AzTrials
AzTrials

NocturiaPhase 3COMFORTNCT01223937

Investigation of the Superiority Effect of Desmopressin to Placebo in Terms of Night Voids Reduction in Nocturia Adult Female Patients

A Phase 3 study testing Desmopressin in people with Nocturia, run by Ferring Pharmaceuticals at 45 sites in 2 countries.

Completed

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

Official record
Search all trials

Trial summary

A multicenter, randomized, double-blind, placebo-controlled, parallel-group trial to investigate the safety and efficacy of desmopressin oral melt tablets against placebo during 3 months of treatment in adult females with nocturia. Read more about this study

Who is it for?
Ages 18 years and older, women only
Conditions the study is for
Nocturia
What is being tested?
Desmopressin
Type of treatment
Pill or oral medicine
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
268 participants
Where
45 sitesin 2 countries
Study dates
Nov 2010to Nov 2011
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
  • Women only
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Written informed consent prior to performance of any trial-related activity
  • Female sex 18 years of age or older
  • At least 2 voids every night in a consecutive 3-day period during the screening period

Who cannot join

  • Evidence of severe daytime voiding dysfunction defined as:
  • Urge urinary incontinence (more than 1 episode/day in the 3-day diary period)
  • Urgency (more than 1 episode/day in the 3-day diary period)
  • Frequency (more than 8 daytime voids/day in the 3-day diary period)
  • Interstitial cystitis
  • Urinary retention or a post void residual volume in excess of 150 mL as confirmed by bladder ultrasound performed after suspicion of urinary retention
Show all 26Show fewer
  • Habitual or psychogenic polydipsia (fluid intake resulting in a urine production exceeding 40 mL/kg/24 hours)
  • Central or nephrogenic diabetes insipidus
  • Syndrome of inappropriate anti-diuretic hormone secretion
  • Current or a history of urologic malignancies e.g. bladder cancer
  • Genitourinary tract pathology e.g., infection or stone in the bladder and urethra causing symptoms
  • Neurogenic detrusor activity (detrusor overactivity).
  • Suspicion or evidence of cardiac failure
  • Uncontrolled hypertension
  • Uncontrolled diabetes mellitus
  • Hyponatraemia: Serum sodium level must be within normal limits
  • Renal insufficiency: Serum creatinine must be within normal limits and estimated glomerular filtration rate must be more than or equal to 50 mL/min
  • Hepatic and/or biliary diseases: Aspartate aminotransferase (AST) and/or alanine aminotransferase (ALT) levels must not be more than twice the upper limit of normal range. Total bilirubin level must not be more than 1.5 mg/dL
  • History of obstructive sleep apnea
  • Previous desmopressin treatment for nocturia
  • Treatment with another investigational product within 3 months prior to screening
  • Concomitant treatment with any prohibited medication e.g., loop diuretics (furosemide, torsemide, ethacrynic acid) and any other investigational drug
  • Pregnancy, breastfeeding, or a plan to become pregnant during the period of the clinical trial. Subjects of reproductive age must have documentation of a reliable method of contraception. All pre-and perimenopausal subjects have to perform pregnancy tests. Amenorrhea of more than 12 months' duration based on the reported date of the last menstrual period is sufficient documentation of post-menopausal status and does not require a pregnancy test
  • Known alcohol or substance abuse
  • Work or lifestyle that may interfere with regular nighttime sleep 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

Trial locations and contacts

45 sites in 2 countries.

45 sites in 2 countries

United States41 sites
  • Radiant Research, Inc.

    Akron, Ohio

  • South Florida Medical Research

    Aventura, Florida

  • Urologic Consultants of SE PA

    Bala-Cynwyd, Pennsylvania

  • Radiant Research Inc.

    Chicago, Illinois

  • Community Research

    Cincinnati, Ohio

  • Women's Medical Research Group, LLC

    Clearwater, Florida

  • Southeastern Institute

    Columbus, Georgia

  • Southeastern Medical Research Institute

    Columbus, Georgia

  • Complete HealthCare for Women

    Columbus, Ohio

  • Radiant Research Inc.

    Dallas, Texas

  • Avail Clinical Research, LLC

    DeLand, Florida

  • Downtown Woman's Health Care

    Denver, Colorado

  • Radiant Research, Inc.

    Edina, Minnesota

  • Anderson & Collins Clinical Research Inc

    Edison, New Jersey

  • HWC Women's Research Center

    Englewood, Ohio

  • NorthShore University HealthSystem

    Evanston, Illinois

  • Family Medical Center

    Foothill Ranch, California

  • ACCUMED Research Associates

    Garden City, New York

  • Radiant Research, Inc.

    Greer, South Carolina

  • Medical Affiliated Research Center Inc.

    Huntsville, Alabama

  • FPA Clinical Research

    Kissimmee, Florida

  • Radiant Research

    Las Vegas, Nevada

  • Sunrise Medical Research

    Lauderdale Lakes, Florida

  • Axis Clinical Trials

    Los Angeles, California

  • Exemplar Research Inc.

