Unspecified Adult Solid Tumor, Protocol Specific Clinical Trial
Official title:
A Multicenter, Randomized, Double-Blind, Placebo-controlled, Phase IIB Study of Oral Naloxone for the Treatment of Opioid-Induced Constipation in Patients With Chronic, Non-malignant Pain or Malignant Pain
RATIONALE: Naloxone may be effective in treating constipation that may be caused by opioid
pain medications such as morphine.
PURPOSE: Phase III trial to determine the effectiveness of naloxone in relieving constiption
in patients who are receiving opioids for chronic pain.
OBJECTIVES: I. Assess the long-term safety and efficacy of oral naloxone in treating
opioid-induced constipation in patients with chronic malignant or non-malignant pain.
OUTLINE: This is a multicenter study. Patients receive oral naloxone twice daily. Each
patient receives an escalating dose until the minimum effective dose or the maximum dose
allowed is reached. The minimum effective dose is defined as the dose at which a patient has
at least 4 bowel movements within 7 days. Patients receive the minimum effective dose for 7
days and then continue long-term treatment for a maximum of 72 weeks. Patients receiving the
maximum dose allowed with fewer than 4 bowel movements per week will discontinue study
therapy.
PROJECTED ACCRUAL: Approximately 600 patients will be accrued for this study.
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