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NocturiaPhase 2NCT03201419

A Trial to Investigate Efficacy, Safety and Tolerability of FE 201836 for Nocturia Due to Nocturnal Polyuria in Adults

A Phase 2 study testing FE 201836 and Desmopressin in people with Nocturia, run by Ferring Pharmaceuticals at 72 sites in 7 countries.

Completed

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

Official record
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Trial summary

The purpose of this trial was to investigate the efficacy, safety and tolerability of different oral doses of FE 201836, with desmopressin as a benchmark, during 12 weeks of treatment for nocturia due to nocturnal polyuria in adults Read more about this study

Who is it for?
Ages 18 years and older
Conditions the study is for
Nocturia
What is being tested?
FE 201836 and Desmopressin
Type of treatment
Pill or oral medicine
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
302 participants
Where
72 sitesin 7 countries
Study dates
27 Jul 2017to 31 Oct 2019
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 18 years and older
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Adults ≥18 years of age (at the time of written consent)
  • Medical history of, or subject reported nocturia symptoms during the 6 months prior to Visit 1
  • ≥2 nocturnal voids (an average over 3 days) as documented in the 3-day e-Diary prior to Visit 2
  • The largest single voided volume must be ≥200 mL (at least 1 void ≥200 mL) as documented in the 3-day e-Diary prior to Visit 2
  • Nocturnal polyuria, defined as Nocturnal Polyuria index >33%, a ratio of Nocturnal Urine Volume in excess of 33% of total daily (24-hour) urine volume as documented in the 3-day e-Diary prior to Visit 2
  • ≥20% decrease in the nocturnal diuresis rate (mL/min) (that was recorded at Visit 2) as documented in the 3-day e-Diary prior to Visit 3

Who cannot join

  • Current diagnosis of Obstructive Sleep Apnoea (OSA)
  • Restless Legs Syndrome (RLS)
  • Bladder Outlet Obstruction (BOO) or urine flow <5 mL/s, as confirmed by uroflowmetry upon suspicion during screening prior to Visit 2
  • Urinary incontinence defined as an average of >1 episode/day in the 3-day e-Diary prior to Visit 2 (occasional urge incontinence during daytime or at night on the way to void is not necessarily exclusionary)
  • Any pelvic or lower urinary tract surgery and/or radio therapy or previous pelvic irradiation within the past 6 months prior to Visit 1. Including e.g., transurethral resection for Bladder Outlet Obstruction or Benign Prostatic Hyperplasia, hysterectomy or female incontinence procedures
  • Genito-urinary tract pathology that can in the investigator's opinion be responsible for urgency or urinary incontinence e.g., symptomatic or recurrent urinary tract infections, interstitial cystitis, bladder-related pain, chronic pelvic pain syndrome, or stone in the bladder or urethra causing symptoms
Show all 27Show fewer
  • A history of cancer with the last date of disease activity/presence of malignancy within the last 12 months prior to Visit 1, except for adequately treated basal cell carcinoma of the skin
  • History of any neurological disease affecting bladder function or muscle strength (e.g., Multiple Sclerosis, Parkinson's, spinal cord injury, spina bifida)
  • Habitual (fluid intake >3L per day) or psychogenic polydipsia
  • Uncontrolled hypertension, as judged by the investigator
  • Uncontrolled diabetes mellitus, as judged by the investigator
  • Central or nephrogenic diabetes insipidus
  • Known history of Syndrome of Inappropriate Antidiuretic Hormone (SIADH) secretion
  • History of gastric retention
  • Suspicion or evidence of congestive heart failure, (New York Heart Association (NYHA) class II, III, IV)
  • Hyponatraemia:
  • Serum sodium level <135 mmol/L at Visit 1(re-tested, with results available within 7 days)
  • Serum sodium level <130 mmol/L at Visit 3 (re-tested, with results available within 7 days)
  • Use of any prohibited therapy listed below:
  • Current or former (within 3 months prior to screening) treatment with any other investigational medicinal product (IMP)
  • Unstable electrostimulation or behavioural bladder training program less than 3 months prior to screening (stable electrostimulation or behavioural bladder training program started at least 3 months before screening are acceptable)
  • Thiazide diuretics
  • Antiarrhythmic agents
  • V2-receptor antagonists/agonists (e.g., vaptans/desmopressin, vasopressin)
  • Loperamide
  • Botulinum toxin (cosmetic non-urological use is acceptable)
  • Valproate

Trial locations and contacts

72 sites in 7 countries.

72 sites in 7 countries

United States43 sites
  • South Florida Medical Research

    Aventura, Florida, 33180

  • American Health Network of Indiana, LLC

    Avon, Indiana, 46123

  • Achieve Clinical Research, LLC

    Birmingham, Alabama, 35216

  • American Health Research, Inc.

    Charlotte, North Carolina, 28207

  • Women's Medical Research Group, LLC

    Clearwater, Florida, 33759

  • Tampa Bay Medical Research, Inc.

