NCT03201419

Brief Summary

The purpose of this trial was to investigate the efficacy, safety and tolerability of different oral doses of FE 201836, with desmopressin as a benchmark, during 12 weeks of treatment for nocturia due to nocturnal polyuria in adults

Trial Health

93
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
302

participants targeted

Target at P75+ for phase_2

Timeline
Completed

Started Jul 2017

Geographic Reach
7 countries

72 active sites

Status
completed

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

First Submitted

Initial submission to the registry

June 26, 2017

Completed
2 days until next milestone

First Posted

Study publicly available on registry

June 28, 2017

Completed
29 days until next milestone

Study Start

First participant enrolled

July 27, 2017

Completed
2.3 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

October 31, 2019

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

October 31, 2019

Completed
1.1 years until next milestone

Results Posted

Study results publicly available

December 23, 2020

Completed
Last Updated

March 2, 2022

Status Verified

October 1, 2020

Enrollment Period

2.3 years

First QC Date

June 26, 2017

Results QC Date

October 28, 2020

Last Update Submit

February 17, 2022

Conditions

Outcome Measures

Primary Outcomes (1)

  • Change From Baseline in Aggregated Mean Number of Nocturnal Voids During 12 Weeks of Treatment

    Nocturnal voids were defined as voids occuring from 5 minutes after bedtime until rising in the morning. The number of nocturnal voids at each visit was calculated as the average over the 3 consecutive 24 hour periods just prior to the respective visit. The visit-specific means were aggregated into a mean of current and preceding visits. Level estimated for baseline value of mean number of nocturnal voids equal to 2, and 95% credibility interval (2.5 and 97.5 percentiles of the posterior distribution) instead of confidence interval are presented in this endpoint.

    Baseline, during 12 weeks of treatment

Secondary Outcomes (45)

  • Change From Baseline in Mean Number of Nocturnal Voids at Week 1

    Baseline, Week 1

  • Change From Baseline in Mean Number of Nocturnal Voids at Week 4

    Baseline, Week 4

  • Change From Baseline in Mean Number of Nocturnal Voids at Week 8

    Baseline, Week 8

  • Change From Baseline in Mean Number of Nocturnal Voids at Week 12

    Baseline, Week 12

  • Responder Rate in Nocturnal Voids at Week 1

    Week 1

  • +40 more secondary outcomes

Study Arms (9)

FE 201836 500 μg (Randomized Treatment Period)

EXPERIMENTAL

FE 201836 500 μg oral solution and placebo orally disintegrating tablet (ODT), administered once daily

Drug: FE 201836Drug: Placebo ODT

FE 201836 350 μg (Randomized Treatment Period)

EXPERIMENTAL

FE 201836 350 μg oral solution and placebo ODT, administered once daily

Drug: FE 201836Drug: Placebo ODT

FE 201836 250 μg (Randomized Treatment Period)

EXPERIMENTAL

FE 201836 250 μg oral solution and placebo ODT, administered once daily

Drug: FE 201836Drug: Placebo ODT

FE 201836 150 μg (Randomized Treatment Period)

EXPERIMENTAL

FE 201836 150 μg oral solution and placebo ODT, administered once daily

Drug: FE 201836Drug: Placebo ODT

FE 201836 100 μg (Randomized Treatment Period)

EXPERIMENTAL

FE 201836 100 μg oral solution and placebo ODT, administered once daily

Drug: FE 201836Drug: Placebo ODT

FE 201836 50 μg (Randomized Treatment Period)

EXPERIMENTAL

FE 201836 50 μg oral solution and placebo ODT, administered once daily

Drug: FE 201836Drug: Placebo ODT

Placebo (Randomized Treatment Period)

EXPERIMENTAL

Placebo oral solution and placebo ODT, administered once daily

Drug: Placebo oral solutionDrug: Placebo ODT

Desmopressin 25 μg (Randomized Treatment Period)

EXPERIMENTAL

Desmopressin 25 μg ODT and placebo oral solution, administered once daily (female subjects)

Drug: DesmopressinDrug: Placebo oral solution

Desmopressin 50 μg (Randomized Treatment Period)

EXPERIMENTAL

Desmopressin 50 μg ODT and placebo oral solution, administered once daily (male subjects)

