Trial Outcomes & Findings for Post-Marketing Surveillance Study of Tolvaptan in Patients With ADPKD (NCT NCT02847624)

NCT ID: NCT02847624

Last Updated: 2025-12-10

Results Overview

Total Kidney Volume (TKV) was used as a biomarker to assess the progression of ADPKD. TKV was measured at each participating site based on imaging obtained via ultrasound, CT, or MRI. The Estimated Slope pre-administration was calculated for subjects who had TKV measurements both prior to and on the day of Tolvaptan initiation (baseline). The rate of change in TKV from the pre-treatment measurement date to the baseline was used to determine the Estimated Slope. Since the date of initiating tolvaptan administration is considered the start date of the study, the kidney volume measured prior to administration falls outside the study period (i.e., it is a value from before the study start date). The Estimated Slope during-treatment was calculated for subjects who had bilateral TKV measurements at baseline and during the treatment period. The rate of change in TKV from baseline to the measurement date during treatment was used to determine the Estimated Slope.

Recruitment status

COMPLETED

Target enrollment

1802 participants

Primary outcome timeframe

Pre-administration: From the first pre-treatment measurement (up to 12.5 years prior) to the start of tolvaptan. During-treatment: From the start of tolvaptan to the final follow-up (up to 8.0 years later).

Results posted on

2025-12-10

Participant Flow

Participant milestones

Participant milestones
Measure
ADPKD
Patients with a diagnosis of ADPKD, a TKV of more than 750 mL, and an annual TKVslope increase of more than 5% as measured by magnetic resonance imaging (MRI), computed tomographic (CT) scanning, or ultrasound were included.
Overall Study
STARTED
1802
Overall Study
COMPLETED
1672
Overall Study
NOT COMPLETED
130

Reasons for withdrawal

Reasons for withdrawal
Measure
ADPKD
Patients with a diagnosis of ADPKD, a TKV of more than 750 mL, and an annual TKVslope increase of more than 5% as measured by magnetic resonance imaging (MRI), computed tomographic (CT) scanning, or ultrasound were included.
Overall Study
Lost to Follow-up
28
Overall Study
Protocol Violation
98
Overall Study
Case report failures
4

Baseline Characteristics

Post-Marketing Surveillance Study of Tolvaptan in Patients With ADPKD

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
ADPKD
n=1672 Participants
Patients with a diagnosis of ADPKD, a TKV of more than 750 mL, and an annual TKVslope increase of more than 5% as measured by magnetic resonance imaging (MRI), computed tomographic (CT) scanning, or ultrasound were included.
Age, Categorical
<=18 years
1 Participants
n=4 Participants
Age, Categorical
Between 18 and 65 years
1479 Participants
n=4 Participants
Age, Categorical
>=65 years
192 Participants
n=4 Participants
Age, Continuous
49.7 years
STANDARD_DEVIATION 11.2 • n=4 Participants
Sex: Female, Male
Female
805 Participants
n=4 Participants
Sex: Female, Male
Male
867 Participants
n=4 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=4 Participants
Race (NIH/OMB)
Asian
1672 Participants
n=4 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=4 Participants
Race (NIH/OMB)
Black or African American
0 Participants
n=4 Participants
Race (NIH/OMB)
White
0 Participants
n=4 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=4 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants
n=4 Participants
Region of Enrollment
Japan
1672 participants
n=4 Participants
Weight
64.2 kg
STANDARD_DEVIATION 12.7 • n=4 Participants
Complication
Hypertension
1447 Participants
n=4 Participants
Complication
Diabetes
74 Participants
n=4 Participants
Complication
Hyperlipidaemia
460 Participants
n=4 Participants
Complication
Hyperuricaemia
746 Participants
n=4 Participants
Complication
Liver disease(Cystic liver)
739 Participants
n=4 Participants
Complication
Liver disease(others)
54 Participants
n=4 Participants
Complication
Pancreatic cysts
19 Participants
n=4 Participants
Complication
Cerebral aneurysm
161 Participants
n=4 Participants
Complication
Kidney disease
254 Participants
n=4 Participants
Complication
Urinary calculus
36 Participants
n=4 Participants
Complication
Cyst infection
26 Participants
n=4 Participants
Complication
Urinary tract infection
7 Participants
n=4 Participants
Predisposition to hypersensitivity
None
1411 Participants
n=4 Participants
Predisposition to hypersensitivity
Medicine
49 Participants
n=4 Participants
Predisposition to hypersensitivity
Foods
39 Participants
n=4 Participants
Predisposition to hypersensitivity
Others
144 Participants
n=4 Participants
Predisposition to hypersensitivity
Missing
56 Participants
n=4 Participants
History of drug adverse reactions
None
1536 Participants
n=4 Participants
History of drug adverse reactions
Any
91 Participants
n=4 Participants
History of drug adverse reactions
Missing
45 Participants
n=4 Participants

PRIMARY outcome

Timeframe: Pre-administration: From the first pre-treatment measurement (up to 12.5 years prior) to the start of tolvaptan. During-treatment: From the start of tolvaptan to the final follow-up (up to 8.0 years later).

Population: Pre-administration: Estimated slope was calculated in cases with both pre-treatment and baseline TKV data. During-treatment: Estimated slope was calculated in cases with both baseline and on-treatment TKV data. Because this study used real-world clinical data, not all patients had both sets of measurements required for either group. As a result, the number of cases included in the pre-administration and during-treatment groups was smaller than the total of 1,672 cases analyzed for efficacy.

Total Kidney Volume (TKV) was used as a biomarker to assess the progression of ADPKD. TKV was measured at each participating site based on imaging obtained via ultrasound, CT, or MRI. The Estimated Slope pre-administration was calculated for subjects who had TKV measurements both prior to and on the day of Tolvaptan initiation (baseline). The rate of change in TKV from the pre-treatment measurement date to the baseline was used to determine the Estimated Slope. Since the date of initiating tolvaptan administration is considered the start date of the study, the kidney volume measured prior to administration falls outside the study period (i.e., it is a value from before the study start date). The Estimated Slope during-treatment was calculated for subjects who had bilateral TKV measurements at baseline and during the treatment period. The rate of change in TKV from baseline to the measurement date during treatment was used to determine the Estimated Slope.

Outcome measures

Outcome measures
Measure
ADPKD
n=1672 Participants
Patients with a diagnosis of ADPKD, a TKV of more than 750 mL, and an annual TKV slope increase of more than 5% as measured by magnetic resonance imaging (MRI), computed tomographic (CT) scanning, or ultrasound were included.
Estimated Slope of Total Kidney Volume During Pre-administration and Administration
Pre-administration
6.7517 %/year
Standard Deviation 0.2183
Estimated Slope of Total Kidney Volume During Pre-administration and Administration
During administration
3.6811 %/year
Standard Deviation 0.9514

SECONDARY outcome

Timeframe: From the date of Tolvaptan initiation to the earlier of either the date when ALT reached three times the upper limit of normal or the date of Tolvaptan discontinuation (up to 2789 days).

