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This study will assess the safety of long-term tolvaptan use in patients previously enrolled in shorter-term Phase 3 studies and gather information on the natural history of hyponatremia in the context of tolvaptan therapy and underlying disease states.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Tolvaptan | Experimental | Enrolled subjects began treatment with 15 mg tolvaptan QD. A titration between target doses of 15 mg, 30 mg, or 60 mg of trial medication was based on the subject's change in serum sodium concentration and clinical tolerance of the trial medication. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Tolvaptan | Drug | Once Daily |
|
| Measure | Description | Time Frame |
|---|---|---|
| Participants With Adverse Events (AEs) | A TEAE was an AE that began after the first injection or was continuous from Baseline and was defined as any new medical problem, or exacerbation of an existing problem, whether or not it was considered drug-related by the study physician. An AE was considered serious if it was fatal; life-threatening; persistently or significantly disabling or incapacitating; required in-subject hospitalization or prolonged hospitalization; a congenital anomaly/birth defect; or other medically significant event that, based upon appropriate medical judgment, may have jeopardized the participant and may have required medical or surgical intervention to prevent the outcomes mentioned above. | Baseline to Post-Week 214 follow-up visit |
| Participants With Laboratory Values Abnormalities Reported as TEAEs | The laboratory values were one of the primary parameters to measure the safety and tolerability of individual participants. Incidence of TEAEs of potential clinical relevance include abnormal values in serum chemistry, hematology, urinalyses and prolactin tests that were identified based on pre-defined criteria. Any value outside the normal range was flagged for the attention of the study physician who was to indicate whether the value was clinically significant for identifying laboratory values of potential clinical relevance. Participants noted with abnormal laboratory values are reported below. | Baseline to Post-Week 214 follow-up visit |
| Participants With Electrocardiogram (ECG) Related Abnormalities Reported as TEAEs | The ECG was one of the primary parameters to measure the safety and tolerability of individual participants. Incidence of TEAEs of potential clinical relevance included abnormal values in HR outliers, PR outliers, QRS outliers, QT, QTcB, QTcF that were identified based on pre-defined criteria. Some of the pre-defined criteria for identifying ECG measurements of potential clinical relevance included: For QTcB and QTcF: baseline mean of QTcB and QTcF interval was new onset >500 msec, 30 - 60 msec, >60 msec; For QT: new onset >500 msec; For QRS outliers: >=25% change from baseline when QRS >100 msec; PR outliers: >=25% change from baseline when PR>200 msec; HR outliers: 25% decrease from baseline and HR <50 bpm or 25% increase from baseline and HR >100 bpm. New onset (>500 msec) in QT, QTcB, or QTcF means a participant who attained a value >500 msec during treatment period but not at each baseline visit. The ECG-related abnormalities are reported as TEAEs are mentioned below. |
| Measure | Description | Time Frame |
|---|---|---|
| Mean Change From Baseline in Serum Sodium Measurements | Sodium measurements obtained at designated intervals were compared to each participant's Baseline sodium level at the beginning of placebo-controlled therapy in their original trial and from Baseline on initiation of therapy in the open-label trial. | Baseline of parent trial to Week 214 |
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Inclusion Criteria:
Exclusion Criteria:
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| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 20185637 | Result | Berl T, Quittnat-Pelletier F, Verbalis JG, Schrier RW, Bichet DG, Ouyang J, Czerwiec FS; SALTWATER Investigators. Oral tolvaptan is safe and effective in chronic hyponatremia. J Am Soc Nephrol. 2010 Apr;21(4):705-12. doi: 10.1681/ASN.2009080857. Epub 2010 Feb 25. |
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Participants were blinded prior to treatment with tolvaptan with titration between target doses of 15mg, 30mg or 60mg of study drug was based on the participant's response in serum sodium concentration and clinical tolerance of study drug. Dose titration aim was to stabilize the participants with normal range of blood sodium.
The trial was conducted in 111 enrolled participants at 33 trial centers. This is an extension study of trials NCT00072683 and NCT00201994. Approximately 50% participants may have been on tolvaptan previously, there was a minimum 7-day period off treatment between trials.
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| ID | Title | Description |
|---|---|---|
| FG000 | Tolvaptan | Participants received 15 mg tolvaptan QD and were titrated from 15mg, 30mg, or 60mg of tolvaptan based on the participant's response in serum sodium concentration and clinical tolerance of study drug. |
| Title | Milestones | Reasons Not Completed | |||||
|---|---|---|---|---|---|---|---|
| Overall Study |
|
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| Baseline to Post-Week 214 follow-up visit |
| Participants With Vital Signs Abnormalities Reported as Treatment Emergent Adverse Events (TEAEs) | The vital signs were one of the primary parameters to measure the safety and tolerability of individual participants. Incidence of TEAEs of potential clinical relevance included abnormal values in body temperature, heart rate, systolic and diastolic blood pressure, respiratory rate and weight that were identified based on pre-defined criteria. Criteria for identifying vital signs of potential clinical relevance included: Heart rate, supine: >= 120 beats per minute (bpm) + increase of ≥15 bpm from Baseline and <=50 bpm + decrease of >= 15 bpm; Diastolic Blood Pressure, Supine: >=105 mmHg + increase of >=15 mmHg and <=50 mmHg + decrease of >=15 mmHg; Systolic Blood Pressure, Supine: >=180 mmHg + increase of >=20 mmHg and <= 90 mmHg + decrease of >=20 mmHg; Temperature (degree C): Increase of >=1.1 to >=38.3C. The vital sign abnormalities were reported as TEAEs are mentioned below. | Baseline to Post-Week 214 follow-up visit |
