Clinical trial Recruiting at 1 site Observational Ages 18 and up

Naldemedine for opioid-induced constipation in people with cancer

Official title: Naldemedine in Clinical Practice in Cancer Patients With Opioid Induced Constipation: Clinical Outcomes and Patient Experience

Run by Academisch Medisch Centrum - Universiteit van Amsterdam (AMC-UvA) · NCT07231796 · Data updated 2026-11-12

This study will try naldemedine, a gut-acting opioid blocker, to relieve opioid-induced constipation in adults with cancer who still have constipation despite laxatives.

More Breast Cancer trials

Quick facts

Study typeObservational
Ages18 Years and up
SexAll
Enrollment100 (estimated)
SponsorAcademisch Medisch Centrum - Universiteit van Amsterdam (AMC-UvA)
Academic / other
Locations1 site (Amsterdam)
StatusRecruiting
StartedJanuary 2, 2026
Main results expectedMarch 1, 2027
Study endsMarch 15, 2027
Registry record updatedJanuary 2, 2026
Trial IDNCT07231796 on ClinicalTrials.gov

Is this trial a fit for you?

Likely a good fit

Adults (≥18) with a cancer diagnosis who take daily opioids, still have constipation despite laxatives (BFI ≥30), can read Dutch, and can give written informed consent are the ideal candidates.

Probably not a fit

Patients with suspected gastrointestinal perforation, those who used another opioid antagonist in the past month, or whose constipation is not caused by opioids may not benefit from this treatment.

A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.

What this trial studies

This observational study will collect real-world medical outcomes and patient-reported experiences from adults with cancer who take daily opioids and have opioid-induced constipation despite laxatives. Participants treated with naldemedine at Amsterdam UMC will be followed using medical records and Dutch-language questionnaires to measure bowel function (including the Bowel Function Index) and tolerability. The study excludes patients who used other opioid antagonists within the last month or who have suspected gastrointestinal perforation, and it does not randomize or assign treatments. The aim is to describe how naldemedine performs in everyday clinical practice and how patients feel while using it.

Why it matters

Potential benefit: If successful, naldemedine could relieve opioid-induced constipation without reducing pain control, improving bowel comfort and quality of life.

How similar studies have gone: Randomized trials and regulatory approvals have shown naldemedine can relieve opioid-induced constipation, though real-world data specifically in cancer populations are still limited.

Who can join: the full rules

Show full inclusion / exclusion criteria
Inclusion Criteria:

* Adult (≥18 years)
* A diagnosis of malignancy
* Daily use of opioids
* Use of laxatives
* Experiencing constipation, defined as a Bowel Function Index (BFI) score ≥30
* Able to complete a Dutch-language questionnaire
* Able to provide written informed consent

Exclusion Criteria:

* Use of other opioid antagonists in the last month
* Suspected (risk of) gastrointestinal perforation
* Participation in another study that may confound the results of this trial

Where it's running

  • Amsterdam UMC
    Amsterdam, Netherlands
    Recruiting

Study contacts

Similar studies

Other studies for the same condition or treatment. Recruiting studies are listed first.

How to take part

  1. Review the eligibility criteria above with your treating physician.
  2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
  3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.
Last reviewed 2026-11-14 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.