Trial Outcomes & Findings for A Study of OPC-41061 in Subjects With Cardiac-induced Edema (Congestive Heart Failure) (NCT NCT00544869)

NCT ID: NCT00544869

Last Updated: 2014-01-30

Results Overview

The change of body weight from baseline at final observation

Recruitment status

COMPLETED

Study phase

PHASE3

Target enrollment

52 participants

Primary outcome timeframe

Baseline, Day 14 or at the time of final drug administration

Results posted on

2014-01-30

Participant Flow

Participant milestones

Participant milestones
Measure
Stopped at End of Treatment Period 1
Administration of OPC-41061 at 15 mg/day (treatment period 1) for 7 days
Continued at 15 mg/Day
Subsequent 7-day repeated administration of OPC-41061 at 15 mg/day (treatment period 2)
Dose Escalated to 30 mg/Day
Subsequent 7-day repeated administration of OPC-41061 at 30 mg/day (treatment period 2)
Overall Study
STARTED
36
14
2
Overall Study
COMPLETED
24
12
2
Overall Study
NOT COMPLETED
12
2
0

Reasons for withdrawal

Reasons for withdrawal
Measure
Stopped at End of Treatment Period 1
Administration of OPC-41061 at 15 mg/day (treatment period 1) for 7 days
Continued at 15 mg/Day
Subsequent 7-day repeated administration of OPC-41061 at 15 mg/day (treatment period 2)
Dose Escalated to 30 mg/Day
Subsequent 7-day repeated administration of OPC-41061 at 30 mg/day (treatment period 2)
Overall Study
Rsolution of congenitive symptoms
3
0
0
Overall Study
Adverse Event
6
1
0
Overall Study
Lack of Efficacy
1
1
0
Overall Study
Physician Decision
2
0
0

Baseline Characteristics

A Study of OPC-41061 in Subjects With Cardiac-induced Edema (Congestive Heart Failure)

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Stopped at End of Treatment Period 1
n=36 Participants
Administration of OPC-41061 at 15 mg/day (treatment period 1) for 7 days
Continued at 15 mg/Day
n=13 Participants
Subsequent 7-day repeated administration of OPC-41061 at 15 mg/day (treatment period 2)
Dose Escalated to 30 mg/Day
n=2 Participants
Subsequent 7-day repeated administration of OPC-41061 at 30 mg/day (treatment period 2)
Total
n=51 Participants
Total of all reporting groups
Age, Categorical
<=18 years
0 Participants
n=93 Participants
0 Participants
n=4 Participants
0 Participants
n=27 Participants
0 Participants
n=483 Participants
Age, Categorical
Between 18 and 65 years
7 Participants
n=93 Participants
4 Participants
n=4 Participants
0 Participants
n=27 Participants
11 Participants
n=483 Participants
Age, Categorical
>=65 years
29 Participants
n=93 Participants
9 Participants
n=4 Participants
2 Participants
n=27 Participants
40 Participants
n=483 Participants
Age, Continuous
71.3 years
STANDARD_DEVIATION 9.5 • n=93 Participants
67.2 years
STANDARD_DEVIATION 12.7 • n=4 Participants
78.5 years
STANDARD_DEVIATION 2.1 • n=27 Participants
70.5 years
STANDARD_DEVIATION 10.4 • n=483 Participants
Sex: Female, Male
Female
11 Participants
n=93 Participants
2 Participants
n=4 Participants
1 Participants
n=27 Participants
14 Participants
n=483 Participants
Sex: Female, Male
Male
25 Participants
n=93 Participants
11 Participants
n=4 Participants
1 Participants
n=27 Participants
37 Participants
n=483 Participants
Region of Enrollment
Japan
36 participants
n=93 Participants
13 participants
n=4 Participants
2 participants
n=27 Participants
51 participants
n=483 Participants

PRIMARY outcome

Timeframe: Baseline, Day 14 or at the time of final drug administration

The change of body weight from baseline at final observation

Outcome measures

Outcome measures
Measure
Stopped at End of Treatment Period 1
n=36 Participants
Continued at 15 mg/Day
n=13 Participants
Dose Escalated to 30 mg/Day
n=2 Participants
Body Weight
-2.05 Kg
Standard Deviation 1.86
-1.31 Kg
Standard Deviation 2.95
-2.9 Kg
Standard Deviation 2.69

