Status:

COMPLETED

Methylnaltrexone Pharmacokinetics in Neurointensive Care Patients

Lead Sponsor:

University of Zurich

Conditions:

Opioid Use, Unspecified With Other Opioid-induced Disorder

Eligibility:

All Genders

18+ years

Phase:

PHASE1

Brief Summary

* Assessment of pharmacokinetic parameters of once daily subcutaneously administered methylnaltrexone in 10 evaluable neurointensive care patients. * Quantification of methylnaltrexone passage through...

Detailed Description

After administration of methylnaltrexone s.c. multiple peripheral blood samples and additionally two liquor samples are drawn during a dose interval on day 1, 3, and 5 of drug administration.

Eligibility Criteria

Inclusion

  • Inclusion criteria:
  • hospitalisation in the neurointensive care unit
  • deep sedation with sufentanil doses of = 40 mcg/h
  • male or female aged 18 years or older
  • females: negative pregnancy test
  • Ventricular drainage as part of needed therapeutic measures
  • Exclusion criteria:
  • History of hypersensitivity to methylnaltrexone (Relistor®)
  • confirmed or suspected obstructive ileus or factors possibly leading to intestinal obstruction (e.g. an intestinal tumor)
  • increased risk for patients with localized or diffused reduction in structural integrity of the gastrointestinal tract (e.g. peptic ulcer, acute diverticulitis)
  • severe hepatic insufficiency (Child-Pugh Class C)
  • renal impairment (glomerular filtration rate \< 90 ml/min) with or without renal replacement therapy
  • severe diarrhea despite high opioid dosing
  • participation in another study with an investigational drug within the 30 days preceding and during the present study

Exclusion

    Key Trial Info

    Start Date :

    February 1 2014

    Trial Type :

    INTERVENTIONAL

    Allocation :

    ACTUAL

    End Date :

    June 1 2016

    Estimated Enrollment :

    9 Patients enrolled

    Trial Details

    Trial ID

    NCT01889290

    Start Date

    February 1 2014

    End Date

    June 1 2016

    Last Update

    October 26 2016

    Active Locations (1)

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    Page 1 of 1 (1 locations)

    1

    Neurointensive Care Unit

    Zurich, Switzerland