"SALT Trial" Study of Ascending Levels of Tolvaptan in Hyponatremia

NCT00072683 | Completed Phase 3

• 1 other identifier: 156-02-235
• Study Type: interventional
• Target: 240
• Locations: 1 country
• Sites: 23

Brief Summary

This study's purpose is to determine whether tolvaptan can safely and effectively return the body's balance of sodium and water toward normal, and to characterize and quantify the potential clinical benefits of this treatment.

Conditions

Hyponatremias; Water Intoxication; Inappropriate ADH Syndrome; Water-Electrolyte Imbalances

Keywords

Sodium; SIADH; Vasopressin; CHF; Cirrhosis; salt; water; electrolyte

Outcome Measures

Primary Outcomes (2)

• The average daily area under the curve of change from baseline in serum sodium level up to Day 4 within the double-blind on therapy period. and/or

• The average daily area under the curve of change from baseline in serum sodium level up to Day 30 within

Secondary Outcomes (17)

• The average daily area under the curve of change from baseline in serum sodium level up to Day 4 within the double-blind on therapy period for patients with severe hyponatremia (serum sodium <130 mEq/L at baseline).

• The average daily area under the curve of change from baseline in serum sodium level up to Day 30 within the double-blind on therapy period for patients with severe hyponatremia (serum sodium <130 mEq/L at baseline).

• Percentage of patients with normalized serum sodium at Day 4.

• Percentage of patients with normalized serum sodium at Day 30.

• Time to first normalization in serum sodium.

Interventions

tolvaptan DRUG

Eligibility Criteria

• Age: 18 Years+
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• Hyponatremia in euvolemic or hypervolemic states, defined as serum sodium \<135 mEq/L prior to randomization.
• Able to give Informed Consent

You may not qualify if:

• Women who are breast feeding and females of childbearing potential who are not using acceptable contraceptive methods
• Hyponatremia in hypovolemic states.
• Acute and transient hyponatremia associated with head trauma or post-operative state.
• Hyponatremia due to uncontrolled hypothyroidism or uncontrolled adrenal insufficiency.
• Cardiac surgery within 30 days of potential study enrollment, excluding percutaneous coronary interventions.
• History of a myocardial infarction within 30 days of potential study enrollment.
• History of sustained ventricular tachycardia or ventricular fibrillation within 30 days, unless in the presence of an automatic implantable cardioverter defibrillator.
• Severe angina including angina at rest or at slight exertion and/or unstable angina.
• History of a cerebrovascular accident within the last 30 days. 10) Subjects with psychogenic polydipsia may not be included, however subjects with other psychiatric illness may be included.
• Systolic arterial blood pressure \<90 mmHg.
• History of hypersensitivity and/or idiosyncratic reaction to benzazepine or benzazepine derivatives (such as benazepril).
• History of drug or medication abuse within the past year,or current alcohol abuse.
• Uncontrolled diabetes mellitus defined as fasting glucose \>300mg/dL.
• Urinary tract obstruction except BPH if non-obstructive.
• Previous participation in another clinical drug trial within the past 30 days.

Sponsors & Collaborators

• Otsuka Pharmaceutical Development & Commercialization, Inc.: lead
• Otsuka Pharmaceutical Co., Ltd.: collaborator

Study Sites (23)