Population: Safety analysis population (n = 1,672)

Among cases included in the safety analysis, we counted and listed the number of patients whose ALT levels increased after starting tolvaptan but never exceeded three times the upper limit of normal (30 IU/L) at a specific time point (day) during treatment. Cases in which Tolvaptan treatment was discontinued were considered as dropouts on the day of discontinuation. The number of participants analyzed in each row of the data table is the same as the Overall Number of Participants Analyzed (n=1,672)

Outcome measures

Outcome measures
Measure
ADPKD
n=1672 Participants
Patients with a diagnosis of ADPKD, a TKV of more than 750 mL, and an annual TKV slope increase of more than 5% as measured by magnetic resonance imaging (MRI), computed tomographic (CT) scanning, or ultrasound were included.
The Number of Cases in Which ALT Never Exceeded Three Times the Upper Limit of Normal (30 IU/L)
Baseline
1672 participants
The Number of Cases in Which ALT Never Exceeded Three Times the Upper Limit of Normal (30 IU/L)
500 days
1210 participants
The Number of Cases in Which ALT Never Exceeded Three Times the Upper Limit of Normal (30 IU/L)
1000 days
1007 participants
The Number of Cases in Which ALT Never Exceeded Three Times the Upper Limit of Normal (30 IU/L)
1500 days
706 participants
The Number of Cases in Which ALT Never Exceeded Three Times the Upper Limit of Normal (30 IU/L)
2000 days
402 participants
The Number of Cases in Which ALT Never Exceeded Three Times the Upper Limit of Normal (30 IU/L)
2500 days
47 participants
The Number of Cases in Which ALT Never Exceeded Three Times the Upper Limit of Normal (30 IU/L)
3000 days
0 participants

SECONDARY outcome

Timeframe: From the date of Tolvaptan initiation to the earlier of either the date when AST reached three times the upper limit of normal or the date of Tolvaptan discontinuation (up to 2789 days).

Population: Safety analysis population (n = 1,672)

Among cases included in the safety analysis, we counted and listed the number of patients whose AST levels increased after starting tolvaptan but never exceeded three times the upper limit of normal (30 IU/L) at a specific time point (day) during treatment. Cases in which Tolvaptan treatment was discontinued were considered as dropouts on the day of discontinuation. The number of participants analyzed in each row of the data table is the same as the Overall Number of Participants Analyzed (n=1,672)

Outcome measures

Outcome measures
Measure
ADPKD
n=1672 Participants
Patients with a diagnosis of ADPKD, a TKV of more than 750 mL, and an annual TKV slope increase of more than 5% as measured by magnetic resonance imaging (MRI), computed tomographic (CT) scanning, or ultrasound were included.
The Number of Cases in Which AST Never Exceeded Three Times the Upper Limit of Normal (30 IU/L)
3000 days
0 participants
The Number of Cases in Which AST Never Exceeded Three Times the Upper Limit of Normal (30 IU/L)
Baseline
1672 participants
The Number of Cases in Which AST Never Exceeded Three Times the Upper Limit of Normal (30 IU/L)
500 days
1232 participants
The Number of Cases in Which AST Never Exceeded Three Times the Upper Limit of Normal (30 IU/L)
1000 days
1027 participants
The Number of Cases in Which AST Never Exceeded Three Times the Upper Limit of Normal (30 IU/L)
1500 days
715 participants
The Number of Cases in Which AST Never Exceeded Three Times the Upper Limit of Normal (30 IU/L)
2000 days
413 participants
The Number of Cases in Which AST Never Exceeded Three Times the Upper Limit of Normal (30 IU/L)
2500 days
47 participants

OTHER_PRE_SPECIFIED outcome

Timeframe: Pre-administration: From the first pre-treatment measurement (up to 10 years prior) to the start of tolvaptan. During-treatment: From the start of tolvaptan to the final follow-up (up to 8.0 years later).

Population: Pre-administration: Estimated slope was calculated in cases with both pre-treatment and baseline e-GFR data. During-treatment: Estimated slope was calculated in cases with both baseline and on-treatment e-GFR data. Because this study used real-world clinical data, not all patients had both sets of measurements required for either group. As a result, the number of cases included in the pre-administration and during-treatment groups was smaller than the total of 1672 cases analyzed for efficacy.

e-GFR was used as a biomarker to evaluate ADPKD progression. Values recorded in the CRF were prioritized; if unavailable, e-GFR was calculated using serum creatinine levels with a gender-specific formula. Male: e-GFR=194×(serum creatinine (mg/dL))\^-1.094 ×(age)\^-0.287 Female: e-GFR=\[194×(serum creatinine (mg/dL))\^-1.094 ×(age)\^-0.287\]×0.739 The pre-treatment Estimated Slope was determined for subjects with e-GFR data both before and at the start of tolvaptan administration (baseline). Since the date of initiating tolvaptan administration is considered the start date of the study, the e-GFR measured prior to administration falls outside the study period. The during-treatment Estimated Slope was calculated for subjects with e-GFR measurements at baseline and during treatment, based on the rate of change from baseline to follow-up.

Outcome measures

Outcome measures
Measure
ADPKD
n=1672 Participants
Patients with a diagnosis of ADPKD, a TKV of more than 750 mL, and an annual TKV slope increase of more than 5% as measured by magnetic resonance imaging (MRI), computed tomographic (CT) scanning, or ultrasound were included.
Estimated Slope of Estimated Glomerular Filtration Rate (e-GFR) During Pre-administration and Administration
Pre-administration
-3.6272 %/year
Standard Error 0.3572
Estimated Slope of Estimated Glomerular Filtration Rate (e-GFR) During Pre-administration and Administration
During-treatment
-3.2561 %/year
Standard Error 0.0552

OTHER_PRE_SPECIFIED outcome

Timeframe: Adverse events were collected during the period from the start date to the end date of tolvaptan administration for each case (max. 8 years).

Population: Elderly patients: Aged 65 years and older Non-elderly patients: Aged under 65 years

The incidence rates of Adverse Drug Reactions(ADRs) were calculated for 192 elderly patients aged 65 years and older, and compared with those in non-elderly patients under 65 years of age.

