Hyponatremia With Excess Extracellular Fluid Volume, Hyponatremia With Normal Extracellular Fluid Volume
Conditions
Keywords
Euvolemic Hyponatremia, Hypervolemic Hyponatremia, SIADH, Serum Sodium
Brief summary
To evaluate the overall safety and continued efficacy of oral lixivaptan capsules in subjects with euvolemic and hypervolemic hyponatremia
Detailed description
Phase I and Phase II clinical trials have demonstrated that lixivaptan may play an important role in treating hyponatremia and the signs and symptoms of water retention associated with HF, LCWA and SIADH. Lixivaptan was previously evaluated in disease states characterized by hyponatremia with euvolemia (SIADH) and hyponatremia combined with fluid overload (HF, LCWA). Lixivaptan demonstrated correction in serum sodium concentration together with marked aquaresis in patients with hyponatremia.
Interventions
None listed
Sponsors
Study design
Eligibility
Inclusion criteria
1. Men and women 18 years of age or older 2. Ability to provide informed consent or assent 3. Prior participation in a lixivaptan hyponatremia trial with evidence of continued need or desire for therapy
Exclusion criteria
1. A current medical condition where long-term treatment with an aquaretic agent may present an undue risk to the patient 2. Hyponatremia which is acute, reversible, artificial or due to conditions not associated with vasopressin excess or likely to respond to aquaretic therapy 3. Hyponatremia due to reversible medical condition or therapy 4. Conditions associated with an independent imminent risk of morbidity and mortality
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| To assess the safety of long-term lixivaptan use in patients who were previously enrolled in one of the 3 Phase III trials. | 28 weeks |
Secondary
| Measure | Time frame |
|---|---|
| To demonstrate that after open-label lixivaptan treatment: improvements in the time to complete the TMT-B will be maintained compared to baseline, and improvements in the Medical Outcomes Survey will be maintained compared to baseline. | 28 weeks |
Countries
United States