Adverse Events

Stopped at End of Treatment Period 1

Serious events: 3 serious events
Other events: 30 other events
Deaths: 0 deaths

Continued at 15 mg/Day

Serious events: 1 serious events
Other events: 12 other events
Deaths: 0 deaths

Dose Escalated to 30 mg/Day

Serious events: 0 serious events
Other events: 2 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
Stopped at End of Treatment Period 1
n=36 participants at risk
Administration of OPC-41061 at 15 mg/day (treatment period 1) for 7 days
Continued at 15 mg/Day
n=13 participants at risk
Subsequent 7-day repeated administration of OPC-41061 at 15 mg/day (treatment period 2)
Dose Escalated to 30 mg/Day
n=2 participants at risk
Subsequent 7-day repeated administration of OPC-41061 at 30 mg/day (treatment period 2)
Cardiac disorders
Cardiac Failure
0.00%
0/36 • 7 Days for stopped at end of treated period 1 group 14 Days for continued at 15 or 30 mg/day group
7.7%
1/13 • Number of events 1 • 7 Days for stopped at end of treated period 1 group 14 Days for continued at 15 or 30 mg/day group
0.00%
0/2 • 7 Days for stopped at end of treated period 1 group 14 Days for continued at 15 or 30 mg/day group
Cardiac disorders
Intracardiac Thrombus
2.8%
1/36 • Number of events 1 • 7 Days for stopped at end of treated period 1 group 14 Days for continued at 15 or 30 mg/day group
0.00%
0/13 • 7 Days for stopped at end of treated period 1 group 14 Days for continued at 15 or 30 mg/day group
0.00%
0/2 • 7 Days for stopped at end of treated period 1 group 14 Days for continued at 15 or 30 mg/day group
Nervous system disorders
Cerebral Artery Embolism
2.8%
1/36 • Number of events 1 • 7 Days for stopped at end of treated period 1 group 14 Days for continued at 15 or 30 mg/day group
0.00%
0/13 • 7 Days for stopped at end of treated period 1 group 14 Days for continued at 15 or 30 mg/day group
0.00%
0/2 • 7 Days for stopped at end of treated period 1 group 14 Days for continued at 15 or 30 mg/day group
Renal and urinary disorders
Renal Failure Chronic
2.8%
1/36 • Number of events 1 • 7 Days for stopped at end of treated period 1 group 14 Days for continued at 15 or 30 mg/day group
0.00%
0/13 • 7 Days for stopped at end of treated period 1 group 14 Days for continued at 15 or 30 mg/day group
0.00%
0/2 • 7 Days for stopped at end of treated period 1 group 14 Days for continued at 15 or 30 mg/day group

