |
Actual Primary Completion Date : | September 20, 2010 |
Actual Study Completion Date : | September 20, 2010 |

Arm | Intervention/treatment |
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Experimental: MOA-728 12 mg QD
Participants will receive MOA-728 12 milligrams (mg) SC once daily (QD) for 48 weeks. Dosing could be adjusted to an as needed (PRN) basis with a minimum 1 dose per week and maximum 1 dose per day.
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Drug: N-methylnaltrexone bromide (MOA-728)
MOA-728 will be administered as per the dose and schedule specified in the arm.
Other Name: Relistor |
- Number of Participants With Treatment-Emergent Adverse Events (TEAEs) [ Time Frame: Baseline up to Week 50 ]Adverse event (AE) was defined as any untoward medical occurrence that develops or worsens in severity during the conduct of a clinical study and does not necessarily have a causal relationship to the study drug. Serious adverse events (SAEs) included death, a life-threatening adverse event, inpatient hospitalization or prolongation of existing hospitalization, persistent or significant disability or incapacity, a congenital anomaly or birth defect, or an important medical event that jeopardized the participant and required medical intervention to prevent 1 of the outcomes listed in this definition. TEAEs were defined as an AE that emerged during the treatment period. Any TEAEs included both treatment-emergent SAEs and non-serious AEs. A summary of serious and all other non-serious AEs regardless of causality is located in the Reported Adverse Events module.
- Change From Baseline in Weekly Bowel Movement (BM) Rate Through Follow-up [ Time Frame: Baseline, follow-up (14 days [Week 49 to 50]) ]Weekly BM rate was derived as the total number of BMs reported in a month divided by the total number of days with non-missing BM diary information in the same month, then multiplied by 7 to normalize to a weekly rate. If the total number of days with non-missing BM diary information in a given month was less than 10 days, the weekly BM rate for the month was defined as missing. The weekly BM rate at baseline was calculated based on the screening period (Days -14 to -1). If the total number of days with non-missing BM diary information during the screening period was less than 5 days, the weekly BM rate at baseline was defined as missing.

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Ages Eligible for Study: | 18 Years and older (Adult, Older Adult) |
Sexes Eligible for Study: | All |
Accepts Healthy Volunteers: | No |
Inclusion Criteria:
- Men and women 18 years or older.
- A history of pain of at least 2 months duration before the screening visit due to documented underlying nonmalignant condition.
- A history of constipation due to opioid use during 1 month before the screening visit.
Exclusion Criteria:
- A diagnosis of significant gastrointestinal (GI) disorder such as bowel obstruction, fecal incontinence or rectal prolapse.
- A history of active inflammatory bowel disease, irritable bowel syndrome, or megacolon within 6 months before the screening visit.
- A history of malignancy, other than basal cell or squamous cell skin carcinoma, within 5 years before the screening visit.
- A history of chronic constipation before initiation of opioid therapy.

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.
Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT00804141

Study Director: | Lindsey Mathew | Bausch Health Americas, Inc. |
Publications of Results:
Responsible Party: | Bausch Health Americas, Inc. |
ClinicalTrials.gov Identifier: | NCT00804141 |
Other Study ID Numbers: |
3200K1-3358 |
First Posted: | December 8, 2008 Key Record Dates |
Results First Posted: | October 18, 2019 |
Last Update Posted: | October 18, 2019 |
Last Verified: | September 2019 |
treatment for opioid-induced constipation |
Constipation Opioid-Induced Constipation Signs and Symptoms, Digestive Narcotic-Related Disorders Substance-Related Disorders Chemically-Induced Disorders Mental Disorders |
Bromides Methylnaltrexone Anticonvulsants Narcotic Antagonists Physiological Effects of Drugs Sensory System Agents Peripheral Nervous System Agents |