This is a single-arm, open label, multinational, multicentre, prospective, real world observational study of Naloxegol in adult subjects with Opioid Induced Constipation (OIC) in patients receiving Naloxegol in routine clinical practice. Subjects who are receiving Naloxegol (prescribed by their physician according to the SmPC, which recommends that all currently used maintenance laxative therapy should be halted) during the enrolment period may be eligible for enrolment into the study.
The objective of this study is to assess the safety and efficacy of Naloxegol in a real world setting in cancer patients. The primary safety end point is the incidence of adverse events leading to study discontinuation. The primary efficacy end point is the response rate assessed in the 4 week observation period. Response is defined as three or more bowel movements (without the use of rescue laxative treatment in the previous 24 hours) per week and an increase of one or more bowel movements over baseline.
Study Type
OBSERVATIONAL
Enrollment
183
Naloxegol is a PEGylated derivative of the μ-opioid receptor antagonist naloxone
Aalborg University Hospital
Aalborg, Denmark
Tampere University Hospital
Tampere, Finland
Paul Papin à Angers et site René Gauducheau
Nantes, France
Lubecker Onkologische
Lübeck, Germany
To assess the safety and efficacy of Naloxegol in a real world setting in cancer patients.
Response rate
Time frame: 4 week treatment period
Proportion of patients that have a BFI score change of ≥12 points at the end of the study treatment
Bowel Function Index (BFI) score change of ≥12 points
Time frame: 4 week observation period
Proportion of patients that have a BFI score <30 at the end of the study (patients adequately treated).
Bowel Function Index (BFI) score \<30
Time frame: 4 week observation period
Time to the first post-dose bowel movement
Time to first post-dose bowel movement
Time frame: 4 week observation period
Change in stool consistency
Bristol stool scale (BSS)
Time frame: 4 week observation period
Change in Patient Assessment of Constipation (PAC-QOL)
Quality of Life Questionnaire
Time frame: 4 week observation period
Incidence of overall adverse events, including SAEs
Adverse Events, including SAEs
Time frame: 4 week observation period
Analgesic treatment interruptions/dose adjustments
Dose adjustments
Time frame: 4 week observation period
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Areteion Hospital
Athens, Greece
AORN dei Colli
Naples, Italy
Rijnstate hospital
Arnhem, Netherlands
ICO-Hospitalet
Barcelona, Spain
Skane University Hospital
Lund, Sweden
Royal Surrey County Hospital
Guildford, Surrey, United Kingdom
Naloxegol treatment interruptions/dose adjustments
Dose adjustments
Time frame: 4 week observation period
Patient satisfaction (PGI-I)
Patient Global Impression of Improvement (PGI-I)
Time frame: 4 week observation period