Other adverse events

Other adverse events
Measure
Stopped at End of Treatment Period 1
n=36 participants at risk
Administration of OPC-41061 at 15 mg/day (treatment period 1) for 7 days
Continued at 15 mg/Day
n=13 participants at risk
Subsequent 7-day repeated administration of OPC-41061 at 15 mg/day (treatment period 2)
Dose Escalated to 30 mg/Day
n=2 participants at risk
Subsequent 7-day repeated administration of OPC-41061 at 30 mg/day (treatment period 2)
Blood and lymphatic system disorders
Anaemia
0.00%
0/36 • 7 Days for stopped at end of treated period 1 group 14 Days for continued at 15 or 30 mg/day group
7.7%
1/13 • Number of events 1 • 7 Days for stopped at end of treated period 1 group 14 Days for continued at 15 or 30 mg/day group
0.00%
0/2 • 7 Days for stopped at end of treated period 1 group 14 Days for continued at 15 or 30 mg/day group
Cardiac disorders
Cardiac Failure
0.00%
0/36 • 7 Days for stopped at end of treated period 1 group 14 Days for continued at 15 or 30 mg/day group
7.7%
1/13 • Number of events 1 • 7 Days for stopped at end of treated period 1 group 14 Days for continued at 15 or 30 mg/day group
0.00%
0/2 • 7 Days for stopped at end of treated period 1 group 14 Days for continued at 15 or 30 mg/day group
Cardiac disorders
Ventricular Extrasystoles
0.00%
0/36 • 7 Days for stopped at end of treated period 1 group 14 Days for continued at 15 or 30 mg/day group
15.4%
2/13 • Number of events 2 • 7 Days for stopped at end of treated period 1 group 14 Days for continued at 15 or 30 mg/day group
0.00%
0/2 • 7 Days for stopped at end of treated period 1 group 14 Days for continued at 15 or 30 mg/day group
Cardiac disorders
Ventricular Tachycardia
11.1%
4/36 • Number of events 4 • 7 Days for stopped at end of treated period 1 group 14 Days for continued at 15 or 30 mg/day group
0.00%
0/13 • 7 Days for stopped at end of treated period 1 group 14 Days for continued at 15 or 30 mg/day group
50.0%
1/2 • Number of events 1 • 7 Days for stopped at end of treated period 1 group 14 Days for continued at 15 or 30 mg/day group
Gastrointestinal disorders
Abdominal Pain
2.8%
1/36 • Number of events 1 • 7 Days for stopped at end of treated period 1 group 14 Days for continued at 15 or 30 mg/day group
7.7%
1/13 • Number of events 2 • 7 Days for stopped at end of treated period 1 group 14 Days for continued at 15 or 30 mg/day group
0.00%
0/2 • 7 Days for stopped at end of treated period 1 group 14 Days for continued at 15 or 30 mg/day group
Gastrointestinal disorders
Constipation
13.9%
5/36 • Number of events 5 • 7 Days for stopped at end of treated period 1 group 14 Days for continued at 15 or 30 mg/day group
0.00%
0/13 • 7 Days for stopped at end of treated period 1 group 14 Days for continued at 15 or 30 mg/day group
0.00%
0/2 • 7 Days for stopped at end of treated period 1 group 14 Days for continued at 15 or 30 mg/day group
Gastrointestinal disorders
Diarrhoea
2.8%
1/36 • Number of events 1 • 7 Days for stopped at end of treated period 1 group 14 Days for continued at 15 or 30 mg/day group
15.4%
2/13 • Number of events 2 • 7 Days for stopped at end of treated period 1 group 14 Days for continued at 15 or 30 mg/day group
0.00%
0/2 • 7 Days for stopped at end of treated period 1 group 14 Days for continued at 15 or 30 mg/day group
General disorders
Chest Pain
5.6%
2/36 • Number of events 2 • 7 Days for stopped at end of treated period 1 group 14 Days for continued at 15 or 30 mg/day group
0.00%
0/13 • 7 Days for stopped at end of treated period 1 group 14 Days for continued at 15 or 30 mg/day group
0.00%
0/2 • 7 Days for stopped at end of treated period 1 group 14 Days for continued at 15 or 30 mg/day group
General disorders
Pain
0.00%
0/36 • 7 Days for stopped at end of treated period 1 group 14 Days for continued at 15 or 30 mg/day group
7.7%
