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Trial · NCT02009878

A PK Study of 3 Dosages of Tolvaptan in Patients With Syndrome of Inappropriate Antidiuretic Hormone Secretion (SIADH)

NCT02009878, Phase 1, Phase 2, Completed, Otsuka Pharmaceutical Development & Commercialization, Inc.; results first posted 2016-05-16

3 sourcestrials-2026-11-12-0.5.0

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ConductScience Library. A PK Study of 3 Dosages of Tolvaptan in Patients With Syndrome of Inappropriate Antidiuretic Hormone Secretion (SIADH). Trials, record NCT02009878. Release trials-2026-11-12-0.5.0, 12 Nov 2026. https://conductscience.org/library/trials/NCT02009878

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Trial

As registered on ClinicalTrials.gov, in the graph's capture of the registry.

Title
A PK Study of 3 Dosages of Tolvaptan in Patients With Syndrome of Inappropriate Antidiuretic Hormone Secretion (SIADH)
NCT number
NCT02009878
Status
Completed
Phases
Phase 1, Phase 2
Enrollment
30 participants, actual
Lead sponsor
Otsuka Pharmaceutical Development & Commercialization, Inc.
Conditions
Syndrome of Inappropriate Antidiuretic Hormone Secretion (SIADH)
Interventions
tolvaptan
First posted
2013-12-12
Last updated
2016-05-16
Results first posted
2016-05-16

Source ClinicalTrials.gov

Registered outcomes9

Each outcome the trial registered, primary first, in ClinicalTrials.gov's words.

ListOutcomeTime frameDescription
PrimaryMaximal Increase From Baseline in Serum Sodium Concentration Following Tolvaptan Administration.Baseline to Day 2
Maximal increase in serum sodium is summarized below by tolvaptan dose. Blood samples for determination of plasma concentrations of tolvaptan were collected predose and at 1, 2, 3, 4, 6, 8, 12, 16, and 24 hours postdose on Day 1 or at Early Termination (ET).
PrimaryTime of Maximal Increase From Baseline in Serum Sodium Concentration Following Tolvaptan Administration.Baseline to Day 2
Time of maximal increase in serum sodium is summarized in the table below by tolvaptan dose. Samples were taken on Day 0 (baseline) at the corresponding Day 1 predose time and 12 hours postdose time; and on Day 1 at predose and at 2, 4, 6, 8, 12, and 24 hours postdose.
SecondaryCmax (Maximum (Peak) Plasma Concentration) for Tolvaptan in Plasma.Baseline to Day 2
Blood samples for determination of plasma concentrations of tolvaptan were collected predose and 1, 2, 3, 4, 8, 12, 16, and 24 hours postdose on Day 1 or at ET. PK parameters in participants with SIADH following tolvaptan administration for three different doses are presented below.
SecondaryTmax (Time to Maximum (Peak) Plasma Concentration) for Tolvaptan in PlasmaBaseline to Day 2
Blood samples for determination of plasma concentrations of tolvaptan were collected predose and 1, 2, 3, 4, 8, 12, 16, and 24 hours postdose on Day 1 or at ET. PK parameters in participants with SIADH following tolvaptan administration for three different doses are presented below.
SecondaryAUC Infinity (Area Under the Concentration-time Curve From Time Zero to Infinity) for Tolvaptan in PlasmaBaseline to Day 2
Blood samples for determination of plasma concentrations of tolvaptan were collected predose and 1, 2, 3, 4, 8, 12, 16, and 24 hours postdose on Day 1 or at ET. If an indwelling catheter was utilized, saline flushes were used. PK parameters in participants with SIADH following tolvaptan administration for three different doses are presented below.
SecondaryChange From Baseline in Serum Sodium ConcentrationsBaseline and Day 2Samples were taken on Day 0 (baseline) at the corresponding Day 1 predose time and 12 hours postdose time; and on Day 1 at predose and at 2, 4, 6, 8, 12, and 24 hours postdose.
SecondaryChange From Baseline in Fluid Intake From 0-6 Hours, 0-12 Hours and 0-24 HoursBaseline and Day 2
Fluid intake was monitored on Day 0 (times relative to Day 1 dosing), and Day 1 at intervals of 0 to 6, 6 to 12, and 12 to 24 hours postdose. Fluid intake included fluid used for dosing (study medication and any concomitant medication); food items that included any significant amounts of water (e.g., Jello \[including Gelatin and Jelly dessert\] and soup) was added to the total fluid intake. Samples were taken on Day 0 (baseline) at the corresponding Day 1 predose time and 12 hours postdose time; and on Day 1 at predose and at 2, 4, 6, 8, 12, and 24 hours postdose.
SecondaryChange From Baseline in Fluid Balance (Fluid Intake Minus Urine Output) From 0-6 Hours, 0-12 Hours and 0-24 Hours.2 days
Fluid intake was monitored on Day 0 (times relative to Day 1 dosing), and Day 1 at intervals of 0 to 6, 6 to 12, and 12 to 24 hours postdose. Fluid intake included fluid used for dosing (study medication and any concomitant medication); food items that included any significant amounts of water (e.g., Jello \[including Gelatin and Jelly dessert\] and soup) was added to the total fluid intake. Urine was collected for baseline comparison on Day 0 for the 24 hour prior to Day 1 dosing at intervals of 0 to 2, 2 to 4, 4 to 6, 6 to 8, 8 to 12 hours, and 12 to 24 hours relative to the Day 1 dosing time. Fluid balance was determined as fluid intake minus urine output.
SecondaryChange From Baseline in Cumulative Urine Volume at 0-6 Hours, 0-12 Hours and 0-24 Hours.2 days
Urine was collected for baseline comparison on Day 0 for the 24 hour prior to Day 1 dosing at intervals of 0 to 2, 2 to 4, 4, to 6, 6, to 8, 8, to 12, and 12 to 24 hours relative to Day 1 dosing time. Urine was collected on Day 1 at intervals of 0 to 2,2 to 4, 4 to 6, 6 to 8, 8 to 12, and 12 to 24 hours postdose. For the start of the urine collection on Day 0, a window of 15 to 40 minutes prior to the assigned dosing time was acceptable, with the 0 to 24 hour collection period on Day 1 starting 24 hours after the start time on Day 0. Participants were asked to void immediately prior to the end of the collection interval. The volume of individual voids were measured and recorded prior to refrigerating. All voids in a collection interval were pooled at the end of the collection interval, at which time the volume was determined, recorded and an aliquot taken for osmolality, sodium, potassium, and creatinine assessments.