    Clearwater, Florida, 33761

  • Ericksen Research & Development, LLC

    Clinton, Utah, 84015

  • Clinical Research of South Florida

    Coral Gables, Florida, 33134

  • Avail Clinical Research, LLC

    DeLand, Florida, 32720

  • Downtown Women's Health Care

    Denver, Colorado, 80209

  • Genitourinary Surgical Consultants, P.C.

    Denver, Colorado, 80220

  • HWC Women's Research Center

    Englewood, Ohio, 45322

  • Finlay Medical Research Corp

    Greenacres City, Florida, 33467

  • American Health Network of Indiana, LLC

    Greenfield, Indiana, 46140

  • Medication Management, LLC

    Greensboro, North Carolina, 27408

  • Peters Medical Research

    High Point, North Carolina, 27262

  • MCA Research - Partner

    Houston, Texas, 77079

  • Beyer Research

    Kalamazoo, Michigan, 49009

  • Clinical Research Consortium, an AMR company

    Las Vegas, Nevada, 89119-5190

  • Clinical Trials Research

    Lincoln, California, 95648

  • Pharmax Research Clinic

    Miami, Florida, 33126

  • Doctors Research Institute Corporation

    Miami, Florida, 33145

  • Sanitas Research

    Miami, Florida, 33155

  • Coastal Clinical Research, an AMR company

    Mobile, Alabama, 36608

  • Coastal Carolina Research Center, Inc

    Mt. Pleasant, South Carolina, 29464

  • PMG Research of Charleston, LLC

    Mt. Pleasant, South Carolina, 29464

  • Tri Valley Urology Medical Group

    Murrieta, California, 92562

  • Bayside Clinical Research LLC

    New Port Richey, Florida, 34655

  • Mid Hudson Medical Research, PLLC

    New Windsor, New York, 12553

  • Clinical Research Associates of Tidewater, an AMR company

    Norfolk, Virginia, 23507

  • Advanced Research Institute

    Ogden, Utah, 84405

  • Quality Clinical Research Center, Inc.

    Omaha, Nebraska, 68114

  • Pines Care Research Center, Inc

    Pembroke Pines, Florida, 33026

  • Clinical Research Center of Florida

    Pompano Beach, Florida, 33060

  • Premier Medical Group of the Hudson Valley, PC

    Poughkeepsie, New York, 12601

  • NECCR Primacare Research, LLC

    Providence, Rhode Island, 02908

  • PMG Research of Raleigh, LLC

    Raleigh, North Carolina, 27609

  • Remedica LLC

    Rochester, Michigan, 48307

  • San Diego Clinical Trials

    San Diego, California, 92120

  • Meridien Research, Inc.

    St. Petersburg, Florida, 33709

  • Bay State Clinical Trials, Inc.

    Watertown, Massachusetts, 02472

  • Advanced Rx Clinical Research Group, Inc.

    Westminster, California, 92683

  • PMG Research of Wilmington, LLC

    Wilmington, North Carolina, 28401

Other trials in United States

Canada10 sites
  • Milestone Research

    London

  • SKDS Research Inc.

    Newmarket

  • Ultra-Med Inc.

    Pointe-Claire, Quebec

  • Clinique Médicale St-Louis (Recherche) inc d/b/a/ Centre de Recherche Saint-Louis

    Québec

  • DIEX Recherche Quebec Inc.

    Québec

  • Bluewater Health-Norman Site

    Sarnia

  • CHUS - Hôpital Fleurimont

    Sherbrooke

  • DIEX Recherche Sherbrooke Inc.

    Sherbrooke

  • Ferring Investigational Site

    Toronto

  • DIEX Recherche Victoriaville Inc.

    Victoriaville

Other trials in Canada

Belgium5 sites
  • ULB Hopital Erasme

    Brussels

  • UZ Antwerpen

    Edegem

  • Universitair Ziekenhuis Gent

    Ghent

  • AZ Groeninge - Campus Vercruysselaan

    Kortrijk

  • UZ Leuven

    Leuven

Other trials in Belgium

Czechia5 sites
  • Urologie Benešov - Afimed s.r.o.

    Benešov

  • Fakultni nemocnice Brno, Dept of Klinika nemoci plicnich a tuberkulozy

    Brno

  • Krajska nemocnice Liberec, a.s.

    Liberec

  • Urocentrum Plzen

    Pilsen

  • Thomayerova nemocnice, PARENT

    Prague

Other trials in Czechia

Hungary5 sites
  • Jahn Ferenc Del-pesti Korhaz es Rendelointezet

    Budapest

  • Synexus Magyarorszag Kft.

