Trial Outcomes & Findings for Study With Two Different Doses of Desmopressin Orally Lyophilisate Tablet With Nocturnal Enuresis (NCT NCT01078753)

NCT ID: NCT01078753

Last Updated: 2011-11-02

Results Overview

The number of wet nights was recorded by participants (or their caregivers) in a daily diary. The difference was calculated from the number of wet nights during the 14-day Baseline Period minus the number of wet nights during the 14-day Treatment Period II.

Recruitment status

COMPLETED

Study phase

PHASE3

Target enrollment

89 participants

Primary outcome timeframe

Baseline (14-day period prior to starting study treatment) and Treatment Period II (weeks 3-4 after treatment initiation).

Results posted on

2011-11-02

Participant Flow

174 subjects consented and entered the 14-day screening period during which Baseline characteristics regarding enuretic episodes were established. Eligible patients who met the criterion were randomized 1:1 to receive either desmopressin or matching placebo. Randomization was stratified by gender, age and number of wet nights at Baseline.

Participant milestones

Participant milestones
Measure
Desmopressin
During treatment period I participants received 120 μg per day desmopressin oral lyophilisate tablet for 14 days. Participants for whom treatment was effective (a reduction of ≥ 75% from Baseline in the number of wet nights), and who showed no problems with tolerability, continued to receive the same treatment for a further 14 days in treatment period II. Participants for whom efficacy was inadequate (a reduction of \<75% from Baseline in the number of wet nights), but who showed no tolerability problems, received an increased dose of desmopressin oral lyophilisate tablet 240 µg for 14 days in treatment period II.
Placebo
Participants received matching placebo tablets during treatment periods I and II according to the same efficacy criteria as participants in the Desmopressin treatment group.
Treatment Period I
STARTED
45
44
Treatment Period I
Full Analysis Set
44
44
Treatment Period I
COMPLETED
45
44
Treatment Period I
NOT COMPLETED
0
0
Treatment Period II
STARTED
45
44
Treatment Period II
Full Analysis Set
44
44
Treatment Period II
COMPLETED
45
44
Treatment Period II
NOT COMPLETED
0
0

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Study With Two Different Doses of Desmopressin Orally Lyophilisate Tablet With Nocturnal Enuresis

