AzTrials
AzTrials

NocturiaPhase 2NOCNCT01184859

Comparative Trial to Investigate the Dose-Response of 4 Different Dose Levels of Minirin Melt and Placebo

A Phase 2 study testing Desmopressin in people with Nocturia, run by Ferring Pharmaceuticals at 36 sites in Japan.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
Search all trials

Trial summary

This is a multi-centre, randomised, placebo-controlled, double-blind, parallel-group comparative trial to be conducted in nocturia patients. The trial is designed to characterize the dose-response relationship of Minirin (desmopressin) Melt in order to establish correct dose recommendations in the target patient… Read more about this study

Who is it for?
Ages 55 to 75 years
Conditions the study is for
Nocturia
What is being tested?
Desmopressin
Type of treatment
Pill or oral medicine
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
116 participants
Where
36 sitesJapan
Study dates
Jul 2010to Apr 2011
Phase
Phase 2
Are there results?
Yes, posted in the registrySummary in the doctors' view

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 55 to 75 years
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Given written informed consent prior to any trial-related activity is performed
  • Aged 55-75 years
  • Mean number of nocturnal voids of at least two per night
  • Reached post-menopause (applicable to females only)

Who cannot join

  • Evidence of bladder outlet obstruction (BOO); or a urine flow of less than 5 mL/s (applicable to males only)
  • A surgical treatment for BOO or prostatic hyperplasia within the past 6 months (applicable to males only)
  • Showing symptoms of any of the following diseases and having a mean number of nocturnal voids exceeding four per night: Benign prostatic hyperplasia, overactive bladder, interstitial cystitis, severe stress urinary incontinence
  • Psychosomatic or habitual polydipsia
  • Urinary retention; or a post void residual volume in excess of 150 mL
  • A history or complication of urologic malignancy (e.g. bladder cancer or prostate cancer)
Show all 24Show fewer
  • Complication of genito-urinary pathology (e.g. infection, stone, or neoplasia)
  • Complication of neurogenic detrusor activity
  • Complication or suspicion of heart failure
  • Uncontrolled hypertension
  • Uncontrolled diabetes mellitus
  • Complication of hepatobiliary disease
  • Abnormal serum creatinine level
  • Complication of hyponatraemia, or serum sodium level <135 mEq/L
  • Central or nephrogenic diabetes insipidus (CDI or NDI)
  • Syndrome of inappropriate antidiuretic hormone (SIADH)
  • Obstructive sleep apnea
  • Alcohol dependency or drug abuse
  • A job or lifestyle that may interfere with regular night-time sleep
  • Previous desmopressin treatment
  • Treatment with another investigational product within the past 3 months
  • A need for treatment with a prohibited concomitant drug for a complication or other problem
  • A mental condition, the lack of decision-making ability, dementia or a speech handicap
  • Any other reason that the Investigator believes inappropriate

Trial locations and contacts

36 sites in 1 country.

