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Alvimopan

Phase 3

Bowel Dysfunction | Small molecule | Gastrointestinal |Merck & Company, Inc.|Last Updated: Aug 30, 2017

Success Probability

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Market & Valuation

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Trial Design

RandomizedDouble-BlindPLACEBO_CONTROLLED
Total Trials3
Total Enrollment1,808

FDA Designations

No designations recorded

Clinical trial landscape

Alvimopan · 10 trials · 7 indications

Phase 3 8Phase 2 2
NCT01704651Accelerating Gastrointestinal RecoveryOvarian Cancer
COMPLETED146 Analytics
NCT00241722Long-Term Safety Evaluation Of Treatment Of Constipation Due To Opioids Being Taken For Persistent Non-Cancer PainBowel Dysfunction
COMPLETED805 Analytics
NCT00256932Treatment Of Constipation Due To Opioids Being Taken For Persistent Non-Cancer PainBowel Dysfunction
COMPLETED518 Analytics
NCT00259922Alvimopan For The Treatment Of Constipation Due To Opioids Being Taken For Persistent Non-Cancer PainBowel Dysfunction
COMPLETED485 Analytics
NCT00205842Study of Alvimopan for the Management of Opioid-induced Postoperative Bowel Dysfunction/Postoperative IleusIleus
COMPLETED660 Analytics
NCT00388401Study of Alvimopan for the Management of Opioid-induced Postoperative Bowel Dysfunction/Postoperative IleusIleus
COMPLETED510 Analytics
NCT00388479Study of Alvimopan for the Management of Opioid-induced Postoperative Bowel Dysfunction/ Postoperative IleusIleus
COMPLETED666 Analytics
NCT00388258Study of Alvimopan for the Management of Opioid-induced Postoperative Bowel Dysfunction/Postoperative IleusIleus
COMPLETED451 Analytics
PHASE3COMPLETED
Accelerating Gastrointestinal Recovery
Ovarian CancerUnlock trial analytics
PHASE3COMPLETED
Long-Term Safety Evaluation Of Treatment Of Constipation Due To Opioids Being Taken For Persistent Non-Cancer Pain
Bowel DysfunctionUnlock trial analytics
PHASE3COMPLETED
Treatment Of Constipation Due To Opioids Being Taken For Persistent Non-Cancer Pain
Bowel DysfunctionUnlock trial analytics
PHASE3COMPLETED
Alvimopan For The Treatment Of Constipation Due To Opioids Being Taken For Persistent Non-Cancer Pain
Bowel DysfunctionUnlock trial analytics
PHASE3COMPLETED
Study of Alvimopan for the Management of Opioid-induced Postoperative Bowel Dysfunction/Postoperative Ileus
IleusUnlock trial analytics
PHASE3COMPLETED
Study of Alvimopan for the Management of Opioid-induced Postoperative Bowel Dysfunction/Postoperative Ileus
IleusUnlock trial analytics
PHASE3COMPLETED
Study of Alvimopan for the Management of Opioid-induced Postoperative Bowel Dysfunction/ Postoperative Ileus
IleusUnlock trial analytics
PHASE3COMPLETED
Study of Alvimopan for the Management of Opioid-induced Postoperative Bowel Dysfunction/Postoperative Ileus
IleusUnlock trial analytics

Study Endpoints

Primary Endpoints

Postoperative Length of Hospital Stay
Patients will be followed for the duration of their hospital stay, an expected average of 5 days

Length of stay = date/time of hospital dismissal - date/time of end of surgery

To compare alvimopan with placebo for long-term safety and tolerability
12 months
to compare alvimopan with placebo for efficacy in the treatment of OBD
Time to recovery of GI function, which will be the time to Recovery of both upper GI function (tolerating solid food), and lower GI recovery (first bowel movement). Referred to as GI2.
acceleration of gastrointestinal recovery
Incidence of reported adverse events, including serious adverse events
Change in weekly SCBM frequency. A SCBM is a spontaneous and complete bowel movement, which means a bowel movement that occurs with no laxative use in the prior 24 hours and leaves the subject with the feeling of complete evacuation of the rectum.