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Desmopressin
n=45 Participants
During treatment period I participants received 120 μg per day desmopressin oral lyophilisate tablet for 14 days. Participants for whom treatment was effective (a reduction of ≥ 75% from Baseline in the number of wet nights), and who showed no problems with tolerability, continued to receive the same treatment for a further 14 days in treatment period II. Participants for whom efficacy was inadequate (a reduction of \<75% from Baseline in the number of wet nights), but who showed no tolerability problems, received an increased dose of desmopressin oral lyophilisate tablet 240 µg for 14 days in treatment period II.
Placebo
n=44 Participants
Participants received matching placebo tablets during treatment periods I and II according to the same efficacy criteria as participants in the Desmopressin treatment group.
Total
n=89 Participants
Total of all reporting groups
Age Continuous
8.2 years
STANDARD_DEVIATION 1.6 • n=93 Participants
8.1 years
STANDARD_DEVIATION 1.4 • n=4 Participants
8.1 years
STANDARD_DEVIATION 1.5 • n=27 Participants
Age, Customized
6 to 9 years old
36 participants
n=93 Participants
36 participants
n=4 Participants
72 participants
n=27 Participants
Age, Customized
10 to15 years old
9 participants
n=93 Participants
8 participants
n=4 Participants
17 participants
n=27 Participants
Sex: Female, Male
Female
17 Participants
n=93 Participants
21 Participants
n=4 Participants
38 Participants
n=27 Participants
Sex: Female, Male
Male
28 Participants
n=93 Participants
23 Participants
n=4 Participants
51 Participants
n=27 Participants
Region of Enrollment
Japan
45 participants
n=93 Participants
44 participants
n=4 Participants
89 participants
n=27 Participants
Height
128.14 cm
STANDARD_DEVIATION 11.30 • n=93 Participants
127.68 cm
STANDARD_DEVIATION 8.61 • n=4 Participants
127.92 cm
STANDARD_DEVIATION 10.01 • n=27 Participants
Weight
27.59 kg
STANDARD_DEVIATION 8.40 • n=93 Participants
27.01 kg
STANDARD_DEVIATION 5.32 • n=4 Participants
27.30 kg
STANDARD_DEVIATION 7.01 • n=27 Participants
Body Mass Index (BMI)
16.46 kg/m˄2
STANDARD_DEVIATION 2.47 • n=93 Participants
16.43 kg/m˄2
STANDARD_DEVIATION 1.77 • n=4 Participants
16.44 kg/m˄2
STANDARD_DEVIATION 2.14 • n=27 Participants
Number of Wet Nights during Baseline
12.2 days
STANDARD_DEVIATION 1.5 • n=93 Participants
12.4 days
STANDARD_DEVIATION 1.5 • n=4 Participants
12.3 days
STANDARD_DEVIATION 1.5 • n=27 Participants
Number of Wet Nights during Baseline by stratification criteria
10 to 13 wet nights
32 participants
n=93 Participants
30 participants
n=4 Participants
62 participants
n=27 Participants
Number of Wet Nights during Baseline by stratification criteria
14 wet nights
13 participants
n=93 Participants
14 participants
n=4 Participants
27 participants
n=27 Participants
Prior treatment of Nocturnal Enuresis with Drugs
No prior treatment
45 participants
n=93 Participants
44 participants
n=4 Participants
89 participants
n=27 Participants
Prior treatment of Nocturnal Enuresis with Drugs
Prior treatment received
0 participants
n=93 Participants
0 participants
n=4 Participants
0 participants
n=27 Participants
Prior treatment of Nocturnal Enuresis with Therapy
No prior therapy
0 participants
n=93 Participants
0 participants
n=4 Participants
0 participants
n=27 Participants
Prior treatment of Nocturnal Enuresis with Therapy
Prior therapy
45 participants
n=93 Participants
44 participants
n=4 Participants
89 participants
n=27 Participants

PRIMARY outcome

Timeframe: Baseline (14-day period prior to starting study treatment) and Treatment Period II (weeks 3-4 after treatment initiation).

Population: The Full Analysis Set (FAS) included all participants who received at least one dose of study treatment, satisfied all the major eligibility criteria and for whom efficacy data was obtained.

The number of wet nights was recorded by participants (or their caregivers) in a daily diary. The difference was calculated from the number of wet nights during the 14-day Baseline Period minus the number of wet nights during the 14-day Treatment Period II.

Outcome measures

Outcome measures
Measure
Desmopressin
n=44 Participants
During treatment period I participants received 120 μg per day desmopressin oral lyophilisate tablet for 14 days. Participants for whom treatment was effective (a reduction of ≥ 75% from Baseline in the number of wet nights), and who showed no problems with tolerability, continued to receive the same treatment for a further 14 days in treatment period II. Participants for whom efficacy was inadequate (a reduction of \<75% from Baseline in the number of wet nights), but who showed no tolerability problems, received an increased dose of desmopressin oral lyophilisate tablet 240 µg for 14 days in treatment period II.
Placebo
n=44 Participants
Participants received matching placebo tablets during treatment periods I and II according to the same efficacy criteria as participants in the Desmopressin treatment group.
Change in the Number of Wet Nights Between Baseline and Treatment Period II
3.264 wet nights
Interval 2.126 to 4.402
1.451 wet nights
Interval 0.333 to 2.57

SECONDARY outcome

Timeframe: Baseline (14-day period prior to starting study treatment) and Treatment Period I (weeks 1-2 after treatment initiation).

Population: The Full analysis set.

