Study to Evaluate the Safety and Efficacy of Naldemedine (S-297995) for the Treatment of Opioid-Induced Bowel Dysfunction in Subjects With Chronic Pain
CompletedPhase 2Results postedLast updated 30 May 2017
What this trial tests
Phase 2 trial testing Naldemedine in Opioid Induced Bowel Dysfunction in 72 participants. Completed in 22 March 2011.
Adults 18 to 65, any sex, with Opioid Induced Bowel Dysfunction. Patients with the condition only — healthy volunteers not accepted.
Results — posted to ClinicalTrials.gov
Per-arm endpoint measurements with 95% confidence intervals where reported. Source: trial results section.
Number of Participants With Adverse EventsPrimary· From the first dose of study drug on Day 15 up to Day 24.
Severity of adverse events (AEs) was graded according to the following definitions:
* Mild: The subject experiences awareness of symptoms but these are easily tolerated or managed without specific treatment
* Moderate: The subject experiences discomfort enough to cause interference with usual activity, and/or the condition requires specific treatment
* Severe: The subject is incapacitated with inability to work or do usual activity, and/or the event requires significant treatment measures.
The relationship of the event to the study drug was determined by the investigator.
A serious adverse
Any adverse event
Group
Value
95% CI
Pooled Placebo
9
Naldemedine 0.01 mg
6
Naldemedine 0.03 mg
6
Naldemedine 0.1 mg
5
Naldemedine 0.3 mg
9
Naldemedine 1 mg
9
Naldemedine 3 mg
9
Mild adverse events
Group
Value
95% CI
Pooled Placebo
9
Naldemedine 0.01 mg
6
Naldemedine 0.03 mg
6
Naldemedine 0.1 mg
4
Naldemedine 0.3 mg
6
Naldemedine 1 mg
5
Naldemedine 3 mg
1
Moderate adverse events
Group
Value
95% CI
Pooled Placebo
0
Naldemedine 0.01 mg
0
Naldemedine 0.03 mg
0
Naldemedine 0.1 mg
1
Naldemedine 0.3 mg
3
Naldemedine 1 mg
3
Naldemedine 3 mg
2
Severe adverse events
Group
Value
95% CI
Pooled Placebo
0
Naldemedine 0.01 mg
0
Naldemedine 0.03 mg
0
Naldemedine 0.1 mg
0
Naldemedine 0.3 mg
0
Naldemedine 1 mg
1
Naldemedine 3 mg
6
Treatment-related adverse events
Group
Value
95% CI
Pooled Placebo
6
Naldemedine 0.01 mg
5
Naldemedine 0.03 mg
3
Naldemedine 0.1 mg
1
Naldemedine 0.3 mg
9
Naldemedine 1 mg
8
Naldemedine 3 mg
9
Deaths
Group
Value
95% CI
Pooled Placebo
0
Naldemedine 0.01 mg
0
Naldemedine 0.03 mg
0
Naldemedine 0.1 mg
0
Naldemedine 0.3 mg
0
Naldemedine 1 mg
0
Naldemedine 3 mg
0
Serious adverse events
Group
Value
95% CI
Pooled Placebo
0
Naldemedine 0.01 mg
0
Naldemedine 0.03 mg
0
Naldemedine 0.1 mg
0
Naldemedine 0.3 mg
0
Naldemedine 1 mg
0
Naldemedine 3 mg
0
Adverse events leading to discontinuation
Group
Value
95% CI
Pooled Placebo
0
Naldemedine 0.01 mg
0
Naldemedine 0.03 mg
0
Naldemedine 0.1 mg
0
Naldemedine 0.3 mg
0
Naldemedine 1 mg
0
Naldemedine 3 mg
0
Change From Baseline to 24 Hours Post-dose in Number of Spontaneous Bowel Movements (SBMs) Per DaySecondary· Baseline (Day 1 to Day 15) and Day 15 to 16 (0 to 24 hours post-dose)
Participants completed a bowel function assessment daily diary to record information about bowel movements and constipation. A spontaneous bowel movement was defined as a bowel movement where no laxative or enema was used in the 24 hours preceding the bowel movement.