Drug: DesmopressinDrug: Placebo oral solution

Interventions

Oral solution for daily intake

Also known as: Velmupressin
FE 201836 100 μg (Randomized Treatment Period)FE 201836 150 μg (Randomized Treatment Period)FE 201836 250 μg (Randomized Treatment Period)FE 201836 350 μg (Randomized Treatment Period)FE 201836 50 μg (Randomized Treatment Period)FE 201836 500 μg (Randomized Treatment Period)

Desmopressin Orally Disintegrating Tablet (ODT)

Also known as: NOCDURNA
Desmopressin 25 μg (Randomized Treatment Period)Desmopressin 50 μg (Randomized Treatment Period)

Manufactured to mimic experimental drug

Desmopressin 25 μg (Randomized Treatment Period)Desmopressin 50 μg (Randomized Treatment Period)Placebo (Randomized Treatment Period)

Manufactured to mimic experimental drug

FE 201836 100 μg (Randomized Treatment Period)FE 201836 150 μg (Randomized Treatment Period)FE 201836 250 μg (Randomized Treatment Period)FE 201836 350 μg (Randomized Treatment Period)FE 201836 50 μg (Randomized Treatment Period)FE 201836 500 μg (Randomized Treatment Period)Placebo (Randomized Treatment Period)

Eligibility Criteria

Age18 Years+
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • Adults ≥18 years of age (at the time of written consent)
  • Medical history of, or subject reported nocturia symptoms during the 6 months prior to Visit 1
  • ≥2 nocturnal voids (an average over 3 days) as documented in the 3-day e-Diary prior to Visit 2
  • The largest single voided volume must be ≥200 mL (at least 1 void ≥200 mL) as documented in the 3-day e-Diary prior to Visit 2
  • Nocturnal polyuria, defined as Nocturnal Polyuria index \>33%, a ratio of Nocturnal Urine Volume in excess of 33% of total daily (24-hour) urine volume as documented in the 3-day e-Diary prior to Visit 2
  • ≥20% decrease in the nocturnal diuresis rate (mL/min) (that was recorded at Visit 2) as documented in the 3-day e-Diary prior to Visit 3

You may not qualify if:

  • Current diagnosis of Obstructive Sleep Apnoea (OSA)
  • Restless Legs Syndrome (RLS)
  • Bladder Outlet Obstruction (BOO) or urine flow \<5 mL/s, as confirmed by uroflowmetry upon suspicion during screening prior to Visit 2
  • Any pelvic or lower urinary tract surgery and/or radio therapy or previous pelvic irradiation within the past 6 months prior to Visit 1. Including e.g., transurethral resection for Bladder Outlet Obstruction or Benign Prostatic Hyperplasia, hysterectomy or female incontinence procedures
  • Genito-urinary tract pathology that can in the investigator's opinion be responsible for urgency or urinary incontinence e.g., symptomatic or recurrent urinary tract infections, interstitial cystitis, bladder-related pain, chronic pelvic pain syndrome, or stone in the bladder or urethra causing symptoms
  • A history of cancer with the last date of disease activity/presence of malignancy within the last 12 months prior to Visit 1, except for adequately treated basal cell carcinoma of the skin
  • History of any neurological disease affecting bladder function or muscle strength (e.g., Multiple Sclerosis, Parkinson's, spinal cord injury, spina bifida)
  • Habitual (fluid intake \>3L per day) or psychogenic polydipsia
  • Uncontrolled hypertension, as judged by the investigator
  • Uncontrolled diabetes mellitus, as judged by the investigator
  • Central or nephrogenic diabetes insipidus
  • Known history of Syndrome of Inappropriate Antidiuretic Hormone (SIADH) secretion
  • History of gastric retention
  • Suspicion or evidence of congestive heart failure, (New York Heart Association (NYHA) class II, III, IV)
  • Hyponatraemia:
  • +11 more criteria

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (72)

Achieve Clinical Research, LLC

Birmingham, Alabama, 35216, United States

Location

Coastal Clinical Research, an AMR company

Mobile, Alabama, 36608, United States

Location

Clinical Trials Research

Lincoln, California, 95648, United States

Location

Tri Valley Urology Medical Group

Murrieta, California, 92562, United States

Location

San Diego Clinical Trials

San Diego, California, 92120, United States

Location

Advanced Rx Clinical Research Group, Inc.