| Participants With Body Weight Abnormalities Reported as TEAEs | The body weight evaluation was one of the primary parameters to measure the safety and tolerability of individual participants. Every effort was made to ensure that body weight measurements were performed in a reproducible and consistent manner. The pre-defined criteria was change of ≥7% in body weight for both male and female. Participants were to wear the same type of clothes at each measurement, preferably a gown and no shoes. All body weight measurements were to have been taken post-void. | Baseline to Post-Week 214 follow-up visit |
| Change From Baseline in Percentage of Participants With Severe Hyponatremia | Percentage of participants with varying degrees of hyponatremia ("severe" <130, "mild" 130-135, "normal" >135 mEq/L) at Baseline and each study visit. | Baseline to Week 214 |
| Change From Baseline in Percentage of Participants With Mild Hyponatremia | Percentage of participants with varying degrees of hyponatremia ("severe" <130, "mild" 130-135, "normal" >135 mEq/L) at Baseline and each study visit. | Baseline to Week 214 |
| Change From Baseline in Percentage of Participants With Normal Sodium Levels | Percentage of participants with varying degrees of hyponatremia ("severe" <130, "mild" 130-135, "normal" >135 mEq/L) at Baseline and each study visit. | Baseline to Week 214 |
| Percentage of Participants Requiring Prescription of Fluid Restriction | Percentage of participants requiring prescription of fluid restriction for the express purpose of treating hyponatremia during each period of the trial. Assessed descriptively at each visit. | Baseline to Post-Week 214 follow-up visit |
| Number of Participants Requiring Prescription of Hypertonic Saline | Percentage of participants requiring prescription of hypertonic saline for the express purpose of treating hyponatremia during each period of the trial, assessed descriptively at each visit. | Baseline to Post-Week 214 follow-up visit |
| Percentage of Participants Requiring Prescription of Other Medicines | Percentage of participants requiring prescription of other medicines for the express purpose of treating hyponatremia during each period of the trial, assessed descriptively at each visit. | Baseline to Post-Week 214 follow-up visit |
| Mean Change From Baseline in Body Weight by Visit for Those Participants Who Had Clinical Evidence of Hypervolemia at Baseline | Body weight at each visit (assessed only for those with clinical evidence of hypervolemia at Baseline) and was summarized using descriptive statistics. | Baseline to Week 214 |
| Mean Change From Baseline in SF-12 (Health Survey) Physical Component Summary (PCS) | The PCS assess the physical and mental dimensions of health-related quality of life. The PCS is equal to the sum of the items of endurance activities, strength activities, gross coordination activities, and fine coordination activities. The PCS is a computed score with weighted function based on the 12 questions from the 8 subscales (physical functioning, role-physical, bodily pain, general health, vitality, social functioning, role-emotional, mental health) of the SF-12v1 questionnaire per instructions by the scale's publisher. The scale ranges from 0 to 100 with 0 representing the lowest level of health and 100 indicating the highest level of health. | Baseline to Week 214 |
| Mean Change From Baseline in SF-12 (Health Survey) Mental Component Summary (MCS) | The MCS assess the physical and mental dimensions of health-related quality of life. The MCS is equal to the sum of the items of concentration activities, calculating activities, language activities, and memory activities. The MCS is a computed score with weighted function based on the 12 questions from the 8 subscales (physical functioning, role-physical, bodily pain, general health, vitality, social functioning, role-emotional, mental health) of the SF-12v1 questionnaire per instructions by the scale's publisher. The scale ranges from 0 to 100 with 0 representing the lowest level of health and 100 indicating the highest level of health. | Baseline to Week 214 |
| Change From Baseline in the Hyponatremia Disease-specific Survey | Analysis of individual items of Hyponatremia Disease-specific Survey was not conducted, because the analysis of Hyponatremia Disease-specific Survey was focused on the PCS and MCS summary scores since these 2 scores were developed. Subgroup analyses of Hyponatremia Disease-specific Survey were also not conducted. | Baseline to Week 214 |
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| NOT COMPLETED |
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| ID | Title | Description |
|---|---|---|
| BG000 | Tolvaptan | Participants received 15 mg tolvaptan QD and were titrated from 15mg, 30mg, or 60mg of tolvaptan based on the participant's response in serum sodium concentration and clinical tolerance of study drug. |
| Units | Counts |
|---|---|
| Participants |
|
| Title | Description | Population Description | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Denominator Units Selected | Denominators | Classes | ||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Age, Continuous | Mean | Standard Deviation | Years |
| |||||||||||||||||
| Sex: Female, Male | Count of Participants | Participants |
|
| Type | Title | Description | Population Description | Reporting Status | Anticipated Posting Date | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Time Frame | Units Analyzed | Denominator Units Selected | Arm/Group Information | Denominators | Classes | Analyses | ||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Primary | Participants With Adverse Events (AEs) | A TEAE was an AE that began after the first injection or was continuous from Baseline and was defined as any new medical problem, or exacerbation of an existing problem, whether or not it was considered drug-related by the study physician. An AE was considered serious if it was fatal; life-threatening; persistently or significantly disabling or incapacitating; required in-subject hospitalization or prolonged hospitalization; a congenital anomaly/birth defect; or other medically significant event that, based upon appropriate medical judgment, may have jeopardized the participant and may have required medical or surgical intervention to prevent the outcomes mentioned above. | The ITT dataset, which comprised of data from all enrolled participants who had observations at Baseline and at least one Post-Baseline visit, were analyzed. | Posted | Number | participants | Baseline to Post-Week 214 follow-up visit |
|
|
| ||||||||||||||||||||||||||||||||||||