Baseline was defined as the average number of SBMs per day during the 2 weeks prior to receiving study drug (Day 1 to Day 15).
Baseline
Group
Value
95% CI
Pooled Placebo
0.15
± 0.13
Naldemedine 0.01 mg
0.20
± 0.14
Naldemedine 0.03 mg
0.24
± 0.09
Naldemedine 0.1 mg
0.13
± 0.13
Naldemedine 0.3 mg
0.17
± 0.12
Naldemedine 1 mg
0.13
± 0.09
Naldemedine 3 mg
0.23
± 0.11
24 hours post-dose
Group
Value
95% CI
Pooled Placebo
0.44
± 0.51
Naldemedine 0.01 mg
0.11
± 0.33
Naldemedine 0.03 mg
0.67
± 0.71
Naldemedine 0.1 mg
0.56
± 0.73
Naldemedine 0.3 mg
2.00
± 1.32
Naldemedine 1 mg
3.89
± 3.06
Naldemedine 3 mg
5.00
± 2.12
Change from Baseline to 24 hours post-dose
Group
Value
95% CI
Pooled Placebo
0.29
± 0.48
Naldemedine 0.01 mg
-0.09
± 0.41
Naldemedine 0.03 mg
0.42
± 0.72
Naldemedine 0.1 mg
0.43
± 0.68
Naldemedine 0.3 mg
1.83
± 1.34
Naldemedine 1 mg
3.76
± 3.06
Naldemedine 3 mg
4.77
± 2.15
Change From Baseline to 48 Hours Post-dose in the Number of SBMs Per DaySecondary· Baseline (Day 1 to Day 15) and Day 15 to Day 17 (0 to 48 hours post-dose)
Participants completed a bowel function assessment daily diary to record information about bowel movements and constipation. A spontaneous bowel movement was defined as a bowel movement where no laxative or enema was used in the 24 hours preceding the bowel movement. Baseline was defined as the average number of SBMs per day during the 2 weeks prior to receiving study drug (Day 1 to Day 15). Forty-eight hours post-dose was defined as the average number of SBMs per day from 0 to 48 hours post-dose.
Baseline
Group
Value
95% CI
Pooled Placebo
0.15
± 0.13
Naldemedine 0.01 mg
0.20
± 0.14
Naldemedine 0.03 mg
0.24
± 0.09
Naldemedine 0.1 mg
0.13
± 0.13
Naldemedine 0.3 mg
0.17
± 0.12
Naldemedine 1 mg
0.13
± 0.09
Naldemedine 3 mg
0.23
± 0.11
48 hours post-dose
Group
Value
95% CI
Pooled Placebo
0.36
± 0.33
Naldemedine 0.01 mg
0.44
± 0.39
Naldemedine 0.03 mg
0.67
± 0.61
Naldemedine 0.1 mg
0.39
± 0.49
Naldemedine 0.3 mg
1.06
± 0.68
Naldemedine 1 mg
2.28
± 1.80
Naldemedine 3 mg
2.67
± 1.03
Change from Baseline to 48 hours post-dose
Group
Value
95% CI
Pooled Placebo
0.21
± 0.32
Naldemedine 0.01 mg
0.24
± 0.39
Naldemedine 0.03 mg
0.42
± 0.65
Naldemedine 0.1 mg
0.26
± 0.45
Naldemedine 0.3 mg
0.88
± 0.68
Naldemedine 1 mg
2.15
± 1.81
Naldemedine 3 mg
2.44
± 1.05
Change From Baseline to 24 Hours Post-dose in Number of Bowel Movements (BM) Per DaySecondary· Baseline and 24 hours post-dose
Participants completed a bowel function assessment daily diary to record information about bowel movements and constipation. Baseline was defined as the average number of BMs per day during the 2 weeks prior to receiving study drug (Day 1 to Day 15).