    Budapest

  • Bagoly Egeszseghaz

    Kecskemét

  • SzSzB Megyei Korhazak es Egyetemi Oktatokorhaz, Josa Andras Oktatokorhaz Urologia

    Nyíregyháza

  • Jasz-Nagykun-Szolnok Megyei Hetenyi Geza Korhaz-Rendelointezet

    Szolnok

Other trials in Hungary

Germany3 sites
  • Gemeinschaftspraxis fuer Urologie und Andrologie

    Duisburg

  • Urologische Gemeinschaftspraxis

    Emmendingen

  • Klinikum Weiden, Klinik f. Urologie, Andrologie und Kinderurologie

    Weiden

Other trials in Germany

Poland1 site
  • Nasz Lekarz Osrodek Badan Klinicznych

    Bydgoszcz

Other trials in Poland

About this study

Official title: A Randomised, Double-blind, Placebo-controlled, Response-adaptive Dose-finding Trial Investigating the Efficacy, Safety and Tolerability of Oral Doses of FE 201836, With Desmopressin Orally Disintegrating Tablet as a Benchmark, During 12 Weeks of Treatment for Nocturia Due to Nocturnal Polyuria in Adults

The purpose of this trial was to investigate the efficacy, safety and tolerability of different oral doses of FE 201836, with desmopressin as a benchmark, during 12 weeks of treatment for nocturia due to nocturnal polyuria in adults

Conditions
Nocturia
Being tested
FE 201836, Desmopressin, Placebo oral solution, Placebo ODT
Medical subject headings
Nocturia

What participants receive

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

  • FE 201836Drug

    Also called Velmupressin

    Oral solution for daily intake

  • DesmopressinDrug

    Also called NOCDURNA

    Desmopressin Orally Disintegrating Tablet (ODT)

  • Placebo oral solutionDrug

    Manufactured to mimic experimental drug

  • Placebo ODTDrug

    Manufactured to mimic experimental drug

Study groups in NCT03201419
Study groupRoleWhat they receive
FE 201836 500 μg (Randomized Treatment Period)ExperimentalFE 201836 500 μg oral solution and placebo orally disintegrating tablet (ODT), administered once daily
Receives: Drug: FE 201836; Drug: Placebo ODT
FE 201836 350 μg (Randomized Treatment Period)ExperimentalFE 201836 350 μg oral solution and placebo ODT, administered once daily
Receives: Drug: FE 201836; Drug: Placebo ODT
FE 201836 250 μg (Randomized Treatment Period)ExperimentalFE 201836 250 μg oral solution and placebo ODT, administered once daily
Receives: Drug: FE 201836; Drug: Placebo ODT
FE 201836 150 μg (Randomized Treatment Period)ExperimentalFE 201836 150 μg oral solution and placebo ODT, administered once daily
Receives: Drug: FE 201836; Drug: Placebo ODT
FE 201836 100 μg (Randomized Treatment Period)ExperimentalFE 201836 100 μg oral solution and placebo ODT, administered once daily
Receives: Drug: FE 201836; Drug: Placebo ODT
FE 201836 50 μg (Randomized Treatment Period)ExperimentalFE 201836 50 μg oral solution and placebo ODT, administered once daily
Receives: Drug: FE 201836; Drug: Placebo ODT
Placebo (Randomized Treatment Period)ExperimentalPlacebo oral solution and placebo ODT, administered once daily
Receives: Drug: Placebo oral solution; Drug: Placebo ODT
Desmopressin 25 μg (Randomized Treatment Period)ExperimentalDesmopressin 25 μg ODT and placebo oral solution, administered once daily (female subjects)
Receives: Drug: Desmopressin; Drug: Placebo oral solution
Desmopressin 50 μg (Randomized Treatment Period)ExperimentalDesmopressin 50 μg ODT and placebo oral solution, administered once daily (male subjects)
Receives: Drug: Desmopressin; Drug: Placebo oral solution

What is being measured

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

  1. Change From Baseline in Aggregated Mean Number of Nocturnal Voids During 12 Weeks of Treatment

    Nocturnal voids were defined as voids occuring from 5 minutes after bedtime until rising in the morning.

    The number of nocturnal voids at each visit was calculated as the average over the 3 consecutive 24 hour periods just prior to the respective visit. The visit-specific means were aggregated into a mean of current and preceding visits.

    Level estimated for baseline value of mean number of nocturnal voids equal to 2, and 95% credibility interval (2.5 and 97.5 percentiles of the posterior distribution) instead of confidence interval are presented in this endpoint.

    Measured: Baseline, during 12 weeks of treatment

Secondary outcomes (45)
  1. Change From Baseline in Mean Number of Nocturnal Voids at Week 1

    Nocturnal voids were defined as voids occuring from 5 minutes after bedtime until rising in the morning.

    The number of nocturnal voids at each visit was calculated as the average over the 3 consecutive 24 hour periods just prior to the respective visit. Adjusted visit-specific mean changes from baseline in nocturnal voids are estimated using a baseline value of 2.

    MMRM=Mixed Model for Repeated Measurements.

    For all visit-specific results, the tables present the number of subjects with an observation of the endpoints in question at the specific visit. All secondary analyses are performed using the observed-case approach based on repeated measurements for all subjects in the ITT-RT population. That is, these secondary analyses are based on all subjects with at least one non-missing post-baseline observation (with a baseline value if relevant).