1/13 • Number of events 1 • 7 Days for stopped at end of treated period 1 group 14 Days for continued at 15 or 30 mg/day group
0.00%
0/2 • 7 Days for stopped at end of treated period 1 group 14 Days for continued at 15 or 30 mg/day group
General disorders
Thirst
38.9%
14/36 • Number of events 14 • 7 Days for stopped at end of treated period 1 group 14 Days for continued at 15 or 30 mg/day group
46.2%
6/13 • Number of events 6 • 7 Days for stopped at end of treated period 1 group 14 Days for continued at 15 or 30 mg/day group
0.00%
0/2 • 7 Days for stopped at end of treated period 1 group 14 Days for continued at 15 or 30 mg/day group
Infections and infestations
Nasopharyngitis
0.00%
0/36 • 7 Days for stopped at end of treated period 1 group 14 Days for continued at 15 or 30 mg/day group
7.7%
1/13 • Number of events 1 • 7 Days for stopped at end of treated period 1 group 14 Days for continued at 15 or 30 mg/day group
0.00%
0/2 • 7 Days for stopped at end of treated period 1 group 14 Days for continued at 15 or 30 mg/day group
Infections and infestations
Urinary Tract Infection
0.00%
0/36 • 7 Days for stopped at end of treated period 1 group 14 Days for continued at 15 or 30 mg/day group
7.7%
1/13 • Number of events 1 • 7 Days for stopped at end of treated period 1 group 14 Days for continued at 15 or 30 mg/day group
0.00%
0/2 • 7 Days for stopped at end of treated period 1 group 14 Days for continued at 15 or 30 mg/day group
Investigations
Alanine Aminotransferase Increased
8.3%
3/36 • Number of events 3 • 7 Days for stopped at end of treated period 1 group 14 Days for continued at 15 or 30 mg/day group
0.00%
0/13 • 7 Days for stopped at end of treated period 1 group 14 Days for continued at 15 or 30 mg/day group
0.00%
0/2 • 7 Days for stopped at end of treated period 1 group 14 Days for continued at 15 or 30 mg/day group
Investigations
Aspartate Aminotransferase Increased
8.3%
3/36 • Number of events 3 • 7 Days for stopped at end of treated period 1 group 14 Days for continued at 15 or 30 mg/day group
7.7%
1/13 • Number of events 1 • 7 Days for stopped at end of treated period 1 group 14 Days for continued at 15 or 30 mg/day group
0.00%
0/2 • 7 Days for stopped at end of treated period 1 group 14 Days for continued at 15 or 30 mg/day group
Investigations
Blood Alkaline Phosphatase Increased
0.00%
0/36 • 7 Days for stopped at end of treated period 1 group 14 Days for continued at 15 or 30 mg/day group
0.00%
0/13 • 7 Days for stopped at end of treated period 1 group 14 Days for continued at 15 or 30 mg/day group
50.0%
1/2 • Number of events 1 • 7 Days for stopped at end of treated period 1 group 14 Days for continued at 15 or 30 mg/day group
Investigations
Blood Creatinine Increased
11.1%
4/36 • Number of events 4 • 7 Days for stopped at end of treated period 1 group 14 Days for continued at 15 or 30 mg/day group
30.8%
4/13 • Number of events 4 • 7 Days for stopped at end of treated period 1 group 14 Days for continued at 15 or 30 mg/day group
50.0%
1/2 • Number of events 1 • 7 Days for stopped at end of treated period 1 group 14 Days for continued at 15 or 30 mg/day group
Investigations
Blood Glucose Increased
11.1%
4/36 • Number of events 4 • 7 Days for stopped at end of treated period 1 group 14 Days for continued at 15 or 30 mg/day group
30.8%
4/13 • Number of events 4 • 7 Days for stopped at end of treated period 1 group 14 Days for continued at 15 or 30 mg/day group
0.00%
0/2 • 7 Days for stopped at end of treated period 1 group 14 Days for continued at 15 or 30 mg/day group
Investigations
Blood Lactate Dehydrogenase Increased
0.00%
0/36 • 7 Days for stopped at end of treated period 1 group 14 Days for continued at 15 or 30 mg/day group
7.7%
1/13 • Number of events 1 • 7 Days for stopped at end of treated period 1 group 14 Days for continued at 15 or 30 mg/day group
0.00%
