Status:

COMPLETED

Comparison of the Effects of Tapentadol and Oxycodone on Gastrointestinal and Colonic Transit in Humans

Lead Sponsor:

Mayo Clinic

Collaborating Sponsors:

National Center for Research Resources (NCRR)

Conditions:

Effects of 2 Mu-opiates on Gastrointestinal Transit

Eligibility:

All Genders

18-65 years

Phase:

PHASE4

Brief Summary

Tapentadol is FDA approved for the treatment of moderate to severe acute pain. Due to the dual mechanism of action as an opioid agonist and norepinephrine reuptake inhibitor, there is potential for of...

Detailed Description

Single center, parallel group, randomized controlled trial of tapentadol, oxycodone and placebo effects on gastrointestinal and colonic transit in healthy human volunteers

Eligibility Criteria

Inclusion

  • Healthy volunteers Inclusion criteria
  • Males and non-pregnant, non-breastfeeding females
  • 18-65 years old
  • Exclusion criteria
  • Use of any mu-opioid agent in the last 3 months
  • Structural or metabolic diseases/conditions that affect the gastrointestinal system, or functional gastrointestinal disorders. For screening the shortened screening version of the Bowel Disease Questionnaire (Appendix) will be used to exclude subjects with dyspepsia, irritable bowel syndrome or significant gastrointestinal symptoms. Of 19 questions, participants have to have three or less positives to be eligible to participate.
  • Unable to withdraw medications 48 hours prior to the study :
  • Alter GI transit including laxatives, magnesium or aluminum-containing antacids, prokinetics, erythromycin, narcotics, anticholinergics, tricyclic antidepressants, selective serotonin re-uptake inhibitors (SSRIs) and newer antidepressants.
  • Analgesic drugs including opiates, nonsteroidal anti-inflammatory drugs (NSAIDs), COX 2 inhibitors
  • SSRI NOTE: Low stable doses of thyroid replacement, estrogen replacement, low dose aspirin for cardioprotection and birth control pills or depot injections are permissible.
  • Female subjects who are pregnant or breast feeding.
  • Clinical evidence (including physical exam, ECG, hemoglobin level and review of the medical history) of significant cardiovascular, respiratory, renal, hepatic, gastrointestinal, hematological, neurological, psychiatric, or other disease that interfere with the objectives of the study.
  • Subjects who are considered by the investigator to be alcoholics not in remission or known substance abusers.
  • Subjects who have participated in another clinical study within the past 30 days
  • History of porphyria, renal (creatinine \> 1.5mg/dL) or significant liver impairment (transaminases, alkaline phosphatase of gamma-glutamyl transpeptidase (GGT) \>2 times upper limit of normal)

Exclusion

    Key Trial Info

    Start Date :

    May 1 2011

    Trial Type :

    INTERVENTIONAL

    Allocation :

    ACTUAL

    End Date :

    December 1 2011

    Estimated Enrollment :

    38 Patients enrolled

    Trial Details

    Trial ID

    NCT01500317

    Start Date

    May 1 2011

    End Date

    December 1 2011

    Last Update

    December 17 2012

    Active Locations (1)

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    Mayo Clinic in Rochester

    Rochester, Minnesota, United States, 55905