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 While many have been completed—including a Phase 3 study on opioid-induced constipation—others have reached withdrawn or unknown status, such as a Phase 2/3 trial in pancreatic cancer.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| NCT04151719 | WITHDRAWN | Pancreatic Cancer |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| NCT04083651 | WITHDRAWN | Pancreatic Cancer |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| NCT00949377 | WITHDRAWN | Colonic Inertia |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)
Mechanism and Biochemical Profile
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>).
- methylnaltrexone bromide Solubility in DMSO
- methylnaltrexone bromide Stock Solution
- methylnaltrexone bromide Storage
- methylnaltrexone bromide Stability
- methylnaltrexone bromide Molecular Weight
- methylnaltrexone bromide CAS Number
- methylnaltrexone bromide Chemical Structure (2D and 3D)
- methylnaltrexone bromide SDS|MSDS