Trial of Desmopressin Orally Disintegrating Tablets (ODT) for Nocturia Due to Nocturnal Polyuria in Japanese Male Subjects
A Randomised, Double-blind, Placebo-controlled, Multi-centre Trial Investigating the Efficacy and Safety of Desmopressin (FE 992026) Orally Disintegrating Tablets During 12 Weeks of Treatment for Nocturia Due to Nocturnal Polyuria in Japanese Male Subjects
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Study Type
Study Type
Enrollment (Actual)
Enrollment
Phase
Phase
- Phase 3
Contacts and Locations
Study Locations
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-
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Tokyo, Japan
- Investigational site (there may be other sites in this country)
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-
Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
- Written informed consent prior to performance of any trial-related activity
- Man ≥20 years of age
- Nocturia symptoms present for ≥6 months prior to trial entry at Visit 1
- ≥2 nocturnal voids at the end of screening period prior to Visit 2
- Nocturnal polyuria at the end of screening period prior to Visit 2
- Bothered by nocturia on the Hsu 5-point Likert bother scale at Visit 1 and Visit 2
- Has given agreement about contraception during the trial
Exclusion Criteria:
- Evidence of any significant voiding dysfunction resulting in abnormally low bladder capacity at the end of the screening period prior to Visit 2
- History or evidence of significant obstructive sleep apnoea
History or diagnosis of any of the following urological diseases at Visit 1:
- Interstitial cystitis or bladder pain disorder
Suspicion of moderate or severe benign prostate hyperplasia (BPH), defined as international prostate symptom score (IPSS) ≥8 points and:
- Urinary flow <5 mL/s or
- Post-void residual volume >150 mL
- Stress urinary incontinence or mixed incontinence, where stress incontinence is the predominant component based on prior history
- Chronic pelvic pain syndrome
- Surgical treatment, including transurethral resection, for bladder outlet obstruction (BOO) or BPH within the past 6 months prior to Visit 1
Symptoms of severe over-active bladder (OAB):
- Defined as an over-active bladder symptom score (OABSS) ≥12 at Visit 1
- Defined as a mean of >8 voids and a mean of ≥1 urgency episode per 24 hours at the end of the screening period prior to Visit 2
- Genito-urinary tract pathology that can in the investigator's opinion be responsible for urgency or urinary incontinence at Visit 1
- Complication of cancer or a history of cancer which has not been in remission for the last 5 years at Visit 1
- Current or a history of urologic malignancies, any lower urinary tract surgery, previous pelvic irradiation, or neoplasia at Visit 1
- History of any neurological disease affecting bladder function or muscle strength at Visit 1
- Habitual or psychogenic polydipsia based on medical history at Visit 1 or 24 hour urine output of >2.8 L based on the voiding diary at Visit 2
- Central or nephrogenic diabetes insipidus at Visit 1
- Syndrome of inappropriate antidiuretic hormone secretion at Visit 1
- Suspicion or evidence of cardiac failure at Visit 1
- Uncontrolled hypertension at Visit 1
- Uncontrolled diabetes mellitus at Visit 1
- Hyponatraemia (serum sodium level <135 mmol/L) at Visit 1
- Renal insufficiency at Visit 1
- Hepatic and/or biliary diseases at Visit 1
- Known or suspected hypersensitivity to desmopressin ODTs or previous desmopressin treatment for nocturia at Visit 1
- Known alcohol or substance abuse at Visit 1
- Work or lifestyle that may interfere with regular night-time sleep at Visit 1, 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 at Visit 1
- Use of any prohibited therapy during the trial period
Study Plan
How is the study designed?
Design Details
- Primary Purpose: TREATMENT
- Allocation: RANDOMIZED
- Interventional Model: PARALLEL
- Masking: DOUBLE
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
|
Placebo Comparator: Placebo
Placebo ODT
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Experimental: Desmopressin 25 µg
Desmopressin ODT
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Other Names:
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Experimental: Desmopressin 50 µg
Desmopressin ODT
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Other Names:
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What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Change from baseline in mean number of nocturnal voids during 12 weeks of treatment
Time Frame: Week 1, 4, 8 and 12
|
Assessed by the 3-day voiding diary
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Week 1, 4, 8 and 12
|
Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Change from baseline in mean time to first awakening to void
Time Frame: Week 1, 4, 8 and 12
|
Assessed by the 3-day voiding diary
|
Week 1, 4, 8 and 12
|
|
Change from baseline in mean nocturnal urine volume
Time Frame: Week 1, 4, 8 and 12
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Assessed by the 3-day voiding diary
|
Week 1, 4, 8 and 12
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Change from baseline in mean Nocturnal Polyuria Index (NPI)
Time Frame: Week 1, 4, 8 and 12
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Assessed by the 3-day voiding diary
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Week 1, 4, 8 and 12
|
|
Change from baseline in Nocturia-Specific Quality-of-Life Questionnaire (N-QoL)
Time Frame: Week 8 and 12
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Week 8 and 12
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Change from baseline in Insomnia Severity Index (ISI)
Time Frame: Week 8 and 12
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Week 8 and 12
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Change from baseline in bother score
Time Frame: Week 8 and 12
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Assessed by the Hsu 5-point Likert bother scale
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Week 8 and 12
|
|
Frequency and severity of adverse events
Time Frame: From screening to week 12
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From screening to week 12
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Collaborators and Investigators
Sponsor
Sponsor
Publications and helpful links
Helpful Links
Study record dates
Study Major Dates
Study Start (Actual)
Study Start
Primary Completion (Actual)
Primary Completion
Study Completion (Actual)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Estimate)
First Posted
Study Record Updates
Last Update Posted (Actual)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
Other Study ID Numbers
- 000130
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