Outcome measures

Outcome measures
Measure
ADPKD
n=1672 Participants
Patients with a diagnosis of ADPKD, a TKV of more than 750 mL, and an annual TKV slope increase of more than 5% as measured by magnetic resonance imaging (MRI), computed tomographic (CT) scanning, or ultrasound were included.
The Number and Percentage of Adverse Events Observed in Patients Aged 65 Years and Older
Elderly patients
87 Participants
The Number and Percentage of Adverse Events Observed in Patients Aged 65 Years and Older
Non-elderly patients
690 Participants

OTHER_PRE_SPECIFIED outcome

Timeframe: Adverse events were collected during the period from the start date to the end date of tolvaptan administration for each case (max. 8 years).

Population: The study cases were divided into the following three groups based on creatinine clearance before administration, and the incidence rate of ADRs was calculated for each group: less than 60 mL/min, 60 to less than 80 mL/min, and 80 mL/min or more.

Adverse events were summarized in patients with advanced ADPKD who had their creatinine clearance measured at the start of tolvaptan treatment. Patients with advanced ADPKD were defined as those with a pre-treatment creatinine clearance of less than 60 mL/min. The incidence rates of Adverse Drug Reactions(ADRs) were calculated for 752 patients with creatinine clearance \<60 mL/min, 261 patients with clearance between 60 and \<80 mL/min, and 331 patients with clearance ≥80 mL/min, and the rates were compared across the creatinine clearance groups.

Outcome measures

Outcome measures
Measure
ADPKD
n=1344 Participants
Patients with a diagnosis of ADPKD, a TKV of more than 750 mL, and an annual TKV slope increase of more than 5% as measured by magnetic resonance imaging (MRI), computed tomographic (CT) scanning, or ultrasound were included.
Safety in Patients With Advanced ADPKD
creatinine clearance <60 mL/min
346 Participants
Safety in Patients With Advanced ADPKD
creatinine clearance between 60 and <80 mL/min
129 Participants
Safety in Patients With Advanced ADPKD
creatinine clearance ≥80 mL/min
157 Participants

OTHER_PRE_SPECIFIED outcome

Timeframe: Adverse events were collected during the period from the start date to the end date of tolvaptan administration for each case (max. 8 years).

Population: The incidence rate of ADRs was calculated for each time interval from the start of administration. Cases exceeding 36 months were classified as long-term treatment. In cases where the same ADR occurred multiple times in the same patient, all occurrences were included in the calculation.

In the clinical trials conducted prior to approval, there were no cases in which Samsca was administered continuously for more than three years. In this post-marketing surveillance, cases exceeding the three-year (36-month) treatment period of the pre-approval clinical trials were classified as long-term treatment cases. The safety of long-term treatment was evaluated based on the incidence rate of adverse drug reactions (ADRs) according to the timing of their onset.

Outcome measures

Outcome measures
Measure
ADPKD
n=1672 Participants
Patients with a diagnosis of ADPKD, a TKV of more than 750 mL, and an annual TKV slope increase of more than 5% as measured by magnetic resonance imaging (MRI), computed tomographic (CT) scanning, or ultrasound were included.
Safety of Long-term Treatment for ADPKD
≤7 days
201 Participants
Safety of Long-term Treatment for ADPKD
8-14 days
45 Participants
Safety of Long-term Treatment for ADPKD
15-21 days
45 Participants
Safety of Long-term Treatment for ADPKD
>21 days to ≤3 months
165 Participants
Safety of Long-term Treatment for ADPKD
>3 to ≤6 months
174 Participants
Safety of Long-term Treatment for ADPKD
>6 to ≤9 months
129 Participants
Safety of Long-term Treatment for ADPKD
>9 to ≤12 months
78 Participants
Safety of Long-term Treatment for ADPKD
>12 to ≤24 months
129 Participants
Safety of Long-term Treatment for ADPKD
>24 to ≤36 months
120 Participants
Safety of Long-term Treatment for ADPKD
>36 to ≤48 months
56 Participants
Safety of Long-term Treatment for ADPKD
>48 to ≤60 months
40 Participants
Safety of Long-term Treatment for ADPKD
>60 to ≤72 months
30 Participants
Safety of Long-term Treatment for ADPKD
>72 to ≤84 months
3 Participants
Safety of Long-term Treatment for ADPKD
>84 months
1 Participants

Adverse Events

ADPKD

Serious events: 253 serious events
Other events: 1086 other events
Deaths: 21 deaths

