Recent Updates
Recently added Catalysts

N-methylnaltrexone bromide

Phase 3

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

Success Probability

Subscribe to view

Market & Valuation

Subscribe to view

Trial Design

RandomizedDouble-BlindPLACEBO_CONTROLLEDDMC
Total Trials3
Total Enrollment1,622

FDA Designations

No designations recorded

Clinical trial landscape

N-methylnaltrexone bromide · 3 trials · 1 indication

Phase 3 2Phase 2 1
NCT00804141Study Evaluating Long-Term Safety of MOA-728 in Participants With Opioid-Induced ConstipationConstipation
COMPLETED1,040 Analytics
NCT00529087Study Evaluating Subcutaneous MOA-728 for the Treatment of Opioid-Induced Constipation (OIC) in Subjects With Chronic Non-Malignant PainConstipation
COMPLETED460 Analytics
PHASE3COMPLETED
Study Evaluating Long-Term Safety of MOA-728 in Participants With Opioid-Induced Constipation
ConstipationUnlock trial analytics
PHASE3COMPLETED
Study Evaluating Subcutaneous MOA-728 for the Treatment of Opioid-Induced Constipation (OIC) in Subjects With Chronic Non-Malignant Pain
ConstipationUnlock trial analytics

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
Unlock Study Endpoints

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
Unlock Study Design Details

Eligibility Criteria

Age Range18 Years to 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
Unlock Eligibility Criteria

Frequently asked questions about N-methylnaltrexone bromide

What is N-methylnaltrexone bromide used for?

N-methylnaltrexone bromide is an investigational small molecule being developed for constipation, specifically opioid-induced constipation in patients with chronic non-malignant pain. It is being studied as a treatment to address this gastrointestinal condition.

Who makes N-methylnaltrexone bromide?

N-methylnaltrexone bromide is being developed by Bausch Health Companies Inc., a company listed on the stock exchange under the ticker symbol BHC. The company is conducting clinical trials to evaluate the drug's safety and efficacy for constipation.

What phase is N-methylnaltrexone bromide in?

N-methylnaltrexone bromide is in Phase 3 clinical development. It is an investigational drug, meaning it has not been approved by regulatory authorities and is still undergoing clinical trials to assess its safety and effectiveness for treating constipation.

What clinical trials is N-methylnaltrexone bromide in?

N-methylnaltrexone bromide has been studied in three completed clinical trials. These include NCT00529087, a Phase 3 study of subcutaneous administration in 460 patients; NCT00547586, a Phase 2 study of oral administration in 122 patients; and NCT00804141, a long-term safety study in 1040 patients.

Is N-methylnaltrexone bromide the same as MOA-728?

Yes, N-methylnaltrexone bromide is also known as MOA-728. Clinical trial records refer to the drug by this alternative name, and both names are used to describe the same investigational compound being developed for constipation.