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Long-term durability of the response to desmopressin in female and male nocturia patients.
Neurourol Urodyn. 2013 Apr; 32(4):363-70.NU

Abstract

AIMS

To explore the durability of efficacy and gender differences during chronic administration of desmopressin in nocturia.

METHODS

This pooled analysis of three short-term efficacy studies, with extensions, of desmopressin administered as orally disintegrating tablet (ODT) or solid tablet in nocturia treatment, comprised 351 patients completing 40-56 weeks' treatment. Efficacy endpoints of change in number of nocturnal voids and duration of initial undisturbed sleep period from baseline were analyzed to determine response durability and gender differences.

RESULTS

The mean decrease in number of nocturnal voids during short-term treatment was maintained and further reduced during the long term. At 52 weeks, the mean decrease in number of nocturnal voids from baseline reached 1.4-2.1 voids for desmopressin ODT 25-100 µg. Following 40-week tablet treatment, the decrease in number of nocturnal voids was 0.8-1.5 for desmopressin 100-400 µg. The mean decrease in nocturnal voids (25-50 µg ODT) was greater for females than males. For females, the improvement in initial period of undisturbed sleep was 2.5-3 hr for desmopressin ODT 25-100 µg, compared with 1.3-2.6 hr for males. No gender difference in efficacy was seen in the tablet studies.

CONCLUSIONS

The decrease in nocturnal voids and improvement in sleep with short-term desmopressin treatment were maintained throughout long-term treatment. A durable gender difference in efficacy in favor of females was observed with desmopressin ODT 25 µg. Further, large-scale long-term trials are needed to confirm the durability of efficacy with gender-specific doses of desmopressin.

Authors+Show Affiliations

Ferring International PharmaScience Center, Copenhagen S, Denmark. kvj@ferring.comNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article
Meta-Analysis
Research Support, Non-U.S. Gov't
Review

Language

eng

PubMed ID

22972524

Citation

Juul, Kristian Vinter, et al. "Long-term Durability of the Response to Desmopressin in Female and Male Nocturia Patients." Neurourology and Urodynamics, vol. 32, no. 4, 2013, pp. 363-70.
Juul KV, Klein BM, Nørgaard JP. Long-term durability of the response to desmopressin in female and male nocturia patients. Neurourol Urodyn. 2013;32(4):363-70.
Juul, K. V., Klein, B. M., & Nørgaard, J. P. (2013). Long-term durability of the response to desmopressin in female and male nocturia patients. Neurourology and Urodynamics, 32(4), 363-70. https://doi.org/10.1002/nau.22306
Juul KV, Klein BM, Nørgaard JP. Long-term Durability of the Response to Desmopressin in Female and Male Nocturia Patients. Neurourol Urodyn. 2013;32(4):363-70. PubMed PMID: 22972524.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Long-term durability of the response to desmopressin in female and male nocturia patients. AU - Juul,Kristian Vinter, AU - Klein,Bjarke M, AU - Nørgaard,Jens Peter, Y1 - 2012/09/12/ PY - 2012/05/18/received PY - 2012/08/08/accepted PY - 2012/9/14/entrez PY - 2012/9/14/pubmed PY - 2013/10/29/medline SP - 363 EP - 70 JF - Neurourology and urodynamics JO - Neurourol Urodyn VL - 32 IS - 4 N2 - AIMS: To explore the durability of efficacy and gender differences during chronic administration of desmopressin in nocturia. METHODS: This pooled analysis of three short-term efficacy studies, with extensions, of desmopressin administered as orally disintegrating tablet (ODT) or solid tablet in nocturia treatment, comprised 351 patients completing 40-56 weeks' treatment. Efficacy endpoints of change in number of nocturnal voids and duration of initial undisturbed sleep period from baseline were analyzed to determine response durability and gender differences. RESULTS: The mean decrease in number of nocturnal voids during short-term treatment was maintained and further reduced during the long term. At 52 weeks, the mean decrease in number of nocturnal voids from baseline reached 1.4-2.1 voids for desmopressin ODT 25-100 µg. Following 40-week tablet treatment, the decrease in number of nocturnal voids was 0.8-1.5 for desmopressin 100-400 µg. The mean decrease in nocturnal voids (25-50 µg ODT) was greater for females than males. For females, the improvement in initial period of undisturbed sleep was 2.5-3 hr for desmopressin ODT 25-100 µg, compared with 1.3-2.6 hr for males. No gender difference in efficacy was seen in the tablet studies. CONCLUSIONS: The decrease in nocturnal voids and improvement in sleep with short-term desmopressin treatment were maintained throughout long-term treatment. A durable gender difference in efficacy in favor of females was observed with desmopressin ODT 25 µg. Further, large-scale long-term trials are needed to confirm the durability of efficacy with gender-specific doses of desmopressin. SN - 1520-6777 UR - https://www.unboundmedicine.com/medline/citation/22972524/Long_term_durability_of_the_response_to_desmopressin_in_female_and_male_nocturia_patients_ L2 - https://doi.org/10.1002/nau.22306 DB - PRIME DP - Unbound Medicine ER -