E.1 Medical condition or disease under investigation |
E.1.1 | Medical condition(s) being investigated |
Dilutional hyponatraemia. MedRA term "HYPONATRAEMIA" |
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MedDRA Classification |
E.1.2 Medical condition or disease under investigation |
E.1.2 | Version | 10.1 |
E.1.2 | Level | LLT |
E.1.2 | Classification code | 10021036 |
E.1.2 | Term | <Manually entered code. Term in E.1.1> |
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E.1.3 | Condition being studied is a rare disease | No |
E.2 Objective of the trial |
E.2.1 | Main objective of the trial |
To assess the efficacy of satavaptan 10 and 25 mg/Day vs. placebo in correcting hyponatremia at Day 5 (pre-dose) in patients with dilutional hyponatremia due to SIADH |
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E.2.2 | Secondary objectives of the trial |
To assess the safety of satavaptan versus placebo, as well as the maintenance of corrected serum sodium, the clinical outcome, quality of life, and health economic parameters in patients treated with satavaptan at Days 5 and 30. |
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E.2.3 | Trial contains a sub-study | No |
E.3 | Principal inclusion criteria |
Patients with symptomatic SIADH with chronic hyponatremia, defined as: • presence of at least one clinical symptom related to hyponatremia within the past 3 months in medical history and/or at baseline, and • serum sodium between 115 and 132 mmol/L on two consecutive measurements at least 48h apart before randomization (screening and baseline). The diagnosis of SIADH needs to be supported by the laboratory criteria serum osmolality <275 mOsm/kg H2O, urine osmolality >100 mOsm/kg H2O, and urinary sodium >30 mmol/L at time of screening. |
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E.4 | Principal exclusion criteria |
-At the time of screening age < legal age of majority -Presence of clinical signs of hypovolemia (e.g. orthostatic decreases in blood pressure and increase in pulse rate, dry mucus membranes, decreased skin turgor) -Presence of clinical signs of hypervolemia (e.g. generalized edema, jugular venous extension) -Patients with adrenocortical insufficiency -Patients with hypothyroidism -Patients with known causes of transient SIADH (e.g. post-operative conditions, acute pneumonia, drug-induced and in whom the drug is likely to be discontinued during the study participation, etc.) -Patients with psychogenic polydipsia or beer potomania -Concomitant use of thiazid diuretics during the study -Presence of uncontrolled diabetes with fasting blood glucose ≥200 mg/dL (≥11.09 mmol/L) at time of screening -Serum potassium <3.5 mmol/L or ≥5.0 mmol/L at baseline -Serum magnesium below lower limit of normal range at baseline -Patients with impaired hepatic function or liver cirrhosis (Child-Pugh A-C) -Patients with congestive heart failure -Patients with severe renal insufficiency (creatinine clearance <30 mL/min estimated by Cockroft-Goult formula) at time of screening -Patients with myocardial infarction or cerebrovascular accident in the 3 months prior to the study -Patients with a history of instable angina pectoris -Patients with a history of ventricular arrhythmia -ECG QTcF interval ≥480 ms at baseline -Presence of signs of any other clinically significant abnormality according to the Investigator ECG recording (12-lead ECG) - Concomitant use of satavaptan, other vasopressin V2 receptor antagonist, demeclocycline, or lithium, within 1 month and urea from two Days prior to study drug administration - Use of potent and selected moderate inhibitors of CYP 3A enzymes (Aprepitant, atazanavir, chloramphenicol, clarithromycin, cremophor EL, cyclosporin, diltiazem, erythromycin, fluconazole, grapefruit juice, itraconazole, ketoconazole, nefazodone, nelfinavir, ritonavir, saquinavir, telithromycin, theophylline, troleandomycin, verapamil, voriconazole), within 2 weeks prior