MedPath

Naloxegol

Generic Name
Naloxegol
Brand Names
Movantik, Moventig
Drug Type
Small Molecule
Chemical Formula
C34H53NO11
CAS Number
854601-70-0
Unique Ingredient Identifier
44T7335BKE
Background

Naloxegol, for "PEGylated naloxol" is a peripherally-selective opioid antagonist developed by AstraZeneca. It was approved by the FDA in September 2014 and is indicated for the treatment of opioid-induced constipation (OIC) in adult patients with chronic non‑cancer pain. The advantage of naloxegol over the opioid antagonist naloxone is that its PEGylated structure allows for high selectivity for peripheral opioid receptors and lack of entry into the central nervous system through the blood-brain barrier.

Indication

适用于治疗患有慢性非癌性疼痛的成年患者的阿片类药物引起的便秘(OIC),包括不需要频繁(如每周)增加阿片类剂量的既往癌症或其治疗相关的慢性疼痛患者。

Associated Conditions
Opioid Induced Constipation (OIC)

The Effect of Naloxegol on Refractory Constipation in the Intensive Care Unit

Phase 3
Withdrawn
Conditions
Constipation
Critical Illness
Interventions
First Posted Date
2016-03-10
Last Posted Date
2021-05-05
Lead Sponsor
Massachusetts General Hospital
Registration Number
NCT02705378
Locations
🇺🇸

Massachusetts General Hospital, Boston, Massachusetts, United States

A Bioavailability Study With Alternate Methods of Administration of Naloxegol Tablets, and Solution

First Posted Date
2015-05-18
Last Posted Date
2017-03-10
Lead Sponsor
AstraZeneca
Target Recruit Count
44
Registration Number
NCT02446171
Locations
🇩🇪

Research Site, Berlin, Germany

Phase I Pharmacokinetics and Safety Study of Naloxegol in Paediatric OIC Patients

Phase 1
Completed
Conditions
Constipation, Signs and Symptoms, Digestive
Interventions
First Posted Date
2014-03-31
Last Posted Date
2024-06-17
Lead Sponsor
Kyowa Kirin Pharmaceutical Development Ltd
Target Recruit Count
61
Registration Number
NCT02099591
Locations
🇬🇧

Royal Marsden Hospital, London, United Kingdom

🇪🇸

Unidad de Hematología y Oncología Pediátrica - Hospital Universitario HM Monteprincipe, Madrid, Spain

🇳🇴

St. Olavs Hospital, Trondheim, Norway

and more 13 locations

Open Label, Healthy Volunteers, Bioequivalence Study With Naloxegol

Phase 1
Completed
Conditions
Opioid Induced Constipation
Interventions
First Posted Date
2012-06-20
Last Posted Date
2014-10-15
Lead Sponsor
AstraZeneca
Target Recruit Count
42
Registration Number
NCT01623609
Locations
🇬🇧

Research Site, London, United Kingdom

Study in Healthy Volunteers to Investigate the Effects of Diltiazem on the Pharmacokinetics of Naloxegol

Phase 1
Completed
Conditions
Drug Induced Constipation
Interventions
First Posted Date
2012-05-09
Last Posted Date
2014-10-15
Lead Sponsor
AstraZeneca
Target Recruit Count
44
Registration Number
NCT01594619
Locations
🇺🇸

Research Site, Overland Park, Kansas, United States

Study in Healthy Volunteers to Investigate the Effects of Rifampin on the Pharmacokinetics of NKTR-118

Phase 1
Completed
Conditions
Drug Induced Constipation
Interventions
First Posted Date
2012-02-15
Last Posted Date
2014-10-15
Lead Sponsor
AstraZeneca
Target Recruit Count
22
Registration Number
NCT01533870
Locations
🇺🇸

Research Site, Overland Park, Kansas, United States

Study in Healthy Volunteers to Investigate the Effects of Ketoconazole on the Pharmacokinetics of NKTR-118

Phase 1
Completed
Conditions
Drug- Drug Interactions
Bioavailability
Healthy Volunteers
Interventions
First Posted Date
2012-01-30
Last Posted Date
2014-10-15
Lead Sponsor
AstraZeneca
Target Recruit Count
22
Registration Number
NCT01520896
Locations
🇺🇸

Research Site, Overland Park, Kansas, United States

A 12-week Extension of the Phase III Study (D3820C00004) to Assess the Effect and Safety of NKTR-118 in Patients With Non-cancer-related Pain and Opioid-induced Constipation

Phase 3
Completed
Conditions
Opioid-Induced Constipation (OIC)
Interventions
Drug: Placebo
First Posted Date
2011-07-15
Last Posted Date
2017-02-23
Lead Sponsor
AstraZeneca
Target Recruit Count
302
Registration Number
NCT01395524
Locations
🇺🇸

Reserach Site, Indianapolis, Indiana, United States

🇸🇰

Research Site, Presov, Slovakia

Open-label Study to Assess the Pharmacokinetics of NKTR-118 in Patients With Impaired Hepatic Function

Phase 1
Completed
Conditions
Hepatic; Functional Disturbance
Interventions
First Posted Date
2011-07-13
Last Posted Date
2014-10-15
Lead Sponsor
AstraZeneca
Target Recruit Count
24
Registration Number
NCT01392807
Locations
🇺🇸

Research Site, Overland Park, Kansas, United States

Assessment of Efficacy and Safety in Relieving Opioid-induced Constipation in Patients With Cancer-related Pain

Phase 3
Terminated
Conditions
Opioid-Induced Constipation
Interventions
Drug: Placebo
First Posted Date
2011-06-29
Last Posted Date
2015-06-01
Lead Sponsor
AstraZeneca
Target Recruit Count
14
Registration Number
NCT01384292
Locations
🇬🇧

Research Site, London, United Kingdom

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