Evidence map›Paper›PMID 27435972›Full record

ArticleCPT: pharmacometrics & systems pharmacology2016

Population Exposure-Response Modeling of Naloxegol in Patients With Noncancer-Related Pain and Opioid-Induced Constipation.

N Al-Huniti, J C Nielsen, M M Hutmacher, J Lappalainen, K Cantagallo, M Sostek

Abstract read
In one paragraph

Article in CPT: pharmacometrics & systems pharmacology, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Trial
  2. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

N Al-HunitiAstraZeneca Pharmaceuticals, Waltham, Massachusetts, USA.
J C NielsenAnn Arbor Pharmacometrics Group, Ann Arbor, Michigan, USA.
M M HutmacherAnn Arbor Pharmacometrics Group, Ann Arbor, Michigan, USA.
J LappalainenAstraZeneca Pharmaceuticals, Waltham, Massachusetts, USA.
K CantagalloAstraZeneca Pharmaceuticals, Waltham, Massachusetts, USA.
M SostekAstraZeneca Pharmaceuticals, Waltham, Massachusetts, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Naloxegol is a polyethylene glycol derivative of naloxone approved in the US as a once-daily oral treatment for opioid-induced constipation (OIC) in adults with chronic noncancer pain. Population exposure-response models were constructed based on data from two phase III studies comprising 1,331 adults with noncancer pain and OIC. In order to characterize the protocol-defined naloxegol responder rate, the number of daily spontaneous bowel movements (SBMs) was characterized by a longitudinal ordinal nonlinear mixed-effects logistic regression dose-response model, and the incidence of diary entry discontinuation was described by a time-to-event model. The mean number of SBMs per week increased with increasing naloxegol dose. The predicted placebo-adjusted responder rates (90% confidence interval) were 10.4% (4.6-13.4%) and 11.1% (4.8-14.4%) for naloxegol 12.5 and 25 mg/day, respectively. Model-predicted response to naloxegol was influenced by the baseline SBM frequency and characteristics of the opioid treatment.

Indexed as

Models, StatisticalAdultAnalgesics, OpioidChronic PainClinical Trials, Phase III as TopicConstipationDefecationDouble-Blind MethodFemaleHumansMaleMedical RecordsMiddle AgedMorphinansMulticenter Studies as TopicNarcotic AntagonistsAnalgesics, OpioidMorphinansnaloxegolNarcotic AntagonistsPolyethylene Glycols

Identifiers

PMID27435972
PMCPMC4961079

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.