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NocturiaPhase 3NCT00615836

An Extension Study Investigating the Efficacy and Safety of a Fast-Dissolving ("Melt") Formulation of Desmopressin for the Treatment of Nocturia in Adults

A Phase 3 study testing Desmopressin Melt in people with Nocturia, run by Ferring Pharmaceuticals at 73 sites in 2 countries.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

The purpose of this study was to investigate the long term efficacy and safety of several doses of the Melt formulation of desmopressin in a broad population of adult patients with nocturia. Read more about this study

Who is it for?
Ages 18 years and older
Conditions the study is for
Nocturia
What is being tested?
Desmopressin Melt
Type of treatment
Pill or oral medicine
Could I receive a placebo?
No, everyone receives an active treatment
How many people
554 participants
Where
73 sitesin 2 countries
Study dates
Dec 2007to May 2010
Phase
Phase 3
Are there results?
Yes, posted in the registrySummary in the doctors' view

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 years and older
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Written informed consent prior to the performance of any study-related activity.
  • Was randomized into Part II of Protocol FE992026 CS29 (NCT00477490), entitled "A Randomized, Double Blind,Placebo Controlled, Parallel Group, Multi-Center Study with a Double Blind Extension Investigating the Efficacy and Safety of a Fast-Dissolving ("Melt") Formulation of Desmopressin for the Treatment of Nocturia in Adults" and have completed at least Visit 3E in Part II (Day 15).

Who cannot join

  • Patients using loop diuretics (furosemide, torsemide, ethacrynic acid).

Trial locations and contacts

73 sites in 2 countries.

73 sites in 2 countries

United States64 sites
  • Urology Group of New Mexico, PC

    Albuquerque, New Mexico, 87109

  • Advanced Urology Medical Center

    Anaheim, California, 92801

  • South Florida Medical Research

    Aventura, Florida, 33180

  • Urologic Consultants of SE PA

    Bala-Cynwyd, Pennsylvania, 19004

  • Impact Clinical Trials

    Beverly Hills, California, 90211

  • Investigational site - Adult & Pediatric Urology

    Carmel, New York, 10512

  • Radiant Research, Inc

    Chicago, Illinois, 60654

  • Radiant Research Inc.

    Cincinnati, Ohio, 45249

  • Women's Health Research Group, LLC

    Clearwater, Florida, 33759

  • Southeastern Medical Research Institute

    Columbus, Georgia, 31904

  • Advanced Research Associates

    Corpus Christi, Texas, 78414

  • Urology Associates PC

    Denver, Colorado, 80210

  • Downtown Women's Health Care

    Denver, Colorado, 80218

  • Genitourinary Surgical Consultants

    Denver, Colorado, 80220

  • Investigational site

    Dunwoody, Georgia, 30338

  • Radiant Research, Minneapolis

    Edina, Minnesota, 55435

  • Central Jersey Medical Research Center

    Elizabeth, New Jersey, 07202

  • AccuMed Research Associates

    Garden City, New York, 11530

  • PharmQuest

    Greensboro, North Carolina, 27408

  • Radiant Research, Greer

    Greer, South Carolina, 29651

  • Investigational site - NationsMed Clinical Research

    Houston, Texas, 77004

  • Accelovance

    Houston, Texas, 77024

  • Regional Medical Center and Diagnostic

    Humble, Texas, 77338

  • Holston Medical Group

    Kingsport, Tennessee, 37660

  • Sheldon J Freedman Ltd

    Las Vegas, Nevada

  • Lawrenceville Urology, P.A. DBA

    Lawrenceville, New Jersey, 08648

  • Women's Clinic of Lincoln, P.C.