Serious adverse events

Serious adverse events
Measure
ADPKD
n=1672 participants at risk
Patients with a diagnosis of ADPKD, a TKV of more than 750 mL, and an annual TKVslope increase of more than 5% as measured by magnetic resonance imaging (MRI), computed tomographic (CT) scanning, or ultrasound were included.
Blood and lymphatic system disorders
Anemia
0.12%
2/1672 • Number of events 2 • Adverse events were collected during the period from the start date to the end date of tolvaptan administration for each case (max. 8 years).
The adverse events (if any occurred), onset date, seriousness, reason to have judge the event as serious (in case of serious), outcome, date of outcome judgement, causality to tolvaptan, other possible causal factors, and treatment for adverse events during the observation period were recorded. Seriousness was determined by the physicians.
Blood and lymphatic system disorders
Disseminated Intravascular Coagulation
0.12%
2/1672 • Number of events 2 • Adverse events were collected during the period from the start date to the end date of tolvaptan administration for each case (max. 8 years).
The adverse events (if any occurred), onset date, seriousness, reason to have judge the event as serious (in case of serious), outcome, date of outcome judgement, causality to tolvaptan, other possible causal factors, and treatment for adverse events during the observation period were recorded. Seriousness was determined by the physicians.
Cardiac disorders
Chronic Heart Failure
0.12%
2/1672 • Number of events 2 • Adverse events were collected during the period from the start date to the end date of tolvaptan administration for each case (max. 8 years).
The adverse events (if any occurred), onset date, seriousness, reason to have judge the event as serious (in case of serious), outcome, date of outcome judgement, causality to tolvaptan, other possible causal factors, and treatment for adverse events during the observation period were recorded. Seriousness was determined by the physicians.
Gastrointestinal disorders
Abdominal distension
0.12%
2/1672 • Number of events 2 • Adverse events were collected during the period from the start date to the end date of tolvaptan administration for each case (max. 8 years).
The adverse events (if any occurred), onset date, seriousness, reason to have judge the event as serious (in case of serious), outcome, date of outcome judgement, causality to tolvaptan, other possible causal factors, and treatment for adverse events during the observation period were recorded. Seriousness was determined by the physicians.
Gastrointestinal disorders
Ascites
0.18%
3/1672 • Number of events 3 • Adverse events were collected during the period from the start date to the end date of tolvaptan administration for each case (max. 8 years).
The adverse events (if any occurred), onset date, seriousness, reason to have judge the event as serious (in case of serious), outcome, date of outcome judgement, causality to tolvaptan, other possible causal factors, and treatment for adverse events during the observation period were recorded. Seriousness was determined by the physicians.
Gastrointestinal disorders
Colonic polyps
0.12%
2/1672 • Number of events 2 • Adverse events were collected during the period from the start date to the end date of tolvaptan administration for each case (max. 8 years).
The adverse events (if any occurred), onset date, seriousness, reason to have judge the event as serious (in case of serious), outcome, date of outcome judgement, causality to tolvaptan, other possible causal factors, and treatment for adverse events during the observation period were recorded. Seriousness was determined by the physicians.
Gastrointestinal disorders
Diarrhea
0.12%
2/1672 • Number of events 2 • Adverse events were collected during the period from the start date to the end date of tolvaptan administration for each case (max. 8 years).
The adverse events (if any occurred), onset date, seriousness, reason to have judge the event as serious (in case of serious), outcome, date of outcome judgement, causality to tolvaptan, other possible causal factors, and treatment for adverse events during the observation period were recorded. Seriousness was determined by the physicians.
Gastrointestinal disorders
Duodenal ulcer
0.12%
2/1672 • Number of events 2 • Adverse events were collected during the period from the start date to the end date of tolvaptan administration for each case (max. 8 years).
The adverse events (if any occurred), onset date, seriousness, reason to have judge the event as serious (in case of serious), outcome, date of outcome judgement, causality to tolvaptan, other possible causal factors, and treatment for adverse events during the observation period were recorded. Seriousness was determined by the physicians.
Gastrointestinal disorders
Enteritis
0.24%
4/1672 • Number of events 4 • Adverse events were collected during the period from the start date to the end date of tolvaptan administration for each case (max. 8 years).
The adverse events (if any occurred), onset date, seriousness, reason to have judge the event as serious (in case of serious), outcome, date of outcome judgement, causality to tolvaptan, other possible causal factors, and treatment for adverse events during the observation period were recorded. Seriousness was determined by the physicians.
General disorders
Death
0.12%
2/1672 • Number of events 2 • Adverse events were collected during the period from the start date to the end date of tolvaptan administration for each case (max. 8 years).
The adverse events (if any occurred), onset date, seriousness, reason to have judge the event as serious (in case of serious), outcome, date of outcome judgement, causality to tolvaptan, other possible causal factors, and treatment for adverse events during the observation period were recorded. Seriousness was determined by the physicians.
General disorders
Fever
0.12%
2/1672 • Number of events 2 • Adverse events were collected during the period from the start date to the end date of tolvaptan administration for each case (max. 8 years).
The adverse events (if any occurred), onset date, seriousness, reason to have judge the event as serious (in case of serious), outcome, date of outcome judgement, causality to tolvaptan, other possible causal factors, and treatment for adverse events during the observation period were recorded. Seriousness was determined by the physicians.
General disorders
Hemorrhagic cyst
0.18%
3/1672 • Number of events 3 • Adverse events were collected during the period from the start date to the end date of tolvaptan administration for each case (max. 8 years).
The adverse events (if any occurred), onset date, seriousness, reason to have judge the event as serious (in case of serious), outcome, date of outcome judgement, causality to tolvaptan, other possible causal factors, and treatment for adverse events during the observation period were recorded. Seriousness was determined by the physicians.
General disorders
Peripheral edema
0.12%
2/1672 • Number of events 2 • Adverse events were collected during the period from the start date to the end date of tolvaptan administration for each case (max. 8 years).
The adverse events (if any occurred), onset date, seriousness, reason to have judge the event as serious (in case of serious), outcome, date of outcome judgement, causality to tolvaptan, other possible causal factors, and treatment for adverse events during the observation period were recorded. Seriousness was determined by the physicians.
Hepatobiliary disorders
Cholecystitis
0.18%
3/1672 • Number of events 3 • Adverse events were collected during the period from the start date to the end date of tolvaptan administration for each case (max. 8 years).
The adverse events (if any occurred), onset date, seriousness, reason to have judge the event as serious (in case of serious), outcome, date of outcome judgement, causality to tolvaptan, other possible causal factors, and treatment for adverse events during the observation period were recorded. Seriousness was determined by the physicians.
Hepatobiliary disorders
Drug-induced Liver Injury
0.18%
3/1672 • Number of events 3 • Adverse events were collected during the period from the start date to the end date of tolvaptan administration for each case (max. 8 years).
The adverse events (if any occurred), onset date, seriousness, reason to have judge the event as serious (in case of serious), outcome, date of outcome judgement, causality to tolvaptan, other possible causal factors, and treatment for adverse events during the observation period were recorded. Seriousness was determined by the physicians.
