Trial Outcomes & Findings for Tolvaptan for Ascites in Cirrhotic Patients (NCT NCT01292304)

NCT ID: NCT01292304

Last Updated: 2015-07-27

Results Overview

Increase in number of therapeutic paracentesis (removal of \> 2 litres of ascites fluid) during 12 weeks of study drug dosing versus 12 weeks before study drug dosing

Recruitment status

COMPLETED

Study phase

PHASE4

Target enrollment

10 participants

Primary outcome timeframe

Week 12

Results posted on

2015-07-27

Participant Flow

Participant milestones

Participant milestones
Measure
Tolvaptan
Tolvaptan 15 mg tablet once daily for 7 days followed by Tolvaptan 30 mg (two 15 mg tablets) once daily according to efficacy and tolerability Tolvaptan: Oral administration once daily Dosage will range from 15 mg to 30 mg
Overall Study
STARTED
10
Overall Study
COMPLETED
10
Overall Study
NOT COMPLETED
0

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Tolvaptan for Ascites in Cirrhotic Patients

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Tolvaptan
n=10 Participants
Tolvaptan 15 mg tablet once daily for 7 days followed by Tolvaptan 30 mg (two 15 mg tablets) once daily according to efficacy and tolerability Tolvaptan: Oral administration once daily Dosage will range from 15 mg to 30 mg
Age, Categorical
<=18 years
0 Participants
n=5 Participants
Age, Categorical
Between 18 and 65 years
6 Participants
n=5 Participants
Age, Categorical
>=65 years
4 Participants
n=5 Participants
Age, Continuous
62.5 years
n=5 Participants
Sex: Female, Male
Female
5 Participants
n=5 Participants
Sex: Female, Male
Male
5 Participants
n=5 Participants
Region of Enrollment
United States
10 participants
n=5 Participants

PRIMARY outcome

Timeframe: Week 12

Increase in number of therapeutic paracentesis (removal of \> 2 litres of ascites fluid) during 12 weeks of study drug dosing versus 12 weeks before study drug dosing

Outcome measures

Outcome measures
Measure
Tolvaptan
n=10 Participants
Tolvaptan 15 mg tablet once daily for 7 days followed by Tolvaptan 30 mg (two 15 mg tablets) once daily according to efficacy and tolerability Tolvaptan: Oral administration once daily Dosage will range from 15 mg to 30 mg
Number of Participants With Worsening Ascites (Increase in Number of Paracentesis Procedures to Remove 2 Liters of Ascites Fluid)
0 participants

PRIMARY outcome

Timeframe: 12 weeks of study drug

This outcome will provide the number of subjects with a weight increase of \> 2kg from baseline (worsening ascites)

Outcome measures

Outcome measures
Measure
Tolvaptan
n=10 Participants
Tolvaptan 15 mg tablet once daily for 7 days followed by Tolvaptan 30 mg (two 15 mg tablets) once daily according to efficacy and tolerability Tolvaptan: Oral administration once daily Dosage will range from 15 mg to 30 mg
Number of Subjects With Worsening Ascites (Defined as Greater Than 2 kg Weight Gain)
7 participants

SECONDARY outcome

Timeframe: 12 weeks

Number of patients with reduction of ascites is defined as reduction of weight by at least 2 kg during study drug dosing

Outcome measures

Outcome measures
Measure
Tolvaptan
n=10 Participants
Tolvaptan 15 mg tablet once daily for 7 days followed by Tolvaptan 30 mg (two 15 mg tablets) once daily according to efficacy and tolerability Tolvaptan: Oral administration once daily Dosage will range from 15 mg to 30 mg
Number of Patients With Reduction of Ascites (Weight Loss of 2 kg or More)
0 participants

SECONDARY outcome

Timeframe: 12 weeks

Number of Patients with new episodes of hyponatremia (abnormally low levels of sodium) defined as sodium \>130 mmol/L and \<135 mmol/L

Outcome measures

Outcome measures
Measure
Tolvaptan
n=10 Participants
Tolvaptan 15 mg tablet once daily for 7 days followed by Tolvaptan 30 mg (two 15 mg tablets) once daily according to efficacy and tolerability Tolvaptan: Oral administration once daily Dosage will range from 15 mg to 30 mg
Number of Patients With Abnormally Low Levels of Sodium (Sodium Levels Between 130 mmol/L and 135 mmol/L)
1 participants

SECONDARY outcome

Timeframe: 12 weeks of study drug

This outcome will describe the average time from baseline for subjects to require a therapeutic paracentesis to remove ascites fluid.

Outcome measures

Outcome measures
Measure
Tolvaptan
n=10 Participants
Tolvaptan 15 mg tablet once daily for 7 days followed by Tolvaptan 30 mg (two 15 mg tablets) once daily according to efficacy and tolerability Tolvaptan: Oral administration once daily Dosage will range from 15 mg to 30 mg
Time From Baseline to Worsening Ascites (Requiring 1 or More Therapeutic Paracentesis to Remove Ascites Fluid)
27 Days
Interval 8.0 to 57.0

Adverse Events

Tolvaptan

Serious events: 1 serious events
Other events: 9 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
Tolvaptan
n=10 participants at risk
Tolvaptan 15 mg tablet once daily for 7 days followed by Tolvaptan 30 mg (two 15 mg tablets) once daily according to efficacy and tolerability Tolvaptan: Oral administration once daily Dosage will range from 15 mg to 30 mg
Respiratory, thoracic and mediastinal disorders
Pleural Effusion
10.0%
1/10 • Number of events 2 • Adverse events collected from baseline day 1 of study drug through day 99 (2 weeks after last dose)

