Investigation of the Superiority Effect of Orally Disintegrating Desmopressin Tablets to Placebo in Terms of Night Voids Reduction in Nocturia Adult Male Patients

NCT ID: NCT01262456

Last Updated: 2015-10-15

Study Results

Results available

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE3

Total Enrollment

395 participants

Study Classification

INTERVENTIONAL

Study Start Date

2011-02-28

Study Completion Date

2012-01-31

Brief Summary

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The purpose of this trial was to confirm/establish long-term safety and efficacy of desmopressin orally disintegrating tablets at dose levels of 50 μg and 75 μg and to further evaluate the safety of an efficacious higher dose level of 100 μg in males with nocturia.

Detailed Description

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Conditions

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Nocturia

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

DOUBLE

Participants Investigators

Study Groups

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Desmopressin 50 μg Double-Blind / 100 μg Open-Label

Participants took 1 orally disintegrating tablet of desmopressin 50 μg every night approximately 1 hour prior to bedtime for the entire duration of the 3-month double-blind treatment period. Participants completing the double-blind period were switched to desmopressin 100 μg for the 1-month open-label extension period.

Group Type EXPERIMENTAL

Desmopressin

Intervention Type DRUG

Desmopressin 75 μg Double-Blind / 100 μg Open-Label

Participants took 1 orally disintegrating tablet of desmopressin 75 μg every night approximately 1 hour prior to bedtime for the entire duration of the 3-month double-blind treatment period. Participants completing the double-blind period were switched to desmopressin 100 μg for the 1-month open-label extension period.

Group Type EXPERIMENTAL

Desmopressin

Intervention Type DRUG

Placebo Double-Blind / Desmopressin 100 μg Open-Label

Participants took 1 orally disintegrating tablet of placebo every night approximately 1 hour prior to bedtime for the entire duration of the 3-month double-blind treatment period. Participants completing the double-blind period were switched to desmopressin 100 μg for the 1-month open-label extension period.

Group Type PLACEBO_COMPARATOR

Desmopressin

Intervention Type DRUG

Placebo

Intervention Type DRUG

Interventions

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Desmopressin

Intervention Type DRUG

Placebo

Intervention Type DRUG

Other Intervention Names

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FE992026 MINIRIN® Nocturin®

Eligibility Criteria

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Inclusion Criteria

* Written informed consent prior to performance of any trial-related activity
* Male sex 18 years of age or older
* At least 2 voids every night in a consecutive 3-day period during the screening period based on the patient diary.

Exclusion Criteria

* Evidence of severe daytime voiding dysfunction defined as: Urge urinary incontinence (more than 1 episode/day in the 3-day diary period), Urgency (more than 1 episode/day in the 3-day diary period), Frequency (more than 8 daytime voids/day in the 3-day diary period)
* Interstitial Cystitis
* Chronic prostatitis/chronic pelvic pain syndrome
* Suspicion of bladder outlet obstruction (BOO) or a urine flow of less than 5 mL/s as confirmed by uroflowmetry performed after suspicion of BOO
* Surgical treatment, including transurethral resection, for BOO or benign prostatic hyperplasia within the past 6 months
* Urinary retention or a post void residual volume in excess of 250 mL as confirmed by bladder ultrasound performed after suspicion of urinary retention
* Habitual or psychogenic fluid intake resulting in a urine production exceeding 40 mL/kg/24 hours
* Central or nephrogenic diabetes insipidus.
* Syndrome of inappropriate anti-diuretic hormone.
* Current or a history of urologic malignancies e.g. urothelium, prostate, or kidney cancer
* Genitourinary tract pathology e.g. infection or stone in the bladder and urethra causing symptoms
* Neurogenic detrusor activity (detrusor overactivity)
* Suspicion or evidence of cardiac failure
* Uncontrolled hypertension
* Uncontrolled diabetes mellitus
* Hyponatraemia: Serum sodium level must be within normal limits
* Renal insufficiency: Serum creatinine must be within normal limits and estimated glomerular filtration rate must be more than or equal to 50 mL/min
* Hepatic and/or biliary diseases: Aspartate aminotransferase (AST) and/or alanine aminotransferase (ALT) levels must not be more than twice the upper limit of normal range. Total bilirubin level must not be more than 1.5 mg/dL
* History of obstructive sleep apnea
* Previous desmopressin treatment for nocturia
* Treatment with another investigational product within 3 months prior to screening
* Concomitant treatment with any prohibited medication, i.e. loop diuretics (furosemide, torsemide, ethacrynic acid) and any other investigational drug
* Known alcohol or substance abuse
* Work or lifestyle that may interfere with regular nighttime sleep e.g. shift workers
* Any other medical condition, laboratory abnormality, psychiatric condition, mental incapacity, or language barrier that, in the judgment of the investigator, would impair participation in the trial
Minimum Eligible Age

18 Years

Eligible Sex

MALE

Accepts Healthy Volunteers

No

Sponsors

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Ferring Pharmaceuticals

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Clinical Development Support

Role: STUDY_DIRECTOR

Ferring Pharmaceuticals

Locations

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Pinnacle Research Group, LLC

Anniston, Alabama, United States

Site Status

Medical Affiliated Research Center, Inc.