0/2 • 7 Days for stopped at end of treated period 1 group 14 Days for continued at 15 or 30 mg/day group
Investigations
Blood Potassium Increased
8.3%
3/36 • Number of events 3 • 7 Days for stopped at end of treated period 1 group 14 Days for continued at 15 or 30 mg/day group
23.1%
3/13 • Number of events 3 • 7 Days for stopped at end of treated period 1 group 14 Days for continued at 15 or 30 mg/day group
0.00%
0/2 • 7 Days for stopped at end of treated period 1 group 14 Days for continued at 15 or 30 mg/day group
Investigations
Blood Urea Increased
16.7%
6/36 • Number of events 6 • 7 Days for stopped at end of treated period 1 group 14 Days for continued at 15 or 30 mg/day group
30.8%
4/13 • Number of events 4 • 7 Days for stopped at end of treated period 1 group 14 Days for continued at 15 or 30 mg/day group
50.0%
1/2 • Number of events 1 • 7 Days for stopped at end of treated period 1 group 14 Days for continued at 15 or 30 mg/day group
Investigations
Blood Uric Acid Increased
16.7%
6/36 • Number of events 6 • 7 Days for stopped at end of treated period 1 group 14 Days for continued at 15 or 30 mg/day group
30.8%
4/13 • Number of events 5 • 7 Days for stopped at end of treated period 1 group 14 Days for continued at 15 or 30 mg/day group
50.0%
1/2 • Number of events 1 • 7 Days for stopped at end of treated period 1 group 14 Days for continued at 15 or 30 mg/day group
Investigations
Blood Urine Present
2.8%
1/36 • Number of events 1 • 7 Days for stopped at end of treated period 1 group 14 Days for continued at 15 or 30 mg/day group
7.7%
1/13 • Number of events 1 • 7 Days for stopped at end of treated period 1 group 14 Days for continued at 15 or 30 mg/day group
0.00%
0/2 • 7 Days for stopped at end of treated period 1 group 14 Days for continued at 15 or 30 mg/day group
Investigations
Glucose Urine Present
2.8%
1/36 • Number of events 1 • 7 Days for stopped at end of treated period 1 group 14 Days for continued at 15 or 30 mg/day group
7.7%
1/13 • Number of events 1 • 7 Days for stopped at end of treated period 1 group 14 Days for continued at 15 or 30 mg/day group
0.00%
0/2 • 7 Days for stopped at end of treated period 1 group 14 Days for continued at 15 or 30 mg/day group
Investigations
White Blood Cell Count Increased
0.00%
0/36 • 7 Days for stopped at end of treated period 1 group 14 Days for continued at 15 or 30 mg/day group
7.7%
1/13 • Number of events 1 • 7 Days for stopped at end of treated period 1 group 14 Days for continued at 15 or 30 mg/day group
0.00%
0/2 • 7 Days for stopped at end of treated period 1 group 14 Days for continued at 15 or 30 mg/day group
Metabolism and nutrition disorders
Hyperkalaemia
2.8%
1/36 • Number of events 1 • 7 Days for stopped at end of treated period 1 group 14 Days for continued at 15 or 30 mg/day group
7.7%
1/13 • Number of events 1 • 7 Days for stopped at end of treated period 1 group 14 Days for continued at 15 or 30 mg/day group
0.00%
0/2 • 7 Days for stopped at end of treated period 1 group 14 Days for continued at 15 or 30 mg/day group
Metabolism and nutrition disorders
Hyperlipidaemia
0.00%
0/36 • 7 Days for stopped at end of treated period 1 group 14 Days for continued at 15 or 30 mg/day group
0.00%
0/13 • 7 Days for stopped at end of treated period 1 group 14 Days for continued at 15 or 30 mg/day group
50.0%
1/2 • Number of events 1 • 7 Days for stopped at end of treated period 1 group 14 Days for continued at 15 or 30 mg/day group
Metabolism and nutrition disorders
Hyponatraemia
2.8%
1/36 • Number of events 1 • 7 Days for stopped at end of treated period 1 group 14 Days for continued at 15 or 30 mg/day group
15.4%
2/13 • Number of events 2 • 7 Days for stopped at end of treated period 1 group 14 Days for continued at 15 or 30 mg/day group
0.00%
0/2 • 7 Days for stopped at end of treated period 1 group 14 Days for continued at 15 or 30 mg/day group
Musculoskeletal and connective tissue disorders