Hepatobiliary disorders
Liver Cysts
0.12%
2/1672 • Number of events 2 • Adverse events were collected during the period from the start date to the end date of tolvaptan administration for each case (max. 8 years).
The adverse events (if any occurred), onset date, seriousness, reason to have judge the event as serious (in case of serious), outcome, date of outcome judgement, causality to tolvaptan, other possible causal factors, and treatment for adverse events during the observation period were recorded. Seriousness was determined by the physicians.
Hepatobiliary disorders
Liver Damage
0.48%
8/1672 • Number of events 8 • Adverse events were collected during the period from the start date to the end date of tolvaptan administration for each case (max. 8 years).
The adverse events (if any occurred), onset date, seriousness, reason to have judge the event as serious (in case of serious), outcome, date of outcome judgement, causality to tolvaptan, other possible causal factors, and treatment for adverse events during the observation period were recorded. Seriousness was determined by the physicians.
Hepatobiliary disorders
Liver Dysfunction
0.84%
14/1672 • Number of events 14 • Adverse events were collected during the period from the start date to the end date of tolvaptan administration for each case (max. 8 years).
The adverse events (if any occurred), onset date, seriousness, reason to have judge the event as serious (in case of serious), outcome, date of outcome judgement, causality to tolvaptan, other possible causal factors, and treatment for adverse events during the observation period were recorded. Seriousness was determined by the physicians.
Infections and infestations
Appendicitis
0.18%
3/1672 • Number of events 3 • Adverse events were collected during the period from the start date to the end date of tolvaptan administration for each case (max. 8 years).
The adverse events (if any occurred), onset date, seriousness, reason to have judge the event as serious (in case of serious), outcome, date of outcome judgement, causality to tolvaptan, other possible causal factors, and treatment for adverse events during the observation period were recorded. Seriousness was determined by the physicians.
Infections and infestations
Cellulitis
0.12%
2/1672 • Number of events 2 • Adverse events were collected during the period from the start date to the end date of tolvaptan administration for each case (max. 8 years).
The adverse events (if any occurred), onset date, seriousness, reason to have judge the event as serious (in case of serious), outcome, date of outcome judgement, causality to tolvaptan, other possible causal factors, and treatment for adverse events during the observation period were recorded. Seriousness was determined by the physicians.
Infections and infestations
Diverticulitis
0.12%
2/1672 • Number of events 2 • Adverse events were collected during the period from the start date to the end date of tolvaptan administration for each case (max. 8 years).
The adverse events (if any occurred), onset date, seriousness, reason to have judge the event as serious (in case of serious), outcome, date of outcome judgement, causality to tolvaptan, other possible causal factors, and treatment for adverse events during the observation period were recorded. Seriousness was determined by the physicians.
Infections and infestations
Infectious Cyst
0.78%
13/1672 • Number of events 13 • Adverse events were collected during the period from the start date to the end date of tolvaptan administration for each case (max. 8 years).
The adverse events (if any occurred), onset date, seriousness, reason to have judge the event as serious (in case of serious), outcome, date of outcome judgement, causality to tolvaptan, other possible causal factors, and treatment for adverse events during the observation period were recorded. Seriousness was determined by the physicians.
Infections and infestations
Liver Cyst Infection
0.48%
8/1672 • Number of events 8 • Adverse events were collected during the period from the start date to the end date of tolvaptan administration for each case (max. 8 years).
The adverse events (if any occurred), onset date, seriousness, reason to have judge the event as serious (in case of serious), outcome, date of outcome judgement, causality to tolvaptan, other possible causal factors, and treatment for adverse events during the observation period were recorded. Seriousness was determined by the physicians.
Infections and infestations
Peritonitis
0.12%
2/1672 • Number of events 2 • Adverse events were collected during the period from the start date to the end date of tolvaptan administration for each case (max. 8 years).
The adverse events (if any occurred), onset date, seriousness, reason to have judge the event as serious (in case of serious), outcome, date of outcome judgement, causality to tolvaptan, other possible causal factors, and treatment for adverse events during the observation period were recorded. Seriousness was determined by the physicians.
Infections and infestations
Pneumonia
0.12%
2/1672 • Number of events 2 • Adverse events were collected during the period from the start date to the end date of tolvaptan administration for each case (max. 8 years).
The adverse events (if any occurred), onset date, seriousness, reason to have judge the event as serious (in case of serious), outcome, date of outcome judgement, causality to tolvaptan, other possible causal factors, and treatment for adverse events during the observation period were recorded. Seriousness was determined by the physicians.
Infections and infestations
Pyelonephritis
0.24%
4/1672 • Number of events 4 • Adverse events were collected during the period from the start date to the end date of tolvaptan administration for each case (max. 8 years).
The adverse events (if any occurred), onset date, seriousness, reason to have judge the event as serious (in case of serious), outcome, date of outcome judgement, causality to tolvaptan, other possible causal factors, and treatment for adverse events during the observation period were recorded. Seriousness was determined by the physicians.
Infections and infestations
Renal Cyst Infection
1.9%
32/1672 • Number of events 32 • Adverse events were collected during the period from the start date to the end date of tolvaptan administration for each case (max. 8 years).
The adverse events (if any occurred), onset date, seriousness, reason to have judge the event as serious (in case of serious), outcome, date of outcome judgement, causality to tolvaptan, other possible causal factors, and treatment for adverse events during the observation period were recorded. Seriousness was determined by the physicians.
Infections and infestations
Sepsis
0.18%
3/1672 • Number of events 3 • Adverse events were collected during the period from the start date to the end date of tolvaptan administration for each case (max. 8 years).
The adverse events (if any occurred), onset date, seriousness, reason to have judge the event as serious (in case of serious), outcome, date of outcome judgement, causality to tolvaptan, other possible causal factors, and treatment for adverse events during the observation period were recorded. Seriousness was determined by the physicians.
Infections and infestations
Septic Shock
0.12%
2/1672 • Number of events 2 • Adverse events were collected during the period from the start date to the end date of tolvaptan administration for each case (max. 8 years).
The adverse events (if any occurred), onset date, seriousness, reason to have judge the event as serious (in case of serious), outcome, date of outcome judgement, causality to tolvaptan, other possible causal factors, and treatment for adverse events during the observation period were recorded. Seriousness was determined by the physicians.
Infections and infestations
Urinary Tract Infection
0.12%
2/1672 • Number of events 2 • Adverse events were collected during the period from the start date to the end date of tolvaptan administration for each case (max. 8 years).
The adverse events (if any occurred), onset date, seriousness, reason to have judge the event as serious (in case of serious), outcome, date of outcome judgement, causality to tolvaptan, other possible causal factors, and treatment for adverse events during the observation period were recorded. Seriousness was determined by the physicians.
Injury, poisoning and procedural complications
Scar hernia
0.12%
2/1672 • Number of events 2 • Adverse events were collected during the period from the start date to the end date of tolvaptan administration for each case (max. 8 years).