| Primary | Participants With Laboratory Values Abnormalities Reported as TEAEs | The laboratory values were one of the primary parameters to measure the safety and tolerability of individual participants. Incidence of TEAEs of potential clinical relevance include abnormal values in serum chemistry, hematology, urinalyses and prolactin tests that were identified based on pre-defined criteria. Any value outside the normal range was flagged for the attention of the study physician who was to indicate whether the value was clinically significant for identifying laboratory values of potential clinical relevance. Participants noted with abnormal laboratory values are reported below. | The ITT dataset, which comprised of data from all enrolled participants who had observations at Baseline and at least one Post-Baseline visit, were analyzed. | Posted | Number | participants | Baseline to Post-Week 214 follow-up visit |
|
| |||||||||||||||||||||||||||||||||||||
| Primary | Participants With Electrocardiogram (ECG) Related Abnormalities Reported as TEAEs | The ECG was one of the primary parameters to measure the safety and tolerability of individual participants. Incidence of TEAEs of potential clinical relevance included abnormal values in HR outliers, PR outliers, QRS outliers, QT, QTcB, QTcF that were identified based on pre-defined criteria. Some of the pre-defined criteria for identifying ECG measurements of potential clinical relevance included: For QTcB and QTcF: baseline mean of QTcB and QTcF interval was new onset >500 msec, 30 - 60 msec, >60 msec; For QT: new onset >500 msec; For QRS outliers: >=25% change from baseline when QRS >100 msec; PR outliers: >=25% change from baseline when PR>200 msec; HR outliers: 25% decrease from baseline and HR <50 bpm or 25% increase from baseline and HR >100 bpm. New onset (>500 msec) in QT, QTcB, or QTcF means a participant who attained a value >500 msec during treatment period but not at each baseline visit. The ECG-related abnormalities are reported as TEAEs are mentioned below. | The ITT dataset, which comprised of data from all enrolled participants who had observations at Baseline and at least one Post-Baseline visit, were analyzed. | Posted | Number | participants | Baseline to Post-Week 214 follow-up visit |
| ||||||||||||||||||||||||||||||||||||||
| Primary | Participants With Vital Signs Abnormalities Reported as Treatment Emergent Adverse Events (TEAEs) | The vital signs were one of the primary parameters to measure the safety and tolerability of individual participants. Incidence of TEAEs of potential clinical relevance included abnormal values in body temperature, heart rate, systolic and diastolic blood pressure, respiratory rate and weight that were identified based on pre-defined criteria. Criteria for identifying vital signs of potential clinical relevance included: Heart rate, supine: >= 120 beats per minute (bpm) + increase of ≥15 bpm from Baseline and <=50 bpm + decrease of >= 15 bpm; Diastolic Blood Pressure, Supine: >=105 mmHg + increase of >=15 mmHg and <=50 mmHg + decrease of >=15 mmHg; Systolic Blood Pressure, Supine: >=180 mmHg + increase of >=20 mmHg and <= 90 mmHg + decrease of >=20 mmHg; Temperature (degree C): Increase of >=1.1 to >=38.3C. The vital sign abnormalities were reported as TEAEs are mentioned below. | The intent-to-treat (ITT) dataset, which comprised of data from all enrolled participants who had observations at Baseline and at least one Post-Baseline visit, were analyzed. | Posted | Number | participants | Baseline to Post-Week 214 follow-up visit |
| ||||||||||||||||||||||||||||||||||||||
| Primary | Participants With Body Weight Abnormalities Reported as TEAEs | The body weight evaluation was one of the primary parameters to measure the safety and tolerability of individual participants. Every effort was made to ensure that body weight measurements were performed in a reproducible and consistent manner. The pre-defined criteria was change of ≥7% in body weight for both male and female. Participants were to wear the same type of clothes at each measurement, preferably a gown and no shoes. All body weight measurements were to have been taken post-void. | The ITT dataset, which comprised of data from all enrolled participants who had observations at Baseline and at least one Post-Baseline visit, were analyzed. | Posted | Number | participants | Baseline to Post-Week 214 follow-up visit |
|
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| Secondary | Mean Change From Baseline in Serum Sodium Measurements | Sodium measurements obtained at designated intervals were compared to each participant's Baseline sodium level at the beginning of placebo-controlled therapy in their original trial and from Baseline on initiation of therapy in the open-label trial. | The ITT dataset, which comprised of data from all enrolled participants who had observations at Baseline and at least one Post-Baseline visit, were analyzed. In the last observation carried forward (LOCF) dataset, missing data were filled in using the participant's preceding non-missing value, except that Baseline value will not be carried forward. | Posted | Mean | Standard Deviation | mEq/L | Baseline of parent trial to Week 214 |
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| Secondary | Change From Baseline in Percentage of Participants With Severe Hyponatremia | Percentage of participants with varying degrees of hyponatremia ("severe" <130, "mild" 130-135, "normal" >135 mEq/L) at Baseline and each study visit. | The ITT dataset, which comprised of data from all enrolled participants who had observations at Baseline and at least one Post-Baseline visit, were analyzed. In the last observation carried forward (LOCF) dataset, missing data were filled in using the participant's preceding non-missing value, except that Baseline value will not be carried forward. | Posted | Number | percentage of participants | Baseline to Week 214 |
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| Secondary | Change From Baseline in Percentage of Participants With Mild Hyponatremia | Percentage of participants with varying degrees of hyponatremia ("severe" <130, "mild" 130-135, "normal" >135 mEq/L) at Baseline and each study visit. | The ITT dataset, which comprised of data from all enrolled participants who had observations at Baseline and at least one Post-Baseline visit, were analyzed. In the last observation carried forward (LOCF) dataset, missing data were filled in using the participant's preceding non-missing value, except that Baseline value will not be carried forward. | Posted | Number | percentage of participants | Baseline to Week 214 |
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| Secondary | Change From Baseline in Percentage of Participants With Normal Sodium Levels | Percentage of participants with varying degrees of hyponatremia ("severe" <130, "mild" 130-135, "normal" >135 mEq/L) at Baseline and each study visit. | The ITT dataset, which comprised of data from all enrolled participants who had observations at Baseline and at least one Post-Baseline visit, were analyzed. In the last observation carried forward (LOCF) dataset, missing data were filled in using the participant's preceding non-missing value, except that Baseline value will not be carried forward. | Posted | Number | percentage of participants | Baseline to Week 214 |
