- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT03931369
Adaptation of Thirst to a Single Administration of Tolvaptan (TOLVATHIRST) (TOLVATHIRST)
Single Administration of TOLVAptan at a Dosage Used in the Treatment of Hyponatremia: Changes in THIRST and Water Balance in Healthy Volunteers
Tolvaptan is a new drug that specifically antagonizes the V2-receptor of antidiuretic hormone (ADH) and leads to water diuresis: During acute administration of tolvaptan, the main fear is to induce a too fast increase in plasma sodium concentration and in turn brain damageHowever, the tolvaptan-induced increase in plasma sodium concentration is expected to stimulate thirst, preventing major negative water balance.
The investigators hypothesize that tolvaptan-induced increase in plasma osmolality (and sodium concentration) is dependent of thirst adaptation that is influenced by physiological factors, namely age and sex. To address the effect of a single oral administration of tolvaptan at a dosage used during hyponatremia (15 mg) under free water access in healthy volunteers. Primary outcome will be the maximal change in serum sodium concentration within the 6 hours following tolvaptan administration.
Study Overview
Detailed Description
Tolvaptan is a new drug that specifically antagonizes the V2-receptor of antidiuretic hormone (ADH) and leads to water diuresis: its beneficial effects have been demonstrated for hyponatremia due to a syndrome of inappropriate antidiuresis (SIAD). During acute administration of tolvaptan, the main fear is to induce a too fast increase in plasma sodium concentration and in turn brain damage. An acute increase in serum sodium concentration has been observed in water restricted subjects. However, the tolvaptan-induced increase in plasma sodium concentration is expected to stimulate thirst, preventing major negative water balance. In non-water restricted subjects, this has never been studied. Moreover, this physiological adaptation may change according to age and gender. The investigatorshypothesize that healthy volunteers will adapt normally to an acute tolvaptan administration, thirst helping to maintain plasma sodium and osmolality within the normal range. The final tolvaptan-induced increase in plasma osmolality will depend on thirst adaptation, influenced by physiological factors, namely age and sex.
Sixty subjects (30 male, 30 female) from 18 to 85 years old will be recruited from the database of healthy subjects of the Clinical Investigation Center of the European Georges Pompidou Hospital, Paris, France. They will have two visits: one inclusion safety visit without administration, and 2 to 15 days later, an experimental visit. During the later visit water and electrolyte output and water intake will be monitored hourly two hours before and six hours after single administration of 15 mg tolvaptan.
Study Type
Enrollment (Anticipated)
Phase
- Phase 2
Contacts and Locations
Study Contact
- Name: Karine GOUDE-ORY
- Phone Number: +33(0)1 44 84 17 22
- Email: karine.goude@aphp.fr
Study Contact Backup
- Name: Hakima MANSEUR
- Phone Number: +33(0)1 56 09 59 71
- Email: hakima.manseur@aphp.fr
Study Locations
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-
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Paris, France, 75015
- AP-HP Hôpital Européen Georges Pompidou
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Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
- To be 18-85 years old at the date of inclusion, both sex
- to have his/her full-legal capacity and understand the study protocol,
- to be covered by health insurance,
- to give his/her written informed consent
Exclusion Criteria:
- On-going pregnancy,
- women of childbearing age without efficient contraception,
- breastfeeding women,
- all acute (less than 7 days) pathological conditions,
- all active chronic diseases, especially those that could be interfering with water balance and/or thirst and/or renal response to tolvaptan,
- any prohibited treatment since at least 8 days (tolerated : calcium channel blockers, statins, acetaminophen, oral contraception and impregnated sterilets of progesterone are tolerated if necessary),
- hypersensitivity to tolvaptan or its excipients
- severe history of allergy (i.e. dyspnea, edema, cutaneous rash…) secondary to any drug administration
- participants with anuria orurinary pathway obstruction (complete or partial)
- natremia ≤133 mmol/l or ≥145 mmol/l
- hypovolemia
- SGOT, SGPT > 1.5 fold upper normal values
- estimated GFR (CKD epi) < 60 ml/min/1.73 m2,)
- current participation to (or being in exclusion period of) another interventional study.
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Basic Science
- Allocation: N/A
- Interventional Model: Single Group Assignment
- Masking: None (Open Label)
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Experimental: Tolvaptan test
15 MG pill administered tolvatan once, one day
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Single administration of one pill of 15 MG tolvaptan
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What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Time Frame |
---|---|
change in serum sodium concentration
Time Frame: Baseline and 6 hours following tolvaptan administration
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Baseline and 6 hours following tolvaptan administration
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Secondary Outcome Measures
Outcome Measure |
Time Frame |
---|---|
change in plasma osmolality
Time Frame: Baseline and 6 hours following tolvaptan administration
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Baseline and 6 hours following tolvaptan administration
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change urinary sodium excretion
Time Frame: Baseline and 6 hours following tolvaptan administration
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Baseline and 6 hours following tolvaptan administration
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change urinary potassium excretion
Time Frame: Baseline and 6 hours following tolvaptan administration
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Baseline and 6 hours following tolvaptan administration
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change urinary calcium excretion
Time Frame: Baseline and 6 hours following tolvaptan administration
|
Baseline and 6 hours following tolvaptan administration
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change urinary magnesium excretion
Time Frame: Baseline and 6 hours following tolvaptan administration
|
Baseline and 6 hours following tolvaptan administration
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change urinary Acide excretion
Time Frame: Baseline and 6 hours following tolvaptan administration
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Baseline and 6 hours following tolvaptan administration
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change urinary chloride excretion
Time Frame: Baseline and 6 hours following tolvaptan administration
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Baseline and 6 hours following tolvaptan administration
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Collaborators and Investigators
Collaborators
Investigators
- Principal Investigator: Anne BLANCHARD, MD, PhD, Assistance Publique des Hopitaux de Paris
Study record dates
Study Major Dates
Study Start (Anticipated)
Primary Completion (Anticipated)
Study Completion (Anticipated)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Actual)
Study Record Updates
Last Update Posted (Actual)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
- APHP180494
- 2019-001335-31 (EudraCT Number)
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
IPD Plan Description
IPD Sharing Time Frame
IPD Sharing Access Criteria
Data sharing must be accepted by the sponsor and the PI based on scientific project and scientific involvement of the PI team.
Teams wishing obtain IPD must meet the sponsor and IP team to present scientifics (and commercial) purpose, IPD needed, format of data transmission, and timeframe. Technical feasibility and financial support will be discussed before mandatory contractualization.
IPD Sharing Supporting Information Type
- STUDY_PROTOCOL
- ICF
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
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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