- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT00230594
Desmopressin Response in the Young (DRY)
Desmopressin Response in the Young: A Double-blind, Randomised, Placebo-controlled, Dose-titration Study With Three Different Doses (120 Mcg, 240 Mcg and 360 Mcg) of Desmopressin Administered as a New Melt Tablet in Children and Adolescents With Primary Nocturnal Enuresis (PNE).
Study Overview
Status
Conditions
Intervention / Treatment
Detailed Description
Primary nocturnal enuresis (PNE), or bedwetting, is a common childhood urological disease. Factors contributing to nocturnal enuresis include nocturnal polyuria due to, at least in part, a relative deficiency of antidiuretic hormone arginine vasopressin (AVP) which has been supported by the finding that some enuretic children lack a nocturnal increase in endogenous AVP secretion. Desmopressin, a synthetic, structural analogue of AVP, selective for V2-receptors and with a longer half life than the natural hormone, has been found to be especially beneficial in PNE subjects with nocturnal polyuria and normal functional bladder capacity.
A melt tablet formulation offers benefits compared to regular tablets and nasal spray. Regular tablets are more difficult to swallow for some patients and require fluid intake for swallowing. Nasal spray absorption may be altered by seasonal allergies, upper respiratory infections or improper administration.
Study Type
Enrollment (Actual)
Phase
- Phase 3
Contacts and Locations
Study Locations
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Nova Scotia
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Halifax, Nova Scotia, Canada, B3K 6R8
- IWK Health Centre
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Ontario
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Barrie, Ontario, Canada, L4M 7G1
- The Male Health Centres
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Cambridge, Ontario, Canada, N3C 1Z3
- Cambridge Family Medical Centre
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London, Ontario, Canada
- Private Clinic
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Markham, Ontario, Canada, L6B 1A1
- Quest Clinical Trials Inc.
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North Bay, Ontario, Canada, P1B 4Z2
- Private Clinic
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Oakville, Ontario, Canada, L6H 3P1
- The Male Health Centres
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Thornhill, Ontario, Canada, L3T 4X1
- Markham Place Med Centre
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Whitby, Ontario, Canada, L1N 8M7
- The Kids Clinic
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Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
- Children and adolescents (age 5-16 years) with diagnosed primary monosymptomatic nocturnal enuresis.
- A minimum of 3 wet nights per week in the 2-week screening period without treatment.
Exclusion Criteria:
- Presence or a history of organic urological disease, diurnal urinary incontinence, polydipsia, diabetes insipidus, ongoing urinary tract infection, clinically significant renal, hepatic, gastrointestinal, pulmonary, cardiovascular, endocrinological or neurological disease that would interfere with evaluation.
- Ongoing systemic antibiotic use, use of diuretics or any drugs affecting urinary concentration, or medical treatment for hyperactivity.
- Usage of any experimental drug or device during 30 days before study entry.
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: Quadruple
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Placebo Comparator: 2
placebo
|
placebo melt tablet; 1 to 3 placebo melt tablets administered once daily before bedtime
|
Active Comparator: 1
desmopressin
|
desmopressin 120 mcg melt tablet; 120 mcg, 240 mcg or 360 mcg administered once daily before bedtime
Other Names:
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Time Frame |
---|---|
To evaluate the efficacy of desmopressin administered as a melt tablet compared to placebo in terms of reducing the number of wet nights in children and adolescents with primary nocturnal enuresis.
Time Frame: 14 days of screening plus 54 days of treatment
|
14 days of screening plus 54 days of treatment
|
Secondary Outcome Measures
Outcome Measure |
Time Frame |
---|---|
To evaluate the efficacy of desmopressin administered as a melt tablet compared to placebo in terms of percentage baseline reduction in the number of wet nights.
Time Frame: 14 days of screening plus 54 days of treatment
|
14 days of screening plus 54 days of treatment
|
To evaluate the efficacy of desmopressin administered as a melt tablet compared to placebo in terms of the proportion of full, partial and non-responders.
Time Frame: 14 days of screening plus 54 days of treatment
|
14 days of screening plus 54 days of treatment
|
To investigate the safety and tolerability of desmopressin, administered as a melt tablet compared to placebo, for all doses tested.
Time Frame: 14 days of screening plus 54 days of treatment
|
14 days of screening plus 54 days of treatment
|
Collaborators and Investigators
Sponsor
Publications and helpful links
Study record dates
Study Major Dates
Study Start
Primary Completion (Actual)
Study Completion (Actual)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Estimate)
Study Record Updates
Last Update Posted (Estimate)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
- Behavioral Symptoms
- Mental Disorders
- Urologic Diseases
- Lower Urinary Tract Symptoms
- Urological Manifestations
- Urination Disorders
- Elimination Disorders
- Urinary Incontinence
- Enuresis
- Nocturnal Enuresis
- Physiological Effects of Drugs
- Natriuretic Agents
- Hemostatics
- Coagulants
- Antidiuretic Agents
- Deamino Arginine Vasopressin
Other Study ID Numbers
- FE992026, CLN 10.3.26
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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