MedPath

Opioid-induced Bowel Dysfunction (OBD) Pivotal Assessment of Lubiprostone (OPAL)

Phase 3
Completed
Conditions
Opioid-induced Bowel Dysfunction
Interventions
Drug: Placebo
Registration Number
NCT01298219
Lead Sponsor
Sucampo Pharma Americas, LLC
Brief Summary

The primary purpose of the study is to evaluate the efficacy and safety of lubiprostone administration in subjects with Opioid-induced Bowel Dysfunction.

Detailed Description

Not available

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
439
Inclusion Criteria

A patient can be considered for eligibility to participate if he/she:

  • Has been consistently treated for chronic, noncancer-related pain with any oral, transdermal, intravenous, or subcutaneous opioid for at least 30 days prior to screening
  • Is diagnosed with OBD
  • Is capable of utilizing an electronic diary to report daily spontaneous bowel movements (SBMs)
  • Is willing to continue opioid therapy and discontinue the use of laxatives, stool softeners, and other concomitant medications affecting gastrointestinal motility throughout the study
Exclusion Criteria

A patient cannot be considered for eligibility to participate if he/she:

  • Uses opioids for the treatment of cancer-related pain, abdominal pain, mechanical bowel obstructions, bowel disorders, and constipation not arising from opioid use, but instead attributable to dietary, neurologic, congenital, or endocrine disorders, scleroderma, and/or for the management of drug addiction

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
PlaceboPlacebo0 mcg capsules twice daily (BID)
LubiprostoneLubiprostone24 mcg capsules twice daily (BID)
Primary Outcome Measures
NameTimeMethod
Number of Participants Classified as Treatment Responders Within 12 Weeks12 weeks

Spontaneous bowel movement (SBM) is defined as any BM that does not occur within 24 hours after use of rescue medication. To be classified as responders, participants are required to demonstrate at least moderate response (≥ 1 SBM improvement over baseline SBM frequency) for all treatment weeks for which observed data are available, and must additionally demonstrate a full response (≥ 3 SBMs per week) for at least 9 of the 12 treatment weeks.

Secondary Outcome Measures
NameTimeMethod
Number of SBMs Per Week at Week 12at Week 12
Number of SBMs Per Week Overallwithin 14 weeks

Overall is defined as the length of time from first dose to last follow-up within 2 weeks after last dose.

Number of SBMs Per Week at Week 8at Week 8
Number of Participants Who Experienced First SBM Within 48 Hours After Dose Initiationwithin 48 hours post-dose

Trial Locations

Locations (140)

Hartwell Research Group

🇺🇸

Anderson, South Carolina, United States

North Alabama Research Center

🇺🇸

Athens, Alabama, United States

Sunstone Medical Research

🇺🇸

Medford, Oregon, United States

South Orange County Surgical Medical Group

🇺🇸

Laguna Hills, California, United States

Galenos Research

🇺🇸

Dallas, Texas, United States

Schmerz und Palliativzentrum

🇩🇪

Wiesbaden, Germany

Anesthesia/Pain Control Indiana University School of Medicine

🇺🇸

Chicago, Illinois, United States

Kendall South Medical Center, Inc.

🇺🇸

Miami, Florida, United States

Diversified Medical Practice, P.A.

🇺🇸

Houston, Texas, United States

Pioneer Research Solutions, Inc.

🇺🇸

Houston, Texas, United States

Independent Clinical Researchers

🇺🇸

Las Vegas, Nevada, United States

AB Clinical Trials

🇺🇸

Las Vegas, Nevada, United States

Clinical Research of South Nevada

🇺🇸

Las Vegas, Nevada, United States

Clinical Research Advantage, Inc.

🇺🇸

Las Vegas, Nevada, United States

Lab2Marche

🇺🇸

Las Vegas, Nevada, United States

Aloha Medical Center

🇺🇸

Las Vegas, Nevada, United States

Healthscan Research

🇺🇸

Montgomery, Alabama, United States

California Clinical Research, Inc.

🇺🇸

Davis, California, United States

Family Medical Center

🇺🇸

Foothill Ranch, California, United States

Facey Medical Foundation

🇺🇸

Mission Hills, California, United States

SDS Clinical Trials, Inc.

🇺🇸

Orange, California, United States

Probe Clinical Research Corporation - Santa Ana

🇺🇸

Santa Ana, California, United States

KRK Medical Research

🇺🇸

Dallas, Texas, United States

Westlake Medical Research

🇺🇸

Westlake Village, California, United States

ACR Research Salt Lake City

🇺🇸

West Jordan, Utah, United States

Schmerztherapeutische- Ärztezentrum Nordstadt

🇩🇪

Hannover, Germany

NZOZ Dom Sue Ryder prowadzony przez Pallmed Sp. z o.o.