to study drug administration -Concomitant use of drugs which have been associated with QT interval prolongation and possible risk of Torsades de Pointes as listed in Appendix B during the study -Refusal or inability to give informed consent to participate in the study -Participation in any clinical study within the last 30 Days or a period shorter than 5-times the half-life of the respective investigational product, whatever is longer -Previous participation in a clinical study with satavaptan -Pregnant or breast-feeding women -Women of child-bearing potential are excluded unless they meet one of the following criteria: −Post-menopausal for 6 months or more, and if post-menopausal for less than 2 years, a negative pregnancy test −Surgical sterilization for more than one month duration and a negative pregnancy test − Use of contraceptive intrauterine device in combination with a secondary barrier (e.g. diaphragm, condom or spermicide) and a negative pregnancy test − Use of oral contraceptive in combination with a secondary barrier (e.g. diaphragm, condom or spermicide) and a negative pregnancy test |
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E.5 End points |
E.5.1 | Primary end point(s) |
Serum sodium change from baseline at Day 5 (pre-dose) |
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E.6 and E.7 Scope of the trial |
E.6 | Scope of the trial |
E.6.1 | Diagnosis | No |
E.6.2 | Prophylaxis | No |
E.6.3 | Therapy | Yes |
E.6.4 | Safety | Yes |
E.6.5 | Efficacy | Yes |
E.6.6 | Pharmacokinetic | No |
E.6.7 | Pharmacodynamic | Yes |
E.6.8 | Bioequivalence | No |
E.6.9 | Dose response | No |
E.6.10 | Pharmacogenetic | No |
E.6.11 | Pharmacogenomic | No |
E.6.12 | Pharmacoeconomic | No |
E.6.13 | Others | No |
E.7 | Trial type and phase |
E.7.1 | Human pharmacology (Phase I) | No |
E.7.1.1 | First administration to humans | Information not present in EudraCT |
E.7.1.2 | Bioequivalence study | Information not present in EudraCT |
E.7.1.3 | Other | Information not present in EudraCT |
E.7.1.3.1 | Other trial type description | |
E.7.2 | Therapeutic exploratory (Phase II) | No |
E.7.3 | Therapeutic confirmatory (Phase III) | Yes |
E.7.4 | Therapeutic use (Phase IV) | No |
E.8 Design of the trial |
E.8.1 | Controlled | Yes |
E.8.1.1 | Randomised | Yes |
E.8.1.2 | Open | No |
E.8.1.3 | Single blind | No |
E.8.1.4 | Double blind | Yes |
E.8.1.5 | Parallel group | Yes |
E.8.1.6 | Cross over | No |
E.8.1.7 | Other | Information not present in EudraCT |
E.8.2 | Comparator of controlled trial |
E.8.2.1 | Other medicinal product(s) | No |
E.8.2.2 | Placebo | Yes |
E.8.2.3 | Other | No |
E.8.3 |
The trial involves single site in the Member State concerned
| Information not present in EudraCT |
E.8.4 | The trial involves multiple sites in the Member State concerned | Yes |
E.8.4.1 | Number of sites anticipated in Member State concerned | 2 |
E.8.5 | The trial involves multiple Member States | Yes |
E.8.5.1 | Number of sites anticipated in the EEA | 12 |
E.8.6 Trial involving sites outside the EEA |
E.8.6.1 | Trial being conducted both within and outside the EEA | Yes |
E.8.6.2 | Trial being conducted completely outside of the EEA | Information not present in EudraCT |
E.8.6.3 | If E.8.6.1 or E.8.6.2 are Yes, specify the regions in which trial sites are planned |
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E.8.7 | Trial has a data monitoring committee | Yes |
E.8.8 |
Definition of the end of the trial and justification where it is not the last
visit of the last subject undergoing the trial
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Last visit of last patient |
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E.8.9 Initial estimate of the duration of the trial |
E.8.9.1 | In the Member State concerned years | |
E.8.9.1 | In the Member State concerned months | |
E.8.9.1 | In the Member State concerned days | 67 |
E.8.9.2 | In all countries concerned by the trial days | 67 |