The number of wet nights was recorded by participants (or their caregivers) in a daily diary. The difference was calculated from the number of wet nights during the 14-day Baseline Period minus the number of wet nights during the 14-day Treatment Period I.

Outcome measures

Outcome measures
Measure
Desmopressin
n=44 Participants
During treatment period I participants received 120 μg per day desmopressin oral lyophilisate tablet for 14 days. Participants for whom treatment was effective (a reduction of ≥ 75% from Baseline in the number of wet nights), and who showed no problems with tolerability, continued to receive the same treatment for a further 14 days in treatment period II. Participants for whom efficacy was inadequate (a reduction of \<75% from Baseline in the number of wet nights), but who showed no tolerability problems, received an increased dose of desmopressin oral lyophilisate tablet 240 µg for 14 days in treatment period II.
Placebo
n=44 Participants
Participants received matching placebo tablets during treatment periods I and II according to the same efficacy criteria as participants in the Desmopressin treatment group.
Change in Number of Wet Nights Between Baseline and Treatment Period I
2.946 wet nights
Interval 1.815 to 4.078
1.317 wet nights
Interval 0.205 to 2.428

SECONDARY outcome

Timeframe: Treatment Period I (weeks 1-2) and Treatment Period II (weeks 3-4)

Population: The full analysis set.

The number of wet nights was recorded by participants (or their caregivers) in a daily diary. The difference was calculated from the number of wet nights during the 14-day Treatment Period I minus the number of wet nights during the 14-day Treatment Period II.

Outcome measures

Outcome measures
Measure
Desmopressin
n=44 Participants
During treatment period I participants received 120 μg per day desmopressin oral lyophilisate tablet for 14 days. Participants for whom treatment was effective (a reduction of ≥ 75% from Baseline in the number of wet nights), and who showed no problems with tolerability, continued to receive the same treatment for a further 14 days in treatment period II. Participants for whom efficacy was inadequate (a reduction of \<75% from Baseline in the number of wet nights), but who showed no tolerability problems, received an increased dose of desmopressin oral lyophilisate tablet 240 µg for 14 days in treatment period II.
Placebo
n=44 Participants
Participants received matching placebo tablets during treatment periods I and II according to the same efficacy criteria as participants in the Desmopressin treatment group.
Change in Number of Wet Nights Between Treatment Periods I and II
0.318 wet nights
Interval -0.653 to 1.289
0.135 wet nights
Interval -0.819 to 1.088

