TheraRadar
Data updated: May 26, 2026

MOVANTIK (naloxegol oxalate)

Trial Activity: Declining 1 active trials
Gastrointestinal Approved 2014-09-16

Movantik treats opioid-induced constipation in adults who are managing chronic pain not caused by active cancer. It helps patients who experience digestive issues due to their pain medication, including those with long-term pain resulting from previous cancer or its treatment. This medication is used for individuals who have a stable pain management plan and do not need frequent increases in their opioid dose.

Source: FDA Label • AVERITAS

How MOVANTIK Works

This medication works by blocking mu-opioid receptors in the gastrointestinal tract to counteract the slowing effects of opioids on the bowels. Because the drug is designed to stay out of the central nervous system, it can improve digestive function without affecting the pain-relieving benefits of the patient's opioid therapy.

Development Insights

AstraZeneca conducting 3 trials (23%)
15 indications explored (Broad Platform)
constipation (3 trials)
opioid induced constipation (2 trials)
brain injuries (1 trials)
1
Indication
--
Phase 3 Trials
11
Years on Market

Details

Status
Prescription
First Approved
2014-09-16
Patent Cliff
2032

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Routes
ORAL
Dosage Forms
TABLET

Companies

Active Ingredient: NALOXEGOL OXALATE

MOVANTIK Approval History

2015
2016
2017
2018
2019
2020
2021
2022
2023
2024
2025
2026
Original
New Indication
New Form
Label Update
16 FDA actions from 2014 to 2020
Apr 2020 SUPPL
Label · Labeling
May 2019 SUPPL
Label · Labeling
Feb 2018 SUPPL
Label · Labeling

What MOVANTIK Treats

2 indications

MOVANTIK is approved for 2 conditions since its original approval in 2014. These indications span multiple therapeutic areas including oncology, immunology, and more.

  • Opioid-Induced Constipation
  • Chronic Non-Cancer Pain
Source: FDA Label

MOVANTIK Competitive Set

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Filters applied: drops same-active-ingredient (505(b)(2) reformulations), route-mismatch (topical vs systemic), and cross-therapeutic-area matches in same-indication rings.

Drugs Similar to MOVANTIK

3 of 4

FDA-approved drugs for similar conditions. Compare mechanisms and indications to understand treatment alternatives.

RELISTOR
METHYLNALTREXONE BROMIDE
2 shared
SALIX
Shared indications:
Opioid-Induced ConstipationChronic Non-Cancer Pain
AMITIZA
LUBIPROSTONE
1 shared
SUCAMPO PHARMA LLC
Shared indications:
Opioid-Induced Constipation
LUBIPROSTONE
LUBIPROSTONE
1 shared
ASCENT PHARMS INC
Shared indications:
Opioid-Induced Constipation
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Clinical Trial Registry

1 trials
Trial Sponsor ID Phase Status Title
NCT03060512 results posted D3820L00017 Ph 4 completed To Evaluate Patient Preference of Movantik and Polyethylene Glycol 3350 for Opioid Induced Constipation
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Active Pipeline

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Ongoing clinical trials by development phase

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Key Completed Trials

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Completed studies with published results, ranked by significance

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Trial Timeline

Full development history with FDA approval milestones

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Understanding FDA Approval Types
Count Type What it means
- ORIG Original approval - drug first enters market
- SUPPL - Efficacy New indication (new disease/condition approved)
- SUPPL - Labeling Label text changes (warnings, dosing updates)
- SUPPL - Manufacturing Production changes (new facility)
- SUPPL - Chemistry Formulation changes (new dosage strength)

Green lines in the timeline show ORIG and Efficacy approvals - the clinically meaningful milestones.

MOVANTIK FDA Label Details

Indications & Usage

FDA Label (PDF)

MOVANTIK is indicated for the treatment of Opioid-Induced Constipation; Chronic Non-Cancer Pain.

View full patent landscape →
2 OB patents · 2 families · 133 international docs across 46 countries

MOVANTIK Patents & Exclusivity

Latest Patent: Apr 2032

Patents (2 active)

US9012469 Expires Apr 2, 2032
US7786133 Expires Sep 16, 2028
Source: FDA Orange Book

Pro Intelligence Preview

Deep insights for MOVANTIK

Revenue Insights

  • Quarterly revenue tracking
  • Historical trend analysis

Patent Timeline

  • Cliff: 2032
  • 8 active patents

Trial Analysis

  • 13 total trials
  • Stage: Declining

Competitive Landscape

  • 4 similar drugs
  • Same target/indication analysis
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Full approval history • All patents • Revenue trends • Competitor analysis

Data Sources

Data sourced from official FDA and NIH databases. Click links to verify on original sources.

How We Calculate These Metrics

Trial Activity Stage

Measures the current development activity pattern based on trial phases, status, and trends. Important: This measures R&D activity, not commercial lifecycle.

Trial statuses: "Active" means recruiting or ongoing. "Completed" means reached planned endpoint. "Terminated" means stopped early—often due to safety, efficacy, or business reasons.

  • Growth: High proportion of early-phase trials (Phase 1/2), active development
  • Expansion: Significant Phase 3 activity, approaching or pursuing approvals
  • Mature: Substantial Phase 4 post-marketing studies
  • Stable: Mixed phase distribution, steady development
  • Declining: Low active trial ratio, reduced R&D investment