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A new fast-melting oral formulation of desmopressin: a pharmacodynamic study in children with primary nocturnal enuresis

Vande Walle, JGJ ; Bogaert, GA ; Mattsson, S ; Schurmans, T ; Hoebeke, P ; Deboe, V and Norgaard, Jens Peter LU (2006) In BJU International 97(3). p.603-609
Abstract
Objective To determine the pharmacodynamic properties of a new oral lyophilisate formulation of desmopressin (in single doses of 30, 60, 120, 240, 360 or 480 mu g) in children with known primary nocturnal enuresis (PNE) and thus identify those dosages that could provide a duration of action corresponding to a typical length of night-time sleep in children with PNE; additional objectives were to determine the safety and tolerability of desmopressin in this population. Patients and Methods Children with PNE (mean three or more wet nights/week), aged 6-12 years, were randomized into a double-blind, placebo-controlled study. An overhydration technique was used before dosing to suppress endogenous vasopressin production and thereby ensure that... (More)
Objective To determine the pharmacodynamic properties of a new oral lyophilisate formulation of desmopressin (in single doses of 30, 60, 120, 240, 360 or 480 mu g) in children with known primary nocturnal enuresis (PNE) and thus identify those dosages that could provide a duration of action corresponding to a typical length of night-time sleep in children with PNE; additional objectives were to determine the safety and tolerability of desmopressin in this population. Patients and Methods Children with PNE (mean three or more wet nights/week), aged 6-12 years, were randomized into a double-blind, placebo-controlled study. An overhydration technique was used before dosing to suppress endogenous vasopressin production and thereby ensure that any antidiuresis could be attributed to treatment. Dosing with desmopressin or placebo occurred when urinary production was > 0.13 mL/min/kg. Urinary volume, osmolality and duration of urinary-concentrating action (above three threshold levels: 125, 200 and 400 mOsm/kg) were determined as endpoints. Results All 72 participants receiving desmopressin had a pharmacodynamic response to the drug, while there was no change in urinary output in the 12 placebo-treated patients. There was a clear relationship between desmopressin dose and duration of action and osmolality during action, although the three highest-dose groups had similar results. The mean duration of action of desmopressin at the lowest osmolality threshold level was 3.6-10.6 h, according to dose; for the highest threshold, the values were 1.3-8.6 h. Conclusion Desmopressin, as the oral lyophilisate, causes a marked decrease in urinary output in hydrated children with PNE. A small dose range (120-240 mu g) is likely to control diuresis for a period corresponding to a night's sleep (7-11 h) in most children with PNE. However, some patients might require a higher dose to obtain antidiuresis for the complete night. (Less)
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author
; ; ; ; ; and
organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
osmolality, pharmacodynamics, desmopressin, primary nocturnal enuresis, children
in
BJU International
volume
97
issue
3
pages
603 - 609
publisher
Wiley-Blackwell
external identifiers
  • wos:000235255600036
  • pmid:16469035
  • scopus:33645015898
ISSN
1464-4096
DOI
10.1111/j.1464-410X.2006.05999.x
language
English
LU publication?
yes
id
c8739a5e-ee2b-413b-9cac-16725e171ed5 (old id 416558)
date added to LUP
2016-04-01 11:36:16
date last changed
2021-10-10 03:31:20
@article{c8739a5e-ee2b-413b-9cac-16725e171ed5,
  abstract     = {Objective To determine the pharmacodynamic properties of a new oral lyophilisate formulation of desmopressin (in single doses of 30, 60, 120, 240, 360 or 480 mu g) in children with known primary nocturnal enuresis (PNE) and thus identify those dosages that could provide a duration of action corresponding to a typical length of night-time sleep in children with PNE; additional objectives were to determine the safety and tolerability of desmopressin in this population. Patients and Methods Children with PNE (mean three or more wet nights/week), aged 6-12 years, were randomized into a double-blind, placebo-controlled study. An overhydration technique was used before dosing to suppress endogenous vasopressin production and thereby ensure that any antidiuresis could be attributed to treatment. Dosing with desmopressin or placebo occurred when urinary production was > 0.13 mL/min/kg. Urinary volume, osmolality and duration of urinary-concentrating action (above three threshold levels: 125, 200 and 400 mOsm/kg) were determined as endpoints. Results All 72 participants receiving desmopressin had a pharmacodynamic response to the drug, while there was no change in urinary output in the 12 placebo-treated patients. There was a clear relationship between desmopressin dose and duration of action and osmolality during action, although the three highest-dose groups had similar results. The mean duration of action of desmopressin at the lowest osmolality threshold level was 3.6-10.6 h, according to dose; for the highest threshold, the values were 1.3-8.6 h. Conclusion Desmopressin, as the oral lyophilisate, causes a marked decrease in urinary output in hydrated children with PNE. A small dose range (120-240 mu g) is likely to control diuresis for a period corresponding to a night's sleep (7-11 h) in most children with PNE. However, some patients might require a higher dose to obtain antidiuresis for the complete night.},
  author       = {Vande Walle, JGJ and Bogaert, GA and Mattsson, S and Schurmans, T and Hoebeke, P and Deboe, V and Norgaard, Jens Peter},
  issn         = {1464-4096},
  language     = {eng},
  number       = {3},
  pages        = {603--609},
  publisher    = {Wiley-Blackwell},
  series       = {BJU International},
  title        = {A new fast-melting oral formulation of desmopressin: a pharmacodynamic study in children with primary nocturnal enuresis},
  url          = {http://dx.doi.org/10.1111/j.1464-410X.2006.05999.x},
  doi          = {10.1111/j.1464-410X.2006.05999.x},
  volume       = {97},
  year         = {2006},
}