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NKTR-118

Phase 3

Opioid Induced Constipation (OIC) | Small molecule | Gastrointestinal |AstraZeneca PLC|Trials Updated: Feb 23, 2017

NKTR-118 development status

Highest phase Phase 3
Registered trials 11 across 1 sponsor since Jan 2008

NKTR-118 target and mechanism

ModalitySmall molecule

Also known as NKTR118 Formulation 1, NKTR118 Formulation 2, NKTR118 Formulation 3, NKTR118 Group 2, [14C] NKTR-118

Success Probability

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Market & Valuation

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Trial Design

RandomizedDouble-BlindPLACEBO_CONTROLLED
Total Trials8
Total Enrollment2,796

FDA Designations

No designations recorded

NKTR-118 clinical trials

NKTR-118 · 8 trials · 6 indications

Phase 3 4Phase 2 1Phase 1 3
NCT01395524A 12-week Extension of the Phase III Study (D3820C00004) to Assess the Effect and Safety of NKTR-118 in Patients With Non-cancer-related Pain and Opioid-induced ConstipationOpioid-Induced Constipation (OIC)
COMPLETED302 Analytics
NCT01336205Assessment of Long-term Safety in Patients With Non-cancer-related Pain and Opioid-induced ConstipationOpioid-Induced Constipation (OIC)
COMPLETED844 Analytics
NCT01309841Assessment of Efficacy and Safety in Patients With Non-cancer-related Pain and Opioid-induced ConstipationOpioid-Induced Constipation (OIC)
COMPLETED652 Analytics
NCT01323790Assessment of Efficacy and Safety in Patients With Non-cancer-related Pain and Opioid-induced ConstipationOpioid-Induced Constipation (OIC)
COMPLETED700 Analytics
PHASE3COMPLETED
A 12-week Extension of the Phase III Study (D3820C00004) to Assess the Effect and Safety of NKTR-118 in Patients With Non-cancer-related Pain and Opioid-induced Constipation
Opioid-Induced Constipation (OIC)Unlock trial analytics
PHASE3COMPLETED
Assessment of Long-term Safety in Patients With Non-cancer-related Pain and Opioid-induced Constipation
Opioid-Induced Constipation (OIC)Unlock trial analytics
PHASE3COMPLETED
Assessment of Efficacy and Safety in Patients With Non-cancer-related Pain and Opioid-induced Constipation
Opioid-Induced Constipation (OIC)Unlock trial analytics
PHASE3COMPLETED
Assessment of Efficacy and Safety in Patients With Non-cancer-related Pain and Opioid-induced Constipation
Opioid-Induced Constipation (OIC)Unlock trial analytics

Study Endpoints

Primary Endpoints

Incidence of Patients Experiencing at Least One Adverse Event (AE)
Baseline (Week 0) to end of the follow-up period (Week 14)

The incidence of patients experiencing at least one AE during the randomized treatment and follow-up periods was calculated.

Incidence of Patients Experiencing AEs That Resulted in Discontinuation of Investigational Product (IP)
Baseline (Week 0) to end of the follow-up period (Week 14)

The incidence of patients experiencing AEs that resulted in discontinuation of IP during the randomized treatment or follow-up periods was calculated.

Incidence of Patients Experiencing Severe Adverse Events (SAEs)
Baseline (Week 0) to end of the follow-up period (Week 14)

The incidence of patients experiencing SAEs during the randomized treatment and follow-up periods was calculated.

Response (Responder/Non-responder) to Study Drug During Weeks 1 to 12
Baseline (Week 1) to end of treatment (Week 12)

Responder was defined as having at least 3 spontaneous bowel movements (SBMs)/week with at least 1 SBM/week increase over baseline for at least 9 out of the 12 treatment weeks and 3 out of the last 4 treatment weeks during the double-blind treatment period. An SBM is a bowel movement occurring 24 hours or more since the last use of rescue medication.

Change From Baseline in Spontaneous Bowel Movements (SBMs) Per Week During Week 1
Days 1 through 7

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.

Description of the pharmacokinetic(PK) profile for NKTR 118 after co administration of Rifampin in terms of area under the concentration-time curve from time zero (predose) extrapolated to infinity (AUC).
Predose and at 0:15, 0:30, 1, 1:30, 2, 3, 4, 5, 6, 8, 10, 12, 16, 24, 36, 48, and 72 hours Day 1 and 13
Description of the PK profile for NKTR 118 in terms of maximum plasma concentration (Cmax), time to Cmax (tmax), half-life (t1/2λz), apparent terminal rate constant (λz).
Predose and at 0:15, 0:30, 1, 1:30, 2, 3, 4, 5, 6, 8, 10, 12, 16, 24, 36, 48, and 72 hours Day 1 and 13
Description of the PK profile for NKTR 118 in terms of area under the plasma concentration-time curve from time zero to the time of the last measurable concentration [AUC(0-t)].
Predose and at 0:15, 0:30, 1, 1:30, 2, 3, 4, 5, 6, 8, 10, 12, 16, 24, 36, 48, and 72 hours Day 1 and 13
Description of the PK profile for NKTR 118 in terms of area under the plasma concentration-time curve from time zero to 24 hours [AUC(0-24)].
Predose and at 0:15, 0:30, 1, 1:30, 2, 3, 4, 5, 6, 8, 10, 12, 16, 24, 36, 48, and 72 hours Day 1 and 13
Description of the PK profile for NKTR 118 in terms of apparent oral clearance (CL/F), and apparent volume of distribution during the terminal phase (Vz/F).
Predose and at 0:15, 0:30, 1, 1:30, 2, 3, 4, 5, 6, 8, 10, 12, 16, 24, 36, 48, and 72 hours Day 1 and 13
To assess the pharmacokinetics of a single dose of NKTR-118 25 mg by assessment of area under the curve over the time (AUC) and maximum concentration (Cmax)
Duration from predose day 1 to day 6.
To evaluate the effect of a single dose of NKTR-118 25 mg and 150 mg on the change in time-matched QTcF intervals compared with placebo
30 days pre-dose through 4 treatment periods and follow up 71 days post dose.
The effect of a single dose of NKTR-118 25 mg and 150 mg on the change in time-matched QTcF intervals compared with placebo
Follow up 71 days post dose.