    Lincoln, Nebraska, 68510

  • Arkansas Primary Care Clinic, PA

    Little Rock, Arkansas, 72204

  • Benchmark Research

    Metairie, Louisiana, 70006

  • Connecticut Clinical Research Center, LLC

    Middlebury, Connecticut, 06762

  • Radiant Research - Akron

    Mogadore, Ohio, 44260

  • Palmetto Medical Research

    Mt. Pleasant, South Carolina, 29464

  • Carolina Urologic Research Center

    Myrtle Beach, South Carolina, 29572

  • University Urology Associates

    New York, New York, 10016

  • Upstate Urology

    New York, New York, 12206-1092

  • California Professional Research

    Newport Beach, California, 92660

  • Radiant Research, Kansas City

    Overland Park, Kansas, 66202

  • Accelovance

    Peoria, Illinois, 61602

  • Philadelphia Clinical Research, LLC

    Philadelphia, Pennsylvania, 19114

  • Radiant Research - St. Petersburg

    Pinellas Park, Florida, 33781

  • Sunrise Medical Research

    Plantation, Florida, 33324

  • Hudson Valley Urology, PC

    Poughkeepsie, New York, 12601

  • Virginia Urology

    Richmond, Virginia, 23235

  • Innovative Clinical Trials

    San Antonio, Texas, 78229

  • Radiant Research San Antonio

    San Antonio, Texas, 78229

  • IMED Research, P.A.

    San Antonio, Texas, 78258

  • San Diego Uro-Reseach

    San Diego, California, 92103

  • Radiant Research

    Santa Rosa, California, 95405

  • Radiant Research

    Scottsdale, Arizona, 85251

  • Women's Clinical Research Center

    Seattle, Washington, 98105

  • Seattle Urology Research Center

    Seattle, Washington, 98166

  • Regional Urology, LLC

    Shreveport, Louisiana, 71106

  • FutureCare Studies, Inc.

    Springfield, Massachusetts, 01103

  • Radiant Research, Inc.

    St Louis, Missouri, 63141

  • NationsMed

    Stafford, Texas

  • Radiant Research

    Stuart, Florida, 34996

  • Tampa Bay Urology

    Tampa, Florida, 33607

  • West Coast Clinical Research

    Tarzana, California, 91356

  • Western Clinical Research

    Torrance, California, 90505

  • Urology of Virginia PC

    Virginia Beach, Virginia, 23454

  • Radiant Research

    West Palm Beach, Florida, 33407

  • Advanced Clinical Concepts

    West Readings, Pennsylvania, 19611

  • New Hanover Medical Research

    Wilmington, North Carolina, 28401

  • Piedmont Medical Research Associates

    Winston-Salem, North Carolina, 27103

Other trials in United States

Canada9 sites
  • The Male/Female Health and Research

    Barrie, Ontario, L4M 7G1

  • Brantford Urology Research

    Brantford, Ontario, N3R 4N3

  • Investigational site - Professional Corporation

    Fredericton, New Brunswick, E3B 5B8

  • Guelph Urology Associates

    Guelph, Ontario, N1H 5J1

  • Southern Interior Medical Research Inc.

    Kelowna, British Columbia, V1Y-2H4

  • Investigational site

    North Bay, Ontario, P1B 7K8

  • The Fe/Male Health Centres

    Oakville, Ontario, L6H 3P1

  • Can-Med Clinical Research Inc.

    Victoria, British Columbia, V8T 5G1

  • Investigational site - Clinical Research

    Victoria, British Columbia, V8V 3N1

Other trials in Canada

About this study

Official title: A Multi-Center Extension Study Investigating the Long Term Efficacy and Safety of a Fast-Dissolving ("Melt") Formulation of Desmopressin for the Treatment of Nocturia in Adults

The purpose of this study was to investigate the long term efficacy and safety of several doses of the Melt formulation of desmopressin in a broad population of adult patients with nocturia.

Read the detailed description

FE992026 CS31 was a multicenter open-label extension study for patients who were enrolled in Study FE992026 CS29 (NCT00477490) and had completed at least Visit 3E in Part II of that study.

The CS29 study was structured into 2 double-blind parts (Part I and Part II). In Part I, the initial 28-day treatment period, participants were randomly assigned to 1 of 5 treatment groups: placebo or desmopressin Melt 10 μg, 25 μg, 50 μg, or 100 μg. Immediately upon completion of Part I of the study, all participants on active treatment continued into Part II on the same treatment for approximately 1 to 6 months. Participants assigned to placebo in Part I were randomly assigned to 1 of the 4 active treatments in Part II, based on re-randomization predetermined at the initial randomization (to maintain the blind). Part II began at the final visit for Part I and continued until the database for Part I was locked. Therefore, treatment duration for Part II varied between 1 and 6 months, depending upon when the participant entered.

