Bowel DysfunctionPhase 3NCT00259922
Alvimopan For The Treatment Of Constipation Due To Opioids Being Taken For Persistent Non-Cancer Pain
A Phase 3 study testing Alvimopan and Alviompan in people with Bowel Dysfunction and Constipation, run by Cubist Pharmaceuticals LLC, a subsidiary of Merck & Co., Inc. (Rahway, New Jersey USA) at 187 sites in 12 countries.
Trial summary
Adults who are taking opioid therapy for persistent non-cancer pain and have resulting opioid-induced bowel dysfunction (OBD) will be randomized (1:1:1) to one of 2 alvimopan arms, or to placebo. Read more about this study
- Who is it for?
- Ages 18 years and older
- Conditions the study is for
- Bowel Dysfunction, Constipation
- What is being tested?
- Alvimopan and Alviompan
- Could I receive a placebo?
- Yes, some participants may receive a placebo
- How many people
- 485 participants
- Where
- 187 sitesin 12 countries
- Study dates
- Aug 2005to Jun 2006
- Phase
- Phase 3
- Are there results?
- None posted in the registry
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
- Consented to participate in this study.
- Taking opioid therapy for persistent non-cancer pain.
- Has bowel dysfunction mainly due to opioids.
- Has bowel dysfunction since starting opioids as defined by infrequent bowel movements and additional bowel-related symptoms.
- Willing to discontinue laxative therapy (will be provided study-specific standardized laxative if needed).
- Willing to report daily bowel symptoms.
Who cannot join
- Pregnant, lactating, or planning to become pregnant.
- Not ambulatory.
- Participated in another trial with an investigational drug in the past 30 days.
- Taking opioids for the management of drug addiction or cancer-related pain.
- Severe constipation whereby the subject is at immediate risk of developing serious complications of constipation.
- Gastrointestinal or pelvic disorders known to affect bowel transit, produce gastrointestinal (GI) obstruction, or contribute to bowel dysfunction.
- HIV-infected, has active hepatitis, or has ever been infected with hepatitis C.
Trial locations and contacts
187 sites in 12 countries.
187 sites in 12 countries
United States119 sites
GSK Investigational Site
Albuquerque, New Mexico, 87102
GSK Investigational Site
Asheville, North Carolina, 28801
GSK Investigational Site
Atlanta, Georgia, 30338
GSK Investigational Site
Atlanta, Georgia, 30342
GSK Investigational Site
Austin, Texas, 78756
GSK Investigational Site
Bakersfield, California, 93311
GSK Investigational Site
Beverly Hills, California, 90211
GSK Investigational Site
Birmingham, Alabama, 35215
GSK Investigational Site
Birmingham, Alabama, 35216
GSK Investigational Site
Blackwood, New Jersey, 08012
GSK Investigational Site
Boston, Massachusetts, 02115
GSK Investigational Site
Brockton, Massachusetts, 02301
GSK Investigational Site
Centerville, Ohio, 45450
GSK Investigational Site
Charleston, West Virginia, 25304
GSK Investigational Site
Chicago, Illinois, 60610
GSK Investigational Site
Chiefland, Florida, 32626
GSK Investigational Site
Cincinnati, Ohio, 45236
GSK Investigational Site
Clearwater, Florida, 33761
GSK Investigational Site
Corpus Christi, Texas, 78404
GSK Investigational Site
Cranston, Rhode Island, 02920
GSK Investigational Site
Cumming, Georgia, 30040
GSK Investigational Site
Dayton, Ohio, 46432
GSK Investigational Site
Deerfield Beach, Florida, 33441
GSK Investigational Site
Destin, Florida, 32541
GSK Investigational Site
Dover, New Hampshire, 03820
GSK Investigational Site
Egg Harbor, New Jersey, 08234
GSK Investigational Site
Eugene, Oregon, 97401
GSK Investigational Site
Evansville, Indiana, 47714
GSK Investigational Site
Fort Myers, Florida, 33916
GSK Investigational Site
Galveston, Texas, 77555-0188
GSK Investigational Site