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| Secondary | Percentage of Participants Requiring Prescription of Fluid Restriction | Percentage of participants requiring prescription of fluid restriction for the express purpose of treating hyponatremia during each period of the trial. Assessed descriptively at each visit. | The ITT dataset, which comprised of data from all enrolled participants who had observations at Baseline and at least one Post-Baseline visit, were analyzed. In the last observation carried forward (LOCF) dataset, missing data were filled in using the participant's preceding non-missing value, except that Baseline value will not be carried forward. | Posted | Number | percentage of participants | Baseline to Post-Week 214 follow-up visit |
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| Secondary | Number of Participants Requiring Prescription of Hypertonic Saline | Percentage of participants requiring prescription of hypertonic saline for the express purpose of treating hyponatremia during each period of the trial, assessed descriptively at each visit. | The ITT dataset, which comprised of data from all enrolled participants who had observations at Baseline and at least one Post-Baseline visit, were analyzed. Percentage of participants requiring prescription of hypertonic saline was not analyzed due to a low number of participants who received the treatment. | Posted | Number | participants | Baseline to Post-Week 214 follow-up visit |
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| Secondary | Percentage of Participants Requiring Prescription of Other Medicines | Percentage of participants requiring prescription of other medicines for the express purpose of treating hyponatremia during each period of the trial, assessed descriptively at each visit. | The ITT dataset, which comprised of data from all enrolled participants who had observations at Baseline and at least one Post-Baseline visit, were analyzed. Percentage of participants requiring other medicines such as demeclocycline or urea was not analyzed. | Posted | Number | percentage of participants | Baseline to Post-Week 214 follow-up visit |
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| Secondary | Mean Change From Baseline in Body Weight by Visit for Those Participants Who Had Clinical Evidence of Hypervolemia at Baseline | Body weight at each visit (assessed only for those with clinical evidence of hypervolemia at Baseline) and was summarized using descriptive statistics. | The ITT dataset comprised of data from all enrolled participants who had observations at Baseline and at least one Post-Baseline visit were analyzed. The observed cases (OC) dataset consisted of only data points obtained from participants who were evaluated at the visit, without missing study drug consecutively for 14 days. | Posted | Mean | Standard Deviation | kg | Baseline to Week 214 |
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| Secondary | Mean Change From Baseline in SF-12 (Health Survey) Physical Component Summary (PCS) | The PCS assess the physical and mental dimensions of health-related quality of life. The PCS is equal to the sum of the items of endurance activities, strength activities, gross coordination activities, and fine coordination activities. The PCS is a computed score with weighted function based on the 12 questions from the 8 subscales (physical functioning, role-physical, bodily pain, general health, vitality, social functioning, role-emotional, mental health) of the SF-12v1 questionnaire per instructions by the scale's publisher. The scale ranges from 0 to 100 with 0 representing the lowest level of health and 100 indicating the highest level of health. | The ITT dataset comprised of data from all enrolled participants who had observations at Baseline and at least one Post-Baseline visit were analyzed. In the last observation carried forward (LOCF) dataset, missing data were filled in using the participant's preceding non-missing value, except that Baseline value will not be carried forward. | Posted | Mean | Standard Deviation | Units on a scale | Baseline to Week 214 |
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| Secondary | Mean Change From Baseline in SF-12 (Health Survey) Mental Component Summary (MCS) | The MCS assess the physical and mental dimensions of health-related quality of life. The MCS is equal to the sum of the items of concentration activities, calculating activities, language activities, and memory activities. The MCS is a computed score with weighted function based on the 12 questions from the 8 subscales (physical functioning, role-physical, bodily pain, general health, vitality, social functioning, role-emotional, mental health) of the SF-12v1 questionnaire per instructions by the scale's publisher. The scale ranges from 0 to 100 with 0 representing the lowest level of health and 100 indicating the highest level of health. | The ITT dataset comprised of data from all enrolled participants who had observations at Baseline and at least one Post-Baseline visit were analyzed. In the last observation carried forward (LOCF) dataset, missing data were filled in using the participant's preceding non-missing value, except that Baseline value will not be carried forward. | Posted | Mean | Standard Deviation | Units on a scale | Baseline to Week 214 |
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| Secondary | Change From Baseline in the Hyponatremia Disease-specific Survey | Analysis of individual items of Hyponatremia Disease-specific Survey was not conducted, because the analysis of Hyponatremia Disease-specific Survey was focused on the PCS and MCS summary scores since these 2 scores were developed. Subgroup analyses of Hyponatremia Disease-specific Survey were also not conducted. | The Hyponatremia Disease-specific Survey PCS and MCS scores evaluated during the trial were variable with only nominal changes from baseline observed. The data were collected under 2 different datasets, so the number of participants in each dataset was reduced that limited analysis of this endpoint. | Posted | Baseline to Week 214 |
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AEs are reported from the signing of the informed consent until the follow-up visit (+7 days) after the last dose of study drug as scheduled or as an early termination.
