MedPath

Methylnaltrexone

Generic Name
Methylnaltrexone
Brand Names
Relistor
Drug Type
Small Molecule
Chemical Formula
C21H26NO4
CAS Number
916055-93-1
Unique Ingredient Identifier
0RK7M7IABE
Background

Methylnaltrexone is a pheriphally-acting μ-opioid antagonist that acts on the gastrointestinal tract to decrease opioid-induced constipation without producing analgesic effects or withdrawal symptoms. It is also a weak CYP2D6 inhibitor. FDA approved in 2008.

Indication

Treatment of opioids induced constipation in palliative patients that are inadequately responding to laxative therapy.

Associated Conditions
Opioid Induced Constipation (OIC)

Methylnatrexone In Resectable Head and Neck Squamous Cell Carcinoma (MINK). A "Window of Opportunity" Pilot Study.

Phase 4
Recruiting
Conditions
Head and Neck Squamous Cell Carcinoma
Interventions
First Posted Date
2023-12-08
Last Posted Date
2025-02-12
Lead Sponsor
M.D. Anderson Cancer Center
Target Recruit Count
25
Registration Number
NCT06162377
Locations
🇺🇸

MD Anderson Cancer Center, Houston, Texas, United States

RELISTOR's Effects on Opioid-Induced Constipation

First Posted Date
2021-06-18
Last Posted Date
2022-05-03
Lead Sponsor
Methodist Health System
Registration Number
NCT04930237
Locations
🇺🇸

Methodist Moody Brain and Spine Institute, Methodist Dallas Medical Center, Dallas, Texas, United States

Chronic Widespread Pain in HIV: Novel Mechanisms and Therapeutics

Not Applicable
Recruiting
Conditions
Chronic Widespread Pain
Interventions
First Posted Date
2021-03-09
Last Posted Date
2025-02-19
Lead Sponsor
Florida International University
Target Recruit Count
200
Registration Number
NCT04787848
Locations
🇺🇸

Ambulatory Care Center, Florida International University, Miami, Florida, United States

Effects of Peripherally Acting µ-opioid Receptor Antagonists on Acute Pancreatitis

Phase 2
Completed
Conditions
Acute Pancreatitis
Interventions
Drug: Placebo treatment
First Posted Date
2021-02-08
Last Posted Date
2023-04-21
Lead Sponsor
Asbjørn Mohr Drewes
Target Recruit Count
105
Registration Number
NCT04743570
Locations
🇩🇰

Mech-Sense, Department of Medical Gastroenterology, Aalborg University Hospital, Aalborg, Jutland, Denmark

🇩🇰

Digestive Disease Center K, Bispebjerg University Hospital, Bispebjerg, Denmark

🇩🇰

Gastrounit, Hvidovre University Hospital, Hvidovre, Denmark

and more 1 locations

An Extension Study of Methylnaltrexone Bromide (MNTX) in Participants With Advanced Pancreatic Cancer

Phase 3
Withdrawn
Conditions
Pancreatic Cancer
Interventions
First Posted Date
2019-11-05
Last Posted Date
2021-05-07
Lead Sponsor
Bausch Health Americas, Inc.
Registration Number
NCT04151719

A Study of Methylnaltrexone Bromide (MNTX) in Participants With Advanced Pancreatic Cancer

Phase 2
Withdrawn
Conditions
Pancreatic Cancer
Interventions
First Posted Date
2019-09-10
Last Posted Date
2021-05-07
Lead Sponsor
Bausch Health Americas, Inc.
Registration Number
NCT04083651
Locations
🇺🇸

Bausch Site 001, Omaha, Nebraska, United States

Subcutaneous Methylnaltrexone Versus Placebo for Postoperative Ileus Prevention

Phase 2
Completed
Conditions
Postoperative Ileus
Interventions
First Posted Date
2019-02-25
Last Posted Date
2021-10-27
Lead Sponsor
Ohio State University
Target Recruit Count
82
Registration Number
NCT03852524
Locations
🇺🇸

Ohio State University, Columbus, Ohio, United States

Methylnaltrexone vs Naloxegol in the Treatment of Opioid-Induced Constipation

First Posted Date
2018-05-14
Last Posted Date
2023-04-11
Lead Sponsor
University of Missouri-Columbia
Target Recruit Count
15
Registration Number
NCT03523520
Locations
🇺🇸

Kara B. Goddard, Columbia, Missouri, United States

The Effect of Naloxone and Methylnaltrexone on Esophageal Sensitivity in Health

Not Applicable
Completed
Conditions
Endogenous and Esophageal Sensitivity
Interventions
First Posted Date
2017-01-09
Last Posted Date
2017-01-09
Lead Sponsor
Universitaire Ziekenhuizen KU Leuven
Target Recruit Count
12
Registration Number
NCT03014843

Naloxegol to Prevent Lower Gastrointestinal Paralysis in Critically Ill Adults Administered Opioids

Phase 4
Terminated
Conditions
Constipation
Interventions
First Posted Date
2016-11-30
Last Posted Date
2023-02-16
Lead Sponsor
Tufts Medical Center
Target Recruit Count
12
Registration Number
NCT02977286
Locations
🇺🇸

Tufts Medical Center, Boston, Massachusetts, United States

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