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MOA-728

Phase 3

Ileus | Small molecule | Gastrointestinal |Bausch Health Companies Inc.|Last Updated: Aug 20, 2020

Success Probability

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Market & Valuation

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Trial Design

RandomizedDouble-BlindPLACEBO_CONTROLLED
Total Trials1
Total Enrollment374

FDA Designations

No designations recorded

Clinical trial landscape

MOA-728 · 11 trials · 7 indications

Phase 3 1Phase 2 2Phase 1 8
NCT00528970A Study Evaluating Intravenous (IV) MOA-728 for the Treatment of Postoperative Ileus (POI) in Participants After Ventral Hernia RepairIleus
COMPLETED374 Analytics
PHASE3COMPLETED
A Study Evaluating Intravenous (IV) MOA-728 for the Treatment of Postoperative Ileus (POI) in Participants After Ventral Hernia Repair
IleusUnlock trial analytics

Study Endpoints

Primary Endpoints

Time to First Bowel Movement
Day 1 (From the time of end of surgery [that is; from the first dose of study drug administration]) up to Day 10

Time to first bowel movement was measured from the end of surgery (defined as the time when the last skin suture or staple was placed in the participant). Time of the first bowel movement was recorded on the electronic case report form (eCRF). The first bowel movement was defined as a normal stool for a postoperative participant based on the clinical judgment of the investigator or designee. Analysis was performed by Kaplan-Meier estimate. Participants who had a bowel movement but were readmitted to the hospital within 1 week after discharge with a diagnosis of postoperative ileus (POI) were considered censored at the time of the first bowel movement as if the bowel movement had not occurred.

Percentage of Participants Witn Spontaneous Bowel Movements Within 3 Hours of Treatment
3 hours
The effect of the interventional treatment will be measured by the change from baseline in the number of bowel movements per week during the double-blind treatment period.
IV site tolerability and urinary zinc excretion
Cardiac repolarization will be assessed by the QTc interval in healthy subjects.
It is not known if the activity of MOA-728 is related to the peak concentration or the overall exposure (AUC). This study is designed to evaluate the PK and PD effect of MOA-728 administered either as a 20-minute or 4-hour infusion.
Pharmacokinetics
Pharmacokinetics and Pharmacodynamics
bioequivalence
Oral-cecal transit time will be evaluated.
Safety

Secondary Endpoints

Time to Discharge Eligibility
Day 1 (From the time of end of surgery [that is; from the first dose of study drug administration]) up to Day 10
Time to Discharge Order Written From the End of Surgery
Day 1 (From the time of end of surgery [that is; from the first dose of study drug administration]) up to Day 10
Number of Participants With Clinically Meaningful Events (CMEs) for Nausea or Retching/Vomiting at Day 2 (24 Hours) as Evaluated by the Opioid-Related Symptom Distress Scale (SDS)
Day 2
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Study Design & Arms

AllocationRANDOMIZED
MaskingQUADRUPLE
ModelPARALLEL
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
MOA-728 12 mgEXPERIMENTALParticipants will receive methylnaltrexone (MOA-728) 12 mg as an IV infusion over approximately 20 minutes for approximately every 6 hours for a total of 4 doses in 24-hour period. The first dose of study drug will be administered within approximately 90 minutes after completion of the surgical procedure (defined as the time when the last skin suture or staple is placed in the participant). Dose administration will be continued for a maximum of 10 days.
MOA-728 24 mgEXPERIMENTALParticipants will receive MOA-728 24 mg as an IV infusion over approximately 20 minutes for approximately every 6 hours for a total of 4 doses in 24-hour period. The first dose of study drug will be administered within approximately 90 minutes after completion of the surgical procedure (defined as the time when the last skin suture or staple is placed in the participant). Dose administration will be continued for a maximum of 10 days.
PlaceboPLACEBO_COMPARATORParticipants will receive placebo matching to MOA-728 as an IV infusion over approximately 20 minutes for approximately every 6 hours for a total of 4 doses in 24-hour period. The first dose of study drug will be administered within approximately 90 minutes after completion of the surgical procedure (defined as the time when the last skin suture or staple is placed in the participant). Dose administration will be continued for a maximum of 10 days.
150 mgEXPERIMENTALMOA-728
300 mgEXPERIMENTALMOA-728
450 mgEXPERIMENTALMOA-728
600 mgEXPERIMENTALMOA-728

Interventions

NameTypeDescription
MOA-728DRUGMOA-728 will be administered per the dose and schedule specified in the arm.
PlaceboDRUGPlacebo matching to MOA-728 will be administered per the schedule specified in the arm.
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Eligibility Criteria

Age Range18 Years to N/A
SexALL
Healthy VolunteersNo
Study Sites106

Inclusion Criteria: * Males and females, ages 18 and older. * Scheduled for ventral wall hernia repair with general anesthesia. * Meets the American Society of Anesthesiologists physical status I, II, or III. Exclusion Criteria: * Received investigational drug or procedure within 30 days of rando...

Countries:United StatesAustraliaBelgiumCanadaGermanyHungaryItalyNetherlandsPolandSouth AfricaSouth Korea
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Frequently asked questions about MOA-728

What is MOA-728 used for?

MOA-728 is an investigational small molecule being studied for postoperative ileus, a condition of slowed or stopped bowel movement after surgery. It has also been evaluated in clinical trials involving healthy subjects and adults on stable methadone maintenance. The drug is not approved and remains in clinical development.

Who makes MOA-728?

MOA-728 is being developed by Bausch Health Companies Inc., a company traded on the New York Stock Exchange under the ticker BHC. The drug is an investigational small molecule and has not received regulatory approval.

What phase is MOA-728 in?

MOA-728 has completed Phase 1 clinical trials, including studies in healthy subjects and methadone-maintenance subjects. A Phase 3 trial evaluating the drug for postoperative ileus after ventral hernia repair has also been completed. The drug remains investigational and is not approved.

What clinical trials has MOA-728 been in?

MOA-728 has been studied in several completed trials. NCT00387491 was a dose-ranging study in healthy methadone maintenance subjects. NCT00434395 evaluated effects on cardiac repolarization in healthy subjects. NCT00447811 studied subjects on stable methadone maintenance. NCT00528970 was a Phase 3 trial for postoperative ileus after ventral hernia repair.

Is MOA-728 the same as other drugs?

MOA-728 is the investigational name used in clinical trials for this drug candidate. No alternative names have been established in the public trial record. The drug is a small molecule being developed by Bausch Health Companies Inc.

Was MOA-728 studied in postoperative ileus patients?

Yes, MOA-728 was evaluated in a Phase 3 clinical trial (NCT00528970) for the treatment of postoperative ileus in participants after ventral hernia repair. The trial enrolled 374 participants across multiple countries, including the United States, Australia, Belgium, Canada, Germany, Hungary, Italy, Netherlands, Poland, South Africa, and South Korea.