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| ID | Title | Description | Deaths (Affected) | Deaths (At Risk) | Serious Events (Affected) | Serious Events (At Risk) | Other Events (Affected) | Other Events (At Risk) |
|---|---|---|---|---|---|---|---|---|
| EG000 | Tolvaptan | Participants received 15 mg tolvaptan QD and were titrated from 15mg, 30mg, or 60mg of tolvaptan based on the participant's response in serum sodium concentration and clinical tolerance of study drug. | 76 | 111 | 86 | 111 |
| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Anemia | Blood and lymphatic system disorders | MedDRA 11.0 | Non-systematic Assessment |
| |
| Spontaneous haematoma | Blood and lymphatic system disorders | MedDRA 11.0 | Non-systematic Assessment |
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| Acute coronary syndrome | Cardiac disorders | MedDRA 11.0 | Non-systematic Assessment |
| |
| Arrhythmia | Cardiac disorders | MedDRA 11.0 | Non-systematic Assessment |
| |
| Atrial fibrillation | Cardiac disorders | MedDRA 11.0 | Non-systematic Assessment |
| |
| Atrial flutter | Cardiac disorders | MedDRA 11.0 | Non-systematic Assessment |
| |
| Atrial tachycardia | Cardiac disorders | MedDRA 11.0 | Non-systematic Assessment |
| |
| Bradycardia | Cardiac disorders | MedDRA 11.0 | Non-systematic Assessment |
| |
| Cardiac arrest | Cardiac disorders | MedDRA 11.0 | Non-systematic Assessment |
| |
| Cardiac failure | Cardiac disorders | MedDRA 11.0 | Non-systematic Assessment |
| |
| Cardiac failure congestive | Cardiac disorders | MedDRA 11.0 | Non-systematic Assessment |
| |
| Cardiac tamponade | Cardiac disorders | MedDRA 11.0 | Non-systematic Assessment |
| |
| Cardio-respiratory arrest | Cardiac disorders | MedDRA 11.0 | Non-systematic Assessment |
| |
| Coronary artery disease | Cardiac disorders | MedDRA 11.0 | Non-systematic Assessment |
| |
| Left ventricular failure | Cardiac disorders | MedDRA 11.0 | Non-systematic Assessment |
| |
| Sick sinus syndrome | Cardiac disorders | MedDRA 11.0 | Non-systematic Assessment |
| |
| Sinus tachycardia | Cardiac disorders | MedDRA 11.0 | Non-systematic Assessment |
| |
| Tachycardia | Cardiac disorders | MedDRA 11.0 | Non-systematic Assessment |
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| Ventricular tachycardia | Cardiac disorders | MedDRA 11.0 | Non-systematic Assessment |
| |
| Vertigo | Ear and labyrinth disorders | MedDRA 11.0 | Non-systematic Assessment |
| |
| Goitre | Endocrine disorders | MedDRA 11.0 | Non-systematic Assessment |
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| Blindness | Eye disorders | MedDRA 11.0 | Non-systematic Assessment |
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| Retinal detachment | Eye disorders | MedDRA 11.0 | Non-systematic Assessment |
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| Retinal haemorrhage | Eye disorders | MedDRA 11.0 | Non-systematic Assessment |
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| Retinoschisis | Eye disorders | MedDRA 11.0 | Non-systematic Assessment |
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| Abdominal hernia | Gastrointestinal disorders | MedDRA 11.0 | Non-systematic Assessment |
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| Abdominal pain upper | Gastrointestinal disorders | MedDRA 11.0 | Non-systematic Assessment |
| |
| Ascites | Gastrointestinal disorders | MedDRA 11.0 | Non-systematic Assessment |
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| Colitis ischaemic | Gastrointestinal disorders | MedDRA 11.0 | Non-systematic Assessment |
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| Diarrhoea | Gastrointestinal disorders | MedDRA 11.0 | Non-systematic Assessment |
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| Diverticulum | Gastrointestinal disorders | MedDRA 11.0 | Non-systematic Assessment |
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| Dysphagia | Gastrointestinal disorders | MedDRA 11.0 | Non-systematic Assessment |
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| Gastritis | Gastrointestinal disorders | MedDRA 11.0 | Non-systematic Assessment |
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| Gastritis erosive | Gastrointestinal disorders | MedDRA 11.0 | Non-systematic Assessment |
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| Gastrointestinal haemorrhage | Gastrointestinal disorders | MedDRA 11.0 | Non-systematic Assessment |
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| Haematemesis | Gastrointestinal disorders | MedDRA 11.0 | Non-systematic Assessment |
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| Inguinal hernia | Gastrointestinal disorders | MedDRA 11.0 | Non-systematic Assessment |
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| Intestinal obstruction | Gastrointestinal disorders | MedDRA 11.0 | Non-systematic Assessment |
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| Malaena | Gastrointestinal disorders | MedDRA 11.0 | Non-systematic Assessment |
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| Nausea | Gastrointestinal disorders | MedDRA 11.0 | Non-systematic Assessment |
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| Oesophageal varices haemorrhage | Gastrointestinal disorders | MedDRA 11.0 | Non-systematic Assessment |
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| Pancreatitis acute | Gastrointestinal disorders | MedDRA 11.0 | Non-systematic Assessment |
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| Peritonitis | Gastrointestinal disorders | MedDRA 11.0 | Non-systematic Assessment |
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| Rectal haemorrhage | Gastrointestinal disorders | MedDRA 11.0 | Non-systematic Assessment |
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| Umbilical hernia | Gastrointestinal disorders | MedDRA 11.0 | Non-systematic Assessment |
