SIADH (Syndrome of inappropriate ADH production) Overhydration Hyponatrimia MedDRA version: 14.1 Level: LLT Classification code 10021038 Term: Hyponatremia System Organ Class: 10027433 - Metabolism and nutrition disorders MedDRA version: 14.1 Level: LLT Classification code 10040626 Term: SIADH System Organ Class: 10014698 - Endocrine disorders
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: Men and women (fertile women must use contraceptives) Age 18-40 years BMI between 18.5-30 kg/m2 Informed consent Are the trial subjects under 18? no Number of subjects for this age range: F.1.2 Adults (18-64 years) yes F.1.2.1 Number of subjects for this age range 20 F.1.3 Elderly (>=65 years) no F.1.3.1 Number of subjects for this age range
Exclusion criteria
Exclusion criteria: a) Arterial hypertension (ofiice BP over 140 mmHg systolisc and/or 90 mmHg diastolic) b) Clincal signs of heart, lung, liver, kidney, brain, endocrine or neplastic diseases c) Alcoholabuse d) Drugabuse. e) Medical treatment, except anticontraceptives f) Smoking g) Pregnancy or nursing h) Clinical important abnormalities in blood or urine samples or during he alt examination i) Clinical important abnormalities in ECG j) Bloddonation within a month of first treatment period k) Allergies towards Tolvaptan. l) Fertile women must use contraceptives
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Main Objective: To Investigate the effects of tolvaptan on the nitric oxide system;Secondary Objective: The purpose is to investigate the effects of tolvaptan on renal sodium and water handling(GFR, UV, CH20, u-AQP2, u-ENaCaß?, u-NCC, u-NK2CC, CNa, FENa, CK, FEK), plasma concentrations of vasoactive hormoner (renin, angiotensin II, aldosterone, atrial natriuretic peptide, brain natriuretic peptide and endotehline), central blood pressure, pulse wave velocity (PWV) og augmentation index, at baseline and during inhibition of nitric oxide synthesis with L-NMMA in healthy subjects;Primary end point(s): CH2O (Free water clereance);Timepoint(s) of evaluation of this end point: End of study | — |
Secondary
| Measure | Time frame |
|---|---|
| Secondary end point(s): Kidney function: GFR, UV, CH20, protein excretion from tubular sodium and water channels (u-AQP-2, u-ENaCß, u-ENaC?, u-NCC, u-NK2CC), Sodium excretion (CNa, FENa), potassium excretion (CK, FEK) Central blood pressure, pulse wave velocity and augmentation index, Vasoactive hormones: p-Renin, p-Angiotensin II, p-Aldosterone, p-AVP , p-ANP (atrial natriuretic peptide), p-BNP (brain natriuretic peptide) og p-Endotheline-1;Timepoint(s) of evaluation of this end point: End of study | — |
Countries
Denmark
Contacts
Holstebro Hospital