Upon completion of Part II of CS29, participants were given the option to participate in the open-label extension study (CS31). During CS31, each participant assigned to the 10 μg dose was switched to a higher dose in an open-label manner among the remaining 3 higher doses.

Conditions
Nocturia
Being tested
Desmopressin Melt
Medical subject headings
Nocturia

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Desmopressin MeltDrug

    Also called Minirin® Melt, Nocturin®, FE992026

    An orally disintegrating tablet of desmopressin administered under the tongue (sublingually), without water.

Study groups in NCT00615836
Study groupRoleWhat they receive
Desmopressin Melt 10 μgExperimentalParticipants received desmopressin melt 10 μg once a day, placed under the tongue one hour before bedtime until they were re-randomized to one of the other doses of desmopressin Melt (25 μg, 50 μg, or 100 μg).
Receives: Drug: Desmopressin Melt
Desmopressin Melt 25 μgExperimentalParticipants received desmopressin melt 25 μg once a day, placed under the tongue one hour before bedtime for up to 2 years and 2.5 months.
Receives: Drug: Desmopressin Melt
Desmopressin Melt 50 μgExperimentalParticipants received desmopressin melt 50 μg once a day, placed under the tongue one hour before bedtime for up to 2 years and 2.5 months.
Receives: Drug: Desmopressin Melt
Desmopressin Melt 100 μgExperimentalParticipants received desmopressin melt 100 μg once a day, placed under the tongue one hour before bedtime for up to 2 years and 2.5 months.
Receives: Drug: Desmopressin Melt

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Change From Baseline in Mean Number of Nocturnal Voids

    Participants completed a voiding diary for 3 consecutive 24-hour periods prior to the study visit in which they recorded each nocturnal urination (void). The mean number of voids per night was the average number of voids from the 3-day diary. Baseline refers to Baseline of Study CS29 and the number of weeks represents the total exposure to study drug.

    Participants in the 10μg arm are included only until the time of dose escalation.

    Measured: Baseline of Study CS29 and Weeks 8, 12, 20, 28, 52-56, 72-76, and 92-96.

  2. Percentage of Participants With a Greater Than 33% Reduction in the Mean Number of Nocturnal Voids

    Percentage of participants with >33% reduction from Baseline in the mean number of nocturnal urinations per night, calculated from the 3-day voiding diary completed prior to each study visit.

    Participants in the 10μg arm are included only until the time of dose escalation.

    Measured: Baseline of Study CS29 and Weeks 8, 12, 20, 28, 52-56, 72-76, and 92-96.

  3. Change From Baseline in Initial Period of Undisturbed Sleep

    Participants completed a sleep diary on 3 consecutive mornings prior to each study visit, from which the initial period of undisturbed sleep was calculated and averaged for the 3 days. The Initial Period of Undisturbed Sleep is the time elapsed from bedtime to either first void or morning arising minus the minutes it took to fall asleep. Baseline refers to Baseline of Study CS29 and the number of weeks represents the total exposure to study drug.

    Participants in the 10μg arm are included only until the time of dose escalation.

    Measured: Baseline of Study CS29 and Weeks 8, 12, 20, 28, 52-56, 72-76, and 92-96.

Secondary outcomes (10)
  1. Change From Baseline in Total Sleep Time

    Participants completed a sleep diary on 3 consecutive mornings prior to each study visit, from which the total sleep time was calculated and averaged for the 3 days. Baseline refers to Baseline of Study CS29 and the number of weeks represents the total exposure to study drug.

    Participants in the 10μg arm are included only until the time of dose escalation.

    Measured: Baseline of Study CS29 and Weeks 8, 12, 20, 28, 52-56, 72-76, and 92-96.