    Morgantown, West Virginia

  • Carolina Urologic Research Center

    Myrtle Beach, South Carolina

  • Beyer Research

    Paw Paw, Michigan

  • Accelovance

    Peoria, Illinois

  • Philadelphia Clinical Research, LLC

    Philadelphia, Pennsylvania

  • DMI Research

    Pinellas Park, Florida

  • Remedica, LLC

    Rochester, Michigan

  • Quality Research, Inc.

    San Antonio, Texas

  • Radiant Research, Inc.

    San Antonio, Texas

  • Radiant Research Inc.

    Santa Rosa, California

  • Radiant Research Inc.

    Scottsdale, Arkansas

  • Accelovance

    South Bend, Indiana

  • FutureCare Studies

    Springfield, Massachusetts

  • Radiant Research, Inc.

    St Louis, Missouri

  • Bay State Clinical Trials, Inc.

    Watertown, Massachusetts

  • Front Range Clinical Research

    Wheat Ridge, Colorado

  • Center for Urologic Research of WNY, LLC

    Williamsville, New York

Other trials in United States

Canada4 sites
  • The Male/Female Health Research Center

    Barrie, Ontario

  • Urology Associates/Urologic Medical Research

    Kitchener, Ontario

  • Investigational site

    North Bay, Ontario

  • CanMed Clinical Research Inc.

    Victoria, British Columbia

Other trials in Canada

About this study

Official title: A Multi-centre, Randomised, Double-blind, Placebo-controlled, Parallel-group Trial to Demonstrate the Efficacy and Safety of Desmopressin Orally Disintegrating Tablet for the Treatment of Nocturia in Adult Females

A multicenter, randomized, double-blind, placebo-controlled, parallel-group trial to investigate the safety and efficacy of desmopressin oral melt tablets against placebo during 3 months of treatment in adult females with nocturia.

Conditions
Nocturia
Being tested
Desmopressin, Placebo
Medical subject headings
Nocturia

What participants receive

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

  • DesmopressinDrug

    Also called FE992026, MINIRIN®, Nocturin®

  • PlaceboDrug

Study groups in NCT01223937
Study groupRoleWhat they receive
Desmopressin 25 μgExperimentalParticipants took 1 orally disintegrating tablet of desmopressin 25 μg every night approximately 1 hour before bedtime for the entire duration of the 3-month treatment period.
Receives: Drug: Desmopressin
PlaceboPlacebo comparatorParticipants took 1 orally disintegrating tablet of placebo every night approximately 1 hour before bedtime for the entire duration of the 3-month treatment period.
Receives: Drug: Placebo

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 Averaged Over a 3-Month Period

    The number of nocturnal voids was the average over 3 consecutive 24-hour periods prior to Day 1 and prior to the during-treatment visits (Week 1, Months 1, 2, 3) as recorded in participant diaries. The first morning void was not counted as a nocturnal void. Change from baseline values for Week 1, and Months 1, 2 and 3 are reported below.

    Comparison of the mean number of nocturnal voids at baseline and over a 3-month treatment period (obtained by longitudinal analysis of Week 1, and Months 1, 2 and 3) are reported in the statistical analysis. This was the first co-primary endpoint. The trial was to be declared positive only if the 25 μg desmopressin group had a statistically significant positive effect as compared to placebo on both co-primary endpoints.

    Measured: Day 1 (Baseline); Week 1, Months 1, 2, 3 (3-month treatment period)

  2. Adjusted Probability of Participants Achieving a >33% Reduction From Baseline in Number of Nocturnal Voids for All During-Treatment Visits up to Month 3

    Probability of participants achieving 33% responder status during 3 months of treatment employed a longitudinal analysis assessing nocturnal void information captured in the 3-day diary. A 33% responder was defined as a participant with a decrease of at least 33% in the mean number of nocturnal voids relative to baseline. The number of nocturnal voids was the average over 3 consecutive 24-hour periods prior to Day 1 and prior to the during treatment visits (Week 1, Months 1, 2, 3) as recorded in participant diaries. The first morning void was not counted as a nocturnal void.

    This was the second co-primary endpoint. The trial was to be declared positive only if the 25 μg desmopressin group had a statistically significant positive effect as compared to placebo on both co-primary endpoints.

    Measured: Day 1 (Baseline); Week 1, Months 1, 2, 3 (3-month treatment period)

Secondary outcomes (7)
  1. Change From Baseline in Mean Number of Nocturnal Voids at Month 3

    The number of nocturnal voids was the average over 3 consecutive 24-hour periods prior to Day 1 and prior to the during-treatment visits (Month 3 for this outcome) as recorded in participant diaries. The first morning void was not counted as a nocturnal void.

    Secondary efficacy outcomes (#3-7) used a hierarchical step-down approach in the order listed.