Secondary Endpoints

Change From Baseline in Patient Assessment of Constipation Symptoms Questionnaire (PAC-SYM)
Baseline (prior to treatment) to last on-treatment assessment (up to Week 12)
Change From Baseline in Patient Assessment of Constipation Quality of Life (PAC-QOL)
Baseline (prior to treatment) to last on-treatment assessment (up to Week 12)
Response (Responder/Non-responder) to Study Drug in the LIR Subgroup During Weeks 1 to 12
Baseline (Week 1) to end of treatment (Week 12)
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Study Design & Arms

AllocationRANDOMIZED
MaskingQUADRUPLE
ModelPARALLEL
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
NKTR-118 12.5mgEXPERIMENTAL -
NKTR-118 25mgEXPERIMENTAL -
PlaceboPLACEBO_COMPARATOR -
1EXPERIMENTALOral Treatment
2ACTIVE_COMPARATOROral treatment
3PLACEBO_COMPARATOROral treatment
APLACEBO_COMPARATORPlacebo
BEXPERIMENTALNKTR-118
NKTR-118EXPERIMENTALSingle dose NKTR-118 25 mg on Day 1 only
RifampinACTIVE_COMPARATORRifampin 600 mg once daily on Days 4 to 12
Rifampin/ NKTR-118ACTIVE_COMPARATORRifampin 600 mg plus NKTR-118 25 mg on Day 13
Group 1EXPERIMENTALNormal hepatic function, 25 mg NKTR-118 administered orally
Group 2EXPERIMENTALMild hepatic impairment, 25 mg NKTR-118 administered orally
Group 3EXPERIMENTALModerate hepatic impairment, 25 mg NKTR-118 administered orally
CPLACEBO_COMPARATORNKTR-118 placebo (6x placebo tablets)
DACTIVE_COMPARATORMoxifloxacin (1 x 400 mg tablet)

Interventions

NameTypeDescription
NKTR-118DRUG12.5 mg oral tablet once daily
PlaceboDRUGOral tablet intake once daily
Usual careDRUGAs prescribed by the investigator
RifampinDRUGOral 600 mg
moxifloxacinDRUG400 mg tablet
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Eligibility Criteria

Age Range18 Years to 84 Years
SexALL
Healthy VolunteersNo
Study Sites116

Inclusion Criteria: * Must have completed the 12-week study D3820C00004 through Visit 8. * Provision of written informed consent prior to any study-specific procedures. * Men and women who were between the ages of \>18 and \<85 years at the time of the screening visit for study D3820C00004. * Conti...

Countries:United StatesAustraliaGermanySlovakiaBelgiumCroatiaCzechiaHungarySpainSwedenUnited Kingdom
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Frequently asked questions about NKTR-118

What is NKTR-118?

NKTR-118 is an investigational small molecule drug developed by AstraZeneca PLC (ticker AZN). It has been studied in conditions including opioid induced constipation (OIC), drug induced constipation, and hepatic functional disturbance. It is also studied for the amount of NKTR-118 in blood. Development has reached Phase 1, and it is not an approved medicine.

What is NKTR-118 used for?

NKTR-118 has been studied for opioid induced constipation (OIC) in patients with non-cancer-related pain, for drug induced constipation, and for hepatic functional disturbance. Trials have also assessed the amount of NKTR-118 in blood. These are investigational uses, and NKTR-118 is not an approved treatment for any indication.

Who makes NKTR-118?

NKTR-118 is developed by AstraZeneca PLC, which trades under the ticker AZN. AstraZeneca sponsored the clinical trial program for the drug, including pharmacokinetic studies in healthy volunteers and patients with impaired hepatic function, as well as Phase 3 studies in opioid induced constipation.

What phase is NKTR-118 in?

NKTR-118 is in Phase 1 development. Five clinical trials have been completed, including Phase 1 pharmacokinetic studies and Phase 3 studies in opioid induced constipation, with no active trials currently listed. NKTR-118 is investigational and has not been approved by the FDA.

What clinical trials is NKTR-118 in?

Completed NKTR-118 trials include NCT01533870, a Phase 1 study of rifampin effects on pharmacokinetics in healthy volunteers; NCT01392807, a Phase 1 pharmacokinetic study in patients with impaired hepatic function; NCT01395524, a Phase 3 extension study in opioid induced constipation; and NCT01336205, a Phase 3 long-term safety study. Total enrollment across the program was 2,705 participants.

Is NKTR-118 the same as NKTR118?

Yes, NKTR-118 is also known as NKTR118. Other recorded names include NKTR118 Formulation 1, NKTR118 Formulation 2, NKTR118 Formulation 3, NKTR118 Group 2, and [14C] NKTR-118. These refer to the same investigational compound developed by AstraZeneca PLC under the ticker AZN.