  2. Change From Baseline in International Consultation on Incontinence Modular Questionnaire - Nocturia (ICIQ-N) Nighttime Urination Bother Score

    The ICIQ-N is a self-administered 4-item questionnaire designed to assess the frequency and bother of daytime and nighttime urination. To assess nighttime urination bother, participants were asked to rate the degree of bother of nighttime urination by answering the question "Night time urination: How much does this bother you?" on a scale ranging from 0 (not at all) to 10 (a great deal). Higher numbers indicate greater bother.

    Participants in the 10μg arm are included only until the time of dose escalation.

    Measured: Baseline of Study CS29, Week 16, Visit 12 (approximately 56-78 weeks total study time) and End of Study (up to a maximum of 35 months)

  3. Change From Baseline in Nocturia Quality of Life (NQoL) Overall Score

    The NQoL is a self-administered 13-item questionnaire designed to assess the impact of nocturia on quality of life. It contains a sleep/energy domain (6 questions), a bother/concern domain (6 questions), and 1 global QoL question (which is not included in the overall score). The 12 core items are scored on a 0 to 4 scale, and the overall score is calculated by transforming the raw score into a 0-100 scale with higher numbers indicating better impact on quality of life.

    Participants in the 10μg arm are included only until the time of dose escalation.

    Measured: Baseline of Study CS29, Week 16, Visit 12 (approximately 56-78 weeks total study time) and End of Study (up to a maximum of 35 months)

  4. Change From Baseline in NQoL Bother/Concern Domain Score

    The NQoL is a self-administered 13-item questionnaire designed to assess the impact of nocturia on quality of life. It contains a sleep/energy domain (6 questions), a bother/concern domain (6 questions), and 1 global QoL question. The 12 core items are scored on a 0 to 4 scale with higher numbers indicating a better quality of life. The bother/concern domain summary score is calculated by transforming the raw score into a 0-100 scale with higher numbers indicating a better impact on quality of life.

    Participants in the 10μg arm are included only until the time of dose escalation.

    Measured: Baseline of Study CS29, Week 16, Visit 12 (approximately 56-78 weeks total study time) and End of Study (up to a maximum of 35 months)

  5. Change From Baseline in Nocturia Quality of Life (NQoL) Sleep/Energy Domain Score

    The NQoL is a self-administered 13-item questionnaire designed to assess the impact of nocturia on quality of life. It contains a sleep/energy domain (6 questions), a bother/concern domain (6 questions), and 1 global QoL question. The 12 core items are scored on a 0 to 4 scale with higher numbers indicating a better quality of life. The sleep/energy domain summary score is calculated by transforming the raw score into a 0-100 scale with higher numbers indicating a better impact on quality of life.

    Participants in the 10μg arm are included only until the time of dose escalation.

    Measured: Baseline of Study CS29, Week 16, Visit 12 (approximately 56-78 weeks total study time) and End of Study (up to a maximum of 35 months)

  6. Change From Baseline in the Nocturia Quality of Life (NQoL) Global Quality of Life Score

    The NQoL is a self-administered 13-item questionnaire designed to assess the impact of nocturia on quality of life. It contains a sleep/energy domain (6 questions), a bother/concern domain (6 questions), and 1 global QoL question. The global QoL question is scored on a scale ranging from 0 (not at all) to 10 (a great deal). Higher numbers indicate better impact on quality of life.

    Participants in the 10μg arm are included only until the time of dose escalation.

    Measured: Baseline of Study CS29, Week 16, Visit 12 (approximately 56-78 weeks total study time) and End of Study (up to a maximum of 35 months)

  7. Change From Baseline in Pittsburgh Sleep Quality Index (PSQI) Global Score

    The PSQI is a self-administered 19-item questionnaire designed to assess sleep quality and disturbances. The 19 individual items are scored on an evenly weighted 0 to 3 scale and generate 7 component scores: subjective sleep quality, sleep latency, sleep duration, habitual sleep efficiency, sleep disturbances, use of sleeping medication, and daytime dysfunction. The sum of scores for these 7 components yields 1 global score ranging from 0 to 21. Higher numbers indicate greater sleep disturbance.