    Measured: Baseline, Week 1

  2. Change From Baseline in Mean Number of Nocturnal Voids at Week 4

    Nocturnal voids were defined as voids occuring from 5 minutes after bedtime until rising in the morning.

    The number of nocturnal voids at each visit was calculated as the average over the 3 consecutive 24 hour periods just prior to the respective visit. Adjusted visit-specific mean changes from baseline in nocturnal voids are estimated using a baseline value of 2.

    Measured: Baseline, Week 4

  3. Change From Baseline in Mean Number of Nocturnal Voids at Week 8

    Nocturnal voids were defined as voids occuring from 5 minutes after bedtime until rising in the morning.

    The number of nocturnal voids at each visit was calculated as the average over the 3 consecutive 24 hour periods just prior to the respective visit. Adjusted visit-specific mean changes from baseline in nocturnal voids are estimated using a baseline value of 2.

    Measured: Baseline, Week 8

  4. Change From Baseline in Mean Number of Nocturnal Voids at Week 12

    Nocturnal voids were defined as voids occuring from 5 minutes after bedtime until rising in the morning.

    The number of nocturnal voids at each visit was calculated as the average over the 3 consecutive 24 hour periods just prior to the respective visit. Adjusted visit-specific mean changes from baseline in nocturnal voids are estimated using a baseline value of 2.

    Measured: Baseline, Week 12

  5. Responder Rate in Nocturnal Voids at Week 1

    Defined as 50% reduction in nocturnal voids from baseline.

    Adjusted visit-specific estimated odds of at least 50% in the reduction mean number of nocturnal voids are estimated using a baseline value of 2.

    The estimated odd equals the probability of response divided by the probability of non-response; these odds may vary between 0 and infinity. For example, if the probability of responding is 80%, the odd of responding is 4, as it is 4 times more likely to respond (80%) then it is not to respond (20%).

    Measured: Week 1

  6. Responder Rate in Nocturnal Voids at Week 4

    Defined as 50% reduction in nocturnal voids from baseline.

    Adjusted visit-specific estimated odds of at least 50% reduction in the mean number of nocturnal voids are estimated using a baseline value of 2.

    The estimated odd equals the probability of response divided by the probability of non-response; these odds may vary between 0 and infinity. For example, if the probability of responding is 80%, the odd of responding is 4, as it is 4 times more likely to respond (80%) then it is not to respond (20%).

    Measured: Week 4

  7. Responder Rate in Nocturnal Voids at Week 8

    Defined as 50% reduction in nocturnal voids from baseline.

    Adjusted visit-specific estimated odds of at least 50% reduction in the mean number of nocturnal voids are estimated using a baseline value of 2.

    The estimated odd equals the probability of response divided by the probability of non-response; these odds may vary between 0 and infinity. For example, if the probability of responding is 80%, the odd of responding is 4, as it is 4 times more likely to respond (80%) then it is not to respond (20%).

    Measured: Week 8

  8. Responder Rate in Nocturnal Voids at Week 12

    Defined as 50% reduction in nocturnal voids from baseline.

    Adjusted visit-specific estimated odds of at least 50% reduction in the mean number of nocturnal voids are estimated using a baseline value of 2.

    The estimated odd equals the probability of response divided by the probability of non-response; these odds may vary between 0 and infinity. For example, if the probability of responding is 80%, the odd of responding is 4, as it is 4 times more likely to respond (80%) then it is not to respond (20%).

    Measured: Week 12

  9. Responder Rate in Nocturnal Voids During 12 Weeks of Treatment

    Defined as 50% reduction in nocturnal voids from baseline.

    Estimated odds of at least 50% reduction in the aggregated mean number of nocturnal voids for a subject with 2 nocturnal voids at baseline are presented in this endpoint.

    The 95% credibility interval (2.5 and 97.5 percentiles of the posterior distribution) instead of confidence interval is presented for this endpoint.

    The estimated odd equals the probability of response divided by the probability of non-response; these odds may vary between 0 and infinity. For example, if the probability of responding is 80%, the odd of responding is 4, as it is 4 times more likely to respond (80%) then it is not to respond (20%).

    Measured: During 12 weeks of treatment

  10. Change From Baseline in Mean NI Diary Total Score at Week 1

    The NI Diary is a 12-item questionnaire with 11 core items (Q1-Q11) and an overall quality of life (QoL) impact question (Q12). The NI Diary Total Scores are calculated by summing the 11 core items.Responses are scored from 0 to 4 (lowest t o highest impact). The NI Diary Total is standardized from 0 to 100 (lowest to highest impact).

    The score at each visit was calculated as the average over the three consecutive 24 hour periods just prior to the respective visit. Adjusted visit-specific mean changes from baseline in NI Diary Total Score are estimated using a baseline value of 40.

    Measured: Baseline, Week 1

  11. Change From Baseline in Mean NI Diary Total Score at Week 4

    The NI Diary is a 12-item questionnaire with 11 core items (Q1-Q11) and an overall QoL impact question (Q12). The NI Diary Total Scores are calculated by summing the 11 core items. Responses are scored from 0 to 4 (lowest to highest impact). The NI Diary Total is standardized from 0 to 100 (lowest to highest impact).

