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The purpose of this trial is to demonstrate efficacy of desmopressin ODT against placebo for the treatment of female subjects with nocturia due to nocturnal polyuria, during 12 weeks of treatment.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Desmopressin | Experimental | Desmopressin ODT |
|
| Placebo | Placebo Comparator | Placebo ODT |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Desmopressin | Drug |
|
| |
| Placebo |
| Measure | Description | Time Frame |
|---|---|---|
| Change from baseline in mean number of nocturnal voids during 12 weeks of treatment | Assessed by the 3-day voiding diary | Week 1, 4, 8 and 12 |
| Measure | Description | Time Frame |
|---|---|---|
| Change from baseline in mean time to first awakening to void | Assessed by the 3-day voiding diary | Week 1, 4, 8 and 12 |
| Change from baseline in mean nocturnal urine volume | Assessed by the 3-day voiding diary |
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Inclusion Criteria:
Exclusion Criteria:
Evidence of any significant voiding dysfunction resulting in abnormally low bladder capacity at the end of the screening period prior to Visit 2
History or evidence of significant obstructive sleep apnoea
History or diagnosis of any of the following urological diseases at Visit 1:
Surgical treatment, including transurethral resection, for bladder outlet obstruction (BOO) within the past 6 months prior to Visit 1
Symptoms of severe over-active bladder (OAB):
Genito-urinary tract pathology that can in the investigator's opinion be responsible for urgency or urinary incontinence at Visit 1
Complication of cancer or a history of cancer which has not been in remission for the last 5 years at Visit 1
Current or a history of urologic malignancies, any lower urinary tract surgery, previous pelvic irradiation, or neoplasia at Visit 1
History of any neurological disease affecting bladder function or muscle strength at Visit 1
Urinary retention or a post void residual volume >150 mL
Habitual or psychogenic polydipsia based on medical history at Visit 1 or 24 hour urine output of >2.8 L based on the voiding diary at Visit 2
Central or nephrogenic diabetes insipidus at Visit 1
Syndrome of inappropriate antidiuretic hormone secretion at Visit 1
Suspicion or evidence of cardiac failure at Visit 1
Uncontrolled hypertension at Visit 1
Uncontrolled diabetes mellitus at Visit 1
Hyponatraemia (serum sodium level <135 mmol/L) at Visit 1
Renal insufficiency at Visit 1
Hepatic and/or biliary diseases at Visit 1
Known or suspected hypersensitivity to desmopressin ODTs or previous desmopressin treatment for nocturia at Visit 1
Pregnancy, breastfeeding, or a plan to become pregnant during the period of the clinical trial.
Known alcohol or substance abuse at Visit 1
Work or lifestyle that may interfere with regular night-time sleep at Visit 1, e.g., shift workers
Any other medical condition, laboratory abnormality, psychiatric condition, mental incapacity, or language barrier that, in the judgment of the investigator, would impair participation in the trial at Visit 1
Use of any prohibited therapy during the trial period
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| Name | Affiliation | Role |
|---|---|---|
| Global Clinical Compliance | Ferring Pharmaceuticals | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Investigational site (there may be other sites in this country) | Tokyo | Japan |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 31397969 | Result | Yamaguchi O, Juul KV, Falahati A, Yoshimura T, Imura F, Kitamura M. Efficacy and safety of 25 and 50 mug desmopressin orally disintegrating tablets in Japanese patients with nocturia due to nocturnal polyuria: Results from two phase 3 studies of a multicenter randomized double-blind placebo-controlled parallel-group development program. Low Urin Tract Symptoms. 2020 Jan;12(1):8-19. doi: 10.1111/luts.12276. Epub 2019 Aug 9. |
| Label | URL |
|---|---|
| Article | View source |
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| 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 |
|---|---|
| D003894 | Deamino Arginine Vasopressin |
| ID | Term |
|---|---|
| D001127 | Arginine Vasopressin |
| D014667 | Vasopressins |
| D010909 | Pituitary Hormones, Posterior |
| D010907 | Pituitary Hormones |
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| Drug |
|
| Week 1, 4, 8 and 12 |
| Change from baseline in mean Nocturnal Polyuria Index (NPI) | Assessed by the 3-day voiding diary | Week 1, 4, 8 and 12 |
| Change from baseline in Nocturia-Specific Quality-of-Life Questionnaire (N-QoL) | Week 8 and 12 |
| Change from baseline in Insomnia Severity Index (ISI) | Week 8 and 12 |
| Change from baseline in bother score | Assessed by the Hsu 5-point Likert bother scale | Week 8 and 12 |
| Frequency and severity of adverse events | From screening to week 12 |
| D036361 |
| Peptide Hormones |
| D006728 | Hormones |
| D006730 | Hormones, Hormone Substitutes, and Hormone Antagonists |
| D009479 | Neuropeptides |
| D010455 | Peptides |
| D000602 | Amino Acids, Peptides, and Proteins |
| D009842 | Oligopeptides |
| D009419 | Nerve Tissue Proteins |
| D011506 | Proteins |