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Trial · NCT04064346

Efficacy and Safety of Lixivaptan in the Treatment of Autosomal Dominant Polycystic Kidney Disease

NCT04064346, Phase 3, Terminated, Palladio Biosciences; results first posted 2023-02-06

3 sourcestrials-2026-11-12-0.5.0

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ConductScience Library. Efficacy and Safety of Lixivaptan in the Treatment of Autosomal Dominant Polycystic Kidney Disease. Trials, record NCT04064346. Release trials-2026-11-12-0.5.0, 12 Nov 2026. https://conductscience.org/library/trials/NCT04064346

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Trial

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

Title
Efficacy and Safety of Lixivaptan in the Treatment of Autosomal Dominant Polycystic Kidney Disease
NCT number
NCT04064346
Status
Terminated
Phases
Phase 3
Enrollment
12 participants, actual
Lead sponsor
Palladio Biosciences
Conditions
Autosomal Dominant Polycystic Kidney, ADPKD
Interventions
Lixivaptan, Placebo
First posted
2019-08-21
Last updated
2023-02-06
Results first posted
2023-02-06

Source ClinicalTrials.gov

Registered outcomes20

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

ListOutcomeTime frameDescription
PrimaryAnnualized Change in Estimated Glomerular Filtration Rate (eGFR) - Part 1Baseline to the end of Follow-up Period I (up to 71 weeks)
The annualized change in eGFR will be calculated from the Chronic Kidney Disease Epidemiology Collaboration eGFR creatinine equation refit without the race variable (CKD-EPIcr\_R) equation for serum creatinine from baseline (mean of 3 eGFR determinations obtained during Screening and Placebo Run-in Periods \[Visits 1a/1b (if required), Visit 2, and Visit 3\]) to final assessment (mean of 3 eGFR determinations obtained during Follow-up Period I or, for participants who discontinue treatment prior to Visit 22, during the Follow-up Period 8 to 28 days following study drug treatment discontinuation).
PrimaryAnnualized Change in Estimated Glomerular Filtration Rate (eGFR) - Part 2Baseline to the end of Follow-up Period II (up to 64 weeks)
The annualized change in eGFR will be calculated from the CKD-EPIcr\_R equation for serum creatinine from baseline (mean of 3 eGFR determinations obtained during obtained during Follow-up Period I) to final assessment (mean of 3 eGFR determinations obtained during Follow-up Period II or, for participants who discontinue treatment prior to Visit 43, during the Follow-up Period 8 to 28 days following study drug treatment discontinuation).
SecondaryNumber of Participants With Serum Alanine Aminotransferase (ALT) Levels >3 × the Upper Limit of Normal (ULN) - Part 1From the end of the Single-blind Lixivaptan Titration Period to the end of Follow-up Period I (maximum of 102 days)
Number of participants randomized to lixivaptan with serum ALT levels \>3 × the ULN compared to those randomized to placebo. The normal range of ALT was defined as 0-33 or 0-44 U/L, depending on the lab used.
SecondaryNumber of Participants With Serum ALT Levels >3 × the ULN - Part 2Duration of the Lixivaptan Re-titration Period and the Maintenance Treatment Period (56 weeks) and Follow-up Period II (4 weeks)
Number of participants randomized to lixivaptan with serum ALT levels \>3 × ULN compared to those randomized to placebo. The normal range of ALT was defined as 0-33 or 0-44 U/L, depending on the lab used.
SecondaryeGFR Slope - Part 1Baseline to the end of Double-blind Randomized Treatment Period (up to 67 weeks), with changes from baseline calculated every 4 weeks during the Double-blind Randomized Treatment Period
Annualized rate of change (slope) in eGFR for serum creatinine, based on all eGFR determinations from baseline to all visits with on-treatment eGFR values during the Double-blind, Randomized Treatment Period. The baseline value will be calculated as the mean of 3 eGFR determinations obtained during Screening and Placebo Run-in Periods (Visits 1a/1b \[if required\], Visit 2, and Visit 3).
SecondaryeGFR Slope - Part 2Baseline to the end of the Maintenance Treatment Period (up to 60 weeks), with changes from baseline calculated every 4 weeks during the Maintenance Treatment Period
Annualized rate of change (slope) in eGFR for serum creatinine, based on all eGFR determinations from baseline to all visits with on-treatment eGFR values during the Maintenance Treatment Period. The baseline value will be calculated as the mean of 3 eGFR determinations obtained during obtained during Follow-up Period I.
SecondaryHeight-adjusted Total Kidney Volume (htTKV) - Part 1Baseline to the end of Follow-up Period I (up to 71 weeks)Annualized percent change in htTKV, determined by magnetic resonance imaging (MRI), from baseline (obtained at Screening \[Visit 1a\]) to the end of Follow-up Period I.
SecondaryHeight-adjusted Total Kidney Volume (htTKV) - Part 2Baseline to the end of Follow-up Period II (up to 60 weeks)Annualized percent change in htTKV, determined by MRI from baseline (obtained at Visit 25/Week 56) to the end of Follow-up Period II.
SecondaryNumber of Participants With Treatment-emergent Adverse Events (TEAEs) During the Lixivaptan Titration Period in Part 1Up to 6 weeksNumber of participants with TEAEs during the Lixivaptan Titration Period.
SecondaryNumber of Participants With TEAEs After Randomization in Part 1From Randomization to study completion (up to 102 days)Number of participants with TEAEs by treatment group after Randomization (Double-blind Randomized Treatment Period and Follow-up Period I)