    The score at each visit was calculated as the average over the three consecutive 24 hour periods just prior to the respective visit. Adjusted visit-specific mean changes from baseline in NI Diary Total Score are estimated using a baseline value of 40.

    Measured: Baseline, Week 4

  12. Change From Baseline in Mean NI Diary Total Score at Week 8

    The NI Diary is a 12-item questionnaire with 11 core items (Q1-Q11) and an overall QoL impact question (Q12). The NI Diary Total Scores are calculated by summing the 11 core items. Responses are scored from 0 to 4 (lowest to highest impact). The NI Diary Total is standardized from 0 to 100 (lowest to highest impact).

    The score at each visit was calculated as the average over the three consecutive 24 hour periods just prior to the respective visit. Adjusted visit-specific mean changes from baseline in NI Diary Total Score are estimated using a baseline value of 40.

    Measured: Baseline, Week 8

  13. Change From Baseline in Mean NI Diary Total Score at Week 12

    The NI Diary is a 12-item questionnaire with 11 core items (Q1-Q11) and an overall QoL impact question (Q12). The NI Diary Total Scores are calculated by summing the 11 core items. Responses are scored from 0 to 4 (lowest to highest impact). The NI Diary Total is standardized from 0 to 100 (lowest to highest impact).

    The score at each visit was calculated as the average over the three consecutive 24 hour periods just prior to the respective visit. Adjusted visit-specific mean changes from baseline in NI Diary Total Score are estimated using a baseline value of 40.

    Measured: Baseline, Week 12

  14. Change From Baseline in Aggregated Mean NI Diary Total Score During 12 Weeks of Treatment

    The NI Diary is a 12-item questionnaire with 11 core items (Q1-Q11) and an overall QoL impact question (Q12). The NI Diary Total Scores are calculated by summing the 11 core items. Responses are scored from 0 to 4 (lowest to highest impact). The NI Diary Total is standardized from 0 to 100 (lowest to highest impact).

    The score at each visit was calculated as the mean over the three consecutive 24 hour periods just prior to the respective visit. The visit-specific means were aggregated into a mean of current and preceding visits.

    Level estimated for baseline value of mean NI Diary Total Score equal to 40 is presented in this endpoint.

    The 95% credibility interval (2.5 and 97.5 percentiles of the posterior distribution) instead of confidence interval is presented for this endpoint.

    Measured: Baseline, during 12 weeks of treatment

  15. Percentage of Nights With at Most One Nocturnal Void During 12 Weeks of Treatment

    The percentages of nights during the treatment period with at most one nocturnal void are presented in this endpoint.

    Level estimated for baseline value of mean number of nocturnal voids equal to 2 is presented in this endpoint.

    Measured: During 12 weeks of treatment

  16. Percentage of Nights With No Nocturnal Voids During 12 Weeks of Treatment

    The percentages of nights during the treatment period with complete response, i.e. no nocturnal voids are presented in this endpoint.

    Level estimated for baseline value of mean number of nocturnal voids equal to 2 is presented in this endpoint.

    Measured: During 12 weeks of treatment

  17. Change From Baseline in Mean NI Diary Overall Impact Score at Week 1

    The NI Diary is a 12-item questionnaire with 11 core items (Q1-Q11) and an overall QoL impact question (Q12). For the overall impact question (Q12), response options range from 0 (not at all) to 4 (a great deal). The NI Diary Overall Impact Scores are standardized from 0 to 100 (lowest to highest impact).

    The score at each visit was calculated as the average over the three consecutive 24 hour periods just prior to the respective visit. Adjusted visit-specific mean changes from baseline in NI Diary Overall Impact Score are estimated using a baseline value of 40.

    Measured: Baseline, Week 1

  18. Change From Baseline in Mean NI Diary Overall Impact Score at Week 4

    The NI Diary is a 12-item questionnaire with 11 core items (Q1-Q11) and an overall QoL impact question (Q12). For the overall impact question (Q12), response options range from 0 (not at all) to 4 (a great deal). The NI Diary Overall Impact Scores are standardized from 0 to 100 (lowest to highest impact).

    The score at each visit was calculated as the average over the three consecutive 24 hour periods just prior to the respective visit. Adjusted visit-specific mean changes from baseline in NI Diary Overall Impact Score are estimated using a baseline value of 40.

    Measured: Baseline, Week 4

  19. Change From Baseline in Mean NI Diary Overall Impact Score at Week 8

    The NI Diary is a 12-item questionnaire with 11 core items (Q1-Q11) and an overall QoL impact question (Q12). For the overall impact question (Q12), response options range from 0 (not at all) to 4 (a great deal). The NI Diary Overall Impact Scores are standardized from 0 to 100 (lowest to highest impact).

    The score at each visit was calculated as the average over the three consecutive 24 hour periods just prior to the respective visit. Adjusted visit-specific mean changes from baseline in NI Diary Overall Impact Score are estimated using a baseline value of 40.