The adverse events (if any occurred), onset date, seriousness, reason to have judge the event as serious (in case of serious), outcome, date of outcome judgement, causality to tolvaptan, other possible causal factors, and treatment for adverse events during the observation period were recorded. Seriousness was determined by the physicians.
Injury, poisoning and procedural complications
Subdural hematoma
0.24%
4/1672 • Number of events 4 • Adverse events were collected during the period from the start date to the end date of tolvaptan administration for each case (max. 8 years).
The adverse events (if any occurred), onset date, seriousness, reason to have judge the event as serious (in case of serious), outcome, date of outcome judgement, causality to tolvaptan, other possible causal factors, and treatment for adverse events during the observation period were recorded. Seriousness was determined by the physicians.
Investigations
Increase in Blood Creatinine
0.12%
2/1672 • Number of events 2 • Adverse events were collected during the period from the start date to the end date of tolvaptan administration for each case (max. 8 years).
The adverse events (if any occurred), onset date, seriousness, reason to have judge the event as serious (in case of serious), outcome, date of outcome judgement, causality to tolvaptan, other possible causal factors, and treatment for adverse events during the observation period were recorded. Seriousness was determined by the physicians.
Investigations
Increase in Blood Osmotic Pressure
0.12%
2/1672 • Number of events 2 • Adverse events were collected during the period from the start date to the end date of tolvaptan administration for each case (max. 8 years).
The adverse events (if any occurred), onset date, seriousness, reason to have judge the event as serious (in case of serious), outcome, date of outcome judgement, causality to tolvaptan, other possible causal factors, and treatment for adverse events during the observation period were recorded. Seriousness was determined by the physicians.
Investigations
Increase in C-Reactive Protein
0.12%
2/1672 • Number of events 2 • Adverse events were collected during the period from the start date to the end date of tolvaptan administration for each case (max. 8 years).
The adverse events (if any occurred), onset date, seriousness, reason to have judge the event as serious (in case of serious), outcome, date of outcome judgement, causality to tolvaptan, other possible causal factors, and treatment for adverse events during the observation period were recorded. Seriousness was determined by the physicians.
Investigations
Increase in Liver Enzymes
0.12%
2/1672 • Number of events 2 • Adverse events were collected during the period from the start date to the end date of tolvaptan administration for each case (max. 8 years).
The adverse events (if any occurred), onset date, seriousness, reason to have judge the event as serious (in case of serious), outcome, date of outcome judgement, causality to tolvaptan, other possible causal factors, and treatment for adverse events during the observation period were recorded. Seriousness was determined by the physicians.
Metabolism and nutrition disorders
Dehydration
0.12%
2/1672 • Number of events 2 • Adverse events were collected during the period from the start date to the end date of tolvaptan administration for each case (max. 8 years).
The adverse events (if any occurred), onset date, seriousness, reason to have judge the event as serious (in case of serious), outcome, date of outcome judgement, causality to tolvaptan, other possible causal factors, and treatment for adverse events during the observation period were recorded. Seriousness was determined by the physicians.
Metabolism and nutrition disorders
Hyponatremia
0.12%
2/1672 • Number of events 2 • Adverse events were collected during the period from the start date to the end date of tolvaptan administration for each case (max. 8 years).
The adverse events (if any occurred), onset date, seriousness, reason to have judge the event as serious (in case of serious), outcome, date of outcome judgement, causality to tolvaptan, other possible causal factors, and treatment for adverse events during the observation period were recorded. Seriousness was determined by the physicians.
Metabolism and nutrition disorders
Loss of appetite
0.12%
2/1672 • Number of events 2 • Adverse events were collected during the period from the start date to the end date of tolvaptan administration for each case (max. 8 years).
The adverse events (if any occurred), onset date, seriousness, reason to have judge the event as serious (in case of serious), outcome, date of outcome judgement, causality to tolvaptan, other possible causal factors, and treatment for adverse events during the observation period were recorded. Seriousness was determined by the physicians.
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Colorectal Cancer
0.12%
2/1672 • Number of events 2 • Adverse events were collected during the period from the start date to the end date of tolvaptan administration for each case (max. 8 years).
The adverse events (if any occurred), onset date, seriousness, reason to have judge the event as serious (in case of serious), outcome, date of outcome judgement, causality to tolvaptan, other possible causal factors, and treatment for adverse events during the observation period were recorded. Seriousness was determined by the physicians.
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Gastric Cancer
0.18%
3/1672 • Number of events 3 • Adverse events were collected during the period from the start date to the end date of tolvaptan administration for each case (max. 8 years).
The adverse events (if any occurred), onset date, seriousness, reason to have judge the event as serious (in case of serious), outcome, date of outcome judgement, causality to tolvaptan, other possible causal factors, and treatment for adverse events during the observation period were recorded. Seriousness was determined by the physicians.
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Liver Metastasis
0.12%
2/1672 • Number of events 2 • Adverse events were collected during the period from the start date to the end date of tolvaptan administration for each case (max. 8 years).
The adverse events (if any occurred), onset date, seriousness, reason to have judge the event as serious (in case of serious), outcome, date of outcome judgement, causality to tolvaptan, other possible causal factors, and treatment for adverse events during the observation period were recorded. Seriousness was determined by the physicians.
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Malignant Neoplasm of the Lung
0.12%
2/1672 • Number of events 2 • Adverse events were collected during the period from the start date to the end date of tolvaptan administration for each case (max. 8 years).
The adverse events (if any occurred), onset date, seriousness, reason to have judge the event as serious (in case of serious), outcome, date of outcome judgement, causality to tolvaptan, other possible causal factors, and treatment for adverse events during the observation period were recorded. Seriousness was determined by the physicians.
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Prostate Cancer
0.24%
4/1672 • Number of events 4 • Adverse events were collected during the period from the start date to the end date of tolvaptan administration for each case (max. 8 years).
The adverse events (if any occurred), onset date, seriousness, reason to have judge the event as serious (in case of serious), outcome, date of outcome judgement, causality to tolvaptan, other possible causal factors, and treatment for adverse events during the observation period were recorded. Seriousness was determined by the physicians.
Nervous system disorders
Altered state of consciousness
0.12%
2/1672 • Number of events 2 • Adverse events were collected during the period from the start date to the end date of tolvaptan administration for each case (max. 8 years).
The adverse events (if any occurred), onset date, seriousness, reason to have judge the event as serious (in case of serious), outcome, date of outcome judgement, causality to tolvaptan, other possible causal factors, and treatment for adverse events during the observation period were recorded. Seriousness was determined by the physicians.
Nervous system disorders
Cerebral hemorrhage
0.18%
3/1672 • Number of events 3 • Adverse events were collected during the period from the start date to the end date of tolvaptan administration for each case (max. 8 years).