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| Umbilical hernia perforation | Gastrointestinal disorders | MedDRA 11.0 | Non-systematic Assessment |
| |
| Volvulus | Gastrointestinal disorders | MedDRA 11.0 | Non-systematic Assessment |
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| Vomiting | Gastrointestinal disorders | MedDRA 11.0 | Non-systematic Assessment |
| |
| Adverse drug reaction | General disorders | MedDRA 11.0 | Non-systematic Assessment |
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| Chest pain | General disorders | MedDRA 11.0 | Non-systematic Assessment |
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| Gait disturbance | General disorders | MedDRA 11.0 | Non-systematic Assessment |
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| General physical health deterioration | General disorders | MedDRA 11.0 | Non-systematic Assessment |
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| Hernia | General disorders | MedDRA 11.0 | Non-systematic Assessment |
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| Multi-organ failure | General disorders | MedDRA 11.0 | Non-systematic Assessment |
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| Non-cardiac chest pain | General disorders | MedDRA 11.0 | Non-systematic Assessment |
| |
| Oedema peripheral | General disorders | MedDRA 11.0 | Non-systematic Assessment |
| |
| Ulcer haemorrhage | General disorders | MedDRA 11.0 | Non-systematic Assessment |
| |
| Cholecystitis acute | Hepatobiliary disorders | MedDRA 11.0 | Non-systematic Assessment |
| |
| Cholelithiasis | Hepatobiliary disorders | MedDRA 11.0 | Non-systematic Assessment |
| |
| Hepatic cirrhosis | Hepatobiliary disorders | MedDRA 11.0 | Non-systematic Assessment |
| |
| Hepatorenal syndrome | Hepatobiliary disorders | MedDRA 11.0 | Non-systematic Assessment |
| |
| Portal hypertensive gastropathy | Hepatobiliary disorders | MedDRA 11.0 | Non-systematic Assessment |
| |
| Bronchitis | Infections and infestations | MedDRA 11.0 | Non-systematic Assessment |
| |
| Catheter site infection | Infections and infestations | MedDRA 11.0 | Non-systematic Assessment |
| |
| Cellulitis | Infections and infestations | MedDRA 11.0 | Non-systematic Assessment |
| |
| Clostridium difficile colitis | Infections and infestations | MedDRA 11.0 | Non-systematic Assessment |
| |
| Cystitis | Infections and infestations | MedDRA 11.0 | Non-systematic Assessment |
| |
| Diabetic gangrene | Infections and infestations | MedDRA 11.0 | Non-systematic Assessment |
| |
| Gastroenteritis | Infections and infestations | MedDRA 11.0 | Non-systematic Assessment |
| |
| Heliobacter gastritis | Infections and infestations | MedDRA 11.0 | Non-systematic Assessment |
| |
| Infection | Infections and infestations | MedDRA 11.0 | Non-systematic Assessment |
| |
| Influenza | Infections and infestations | MedDRA 11.0 | Non-systematic Assessment |
| |
| Localised infection | Infections and infestations | MedDRA 11.0 | Non-systematic Assessment |
| |
| Peritonitis bacterial | Infections and infestations | MedDRA 11.0 | Non-systematic Assessment |
| |
| Pneumonia | Infections and infestations | MedDRA 11.0 | Non-systematic Assessment |
| |
| Sepsis | Infections and infestations | MedDRA 11.0 | Non-systematic Assessment |
| |
| Sepsis syndrome | Infections and infestations | MedDRA 11.0 | Non-systematic Assessment |
| |
| Urinary tract infection | Infections and infestations | MedDRA 11.0 | Non-systematic Assessment |
| |
| Urosepsis | Infections and infestations | MedDRA 11.0 | Non-systematic Assessment |
| |
| Compression fracture | Injury, poisoning and procedural complications | MedDRA 11.0 | Non-systematic Assessment |
| |
| Excoriation | Injury, poisoning and procedural complications | MedDRA 11.0 | Non-systematic Assessment |
| |
| Fall | Injury, poisoning and procedural complications | MedDRA 11.0 | Non-systematic Assessment |
| |
| Hip fracture | Injury, poisoning and procedural complications | MedDRA 11.0 | Non-systematic Assessment |
| |
| Humerus fracture | Injury, poisoning and procedural complications | MedDRA 11.0 | Non-systematic Assessment |
| |
| Lumbar vertebral fracture | Injury, poisoning and procedural complications | MedDRA 11.0 | Non-systematic Assessment |
| |
| Procedural pain | Injury, poisoning and procedural complications | MedDRA 11.0 | Non-systematic Assessment |
| |
| Rib fracture | Injury, poisoning and procedural complications | MedDRA 11.0 | Non-systematic Assessment |
| |
| Skin laceration | Injury, poisoning and procedural complications | MedDRA 11.0 | Non-systematic Assessment |
| |
| Spinal compression fracture | Injury, poisoning and procedural complications | MedDRA 11.0 | Non-systematic Assessment |
| |
| Subdural haematoma | Injury, poisoning and procedural complications | MedDRA 11.0 | Non-systematic Assessment |
| |
| Therapeutic agent toxicity | Injury, poisoning and procedural complications | MedDRA 11.0 | Non-systematic Assessment |
| |
| Ulna fracture | Injury, poisoning and procedural complications | MedDRA 11.0 | Non-systematic Assessment |
| |
| Vascular graft occlusion | Injury, poisoning and procedural complications | MedDRA 11.0 | Non-systematic Assessment |
| |
| Blood creatinine increased | Investigations | MedDRA 11.0 | Non-systematic Assessment |
| |
| International normalised ratio increased | Investigations | MedDRA 11.0 | Non-systematic Assessment |
| |
| Troponin increased | Investigations | MedDRA 11.0 | Non-systematic Assessment |
| |
| Dehydration | Metabolism and nutrition disorders | MedDRA 11.0 | Non-systematic Assessment |
| |
| Failure to thrive | Metabolism and nutrition disorders | MedDRA 11.0 | Non-systematic Assessment |
| |
| Fluid overload | Metabolism and nutrition disorders | MedDRA 11.0 | Non-systematic Assessment |
| |
| Hyperkalaemia | Metabolism and nutrition disorders | MedDRA 11.0 | Non-systematic Assessment |