    Measured: Baseline, Week 8

  20. Change From Baseline in Mean NI Diary Overall Impact Score at Week 12

    The NI Diary is a 12-item questionnaire with 11 core items (Q1-Q11) and an overall QoL impact question (Q12). For the overall impact question (Q12), response options range from 0 (not at all) to 4 (a great deal). The NI Diary Overall Impact Scores are standardized from 0 to 100 (lowest to highest impact).

    The score at each visit was calculated as the average over the three consecutive 24 hour periods just prior to the respective visit. Adjusted visit-specific mean changes from baseline in NI Diary Overall Impact Score are estimated using a baseline value of 40.

    Measured: Baseline, Week 12

  21. Change From Baseline in Aggregated Mean NI Diary Overall Impact Score During 12 Weeks of Treatment

    The NI Diary is a 12-item questionnaire with 11 core items (Q1-Q11) and an overall QoL impact question (Q12). For the overall impact question (Q12), response options range from 0 (not at all) to 4 (a great deal). The NI Diary Overall Impact Scores are standardized from 0 to 100 (lowest to highest impact).

    The score at each visit was calculated as the average over the three consecutive 24 hour periods just prior to the respective visit. The visit-specific means were aggregated into a mean of current and preceding visits.

    Level estimated for baseline value of mean NI Diary Overall Impact Score equal to 40 is presented in this endpoint.

    The 95% credibility interval (2.5 and 97.5 percentiles of the posterior distribution) instead of confidence interval is presented for this endpoint.

    Measured: Baseline, during 12 weeks of treatment

  22. Patient Global Impression of Improvement (PGI-I) Urinary Symptoms Scores at Week 1

    The PGI-I is a 1-item questionnaire designed to assess the patient's impression of changes in urinary symptoms. The PGI-I was scored from 1 (very much better) to 7 (very much worse).

    Visit-specific PGI-I in urinary symptoms is presented in this endpoint.

    Measured: Week 1

  23. Patient Global Impression of Improvement (PGI-I) Urinary Symptoms Scores at Week 4

    The PGI-I is a 1-item questionnaire designed to assess the patient's impression of changes in urinary symptoms. The PGI-I was scored from 1 (very much better) to 7 (very much worse).

    Visit-specific PGI-I in urinary symptoms is presented in this endpoint.

    Measured: Week 4

  24. Patient Global Impression of Improvement (PGI-I) Urinary Symptoms Scores at Week 8

    The PGI-I is a 1-item questionnaire designed to assess the patient's impression of changes in urinary symptoms. The PGI-I was scored from 1 (very much better) to 7 (very much worse).

    Visit-specific PGI-I in urinary symptoms is presented in this endpoint.

    Measured: Week 8

  25. Patient Global Impression of Improvement (PGI-I) Urinary Symptoms Scores at Week 12

    The PGI-I is a 1-item questionnaire designed to assess the patient's impression of changes in urinary symptoms. The PGI-I was scored from 1 (very much better) to 7 (very much worse).

    Visit-specific PGI-I in urinary symptoms is presented in this endpoint.

    Measured: Week 12

  26. Change From Baseline in Patient Global Impression of Severity (PGI-S) Scores at Week 1

    The PGI-S is a 1-item questionnaire designed to assess patient's impression of disease severity. The PGI-S was scored from 1 (none) to 4 (severe).

    Change from baseline in visit-specific PGI-S is presented in this endpoint.

    Level estimated for baseline value of PGI-S equal to 3 is presented in this endpoint.

    Measured: Baseline, Week 1

  27. Change From Baseline in PGI-S Scores at Week 4

    The PGI-S is a 1-item questionnaire designed to assess patient's impression of disease severity. The PGI-S was scored from 1 (none) to 4 (severe).

    Change from baseline in visit-specific PGI-S is presented in this endpoint.

    Level estimated for baseline value of PGI-S equal to 3 is presented in this endpoint.

    Measured: Baseline, Week 4

  28. Change From Baseline in PGI-S Scores at Week 8

    The PGI-S is a 1-item questionnaire designed to assess patient's impression of disease severity. The PGI-S was scored from 1 (none) to 4 (severe).

    Change from baseline in visit-specific PGI-S is presented in this endpoint.

    Level estimated for baseline value of PGI-S equal to 3 is presented in this endpoint.

    Measured: Baseline, Week 8

  29. Change From Baseline in PGI-S Scores at Week 12

    The PGI-S is a 1-item questionnaire designed to assess patient's impression of disease severity. The PGI-S was scored from 1 (none) to 4 (severe).

    Change from baseline in visit-specific PGI-S is presented in this endpoint.

    Level estimated for baseline value of PGI-S equal to 3 is presented in this endpoint.

    Measured: Baseline, Week 12

  30. Change From Baseline in Hsu 5-point Likert Bother Scale at Week 1

    The Hsu 5-point Likert Bother scale is a questionnaire designed to assess the subjective bothersomeness and functional disruptiveness of nocturia. The Hsu 5 point Likert Bother Scale was scored from 0 (not at all) to 4 (extremely).