Other adverse events

Other adverse events
Measure
Tolvaptan
n=10 participants at risk
Tolvaptan 15 mg tablet once daily for 7 days followed by Tolvaptan 30 mg (two 15 mg tablets) once daily according to efficacy and tolerability Tolvaptan: Oral administration once daily Dosage will range from 15 mg to 30 mg
Gastrointestinal disorders
Abdominal pain
10.0%
1/10 • Number of events 1 • Adverse events collected from baseline day 1 of study drug through day 99 (2 weeks after last dose)
Nervous system disorders
Asterixis
10.0%
1/10 • Number of events 1 • Adverse events collected from baseline day 1 of study drug through day 99 (2 weeks after last dose)
Musculoskeletal and connective tissue disorders
Back pain
20.0%
2/10 • Number of events 2 • Adverse events collected from baseline day 1 of study drug through day 99 (2 weeks after last dose)
Gastrointestinal disorders
Bloating
10.0%
1/10 • Number of events 1 • Adverse events collected from baseline day 1 of study drug through day 99 (2 weeks after last dose)
General disorders
Cold Sensitivity
10.0%
1/10 • Number of events 1 • Adverse events collected from baseline day 1 of study drug through day 99 (2 weeks after last dose)
Gastrointestinal disorders
Constipation
10.0%
1/10 • Number of events 2 • Adverse events collected from baseline day 1 of study drug through day 99 (2 weeks after last dose)
Psychiatric disorders
Depression
10.0%
1/10 • Number of events 1 • Adverse events collected from baseline day 1 of study drug through day 99 (2 weeks after last dose)
General disorders
Dry mouth
20.0%
2/10 • Number of events 2 • Adverse events collected from baseline day 1 of study drug through day 99 (2 weeks after last dose)
Blood and lymphatic system disorders
Elevated serum creatinine
10.0%
1/10 • Number of events 1 • Adverse events collected from baseline day 1 of study drug through day 99 (2 weeks after last dose)
General disorders
Fever
10.0%
1/10 • Number of events 1 • Adverse events collected from baseline day 1 of study drug through day 99 (2 weeks after last dose)
Nervous system disorders
Headache
10.0%
1/10 • Number of events 1 • Adverse events collected from baseline day 1 of study drug through day 99 (2 weeks after last dose)
Blood and lymphatic system disorders
Hyopmagnesemia
10.0%
1/10 • Number of events 1 • Adverse events collected from baseline day 1 of study drug through day 99 (2 weeks after last dose)
Blood and lymphatic system disorders
Hyperkalemia
10.0%
1/10 • Number of events 1 • Adverse events collected from baseline day 1 of study drug through day 99 (2 weeks after last dose)
Blood and lymphatic system disorders
Hypernatrimia
20.0%
2/10 • Number of events 2 • Adverse events collected from baseline day 1 of study drug through day 99 (2 weeks after last dose)
Cardiac disorders
Hypertension
10.0%
1/10 • Number of events 2 • Adverse events collected from baseline day 1 of study drug through day 99 (2 weeks after last dose)
General disorders
Lethargy
10.0%
1/10 • Number of events 1 • Adverse events collected from baseline day 1 of study drug through day 99 (2 weeks after last dose)
Respiratory, thoracic and mediastinal disorders
Lung pain
10.0%
1/10 • Number of events 1 • Adverse events collected from baseline day 1 of study drug through day 99 (2 weeks after last dose)
Skin and subcutaneous tissue disorders
Mouth soreness
10.0%
1/10 • Number of events 1 • Adverse events collected from baseline day 1 of study drug through day 99 (2 weeks after last dose)
Gastrointestinal disorders
Nausea
10.0%
1/10 • Number of events 2 • Adverse events collected from baseline day 1 of study drug through day 99 (2 weeks after last dose)
Nervous system disorders
Nighttime blackouts
10.0%
1/10 • Number of events 1 • Adverse events collected from baseline day 1 of study drug through day 99 (2 weeks after last dose)
Respiratory, thoracic and mediastinal disorders
Pleuritic chest pain
10.0%
1/10 • Number of events 1 • Adverse events collected from baseline day 1 of study drug through day 99 (2 weeks after last dose)
General disorders
Polydipsia
80.0%
8/10 • Number of events 8 • Adverse events collected from baseline day 1 of study drug through day 99 (2 weeks after last dose)
Metabolism and nutrition disorders
Polyphagia
10.0%
1/10 • Number of events 1 • Adverse events collected from baseline day 1 of study drug through day 99 (2 weeks after last dose)
Renal and urinary disorders
Polyuria
10.0%
1/10 • Number of events 1 • Adverse events collected from baseline day 1 of study drug through day 99 (2 weeks after last dose)
Skin and subcutaneous tissue disorders
Pruritus
10.0%
1/10 • Number of events 1 • Adverse events collected from baseline day 1 of study drug through day 99 (2 weeks after last dose)
Gastrointestinal disorders
Stomach cramps
10.0%
1/10 • Number of events 1 • Adverse events collected from baseline day 1 of study drug through day 99 (2 weeks after last dose)
Psychiatric disorders
Stress
10.0%
1/10 • Number of events 1 • Adverse events collected from baseline day 1 of study drug through day 99 (2 weeks after last dose)
Infections and infestations
Urinary tract infection
10.0%
1/10 • Number of events 1 • Adverse events collected from baseline day 1 of study drug through day 99 (2 weeks after last dose)
Nervous system disorders
Vertigo
10.0%
1/10 • Number of events 1 • Adverse events collected from baseline day 1 of study drug through day 99 (2 weeks after last dose)

Additional Information

Giuseppe (Joseph) Morelli, MD

University of Florida

Phone: 352-273-9508

Results disclosure agreements

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