Greensboro, North Carolina, 27403
GSK Investigational Site
Greer, South Carolina, 29651
GSK Investigational Site
Hickory, North Carolina, 28601
GSK Investigational Site
Hollywood, Florida, 33021
GSK Investigational Site
Hollywood, Florida, 33023
GSK Investigational Site
Houston, Texas, 77070
GSK Investigational Site
Huntsville, Alabama, 35801
GSK Investigational Site
Independence, Missouri, 64055
GSK Investigational Site
Indianapolis, Indiana, 46250
GSK Investigational Site
Kingsport, Tennessee, 37660
GSK Investigational Site
La Crosse, Wisconsin, 54601
GSK Investigational Site
Largo, Florida, 33770
GSK Investigational Site
Las Vegas, Nevada, 89102
GSK Investigational Site
Las Vegas, Nevada, 89103
GSK Investigational Site
Las Vegas, Nevada, 89119
GSK Investigational Site
Las Vegas, Nevada, 89146
GSK Investigational Site
Levittown, Pennsylvania, 19056
GSK Investigational Site
Lexington, Kentucky, 40536
GSK Investigational Site
Libertyville, Illinois, 60048
GSK Investigational Site
Long Beach, California, 90813
GSK Investigational Site
Los Angeles, California, 90048
GSK Investigational Site
Los Gatos, California, 95032
GSK Investigational Site
Louisville, Kentucky, 40205
GSK Investigational Site
Margate, Florida, 33063
GSK Investigational Site
Marietta, Georgia, 30066
GSK Investigational Site
Medford, Oregon, 97504
GSK Investigational Site
Meridian, Idaho, 83642
GSK Investigational Site
Mesa, Arizona, 85205
GSK Investigational Site
Miami, Florida, 33138
GSK Investigational Site
Miami, Florida, 33155
GSK Investigational Site
Miami, Florida, 33169
GSK Investigational Site
Mineola, New York, 11501
GSK Investigational Site
Missoula, Montana, 59804
GSK Investigational Site
Mobile, Alabama, 36606
GSK Investigational Site
New Tazewell, Tennessee, 37824-1409
GSK Investigational Site
New York, New York, 10022
GSK Investigational Site
Norfolk, Virginia, 23502
GSK Investigational Site
Northport, Alabama, 35476
GSK Investigational Site
Northridge, California, 91325
GSK Investigational Site
Oak Forest, Illinois, 60452
GSK Investigational Site
Oakbrook Terrace, Illinois, 60181
GSK Investigational Site
Ocala, Florida, 34471
GSK Investigational Site
Olive Branch, Mississippi, 38654
GSK Investigational Site
Orange, California, 92868
GSK Investigational Site
Ormond Beach, Florida, 32174
GSK Investigational Site
Palm Springs, California, 92262
GSK Investigational Site
Pasadena, California, 91105
GSK Investigational Site
Pasadena, Maryland, 21122
GSK Investigational Site
Perrysburg, Ohio, 43551
GSK Investigational Site
Phoenix, Arizona, 85029
GSK Investigational Site
Pittsburgh, Pennsylvania, 15243
GSK Investigational Site
Portage, Michigan, 49024
GSK Investigational Site
Portland, Oregon, 97210
GSK Investigational Site
Raleigh, North Carolina, 27607
GSK Investigational Site
Reading, Pennsylvania, 19611
GSK Investigational Site
Richardson, Texas, 75080
GSK Investigational Site
Richmond, Virginia, 23294
GSK Investigational Site
Rochester, New York, 14627
GSK Investigational Site
Rockville, Maryland, 20852
GSK Investigational Site
Sacramento, California, 95816
GSK Investigational Site
Saint Cloud, Florida, 34769
GSK Investigational Site
Salem, Oregon, 97301
GSK Investigational Site
Salt Lake City, Utah, 84107
GSK Investigational Site
San Antonio, Texas, 78217
GSK Investigational Site
San Antonio, Texas, 78229
GSK Investigational Site
San Diego, California, 92108
GSK Investigational Site
San Rafael, California, 94901
GSK Investigational Site
Santa Ana, California, 92704
GSK Investigational Site
Scottsdale, Arizona, 85251
GSK Investigational Site
Scottsdale, Arizona, 85258
GSK Investigational Site
Spokane, Washington, 99207
GSK Investigational Site
St Louis, Missouri, 63108
GSK Investigational Site
St Louis, Missouri, 63141