    Change from baseline in visit-specific Hsu Bother is presented in this endpoint.

    Level estimated for baseline value of Hsu Bother equal to 3 is presented in this endpoint.

    Measured: Baseline, Week 1

  31. Change From Baseline in Hsu 5-point Likert Bother Scale at Week 4

    The Hsu 5-point Likert Bother scale is a questionnaire designed to assess the subjective bothersomeness and functional disruptiveness of nocturia. The Hsu 5 point Likert Bother Scale was scored from 0 (not at all) to 4 (extremely).

    Change from baseline in visit-specific Hsu Bother is presented in this endpoint.

    Level estimated for baseline value of Hsu Bother equal to 3 is presented in this endpoint.

    Measured: Baseline, Week 4

  32. Change From Baseline in Hsu 5-point Likert Bother Scale at Week 8

    The Hsu 5-point Likert Bother scale is a questionnaire designed to assess the subjective bothersomeness and functional disruptiveness of nocturia. The Hsu 5 point Likert Bother Scale was scored from 0 (not at all) to 4 (extremely).

    Change from baseline in visit-specific Hsu Bother is presented in this endpoint.

    Level estimated for baseline value of Hsu Bother equal to 3 is presented in this endpoint.

    Measured: Baseline, Week 8

  33. Change From Baseline in Hsu 5-point Likert Bother Scale at Week 12

    The Hsu 5-point Likert Bother scale is a questionnaire designed to assess the subjective bothersomeness and functional disruptiveness of nocturia. The Hsu 5 point Likert Bother Scale was scored from 0 (not at all) to 4 (extremely).

    Change from baseline in visit-specific Hsu Bother is presented in this endpoint.

    Level estimated for baseline value of Hsu Bother equal to 3 is presented in this endpoint.

    Measured: Baseline, Week 12

  34. Change From Baseline in ISI at Week 4

    The ISI is a 7-item questionnaire which comprises of four 'sleep-related' items and three 'wake-related' items. Each item is rated on a 0-4 scale and the total score ranges from 0 to 28 (higher score suggests more severe insomnia).

    Change from baseline in visit-specific ISI is presented in this endpoint.

    Level estimated for baseline value of ISI equal to 15 is presented in this endpoint.

    Measured: Baseline, Week 4

  35. Change From Baseline in ISI at Week 8

    The ISI is a 7-item questionnaire which comprises of four 'sleep-related' items and three 'wake-related' items. Each item is rated on a 0-4 scale and the total score ranges from 0 to 28 (higher score suggests more severe insomnia).

    Change from baseline in visit-specific ISI is presented in this endpoint.

    Level estimated for baseline value of ISI equal to 15 is presented in this endpoint.

    Measured: Baseline, Week 8

  36. Change From Baseline in ISI at Week 12

    The ISI is a 7-item questionnaire which comprises of four 'sleep-related' items and three 'wake-related' items. Each item is rated on a 0-4 scale and the total score ranges from 0 to 28 (higher score suggests more severe insomnia).

    Change from baseline in visit-specific ISI is presented in this endpoint.

    Level estimated for baseline value of ISI equal to 15 is presented in this endpoint.

    Measured: Baseline, Week 12

  37. Change From Baseline in Mean Duration of First Undisturbed Sleep Period (FUSP) at Week 1

    The FUSP is defined as the time in minutes from the time of going to bed to the time of first nocturnal void, or time of awakening if no void occured.

    The duration of FUSP at each visit was calculated as the average over the 3 consecutive 24-hour periods just prior to the respective visit. Adjusted visit-specific mean changes from baseline in FUSP are estimated using a baseline value of 180 (min).

    Measured: Baseline, Week 1

  38. Change From Baseline in Mean Duration of FUSP at Week 4

    The FUSP is defined as the time in minutes from the time of going to bed to the time of first nocturnal void, or time of awakening if no void occurred.

    The duration of FUSP at each visit was calculated as the average over the 3 consecutive 24-hour periods just prior to the respective visit. Adjusted visit-specific mean changes from baseline in FUSP are estimated using a baseline value of 180 (min).

    Measured: Baseline, Week 4

  39. Change From Baseline in Mean Duration of FUSP at Week 8

    The FUSP is defined as the time in minutes from the time of going to bed to the time of first nocturnal void, or time of awakening if no void occurred.

    The duration of FUSP at each visit was calculated as the average over the 3 consecutive 24-hour periods just prior to the respective visit. Adjusted visit-specific mean changes from baseline in FUSP are estimated using a baseline value of 180 (min).

    Measured: Baseline, Week 8

  40. Change From Baseline in Mean Duration of FUSP at Week 12

    The FUSP is defined as the time in minutes from the time of going to bed to the time of first nocturnal void, or time of awakening if no void occurred.

