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Trial · NCT04152837

Safety of Lixivaptan in Subjects Previously Treated With Tolvaptan for Autosomal Dominant Polycystic Kidney Disease

NCT04152837, Phase 3, Terminated, Palladio Biosciences; results first posted 2023-04-10

3 sourcestrials-2026-11-12-0.5.0

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ConductScience Library. Safety of Lixivaptan in Subjects Previously Treated With Tolvaptan for Autosomal Dominant Polycystic Kidney Disease. Trials, record NCT04152837. Release trials-2026-11-12-0.5.0, 12 Nov 2026. https://conductscience.org/library/trials/NCT04152837

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Trial

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

Title
Safety of Lixivaptan in Subjects Previously Treated With Tolvaptan for Autosomal Dominant Polycystic Kidney Disease
NCT number
NCT04152837
Status
Terminated
Phases
Phase 3
Enrollment
7 participants, actual
Lead sponsor
Palladio Biosciences
Conditions
Polycystic Kidney Disease, Adult, ADPKD
Interventions
Lixivaptan
First posted
2019-11-05
Last updated
2023-04-10
Results first posted
2023-04-10
Limitations and caveats
Efficacy and safety results are limited by the early termination of the trial and the small number of subjects. Early termination was due to a sponsor decision for reasons unrelated to safety.

Source ClinicalTrials.gov

Registered outcomes8

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

ListOutcomeTime frameDescription
Primary
Number of Participants Who Develop Serum Alanine Aminotransferase (ALT) Levels >3 × ULN During the Titration or Maintenance Periods Assessed to be Related to Lixivaptan and Result in Discontinuation of Lixivaptan Treatment
Up to 58 weeks
Number of participants who develop serum ALT levels \>3 x ULN which are assessed by the independent Hepatic Events Review Committee (HERC) to be at least probably related to lixivaptan and result in the discontinuation of lixivaptan treatment. The independent HERC, after reviewing demographic, medical and medication history, safety data and other relevant data of participants who develop liver abnormalities, will determine the probable causality for liver chemistry test abnormalities of concern and the relatedness to lixivaptan using the Drug-Induced Liver Injury Network probability criteria (Fontana et al., 2009). The normal range of ALT was defined as 0-55 U/L.
SecondaryNumber of Participants Who Develop Serum ALT Levels >5 × ULN During the Titration or Maintenance Periods Assessed to be Related to Lixivaptan and Result in Discontinuation of Lixivaptan TreatmentUp to 58 weeks
Number of participants who develop serum ALT levels \>5 x ULN which are assessed by the independent HERC to be at least probably related to lixivaptan and result in the discontinuation of lixivaptan treatment. The independent HERC, after reviewing demographic, medical and medication history, safety data and other relevant data of participants who develop liver abnormalities, will determine the probable causality for liver chemistry test abnormalities of concern and the relatedness to lixivaptan using the Drug-Induced Liver Injury Network probability criteria (Fontana et al., 2009). The normal range of ALT was defined as 0-55 U/L.
SecondaryNumber of Participants Who Develop Serum ALT Levels >3 × ULN During the Titration or Maintenance Periods Assessed to be Related to Lixivaptan and Result in Dose Reduction of Lixivaptan TreatmentUp to 58 weeks
Number of participants who develop serum ALT levels \>3 x ULN which are assessed by the independent HERC to be at least probably related to lixivaptan and result in the dose reduction of lixivaptan treatment. The independent HERC, after reviewing demographic, medical and medication history, safety data and other relevant data of participants who develop liver abnormalities, will determine the probable causality for liver chemistry test abnormalities of concern and the relatedness to lixivaptan using the Drug-Induced Liver Injury Network probability criteria (Fontana et al., 2009). The normal range of ALT was defined as 0-55 U/L.
SecondaryNumber of Participants With Treatment-emergent Adverse Events (TEAEs)Up to 62 weeksNumber of participants with TEAEs during the Titration Period, the Maintenance Period, or the Follow-up Period.
SecondaryNumber of Participants With Potentially Clinically Important Clinical Laboratory FindingsUp to 62 weeks
Number of participants with clinical laboratory findings (non-hepatic clinical chemistry, hematology, and urinalysis) recorded during the Titration Period, the Maintenance Period, or the Follow-up Period, and considered to be potentially clinically important.
SecondaryNumber of Participants With Potentially Clinically Important Vital Signs FindingsUp to 62 weeks
Number of participants with vital signs findings (heart rate, diastolic and systolic blood pressure, weight) recorded during the Titration Period, the Maintenance Period, or the Follow-up Period, and considered to be potentially clinically important.
SecondaryNumber of Participants With Potentially Clinically Important 12-lead Electrocardiogram (ECG) FindingsUp to 62 weeks
Number of participants with ECG findings recorded during the Titration Period, the Maintenance Period, or the Follow-up Period, and considered to be potentially clinically important (defined as a QT interval corrected for heart rate according to Fridericia's formula \[QTcF\] ≥ 450 msec).
SecondaryChange in Estimated Glomerular Filtration Rate (eGFR) From Baseline to Final AssessmentUp to 62 weeks
Baseline eGFR is defined as the mean of the 3 eGFR assessments obtained during the Baseline Period (if any values are missing, the remaining values will be used to determine the baseline eGFR). The endpoint eGFR is defined as the mean of 3 eGFR assessments obtained during the Follow-up Period (if any values are missing, the remaining values will be used to determine the endpoint eGFR). The change in eGFR from Baseline to Final Assessment will be provided.

