Clinical Trials

Numerous clinical trials spanning Phase 1 through Phase 4 evaluate the therapeutic efficacy and safety of methylnaltrexone bromide across conditions including opioid-induced constipation, intestinal obstruction, colonic inertia, esophageal sensitivity, and advanced pancreatic cancer. Sponsored by industry entities such as Bausch Health Americas, Inc. alongside academic centers like Universitaire Ziekenhuizen KU Leuven and University Medicine Greifswald, these studies vary in recruitment status. While many have been completed—including a Phase 3 study on opioid-induced constipation—others have reached withdrawn or unknown status, such as a Phase 2/3 trial in pancreatic cancer.

NCT Number Recruitment Conditions Sponsor/Collaborators Start Date Phases
NCT04151719 WITHDRAWN
Pancreatic Cancer
Bausch Health Americas, Inc.
2020-02-03 PHASE3
NCT04083651 WITHDRAWN
Pancreatic Cancer
Bausch Health Americas, Inc.
2020-01-06 PHASE2; PHASE3
NCT03523520 COMPLETED
Constipation Drug Induced
University of Missouri-Columbia
2020-12-23 PHASE4
NCT02942550 COMPLETED
STEMI; Morphine; Ticagrelor; Methylnaltrexone
Karolinska University Hospital
2016-11 PHASE4
NCT03014843 COMPLETED
Endogenous and Esophageal Sensitivity
Universitaire Ziekenhuizen KU Leuven
2013-10
NCT01004393 COMPLETED
Neoplasms; Constipation; Opioid-Related Disorders
University of Vermont
2009-10 PHASE2
NCT00672139 COMPLETED
Opioid-Induced Constipation
Bausch Health Americas, Inc.
2008-07 PHASE4
NCT00949377 WITHDRAWN
Colonic Inertia
Beth Israel Medical Center
2009-09 PHASE4
NCT01596764 COMPLETED
Intestinal Obstruction
University Medicine Greifswald
2011-05 PHASE1
NCT01050595 UNKNOWN
Opioid-induced Constipation
St. John Health System, Michigan
2009-12 PHASE3
NCT00804141 COMPLETED
Constipation
Bausch Health Americas, Inc.
2008-12-03 PHASE3
NCT01366326 COMPLETED
Healthy Adult Subjects
Bausch Health Americas, Inc.
2010-07 PHASE1
NCT00640146 COMPLETED
Opioid-induced Constipation
Bausch Health Americas, Inc.
2007-10-19 PHASE2
NCT00529087 COMPLETED
Constipation
Bausch Health Americas, Inc.
2007-08 PHASE3
NCT00401375 COMPLETED
Post-Operative Ileus (POI)
Bausch Health Americas, Inc.
2006-10-31 PHASE3
NCT00547586 COMPLETED
Constipation
Bausch Health Americas, Inc.
2007-10 PHASE2
NCT01366365 COMPLETED
Healthy Adults
Bausch Health Americas, Inc.
2006-10 PHASE1

(data from https://clinicaltrials.gov, updated on 2021-05-07)

Check the methylnaltrexone bromide product page for in-depth specifications, including solubility, stock solutions, MOA, and working concentrations.

Compliance for Clinical Use

Mechanism and Biochemical Profile

Methylnaltrexone bromide functions as a selective antagonist of the µ-opioid receptor, directly blocking receptor activation to inhibit downstream intracellular Src activation and reduce lung cancer cell viability. By peripherally targeting µ-opioid signaling to reverse gastrointestinal stasis and suppress receptor-mediated pathway activation, this mechanism directly addresses key clinical trial conditions including opioid-induced constipation and advanced pancreatic cancer.

Appendix RUO and cGMP Quality Standards

Quality Dimension RUO (Research Use Only) cGMP (Current Good Manufacturing Practice)
Clinical Applicability Prohibited in human clinical trials or medical diagnostics. Mandatory for human clinical trials (Phase I–III) and therapies.
Regulatory Status Non-regulated grade; exempt from drug manufacturing laws. Legally enforced by health authorities (e.g., FDA, EMA, NMPA).
Facility Environment Unclassified analytical or research laboratories. Validated Cleanrooms (ISO Class 5–8) with continuous monitoring.
Quality Control Basic purity and activity testing. Rigorous safety release testing (Sterility, Endotoxin, Mycoplasma).
Process Validation Basic equipment calibration; no process validation required. Full qualification (IQ/OQ/PQ) and complete batch records.
Quality Assurance Vendor self-declared without required formal QMS. Mandatory QA/QC unit, Change Control, CAPA, and vendor audits.
Regulatory Impact High risk of IND rejection if used as a critical raw material. Required for IND/NDA filings, supported by Drug Master Files (DMF).

Footnotes

Regulatory Note: Governed by FDA (21 CFR Parts 210/211/312), EMA (EudraLex Vol 4), ICH Guidelines (E6/Q7/Q9/Q10), and compendial standards (USP <71>/<85>/<1043>).

Note: Technical data last updated: Sep 1, 2026.