    The duration of FUSP at each visit was calculated as the average over the 3 consecutive 24-hour periods just prior to the respective visit. Adjusted visit-specific mean changes from baseline in FUSP are estimated using a baseline value of 180 (min).

    Measured: Baseline, Week 12

  41. Change From Baseline in Aggregated Mean Duration of FUSP During 12 Weeks of Treatment

    The FUSP is defined as the time in minutes from the time of going to bed to the time of first nocturnal void, or time of awakening if no void occurred.

    The visit-specific means were aggregated into a mean of current and preceding visits.

    Level estimated for baseline value of mean duration of FUSP (minutes) equal to 180 is presented in this endpoint.

    The 95% credibility interval (2.5 and 97.5 percentiles of the posterior distribution) instead of confidence interval is presented for this endpoint.

    Measured: Baseline, During 12 Weeks of Treatment

  42. Change From Baseline in Nocturnal Diuresis Rate Profiles at Week 1

    The nocturnal diuresis rate (mL/min) is calculated as the mean of the nocturnal diuresis for each of the three nights, with the single-night nocturnal diuresis calculated as the ratio of NUV to total time in bed.

    Change from baseline in visit-specific mean nocturnal diuresis (mL/min) is presented.

    Level estimated for baseline value of mean nocturnal diuresis (mL/min) equal to 1.3 is presented in this endpoint.

    Measured: Baseline, Week 1

  43. Change From Baseline in Nocturnal Diuresis Rate Profiles at Week 12

    The nocturnal diuresis rate (mL/min) is calculated as the mean of the nocturnal diuresis for each of the three nights, with the single-night nocturnal diuresis calculated as the ratio of NUV to total time in bed.

    Change from baseline in visit-specific mean nocturnal diuresis (mL/min) is presented.

    Level estimated for baseline value of mean nocturnal diuresis (mL/min) equal to 1.3 is presented in this endpoint.

    Measured: Baseline, Week 12

  44. Change From Baseline in Mean NUV in Week 1

    The NUV is defined as the total urine volume from 5 minutes after bedtime with the intention to sleep including the first void within 30 minutes of rising in the morning.

    The NUV at each visit was calculated as the average over the 3 consecutive 24-hour periods just prior to the respective visit. Adjusted visit-specific mean changes from baseline in NUV are estimated using a baseline value of 750 (mL).

    Measured: Baseline, Week 1

  45. Change From Baseline in Mean NUV at Week 12

    The NUV is defined as the total urine volume from 5 minutes after bedtime with the intention to sleep including the first void within 30 minutes of rising in the morning.

    The NUV at each visit was calculated as the average over the 3 consecutive 24-hour periods just prior to the respective visit. Adjusted visit-specific mean changes from baseline in NUV are estimated using a baseline value of 750 (mL).

    Measured: Baseline, Week 12

Timeline

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

  1. First posted28 Jun 2017
  2. Study start27 Jul 2017
  3. Primary completion31 Oct 2019
  4. Study completion31 Oct 2019

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
Model description
The trial consisted of a 2 week period of screening/lifestyle changes during which no treatment was given, a 2 week enrichment period (including a 1 week single blind active run-in period \[FE 201836 500 µg\] and a 1 week washout period) followed by a 12 week randomized treatment period for each subject. Prior to the first interim analysis, the first 129 subjects were randomized to daily treatment with FE 201836 500 µg, placebo, or desmopressin (25 µg for females and 50 µg for males) in a 2:2:1 ratio. After the first interim analysis, subjects were randomized to daily treatment with FE 201836 (50 µg, 100 µg, 150 µg, 250 µg, 350 µg, or 500 µg), placebo, or desmopressin (25 µg for females and 50 µg for males) using response adaptive allocation probabilities.
Masking
Double blind
Who is masked
Participant, Investigator
Enrolment
302 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT03201419
Sponsor's protocol ID
000233
Other IDs
2016-003851-31, 2016
Status last verified
Oct 2020
First submitted
26 Jun 2017
Last updated
2 Mar 2022
Data monitoring committee
Yes
FDA-regulated drug
Yes
FDA-regulated device
No

Publications

  • Hudgens S, Howerter A, Polek E, Andersson FL. Psychometric validation and interpretation of the Nocturia Impact Diary in a clinical trial setting. Qual Life Res. 2022 Jun;31(6):1837-1848. doi: 10.1007/s11136-021-03060-4. Epub 2021 Dec 21.

    PubMed 34932192

Questions about this trial

What is this clinical trial studying?

A Phase 2 study testing FE 201836 and Desmopressin in people with Nocturia, run by Ferring Pharmaceuticals at 72 sites in 7 countries.

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 6 inclusion and 27 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 2 Mar 2022. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 72 sites in United States, Canada, Belgium, Czechia, Hungary and 2 more countries. 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. 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 23 Dec 2020). 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?

Change From Baseline in Aggregated Mean Number of Nocturnal Voids During 12 Weeks of Treatment (time frame: Baseline, during 12 weeks of treatment). It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT03201419, which also lists 1 linked publication.

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 2 Mar 2022.

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