    Measured: Day 1 (Baseline), Month 3

  2. Adjusted Probability of Participants Achieving a >33% Reduction From Baseline in Number of Nocturnal Voids at Month 3

    Probability of participants achieving 33% responder status at Month 3 employed a longitudinal analysis assessing nocturnal void information captured in the 3-day diary. A 33% responder was defined as a participant with a decrease of at least 33% in the mean number of nocturnal voids relative to baseline. The number of nocturnal voids was the average over 3 consecutive 24-hour periods prior to Day 1 and prior to the Month 3 visit as recorded in participant diaries. The first morning void was not counted as a nocturnal void.

    The secondary efficacy outcomes (#3-7) used a hierarchical step-down approach in the order listed.

    Measured: Day 1 (Baseline), Month 3

  3. Change From Baseline in Mean Time to First Nocturnal Void at Month 3

    The time to first void was defined as the time from going to bed with the intention of sleeping until first nocturnal void or until waking in the morning in cases where there was no nocturnal void. The time to first void was derived from the sleep and voiding diary. The mean time to first void was calculated as the average over 3 consecutive 24-hour periods prior to the Month 3 visit.

    The secondary efficacy outcomes (#3-7) used a hierarchical step-down approach in the order listed.

    Measured: Day 1 (Baseline), Month 3

  4. Change From Baseline in Nocturnal Urine Volume at Month 3

    The nocturnal urine volume was derived from the 3-day urine volume diary. The nocturnal urine volume included the volume of the first morning void. Mean urine volumes were calculated as the average over 3 consecutive 24-hour periods prior to the Month 3 visit.

    The secondary efficacy outcomes (#3-7) used a hierarchical step-down approach in the order listed.

    Measured: Day 1 (Baseline), Month 3

  5. Change From Baseline in 24-Hour Urine Volume at Month 3

    Twenty-four hour urine volume was derived from the 3-day urine volume diary. Mean urine volumes were calculated as the average over 3 consecutive 24-hour periods prior to the Month 3 visit.

    The secondary efficacy outcomes (#3-7) used a hierarchical step-down approach in the order listed.

    Measured: Day 1 (Baseline), Month 3

  6. Summary of Participants With Treatment-Emergent Adverse Events (TEAEs)

    A TEAE was any adverse event occurring after start of treatment and within the time of residual drug effect, i.e., within 1 day of the last dose of desmopressin. An adverse drug reaction (ADR) was any AE assessed by the Investigator as possibly/probably related to study drug.

    Measured: Day 1 up to 3 months

  7. Minimum Post-Treatment Serum Sodium Levels

    Serum sodium levels were monitored since hyponatremia is a potential serious adverse event associated with daily doses of desmopressin. The serum sodium level must have been within the normal reference range at the Screening Visit for the participant to be eligible for enrollment. A participant was to be withdrawn from the trial if the serum sodium level was <=125 mmol/L at any time.

    Measured: Day 1 up to 3 months

Timeline

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

  1. First posted19 Oct 2010 (estimated)
  2. Study startNov 2010
  3. Primary completionNov 2011
  4. Study completionNov 2011

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
Double blind
Who is masked
Participant, Investigator
Enrolment
268 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT01223937
Sponsor's protocol ID
FE992026 CS40
Acronym
COMFORT
Status last verified
Sep 2015
First submitted
18 Oct 2010
Last updated
15 Oct 2015
Data monitoring committee
No

Publications

  • Sand PK, Dmochowski RR, Reddy J, van der Meulen EA. Efficacy and safety of low dose desmopressin orally disintegrating tablet in women with nocturia: results of a multicenter, randomized, double-blind, placebo controlled, parallel group study. J Urol. 2013 Sep;190(3):958-64. doi: 10.1016/j.juro.2013.02.037. Epub 2013 Feb 20.

    PubMed 23454404
  • Juul KV, Malmberg A, van der Meulen E, Walle JV, Norgaard JP. Low-dose desmopressin combined with serum sodium monitoring can prevent clinically significant hyponatraemia in patients treated for nocturia. BJU Int. 2017 May;119(5):776-784. doi: 10.1111/bju.13718. Epub 2016 Dec 10.

    PubMed 27862898

Questions about this trial

What is this clinical trial studying?

A Phase 3 study testing Desmopressin in people with Nocturia, run by Ferring Pharmaceuticals at 45 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 3 inclusion and 26 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 Oct 2015. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 45 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. Some participants in this study may receive a placebo. 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 Oct 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 Averaged Over a 3-Month Period (time frame: Day 1 (Baseline); Week 1, Months 1, 2, 3 (3-month treatment period)). The study lists 2 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 NCT01223937, which also lists 2 linked publications.

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 Oct 2015.

Free account

Log in to keep searching

You’ve used your 3 free searches. AzTrials is free: log in or create a free account to keep searching clinical trials and save the ones you want to follow.

Create a free accountLog in