Baseline
Group
Value
95% CI
Pooled Placebo
0.35
± 0.18
Naldemedine 0.01 mg
0.34
± 0.10
Naldemedine 0.03 mg
0.41
± 0.22
Naldemedine 0.1 mg
0.35
± 0.17
Naldemedine 0.3 mg
0.33
± 0.12
Naldemedine 1 mg
0.29
± 0.09
Naldemedine 3 mg
0.38
± 0.19
24 hours post-dose
Group
Value
95% CI
Pooled Placebo
0.50
± 0.62
Naldemedine 0.01 mg
0.11
± 0.33
Naldemedine 0.03 mg
0.67
± 0.71
Naldemedine 0.1 mg
0.56
± 0.73
Naldemedine 0.3 mg
2.00
± 1.32
Naldemedine 1 mg
3.89
± 3.06
Naldemedine 3 mg
5.00
± 2.12
Change from Baseline to 24 hours post-dose
Group
Value
95% CI
Pooled Placebo
0.15
± 0.65
Naldemedine 0.01 mg
-0.23
± 0.36
Naldemedine 0.03 mg
0.25
± 0.75
Naldemedine 0.1 mg
0.21
± 0.76
Naldemedine 0.3 mg
1.67
± 1.35
Naldemedine 1 mg
3.60
± 3.10
Naldemedine 3 mg
4.62
± 2.06
Change From Baseline to 48 Hours Post-dose in Number of Bowel Movements Per DaySecondary· Baseline and 48 hours post-dose
Participants completed a bowel function assessment daily diary to record information about bowel movements and constipation. Baseline was defined as the average number of BMs per day during the 2 weeks prior to receiving study drug (Day 1 to Day 15). Forty-eight hours post-dose was defined as the average number of BMs per day from 0 to 48 hours post-dose.
Baseline
Group
Value
95% CI
Pooled Placebo
0.35
± 0.18
Naldemedine 0.01 mg
0.34
± 0.10
Naldemedine 0.03 mg
0.41
± 0.22
Naldemedine 0.1 mg
0.35
± 0.17
Naldemedine 0.3 mg
0.33
± 0.12
Naldemedine 1 mg
0.29
± 0.09
Naldemedine 3 mg
0.38
± 0.19
48 hours post-dose
Group
Value
95% CI
Pooled Placebo
0.50
± 0.51
Naldemedine 0.01 mg
0.61
± 0.49
Naldemedine 0.03 mg
0.72
± 0.71
Naldemedine 0.1 mg
0.56
± 0.46
Naldemedine 0.3 mg
1.06
± 0.68
Naldemedine 1 mg
2.28
± 1.80
Naldemedine 3 mg
2.67
± 1.03
Change from baseline to 48 hours post-dose
Group
Value
95% CI
Pooled Placebo
0.15
± 0.53
Naldemedine 0.01 mg
0.27
± 0.51
Naldemedine 0.03 mg
0.31
± 0.67
Naldemedine 0.1 mg
0.21
± 0.52
Naldemedine 0.3 mg
0.72
± 0.70
Naldemedine 1 mg
1.99
± 1.82
Naldemedine 3 mg
2.29
± 0.98
Change From Baseline to 24 Hours Post-dose in Number of Complete Spontaneous Bowel Movements (CSBMs) Per DaySecondary· Baseline and 24 hours post-dose
Participants completed a bowel function assessment daily diary to record information about bowel movements and constipation. A complete spontaneous bowel movement was defined as a bowel movement where no laxative or enema was used and the bowel movement resulted in a sensation of complete evacuation (based on the question of "having a feeling of complete emptying after the bowel movement").
Baseline was defined as the average number of CSBMs per day during the 2 weeks prior to receiving study drug (Day 1 to Day 15).