Myalgia
0.00%
0/36 • 7 Days for stopped at end of treated period 1 group 14 Days for continued at 15 or 30 mg/day group
7.7%
1/13 • Number of events 1 • 7 Days for stopped at end of treated period 1 group 14 Days for continued at 15 or 30 mg/day group
0.00%
0/2 • 7 Days for stopped at end of treated period 1 group 14 Days for continued at 15 or 30 mg/day group
Psychiatric disorders
Insomnia
0.00%
0/36 • 7 Days for stopped at end of treated period 1 group 14 Days for continued at 15 or 30 mg/day group
15.4%
2/13 • Number of events 2 • 7 Days for stopped at end of treated period 1 group 14 Days for continued at 15 or 30 mg/day group
0.00%
0/2 • 7 Days for stopped at end of treated period 1 group 14 Days for continued at 15 or 30 mg/day group
Renal and urinary disorders
Pollakiuria
5.6%
2/36 • Number of events 2 • 7 Days for stopped at end of treated period 1 group 14 Days for continued at 15 or 30 mg/day group
7.7%
1/13 • Number of events 1 • 7 Days for stopped at end of treated period 1 group 14 Days for continued at 15 or 30 mg/day group
0.00%
0/2 • 7 Days for stopped at end of treated period 1 group 14 Days for continued at 15 or 30 mg/day group
Renal and urinary disorders
Renal Impairment
2.8%
1/36 • Number of events 1 • 7 Days for stopped at end of treated period 1 group 14 Days for continued at 15 or 30 mg/day group
7.7%
1/13 • Number of events 1 • 7 Days for stopped at end of treated period 1 group 14 Days for continued at 15 or 30 mg/day group
0.00%
0/2 • 7 Days for stopped at end of treated period 1 group 14 Days for continued at 15 or 30 mg/day group
Respiratory, thoracic and mediastinal disorders
Epistaxis
2.8%
1/36 • Number of events 1 • 7 Days for stopped at end of treated period 1 group 14 Days for continued at 15 or 30 mg/day group
23.1%
3/13 • Number of events 3 • 7 Days for stopped at end of treated period 1 group 14 Days for continued at 15 or 30 mg/day group
0.00%
0/2 • 7 Days for stopped at end of treated period 1 group 14 Days for continued at 15 or 30 mg/day group
Skin and subcutaneous tissue disorders
Decubitus Ulcer
0.00%
0/36 • 7 Days for stopped at end of treated period 1 group 14 Days for continued at 15 or 30 mg/day group
7.7%
1/13 • Number of events 1 • 7 Days for stopped at end of treated period 1 group 14 Days for continued at 15 or 30 mg/day group
0.00%
0/2 • 7 Days for stopped at end of treated period 1 group 14 Days for continued at 15 or 30 mg/day group
Skin and subcutaneous tissue disorders
Haemorrhage Subcutaneous
0.00%
0/36 • 7 Days for stopped at end of treated period 1 group 14 Days for continued at 15 or 30 mg/day group
7.7%
1/13 • Number of events 1 • 7 Days for stopped at end of treated period 1 group 14 Days for continued at 15 or 30 mg/day group
0.00%
0/2 • 7 Days for stopped at end of treated period 1 group 14 Days for continued at 15 or 30 mg/day group
Skin and subcutaneous tissue disorders
Pruritus
5.6%
2/36 • Number of events 2 • 7 Days for stopped at end of treated period 1 group 14 Days for continued at 15 or 30 mg/day group
7.7%
1/13 • Number of events 1 • 7 Days for stopped at end of treated period 1 group 14 Days for continued at 15 or 30 mg/day group
0.00%
0/2 • 7 Days for stopped at end of treated period 1 group 14 Days for continued at 15 or 30 mg/day group
Skin and subcutaneous tissue disorders
Purpura
0.00%
0/36 • 7 Days for stopped at end of treated period 1 group 14 Days for continued at 15 or 30 mg/day group
7.7%
1/13 • Number of events 1 • 7 Days for stopped at end of treated period 1 group 14 Days for continued at 15 or 30 mg/day group
0.00%
0/2 • 7 Days for stopped at end of treated period 1 group 14 Days for continued at 15 or 30 mg/day group

Additional Information

Director of Clinical Trials

Otsuka Pharmaceutical Co., Ltd.

Phone: +81-3-6361-7314

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place