Outcomes9

Each outcome the trial posted results for, in ClinicalTrials.gov's words.

TypeOutcomeTime framePopulationUnitsMeasured as
PRIMARYMaximal Increase From Baseline in Serum Sodium Concentration Following Tolvaptan Administration.Baseline to Day 2PD dataset comprised of all participants who had taken 1 dose of study medication and had all observed measurements.mmol/LMEAN
SECONDARYCmax (Maximum (Peak) Plasma Concentration) for Tolvaptan in Plasma.Baseline to Day 2PK parameter dataset comprised of all participants who had taken 1 dose of study medication and had evaluable PK data.ng/mLMEAN
SECONDARYTmax (Time to Maximum (Peak) Plasma Concentration) for Tolvaptan in PlasmaBaseline to Day 2PK parameter dataset comprised of all participants who had taken 1 dose of study medication and had evaluable PK data.hoursMEDIAN
SECONDARYAUC Infinity (Area Under the Concentration-time Curve From Time Zero to Infinity) for Tolvaptan in PlasmaBaseline to Day 2PK parameter dataset comprised of all participants who had taken 1 dose of study medication and had evaluable PK data.ng·h/mLMEAN
SECONDARYChange From Baseline in Serum Sodium ConcentrationsBaseline and Day 2PD dataset comprised of all participants who had taken 1 dose of study medication and had all observed measurements.mmol/LMEAN
PRIMARYTime of Maximal Increase From Baseline in Serum Sodium Concentration Following Tolvaptan Administration.Baseline to Day 2PD dataset comprised of all participants who had taken 1 dose of study medication and had all observed measurements.hoursMEDIAN
SECONDARYChange From Baseline in Fluid Intake From 0-6 Hours, 0-12 Hours and 0-24 HoursBaseline and Day 2PD dataset comprised of all participants who had taken 1 dose of study medication and had all observed measurements.mLMEAN
SECONDARYChange From Baseline in Fluid Balance (Fluid Intake Minus Urine Output) From 0-6 Hours, 0-12 Hours and 0-24 Hours.2 daysPD dataset comprised of all participants who had taken 1 dose of study medication and had all observed measurements.mLMEAN
SECONDARYChange From Baseline in Cumulative Urine Volume at 0-6 Hours, 0-12 Hours and 0-24 Hours.2 daysPD dataset comprised of all participants who had taken 1 dose of study medication and had all observed measurements.mLMEAN

Results by group63

Each measurement the trial posted, group by group, in the words and numbers it posted.