Baseline
Group
Value
95% CI
Pooled Placebo
0.03
± 0.06
Naldemedine 0.01 mg
0.07
± 0.09
Naldemedine 0.03 mg
0.07
± 0.08
Naldemedine 0.1 mg
0.06
± 0.10
Naldemedine 0.3 mg
0.01
± 0.03
Naldemedine 1 mg
0.03
± 0.04
Naldemedine 3 mg
0.10
± 0.07
24 hours post-dose
Group
Value
95% CI
Pooled Placebo
0.06
± 0.24
Naldemedine 0.01 mg
0.00
± 0.00
Naldemedine 0.03 mg
0.11
± 0.33
Naldemedine 0.1 mg
0.22
± 0.44
Naldemedine 0.3 mg
0.11
± 0.33
Naldemedine 1 mg
2.44
± 2.55
Naldemedine 3 mg
3.00
± 3.20
Change from Baseline to 24 hours post-dose
Group
Value
95% CI
Pooled Placebo
0.02
± 0.25
Naldemedine 0.01 mg
-0.07
± 0.09
Naldemedine 0.03 mg
0.04
± 0.29
Naldemedine 0.1 mg
0.16
± 0.44
Naldemedine 0.3 mg
0.10
± 0.34
Naldemedine 1 mg
2.42
± 2.55
Naldemedine 3 mg
2.90
± 3.24
Change From Baseline to 48 Hours Post-dose in Number of Complete Spontaneous Bowel Movements (CSBMs) Per DaySecondary· Baseline and 48 hours post-dose
Participants completed a bowel function assessment daily diary to record information about bowel movements and constipation. A complete spontaneous bowel movement was defined as a bowel movement where no laxative or enema was used and the bowel movement resulted in a sensation of complete evacuation (based on the question of "having a feeling of complete emptying after the bowel movement").
Baseline was defined as the average number of CSBMs per day during the 2 weeks prior to receiving study drug (Day 1 to Day 15). Forty-eight hours post-dose was defined as the average number of CSBMs per da
Baseline
Group
Value
95% CI
Pooled Placebo
0.03
± 0.06
Naldemedine 0.01 mg
0.07
± 0.09
Naldemedine 0.03 mg
0.07
± 0.08
Naldemedine 0.1 mg
0.06
± 0.10
Naldemedine 0.3 mg
0.01
± 0.03
Naldemedine 1 mg
0.03
± 0.04
Naldemedine 3 mg
0.10
± 0.07
48 hours post-dose
Group
Value
95% CI
Pooled Placebo
0.08
± 0.19
Naldemedine 0.01 mg
0.17
± 0.25
Naldemedine 0.03 mg
0.17
± 0.25
Naldemedine 0.1 mg
0.17
± 0.35
Naldemedine 0.3 mg
0.06
± 0.17
Naldemedine 1 mg
1.39
± 1.34
Naldemedine 3 mg
1.61
± 1.52
Change from baseline to 48 hours post-dose
Group
Value
95% CI
Pooled Placebo
0.05
± 0.16
Naldemedine 0.01 mg
0.10
± 0.18
Naldemedine 0.03 mg
0.10
± 0.25
Naldemedine 0.1 mg
0.10
± 0.34
Naldemedine 0.3 mg
0.04
± 0.17
Naldemedine 1 mg
1.36
± 1.34
Naldemedine 3 mg
1.51
± 1.56
Time to First Spontaneous Bowel MovementSecondary· From first dose on Day 15 through Day 17
The time to first SBM during the Study Drug Administration Period was summarized using Kaplan-Meier estimates. Each participant's first SBM was counted as an event and the time to first SBM after dosing was calculated from the date and time of first dosing until the date and time of first SBM. Participants who dropped out or were lost to follow-up before the first SBM were censored.
