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The purpose of this study is to determine the dose level(s) of fedovapagon which result in a decrease in the mean nocturnal void frequency.
Fedovapagon 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 the complaint that the individual has to wake at night one or more times to void, 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 (BPH) 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).
The purpose of this Phase IIb study is to determine the efficacy of different doses of fedovapagon in reducing the number of times subjects with Nocturia void during the night together with other parameters including increasing the time between going to bed and waking to first void. By establishing the effective doses of fedovapagon on these clinical endpoints, the data from this study will determine the most appropriate dose(s) of fedovapagon for the treatment of Nocturia to be taken forward into further studies.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| fedovapagon 1 mg | Experimental | Once daily oral dose of 1 mg fedovapagon for 12 weeks |
|
| fedovapagon 2 mg | Experimental | Once daily oral dose of 2 mg fedovapagon for 12 weeks |
|
| fedovapagon 4 mg | Experimental | Once daily oral dose of 4 mg fedovapagon for 12 weeks |
|
| sugar pill | Placebo Comparator | Once daily oral dose of placebo for 12 weeks |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| fedovapagon 1 mg | Drug |
| ||
| fedovapagon 2 mg |
| Measure | Description | Time Frame |
|---|---|---|
| Change in the mean nocturnal urine voids | 12 weeks |
| Measure | Description | Time Frame |
|---|---|---|
| Change in the mean nocturnal urine voids | 4 weeks | |
| Change in the mean time to first nocturnal void | 4 weeks | |
| Change in the mean time to first nocturnal void |
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Inclusion Criteria:
Exclusion Criteria:
-
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| Name | Affiliation | Role |
|---|---|---|
| Hilary McElwaine-Johnn, BSc, ASM, MBBS, MRCP, MFPM | Vantia Ltd | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Vantia Investigative Center | Birmingham | Alabama | United States | |||
| Vantia Investigative Center |
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|
| fedovapagon 4 mg | Drug |
|
| Placebo ( sugar pill) | Drug |
|
| 12 weeks |
| Change in Nocturia-related quality of life (N-QOL) | 4 weeks |
| Change in Nocturia-related quality of life (N-QOL) | 12 weeks |
| Huntsville |
| Alabama |
| United States |
| Vantia Investigative Center | Mobile | Alabama | United States |
| Vantia Investigative Center | Glendale | Arizona | United States |
| Vantia Investigative Center | Tucson | Arizona | United States |
| Vantia Investigative Center | Anaheim | California | United States |
| Vantia Investigative Center | Long Beach | California | United States |
| Vantia Investigative Center | San Diego | California | United States |
| Vantia Investigative Center | Denver | Colorado | United States |
| Vantia Investigative Center | Englewood | Colorado | United States |
| Vantia Investigative Center | Milford | Connecticut | United States |
| Vantia Investigative Center | Aventura | Florida | United States |
| Vantia Investigative Center | Clearwater | Florida | United States |
| Vantia Investigative Center | Daytona Beach | Florida | United States |
| Vantia Investigative Center | DeLand | Florida | United States |
| Vantia Investigative Center | Naples | Florida | United States |
| Vantia Investigative Center | Ocala | Florida | United States |
| Vantia Investigative Center | St. Petersburg | Florida | United States |
| Vantia Investigative Center | Tampa | Florida | United States |
| Vantia Investigative Center | Coeur d'Alene | Idaho | United States |
| Vantia Investigative Center | Meridian | Idaho | United States |
| Vantia Investigative Center | Chicago | Illinois | United States |
| Vantia Investigative Center | Evansville | Indiana | United States |
| Vantia Investigative Center | Jeffersonville | Indiana | United States |
| Vantia Investigative Center | Paducah | Kentucky | United States |
| Vantia Investigative Center | Metairie | Louisiana | United States |
| Vantia Investigative Center | Greenbelt | Maryland | United States |
| Vantia Investigative Center | Rochester | Michigan | United States |
| Vantia Investigative Center | Edina | Minnesota | United States |
| Vantia Investigative Center | Omaha | Nebraska | United States |
| Vantia Investigative Center | Brick | New Jersey | United States |
| Vantia Investigative Center | Englewood | New Jersey | United States |
| Vantia Investigative Center | Lawrenceville | New Jersey | United States |
| Vantia Investigative Center | Albuquerque | New Mexico | United States |
| Vantia Investigative Center | Brooklyn | New York | United States |
| Vantia Investigative Center | Endwell | New York | United States |
| Vantia Investigative Center | Garden City | New York | United States |
| Vantia Investigative Center | New York | New York | United States |
| Vantia Investigative Center | Poughkeepsie | New York | United States |
| Vantia Investigative Center | Concord | North Carolina | United States |
| Vantia Investigative Center | Raleigh | North Carolina | United States |
| Vantia Investigative Center | Winston-Salem | North Carolina | United States |
| Vantia Investigative Center | Cincinnati | Ohio | United States |
| Vantia Investigative Center | Bethany | Oklahoma | United States |
| Vantia Investigative Center | Bala-Cynwyd | Pennsylvania | United States |
| Vantia Investigative Center | Warwick | Rhode Island | United States |
| Vantia Investigative Center | Mytrle Beach | South Carolina | United States |
| Vantia Investigative Center | Dakota Dunes | South Dakota | United States |
| Vantia Investigative Center | Nashville | Tennessee | United States |
| Vantia Investigative Center | Dallas | Texas | United States |
| Vantia Investigative Center | Fort Worth | Texas | United States |
| Vantia Investigative Center | San Antonio | Texas | United States |
| Vantia Investigative Center | Richmond | Virginia | United States |
| Vantia Investigative Center | Virginia Beach | Virginia | United States |
| Vantia Investigative Center | Burien | Washington | United States |
| Vantia Investigative Center | Middleton | Wisconsin | United States |
| ID | Term |
|---|---|
| D053158 | Nocturia |
| ID | Term |
|---|---|
| D059411 | Lower Urinary Tract Symptoms |
| D020924 | Urological Manifestations |
| D012816 | Signs and Symptoms |
| D013568 | Pathological Conditions, Signs and Symptoms |
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| ID | Term |
|---|---|
| D000073893 | Sugars |
| ID | Term |
|---|---|
| D002241 | Carbohydrates |
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