The adverse events (if any occurred), onset date, seriousness, reason to have judge the event as serious (in case of serious), outcome, date of outcome judgement, causality to tolvaptan, other possible causal factors, and treatment for adverse events during the observation period were recorded. Seriousness was determined by the physicians.
Nervous system disorders
Cerebral infarction
0.18%
3/1672 • Number of events 3 • Adverse events were collected during the period from the start date to the end date of tolvaptan administration for each case (max. 8 years).
The adverse events (if any occurred), onset date, seriousness, reason to have judge the event as serious (in case of serious), outcome, date of outcome judgement, causality to tolvaptan, other possible causal factors, and treatment for adverse events during the observation period were recorded. Seriousness was determined by the physicians.
Nervous system disorders
Intracranial aneurysm
0.30%
5/1672 • Number of events 5 • Adverse events were collected during the period from the start date to the end date of tolvaptan administration for each case (max. 8 years).
The adverse events (if any occurred), onset date, seriousness, reason to have judge the event as serious (in case of serious), outcome, date of outcome judgement, causality to tolvaptan, other possible causal factors, and treatment for adverse events during the observation period were recorded. Seriousness was determined by the physicians.
Nervous system disorders
Putaminal hemorrhage
0.12%
2/1672 • Number of events 2 • Adverse events were collected during the period from the start date to the end date of tolvaptan administration for each case (max. 8 years).
The adverse events (if any occurred), onset date, seriousness, reason to have judge the event as serious (in case of serious), outcome, date of outcome judgement, causality to tolvaptan, other possible causal factors, and treatment for adverse events during the observation period were recorded. Seriousness was determined by the physicians.
Nervous system disorders
Subarachnoid hemorrhage
0.66%
11/1672 • Number of events 11 • Adverse events were collected during the period from the start date to the end date of tolvaptan administration for each case (max. 8 years).
The adverse events (if any occurred), onset date, seriousness, reason to have judge the event as serious (in case of serious), outcome, date of outcome judgement, causality to tolvaptan, other possible causal factors, and treatment for adverse events during the observation period were recorded. Seriousness was determined by the physicians.
Renal and urinary disorders
Acute Kidney Injury
0.12%
2/1672 • Number of events 2 • Adverse events were collected during the period from the start date to the end date of tolvaptan administration for each case (max. 8 years).
The adverse events (if any occurred), onset date, seriousness, reason to have judge the event as serious (in case of serious), outcome, date of outcome judgement, causality to tolvaptan, other possible causal factors, and treatment for adverse events during the observation period were recorded. Seriousness was determined by the physicians.
Renal and urinary disorders
Chronic Kidney Disease
0.36%
6/1672 • Number of events 6 • Adverse events were collected during the period from the start date to the end date of tolvaptan administration for each case (max. 8 years).
The adverse events (if any occurred), onset date, seriousness, reason to have judge the event as serious (in case of serious), outcome, date of outcome judgement, causality to tolvaptan, other possible causal factors, and treatment for adverse events during the observation period were recorded. Seriousness was determined by the physicians.
Renal and urinary disorders
End-Stage Renal Disease
0.24%
4/1672 • Number of events 4 • Adverse events were collected during the period from the start date to the end date of tolvaptan administration for each case (max. 8 years).
The adverse events (if any occurred), onset date, seriousness, reason to have judge the event as serious (in case of serious), outcome, date of outcome judgement, causality to tolvaptan, other possible causal factors, and treatment for adverse events during the observation period were recorded. Seriousness was determined by the physicians.
Renal and urinary disorders
Hematuria
0.12%
2/1672 • Number of events 2 • Adverse events were collected during the period from the start date to the end date of tolvaptan administration for each case (max. 8 years).
The adverse events (if any occurred), onset date, seriousness, reason to have judge the event as serious (in case of serious), outcome, date of outcome judgement, causality to tolvaptan, other possible causal factors, and treatment for adverse events during the observation period were recorded. Seriousness was determined by the physicians.
Renal and urinary disorders
Renal Cyst Hemorrhage
0.90%
15/1672 • Number of events 15 • Adverse events were collected during the period from the start date to the end date of tolvaptan administration for each case (max. 8 years).
The adverse events (if any occurred), onset date, seriousness, reason to have judge the event as serious (in case of serious), outcome, date of outcome judgement, causality to tolvaptan, other possible causal factors, and treatment for adverse events during the observation period were recorded. Seriousness was determined by the physicians.
Renal and urinary disorders
Renal Dysfunction
0.66%
11/1672 • Number of events 11 • Adverse events were collected during the period from the start date to the end date of tolvaptan administration for each case (max. 8 years).
The adverse events (if any occurred), onset date, seriousness, reason to have judge the event as serious (in case of serious), outcome, date of outcome judgement, causality to tolvaptan, other possible causal factors, and treatment for adverse events during the observation period were recorded. Seriousness was determined by the physicians.
Renal and urinary disorders
Renal Failure
0.90%
15/1672 • Number of events 15 • Adverse events were collected during the period from the start date to the end date of tolvaptan administration for each case (max. 8 years).
The adverse events (if any occurred), onset date, seriousness, reason to have judge the event as serious (in case of serious), outcome, date of outcome judgement, causality to tolvaptan, other possible causal factors, and treatment for adverse events during the observation period were recorded. Seriousness was determined by the physicians.
Renal and urinary disorders
Ureteral Calculi
0.30%
5/1672 • Number of events 5 • Adverse events were collected during the period from the start date to the end date of tolvaptan administration for each case (max. 8 years).
The adverse events (if any occurred), onset date, seriousness, reason to have judge the event as serious (in case of serious), outcome, date of outcome judgement, causality to tolvaptan, other possible causal factors, and treatment for adverse events during the observation period were recorded. Seriousness was determined by the physicians.
Reproductive system and breast disorders
Prostatitis
0.12%
2/1672 • Number of events 2 • Adverse events were collected during the period from the start date to the end date of tolvaptan administration for each case (max. 8 years).
The adverse events (if any occurred), onset date, seriousness, reason to have judge the event as serious (in case of serious), outcome, date of outcome judgement, causality to tolvaptan, other possible causal factors, and treatment for adverse events during the observation period were recorded. Seriousness was determined by the physicians.
Reproductive system and breast disorders
Severe menstrual bleeding
0.12%
2/1672 • Number of events 2 • Adverse events were collected during the period from the start date to the end date of tolvaptan administration for each case (max. 8 years).
The adverse events (if any occurred), onset date, seriousness, reason to have judge the event as serious (in case of serious), outcome, date of outcome judgement, causality to tolvaptan, other possible causal factors, and treatment for adverse events during the observation period were recorded. Seriousness was determined by the physicians.
Vascular disorders
Aortic Dissection
0.30%
5/1672 • Number of events 5 • Adverse events were collected during the period from the start date to the end date of tolvaptan administration for each case (max. 8 years).
The adverse events (if any occurred), onset date, seriousness, reason to have judge the event as serious (in case of serious), outcome, date of outcome judgement, causality to tolvaptan, other possible causal factors, and treatment for adverse events during the observation period were recorded. Seriousness was determined by the physicians.