Westminster, California, 92683, United States

Location

Downtown Women's Health Care

Denver, Colorado, 80209, United States

Location

Genitourinary Surgical Consultants, P.C.

Denver, Colorado, 80220, United States

Location

South Florida Medical Research

Aventura, Florida, 33180, United States

Location

Women's Medical Research Group, LLC

Clearwater, Florida, 33759, United States

Location

Tampa Bay Medical Research, Inc.

Clearwater, Florida, 33761, United States

Location

Clinical Research of South Florida

Coral Gables, Florida, 33134, United States

Location

Avail Clinical Research, LLC

DeLand, Florida, 32720, United States

Location

Finlay Medical Research Corp

Greenacres City, Florida, 33467, United States

Location

Pharmax Research Clinic

Miami, Florida, 33126, United States

Location

Doctors Research Institute Corporation

Miami, Florida, 33145, United States

Location

Sanitas Research

Miami, Florida, 33155, United States

Location

Bayside Clinical Research LLC

New Port Richey, Florida, 34655, United States

Location

Pines Care Research Center, Inc

Pembroke Pines, Florida, 33026, United States

Location

Clinical Research Center of Florida

Pompano Beach, Florida, 33060, United States

Location

Meridien Research, Inc.

St. Petersburg, Florida, 33709, United States

Location

American Health Network of Indiana, LLC

Avon, Indiana, 46123, United States

Location

American Health Network of Indiana, LLC

Greenfield, Indiana, 46140, United States

Location

Bay State Clinical Trials, Inc.

Watertown, Massachusetts, 02472, United States

Location

Beyer Research

Kalamazoo, Michigan, 49009, United States

Location

Remedica LLC

Rochester, Michigan, 48307, United States

Location

Quality Clinical Research Center, Inc.

Omaha, Nebraska, 68114, United States

Location

Clinical Research Consortium, an AMR company

Las Vegas, Nevada, 89119-5190, United States

Location

Mid Hudson Medical Research, PLLC

New Windsor, New York, 12553, United States

Location

Premier Medical Group of the Hudson Valley, PC

Poughkeepsie, New York, 12601, United States

Location

American Health Research, Inc.

Charlotte, North Carolina, 28207, United States

Location

Medication Management, LLC

Greensboro, North Carolina, 27408, United States

Location

Peters Medical Research

High Point, North Carolina, 27262, United States

Location

PMG Research of Raleigh, LLC

Raleigh, North Carolina, 27609, United States

Location

PMG Research of Wilmington, LLC

Wilmington, North Carolina, 28401, United States

Location

HWC Women's Research Center

Englewood, Ohio, 45322, United States

Location

NECCR Primacare Research, LLC

Providence, Rhode Island, 02908, United States

Location

Coastal Carolina Research Center, Inc

Mt. Pleasant, South Carolina, 29464, United States

Location

PMG Research of Charleston, LLC

Mt. Pleasant, South Carolina, 29464, United States

Location

MCA Research - Partner

Houston, Texas, 77079, United States

Location

Ericksen Research & Development, LLC

Clinton, Utah, 84015, United States

Location

Advanced Research Institute

Ogden, Utah, 84405, United States

Location

Clinical Research Associates of Tidewater, an AMR company

Norfolk, Virginia, 23507, United States

Location

ULB Hopital Erasme

Brussels, Belgium

Location

UZ Antwerpen

Edegem, Belgium

Location

Universitair Ziekenhuis Gent

Ghent, Belgium

Location

AZ Groeninge - Campus Vercruysselaan

Kortrijk, Belgium

Location

UZ Leuven

Leuven, Belgium

Location

Ultra-Med Inc.

Pointe-Claire, Quebec, Canada

Location

Milestone Research

London, Canada

Location

SKDS Research Inc.

Newmarket, Canada

Location

Clinique Médicale St-Louis (Recherche) inc d/b/a/ Centre de Recherche Saint-Louis

Québec, Canada

Location

DIEX Recherche Quebec Inc.

Québec, Canada

Location

Bluewater Health-Norman Site

Sarnia, Canada

Location

CHUS - Hôpital Fleurimont

Sherbrooke, Canada

Location

DIEX Recherche Sherbrooke Inc.

Sherbrooke, Canada

Location

Ferring Investigational Site

Toronto, Canada

Location

DIEX Recherche Victoriaville Inc.