Outcomes20

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

TypeOutcomeTime framePopulationUnitsMeasured as
PRIMARYAnnualized Change in Estimated Glomerular Filtration Rate (eGFR) - Part 1Baseline to the end of Follow-up Period I (up to 71 weeks)
Efficacy data were not analyzed as only 5 participants were randomized, and all 5 participants were prematurely terminated from the study drug by the sponsor less than 1 month following randomization. One month after randomization was the first scheduled post-randomization visit during which efficacy parameters would have been collected.
PRIMARYAnnualized Change in Estimated Glomerular Filtration Rate (eGFR) - Part 2Baseline to the end of Follow-up Period II (up to 64 weeks)
Efficacy data were not analyzed as only 5 participants were randomized, and all 5 participants were prematurely terminated from the study drug by the sponsor less than 1 month following randomization. One month after randomization was the first scheduled post-randomization visit during which efficacy parameters would have been collected. The study terminated prior to any participants entering Part 2 of study.
SECONDARYNumber of Participants With Serum Alanine Aminotransferase (ALT) Levels >3 × the Upper Limit of Normal (ULN) - Part 1From the end of the Single-blind Lixivaptan Titration Period to the end of Follow-up Period I (maximum of 102 days)All participants who entered the Double-blind Randomized Treatment Period.ParticipantsCOUNT_OF_PARTICIPANTS
SECONDARYNumber of Participants With Serum ALT Levels >3 × the ULN - Part 2Duration of the Lixivaptan Re-titration Period and the Maintenance Treatment Period (56 weeks) and Follow-up Period II (4 weeks)The study terminated prior to any participants entering Part 2 of study.
SECONDARYeGFR Slope - Part 1Baseline to the end of Double-blind Randomized Treatment Period (up to 67 weeks), with changes from baseline calculated every 4 weeks during the Double-blind Randomized Treatment Period
Efficacy data were not analyzed as only 5 participants were randomized, and all 5 participants were prematurely terminated from the study drug by the sponsor less than 1 month following randomization. One month after randomization was the first scheduled post-randomization visit during which efficacy parameters would have been collected.
SECONDARYeGFR Slope - Part 2Baseline to the end of the Maintenance Treatment Period (up to 60 weeks), with changes from baseline calculated every 4 weeks during the Maintenance Treatment Period
Efficacy data were not analyzed as only 5 participants were randomized, and all 5 participants were prematurely terminated from the study drug by the sponsor less than 1 month following randomization. One month after randomization was the first scheduled post-randomization visit during which efficacy parameters would have been collected. The study terminated prior to any participants entering Part 2 of study.
SECONDARYHeight-adjusted Total Kidney Volume (htTKV) - Part 1Baseline to the end of Follow-up Period I (up to 71 weeks)
Efficacy data were not analyzed as only 5 participants were randomized, and all 5 participants were prematurely terminated from the study drug by the sponsor less than 1 month following randomization. One month after randomization was the first scheduled post-randomization visit during which efficacy parameters would have been collected.
SECONDARYHeight-adjusted Total Kidney Volume (htTKV) - Part 2Baseline to the end of Follow-up Period II (up to 60 weeks)
Efficacy data were not analyzed as only 5 participants were randomized, and all 5 participants were prematurely terminated from the study drug by the sponsor less than 1 month following randomization. One month after randomization was the first scheduled post-randomization visit during which efficacy parameters would have been collected. The study terminated prior to any participants entering Part 2 of study.
SECONDARYNumber of Participants With Treatment-emergent Adverse Events (TEAEs) During the Lixivaptan Titration Period in Part 1Up to 6 weeksAll participants entering the Lixivaptan Titration Period.ParticipantsCOUNT_OF_PARTICIPANTS
SECONDARYNumber of Participants With TEAEs After Randomization in Part 1From Randomization to study completion (up to 102 days)All participants who were randomized.ParticipantsCOUNT_OF_PARTICIPANTS

