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Methylnaltrexone bromide

Phase 2

Opioid-induced Constipation | Small molecule | Gastrointestinal |Bausch Health Companies Inc.|Last Updated: Sep 4, 2019

Success Probability
Approval Probability 71%
TA Base Rate26%
Adjusted LOA41%
ML RiskLOW_RISK
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Market & Valuation
rNPV $3.2B
Market Size $9.4B
Revenue Basis $1.6B
Competitors 6
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Trial Design
RandomizedDouble-BlindPLACEBO_CONTROLLEDBiomarker
Total Trials1
Total Enrollment37
FDA Designations
No designations recorded
Clinical Trials (1)
NCT IDTitlePhaseStatusEnrollmentVelocityDesignStartCompletionLast UpdatedSitesCountries
NCT00640146Study of Subcutaneous Methylnaltrexone (MNTX) in the Treatment of Opioid-Induced Constipation During Rehabilitation After Orthopedic ProceduresPHASE2 COMPLETED 37Oct 19, 2007Jan 21, 2009Sep 4, 20191 United States
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Study Endpoints
Primary Endpoints
Percentage of Participants With Laxation Response Within 2 Hours of the First Dose
2 hours

Percentage of participants who had a laxation (that is, bowel movement) within 2 hours after the first dose of study drug, were reported. Participants taking stool softeners within 24 hours of study drug dosing and participants taking rescue laxative medications within 48 hours of study drug dosing were assessed as treatment failures.

Percentage of Participants With Laxation Response Within 4 Hours of the First Dose
4 hours

Percentage of participants who had a laxation (that is, bowel movement) within 4 hours after the first dose of study drug, were reported. Participants taking stool softeners within 24 hours of study drug dosing and participants taking rescue laxative medications within 48 hours of study drug dosing were assessed as treatment failures.

Secondary Endpoints
Time to First Rescue-Free Bowel Movement (Laxation)
Baseline (Day 1) up to Day 4 or 7
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Study Design & Arms
AllocationRANDOMIZED
MaskingQUADRUPLE
ModelPARALLEL
PurposeTREATMENT
Treatment Arms
ArmTypeDescription
MNTXEXPERIMENTALParticipants will receive methylnaltrexone (MNTX) 12 milligrams (mg) subcutaneously (SC) once daily for up to 4 or 7 days, depending upon the protocol version under which each participant is enrolled.
PlaceboPLACEBO_COMPARATORParticipants will receive placebo matching to MNTX SC once daily for up to 4 or 7 days, depending upon the protocol version under which each participant is enrolled.
Interventions
NameTypeDescription
Methylnaltrexone bromideDRUGMethylnaltrexone will be administered as per the dose and schedule specified in the respective arm.
PlaceboDRUGPlacebo matching to methylnaltrexone will be administered as per the dose and schedule specified in the respective arm.
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Eligibility Criteria
Age Range18 Years — N/A
SexALL
Healthy VolunteersNo
Study Sites1

Inclusion Criteria: 1. Male and female participants greater than or equal to (\>=) 18 years of age. 2. Participants must have undergone an orthopedic procedure (that is, total knee or hip replacement, spinal fusion, or reduction of fracture(s) with or without surgical fixation post trauma). 3. Part...

Countries:United States
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