UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000059932
Receipt number R000068188
Scientific Title An Exploratory Observational Study on the Prescription Patterens for the Treatment of Gastrointestinal Adverse Events Following the Prescription of Mild Opioid Analgesics in Non-Cancer Pain Patients
Date of disclosure of the study information 2025/12/05
Last modified on 2025/12/01 15:54:35

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Basic information

Public title

An Exploratory Observational Study on the Prescription Patterens for the Treatment of Gastrointestinal Adverse Events Following the Prescription of Mild Opioid Analgesics in Non-Cancer Pain Patients

Acronym

An Exploratory Observational Study on the Prescription Patterens for the Treatment of Gastrointestinal Adverse Events Following the Prescription of Mild Opioid Analgesics in Non-Cancer Pain Patients

Scientific Title

An Exploratory Observational Study on the Prescription Patterens for the Treatment of Gastrointestinal Adverse Events Following the Prescription of Mild Opioid Analgesics in Non-Cancer Pain Patients

Scientific Title:Acronym

An Exploratory Observational Study on the Prescription Patterens for the Treatment of Gastrointestinal Adverse Events Following the Prescription of Mild Opioid Analgesics in Non-Cancer Pain Patients

Region

Japan


Condition

Condition

Opioid Induced Constipation

Classification by specialty

Hepato-biliary-pancreatic medicine Orthopedics

Classification by malignancy

Others

Genomic information

NO


Objectives

Narrative objectives1

To exploratorily investigate the prescription patterns of therapeutic agents for gastrointestinal adverse events in patients initiated weak opioid analgesics.

Basic objectives2

Others

Basic objectives -Others

Not applicable

Trial characteristics_1


Trial characteristics_2


Developmental phase



Assessment

Primary outcomes

1. Patient Background
2. Proportion of patients who had addition, dose escalation, or change in constipation medication
3. Proportion of patients who had addition of constipation medication
4. Proportion of patients who had dose escalation of constipation medication
5. Proportion of patients who had change in constipation medication
6. Proportion of patients who had dose reduction or discontinuation of constipation medication
7. Duration from initiation of weak opioid analgesics to achieving optimal regimen of prescribed constipation medication
8. Proportion of patients who were prescribed antiemetic medication
9. Prescribed quantity of weak opioid analgesics (mean, median)
10.Change in quantity of weak opioid analgesics from the start of prescription until the end of the observation Period
11.Types and details of constipation medications added or changed
12.Period Between Initiation of Weak Opioid Analgesics and Addition or Change of Prescribed Constipation Medication

Key secondary outcomes



Base

Study type

Observational


Study design

Basic design


Randomization


Randomization unit


Blinding


Control


Stratification


Dynamic allocation


Institution consideration


Blocking


Concealment



Intervention

No. of arms


Purpose of intervention


Type of intervention


Interventions/Control_1


Interventions/Control_2


Interventions/Control_3


Interventions/Control_4


Interventions/Control_5


Interventions/Control_6


Interventions/Control_7


Interventions/Control_8


Interventions/Control_9


Interventions/Control_10



Eligibility

Age-lower limit


Not applicable

Age-upper limit


Not applicable

Gender

Male and Female

Key inclusion criteria

1.Patients who were prescribed weak opioid analgesics (tramadol hydrochloride, tramadol-acetaminophen combination, codeine, Buprenorphine) for non-cancer pain from April 2017 to March 2024.
2.Patients who had a visit after week 13 following the initial prescription of weak opioid analgesics Patients with all of the following data
-Patient demographics (age, gender, underlying condition causing pain)
-Prescription information of weak opioid analgesics (prescription date, drug name, prescribed dosage (/day))

Key exclusion criteria

1.Patients who have declined participation in this study (opt-out method)
2.Patients with opioid analgesics up to 4 weeks before starting weak opioid analgesics
3.Patients who have a diagnosis of cancer (excluding carcinoma in situ) at the time of starting weak opioid analgesics

Target sample size

2000


Research contact person

Name of lead principal investigator

1st name Misato
Middle name
Last name Kitamura

Organization

Shionogi & Co., Ltd.

Division name

Medical Affairs

Zip code

541-0045

Address

1-8, Doshomachi 3-chome, Chuo-ku, Osaka 541-0045, Japan

TEL

070-7812-7077

Email

misato.kitamura@shionogi.co.jp


Public contact

Name of contact person

1st name Shihomi
Middle name
Last name Wada

Organization

Shionogi & Co., Ltd.

Division name

Medical Affairs

Zip code

541-0045

Address

1-8, Doshomachi 3-chome, Chuo-ku, Osaka 541-0045, Japan

TEL

080-2525-9360

Homepage URL


Email

shihomi.wada@shionogi.co.jp


Sponsor or person

Institute

Shionogi & Co., Ltd.

Institute

Department

Personal name



Funding Source

Organization

Shionogi & Co., Ltd.

Organization

Division

Category of Funding Organization

Profit organization

Nationality of Funding Organization



Other related organizations

Co-sponsor


Name of secondary funder(s)



IRB Contact (For public release)

Organization

Takahashi Clinic Ethics Committee

Address

Medicalhat 1F , 5-1-31 ,kitamachi ,iwaya, nada-ku, kobe-shi, Hyogo

Tel

078-882-6432

Email

kishimoto.satoshi@neues.co.jp


Secondary IDs

Secondary IDs

NO

Study ID_1


Org. issuing International ID_1


Study ID_2


Org. issuing International ID_2


IND to MHLW



Institutions

Institutions



Other administrative information

Date of disclosure of the study information

2025 Year 12 Month 05 Day


Related information

URL releasing protocol


Publication of results

Unpublished


Result

URL related to results and publications


Number of participants that the trial has enrolled

2000

Results


Results date posted


Results Delayed


Results Delay Reason


Date of the first journal publication of results


Baseline Characteristics


Participant flow


Adverse events


Outcome measures


Plan to share IPD


IPD sharing Plan description



Progress

Recruitment status

No longer recruiting

Date of protocol fixation

2024 Year 10 Month 11 Day

Date of IRB

2024 Year 10 Month 15 Day

Anticipated trial start date

2025 Year 05 Month 31 Day

Last follow-up date

2025 Year 05 Month 31 Day

Date of closure to data entry


Date trial data considered complete


Date analysis concluded



Other

Other related information

An exploratory cohort study using single-center electronic medical record


Management information

Registered date

2025 Year 12 Month 01 Day

Last modified on

2025 Year 12 Month 01 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000068188