GSK Investigational Site
Stamford, Connecticut, 06905
GSK Investigational Site
Stockbridge, Georgia, 30281
GSK Investigational Site
Sunset, Louisiana, 70584
GSK Investigational Site
Tacoma, Washington, 98405
GSK Investigational Site
Tampa, Florida, 33614
GSK Investigational Site
Tempe, Arizona, 85282
GSK Investigational Site
Tucson, Arizona, 85712
GSK Investigational Site
Tucson, Arizona, 85724
GSK Investigational Site
Washington D.C., District of Columbia, 20003
GSK Investigational Site
Waterbury, Connecticut, 06708
GSK Investigational Site
Waterford, Michigan, 48327
GSK Investigational Site
Wellesley Hills, Massachusetts, 02481
GSK Investigational Site
West Palm Beach, Florida, 33401
GSK Investigational Site
Winston-Salem, North Carolina, 27103
GSK Investigational Site
Winterhaven, Florida, 33880
GSK Investigational Site
Yakima, Washington, 98902
Australia12 sites
GSK Investigational Site
Bedford Park, South Australia, 5042
GSK Investigational Site
Box Hill, Victoria, 3128
GSK Investigational Site
Broadmeadow, New South Wales, 2292
GSK Investigational Site
Carina Heights, Queensland, 4152
GSK Investigational Site
Carlton, Victoria, 3053
GSK Investigational Site
Fremantle, Western Australia, 6160
GSK Investigational Site
Kippa-Ring, Queensland, 4021
GSK Investigational Site
Nedlands, Western Australia, 6009
GSK Investigational Site
Newcastle, New South Wales, 2300
GSK Investigational Site
Port Lincoln, South Australia, 5606
GSK Investigational Site
St Leonards, New South Wales, 2065
GSK Investigational Site
Toorak Gardens, South Australia, 5065
Canada11 sites
GSK Investigational Site
Bonaventure, Quebec, G0C 1E0
GSK Investigational Site
Coquitlam, British Columbia, V3K 3V9
GSK Investigational Site
Greater Sudbury, Ontario, P3A 1Y8
GSK Investigational Site
Mississauga, Ontario, L4T 4J2
GSK Investigational Site
Moncton, New Brunswick, E1G 1A7
GSK Investigational Site
North Bay, Ontario, P1B 2H3
GSK Investigational Site
North York, Ontario, M2M 4E7
GSK Investigational Site
Saint Romuald, Quebec, G6W 5M6
GSK Investigational Site
St. John's, Newfoundland and Labrador, A1E 2C2
GSK Investigational Site
Trois-Rivières, Quebec, G8Z 1Y2
GSK Investigational Site
Winnipeg, Manitoba, R3A 1R9
South Africa8 sites
GSK Investigational Site
Athlone, Cape Town, 7760
GSK Investigational Site
Erasmuskloof, Pretoria, 0048
GSK Investigational Site
Fourways, Johannesburg
GSK Investigational Site
Kempton Park, 1620
GSK Investigational Site
Kenilworth, Cape Town, 7708
GSK Investigational Site
Lynnwood, Pretoria, 0040
GSK Investigational Site
Tygervalley, 7536
GSK Investigational Site
Westridge, Mitchells Plain, 7798
Spain8 sites
GSK Investigational Site
Alcorcón, 28922
GSK Investigational Site
Barcelona, 08003
GSK Investigational Site
Ferrol
GSK Investigational Site
Granada, 18012
GSK Investigational Site
Madrid, 28006
GSK Investigational Site
Madrid, 28034
GSK Investigational Site
Santander, 39008
GSK Investigational Site
Valencia, 46014
France6 sites
GSK Investigational Site
Boulogne, 92100
GSK Investigational Site
Grenoble, 38000
GSK Investigational Site
Montpellier, 34295
GSK Investigational Site
Paris, 75010
GSK Investigational Site
Paris, 75012
GSK Investigational Site
Paris, 75181
Netherlands5 sites
GSK Investigational Site
Alkmaar, 1815 JD
GSK Investigational Site
Breda, 4819 EV
GSK Investigational Site
Roosendaal, 4708 AE
GSK Investigational Site
Rotterdam, 3083 AN
GSK Investigational Site
Utrecht, 3584 CX
Norway5 sites
GSK Investigational Site
Oslo, N-0027
GSK Investigational Site
Oslo, N-0260
GSK Investigational Site
Paradis, 5231
GSK Investigational Site
Rådahl, 5235
GSK Investigational Site
Skien, N-3710
Hungary4 sites
GSK Investigational Site
Budapest, 1083
GSK Investigational Site
Budapest, 1183