Outcomes8

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

TypeOutcomeTime framePopulationUnitsMeasured as
PRIMARY
Number of Participants Who Develop Serum Alanine Aminotransferase (ALT) Levels >3 × ULN During the Titration or Maintenance Periods Assessed to be Related to Lixivaptan and Result in Discontinuation of Lixivaptan Treatment
Up to 58 weeksParticipantsCOUNT_OF_PARTICIPANTS
SECONDARYNumber of Participants Who Develop Serum ALT Levels >5 × ULN During the Titration or Maintenance Periods Assessed to be Related to Lixivaptan and Result in Discontinuation of Lixivaptan TreatmentUp to 58 weeksParticipantsCOUNT_OF_PARTICIPANTS
SECONDARYNumber of Participants Who Develop Serum ALT Levels >3 × ULN During the Titration or Maintenance Periods Assessed to be Related to Lixivaptan and Result in Dose Reduction of Lixivaptan TreatmentUp to 58 weeksParticipantsCOUNT_OF_PARTICIPANTS
SECONDARYNumber of Participants With Treatment-emergent Adverse Events (TEAEs)Up to 62 weeksParticipantsCOUNT_OF_PARTICIPANTS
SECONDARYNumber of Participants With Potentially Clinically Important Clinical Laboratory FindingsUp to 62 weeksParticipantsCOUNT_OF_PARTICIPANTS
SECONDARYNumber of Participants With Potentially Clinically Important Vital Signs FindingsUp to 62 weeksParticipantsCOUNT_OF_PARTICIPANTS
SECONDARYNumber of Participants With Potentially Clinically Important 12-lead Electrocardiogram (ECG) FindingsUp to 62 weeksThe same participant experienced potentially clinically important ECG findings in the Baseline Period, in addition to during the Titration and Maintenance, and Follow-up Periods.ParticipantsCOUNT_OF_PARTICIPANTS
SECONDARYChange in Estimated Glomerular Filtration Rate (eGFR) From Baseline to Final AssessmentUp to 62 weeksmL/min/1.73m^2MEAN