🇵🇱

Bydgoszcz, Poland

Clinical Trials Research

🇺🇸

Lincoln, California, United States

River Region Research

🇺🇸

Tallassee, Alabama, United States

G&L Research, LLC

🇺🇸

Foley, Alabama, United States

Certified Clinical Research

🇺🇸

Carmichael, California, United States

Family Health Medical Services PLLC

🇺🇸

Jamestown, New York, United States

Medical Frontiers

🇺🇸

Carlisle, Ohio, United States

Probe Clinical Research Corporation

🇺🇸

Riverside, California, United States

North County Clinical Research

🇺🇸

Oceanside, California, United States

Southeastern Regional Research Group

🇺🇸

Columbus, Georgia, United States

Bluegrass Internal Medicine

🇺🇸

Owensboro, Kentucky, United States

Better Health Clinical Research

🇺🇸

Newnan, Georgia, United States

Ridge Family Practice

🇺🇸

Council Bluffs, Iowa, United States

Lee Research Institute

🇺🇸

Lenexa, Kansas, United States

Mid-America Clinical Research LLC

🇺🇸

Saint Louis, Missouri, United States

Shores Medical Associates

🇺🇸

Saint Clair Shores, Michigan, United States

Knight Center for Integrated Health

🇺🇸

Peoria, Illinois, United States

Horizon Research Group

🇺🇸

Baton Rouge, Louisiana, United States

The Research Institute

🇺🇸

Springfield, Massachusetts, United States

Drug Trials America

🇺🇸

Hartsdale, New York, United States

Nemocnice Jablonec nad Nisou, p.o.

🇨🇿

Jablonec nad Nisou, Czechia

Parsons Avenue Medical Center

🇺🇸

Columbus, Ohio, United States

Community Research

🇺🇸

Cincinnati, Ohio, United States

Pharmacotherpy Research Associates Inc

🇺🇸

Zanesville, Ohio, United States

U of Rochester

🇺🇸

Rochester, New York, United States

Omega Medical Research

🇺🇸

Warwick, Rhode Island, United States

Hometown Urgent Care

🇺🇸

Groveport, Ohio, United States

Rapid Medical Research, Inc.

🇺🇸

Cleveland, Ohio, United States

Hightop Medical Research Center

🇺🇸

Cincinnati, Ohio, United States

Northstar Medical Research, LLC

🇺🇸

Middleburg Heights, Ohio, United States

McMillen & Magargle

🇺🇸

Mechanicsburg, Pennsylvania, United States

Virginia Research Center, LLC

🇺🇸

Midlothian, Virginia, United States

Pain Specialists of Charleston

🇺🇸

North Charleston, South Carolina, United States

FutureSearch Trials of Dallas, LP

🇺🇸

Dallas, Texas, United States

Neurologicka ambulance

🇨🇿

Praha 6, Czechia

Spring Clinical Research

🇺🇸

Sugar Land, Texas, United States

Pioneer Research Solutions

🇺🇸

Sugar Land, Texas, United States

Ambulance bolesti, Krajska nemocnice Liberec

🇨🇿

Liberec, Czechia

Pillar Clinical Research, LLC

🇺🇸

Dallas, Texas, United States

Bobby Huynh

🇺🇸

Richardson, Texas, United States

Clintrial s.r.o.

🇨🇿

Praha 10, Czechia

Clinical Trial Network

🇺🇸

Houston, Texas, United States

Dependable Clinical Research

🇺🇸

Houston, Texas, United States

Pain Clinic-Heilig Hart Ziekenhuis Roeselare

🇧🇪

Roeselare, Westlaan 123, Belgium

Dr Capiau - GP Practice

🇧🇪

Wetteren, Belgium

Klaudianova nemocnice Mlada Boleslav

🇨🇿

Mlada Boleslav, Czechia

St. Anne's University Hospital - centrum pro

🇨🇿

Brno, Czechia

Hagakliniken

🇸🇪

Gothenburg, Sweden

Fylde Coast Clinical Research Ltd

🇬🇧

Blackpool, Lancsashire, United Kingdom

Innovative Clinical Trials, Inc.

