Effect of Naloxegol on Postoperative Ileus in Patients Undergoing Cardiac Surgery
NCT04433390 · Status: COMPLETED · Phase: PHASE3 · Type: INTERVENTIONAL · Enrollment: 305
Last updated 2026-05-20
Summary
Postoperative ileus, defined as the transient postoperative functional inhibition of propulsive bowel activity, commonly occurs in patients after cardiac surgery and contributes to postoperative morbidity.
Naloxegol is a peripheral opioid receptor antagonist. Recent studies showed that naloxegol is effective in the treatment of chronic opioid-induced constipation but there is no data on its use in the management of postoperative ileus after cardiac surgery.
The main objective of this prospective, double-blind, randomized, placebo-controlled trial is to assess the effectiveness of the perioperative use of naloxegol in reducing the duration of the postoperative ileus in patients undergoing cardiac surgery.
Conditions
- Postoperative Ileus (Post Cardiac Surgery Constipation)
Interventions
- DRUG
-
Naloxegol
one naloxegol 12.5 mg tablet will be administrated 2 hours before surgery. One 25 mg naloxegol tablet per day will be administrated from 24h post-surgery until bowel movement; for maximum 5 days.
- DRUG
-
inert tablet
one inert tablet will be administrated 2 hours before surgery. One inert tablet per day will be administrated from 24h post-surgery until bowel movement; for maximum 5 days.
Sponsors & Collaborators
-
CMC Ambroise Paré
lead OTHER
Study Design
- Allocation
- RANDOMIZED
- Purpose
- TREATMENT
- Masking
- QUADRUPLE
- Model
- PARALLEL
Eligibility
- Min Age
- 18 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2020-10-14
- Primary Completion
- 2022-01-28
- Completion
- 2022-03-03
Countries
- France
Study Locations
More Related Trials
-
Enteral Naloxone Versus a Traditional Bowel Regimen for the Prevention of Opioid Induced Constipation in Trauma Patients
NCT00799201 ·Status: TERMINATED ·Phase: PHASE4
-
Evaluation of the Quality of Life of Patients With Opioid-induced Constipation Under Treatment With Naloxegol
NCT04173858 ·Status: COMPLETED
-
Prucalopride for Postoperative Ileus in Patients Undergoing Gastrointestinal Surgery
NCT02004652 ·Status: COMPLETED ·Phase: PHASE2
-
Gastrografin in Postoperative Ileus
NCT01648972 ·Status: COMPLETED ·Phase: PHASE2/PHASE3
-
Study Evaluating IV Methylnaltrexone for the Treatment of Post Operative Ileus
NCT00387309 ·Status: COMPLETED ·Phase: PHASE3
-
Prucalopride in Postoperative Ileus
NCT02947269 ·Status: COMPLETED ·Phase: PHASE3
-
Real World Observational Study of Naloxegol for Patients With Cancer Pain Diagnosed With OIC.
NCT03638440 ·Status: COMPLETED
-
Reduction by Pasireotide of the Effluent Volume in High-output Enterostomy in Patients Refractory to Usual Medical Treatment
NCT02713776 ·Status: COMPLETED ·Phase: PHASE2
-
Impact of Laxative Therapy With Lactulose in the Evolution of Organ Dysfunction in Critically Ill Patients.
NCT01607060 ·Status: COMPLETED ·Phase: PHASE3
-
The NIPA Study Naloxegol Administration to Prevent Opioids Induced Gastrointestinal Motility Disturbance in Brain Injured PAtients
NCT05008926 ·Status: RECRUITING ·Phase: PHASE3
-
Prucalopride for Postoperative Ileus in Patients Undergoing Robot-assisted Laparoscopic Radical Cystectomy
NCT05001763 ·Status: UNKNOWN ·Phase: PHASE2
-
Intravenous (IV) Methylnaltrexone (MNTX) in the Prevention of Post-Operative Ileus
NCT01367548 ·Status: COMPLETED ·Phase: PHASE2
-
Efficacy of PRUcalopride in Critically Ill Patients With Paralytic ILeus
NCT04190173 ·Status: UNKNOWN ·Phase: PHASE3
-
Prevention of Opioid-induced Constipation in Patients With Advanced Cancer
NCT05216328 ·Status: RECRUITING ·Phase: PHASE4
-
Preop Laxatives in Robotic Urologic Surgery
NCT05805436 ·Status: RECRUITING ·Phase: PHASE4
-
Naloxegol Health Outcome Post Authorisation Safety Study
NCT02813369 ·Status: TERMINATED
-
Use of Gastrografin in the Management of Fecal Impaction in Patients With Severe Chronic Constipation
NCT02784093 ·Status: UNKNOWN ·Phase: PHASE2
-
Clinical Study on the Application of Lactulose Combined with Linaclotide in Bowel Preparation for Colonoscopy
NCT06748638 ·Status: ENROLLING_BY_INVITATION ·Phase: PHASE4
-
Low-dose Laxative Improves Performance and Feasibility of Computed Tomography Colonography (CTC)
NCT02040285 ·Status: COMPLETED ·Phase: PHASE4
-
Methylnaltrexone for Treatment of Opiate-Induced Constipation in the Intensive Care Unit
NCT01050595 ·Status: UNKNOWN ·Phase: PHASE3
-
Efficacy and Safety of PEG 3350 for Treatment of Chronic Constipation
NCT03957668 ·Status: UNKNOWN ·Phase: PHASE3
-
A Phase 2, Double-Blind, Multiple-Dose Escalation Study to Evaluate NKTR-118 (Oral PEG-Naloxol) in Patients With Opioid-Induced Constipation (OIC)
NCT00600119 ·Status: COMPLETED ·Phase: PHASE2
-
Study of the Effect of Water Soluble Oral Contrast (Gastrografin) on Postoperative Ileus After Colorectal Surgery
NCT01440712 ·Status: COMPLETED ·Phase: PHASE4
-
Post-Operative Constipation Following Total Knee Arthroplasty
NCT04380090 ·Status: COMPLETED ·Phase: PHASE2
-
Study of Intravenous (IV) Methylnaltrexone Bromide (MNTX) in the Treatment of Post-Operative Ileus (POI)
NCT00401375 ·Status: COMPLETED ·Phase: PHASE3