Huntsville, Alabama, United States

Site Status

Radiant Research, Inc.

Scottsdale, Arizona, United States

Site Status

Premiere Pharmaceutical Research

Tempe, Arizona, United States

Site Status

Family Medical Center

Foothill Rance, California, United States

Site Status

Axis Clinical Trials

Los Angeles, California, United States

Site Status

Radiant Research, Inc.

Santa Rosa, California, United States

Site Status

Genitourinary Surgical Consultants

Denver, Colorado, United States

Site Status

Radiant Research, Inc.

Denver, Colorado, United States

Site Status

Front Range Clinical Research, LLC

Wheat Ridge, Colorado, United States

Site Status

Connecticut Clinical Research Center, LLC

Middlebury, Connecticut, United States

Site Status

South Florida Medical Research

Aventura, Florida, United States

Site Status

Women's Medical Research Group, LLC

Clearwater, Florida, United States

Site Status

Avail Clinical Research, LLC

DeLand, Florida, United States

Site Status

FPA Clinical Research

Kissimmee, Florida, United States

Site Status

Sunrise Medical Research

Lauderdale Lakes, Florida, United States

Site Status

Advanced Pharma CR, LLC

Miami, Florida, United States

Site Status

DMI Research

Pinellas Park, Florida, United States

Site Status

Pinellas Urology, Inc

St. Petersburg, Florida, United States

Site Status

Midtown Medical Center

Tampa, Florida, United States

Site Status

Advanced Research Institute, Inc.

Trinity, Florida, United States

Site Status

Radiant Research, Inc.

Atlanta, Georgia, United States

Site Status

Southeastern Medical Research Institute

Columbus, Georgia, United States

Site Status

Radiant Research, Inc.

Chicago, Illinois, United States

Site Status

Accelovance

Peoria, Illinois, United States

Site Status

Accelovance

South Bend, Indiana, United States

Site Status

FutureCare Studies, Inc.

Springfield, Massachusetts, United States

Site Status

Bay State Clinical Trials, Inc.

Watertown, Massachusetts, United States

Site Status

Beyer Research

Kalmazoo, Michigan, United States

Site Status

Radiant Research, Inc.

Edina, Minnesota, United States

Site Status

Radiant Research, Inc.

St Louis, Missouri, United States

Site Status

Radiant Research

Las Vegas, Nevada, United States

Site Status

Anderson & Collins Clinical Research Inc.

Edison, New Jersey, United States

Site Status

Urology Center Research Institute

Englewood, New Jersey, United States

Site Status

AccuMed Research Associates

Garden City, New York, United States

Site Status

University Urology Associates

New York, New York, United States

Site Status

Radiant Research, Inc.

Akron, Ohio, United States

Site Status

Community Research

Cincinnati, Ohio, United States

Site Status

Complete HealthCare

Columbus, Ohio, United States

Site Status

Urologic Consultants of SE PA

Bala-Cynwyd, Pennsylvania, United States

Site Status

Penn Urology

Philadelphia, Pennsylvania, United States

Site Status

Hartwell Research Group, LLC

Anderson, South Carolina, United States

Site Status

Medical University of South Carolina

Charleston, South Carolina, United States

Site Status

Radiant Research, Inc.

Greer, South Carolina, United States

Site Status

Carolina Urologic Research Center

Myrtle Beach, South Carolina, United States

Site Status

ClinSearch, LLC

Chattanooga, Tennessee, United States

Site Status

Radiant Research Inc.

Dallas, Texas, United States

Site Status

Quality Research Incorporated

San Antonio, Texas, United States

Site Status

Radiant Research, Inc.

San Antonio, Texas, United States

Site Status

Wilford Hall Medical Center

San Antonio, Texas, United States

Site Status

Exemplar Research Inc.

Morgantown, West Virginia, United States

Site Status

Can-Med Clinical Research, Inc.

Victoria, British Columbia, Canada

Site Status

The Male/ Female Health and Research Centre

Barrie, Ontario, Canada

Site Status

Urology Associates / Urologic Medical Research

Kitchener, Ontario, Canada

Site Status

Investigational Site

North Bay, Ontario, Canada

Site Status

Sunnybrook Health Sciences Centre

Toronto, Ontario, Canada

Site Status

Countries

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United States Canada

References

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Weiss JP, Herschorn S, Albei CD, van der Meulen EA. Efficacy and safety of low dose desmopressin orally disintegrating tablet in men with nocturia: results of a multicenter, randomized, double-blind, placebo controlled, parallel group study. J Urol. 2013 Sep;190(3):965-72. doi: 10.1016/j.juro.2012.12.112. Epub 2013 Feb 20.

Reference Type RESULT
PMID: 23454402 (View on PubMed)

Other Identifiers

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FE992026 CS41

Identifier Type: -

Identifier Source: org_study_id

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