Results by group13

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

OutcomeGroupCategoryValueSpreadUnits
Number of Participants Who Develop Serum Alanine Aminotransferase (ALT) Levels >3 × ULN During the Titration or Maintenance Periods Assessed to be Related to Lixivaptan and Result in Discontinuation of Lixivaptan Treatment
Lixivaptan: Titration and Maintenance Periods1Participants
Number of Participants Who Develop Serum ALT Levels >5 × ULN During the Titration or Maintenance Periods Assessed to be Related to Lixivaptan and Result in Discontinuation of Lixivaptan TreatmentLixivaptan: Titration and Maintenance Periods1Participants
Number of Participants Who Develop Serum ALT Levels >3 × ULN During the Titration or Maintenance Periods Assessed to be Related to Lixivaptan and Result in Dose Reduction of Lixivaptan TreatmentLixivaptan: Titration and Maintenance Periods0Participants
Number of Participants With Treatment-emergent Adverse Events (TEAEs)Lixivaptan: Titration, Maintenance, and Follow-up PeriodsTitration and Maintenance Periods6Participants
Number of Participants With Treatment-emergent Adverse Events (TEAEs)Lixivaptan: Titration, Maintenance, and Follow-up PeriodsFollow-up Period1Participants
Number of Participants With Potentially Clinically Important Clinical Laboratory FindingsLixivaptan: Titration, Maintenance, and Follow-up PeriodsTitration and Maintenance Periods1Participants
Number of Participants With Potentially Clinically Important Clinical Laboratory FindingsLixivaptan: Titration, Maintenance, and Follow-up PeriodsFollow-up Period0Participants
Number of Participants With Potentially Clinically Important Vital Signs FindingsLixivaptan: Titration, Maintenance, and Follow-up PeriodsTitration and Maintenance Periods5Participants
Number of Participants With Potentially Clinically Important Vital Signs FindingsLixivaptan: Titration, Maintenance, and Follow-up PeriodsFollow-up Period0Participants
Number of Participants With Potentially Clinically Important 12-lead Electrocardiogram (ECG) FindingsLixivaptan: Titration, Maintenance, and Follow-up PeriodsBaseline Period1Participants

Participant flow12

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

PeriodMilestoneGroupParticipantsUnits counted
Baseline Period (No Treatment)STARTEDLixivaptan7
Baseline Period (No Treatment)COMPLETEDLixivaptan6
Baseline Period (No Treatment)NOT COMPLETEDLixivaptan1
Titration PeriodSTARTEDLixivaptan6
Titration PeriodCOMPLETEDLixivaptan6
Titration PeriodNOT COMPLETEDLixivaptan0
Maintenance PeriodSTARTEDLixivaptan6
Maintenance PeriodCOMPLETEDLixivaptan2
Maintenance PeriodNOT COMPLETEDLixivaptan4
Follow-up PeriodSTARTEDLixivaptan6

Adverse events60

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

TypeEventOrgan systemGroupAffectedAt riskEvents
otherAbdominal painGastrointestinal disordersTitration and Maintenance Periods161
otherAbdominal painGastrointestinal disordersFollow-up Period060
otherAbdominal pain upperGastrointestinal disordersTitration and Maintenance Periods161
otherAbdominal pain upperGastrointestinal disordersFollow-up Period060
otherConstipationGastrointestinal disordersTitration and Maintenance Periods161
otherConstipationGastrointestinal disordersFollow-up Period060
otherDyspepsiaGastrointestinal disordersTitration and Maintenance Periods161
otherDyspepsiaGastrointestinal disordersFollow-up Period060
otherNauseaGastrointestinal disordersTitration and Maintenance Periods161
otherNauseaGastrointestinal disordersFollow-up Period060

Adverse event totals6

The totals the trial posted for each group.

TotalGroupAffectedAt risk
Total, all-cause mortalityTitration and Maintenance Periods06
Total, all-cause mortalityFollow-up Period06
Total, other adverse eventsTitration and Maintenance Periods66
Total, other adverse eventsFollow-up Period16
Total, serious adverse eventsTitration and Maintenance Periods26
Total, serious adverse eventsFollow-up Period06

Papers1

The papers the trial lists on ClinicalTrials.gov.

PMIDListed as
19132805BACKGROUND

Source PubMed

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 comparisons2

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

ComparisonSource
Titration and Maintenance Periods vs Follow-up Period: deaths from any causeTrial comparisons
Titration and Maintenance Periods vs Follow-up Period: serious adverse eventsTrial 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/NCT04152837

GET https://conductscience.org/api/trials/v1/NCT04152837/events?page=2