| |
| Hypervolaemia | Metabolism and nutrition disorders | MedDRA 11.0 | Non-systematic Assessment |
| |
| Hypocalcaemia | Metabolism and nutrition disorders | MedDRA 11.0 | Non-systematic Assessment |
| |
| Hypoglycaemia | Metabolism and nutrition disorders | MedDRA 11.0 | Non-systematic Assessment |
| |
| Hypokalaemia | Metabolism and nutrition disorders | MedDRA 11.0 | Non-systematic Assessment |
| |
| Hyponatraemia | Metabolism and nutrition disorders | MedDRA 11.0 | Non-systematic Assessment |
| |
| Back pain | Musculoskeletal and connective tissue disorders | MedDRA 11.0 | Non-systematic Assessment |
| |
| Muscular weakness | Musculoskeletal and connective tissue disorders | MedDRA 11.0 | Non-systematic Assessment |
| |
| Osteoarthritis | Musculoskeletal and connective tissue disorders | MedDRA 11.0 | Non-systematic Assessment |
| |
| Osteonecrosis | Musculoskeletal and connective tissue disorders | MedDRA 11.0 | Non-systematic Assessment |
| |
| Rhabdomyolysis | Musculoskeletal and connective tissue disorders | MedDRA 11.0 | Non-systematic Assessment |
| |
| Rotator cuff syndrome | Musculoskeletal and connective tissue disorders | MedDRA 11.0 | Non-systematic Assessment |
| |
| Bladder cancer | Neoplasms benign, malignant and unspecified (incl cysts and polyps) | MedDRA 11.0 | Non-systematic Assessment |
| |
| Colon cancer | Neoplasms benign, malignant and unspecified (incl cysts and polyps) | MedDRA 11.0 | Non-systematic Assessment |
| |
| Lung neoplasm malignant | Neoplasms benign, malignant and unspecified (incl cysts and polyps) | MedDRA 11.0 | Non-systematic Assessment |
| |
| Non-Hodgkin's lymphoma unspecified histology aggressive refracto | Neoplasms benign, malignant and unspecified (incl cysts and polyps) | MedDRA 11.0 | Non-systematic Assessment |
| |
| Prostate cancer | Neoplasms benign, malignant and unspecified (incl cysts and polyps) | MedDRA 11.0 | Non-systematic Assessment |
| |
| Altered state of consciousness | Nervous system disorders | MedDRA 11.0 | Non-systematic Assessment |
| |
| Anoxic encephalopathy | Nervous system disorders | MedDRA 11.0 | Non-systematic Assessment |
| |
| Ataxia | Nervous system disorders | MedDRA 11.0 | Non-systematic Assessment |
| |
| Cerebral haemorrhage | Nervous system disorders | MedDRA 11.0 | Non-systematic Assessment |
| |
| Cerebral ischaemia | Nervous system disorders | MedDRA 11.0 | Non-systematic Assessment |
| |
| Cerebrovascular accident | Nervous system disorders | MedDRA 11.0 | Non-systematic Assessment |
| |
| Convulsion | Nervous system disorders | MedDRA 11.0 | Non-systematic Assessment |
| |
| Dysphasia | Nervous system disorders | MedDRA 11.0 | Non-systematic Assessment |
| |
| Encephalopathy | Nervous system disorders | MedDRA 11.0 | Non-systematic Assessment |
| |
| Epilepsy | Nervous system disorders | MedDRA 11.0 | Non-systematic Assessment |
| |
| Haemorrhagic cerebral infarction | Nervous system disorders | MedDRA 11.0 | Non-systematic Assessment |
| |
| Hepatic encephalopathy | Nervous system disorders | MedDRA 11.0 | Non-systematic Assessment |
| |
| Hydrocephalus | Nervous system disorders | MedDRA 11.0 | Non-systematic Assessment |
| |
| Polyneuropathy | Nervous system disorders | MedDRA 11.0 | Non-systematic Assessment |
| |
| Reversible ischaemic neurological deficit | Nervous system disorders | MedDRA 11.0 | Non-systematic Assessment |
| |
| Syncope | Nervous system disorders | MedDRA 11.0 | Non-systematic Assessment |
| |
| Transient ischaemic attack | Nervous system disorders | MedDRA 11.0 | Non-systematic Assessment |
| |
| Alcoholism | Psychiatric disorders | MedDRA 11.0 | Non-systematic Assessment |
| |
| Confusional state | Psychiatric disorders | MedDRA 11.0 | Non-systematic Assessment |
| |
| Depression | Psychiatric disorders | MedDRA 11.0 | Non-systematic Assessment |
| |
| Mental status changes | Psychiatric disorders | MedDRA 11.0 | Non-systematic Assessment |
| |
| Obsessive-compulsive disorder | Psychiatric disorders | MedDRA 11.0 | Non-systematic Assessment |
| |
| Panic disorder | Psychiatric disorders | MedDRA 11.0 | Non-systematic Assessment |
| |
| Psychotic disorder | Psychiatric disorders | MedDRA 11.0 | Non-systematic Assessment |
| |
| Bladder neck sclerosis | Renal and urinary disorders | MedDRA 11.0 | Non-systematic Assessment |
| |
| Hypertonic bladder | Renal and urinary disorders | MedDRA 11.0 | Non-systematic Assessment |
| |
| Renal failure | Renal and urinary disorders | MedDRA 11.0 | Non-systematic Assessment |
| |
| Renal failure acute | Renal and urinary disorders | MedDRA 11.0 | Non-systematic Assessment |
| |
| Renal impairment | Renal and urinary disorders | MedDRA 11.0 | Non-systematic Assessment |
| |
| Aspiration | Respiratory, thoracic and mediastinal disorders | MedDRA 11.0 | Non-systematic Assessment |
| |
| Chronic obstructive pulmonary disease | Respiratory, thoracic and mediastinal disorders | MedDRA 11.0 | Non-systematic Assessment |
| |
| Pneumonia aspiration | Respiratory, thoracic and mediastinal disorders | MedDRA 11.0 | Non-systematic Assessment |
| |
| Pulmonary oedema | Respiratory, thoracic and mediastinal disorders | MedDRA 11.0 | Non-systematic Assessment |
| |
| Respiratory distress | Respiratory, thoracic and mediastinal disorders | MedDRA 11.0 | Non-systematic Assessment |
| |
| Respiratory failure | Respiratory, thoracic and mediastinal disorders | MedDRA 11.0 | Non-systematic Assessment |
| |
| Arteriosclerosis | Vascular disorders | MedDRA 11.0 | Non-systematic Assessment |
| |
| Hypertension | Vascular disorders | MedDRA 11.0 | Non-systematic Assessment |
| |
| Hypotension | Vascular disorders | MedDRA 11.0 | Non-systematic Assessment |
| |
| Lymphocele | Vascular disorders | MedDRA 11.0 | Non-systematic Assessment |
| |
| Peripheral ischaemia | Vascular disorders | MedDRA 11.0 | Non-systematic Assessment |
| |
