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For hepatic cirrhosis subjects with ascites or lower extremities, to study Pharmacokinetics, pharmacology, and safety of the drug under fasting condition.
This study is to evaluate the multiple-dose pharmacokinetics, pharmacological actions and safety of Tolvaptan tablets administered orally (15 mg daily) for consecutively 7 days in Chinese adult patients with confirmed Child-Pugh Class B(score 7-9) hepatocirrhosis (accompanied by ascites).
Trial Design:
Open, single-center, multi-dose pharmacokinetics study
Study population:
Chinese adult patients with confirmed Child-Pugh Class B (score 7-9) hepatocirrhosis (accompanied by ascites)
Dosage and mode of administration of investigational product:
Oral administration of 1 tablet (15mg) once daily, for consecutive 7 days starting from day 1 of treatment.
Study duration:
Screening: 14 days in maximum; Treatment(s): 7 days; Observation: 1 day
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Tolvaptan 15mg tablet | Experimental |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| tolvaptan | Drug | Drug: tolvaptan tablet, 15mg, Qd, for 7 days. |
|
| Measure | Description | Time Frame |
|---|---|---|
| Serum concentration of tolvaptan and its metabolites DM-4103 and DM-4107 | blood sample will be collected at predose, 2,4,6,8,12,24 hour of first drug administration and predose of sixth drug administration and predose,2,4,6,8,12,24 hour of seventh drug administration |
| Measure | Description | Time Frame |
|---|---|---|
| pharmacological parameter:Serum concentration of sodium and potassium | Blood sample will be collected at predose on day1;12,24hour of first dosing;before breakfast on day3 to day6;predose and 12,24hour of seventh dosing | |
| pharmacological parameter:24-hr urine |
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Inclusion Criteria:
Exclusion Criteria:
Patients with any of the following diseases, complications or symptoms:
Patients with any of the following history:
Patients whose systolic blood pressure is below 90mmHg during screening;
Patients with abnormal values in the following lab examination indicators:
Serum creatinine higher than 2.5 times the upper limit of normal range, serum Na+>145mmol/L(or higher than the upper limit of normal range), serum K+> 5.5 mmol/L, uric acid>476µmol/L, child-Pugh score>10
Patients ineligible for oral medication
Patients in pregnancy or lactation; female of childbearing potential not taking contraceptive measures;
Patients having taken blood products including albumin products within 4 days prior to application of investigational product;
Patients having participated in clinical trials of other drugs within 1 month prior to screening;
Patients used to participate in clinical trials of Tolvaptan and take the said drug;
Patients determined by the investigator as illegible for the study.
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| Name | Affiliation | Role |
|---|---|---|
| Minde Zeng | RenJi Hospital | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Renji Hospital, Shanghai Jiao Tong University School of Medicine | Shanghai | Shanghai Municipality | 200001 | China |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 38344178 | Derived | Liu H, Wang Y, Liu T, Chen Y, Zheng X, Liu M, Zhao Q, Zeng M, Jiang J, Mao Y, Hu P. Pharmacokinetics, pharmacodynamics and safety of 15 mg-tolvaptan administered orally for 7 consecutive days to Chinese patients with child-Pugh B cirrhosis. Front Pharmacol. 2024 Jan 26;15:1324299. doi: 10.3389/fphar.2024.1324299. eCollection 2024. |
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| ID | Term |
|---|---|
| D008103 | Liver Cirrhosis |
| D001201 | Ascites |
| ID | Term |
|---|---|
| D008107 | Liver Diseases |
| D004066 | Digestive System Diseases |
| D005355 | Fibrosis |
| D010335 | Pathologic Processes |
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| ID | Term |
|---|---|
| D000077602 | Tolvaptan |
| ID | Term |
|---|---|
| D001552 | Benzazepines |
| D006574 | Heterocyclic Compounds, 2-Ring |
| D000072471 | Heterocyclic Compounds, Fused-Ring |
| D006571 | Heterocyclic Compounds |
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| From day-1 to day 8 |
| D013568 |
| Pathological Conditions, Signs and Symptoms |