GSK Investigational Site
Csongrád, 6640
GSK Investigational Site
Heves, 3360
Sweden4 sites
GSK Investigational Site
Jönköping, SE-551 85
GSK Investigational Site
Karlstad, SE-651 85
GSK Investigational Site
Linköping, SE-581 85
GSK Investigational Site
Stockholm, SE-141 86
New Zealand3 sites
GSK Investigational Site
Christchurch
GSK Investigational Site
Hamilton, 2001
GSK Investigational Site
Tauranga, 3001
Switzerland2 sites
GSK Investigational Site
Bern, 3011
GSK Investigational Site
Nottwil, 6207
About this study
Official title: A Randomized, Double-Blind, Placebo-Controlled, Multicenter Phase 3 Study to Evaluate the Efficacy and Safety of Alvimopan 0.5mg Once Daily and 0.5mg Twice Daily for 12 Weeks for the Treatment of Opioid-Induced Bowel Dysfunction in Adults Taking Opioid Therapy for Persistent Non-Cancer Pain
Adults who are taking opioid therapy for persistent non-cancer pain and have resulting opioid-induced bowel dysfunction (OBD) will be randomized (1:1:1) to one of 2 alvimopan arms, or to placebo. The primary objective of this phase 3 confirmatory study is to compare alvimopan with placebo for efficacy in the treatment of OBD. The primary efficacy endpoint is based on frequency of bowel movements. Subjects will be required to: (1) track their bowel movements and other bowel symptoms and (2) attend 6 clinic visits over 4 months.
- Conditions
- Bowel Dysfunction, Constipation
- Being tested
- Placebo, Alvimopan, Alviompan
- Keywords
- constipation, gastrointestinal, opioids, pain, non-cancer pain, opioid-induced, bowel dysfunction
- Medical subject headings
- Intestinal Diseases, Constipation, Pain
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
PlaceboDrug
Placebo
AlvimopanDrug
Also called Entereg
0.5 mg QD
AlviompanDrug
Also called Entereg
0.5 mg BID
| Study group | Role | What they receive |
|---|---|---|
| Placebo | Placebo comparator | Not described Receives: Drug: Placebo |
| Alvimopan 0.5 mg once daily | Experimental | 0.5 mg once daily (QD) Receives: Drug: Alvimopan |
| Alvimopan 0.5 mg twice daily | Experimental | 0.5 mg twice daily (BID) Receives: Drug: Alviompan |
What is being measured
The primary outcome is the main question the study is designed to answer.
To compare alvimopan with placebo for efficacy in the treatment of OBD
Secondary outcomes (1)
Safety and tolerability, quality of life, pharmacogenetics (dependent on results from other data)
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted1 Dec 2005 (estimated)
- Study startAug 2005
- Primary completionJun 2006
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Publications (1)Papers the sponsor has linked to this study.
- Other trials for Bowel DysfunctionStudies of the same condition, open and under way.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
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
- 485 participants (actual)
Sponsor and investigators
- Lead sponsor
- Cubist Pharmaceuticals LLC, a subsidiary of Merck & Co., Inc. (Rahway, New Jersey USA)
- Sponsor type
- Industry (pharma, biotech, devices)
- Collaborators
- GlaxoSmithKline
- Responsible party
- Sponsor
- Investigators
- GSK Clinical Trials, MD, Study director, GlaxoSmithKline
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT00259922
- Sponsor's protocol ID
- SB-767905/013
- Status last verified
- Sep 2009
- First submitted
- 29 Nov 2005
- Last updated
- 2 Sep 2015
- Results posted
- No
Publications
Irving G, Penzes J, Ramjattan B, Cousins M, Rauck R, Spierings EL, Kleoudis CS, Snidow JW, Pierce A, Wurzelmann J, Mortensen ER. A randomized, placebo-controlled phase 3 trial (Study SB-767905/013) of alvimopan for opioid-induced bowel dysfunction in patients with non-cancer pain. J Pain. 2011 Feb;12(2):175-84. doi: 10.1016/j.jpain.2010.06.013.
