Dose Exploring and Setting Study for Tolvaptan to Treat Hepatic Cirrhosis With Ascites

NCT ID: NCT01349335

Last Updated: 2012-10-12

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

PHASE2

Total Enrollment

180 participants

Study Classification

INTERVENTIONAL

Study Start Date

2009-04-30

Study Completion Date

2010-04-30

Brief Summary

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To observe the safety/efficacy of tolvaptan for treatment of patients with hepatic cirrhosis with ascites and exploring the dosage-effect relations of the drug.

Detailed Description

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Tolvaptan is able to exert hydragogue diuretic effects (water diuresis) via inhibition of water reabsorption by renal collecting ducts without corresponding increase in electrolyte excretion. It has been confirmed that tolvaptan is able to increase urine volume without any adverse effects on renal functions.

Conditions

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Ascites Hepatic Cirrhosis

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

QUADRUPLE

Participants Caregivers Investigators Outcome Assessors

Study Groups

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1. tolvaptan

15 mg, P.O., Qd, for 7 days,

Group Type EXPERIMENTAL

Tolvaptan

Intervention Type DRUG

tablet, 15 mg, Qd, for 7 days

2 tolvaptan

30 mg, P.O., Qd, for 7 days,

Group Type EXPERIMENTAL

Tolvaptan

Intervention Type DRUG

tablet, 30 mg, Qd, 7 days

3. Placebo

30mg,P.O.,Qd, for 7 days.

Group Type EXPERIMENTAL

placebo

Intervention Type DRUG

tablet, 30 mg, Qd, 7days.

Interventions

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Tolvaptan

tablet, 15 mg, Qd, for 7 days

Intervention Type DRUG

Tolvaptan

tablet, 30 mg, Qd, 7 days

Intervention Type DRUG

placebo

tablet, 30 mg, Qd, 7days.

Intervention Type DRUG

Other Intervention Names

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SAMSCA SAMSCA blank tablet

Eligibility Criteria

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Inclusion Criteria

1. hepatic cirrhosis patients after 7days treatment of loop diuretics and aldosterone antagonist but still with ascites
2. Hospitalized patients or those who can be hospitalized in this trial between observation period and posttherapeutic observation (Visits at clinic will be allowed after day 8);
3. During the observation period (-3 day to -1 day ), subjects whose body weight difference fall within ±1.0 kg range 2 days (day-2 and day -1) prior to initiation of trial drug treatment;
4. Ages: ≥18 and ≤75 years of age;
5. Genders: men or women;
6. Signed the Informed Consent Form.

Exclusion Criteria

1. Patients with the following diseases, complications or symptoms:

* Hepatic encephalopathy (Coma scale Note 1) grade 2 or higher);
* Malignant ascites;
* Uncontrolled spontaneous bacterial peritonitis;
* Patients are likely to experience alimentary tract hemorrhage during the trial;
* Heart failure (NYHA cardiac function scale Note 2) stages 3 and 4);
* Anuria (daily urine volume below 100mL);
* Dysuria resulting from urethral stricture, calculus and tumors.
2. Patients with the following medical history:

* Alimentary tract hemorrhage within 10 days prior to screening;
* Cerebrovascular accident within 1 month prior to screening;
* Gout attack within 1 month prior to screening;
* Past allergy or hypersensitive reactions to benzodiazepines (e.g. benazepril hydrochloride)
3. Systolic pressure below 90mmHg at screening;
4. Patients with the following abnormalities in laboratory examinations at screening:

Serum creatinine exceeds 2.5X upper limits of normal, serum Na+\>145mmol/L (or exceeds upper limits of normal), serum K+\>5.5mmol/L, uric acid\>8.0mg/dL (476μmol/L), Child-pugh scale greater than 12.
5. Patients cannot take drugs orally;
6. Pregnant or breast-feeding patients or women at child-bearing ages without taking acceptable contraceptive measures;
7. Patients received albumin or other blood preparations within 4 days prior to trial drug administration;
8. Patients participated in clinical trials of other drugs within 1 month prior to screening;
9. Patients participated in tolvaptan trials and took tolvaptan previously;
10. Patients are unsuitable to participate in this trial in investigators' opinion.
Minimum Eligible Age

18 Years

Maximum Eligible Age

75 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Otsuka Beijing Research Institute

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Minde Zeng

Role: PRINCIPAL_INVESTIGATOR

RenJi Hospital

Locations

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Renji hospital, Shanghai Jiaotong University School of Medicine

Shanghai, Shanghai Municipality, China

Site Status

Countries

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China

References

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Wang S, Zhang X, Han T, Xie W, Li Y, Ma H, Liebe R, Weng H, Ding HG. Tolvaptan treatment improves survival of cirrhotic patients with ascites and hyponatremia. BMC Gastroenterol. 2018 Sep 4;18(1):137. doi: 10.1186/s12876-018-0857-0.

Reference Type DERIVED
PMID: 30180806 (View on PubMed)

Other Identifiers

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156-08-804-01

Identifier Type: -

Identifier Source: org_study_id