Results by group14

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

OutcomeGroupCategoryValueSpreadUnits
Number of Participants With Serum Alanine Aminotransferase (ALT) Levels >3 × the Upper Limit of Normal (ULN) - Part 1Lixivaptan0Participants
Number of Participants With Serum Alanine Aminotransferase (ALT) Levels >3 × the Upper Limit of Normal (ULN) - Part 1Placebo1Participants
Number of Participants With Treatment-emergent Adverse Events (TEAEs) During the Lixivaptan Titration Period in Part 1Lixivaptan Titration Period Participants3Participants
Number of Participants With TEAEs After Randomization in Part 1Lixivaptan1Participants
Number of Participants With TEAEs After Randomization in Part 1Placebo1Participants
Number of Participants With Potentially Clinically Important Clinical Laboratory Findings During the Lixivaptan Titration Period in Part 1Lixivaptan Titration Period Participants0Participants
Number of Participants With Potentially Clinically Important Clinical Laboratory Findings After Randomization in Part 1Lixivaptan0Participants
Number of Participants With Potentially Clinically Important Clinical Laboratory Findings After Randomization in Part 1Placebo0Participants
Number of Participants With Potentially Clinically Important Vital Signs Findings During the Lixivaptan Titration Period in Part 1Lixivaptan Titration Period Participants0Participants
Number of Participants With Potentially Clinically Important Vital Signs Findings After Randomization in Part 1Lixivaptan0Participants

Participant flow63

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

PeriodMilestoneGroupParticipantsUnits counted
Pre-randomization Single-blind PeriodSTARTEDAll Subjects Pre-randomization12
Pre-randomization Single-blind PeriodSTARTEDLixivaptan0
Pre-randomization Single-blind PeriodSTARTEDPlacebo0
Pre-randomization Single-blind PeriodTreated in Placebo Run-inAll Subjects Pre-randomization12
Pre-randomization Single-blind PeriodTreated in Placebo Run-inLixivaptan0
Pre-randomization Single-blind PeriodTreated in Placebo Run-inPlacebo0
Pre-randomization Single-blind PeriodTreated in Lixivaptan Titration PeriodAll Subjects Pre-randomization8
Pre-randomization Single-blind PeriodTreated in Lixivaptan Titration PeriodLixivaptan0
Pre-randomization Single-blind PeriodTreated in Lixivaptan Titration PeriodPlacebo0
Pre-randomization Single-blind PeriodCOMPLETEDAll Subjects Pre-randomization5

Adverse events39

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

TypeEventOrgan systemGroupAffectedAt riskEvents
otherAbdominal distensionGastrointestinal disordersLixivaptan Titration Period181
otherAbdominal distensionGastrointestinal disordersLixivaptan (Randomized Treatment Period)040
otherAbdominal distensionGastrointestinal disordersPlacebo (Randomized Treatment Period)010
otherDiarrhoeaGastrointestinal disordersLixivaptan Titration Period181
otherDiarrhoeaGastrointestinal disordersLixivaptan (Randomized Treatment Period)040
otherDiarrhoeaGastrointestinal disordersPlacebo (Randomized Treatment Period)010
otherNasopharyngitisInfections and infestationsLixivaptan Titration Period181
otherNasopharyngitisInfections and infestationsLixivaptan (Randomized Treatment Period)040
otherNasopharyngitisInfections and infestationsPlacebo (Randomized Treatment Period)010
otherInfluenza A virus test positiveInvestigationsLixivaptan Titration Period181

Adverse event totals9

The totals the trial posted for each group.

TotalGroupAffectedAt risk
Total, all-cause mortalityLixivaptan Titration Period08
Total, all-cause mortalityLixivaptan (Randomized Treatment Period)04
Total, all-cause mortalityPlacebo (Randomized Treatment Period)01
Total, other adverse eventsLixivaptan Titration Period38
Total, other adverse eventsLixivaptan (Randomized Treatment Period)14
Total, other adverse eventsPlacebo (Randomized Treatment Period)11
Total, serious adverse eventsLixivaptan Titration Period08
Total, serious adverse eventsLixivaptan (Randomized Treatment Period)04
Total, serious adverse eventsPlacebo (Randomized Treatment Period)01

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 comparisons5

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

ComparisonSource
Lixivaptan vs Placebo: Number of Participants With Potentially Clinically Important Vital Signs Findings After Randomization in Part 1Trial comparisons
Lixivaptan vs Placebo: Number of Participants With Serum Alanine Aminotransferase (ALT) Levels >3 × the Upper Limit of Normal (ULN) - Part 1Trial comparisons
Lixivaptan vs Placebo: Number of Participants With Potentially Clinically Significant 12-lead ECG Findings After Randomization in Part 1Trial comparisons
Lixivaptan vs Placebo: Number of Participants With TEAEs After Randomization in Part 1Trial comparisons
Lixivaptan vs Placebo: Number of Participants With Potentially Clinically Important Clinical Laboratory Findings After Randomization in Part 1Trial comparisons

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.

For software

Read this trial from software.

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

GET https://conductscience.org/api/trials/v1/NCT04064346

GET https://conductscience.org/api/trials/v1/NCT04064346/flow?page=2