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N-methylnaltrexone bromide

Phase 3

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

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_CONTROLLEDDMCBiomarker
Total Trials3
Total Enrollment1,622
FDA Designations
No designations recorded
Clinical Trials (3)
NCT IDTitlePhaseStatusEnrollmentVelocityDesignStartCompletionLast UpdatedSitesCountries
NCT00804141Study Evaluating Long-Term Safety of MOA-728 in Participants With Opioid-Induced ConstipationPHASE3 COMPLETED 1,040Dec 3, 2008Sep 20, 2010Oct 18, 2019120 United States, Australia +4
NCT00529087Study Evaluating Subcutaneous MOA-728 for the Treatment of Opioid-Induced Constipation (OIC) in Subjects With Chronic Non-Malignant PainPHASE3 COMPLETED 460Aug 1, 2007Dec 1, 2008Nov 25, 201978 United States
NCT00547586Study Evaluating Oral MOA-728 For The Treatment Of OIBD In Subjects With Chronic Non-Malignant PainPHASE2 COMPLETED 122Oct 1, 2007Feb 1, 2008Aug 20, 202041 United States
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Study Endpoints
Primary Endpoints
Number of Participants With Treatment-Emergent Adverse Events (TEAEs)
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.

Percentage of Patients Having a Rescue-free Bowel Movement (RFBM) Within 4 Hours of the First Dose
up to 4 hours

A rescue-free bowel movement was defined as a bowel movement where no laxatives were used during the prior 24 hours. Information on laxative use, bowel movements and bowel movement assessments were self reported daily by the patient using a telephone interactive voice response system (IVRS).

Percentage of Active Injections Resulting in Any Rescue-free Bowel Movement (RFBM) Within 4 Hours of Injection During the Double-blind Period
4 weeks

A rescue-free bowel movement was defined as a bowel movement where no laxatives were used during the prior 24 hours. Information on laxative use, bowel movements and bowel movement assessments were self reported daily by the patient using a telephone interactive voice response system (IVRS). Active injections are those that contain study drug (e.g., daily injections in MOA-728 QD treatment group and every other injection for the MOA-728 QOD treatment group). The corresponding injections in the placebo group were used as controls.

Percentage of Participants With a Spontaneous Bowel Movement (SBM) Within 1, 2, 3, 4, and 6 Hours of Treatment
6 hours
Secondary Endpoints
Change From Baseline in Weekly Bowel Movement (BM) Rate Through Follow-up
Baseline, follow-up (14 days [Week 49 to 50])
Time to the First Rescue-free Bowel Movement (RFBM) After First Dose
up to 24 hours
Change From Baseline in Weekly Number of Rescue-free Bowel Movements (RFBM) for the Double-blind Period at 4 Weeks
Baseline and 4 weeks
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Study Design & Arms
AllocationNA
MaskingNONE
ModelSINGLE_GROUP
PurposeTREATMENT
Treatment Arms
ArmTypeDescription
MOA-728 12 mg QDEXPERIMENTALParticipants 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.
1PLACEBO_COMPARATOR -
2EXPERIMENTAL -
3EXPERIMENTAL -
PlaceboPLACEBO_COMPARATOR -
150 mgEXPERIMENTAL -
300 mgEXPERIMENTAL -
450 mgEXPERIMENTAL -
600 mgEXPERIMENTAL -
Interventions
NameTypeDescription
N-methylnaltrexone bromide (MOA-728)DRUGMOA-728 will be administered as per the dose and schedule specified in the arm.
placeboOTHERplacebo
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Eligibility Criteria
Age Range18 Years — N/A
SexALL
Healthy VolunteersNo
Study Sites120

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...

Countries:United StatesAustraliaCanadaColombiaSouth KoreaSpain
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