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The purpose of this study is to establish the dose response relationship of VA106483 and nocturnal urine volumes in a population of elderly male subjects with Benign Prostatic Hypertrophy (BPH) who are likely to present with nocturia.
VA106483 is a selective vasopressin V2-receptor (V2-receptor) agonist that is being developed for the treatment of nocturia.
The antidiuretic effect of V2-receptor stimulation in the kidneys is well established through the use of the peptide agonist, desmopressin, which shows clinical benefit in diabetes insipidus, primary nocturnal enuresis and nocturia.
Nocturia, defined as waking to void at least once per night between periods of sleep, is a common complaint and shows an age-dependent increase in both prevalence and severity (number of nocturnal voids). It is the most bothersome symptom of benign prostatic hypertrophy and has been linked to an age-dependent loss in circadian release of endogenous nocturnal vasopressin and consequent over production of urine at night (nocturnal polyuria).
Correlation between nocturnal urine volume and nocturnal void frequency has been demonstrated in previous studies of V2-receptor agonists.
The purpose of this study is to determine the dose response relationship of VA106483 and nocturnal urine volumes.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| VA106483 0.5 mg | Experimental |
| |
| VA106483 1 mg | Experimental |
| |
| VA106483 2 mg | Experimental |
| |
| VA106483 4 mg | Experimental |
| |
| Sugar pill | Placebo Comparator |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| VA106483 | Drug | Once daily oral dose of placebo for 2 nights Once daily oral dose of 0.5 mg VA106483 for 2 nights Once daily oral dose of 1 mg VA106483 for 2 nights Once daily oral dose of 2 mg VA106483 for 2 nights Once daily oral dose of 4 mg VA106483 for 2 nights Placebo: as above |
| Measure | Description | Time Frame |
|---|---|---|
| Change in the mean nocturnal urine volumes | 20 days |
| Measure | Description | Time Frame |
|---|---|---|
| Change in the mean nocturnal void frequency | 20 days | |
| Change in mean time to first void | 20 days | |
| Change in frequency of daytime voids |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Georg Golor, PD Dr. med. | Parexel | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Early Phase Clinical Unit, PAREXEL International GmbH | Berlin | 14050 | Germany |
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| ID | Term |
|---|---|
| D053158 | Nocturia |
| D011470 | Prostatic Hyperplasia |
| ID | Term |
|---|---|
| D059411 | Lower Urinary Tract Symptoms |
| D020924 | Urological Manifestations |
| D012816 | Signs and Symptoms |
| D013568 | Pathological Conditions, Signs and Symptoms |
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|
| 20 days |
| Change in mean volume of daytime voids | 20 days |
| Change in mean nocturnal urine osmolality | 20 days |
| Change in mean daytime urine osmolality | 20 days |
| Change in mean voided volumes | 20 days |
| D011469 | Prostatic Diseases |
| D005832 | Genital Diseases, Male |
| D000091662 | Genital Diseases |
| D000091642 | Urogenital Diseases |
| D052801 | Male Urogenital Diseases |