Desmopressin Melt Therapy in Nocturnal Polyuria Patients: Pharmacodynamic Study

NCT ID: NCT01439997

Last Updated: 2022-12-15

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

PHASE4

Total Enrollment

5 participants

Study Classification

INTERVENTIONAL

Study Start Date

2012-03-26

Study Completion Date

2015-02-01

Brief Summary

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The objective of this study is to find out what the pharmacodynamic (PD) characteristics of desmopressin melt are in nocturia patients (compared to healthy volunteers and children). The main questions the investigators want to answer are:

* Are differences related to the pathophysiological factors involved in nocturia?
* Are there age/gender/size differences?
* Can the investigators identify patients who are likely to develop hyponatraemia?
* Can the investigators individualize treatment and reduce risk for hyponatraemia?

The patient will be given a prescription to buy Minirin Melt 60µg at the local pharmacy. During 30 days, the patient has to take Minirin Melt 60µg in the evening before going to bed.

There are two groups of patients:

Group A:

Patients that still have to undergo an evaluation phase, according to standard procedures (e.g. osmolality test, blood sample). This procedure is not a part of this study. The study starts when the 1st Minirin Melt tablet has been taken (= day 1).

Group B:

This group already went through the evaluation phase (by participation to study 1 or study 3 as mentioned above) and they have been prescribed Minirin Melt 60 µg ambulatory.

The study starts when the patients takes his first prescribed Minirin Melt tablet:

* On day 3 and day 7 a blood sample will be taken at the UZ Ghent for safety control (Na+, K+, creatinin, osmolality = good clinical practice guideline). These first 2 visits (day 3 and day 7) are standard procedure. If the patient is at high risk for side effects, blood has to be taken during the first 7 days.
* On day 3 the patient has to give a urine sample.
* Patients have to fill out a frequency/volume chart during the first 14 days.
* On day 30, a 3rd blood sample will be taken

Detailed Description

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Conditions

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Nocturia

Keywords

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Nocturnal polyuria

Study Design

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Allocation Method

NA

Intervention Model

SINGLE_GROUP

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Desmopressin Melt Therapy in Nocturnal Polyuria Patients

Group Type EXPERIMENTAL

Desmopressin

Intervention Type DRUG

Administration of minirin melt 60 µg: desmopressin (acetate) 60 µg oral lyophilisate.

Interventions

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Desmopressin

Administration of minirin melt 60 µg: desmopressin (acetate) 60 µg oral lyophilisate.

Intervention Type DRUG

Other Intervention Names

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Minirin Melt 60 µg

Eligibility Criteria

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Inclusion Criteria

* written informed consent prior to the performance of any study-related activity
* patients, men and women, 18 years and older, with an average of ≥ 2 nocturnal voids per night
* evidence for nocturnal polyuria (nocturnal urine volume \>33% of total volume over 24h), determined on frequency/volume chart
* Diuresis \<2.5L

Exclusion Criteria

* hypersensitivity/anaphylactic reaction on desmopressin or one of the other substances
* pregnancy
* genitourinary tract pathology (infection, tumor,...)
* urolithiasis
* suspicion or evidence of cardiac failure
* moderate to severe renal insufficiency (creatinin clearance \< 60 ml/min)
* psychogenic or habitual polydipsia
* hyponatraemia or predisposition for hyponatraemia
* diabetes insipidus
* syndrome of inadequate ADH production
* suspicion or evidence of liver failure
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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University Hospital, Ghent

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Karel Everaert, MD, PhD

Role: PRINCIPAL_INVESTIGATOR

University Hospital, Ghent

Locations

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University Hospital Ghent

Ghent, , Belgium

Site Status

Countries

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Belgium

Related Links

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Other Identifiers

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2011/567

Identifier Type: -

Identifier Source: org_study_id