Group
Value
95% CI
Pooled Placebo
27.2
12.4 – NA
Naldemedine 0.01 mg
37.0
25.8 – NA
Naldemedine 0.03 mg
13.9
8.2 – NA
Naldemedine 0.1 mg
NA
3.3 – NA
Naldemedine 0.3 mg
4.7
2.8 – 6.2
Naldemedine 1 mg
1.4
1.0 – 2.3
Naldemedine 3 mg
0.7
0.6 – 0.8
Time to First Bowel MovementSecondary· From first dose on Day 15 through Day 17
The time to first BM during the Study Drug Administration Period was summarized using Kaplan-Meier estimates. Each participant's first BM was counted as an event and the time to first BM after dosing was calculated from the date and time of first dosing until the date and time of first BM. Participants who dropped out or were lost to follow-up before the first BM were censored.
Group
Value
95% CI
Pooled Placebo
27.2
12.4 – NA
Naldemedine 0.01 mg
28.4
25.8 – 43.0
Naldemedine 0.03 mg
13.9
8.2 – NA
Naldemedine 0.1 mg
25.1
3.3 – 57.3
Naldemedine 0.3 mg
4.7
2.8 – 6.2
Naldemedine 1 mg
1.4
1.0 – 2.3
Naldemedine 3 mg
0.7
0.6 – 0.8
Time to First Complete Spontaneous Bowel MovementSecondary· From first dose on Day 15 through Day 17
The time to first CSBM during the Study Drug Administration Period was summarized using Kaplan-Meier estimates. Each participant's first CSBM was counted as an event and the time to first CSBM after dosing was calculated from the date and time of first dosing until the date and time of first CSBM. Participants who dropped out or were lost to follow-up before the first CSBM were censored.
Group
Value
95% CI
Pooled Placebo
NA
NA – NA
Naldemedine 0.01 mg
NA
37.0 – NA
Naldemedine 0.03 mg
NA
37.7 – NA
Naldemedine 0.1 mg
NA
NA – NA
Naldemedine 0.3 mg
NA
NA – NA
Naldemedine 1 mg
1.7
1.3 – 2.3
Naldemedine 3 mg
0.8
0.6 – 25.8
Change From Baseline in Straining During Bowel MovementsSecondary· Baseline, 24 hours post-dose and 48 hours post-dose
Straining during BMs was graded using the following scale: 0 = Absent; 1 = Mild; 2 = Moderate; 3 = Severe; 4 = Very Severe.
Baseline was defined as the average straining score of all BMs prior to receiving study drug (Day 1 to Day 15). The straining score at 24 and 48 hours post-dose was calculated as the average straining score from all bowel movements from 0 to 24 and 0 to 48 hours post-dose, respectively.
Baseline
Group
Value
95% CI
Pooled Placebo
2.2
± 0.71
Naldemedine 0.01 mg
2.0
± 0.78
Naldemedine 0.03 mg
2.2
± 0.68
Naldemedine 0.1 mg
1.9
± 0.90
Naldemedine 0.3 mg
2.0
± 1.08
Naldemedine 1 mg
2.5
± 0.97
Naldemedine 3 mg
1.7
± 0.99
Change from Baseline to 24 hours post-dose
Group
Value
95% CI
Pooled Placebo
0.8
± 0.76
Naldemedine 0.01 mg
-0.8
± NA
Naldemedine 0.03 mg
-0.2
± 0.88
Naldemedine 0.1 mg
-0.7
± 0.43
Naldemedine 0.3 mg
-0.1
± 0.89
Naldemedine 1 mg
-0.5
± 1.37
Naldemedine 3 mg
-0.9
± 1.64
Change from Baseline to 48 hours post-dose
Group
Value
95% CI
Pooled Placebo
0.5
± 0.87
Naldemedine 0.01 mg
0.2
± 0.74
Naldemedine 0.03 mg
0.4
± 0.80
Naldemedine 0.1 mg
-0.6
± 0.67
Naldemedine 0.3 mg
0.1
± NA
Naldemedine 1 mg
-0.4
± 0.42
Naldemedine 3 mg
-1.4
± 1.40
Change From Baseline to 24 Hours Post-dose in Number of Complete Bowel Movements Per DaySecondary· Baseline and 24 hours post-dose
A complete bowel movement (CBM) was defined as a bowel movement that resulted in a sensation of complete evacuation based on the question "Did you have a feeling of complete emptying after the bowel movement?" Baseline was defined as the average number of CBMs per day prior to receiving study drug (Day 1 to Day 15).
