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CompletedNCT01261481Updated Dec 7, 2012

Bioavailability Study Comparing Tolvaptan Administered Via Nasogastric Tube to Tolvaptan Tablets Swallowed Intact

A Phase 1 interventional study of Tolvaptan and Tolvaptan in Healthy, sponsored by University of North Carolina, Chapel Hill. Completed at 1 site in United States. Open to participants aged 18 Years to 40 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2012-12-07.

Sponsored by University of North Carolina, Chapel Hill · Phase 1, Interventional, and Treatment

Phase
Phase 1
Study type
Interventional
Enrollment
29
Allocation
Randomized
Ages
18 Years to 40 Years
Sex
All
01

Study summary

The purpose of the study is to compare the relative bioavailability and pharmacokinetics of tolvaptan 15 mg tablets administered orally versus tolvaptan via nasogastric (NG) tube in healthy male and female subjects.

This study is an open 2-treatment, 2-period, 2-sequence crossover study to compare the relative bioavailability of tolvaptan tablets to tolvaptan given via nasogastric tube in 28 healthy adults. Subjects will be randomized to one of the two treatment sequences; either tolvaptan oral tablets swallowed intact followed by a tablet crushed and administered via nasogastric tube, or the reverse sequence. Serial pharmacokinetic samples will be collected following each tolvaptan administration and safety assessments will be performed. The relative bioavailability of tolvaptan administered via nasogastric tube will be compared to tolvaptan tablets swallowed intact.

Read the detailed description

This study is an open 2-treatment, 2-period, 2-sequence crossover study to compare the relative bioavailability of tolvaptan tablets to tolvaptan NG in 28 healthy adults. The study will be conducted at the University of North Carolina (UNC) Hospital in the Clinical Translational Research Center (CTRC). The study will consist of three phases (screening and two drug administration visits). Subjects will be randomized to one of the two treatment sequences; either tolvaptan oral tablets swallowed intact followed by a tablet crushed and administered via nasogastric (NG) tube, or the reverse sequence. Because enrollment will be staggered and males and females enrolled, the randomization will be blocked (groups of 4) to minimize imbalance in assignment to the two sequences during the enrollment period, and will be used in a bidirectional fashion to balance gender, with males entering with the lowest subject numbers (#1, #2, etc.), and females with the highest subject numbers (#32, #31, etc.) in the randomization schedule. The biomedical informatics core will generate the randomization schedule. During each inpatient phase, pharmacokinetic parameters will be monitored for 36 hours. Subjects will remain in the CTRC for 24 hours after each drug administration to allow for adequate pharmacokinetic sampling. Subjects will return to the clinic on study days 2 and 9 of the study schedule for 30 and 36 hour blood samples. Subjects will then undergo a one-week washout period and then will be crossed over to the alternative mode of administration. Subjects will be discharged from the study after vital signs are checked on study days 2 and 9 of the study schedule at 36 hours, assuming the subject is hemodynamically stable.

02

Conditions studied

  • Healthy

Keywords

  • Bioavailability
03

In context

Lead sponsor

University of North Carolina, Chapel Hill is the lead sponsor of 1,340 studies on the registry; 133 are open to participants now.

Of its 155 completed or terminated interventional studies of FDA-regulated products, 136 (88%) have results posted.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years to 40 Years
Sexes eligible
All
Accepts healthy volunteers
Yes

Inclusion criteria

  1. Healthy - defined as being free from significant cardiac, pulmonary, gastrointestinal, hepatic, biliary, renal, hematological, neurological and psychiatric disease as determined by history, physical examination and clinical laboratory test results.
  2. Male or female between 18 and 40 years of age inclusive, at the time of signing the informed consent.
  3. A female is eligible to enter and participate in this study if she is of:

    i. Non-child bearing potential (i.e. postmenopausal, surgically sterile, bilateral tubal ligation, or oophorectomy); or

    ii. Child bearing potential, has a negative serum pregnancy test at screening, a negative urine pregnancy test on each admission day, and certifies compliance with one of the following:

    • Complete abstinence from intercourse from 2 weeks prior to administration of the study drug, throughout the study, and 3 days after completion or premature discontinuation from the study to account for elimination of the study drug; or
    • Sterilization of monogamous male partner; or
    • Oral contraceptives if the subject has been taking them continuously for at least three months prior to the study; or
    • Any FDA approved non-hormonal intrauterine device (IUD); or
  4. Within 20% of ideal body weight based on the subject's height (inches) and weight (kg).
  5. Willing and able to give written informed consent prior to entering the study.

Exclusion criteria

Exclusion Criteria:

  1. Participated in another study within 30 days of the study period.
  2. A serum sodium less than 135 mEq/L at screening or on study days 1 or 8 of the study schedule.
  3. A positive urine or serum pregnancy test, or are currently breast-feeding.
  4. A history of intestinal surgery or gastrointestinal disorder that may affect drug absorption.
  5. Any clinically significant abnormal result on the screening blood tests, ECG, or physical exam.
  6. Use of CYP3A4 inhibitors or inducers as medications, juices, or herbal supplements within 96 hours prior to the study period.
  7. Use of oral or intravenous antibiotics within 14 days of the study period.
  8. A current history of alcohol or drug abuse.
  9. Any alcohol consumption within 24 h prior to study days 1 and 8 of the study schedule.
05

Study design

Phase
Phase 1
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Crossover assignment
Masking
None (open label)
Enrollment
29 participants (actual)

Study arms

  • Experimental
    Tolvaptan Intact Tablet Orally

    Drug: Tolvaptan

  • Experimental
    Tolvaptan via Nasogastric Tube

    Drug: Tolvaptan

Interventions

  • DrugTolvaptan

    Tolvaptan 15 mg administered once orally as an intact tablet.

    Also known as: Samsca

  • DrugTolvaptan

    Tolvaptan 15 mg administered once via nasogastric tube.

    Also known as: Samsca

06

What researchers measure

Primary outcomes

  1. Area under the plasma drug concentration-time curve from time 0 to infinity (AUC)

    Time frame: PK samples: from pre-dose to 36 hours

  2. Area under the plasma drug concentration-time curve from time 0 to the last quantifiable point (AUC(0-t))

    Time frame: PK samples: from pre-dose to 36 hours

  3. Maximum plasma concentration (Cmax)

    Time frame: PK samples: from pre-dose to 36 hours

  4. Time to maximal concentration (Tmax)

    Time frame: PK samples: pre-dose to 36 hours

07

Study locations

1 site
  • University of North Carolina Healthcare
    Chapel Hill, North Carolina 27599, United States
08

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Dec 7, 2012, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
09

Registry details

Key details

Study ID
NCT01261481
Lead sponsor
University of North Carolina, Chapel Hill
Collaborators
Otsuka America Pharmaceutical
Responsible party
Herb Patterson, PharmD (Professor and Executive Vice Chair, DPET, University of North Carolina, Chapel Hill) — Principal investigator
First posted
Dec 16, 2010
Start date
Jan 2011
Primary completion
Jan 2012
Completion
Feb 2012
Last update
Dec 7, 2012

Study contacts

J. Herbert Patterson, PharmD
principal investigator · University of North Caronlina - Eshelman School of Pharmacy
Elizabeth B McNeely, PharmD
study director · University of North Caronlina - Eshelman School of Pharmacy

Oversight

Data monitoring committee
Yes
View the source record on ClinicalTrials.gov ↗

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This study is completed, as verified in Dec 2012. You cannot join it, but the record below documents what was studied.

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