naloxegol
Trade name: movantik
Approved
Sep 16, 2014
MOVANTIK (naloxegol) is a peripherally-acting mu-opioid receptor antagonist indicated for the treatment of opioid-induced constipation (OIC) in adult patients with chronic noncancer pain. It is being investigated for the treatment of constipation as a side effect of prescription opioid pain medicines. — NCATS
Clinical trial activity
35 trials · 22 clinical orgs · 5 marketing orgs
Earliest trial started Dec 1, 2007 (NCT00600119)
Timeline
2000s
- Jan 1, 2007
AstraZeneca — Earliest Phase 2 Sponsor(trial)
2010s
- Jan 1, 2011
AstraZeneca — Earliest Phase 1 Sponsor(trial)
- Jan 1, 2011
AstraZeneca — Earliest Phase 3 Sponsor(trial)
- Sep 16, 2014
AstraZeneca — Earliest FDA Approval
- Sep 16, 2014
AstraZeneca — NDA Organization
- Sep 16, 2014
AstraZeneca — NDA Secondary Org
- Sep 16, 2014
RedHill Biopharma — Marketing Organization
- Sep 16, 2014
VALINOR — Marketing Organization
- Sep 16, 2014
VALINOR — NDA Secondary Org
- Sep 16, 2014
Averitas Pharma — Marketing Organization
2020s
- Feb 24, 2021
MSN Laboratories — Marketing Organization
Indications
Approved for
Studied for
- Analgesics, Opioid · Phase 2
- Biological Availability · Phase 1
- Brain Injuries · Phase 3
- Carcinoma, Non-Small-Cell Lung · Phase 3
- Constipation · Phase 4
- Critical Illness · Phase 3
- Cystostomy · Phase 2
- Drug Interactions · Phase 1
- Drugs, Investigational · Phase 1
- Esophageal Diseases · Phase 2
- Gastroparesis · Phase 2
- Healthy Volunteers · Phase 1
- Heart Diseases · Phase 1
- Kidney Failure, Chronic · Phase 1
- Liver Diseases · Phase 1
- Neoplasms · Phase 4
- Opioid-Induced Constipation · Phase 4
- Opioid-Related Disorders · Phase 2
- Pain · Phase 4
- Postoperative Pain · Phase 4
- Urinary Bladder Neoplasms · Phase 2
Mechanism of action
- Mu opioid receptorANTAGONIST
OPRM antagonist
Approval history
- approvedSep 16, 2014
Chemistry & pharmacology
SMILES
C=CCN1CC[C@]23c4c5ccc(O)c4O[C@H]2[C@@H](OCCOCCOCCOCCOCCOCCOCCOC)CC[C@@]3(O)[C@H]1C5- Mol. weight
- 651.79 g/mol
- Lipinski Ro5
- 2 violation(s)
- Rule of 3
- No
- Chirality
- Single Stereoisomer
- Inorganic
- No
- Polymer
- No
- Delivery
- Oral
- Availability
- Prescription Only
Oral
Yes
Parenteral
No
Topical
No
Sources
- ChEMBLCHEMBL2219418 ↗
- WikipediaNaloxegol ↗
- NCATS44T7335BKE ↗
- ChEMBLCHEMBL2219416 ↗
Also known as
- (5α,6α)-17-allyl-6-[(20-hydroxy-3,6,9,12,15,18-hexaoxaicos-1-yl)oxy]-4,5-epoxymorphinan-3,14-diol
- (5α,6α)-17-allyl-6-[(20-hydroxy-3,6,9,12,15,18-hexaoxaicos-1-yl)oxy]-4,5-epoxymorphinan-3,14-diol
- az-13337019 oxalate
- az-13337019 oxalate
- movantik
- movantik
- movantik
- movantik
- movantik
- moventig
- moventig
- moventig
- moventig
- moventig
- naloxegol
- naloxegol
- naloxegol
- naloxegol
- naloxegol
- naloxegol
- naloxegol
- naloxegol
- naloxegol
- naloxegol oxalate
- naloxegol oxalate
- naloxegol oxalate
- naloxegol oxalate
- naloxegol oxalate
- nktr-118
- nktr-118
- nktr-118
- nktr-118
- nktr-118
- nktr-118-oxalate
- nktr-118-oxalate
Clinical trials
| NCT ID | Phase | Start date | Sponsor(s) |
|---|---|---|---|
| NCT05008926 | Phase 3 | Oct 31, 2021 | University of Western Brittany |