🇺🇸

Birmingham, Alabama, United States

COR Clinical Research, LLC

🇺🇸

Oklahoma City, Oklahoma, United States

Achieve Clinical Research

🇺🇸

Birmingham, Alabama, United States

Alabama Clinical Therapeutics

🇺🇸

Birmingham, Alabama, United States

Anasazi Internal Medicine PC

🇺🇸

Phoenix, Arizona, United States

Fanno Creek Clinic

🇺🇸

Portland, Oregon, United States

Mountain View Clinical Research

🇺🇸

Denver, Colorado, United States

Sooner Clinical Research

🇺🇸

Oklahoma City, Oklahoma, United States

Sun Research Institute

🇺🇸

San Antonio, Texas, United States

Compass Research

🇺🇸

Orlando, Florida, United States

Tampa Clinical Research

🇺🇸

Tampa, Florida, United States

Coastal Orthopedics & Pain Management

🇺🇸

Bradenton, Florida, United States

Aureas Research, Inc

🇺🇸

Little Rock, Arkansas, United States

Clear Vision Research

🇺🇸

Los Angeles, California, United States

Long Beach VA Medical Center

🇺🇸

Long Beach, California, United States

S&W Clinical Research

🇺🇸

Fort Lauderdale, Florida, United States

Avail Clinical Research

🇺🇸

DeLand, Florida, United States

Clinical Research Atlanta

🇺🇸

Stockbridge, Georgia, United States

Edison Medical Group

🇺🇸

Edison, New Jersey, United States

SCRI Research Center

🇺🇸

Germantown, Tennessee, United States

Regional Hospital T. B., a.s.

🇨🇿

Zlin, Czechia

Schmerzzentrum Berlin

🇩🇪

Berlin, Germany

Karolinska University Hospita- Dept of Anaesthesia, Pain Div.

🇸🇪

Stockholm, Sweden

S3 Clinical Research Centers

🇸🇪

Vällingby, Sweden

ElyBridge Surgery

🇬🇧

ELY, Cardiff, United Kingdom

Randalstown Medical Practice

🇬🇧

Randalstown, Co Antrim, United Kingdom

Sea Road Surgery

🇬🇧

Bexhill on Sea, E.Sussex, United Kingdom

Sheepcot Medical Centre,

🇬🇧

Watford, Herts, United Kingdom

Mortimer Surgery

🇬🇧

Reading, United Kingdom

The Waterfront Medical Centre

🇬🇧

Barry, Wales, United Kingdom

Valleyfield Health Center

🇬🇧

Dunfermline, United Kingdom

Frome Medical Practice

🇬🇧

Frome, United Kingdom

Meridien Research

🇺🇸

Bradenton, Florida, United States

Gold Coast Research, LLC

🇺🇸

Plantation, Florida, United States

Sonora Clinical Research

🇺🇸

Boise, Idaho, United States

Physicians Regional Medical Group

🇺🇸

Naples, Florida, United States

Paddock Park Clinical Research

🇺🇸

Ocala, Florida, United States

Montana Medical Research, Inc.

🇺🇸

Missoula, Montana, United States

Advent Clinical Research Centers

🇺🇸

Pinellas Park, Florida, United States

IC Research

🇺🇸

Sanford, Florida, United States

Ashok Jain, MD

🇺🇸

Dearborn, Michigan, United States

Clinical Research Program

🇺🇸

Marlton, New Jersey, United States

Palm Springs Research Institute

🇺🇸

Hialeah, Florida, United States

Andres Patron, DO, PA

🇺🇸

Pembroke Pines, Florida, United States

Gastroenterology Group of Naples

🇺🇸

Naples, Florida, United States

Florida Research & Testing, LLC

🇺🇸

Clearwater, Florida, United States

Sarasota Memorial Pain Care Center

🇺🇸

Sarasota, Florida, United States

Prevention & Strengthening Solutions, Inc.

🇺🇸

Humboldt, Tennessee, United States

Advanced Clinical Research

🇺🇸

Boise, Idaho, United States

Ocala Rheumatology Research Center

🇺🇸

Ocala, Florida, United States

Journey Research, Inc.

🇺🇸

Oldsmar, Florida, United States

Orthopedic Research Institite

🇺🇸

Royal Palm Beach, Florida, United States

Nautical Clinical Research

🇺🇸

Meridian, Idaho, United States

Miray Medical Center

🇺🇸

Brockton, Massachusetts, United States

Coastal Research

🇺🇸

Weymouth, Massachusetts, United States

Huisartsenpraktijk De Regenboog

🇧🇪

Antwerp, Belgium

Lifetree Clinical Research

🇺🇸

Salt Lake City, Utah, United States

Kentucky Medical Research Center

🇺🇸

Lexington, Kentucky, United States

FutureSearch Trials of Neurology & Sleep Lab

🇺🇸

Austin, Texas, United States

Jaron Winston, MD

🇺🇸

Austin, Texas, United States

Albuquerque Clinical Trials

🇺🇸

Albuquerque, New Mexico, United States

Degarmo Institute of Medical Research

🇺🇸

Greer, South Carolina, United States

Health Concepts

🇺🇸

Rapid City, South Dakota, United States

InvestiClin Research

🇺🇸

Brentwood, Tennessee, United States

Ballygomartin Group Practice

🇬🇧

Belfast, Northern Ireland, United Kingdom

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