| Peripheral vascular disorder | Vascular disorders | MedDRA 11.0 | Non-systematic Assessment |
| |
| Temporal arteritis | Vascular disorders | MedDRA 11.0 | Non-systematic Assessment |
| |
| Vascular insufficiency | Vascular disorders | MedDRA 11.0 | Non-systematic Assessment |
| |
| Venous thrombosis limb | Vascular disorders | MedDRA 11.0 | Non-systematic Assessment |
|
| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Anaemia | Blood and lymphatic system disorders | MedDRA 11.0 | Non-systematic Assessment |
| |
| Hypothyroidism | Endocrine disorders | MedDRA 11.0 | Non-systematic Assessment |
| |
| Abdominal pain | Gastrointestinal disorders | MedDRA 11.0 | Non-systematic Assessment |
| |
| Ascites | Gastrointestinal disorders | MedDRA 11.0 | Non-systematic Assessment |
| |
| Constipation | Gastrointestinal disorders | MedDRA 11.0 | Non-systematic Assessment |
| |
| Diarrhoea | Gastrointestinal disorders | MedDRA 11.0 | Non-systematic Assessment |
| |
| Dyspepsia | Gastrointestinal disorders | MedDRA 11.0 | Non-systematic Assessment |
| |
| Nausea | Gastrointestinal disorders | MedDRA 11.0 | Non-systematic Assessment |
| |
| Vomiting | Gastrointestinal disorders | MedDRA 11.0 | Non-systematic Assessment |
| |
| Asthenia | General disorders | MedDRA 11.0 | Non-systematic Assessment |
| |
| Chest pain | General disorders | MedDRA 11.0 | Non-systematic Assessment |
| |
| Fatigue | General disorders | MedDRA 11.0 | Non-systematic Assessment |
| |
| Oedema | General disorders | MedDRA 11.0 | Non-systematic Assessment |
| |
| Oedema peripheral | General disorders | MedDRA 11.0 | Non-systematic Assessment |
| |
| Pain | General disorders | MedDRA 11.0 | Non-systematic Assessment |
| |
| Pyrexia | General disorders | MedDRA 11.0 | Non-systematic Assessment |
| |
| Thirst | General disorders | MedDRA 11.0 | Non-systematic Assessment |
| |
| Bronchitis | Infections and infestations | MedDRA 11.0 | Non-systematic Assessment |
| |
| Gastroenteritis | Infections and infestations | MedDRA 11.0 | Non-systematic Assessment |
| |
| Nasopharyngitis | Infections and infestations | MedDRA 11.0 | Non-systematic Assessment |
| |
| Upper respiratory tract infection | Infections and infestations | MedDRA 11.0 | Non-systematic Assessment |
| |
| Urinary tract infection | Infections and infestations | MedDRA 11.0 | Non-systematic Assessment |
| |
| Contusion | Injury, poisoning and procedural complications | MedDRA 11.0 | Non-systematic Assessment |
| |
| Fall | Injury, poisoning and procedural complications | MedDRA 11.0 | Non-systematic Assessment |
| |
| Skin laceration | Injury, poisoning and procedural complications | MedDRA 11.0 | Non-systematic Assessment |
| |
| Hypokalaemia | Metabolism and nutrition disorders | MedDRA 11.0 | Non-systematic Assessment |
| |
| Hyponatraemia | Metabolism and nutrition disorders | MedDRA 11.0 | Non-systematic Assessment |
| |
| Arthralgia | Musculoskeletal and connective tissue disorders | MedDRA 11.0 | Non-systematic Assessment |
| |
| Back pain | Musculoskeletal and connective tissue disorders | MedDRA 11.0 | Non-systematic Assessment |
| |
| Muscle spasms | Musculoskeletal and connective tissue disorders | MedDRA 11.0 | Non-systematic Assessment |
| |
| Musculoskeletal pain | Musculoskeletal and connective tissue disorders | MedDRA 11.0 | Non-systematic Assessment |
| |
| Dizziness | Nervous system disorders | MedDRA 11.0 | Non-systematic Assessment |
| |
| Headache | Nervous system disorders | MedDRA 11.0 | Non-systematic Assessment |
| |
| Lethargy | Nervous system disorders | MedDRA 11.0 | Non-systematic Assessment |
| |
| Insomnia | Psychiatric disorders | MedDRA 11.0 | Non-systematic Assessment |
| |
| Pollakiuria | Renal and urinary disorders | MedDRA 11.0 | Non-systematic Assessment |
| |
| Renal failure | Renal and urinary disorders | MedDRA 11.0 | Non-systematic Assessment |
| |
| Cough | Respiratory, thoracic and mediastinal disorders | MedDRA 11.0 | Non-systematic Assessment |
| |
| Dyspnoea | Respiratory, thoracic and mediastinal disorders | MedDRA 11.0 | Non-systematic Assessment |
| |
| Dyspnoea exertional | Respiratory, thoracic and mediastinal disorders | MedDRA 11.0 | Non-systematic Assessment |
| |
| Epistaxis | Respiratory, thoracic and mediastinal disorders | MedDRA 11.0 | Non-systematic Assessment |
| |
| Nasal congestion | Respiratory, thoracic and mediastinal disorders | MedDRA 11.0 | Non-systematic Assessment |
| |
| Ecchymosis | Skin and subcutaneous tissue disorders | MedDRA 11.0 | Non-systematic Assessment |
| |
| Hypertension | Vascular disorders | MedDRA 11.0 | Non-systematic Assessment |
| |
| Hypotension | Vascular disorders | MedDRA 11.0 | Non-systematic Assessment |
|
Not provided
Not provided
| Title | Organization | Phone | Extension | |
|---|---|---|---|---|
| Global Medical Affairs | Otsuka Pharmaceutical Development and Commercialization, Inc. | 800 562-3974 |
| ID | Term |
|---|---|
| D007010 | Hyponatremia |
| ID | Term |
|---|---|
| D014883 | Water-Electrolyte Imbalance |
| D008659 | Metabolic Diseases |
| D009750 | Nutritional and Metabolic Diseases |
Not provided
Not provided
| ID | Term |
|---|---|
| D000077602 | Tolvaptan |
| ID | Term |
|---|---|
| D001552 | Benzazepines |
| D006574 | Heterocyclic Compounds, 2-Ring |
| D000072471 | Heterocyclic Compounds, Fused-Ring |
| D006571 | Heterocyclic Compounds |
Not provided
Not provided
| Title | Measurements |
|---|---|
|
| Participants discontinued IMP due to TEAE |
|
| Participants discontinued IMP due to TEAE/death |
|
| Deaths |
|
|
| Units | Counts |
|---|---|
| Participants |
|
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| Units |
|---|
| Counts |
|---|
| Participants |
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| Participants |
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| Participants |
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