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Low-dose Desmopressin Orally Disintegrating Tablet: Suggested Clinically Meaningful Benefit in Patients with Nocturia Due to Nocturnal Polyuria.
Eur Urol Focus. 2020 09 15; 6(5):1006-1012.EU

Abstract

BACKGROUND

Clinical benefit has not been evaluated much in patients with nocturia.

OBJECTIVE

To assess the clinical benefit of desmopressin orally disintegrating tablet (ODT) in women (25μg) and men (50μg) with nocturia due to nocturnal polyuria (NP).

DESIGN, SETTING, AND PATIENTS

Patients with NP from two randomised, placebo-controlled trials in men (CS41) and women (CS40) with two or more nocturnal voids per night were included.

OUTCOME MEASUREMENTS AND STATISTICAL ANALYSIS

Change from baseline in nocturnal voids, 33% and 50% responder status (average reduction of ≤33% and ≤50%, respectively, in the mean number of nocturnal voids vs baseline), and percentage of nights with at most one void or no voids (ie, complete response) during 3-mo treatment period were assessed for clinical benefit. Two-sided test (5% significance level) was used for all endpoints.

RESULTS AND LIMITATIONS

Demographics and baseline characteristics of patients in CS41 (N=230) and CS40 (N=232) were similar. A greater reduction in the mean number of nocturnal voids was seen with desmopressin ODT in men (treatment difference [TD]: -0.37 voids) compared with women (TD: -0.29 voids). For 33% and 50% responder status, TD with ODT versus placebo were 21% and 12%, respectively, in men, and 12% and 17%, respectively, in women. For the number of nights with at most one void, TDs were 11% and 13% (p<0.009 for both) for men and women, respectively. For complete response, TD was significant in men (TD: 9%, p<0.001). Limitations inherent in this analysis were evident as the data for cotreatments (baseline) and quality of life were not collected.

CONCLUSIONS

A stronger treatment effect with desmopressin ODT versus placebo and the magnitude of differences are indicative of clinical benefit in patients with NP.

PATIENT SUMMARY

We looked at the clinical benefit of desmopressin ODT in patients with nocturnal polyuria. We conclude that clinical benefit was observed with desmopressin ODT in these patients.

Authors+Show Affiliations

Department of Urology, SUNY Downstate Medical School, Brooklyn, New York, USA.Ferring Pharmaceuticals, Copenhagen S, Denmark.Ferring Pharmaceuticals, Copenhagen S, Denmark. Electronic address: Kristian.Juul@ferring.com.

Pub Type(s)

Journal Article
Randomized Controlled Trial
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

30470646

Citation

Weiss, Jeffrey P., et al. "Low-dose Desmopressin Orally Disintegrating Tablet: Suggested Clinically Meaningful Benefit in Patients With Nocturia Due to Nocturnal Polyuria." European Urology Focus, vol. 6, no. 5, 2020, pp. 1006-1012.
Weiss JP, van der Meulen EA, Juul KV. Low-dose Desmopressin Orally Disintegrating Tablet: Suggested Clinically Meaningful Benefit in Patients with Nocturia Due to Nocturnal Polyuria. Eur Urol Focus. 2020;6(5):1006-1012.
Weiss, J. P., van der Meulen, E. A., & Juul, K. V. (2020). Low-dose Desmopressin Orally Disintegrating Tablet: Suggested Clinically Meaningful Benefit in Patients with Nocturia Due to Nocturnal Polyuria. European Urology Focus, 6(5), 1006-1012. https://doi.org/10.1016/j.euf.2018.11.001
Weiss JP, van der Meulen EA, Juul KV. Low-dose Desmopressin Orally Disintegrating Tablet: Suggested Clinically Meaningful Benefit in Patients With Nocturia Due to Nocturnal Polyuria. Eur Urol Focus. 2020 09 15;6(5):1006-1012. PubMed PMID: 30470646.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Low-dose Desmopressin Orally Disintegrating Tablet: Suggested Clinically Meaningful Benefit in Patients with Nocturia Due to Nocturnal Polyuria. AU - Weiss,Jeffrey P, AU - van der Meulen,Egbert A, AU - Juul,Kristian Vinter, Y1 - 2018/11/22/ PY - 2018/07/05/received PY - 2018/10/24/revised PY - 2018/11/07/accepted PY - 2018/11/25/pubmed PY - 2021/5/21/medline PY - 2018/11/25/entrez KW - Clinical benefit KW - Desmopressin KW - Desmopressin orally disintegrating tablet KW - Nocturnal polyuria SP - 1006 EP - 1012 JF - European urology focus JO - Eur Urol Focus VL - 6 IS - 5 N2 - BACKGROUND: Clinical benefit has not been evaluated much in patients with nocturia. OBJECTIVE: To assess the clinical benefit of desmopressin orally disintegrating tablet (ODT) in women (25μg) and men (50μg) with nocturia due to nocturnal polyuria (NP). DESIGN, SETTING, AND PATIENTS: Patients with NP from two randomised, placebo-controlled trials in men (CS41) and women (CS40) with two or more nocturnal voids per night were included. OUTCOME MEASUREMENTS AND STATISTICAL ANALYSIS: Change from baseline in nocturnal voids, 33% and 50% responder status (average reduction of ≤33% and ≤50%, respectively, in the mean number of nocturnal voids vs baseline), and percentage of nights with at most one void or no voids (ie, complete response) during 3-mo treatment period were assessed for clinical benefit. Two-sided test (5% significance level) was used for all endpoints. RESULTS AND LIMITATIONS: Demographics and baseline characteristics of patients in CS41 (N=230) and CS40 (N=232) were similar. A greater reduction in the mean number of nocturnal voids was seen with desmopressin ODT in men (treatment difference [TD]: -0.37 voids) compared with women (TD: -0.29 voids). For 33% and 50% responder status, TD with ODT versus placebo were 21% and 12%, respectively, in men, and 12% and 17%, respectively, in women. For the number of nights with at most one void, TDs were 11% and 13% (p<0.009 for both) for men and women, respectively. For complete response, TD was significant in men (TD: 9%, p<0.001). Limitations inherent in this analysis were evident as the data for cotreatments (baseline) and quality of life were not collected. CONCLUSIONS: A stronger treatment effect with desmopressin ODT versus placebo and the magnitude of differences are indicative of clinical benefit in patients with NP. PATIENT SUMMARY: We looked at the clinical benefit of desmopressin ODT in patients with nocturnal polyuria. We conclude that clinical benefit was observed with desmopressin ODT in these patients. SN - 2405-4569 UR - https://www.unboundmedicine.com/medline/citation/30470646/Low_dose_Desmopressin_Orally_Disintegrating_Tablet:_Suggested_Clinically_Meaningful_Benefit_in_Patients_with_Nocturia_Due_to_Nocturnal_Polyuria_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S2405-4569(18)30333-X DB - PRIME DP - Unbound Medicine ER -