Multicenter, Randomized, Double-blind, Placebo-controlled Study to Evaluate the Efficacy and Safety of Oral Lixivaptan Capsules in Subject With Euvolemic Hyponatremia

NCT ID: NCT00660959

Last Updated: 2011-06-28

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE3

Total Enrollment

106 participants

Study Classification

INTERVENTIONAL

Study Start Date

2008-04-30

Brief Summary

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The present study is designed to confirm and extend the observation from previous studies that lixivaptan therapy corrects hyponatremia, in euvolemic subject, including subjects with SIADH.

Detailed Description

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Phase I Phase II clinical trials have demonstrated that lixivaptan may play an important role in treating hyponatremia and the signs and symptoms of water retention associated with HF, liver cirrhosis with ascites (LCWA) and syndrome of inappropriate antidiuretic hormone (SIADH). Lixivaptan was previously evaluated in disease states characterized by hyponatremia with euvolemia (SIADH)and hyponatremia combined with fluid overload (HF, LCWA). Lixivaptan resulted in correction in hyponatremia together with a marked aquaresis in subject with volume overload. The present study is designed to confirm and extend the observation from previous studies that lixivaptan therapy corrects hyponatremia, in euvolemic subject, including subjects with SIDH.

Conditions

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Hyponatremia With Normal Extracellular Fluid Volume

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

TRIPLE

Participants Investigators Outcome Assessors

Study Groups

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Active Comparator

lixivaptan

Group Type EXPERIMENTAL

lixivaptan

Intervention Type DRUG

oral capsule

Placebo

placebo

Group Type PLACEBO_COMPARATOR

placebo

Intervention Type DRUG

oral capsule

Interventions

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lixivaptan

oral capsule

Intervention Type DRUG

placebo

oral capsule

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* Written informed consent
* Men or women aged 18 or older
* Diagnosis of euvolemic hyponatremia (120 ≤ Na+\<130 mEq/L)
* Hospitalized or willing to be admitted to a monitored setting for approximately the first 48 hours of treatment

Exclusion Criteria

* Pregnant or breast-feeding women, or women planning to become pregnant or to breastfeed
* Symptomatic hyponatremia (e.g., lethargy, coma, seizures, changes in mental status attributable to hyponatremia)
* Acute or transient hyponatremia (e.g., associated with head trauma or postoperative state)
* Hyponatremia in hypovolemic states. Hypovolemic hyponatremia is defined as the presence of clinical evidence of extracellular fluid volume depletion
* Hyponatremia as a result of any medication that can safely be withdrawn
* Hyponatremia due to hypothyroidism or adrenal insufficiency
* Diagnosis of psychogenic polydipsia
* Receiving within 7 days of enrollment, other medication for treatment of hyponatremia specifically: demeclocycline, lithium carbonate, urea, or conivaptan
* Use of radiotherapy and chemotherapy within 2 wks of randomization
* Likely to require, or to receive IV saline for correction of symptomatic or asymptomatic severe hyponatremia during the course of the study
* Supine systolic arterial blood pressure of ≤ 90 mmHg
* Serum creatinine \>3.0 mg/dL
* History of uncontrolled type 2 diabetes mellitus
* Severe pulmonary artery hypertension: patients whose condition is expected to deteriorate with sudden shifts in fluid volumes and cardiac filling pressures
* Established diagnosis of New York Heart Association (NYHA) class III or IV heart failure
* History of myocardial infarction, unstable angina or evidence of active ischemia within 30 days prior to screening
* History of cerebral vascular accident (CVA) within 60 days prior to screening
* Established diagnosis of nephrotic syndrome
* Advanced liver disease or documented diagnosis of cirrhosis or alcoholic hepatitis
* Urinary tract obstruction (benign prostatic hypertrophy \[BPH\] allowed if non-obstructive)
* History of alcohol abuse or illicit drug use within the past 6 months
* Terminally ill or moribund condition with little chance of short-term survival
* Receiving vasopressin or its analogs for treatment of any condition
* Known allergy to any vasopressin antagonist
* Previous participation in a lixivaptan study
* Recipient of any investigational treatment (drug or device) within 30 days prior to baseline visit
* Unable to take oral medications
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Cardiokine Biopharma, LLC

INDUSTRY

Sponsor Role collaborator

Biogen

INDUSTRY

Sponsor Role collaborator

CardioKine Inc.

