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一项前瞻性研究中去氨加压素片治疗遗尿症的安全性概况

Safety profile of desmopressin tablet for enuresis in a prospective study.

作者信息

Van Herzeele Charlotte, De Bruyne Pauline, Evans Jonathan, Eggert Paul, Lottmann Henri, Norgaard Jens Peter, Vande Walle Johan

机构信息

Department of Pediatric Nephrology, University Hospital Ghent, De Pintelaan 185, 9000, Ghent, Belgium,

出版信息

Adv Ther. 2014 Dec;31(12):1306-16. doi: 10.1007/s12325-014-0173-1. Epub 2014 Dec 12.

Abstract

INTRODUCTION

This pre-specified sub-study of the desmopressin response in primary nocturnal enuresis study (DRIP study) evaluates the safety profile of the oral desmopressin tablet in children with primary nocturnal enuresis. Endpoints are adverse events and change in body mass index.

METHODS

The DRIP study was an open-label, intention-to-treat, phase IV, multi-national study. Overall, 936 patients were screened and 744 children aged 5-15 years with previously untreated primary nocturnal enuresis were eligible to receive the study medication desmopressin once daily as an oral tablet formulation. At each visit, adverse events were questioned and observed signs or symptoms were recorded.

RESULTS

Overall, 222 (30%) patients experienced 404 treatment-emergent adverse events. The proportion of patients experiencing treatment-emergent adverse events was similar regardless of patient gender or age. Most treatment-emergent adverse events were experienced in three system organ classes: gastrointestinal disorders; infections and infestations; and respiratory, thoracic and mediastinal disorders and were considered unrelated to the study drug. There was a slight increase in body mass index from screening levels during the study, however, clinically not significant.

CONCLUSION

Desmopressin tablet treatment is well tolerated in children with primary nocturnal enuresis, regardless of patient gender or age.

FUNDING

The desmopressin response in primary nocturnal enuresis study (DRIP- study) was funded by Ferring.

摘要

引言

本项原发性夜间遗尿症去氨加压素反应研究(DRIP研究)的预先指定子研究评估了口服去氨加压素片在原发性夜间遗尿症儿童中的安全性。观察指标为不良事件和体重指数变化。

方法

DRIP研究是一项开放标签、意向性分析、IV期、多国研究。总体而言,共筛查了936例患者,744名年龄在5至15岁、此前未经治疗的原发性夜间遗尿症儿童符合条件,可接受研究药物去氨加压素,以口服片剂形式每日给药一次。每次访视时,询问不良事件情况,并记录观察到的体征或症状。

结果

总体而言,222例(30%)患者出现了404起治疗期间出现的不良事件。无论患者性别或年龄,出现治疗期间出现不良事件的患者比例相似。多数治疗期间出现的不良事件发生在三个系统器官类别中:胃肠道疾病;感染和寄生虫病;以及呼吸、胸和纵隔疾病,且被认为与研究药物无关。研究期间体重指数较筛查时略有增加,但临床上无显著意义。

结论

去氨加压素片治疗对原发性夜间遗尿症儿童耐受性良好,无论患者性别或年龄。

资助

原发性夜间遗尿症去氨加压素反应研究(DRIP研究)由辉凌制药公司资助。

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