VA Greater Los Angeles Health Care Ctr

Los Angeles, California, 90073, United States

Location

UCLA

Los Angeles, California, 93552, United States

Location

UCSF Medical Center

San Francisco, California, 94143, United States

Location

Aurora Denver Cardiology Association

Denver, Colorado, 80218, United States

Location

University of Colorado Heath Science Center

Denver, Colorado, 80262, United States

Location

University of Florida Gainesville

Gainesville, Florida, 32610, United States

Location

Charlotte Heart Group Research Ctr

Port Charlotte, Florida, 33952, United States

Location

Medical College of Georgia

Augusta, Georgia, 30912, United States

Location

Northwestern University

Chicago, Illinois, 60611, United States

Location

University of Chicago

Chicago, Illinois, 60637, United States

Location

University of Iowa Hospital

Iowa City, Iowa, 52242, United States

Location

Minneapolis VA Medical Center

Minneapolis, Minnesota, 55417, United States

Location

Washington University Ctr for Clinical Studies

St Louis, Missouri, 63110, United States

Location

Mercury Street Medical

Butte, Montana, 59701, United States

Location

Northshore University Hospital

Great Neck, New York, United States

Location

Unknown Facility

New York, New York, 10010, United States

Location

University of North Carolina, Div. of Cardiology

Chapel Hill, North Carolina, 27599, United States

Location

University Hospitals of Cleveland

Cleveland, Ohio, 44106, United States

Location

Ohio State University Medical Center

Columbus, Ohio, 43210, United States

Location

The Arthur P. Noyes Research Foundation

Norristown, Pennsylvania, 19401, United States

Location

University of Pittsburgh Medical Center

Pittsburgh, Pennsylvania, 15213, United States

Location

Baptist Clinical Research Ctr

Memphis, Tennessee, 38120, United States

Location

Tennessee Center for Clinical Trials

Tullahoma, Tennessee, 37388, United States

Location

Related Publications (3)

• Lee MY, Kang HJ, Park SY, Kim HL, Han E, Lee EK. Cost-effectiveness of tolvaptan for euvolemic or hypervolemic hyponatremia. Clin Ther. 2014 Sep 1;36(9):1183-94. doi: 10.1016/j.clinthera.2014.07.010. Epub 2014 Aug 21.

  PMID: 25151571 DERIVED

• Cardenas A, Gines P, Marotta P, Czerwiec F, Oyuang J, Guevara M, Afdhal NH. Tolvaptan, an oral vasopressin antagonist, in the treatment of hyponatremia in cirrhosis. J Hepatol. 2012 Mar;56(3):571-8. doi: 10.1016/j.jhep.2011.08.020. Epub 2011 Oct 23.

  PMID: 22027579 DERIVED

• Schrier RW, Gross P, Gheorghiade M, Berl T, Verbalis JG, Czerwiec FS, Orlandi C; SALT Investigators. Tolvaptan, a selective oral vasopressin V2-receptor antagonist, for hyponatremia. N Engl J Med. 2006 Nov 16;355(20):2099-112. doi: 10.1056/NEJMoa065181. Epub 2006 Nov 14.

  PMID: 17105757 DERIVED

MeSH Terms

Conditions

Hyponatremia; Water Intoxication; Inappropriate ADH Syndrome; Water-Electrolyte Imbalance; Diabetes Insipidus; Fibrosis

Interventions

Tolvaptan

Condition Hierarchy (Ancestors)

Metabolic Diseases; Nutritional and Metabolic Diseases; Poisoning; Chemically-Induced Disorders; Pituitary Diseases; Hypothalamic Diseases; Brain Diseases; Central Nervous System Diseases; Nervous System Diseases; Endocrine System Diseases; Kidney Diseases; Urologic Diseases; Female Urogenital Diseases; Female Urogenital Diseases and Pregnancy Complications; Urogenital Diseases; Male Urogenital Diseases; Pathologic Processes; Pathological Conditions, Signs and Symptoms

Intervention Hierarchy (Ancestors)

Benzazepines; Heterocyclic Compounds, 2-Ring; Heterocyclic Compounds, Fused-Ring; Heterocyclic Compounds

Study Officials

• Nestor Molfino, MD

  Otsuka Pharmaceutical Development & Commercialization, Inc.

  STUDY DIRECTOR

Study Design

• Study Type: interventional
• Phase: phase 3
• Allocation: RANDOMIZED
• Masking: DOUBLE
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: INDUSTRY

Study Record Dates

• First Submitted: November 7, 2003
• First Posted: November 11, 2003
• Study Start: April 1, 2003
• Study Completion: February 1, 2006
• Last Updated: January 26, 2007

Record last verified: 2007-01

Locations

US (23)