INDUSTRY

Sponsor Role lead

Responsible Party

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Cardiokine, Inc

Locations

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Research Site 1

Mobile, Alabama, United States

Site Status

PsyPharma Global

Phoenix, Arizona, United States

Site Status

Research Site

Los Angeles, California, United States

Site Status

Research Site 1

Los Angeles, California, United States

Site Status

Research Site 1

Roseville, California, United States

Site Status

Research Site

Aurora, Colorado, United States

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The George Washington University Medical Faculty Associates

Washington D.C., District of Columbia, United States

Site Status

Healthcare Clinical Data, Inc

North Miami, Florida, United States

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Cleveland Clinic Florida

Weston, Florida, United States

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Research Site

Augusta, Georgia, United States

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RTR Medical Group

Savannah, Georgia, United States

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Research Site

Chicago, Illinois, United States

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Research Site 1

Iowa City, Iowa, United States

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Four Rivers Clinical Research, Inc.

Paducah, Kentucky, United States

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Louisiana Research Associates, Inc.

New Orleans, Louisiana, United States

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Research Site

Belmont, Massachusetts, United States

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Research Site

Boston, Massachusetts, United States

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Research Site

Boston, Massachusetts, United States

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Beth Israel Deaconess Medical Center

Boston, Massachusetts, United States

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Research Site

Kansas City, Missouri, United States

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Research Site 1

Las Vegas, Nevada, United States

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Research Site 1

Albany, New York, United States

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Erie County Medical Center

Buffalo, New York, United States

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Research Site

New York, New York, United States

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Three Rivers Health and Rehabilitation

Windsor, North Carolina, United States

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Atrium Medical Center

Middletown, Ohio, United States

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Kettlie Joseph Daniels MD, Inc

Toledo, Ohio, United States

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Research Site 1

Camp Hill, Pennsylvania, United States

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Research Site 1

Doylestown, Pennsylvania, United States

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Research Site

Norristown, Pennsylvania, United States

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Research Site 1

Philadelphia, Pennsylvania, United States

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Research Site

Providence, Rhode Island, United States

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Research Site 1

Columbia, South Carolina, United States

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SunStar Geriatrics Healthcare

Georgetown, Texas, United States

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Clinical Trial Network

Houston, Texas, United States

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Aspen Clinical Research

Orem, Utah, United States

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The Glennan Center for Geriatrics and Gerontology

Norfolk, Virginia, United States

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Internal Medicine Northwest

Tacoma, Washington, United States

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UZ Gasthulsberg

Leuven, , Belgium

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Centre Hospitalier de Tubize

Tubize, , Belgium

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Research SIte

Greenfield Park, Quebec, Canada

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Research Site 1

Montreal, Quebec, Canada

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Research Site

Montreal, Quebec, Canada

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Research Site

Dresden, Germany, Germany

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Research Site

Hanover, Hannover, Germany

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Research Site

Magdeburg, Magdeburg, Germany

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Research Site

Berlin, , Germany

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Research Site

Berlin, , Germany

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Research Site

Giessen, , Germany

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Heidelberg, , Germany

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Research SIte

Konstanz, , Germany

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Research Site

München, , Germany

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Research Site

Würzburg, , Germany

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Baby Memorial Hospital

Calicut, Kerala, India

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Poona Hospital and Research Centre

Pune, Maharashtra, India

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Vidya Sagar Institute of Mental Health and Neurosciences

New Delhi, New Delhi, India

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Sir Ganga Ram Hospital

Old Rajinder Nagar, New Delhi, India

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Deenanath Mengeshkar Hospital & Research Centre

Erandawane, Pune, India

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Fortis Escorts Hospital

Jaipur, Rajasthan, India

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Research Site 1

Podlaski, Poland, Poland

Site Status

Research Site 1

Warsaw, Poland, Poland

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Samodzielny Publiczny Szpital Wojewodzki im. Papieza Jana Pawla II

Zamość, Zamosc, Poland

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Research Site

Bydgoszcz, , Poland

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Research Site 1

Ciechanów, , Poland

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Research Site

Katowice, , Poland

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Research Site 1

Lodz, , Poland

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Research Site

Lublin, , Poland

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Research Site 1

Warsaw, , Poland

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Research Site

Warsaw, , Poland

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Research Site 1

Warsaw, , Poland

Site Status

Niepubliczny Zaklad Opieki Zdrowotney

Wilgury, Łódź Voivodeship, Poland

Site Status

Countries

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United States Belgium Canada Germany India Poland

Other Identifiers

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CK-LX3405

Identifier Type: -

Identifier Source: org_study_id

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