Secondary Endpoints

Postoperative Ileus Incidence
Patients will be followed for 30 days postop
Quality of life, pharmacokinetics, pharmacogenetics (dependent on results from other data)
12 months
Safety and tolerability, quality of life, pharmacokinetics, pharmacogenetics (dependent on results from other data)
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Study Design & Arms

AllocationRANDOMIZED
MaskingTRIPLE
ModelPARALLEL
PurposePREVENTION

Treatment Arms

ArmTypeDescription
AlvimopanEXPERIMENTALPerioperative administration of oral alvimopan, 12mg twice daily, starting with 1 dose preoperative. Drug was continued for duration of hospital stay, but did not exceed 7 days.
PlaceboPLACEBO_COMPARATORPerioperative administration of placebo, at same dosing interval as study drug.
Alvimopan 0.5 mg Twice Daily (BID)EXPERIMENTAL0.5 milligrams (mg) of alvimopan was administered orally twice daily (BID) for 12 months.
Alvimopan 0.5 mg once dailyEXPERIMENTAL -
alvimopan 0.5 mg twice dailyEXPERIMENTAL -
Alvimopan 1 mg Once Daily (QD)EXPERIMENTALParticipants who did not have an interruption in blinded investigational product between the original study and the extension study received Alvimopan 1 mg in the morning and received placebo in the evening. Participants who had an interruption in blinded investigational product between studies received 0.5 mg of alvimopan in the morning and placebo in the evening for 3 days, then 1 mg of alvimopan in the morning and placebo in the evening for the remaining 3 weeks.
Alvimopan 1 mg Twice Daily (BID)EXPERIMENTALParticipants who did not have an interruption in blinded investigational product between the original study and the extension study received Alvimopan 1 mg once in the morning and once in the evening. Participants who had an interruption in blinded investigational product between studies received 0.5 mg of alvimopan once in the morning and once in the evening for 3 days, then 1 mg of alvimopan once in the morning and once in the evening.

Interventions

NameTypeDescription
AlvimopanDRUGPerioperative administration of oral alvimopan, 12mg twice daily, starting with 1 dose preoperative.
PlaceboDRUGPerioperative administration of placebo, at same dosing interval as study drug.
AlviompanDRUG0.5 mg BID
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Eligibility Criteria

Age Range18 Years to N/A
SexFEMALE
Healthy VolunteersNo
Study Sites1

Inclusion criteria: * Females at least 18 years of age * Have an American Society of Anesthesiologists (ASA) Score of I to III * Are consented for primary, interval, or secondary cytoreduction for ovarian, tubal, or peritoneal cancer * Are scheduled to have their nasogastric tube removed before the...

Countries:United StatesAustraliaAustriaCanadaDenmarkFinlandHong KongHungaryIrelandNetherlandsNew ZealandPolandSpainSwedenSwitzerlandTaiwanUnited KingdomEstoniaGermanyFranceNorwaySouth AfricaPakistanPeruPortugalRussiaArgentinaCzechiaIndiaItalyPhilippinesSouth KoreaThailand
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Frequently asked questions about Alvimopan

What is Alvimopan used for?

Alvimopan is an investigational small molecule being studied for the treatment of bowel dysfunction, ileus, constipation, ovarian cancer, and cancer. It is being developed by Merck & Company, Inc. (MRK) and is currently in Phase 3 clinical development.

What does Alvimopan target?

Alvimopan is a small molecule that targets the mu-opioid receptor. It is designed to block the effects of opioids on the gastrointestinal tract, which can help relieve opioid-induced bowel dysfunction and constipation.

Who makes Alvimopan?

Alvimopan is being developed by Merck & Company, Inc., which is publicly traded under the ticker symbol MRK. The company is conducting clinical trials to evaluate the drug's safety and efficacy for gastrointestinal conditions.

What phase is Alvimopan in?

Alvimopan is in Phase 3 clinical development. It has completed four clinical trials, all of which were randomized, double-blind, and placebo-controlled. The drug is still investigational and has not been approved by regulatory authorities.

What clinical trials is Alvimopan in?

Alvimopan has completed four clinical trials, including NCT00135577, NCT00241722, NCT00256932, and NCT00259922. These trials evaluated the drug for opioid-induced bowel dysfunction and constipation in patients with cancer and non-cancer pain, with a total enrollment of 2,287 participants.

Is Alvimopan the same as Entereg?

Alvimopan is also known by the brand name Entereg. It is being studied for gastrointestinal conditions such as bowel dysfunction and constipation, and is currently in Phase 3 development by Merck & Company, Inc.