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Comparative Trial to Investigate the Efficacy and Safety of Desmopressin for the Treatment of Nocturia in Adult Men

Phase 2
Completed
Conditions
Nocturia
Interventions
Drug: Placebo
Drug: B. Desmopressin 50 µg
Registration Number
NCT01694498
Lead Sponsor
Ferring Pharmaceuticals
Brief Summary

The purpose of the study is to investigate the efficacy and safety of two different dose levels of desmopressin orally disintegrating tablets against placebo for the treatment of nocturia in adult men during 12 weeks treatment

Detailed Description

Not available

Recruitment & Eligibility

Status
COMPLETED
Sex
Male
Target Recruitment
183
Inclusion Criteria
  • Has given written consent prior to any trial-related activity is performed
  • Male sex, aged 20 years or older
  • At least 2 nocturnal voids every night in a consecutive 3-day period as documented in the diary during the screening period
  • Has given agreement about contraception during the trial
Exclusion Criteria
  • Suspicion of bladder outlet obstruction or a urine flow of less than 5 mL/s as confirmed by uroflowmetry after suspicion of bladder outlet obstruction
  • A surgical treatment for bladder outlet obstruction or prostatic hyperplasia within the past 6 months
  • Showing symptoms of any of the following diseases: Benign prostatic obstruction; Interstitial cystitis; Overactive bladder, defined as >6 daytime voids, ≥1 urgency episode, and ≥1 urge urinary incontinence episode per 24 hours as documented in the 3-day diary period; Severe stress urinary incontinence
  • Chronic prostatitis/chronic pelvic pain syndrome
  • Psychogenic or habitual polydipsia
  • Urinary retention or a post void residual volume in excess of 150 mL as confirmed by bladder ultrasound performed after suspicion of urinary retention
  • Cancer
  • A history of urologic malignancies or a history of cancer which has not been in remission for the last 5 years
  • Genito-urinary tract pathology
  • Neurogenic detrusor activity
  • Suspicion or evidence of heart failure
  • Uncontrolled hypertension
  • Uncontrolled diabetes mellitus
  • Hepatobiliary diseases: Aspartate aminotransferase >80 U/L or alanine aminotransferase >90 U/L; Total bilirubin >1.5 mg/dL
  • Renal insufficiency: Serum creatinine level >1.09 mg/dL; Estimated glomerular filtration rate <50 mL/min
  • Hyponatraemia: Serum sodium level <135 mEq/L
  • Central or nephrogenic diabetes insipidus
  • Syndrome of inappropriate antidiuretic hormone
  • Obstructive sleep apnea
  • Previous desmopressin treatment
  • Treatment with another investigational product within the past 3 months
  • Concomitant treatment with any prohibited medication
  • Alcohol or substance abuse
  • A job or lifestyle that may interfere with regular night-time sleep
  • A mental condition, lack of decision-making ability, dementia, a speech handicap, or any other reason which, in the judgement of the investigator (sub-investigator), would impair the participation in the trial

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
C. PlaceboPlacebo1 orally disintegrating tablet every night during study period
B. Desmopressin 50 µgB. Desmopressin 50 µg1 orally disintegrating tablet every night during study period
Primary Outcome Measures
NameTimeMethod
Change from baseline in mean number of nocturnal voidsDuring 12 weeks
Secondary Outcome Measures
NameTimeMethod
Change from baseline in mean time to first void1, 4, 8 and 12 weeks
Responder status (33% reduction in nocturnal voids)1, 4, 8 and 12 weeks
Change from baseline in mean number of nocturnal voids1, 4, 8 and 12 weeks
Change from baseline in mean nocturnal urine volume1, 4, 8 and 12 weeks
Change from baseline in nocturnal polyuria index1, 4, 8 and 12 weeks
Change from baseline in the effect on sleep disturbance1, 4, 8 and 12 weeks
Change from baseline in the impact on quality of life12 weeks
Adverse events, changes from baseline in serum sodium level, laboratory valuesDuring 12 weeks

Trial Locations

Locations (35)

Harada Urology Clinic

🇯🇵

Hyogo, Japan

Yokohama Shinmidori General Hospital

🇯🇵

Kanagawa, Japan

Moriguchi Clinic

🇯🇵

Tokyo, Japan

Nakanoma Clinic Urology Department

🇯🇵

Tokyo, Japan

Morimoto Clinic

🇯🇵

Osaka, Japan

Clinic Tsudanuma

🇯🇵

Chiba, Japan

Kanno Clinic

🇯🇵

Osaka, Japan

Yamanaka Clinic

🇯🇵

Osaka, Japan

Toru Clinic

🇯🇵

Tokyo, Japan

University of Fukui Hospital

🇯🇵

Fukui, Japan

Kato Clinic

🇯🇵

Gunma, Japan

Umeyama Clinic

🇯🇵

Gunma, Japan

Sakaguchi Urological Clinic

🇯🇵

Hyogo, Japan

Nakamura Urology Clinic

🇯🇵

Kanagawa, Japan

Izumino Hospital, Bouchikai

🇯🇵

Kochi, Japan

Kamei Clinic

🇯🇵

Kochi, Japan

Hirata Internal Medicine Urology Clinic

🇯🇵

Tokyo, Japan

Den Urology Clinic

🇯🇵

Osaka, Japan

Iwasa Clinic

🇯🇵

Osaka, Japan

Naka Clinic

🇯🇵

Osaka, Japan

Fukuda Clinic

🇯🇵

Saitama, Japan

Nishi-Yokohama International Hospital

🇯🇵

Kanagawa, Japan

Urology department Kuroda Clinic

🇯🇵

Osaka, Japan

Yamaguchi Clinic

🇯🇵

Osaka, Japan

J Tower Clinic

🇯🇵

Tokyo, Japan

Yasuda Urology Clinic

🇯🇵

Saitama, Japan

Hirano Clinic

🇯🇵

Tokyo, Japan

Koganeibashi Sakura Clinic

🇯🇵

Tokyo, Japan

Kunitachi Sakura Hospital

🇯🇵

Tokyo, Japan

Kusunoki Clinic

🇯🇵

Tokyo, Japan

Ogikubo Ekimae Clinic

🇯🇵

Tokyo, Japan

Shibuya Shin-minamiguchi Clinic

🇯🇵

Tokyo, Japan

Ogawa Clinic

🇯🇵

Tokyo, Japan

Tokyo Kamata Hospital

🇯🇵

Tokyo, Japan

Uemura Clinic

🇯🇵

Osaka, Japan

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