36 sites in 1 country

Japan36 sites
  • Tokyo Women's Medical University Medical Center East

    Arakawa City, Tokyo

  • Kokuho Asahi Central Hospital

    Asahi, Chiba

  • Takayama Clinic

    Awagi, Hyōgo

  • Takayama Hospital

    Chikushino-shi, Fukuoka

  • University of Yamanashi Hospital

    Chūō, Yamanashi

  • Harasanshin Hospital

    Fukuoka, Fukuoka

  • Saku Hospital

    Fukuoka, Fukuoka

  • Southwest Urological Clinic

    Fukuoka, Fukuoka

  • Yakuin Urogenital Hospital

    Fukuoka, Fukuoka

  • Fukushima Red Cross Hospital

    Fukushima, Fukushima

  • Ohara General Hospital

    Fukushima, Fukushima

  • Saiseikai Fukushima General Hospital

    Fukushima, Fukushima

  • Hamamatsu University School of Medicine University Hospital

    Hamamatsu, Shizuoka

  • Jigenji Kubo Clinic

    Kagoshima, Kagoshima-ken

  • Kawahara Hinyoukika

    Kagoshima, Kagoshima-ken

  • Yagi Clinic

    Kagoshima, Kagoshima-ken

  • Kasukabe Chuo General Hospital

    Kasukabe, Saitama

  • National Hospital Organization Kobe Medical Center

    Kobe, Hyōgo

  • Houshikai Group Kano Hospital

    Koga, Fukuoka

  • Koganeibashi Sakura Clinic

    Koganei, Tokyo

  • Jyusendo General Hospital

    Kōriyama, Fukushima

  • Kunitachi Sakura Hospital

    Kunitachi, Tokyo

  • St. Mary's Hospital

    Kurume, Fukuoka

  • Rakusai Newtown Hospital

    Kyoto, Kyoto

  • Shinshu University Hospital

    Matsumoto, Nagano

  • Japanese Red Cross Mito Hospital

    Mito, Ibaraki

  • Suzuki Urological Clinic

    Nagano, Nagano

  • Japanese Red Cross Nagoya Daiichi Hospital

    Nagoya, Aichi-ken

  • Social Insurance Nihonmatsu Hospital

    Nihommatsu, Fukushima

  • National Center for Geriatrics and Gerontology

    Ōbu, Aichi-ken

  • Nanri Urological Clinic

    Saga, Saga-ken

  • Senbokufujii Hospital

    Sakai, Osaka

  • Tohoku University Hospital

    Sendai, Miyagi

  • Kumamoto Rosai Hospital

    Yatsushiro, Kumamoto

  • Yokohama Shin-midori General Hospital

    Yokohama, Kanagawa

  • University of Fukui Hospital

    Yoshida, Fukui

Other trials in Japan

About this study

Official title: A Multi-centre, Double-blind, Randomised, Placebo-controlled, Parallel-group, Comparative Trial to Investigate the Dose-Response of 4 Different Dose Levels of Minirin Melt and Placebo in Water-loaded Male and Female Japanese Nocturia Patients (Single Dose), and to Study the Efficacy of 4 Different Dose Levels of Minirin Melt and Placebo After 28 Days of Dosing (Multiple Doses)

This is a multi-centre, randomised, placebo-controlled, double-blind, parallel-group comparative trial to be conducted in nocturia patients. The trial is designed to characterize the dose-response relationship of Minirin (desmopressin) Melt in order to establish correct dose recommendations in the target patient population. In particular, the trial is designed to link the duration of action to the clinical endpoint. Furthermore, the trial is designed to describe the safety of four different dose levels of desmopressin.

Conditions
Nocturia
Being tested
Desmopressin, Placebo
Keywords
nocturia, bladder function
Medical subject headings
Nocturia

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • DesmopressinDrug

    Also called FE992026, Minirin Melt

    Desmopressin oral lyophilisate melt tablet, in either the 10, 25, 50, or 100 μg dosage, for sublingual administration

  • PlaceboDrug

    Placebo melt tablet for sublingual administration

Study groups in NCT01184859
Study groupRoleWhat they receive
Desmopressin 10µgExperimentalStudy period 1: single dose of desmopressin 10µg. Study period 2: daily doses of desmopressin 10µg taken before bedtime for 28 days.
Receives: Drug: Desmopressin
Desmopressin 25µgExperimentalStudy period 1: single dose of desmopressin 25µg. Study period 2: daily doses of desmopressin 25µg taken before bedtime for 28 days.
Receives: Drug: Desmopressin
Desmopressin 50µgExperimentalStudy period 1: single dose of desmopressin 50µg. Study period 2: daily doses of desmopressin 50µg taken before bedtime for 28 days.
Receives: Drug: Desmopressin
Desmopressin 100µgExperimentalStudy period 1: single dose of desmopressin 100µg. Study period 2: daily doses of desmopressin 100µg taken before bedtime for 28 days.
Receives: Drug: Desmopressin
PlaceboPlacebo comparatorStudy period 1: single dose of placebo. Study period 2: daily doses of placebo taken before bedtime for 28 days.
Receives: Drug: Placebo

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Duration of Action Defined as the Time With Urine Osmolality Above 200 mOsm/kg - Period 1

    Participants were water-loaded to suppress the endogenous release of vasopressin, thus all antidiuretic activity was generated by desmopressin only. Water-loading was initiated 2 hours before dosing on Day 1. Urine volume was registered and samples for osmolality check were collected every 30 minutes as long as there was an antidiuretic action defined as a urine production <0.12 mL/kg/min. The hydration should have lasted until end of action, defined as when the urine production returned to >0.12 mL/kg/min, but no longer than 12 hours.