Other adverse events

Other adverse events
Measure
ADPKD
n=1672 participants at risk
Patients with a diagnosis of ADPKD, a TKV of more than 750 mL, and an annual TKVslope increase of more than 5% as measured by magnetic resonance imaging (MRI), computed tomographic (CT) scanning, or ultrasound were included.
Infections and infestations
Pharyngitis
2.8%
46/1672 • Number of events 46 • Adverse events were collected during the period from the start date to the end date of tolvaptan administration for each case (max. 8 years).
The adverse events (if any occurred), onset date, seriousness, reason to have judge the event as serious (in case of serious), outcome, date of outcome judgement, causality to tolvaptan, other possible causal factors, and treatment for adverse events during the observation period were recorded. Seriousness was determined by the physicians.
Infections and infestations
Renal Cyst Infection
2.7%
45/1672 • Number of events 45 • Adverse events were collected during the period from the start date to the end date of tolvaptan administration for each case (max. 8 years).
The adverse events (if any occurred), onset date, seriousness, reason to have judge the event as serious (in case of serious), outcome, date of outcome judgement, causality to tolvaptan, other possible causal factors, and treatment for adverse events during the observation period were recorded. Seriousness was determined by the physicians.
Metabolism and nutrition disorders
Hyperkalemia
3.6%
61/1672 • Number of events 61 • Adverse events were collected during the period from the start date to the end date of tolvaptan administration for each case (max. 8 years).
The adverse events (if any occurred), onset date, seriousness, reason to have judge the event as serious (in case of serious), outcome, date of outcome judgement, causality to tolvaptan, other possible causal factors, and treatment for adverse events during the observation period were recorded. Seriousness was determined by the physicians.
Metabolism and nutrition disorders
Hypernatremia
5.6%
93/1672 • Number of events 93 • Adverse events were collected during the period from the start date to the end date of tolvaptan administration for each case (max. 8 years).
The adverse events (if any occurred), onset date, seriousness, reason to have judge the event as serious (in case of serious), outcome, date of outcome judgement, causality to tolvaptan, other possible causal factors, and treatment for adverse events during the observation period were recorded. Seriousness was determined by the physicians.
Metabolism and nutrition disorders
Hyperuricemia
10.6%
177/1672 • Number of events 177 • Adverse events were collected during the period from the start date to the end date of tolvaptan administration for each case (max. 8 years).
The adverse events (if any occurred), onset date, seriousness, reason to have judge the event as serious (in case of serious), outcome, date of outcome judgement, causality to tolvaptan, other possible causal factors, and treatment for adverse events during the observation period were recorded. Seriousness was determined by the physicians.
Vascular disorders
Hypertension
3.0%
50/1672 • Number of events 50 • Adverse events were collected during the period from the start date to the end date of tolvaptan administration for each case (max. 8 years).
The adverse events (if any occurred), onset date, seriousness, reason to have judge the event as serious (in case of serious), outcome, date of outcome judgement, causality to tolvaptan, other possible causal factors, and treatment for adverse events during the observation period were recorded. Seriousness was determined by the physicians.
Gastrointestinal disorders
Constipation
2.1%
35/1672 • Number of events 35 • Adverse events were collected during the period from the start date to the end date of tolvaptan administration for each case (max. 8 years).
The adverse events (if any occurred), onset date, seriousness, reason to have judge the event as serious (in case of serious), outcome, date of outcome judgement, causality to tolvaptan, other possible causal factors, and treatment for adverse events during the observation period were recorded. Seriousness was determined by the physicians.
Hepatobiliary disorders
Liver Function Disorder
10.6%
178/1672 • Number of events 178 • Adverse events were collected during the period from the start date to the end date of tolvaptan administration for each case (max. 8 years).
The adverse events (if any occurred), onset date, seriousness, reason to have judge the event as serious (in case of serious), outcome, date of outcome judgement, causality to tolvaptan, other possible causal factors, and treatment for adverse events during the observation period were recorded. Seriousness was determined by the physicians.
Hepatobiliary disorders
Liver Disorder
3.5%
59/1672 • Number of events 59 • Adverse events were collected during the period from the start date to the end date of tolvaptan administration for each case (max. 8 years).
The adverse events (if any occurred), onset date, seriousness, reason to have judge the event as serious (in case of serious), outcome, date of outcome judgement, causality to tolvaptan, other possible causal factors, and treatment for adverse events during the observation period were recorded. Seriousness was determined by the physicians.
Musculoskeletal and connective tissue disorders
Back Pain
2.6%
44/1672 • Number of events 44 • Adverse events were collected during the period from the start date to the end date of tolvaptan administration for each case (max. 8 years).
The adverse events (if any occurred), onset date, seriousness, reason to have judge the event as serious (in case of serious), outcome, date of outcome judgement, causality to tolvaptan, other possible causal factors, and treatment for adverse events during the observation period were recorded. Seriousness was determined by the physicians.
Renal and urinary disorders
Renal Failure
2.0%
34/1672 • Number of events 34 • Adverse events were collected during the period from the start date to the end date of tolvaptan administration for each case (max. 8 years).
The adverse events (if any occurred), onset date, seriousness, reason to have judge the event as serious (in case of serious), outcome, date of outcome judgement, causality to tolvaptan, other possible causal factors, and treatment for adverse events during the observation period were recorded. Seriousness was determined by the physicians.
Renal and urinary disorders
Renal Dysfunction
6.3%
106/1672 • Number of events 106 • Adverse events were collected during the period from the start date to the end date of tolvaptan administration for each case (max. 8 years).
The adverse events (if any occurred), onset date, seriousness, reason to have judge the event as serious (in case of serious), outcome, date of outcome judgement, causality to tolvaptan, other possible causal factors, and treatment for adverse events during the observation period were recorded. Seriousness was determined by the physicians.
General disorders
Thirst
8.1%
135/1672 • Number of events 135 • Adverse events were collected during the period from the start date to the end date of tolvaptan administration for each case (max. 8 years).
The adverse events (if any occurred), onset date, seriousness, reason to have judge the event as serious (in case of serious), outcome, date of outcome judgement, causality to tolvaptan, other possible causal factors, and treatment for adverse events during the observation period were recorded. Seriousness was determined by the physicians.
Investigations
Increased Blood Creatine Phosphokinase
2.6%
43/1672 • Number of events 43 • Adverse events were collected during the period from the start date to the end date of tolvaptan administration for each case (max. 8 years).
The adverse events (if any occurred), onset date, seriousness, reason to have judge the event as serious (in case of serious), outcome, date of outcome judgement, causality to tolvaptan, other possible causal factors, and treatment for adverse events during the observation period were recorded. Seriousness was determined by the physicians.
Investigations
Increased Blood Creatinine
2.2%
36/1672 • Number of events 36 • Adverse events were collected during the period from the start date to the end date of tolvaptan administration for each case (max. 8 years).
The adverse events (if any occurred), onset date, seriousness, reason to have judge the event as serious (in case of serious), outcome, date of outcome judgement, causality to tolvaptan, other possible causal factors, and treatment for adverse events during the observation period were recorded. Seriousness was determined by the physicians.
Investigations
Increased Gamma-Glutamyltransferase
2.2%
36/1672 • Number of events 36 • Adverse events were collected during the period from the start date to the end date of tolvaptan administration for each case (max. 8 years).
The adverse events (if any occurred), onset date, seriousness, reason to have judge the event as serious (in case of serious), outcome, date of outcome judgement, causality to tolvaptan, other possible causal factors, and treatment for adverse events during the observation period were recorded. Seriousness was determined by the physicians.

Additional Information

Investigator in charge

Pharmacovigilance Department Otsuka Pharmaceutical Co., Ltd

Phone: +81-6-6943-7722

Results disclosure agreements

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