Baseline
Group
Value
95% CI
Pooled Placebo
0.13
± 0.16
Naldemedine 0.01 mg
0.13
± 0.14
Naldemedine 0.03 mg
0.11
± 0.09
Naldemedine 0.1 mg
0.14
± 0.12
Naldemedine 0.3 mg
0.04
± 0.06
Naldemedine 1 mg
0.12
± 0.15
Naldemedine 3 mg
0.19
± 0.15
24 hours post-dose
Group
Value
95% CI
Pooled Placebo
0.06
± 0.24
Naldemedine 0.01 mg
0.00
± 0.00
Naldemedine 0.03 mg
0.11
± 0.33
Naldemedine 0.1 mg
0.22
± 0.44
Naldemedine 0.3 mg
0.11
± 0.33
Naldemedine 1 mg
2.44
± 2.55
Naldemedine 3 mg
3.00
± 3.20
Change from baseline to 24 hours post-dose
Group
Value
95% CI
Pooled Placebo
-0.07
± 0.20
Naldemedine 0.01 mg
-0.13
± 0.14
Naldemedine 0.03 mg
0.01
± 0.31
Naldemedine 0.1 mg
0.09
± 0.45
Naldemedine 0.3 mg
0.07
± 0.35
Naldemedine 1 mg
2.32
± 2.61
Naldemedine 3 mg
2.81
± 3.21
Adverse events — posted to ClinicalTrials.gov
Time frame: From first dose of study drug on Day 15 up to Day 24 (10 days)..
Reporting threshold: 0%.
Adverse-event reports describe events observed during the trial — not all are caused by the drug.
NCT07038551 — Prophylactic Use of Naldemedine on Opioid-induced Nausea and Vomiting in Patients With Cancer: POSEIDON Study
· Phase 4
· recruiting
NCT05588323 — Safety and Pharmacokinetics Study of Naldemedine in Paediatric Participants Receiving Opioids
· Phase 1, PHASE2
· recruiting
NCT04355169 — A Study of Naldemedine in Participants Undergoing Surgeries That Include a Bowel Resection or Bowel Transection
· Phase 2
· terminated
NCT03720613 — Risk of Major Adverse Cardiovascular Events for Naldemedine & Other Medications for Opioid Induced Constipation
· recruiting
NCT01993940 — Efficacy and Safety of Naldemedine in Treating Opioid-induced Constipation
· Phase 3
· completed
Other Shionogi trials
Trials by the same sponsor.
NCT07214571 — A Study of S-337395 in Symptomatic Nonhospitalized Adults With Respiratory Syncytial Virus (RSV) Who Are at High Risk of
· Phase 2
· recruiting
NCT07123155 — Study of S-606001 as an Add-on to Enzyme Replacement Therapy (ERT) in Participants With Late-onset Pompe Disease (LOPD)
· Phase 2
· recruiting
NCT07217886 — A Study of S-892216-PO in Participants With Renal Impairment and Matched Controls
· Phase 1
· recruiting
NCT07018492 — Phase 1 Study of BPN14770 in Participants With Hepatic Impairment and Healthy Controls
· Phase 1
· completed
NCT07012005 — Study of BPN14770 in Participants With Severe Renal Impairment and Healthy Controls
· Phase 1
· completed
Publications: Europe PMC API search by NCT ID, retrieved 10 June 2026
Drug + disease cross-links: matched in real time against Drug Landscape's normalised drug + company + condition tables
Sponsor: as reported to ClinicalTrials.gov by Shionogi
Last refreshed: 30 May 2017
Drug Landscape aggregates and links these public records for informational use only. Always verify against the primary source before clinical or regulatory decisions. Canonical URL: https://druglandscape.com/trial/NCT01122030.