Adverse Events

Desmopressin

Serious events: 0 serious events
Other events: 18 other events
Deaths: 0 deaths

Placebo

Serious events: 0 serious events
Other events: 14 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Other adverse events
Measure
Desmopressin
n=45 participants at risk
During treatment period I participants received 120 μg per day desmopressin oral lyophilisate tablet for 14 days. Participants for whom treatment was effective (a reduction of ≥ 75% from Baseline in the number of wet nights), and who showed no problems with tolerability, continued to receive the same treatment for a further 14 days in treatment period II. Participants for whom efficacy was inadequate (a reduction of \<75% from Baseline in the number of wet nights), but who showed no tolerability problems, received an increased dose of desmopressin oral lyophilisate tablet 240 µg for 14 days in treatment period II.
Placebo
n=44 participants at risk
Participants received matching placebo tablets during treatment periods I and II according to the same efficacy criteria as participants in the Desmopressin treatment group.
Infections and infestations
Empyema
0.00%
0/45 • 4 weeks (periods I + II)
2.3%
1/44 • 4 weeks (periods I + II)
Infections and infestations
Nasopharyngitis
13.3%
6/45 • 4 weeks (periods I + II)
13.6%
6/44 • 4 weeks (periods I + II)
Infections and infestations
Tonsillitis
2.2%
1/45 • 4 weeks (periods I + II)
0.00%
0/44 • 4 weeks (periods I + II)
Infections and infestations
Upper respiratory tract infection
2.2%
1/45 • 4 weeks (periods I + II)
0.00%
0/44 • 4 weeks (periods I + II)
Nervous system disorders
Headache
2.2%
1/45 • 4 weeks (periods I + II)
0.00%
0/44 • 4 weeks (periods I + II)
Eye disorders
Blepharitis
2.2%
1/45 • 4 weeks (periods I + II)
0.00%
0/44 • 4 weeks (periods I + II)
Respiratory, thoracic and mediastinal disorders
Rhinitis allergic
0.00%
0/45 • 4 weeks (periods I + II)
2.3%
1/44 • 4 weeks (periods I + II)
Respiratory, thoracic and mediastinal disorders
Tonsillar hypertrophy
2.2%
1/45 • 4 weeks (periods I + II)
0.00%
0/44 • 4 weeks (periods I + II)
Gastrointestinal disorders
Abdominal pain
2.2%
1/45 • 4 weeks (periods I + II)
0.00%
0/44 • 4 weeks (periods I + II)
Gastrointestinal disorders
Dental caries
0.00%
0/45 • 4 weeks (periods I + II)
2.3%
1/44 • 4 weeks (periods I + II)
Gastrointestinal disorders
Diarrhoea
0.00%
0/45 • 4 weeks (periods I + II)
2.3%
1/44 • 4 weeks (periods I + II)
Gastrointestinal disorders
Enterocolitis
2.2%
1/45 • 4 weeks (periods I + II)
0.00%
0/44 • 4 weeks (periods I + II)
Gastrointestinal disorders
Lip ulceration
0.00%
0/45 • 4 weeks (periods I + II)
2.3%
1/44 • 4 weeks (periods I + II)
Gastrointestinal disorders
Stomatitis
4.4%
2/45 • 4 weeks (periods I + II)
2.3%
1/44 • 4 weeks (periods I + II)
Skin and subcutaneous tissue disorders
Dermatitis atopic
2.2%
1/45 • 4 weeks (periods I + II)
0.00%
0/44 • 4 weeks (periods I + II)
Skin and subcutaneous tissue disorders
Dyshidrosis
2.2%
1/45 • 4 weeks (periods I + II)
0.00%
0/44 • 4 weeks (periods I + II)
Skin and subcutaneous tissue disorders
Skin papilloma
2.2%
1/45 • 4 weeks (periods I + II)
0.00%
0/44 • 4 weeks (periods I + II)
General disorders
Asthenia
4.4%
2/45 • 4 weeks (periods I + II)
0.00%
0/44 • 4 weeks (periods I + II)
General disorders
Feeling hot
0.00%
0/45 • 4 weeks (periods I + II)
2.3%
1/44 • 4 weeks (periods I + II)
General disorders
Malaise
2.2%
1/45 • 4 weeks (periods I + II)
0.00%
0/44 • 4 weeks (periods I + II)
Investigations
Blood calcium decreased
0.00%
0/45 • 4 weeks (periods I + II)
2.3%
1/44 • 4 weeks (periods I + II)
Injury, poisoning and procedural complications
Arthropod bite
2.2%
1/45 • 4 weeks (periods I + II)
0.00%
0/44 • 4 weeks (periods I + II)
Injury, poisoning and procedural complications
Wound
0.00%
0/45 • 4 weeks (periods I + II)
2.3%
1/44 • 4 weeks (periods I + II)

Additional Information

Clinical Development Support

Ferring Pharmaceuticals

Results disclosure agreements

  • Principal investigator is a sponsor employee The only disclosure restriction on the PI is that the sponsor can review the draft manuscript prior to publication and can request delay of publication where any contents are deemed patentable by the sponsor or confidential to the sponsor. Comments will be given within four weeks from receipt of the draft manuscript. Additional time may be required to allow Ferring to seek patent protection of the invention
  • Publication restrictions are in place

Restriction type: OTHER