    Measured: Day 1

  2. Change From Baseline in Number of Nocturnal Voids After 28 Days of Treatment - Period 2

    Records of nocturia and sleep over three consecutive days per week were kept in voiding-sleep diaries by study participants. The average number of nocturnal voids of the 3 days recorded in the last week of the study (between study days 25-32) was compared to average baseline readings.

    Measured: 3 days between study days -6 to 0 (Baseline), and days 25 to 32

Secondary outcomes (14)
  1. Area Under the Urine Osmolality Curve (AUCosm)

    Area under the urine osmolality curve, from dose administration to end of action (AUCosm).

    Measured: Day 1

  2. Area Under the Urine Production Curve (AUCurine Prod)

    Area under the urine production curve, from dose administration to end of action (AUCurine prod)

    Measured: Day 1

  3. Time When Urine Production <0.12 ml/kg/Min

    Urine volume was registered and samples for osmolality check were collected every 30 minutes as long as there was an antidiuretic action defined as a urine production <0.12 mL/kg/min. The hydration due to water-loading should have lasted until end of action, defined as when the urine production returned to >0.12 mL/kg/min, but no longer than 12 hours.

    Measured: Day 1

  4. Change From Baseline in Duration of First Period of Undisturbed Sleep After 28 Days of Treatment - Period 2

    Duration of first period of undisturbed sleep is defined as the length of time from initial sleep to first awakening.

    Records of nocturia and sleep over three consecutive days per week were kept in voiding-sleep diaries by study participants. The average length of first period of undisturbed sleep of the 3 days recorded in the last week of the study (between study days 25-32) was compared to average baseline readings.

    Measured: 3 days between study days -6 to 0 (Baseline), and days 25 to 32

  5. Change From Baseline in Total Sleep Time at Approximately Day 32

    Total sleep time is defined as the time spent asleep from initial sleep to final awakening.

    Records of nocturia and sleep over three consecutive days per week were kept in voiding-sleep diaries by study participants. The average of the total time asleep of the 3 days recorded in the last week of the study (between study days 25-32) was compared to average baseline readings.

    Measured: 3 days between study days -6 to 0 (Baseline), and days 25 to 32

  6. Change From Baseline in Number of Daytime Voids at Approximately Day 32

    Number of daytime voids was recorded over three consecutive days per week in diaries kept by study participants. The average number of daytime voids of the 3 days recorded in the last week of the study (between study days 25-32) was compared to the average baseline readings.

    Measured: 3 days between study days -6 to 0 (Baseline), and days 25 to 32

  7. Change From Baseline in Number of 24-hour Urine Voids at Approximately Day 32

    Number of voids in 24 hours was recorded over three consecutive days per week in diaries kept by study participants. The average number of 24-hour voids of the 3 days recorded in the last week of the study (between study days 25-32) was compared to the average baseline readings.

    Measured: 3 days between study days -6 to 0 (Baseline), and days 25 to 32

  8. Change From Baseline in Nocturnal Urine Volume at Approximately Day 32

    Nocturnal urine volume was recorded over three consecutive days per week in diaries kept by study participants. The average nocturnal urine volume of the 3 days recorded in the last week of the study (between study days 25-32) was compared to the average baseline readings.

    Measured: 3 days between study days -6 to 0 (Baseline), and days 25 to 32

  9. Change From Baseline in 24-Hour Urine Volume at Approximately Day 32

    Twenty-four hour urine volume was recorded over three consecutive days per week in diaries kept by study participants. The average 24-hour urine volume of the 3 days recorded in the last week of the study (between study days 25-32) was compared to the average baseline readings.