    Participants in the 10μg arm are included only until the time of dose escalation.

    Measured: Baseline of Study CS29, Week 16, Visit 12 (approximately 56-78 weeks total study time) and End of Study (up to a maximum of 35 months)

  8. Change From Baseline in the Short Form-12, Version 2 (SF-12v2) Mental Component Summary Score

    The SF-12v2 was used to measure the impact of nocturia and lack of sleep on general quality of life. The SF-12 consists of 12 questions spanning 8 domains: physical functioning, role function-physical, role function-emotional, bodily pain, general health, vitality, social functioning, and mental health. These scales are combined to create 2 summary measures: the Physical Health Summary and Mental Health Summary. The Mental Health Summary score ranges from 0 to 100, where higher numbers indicate better quality of life.

    Participants in the 10μg arm are included only until the time of dose escalation.

    Measured: Baseline of Study CS29, Week 16, Visit 12 (approximately 56-78 weeks total study time) and End of Study (up to a maximum of 35 months)

  9. Change From Baseline in the Short Form-12, Version 2 (SF-12v2) Physical Component Summary Score

    The SF-12v2 was used to measure the impact of nocturia and lack of sleep on general quality of life. The SF-12 consists of 12 questions spanning 8 domains: physical functioning, role function-physical, role function-emotional, bodily pain, general health, vitality, social functioning, and mental health. These scales are combined to create 2 summary measures: the Physical Health Summary and Mental Health Summary. The Physical Health Summary score ranges from 0 to 100, where higher numbers indicate better quality of life.

    Participants in the 10μg arm are included only until the time of dose escalation.

    Measured: Baseline of Study CS29, Week 16, Visit 12 (approximately 56-78 weeks total study time) and End of Study (up to a maximum of 35 months)

  10. Participants With Treatment-Emergent Adverse Events (AEs)

    An AE was any untoward medical occurrence that did not necessarily have a causal relationship with the study drug. An adverse drug reaction (ADR) was an AE evaluated by the Investigator as being probably or possibly causally related to treatment with the study drug.

    A serious AE (SAE) was any event that resulted in death, was life-threatening, required inpatient hospitalization or prolongation of existing hospitalization, resulted in persistent or significant disability/incapacity or congenital anomaly/birth defect or was an important medical event that could have jeopardized the patient's safety or required medical or surgical intervention to prevent 1 of the outcomes listed above. The intensity of an AE was defined as severe if it resulted in the inability to work or perform usual activities.

    Measured: From first dose of study drug in Study CS29 until the end of study CS31 (up to 35 months).

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted14 Feb 2008 (estimated)
  2. Study startDec 2007
  3. Primary completionMay 2010
  4. Study completionMay 2010

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase 3
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
None (open label)
Enrolment
554 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT00615836
Sponsor's protocol ID
FE992026 CS31
Status last verified
Nov 2015
First submitted
18 Jan 2008
Last updated
15 Dec 2015
Data monitoring committee
Yes

Publications

  • Juul KV, Klein BM, Sandstrom R, Erichsen L, Norgaard JP. Gender difference in antidiuretic response to desmopressin. Am J Physiol Renal Physiol. 2011 May;300(5):F1116-22. doi: 10.1152/ajprenal.00741.2010. Epub 2011 Mar 2.

    PubMed 21367921

Questions about this trial

What is this clinical trial studying?

A Phase 3 study testing Desmopressin Melt in people with Nocturia, run by Ferring Pharmaceuticals at 73 sites in 2 countries.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 2 inclusion and 1 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 15 Dec 2015. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 73 sites in United States, Canada. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

What does this phase mean?

Phase 3 studies compare the treatment with the current standard treatment or a placebo in a large group, to confirm how well it works and watch for side effects.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

Yes. Results are posted in the registry (first posted 15 Dec 2015). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Change From Baseline in Mean Number of Nocturnal Voids (time frame: Baseline of Study CS29 and Weeks 8, 12, 20, 28, 52-56, 72-76, and 92-96.). The study lists 3 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT00615836, which also lists 1 linked publication.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 15 Dec 2015.

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