| NCT04433390 | Phase 3 | Jul 1, 2020 | CHU AMBROISE PARE |
| NCT04219046 | Phase 2 | Apr 30, 2020 | Institut Paoli-Calmettes |
| NCT03523520 | Phase 4 | Jul 1, 2018 | University of Missouri |
| NCT05770960 | Phase 4 | Jun 27, 2018 | Katholieke Universiteit Leuven |
| NCT03316859 | Phase 2/Phase 3 (Phase 3) | Nov 6, 2017 | TriHealth |
| NCT03235739 | Phase 4 | Oct 1, 2017 | The Cleveland Clinic |
| NCT03087708 | Phase 3 | Jun 1, 2017 | Department of Veteran Affairs, National Cancer Institute (NCI) |
| NCT02705378 | Phase 3 | May 1, 2017 | AstraZeneca, Harvard University |
| NCT03060512 | Phase 4 | Mar 2, 2017 | AstraZeneca, IQVIA |
| NCT03036891 | Phase 2 | Mar 1, 2017 | AstraZeneca, Temple University |
| NCT02946580 | Phase 4 | Jan 1, 2017 | AstraZeneca, Harvard University |
| NCT02998606 | Phase 2 | Jan 1, 2017 | AstraZeneca, Temple University |
| NCT02977286 | Phase 4 | Nov 1, 2016 | Tufts University |
| NCT02839889 | Phase 4 | Sep 1, 2016 | AstraZeneca, Hospice of Henderson County, Inc. |
| NCT02745353 | Phase 2 | May 1, 2016 | AstraZeneca, University of California, San Diego |
| NCT02737059 | Phase 1 | May 1, 2016 | AstraZeneca, Mayo Clinic |
| NCT02446171 | Phase 1 | May 1, 2015 | AstraZeneca, Parexel |
| NCT02099591 | Phase 1 | Nov 1, 2014 | Kyowa Hakko Kirin |
| NCT01623609 | Phase 1 | Jul 1, 2012 | AstraZeneca, IQVIA |
Organizations
Research & Development (22)
| Organization | Org type | Trials | As lead sponsor | Phases | Earliest year |
|---|---|---|---|---|---|
| AstraZeneca | For profit | 25 | 18 | 4 | 2007 |
| IQVIA | For profit | 8 | 0 | 2 | 2011 |
| Harvard University | Academic/Hospital | 2 | 2 | 2 | 2017 |
| Orlando Clinical Research Center | For profit | 2 | 0 | 1 | 2011 |
| Temple University | Academic/Hospital | 2 | 2 | 1 | 2017 |
| CHU AMBROISE PARE | Academic/Hospital | 1 | 1 | 1 | 2020 |
| Department of Veteran Affairs | Government | 1 | 0 | 1 | 2017 |
| Hospice of Henderson County, Inc. | Academic/Hospital | 1 | 1 | 1 | 2016 |
| Institut Paoli-Calmettes | Academic/Hospital | 1 | 1 | 1 | 2020 |
| Katholieke Universiteit Leuven | Academic/Hospital | 1 | 1 | 1 | 2018 |
| Kyowa Hakko Kirin | For profit | 1 | 1 | 1 | 2014 |
| Kyushu Clinical Pharmacolgy Reasearch Clinic | Academic/Hospital | 1 | 0 | 1 | 2011 |
| Mayo Clinic | Academic/Hospital | 1 | 1 | 1 | 2016 |
| National Cancer Institute (NCI) | Government | 1 | 1 | 1 | 2017 |
| Nektar Therapeutics | For profit | 1 | 0 | 1 | 2007 |
| Parexel | For profit | 1 | 0 | 1 | 2015 |
| The Cleveland Clinic | Academic/Hospital | 1 | 1 | 1 | 2017 |
| TriHealth | Academic/Hospital | 1 | 1 | 1 | 2017 |
| Tufts University | Academic/Hospital | 1 | 1 | 1 | 2016 |
| University of California, San Diego | Academic/Hospital | 1 | 1 | 1 | 2016 |
Marketing (7)
| Organization | Org type | Relationship | Date |
|---|---|---|---|
| AstraZeneca | For profit | NDA | Sep 16, 2014 |
| AstraZeneca | For profit | NDA2 | Sep 16, 2014 |
| Averitas Pharma | For profit | MKTG | Sep 16, 2014 |
| MSN Laboratories | For profit | MKTG | Feb 24, 2021 |
| RedHill Biopharma | For profit | MKTG | Sep 16, 2014 |
| VALINOR | For profit | MKTG | Sep 16, 2014 |
| VALINOR | For profit | NDA2 | Sep 16, 2014 |