Victoriaville, Canada

Location

Urologie Benešov - Afimed s.r.o.

Benešov, Czechia

Location

Fakultni nemocnice Brno, Dept of Klinika nemoci plicnich a tuberkulozy

Brno, Czechia

Location

Krajska nemocnice Liberec, a.s.

Liberec, Czechia

Location

Urocentrum Plzen

Pilsen, Czechia

Location

Thomayerova nemocnice, PARENT

Prague, Czechia

Location

Gemeinschaftspraxis fuer Urologie und Andrologie

Duisburg, Germany

Location

Urologische Gemeinschaftspraxis

Emmendingen, Germany

Location

Klinikum Weiden, Klinik f. Urologie, Andrologie und Kinderurologie

Weiden, Germany

Location

Jahn Ferenc Del-pesti Korhaz es Rendelointezet

Budapest, Hungary

Location

Synexus Magyarorszag Kft.

Budapest, Hungary

Location

Bagoly Egeszseghaz

Kecskemét, Hungary

Location

SzSzB Megyei Korhazak es Egyetemi Oktatokorhaz, Josa Andras Oktatokorhaz Urologia

Nyíregyháza, Hungary

Location

Jasz-Nagykun-Szolnok Megyei Hetenyi Geza Korhaz-Rendelointezet

Szolnok, Hungary

Location

Nasz Lekarz Osrodek Badan Klinicznych

Bydgoszcz, Poland

Location

Related Publications (1)

  • Hudgens S, Howerter A, Polek E, Andersson FL. Psychometric validation and interpretation of the Nocturia Impact Diary in a clinical trial setting. Qual Life Res. 2022 Jun;31(6):1837-1848. doi: 10.1007/s11136-021-03060-4. Epub 2021 Dec 21.

    PMID: 34932192BACKGROUND

MeSH Terms

Conditions

Nocturia

Interventions

Deamino Arginine Vasopressin

Condition Hierarchy (Ancestors)

Lower Urinary Tract SymptomsUrological ManifestationsSigns and SymptomsPathological Conditions, Signs and Symptoms

Intervention Hierarchy (Ancestors)

Arginine VasopressinVasopressinsPituitary Hormones, PosteriorPituitary HormonesPeptide HormonesHormonesHormones, Hormone Substitutes, and Hormone AntagonistsNeuropeptidesPeptidesAmino Acids, Peptides, and ProteinsOligopeptidesNerve Tissue ProteinsProteins

Results Point of Contact

Title
Global Clinical Compliance
Organization
Ferring Pharmaceuticals

Study Officials

  • Global Clinical Compliance

    Ferring Pharmaceuticals

    STUDY DIRECTOR

Publication Agreements

PI is Sponsor Employee
No
Restriction Type
OTHER
Restrictive Agreement
Yes

Study Design

Study Type
interventional
Phase
phase 2
Allocation
RANDOMIZED
Masking
DOUBLE
Who Masked
PARTICIPANT, INVESTIGATOR
Masking Details
Each subject will receive 2 medications (an oral solution and an orally disintegrating tablet (ODT) formulation) throughout the trial, in order to keep the treatment blinded.
Purpose
TREATMENT
Intervention Model
PARALLEL
Model Details: The trial consisted of a 2 week period of screening/lifestyle changes during which no treatment was given, a 2 week enrichment period (including a 1 week single blind active run-in period \[FE 201836 500 µg\] and a 1 week washout period) followed by a 12 week randomized treatment period for each subject. Prior to the first interim analysis, the first 129 subjects were randomized to daily treatment with FE 201836 500 µg, placebo, or desmopressin (25 µg for females and 50 µg for males) in a 2:2:1 ratio. After the first interim analysis, subjects were randomized to daily treatment with FE 201836 (50 µg, 100 µg, 150 µg, 250 µg, 350 µg, or 500 µg), placebo, or desmopressin (25 µg for females and 50 µg for males) using response adaptive allocation probabilities.
Sponsor Type
INDUSTRY
Responsible Party
SPONSOR

Study Record Dates

First Submitted

June 26, 2017

First Posted

June 28, 2017

Study Start

July 27, 2017

Primary Completion

October 31, 2019

Study Completion

October 31, 2019

Last Updated

March 2, 2022

Results First Posted

December 23, 2020

Record last verified: 2020-10

Locations