PubMed 21292168
Study at a glance
From the registry record, last updated by the sponsor on 2 Sep 2015. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Randomized, Double-Blind, Placebo-Controlled, Multicenter Phase 3 Study to Evaluate the Efficacy and Safety of Alvimopan 0.5mg Once Daily and 0.5mg Twice Daily for 12 Weeks for the Treatment of Opioid-Induced Bowel Dysfunction in Adults Taking Opioid Therapy for Persistent Non-Cancer Pain
- ClinicalTrials.gov ID
- NCT00259922
- Acronym / sponsor ID
- SB-767905/013
- Conditions
- Bowel Dysfunction, Constipation
- Keywords
- constipation, gastrointestinal, opioids, pain, non-cancer pain, opioid-induced, bowel dysfunction
- Phase
- Phase 3
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 485 participants (actual)
- Lead sponsor
- Cubist Pharmaceuticals LLC, a subsidiary of Merck & Co., Inc. (Rahway, New Jersey USA)Industry (pharma, biotech, devices)
- Collaborators
- GlaxoSmithKline
- Study start
- Aug 2005
- Primary completion
- Jun 2006 (actual)
- First posted
- 1 Dec 2005 (estimated)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
Adults who are taking opioid therapy for persistent non-cancer pain and have resulting opioid-induced bowel dysfunction (OBD) will be randomized (1:1:1) to one of 2 alvimopan arms, or to placebo. The primary objective of this phase 3 confirmatory study is to compare alvimopan with placebo for efficacy in the treatment of OBD. The primary efficacy endpoint is based on frequency of bowel movements. Subjects will be required to: (1) track their bowel movements and other bowel symptoms and (2) attend 6 clinic visits over 4 months.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Quadruple blind (participant, care provider, investigator, outcomes assessor)
- Number of arms
- 3
| Arm | Type | Receives |
|---|---|---|
| Placebo | Placebo comparator | Drug: Placebo |
| Alvimopan 0.5 mg once daily | Experimental | Drug: Alvimopan0.5 mg once daily (QD) |
| Alvimopan 0.5 mg twice daily | Experimental | Drug: Alviompan0.5 mg twice daily (BID) |
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (6 listed)
- Consented to participate in this study.
- Taking opioid therapy for persistent non-cancer pain.
- Has bowel dysfunction mainly due to opioids.
- Has bowel dysfunction since starting opioids as defined by infrequent bowel movements and additional bowel-related symptoms.
- Willing to discontinue laxative therapy (will be provided study-specific standardized laxative if needed).
Key exclusion criteria (7 listed)
- Pregnant, lactating, or planning to become pregnant.
- Not ambulatory.
- Participated in another trial with an investigational drug in the past 30 days.
- Taking opioids for the management of drug addiction or cancer-related pain.
- Severe constipation whereby the subject is at immediate risk of developing serious complications of constipation.
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| PlaceboPlacebo | Drug | Placebo |
| AlvimopanAlso: Entereg0.5 mg QD | Drug | Alvimopan 0.5 mg once daily |
| AlviompanAlso: Entereg0.5 mg BID | Drug | Alvimopan 0.5 mg twice daily |
Primary outcome
To compare alvimopan with placebo for efficacy in the treatment of OBD
1 secondary outcome
Safety and tolerability, quality of life, pharmacogenetics (dependent on results from other data)
Results and safety
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 2 Sep 2015.
- Results publication: PubMed 21292168Irving G, Penzes J, Ramjattan B, Cousins M, Rauck R, Spierings EL, Kleoudis CS, Snidow JW, Pierce A, Wurzelmann J, Mortensen ER. A randomized, placebo-controlled phase 3 trial (Study SB-767905/013) of alvimopan for opioid-induced bowel dysfunction in patients with non-cancer pain. J Pain. 2011 Feb;12(2):175-84. doi: 10.1016/j.jpain.2010.06.013.
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
GSK Clinical Trials, MD study director
GlaxoSmithKline
187 sites in 12 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 3 study testing Alvimopan and Alviompan in people with Bowel Dysfunction and Constipation, run by Cubist Pharmaceuticals LLC, a subsidiary of Merck & Co., Inc. (Rahway, New Jersey USA) at 187 sites in 12 countries.
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 6 inclusion and 7 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 2 Sep 2015. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 187 sites in United States, Australia, Canada, South Africa, Spain and 7 more countries. 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?
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
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?
To compare alvimopan with placebo for efficacy in the treatment of OBD. 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 NCT00259922, which also lists 1 linked publication.
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 2 Sep 2015.