OutcomeGroupCategoryValueSpreadUnits
Maximal Increase From Baseline in Serum Sodium Concentration Following Tolvaptan Administration.Tolvaptan 3.75 mg3.6Standard Deviation 3.3mmol/L
Maximal Increase From Baseline in Serum Sodium Concentration Following Tolvaptan Administration.Tolvaptan 7.5 mg5.3Standard Deviation 2.5mmol/L
Maximal Increase From Baseline in Serum Sodium Concentration Following Tolvaptan Administration.Tolvaptan 15 mg7.9Standard Deviation 5.3mmol/L
Cmax (Maximum (Peak) Plasma Concentration) for Tolvaptan in Plasma.Tolvaptan 3.75 mg37.7Standard Deviation 12.6ng/mL
Cmax (Maximum (Peak) Plasma Concentration) for Tolvaptan in Plasma.Tolvaptan 7.5 mg107Standard Deviation 48.9ng/mL
Cmax (Maximum (Peak) Plasma Concentration) for Tolvaptan in Plasma.Tolvaptan 15 mg157Standard Deviation 68.1ng/mL
Tmax (Time to Maximum (Peak) Plasma Concentration) for Tolvaptan in PlasmaTolvaptan 3.75 mg1.50Full Range 0.95 to 4.00hours
Tmax (Time to Maximum (Peak) Plasma Concentration) for Tolvaptan in PlasmaTolvaptan 7.5 mg2.00Full Range 1.00 to 4.00hours
Tmax (Time to Maximum (Peak) Plasma Concentration) for Tolvaptan in PlasmaTolvaptan 15 mg2.00Full Range 0.97 to 3.00hours
AUC Infinity (Area Under the Concentration-time Curve From Time Zero to Infinity) for Tolvaptan in PlasmaTolvaptan 3.75 mg244Standard Deviation 90.7ng·h/mL

Participant flow9

How many started, completed or left each group, period by period.

PeriodMilestoneGroupParticipantsUnits counted
Overall StudySTARTEDTolvaptan 3.75 mg10
Overall StudySTARTEDTolvaptan 7.5 mg11
Overall StudySTARTEDTolvaptan 15 mg9
Overall StudyCOMPLETEDTolvaptan 3.75 mg10
Overall StudyCOMPLETEDTolvaptan 7.5 mg10
Overall StudyCOMPLETEDTolvaptan 15 mg9
Overall StudyNOT COMPLETEDTolvaptan 3.75 mg0
Overall StudyNOT COMPLETEDTolvaptan 7.5 mg1
Overall StudyNOT COMPLETEDTolvaptan 15 mg0

Adverse events12

Each adverse event the trial posted, group by group: the participants affected out of those at risk.

TypeEventOrgan systemGroupAffectedAt riskEvents
otherDizzinessNervous system disordersTolvaptan 3.75 mg010
otherDizzinessNervous system disordersTolvaptan 7.5 mg110
otherDizzinessNervous system disordersTolvaptan 15 mg19
otherInsomniaPsychiatric disordersTolvaptan 3.75 mg010
otherInsomniaPsychiatric disordersTolvaptan 7.5 mg010
otherInsomniaPsychiatric disordersTolvaptan 15 mg19
otherPolyuriaRenal and urinary disordersTolvaptan 3.75 mg010
otherPolyuriaRenal and urinary disordersTolvaptan 7.5 mg010
otherPolyuriaRenal and urinary disordersTolvaptan 15 mg19
seriousSmall cell lung cancerNeoplasms benign, malignant and unspecified (incl cysts and polyps)Tolvaptan 3.75 mg010

Adverse event totals9

The totals the trial posted for each group.

TotalGroupAffectedAt risk
Total, all-cause mortalityTolvaptan 3.75 mg
Total, all-cause mortalityTolvaptan 7.5 mg
Total, all-cause mortalityTolvaptan 15 mg
Total, other adverse eventsTolvaptan 3.75 mg010
Total, other adverse eventsTolvaptan 7.5 mg110
Total, other adverse eventsTolvaptan 15 mg39
Total, serious adverse eventsTolvaptan 3.75 mg010
Total, serious adverse eventsTolvaptan 7.5 mg010
Total, serious adverse eventsTolvaptan 15 mg19

Papers0

The papers the trial lists on ClinicalTrials.gov.

None in this release.

Grants0

The grants NIH RePORTER links to the trial, newest funded first: NIH's, and some of AHRQ's, CDC's, FDA's and VA's. Each shows its title, principal investigators, organization and funder in its newest year.

None in this release.

Trial comparisons0

Comparisons of the trial's two groups, calculated by ConductScience from the counts it posted.

None in this release.

Tests0

The ConductCognition tests this trial's registered outcomes name, as ScienceGraph matched them in trial-tests-2026-11-12-0.2.1.

None in this release.

Data dates

The day each source was copied for this release.

ClinicalTrials.gov
2026-11-12
ClinicalTrials.gov
Results, from AACT
2026-03-23
AACT
NIH grant links
2026-11-13
NIH RePORTER

Sources 3

  • ClinicalTrials.gov's posted results, through CTTI's AACTFreely available. Acknowledgement requested
  • ClinicalTrials.govNo license stated
  • NIH RePORTER's clinical studies and project filesPublic domain
Each source's terms
  • ClinicalTrials.gov's posted results, through CTTI's AACTClinicalTrials.gov data via Aggregate Analysis of ClinicalTrials.gov (AACT), CTTI. CTTI makes its materials freely available and requests acknowledgement. https://aact.ctti-clinicaltrials.org/documentation/299
  • ClinicalTrials.govnone stated
  • NIH RePORTER's clinical studies and project filesPublic domain (NIH RePORTER)

ClinicalTrials.gov's data carry an international copyright outside the United States: https://clinicaltrials.gov/about-site/terms-conditions.

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The record and each of its lists are JSON, twenty rows a page. No key.

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