Comparative Trial to Investigate the Dose-Response of 4 Different Dose Levels of Minirin Melt and Placebo (NOC)
Nocturia
About this trial
This is an interventional treatment trial for Nocturia focused on measuring nocturia, bladder function
Eligibility Criteria
Inclusion Criteria:
- Given written informed consent prior to any trial-related activity is performed
- Aged 55-75 years
- Mean number of nocturnal voids of at least two per night
- Reached post-menopause (applicable to females only)
Exclusion Criteria:
- Evidence of bladder outlet obstruction (BOO); or a urine flow of less than 5 mL/s (applicable to males only)
- A surgical treatment for BOO or prostatic hyperplasia within the past 6 months (applicable to males only)
- Showing symptoms of any of the following diseases and having a mean number of nocturnal voids exceeding four per night: Benign prostatic hyperplasia, overactive bladder, interstitial cystitis, severe stress urinary incontinence
- Psychosomatic or habitual polydipsia
- Urinary retention; or a post void residual volume in excess of 150 mL
- A history or complication of urologic malignancy (e.g. bladder cancer or prostate cancer)
- Complication of genito-urinary pathology (e.g. infection, stone, or neoplasia)
- Complication of neurogenic detrusor activity
- Complication or suspicion of heart failure
- Uncontrolled hypertension
- Uncontrolled diabetes mellitus
- Complication of hepatobiliary disease
- Abnormal serum creatinine level
- Complication of hyponatraemia, or serum sodium level <135 mEq/L
- Central or nephrogenic diabetes insipidus (CDI or NDI)
- Syndrome of inappropriate antidiuretic hormone (SIADH)
- Obstructive sleep apnea
- Alcohol dependency or drug abuse
- A job or lifestyle that may interfere with regular night-time sleep
- Previous desmopressin treatment
- Treatment with another investigational product within the past 3 months
- A need for treatment with a prohibited concomitant drug for a complication or other problem
- A mental condition, the lack of decision-making ability, dementia or a speech handicap
- Any other reason that the Investigator believes inappropriate
Sites / Locations
- Japanese Red Cross Nagoya Daiichi Hospital
- National Center for Geriatrics and Gerontology
- Kokuho Asahi Central Hospital
- University of Fukui Hospital
- Takayama Hospital
- Houshikai Group Kano Hospital
- St. Mary's Hospital
- Jyusendo General Hospital
- Social Insurance Nihonmatsu Hospital
- Takayama Clinic
- National Hospital Organization Kobe Medical Center
- Japanese Red Cross Mito Hospital
- Yokohama Shin-midori General Hospital
- Kumamoto Rosai Hospital
- Tohoku University Hospital
- Shinshu University Hospital
- Senbokufujii Hospital
- Kasukabe Chuo General Hospital
- Hamamatsu University School of Medicine University Hospital
- Tokyo Women's Medical University Medical Center East
- Koganeibashi Sakura Clinic
- Kunitachi Sakura Hospital
- University of Yamanashi Hospital
- Harasanshin Hospital
- Saku Hospital
- Southwest Urological Clinic
- Yakuin Urogenital Hospital
- Fukushima Red Cross Hospital
- Ohara General Hospital
- Saiseikai Fukushima General Hospital
- Jigenji Kubo Clinic
- Kawahara Hinyoukika
- Yagi Clinic
- Rakusai Newtown Hospital
- Suzuki Urological Clinic
- Nanri Urological Clinic
Arms of the Study
Arm 1
Arm 2
Arm 3
Arm 4
Arm 5
Experimental
Experimental
Experimental
Experimental
Placebo Comparator
Desmopressin 10µg
Desmopressin 25µg
Desmopressin 50µg
Desmopressin 100µg
Placebo
Study period 1: single dose of desmopressin 10µg. Study period 2: daily doses of desmopressin 10µg taken before bedtime for 28 days.
Study period 1: single dose of desmopressin 25µg. Study period 2: daily doses of desmopressin 25µg taken before bedtime for 28 days.
Study period 1: single dose of desmopressin 50µg. Study period 2: daily doses of desmopressin 50µg taken before bedtime for 28 days.
Study period 1: single dose of desmopressin 100µg. Study period 2: daily doses of desmopressin 100µg taken before bedtime for 28 days.
Study period 1: single dose of placebo. Study period 2: daily doses of placebo taken before bedtime for 28 days.