    Measured: 3 days between study days -6 to 0 (Baseline), and days 25 to 32

  10. Change From Baseline in 24-Hour Urine Production Per Body Weight at Approximately Day 32

    Twenty-four hour urine volume was recorded over three consecutive days per week in diaries kept by study participants. Urine volume per body weight was calculated. The average 24-hour urine volume per kg of body weight of the 3 days recorded in the last week of the study (between study days 25-32) was compared to the average baseline readings.

    Measured: 3 days between study days -6 to 0 (Baseline), and days 25 to 32

  11. Change From Baseline in Nocturnal Polyuria Index at Approximately Day 32

    Nocturnal polyuria index is defined as a proportion of nocturnal urine volume to the 24-hour urine volume. Urine volume and time of day of those voids was recorded over three consecutive days per week in diaries kept by study participants. The average nocturnal polyuria index of the 3 days recorded in the last week of the study (between study days 25-32) was compared to the average baseline readings.

    Measured: 3 days between study days -6 to 0 (Baseline), and days 25 to 32

  12. Change From Baseline in Nocturia-Related Quality of Life Based on Evaluation Provided by Nocturia Quality of Life Questionnaire (N-QoL) at Approximately Day 32

    N-QoL assesses the impact of nocturia on quality of life (QoL) and treatment outcomes. N-QoL is a self-administered questionnaire with 13 items using scales of 0 = no negative impact to QoL to the upper number = signficant negative impact to QoL. The sleep/energy domain consists of 7 questions with a scale of 0 to 28. The bother/concern domain consists of 5 questions for a scale of 0 to 20. The 13th question is an overall assessment scored from 0 to 10. The Total Score includes all 13 questions with a scale of 0 (no negative impact to QoL) to 58 (significant negative impact to QoL).

    Measured: Approximately Day 4 (start of period 2) and Day 32

  13. Change From Baseline in Sleep Related Quality of Life Based on the Global Score of the Pittsburgh Sleep Quality Index (PSQI) at Approximately Day 32

    The Global Score of the Pittsburgh Sleep Quality Index (PSQI) is comprised of Questions 2-9 with a total scale of 0 (no difficulty sleeping) to 21 (severe difficulty). The change in Global Score is Global Score at the end of period 2 (day 32) - Global Score at the start of Period 2 (day 4). A negative change indicates an improvement in quality of life.

    Measured: Approximately Day 4 (start of period 2) and Day 32

  14. Participant Counts of Minimum Observed Serum Sodium Levels During the Second Treatment Period (Days 4-32)

    Serum sodium levels were monitored throughout the trial as part of the clinical chemistry panel. If the value was ≤125 mEq/L, the participant was to be withdrawn from the trial and treatment stopped immediately. This outcome reports participants' lowest recorded serum sodium levels during the second treatment period.

    Measured: Days 4- 32

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted19 Aug 2010 (estimated)
  2. Study startJul 2010
  3. Primary completionApr 2011
  4. Study completionApr 2011

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase 2
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
Double blind
Who is masked
Participant, Investigator
Enrolment
116 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT01184859
Sponsor's protocol ID
FE992026 CS36
Acronym
NOC
Status last verified
Apr 2012
First submitted
18 Aug 2010
Last updated
25 May 2012
Data monitoring committee
No

Questions about this trial

What is this clinical trial studying?

A Phase 2 study testing Desmopressin in people with Nocturia, run by Ferring Pharmaceuticals at 36 sites in Japan.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 4 inclusion and 24 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 25 May 2012. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 36 sites in Japan. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. Some participants in this study may receive a placebo. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

What does this phase mean?

Phase 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

Yes. Results are posted in the registry (first posted 25 May 2012). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Duration of Action Defined as the Time With Urine Osmolality Above 200 mOsm/kg - Period 1 (time frame: Day 1). The study lists 2 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 25 May 2012.

Free account

Log in to keep searching

You’ve used your 3 free searches. AzTrials is free: log in or create a free account to keep searching clinical trials and save the ones you want to follow.

Create a free accountLog in