A Phase 2, Multi-center, Open-label, Dose-finding Trial to Investigate the Efficacy, Safety, Pharmacokinetics, and Pharmacodynamics of OPC-41061 in Patients With Chronic Renal Failure Undergoing Hemodialysis or Hemodiafiltration
Condition: Chronic Renal Failure
MeSH terms: Renal Insufficiency; Kidney Failure, Chronic; Renal Insufficiency, Chronic
Intervention: OPC-41061
Intervention description: The maximum number of days of administration will be 8 days (8 doses) in total 4 days each in the dose-escalation period and intermittant administration period. The investigational medicinal product (IMP) will be administered once daily after breakfast
Intervention MeSH terms: Tolvaptan
Phase: Phase 2
Study type: Interventional
Primary purpose: Treatment
Intervention model: Single Group Assignment
Masking: None (Open Label)
Enrollment: 26.0
Sex: All
Minimum age: 20 Years
Maximum age: 80 Years
Healthy volunteers: No

Summary:

      To investigate the safety, pharmacokinetics, pharmacodynamics, and efficacy of OPC-41061 in
      patients with chronic renal failure undergoing hemodialysis or hemodiafiltration using
      variables, such as daily urine volume and increase in interval body weights between
      hemodialysis or hemodiafiltration, in 4-day intermittant administration (excluding the days
      of hemodialysis or hemodiafiltration) at the dose fixed during the dose-escalation period
    

Eligibility criteria:

        Inclusion Criteria:

          -  Patients with chronic renal failure who are undergoing hemodialysis or
             hemodiafiltration three times a week

          -  Subjects between the ages of 20 and 80, inclusive (at time of informed consent)

          -  Subjects who are inpatients or who can be admitted to the trial site for the duration
             of the trial period

          -  Subjects who, together with their partner, are able to practice one of the specified
             contraceptive methods until 4 weeks after the final trial drug administration

          -  Patients who are capable of providing written informed consent themselves before any
             trial-related procedures are performed

        Exclusion Criteria:

          -  Subjects with a complication of urinary impairment due to urinary tract stricture,
             urinary calculus, tumor in urinary tract, or other cause

          -  Subject with daily urine volume less than 500 mL

          -  Subject with Cardiac function of NYHA class 4

          -  Subjects with serious ischemic heart disease, who are judged by the investigator or
             subinvestigator to be inappropriate for inclusion in the trial

          -  Subjects with serious arrhythmia, who are judged by the investigator or
             subinvestigator to be inappropriate for inclusion in the trial

          -  Subjects who are concomitantly undergoing peritoneal dialysis

          -  Subjects with ascites due to cirrhosis or cancer, requring medical treatments

          -  Subjects with any of the following medical histories:

               -  History of cerebrovascular disorder or coronary artery disease within 4 weeks
                  prior to informed consent

               -  History of hypersensitivity or idiosyncratic reaction to benzazepine derivatives
                  such as mozavaptan hydrochloride or benazepril hydrochloride

          -  Subjects with any of the following abnormal laboratory values:

               -  Hemoglobin lower than 8.0 g/dL, total bilirubin higher than 3.0 mg/dL, ALT (GPT)
                  or AST (GOT) 2 times the upper limit of the reference range of the trial site,
                  serum sodium higher than the upper limit of the reference range of the trial
                  site, serum sodium lower than 125mEq/L

          -  Subjects with serum potassium higher than 6.0mEq/L and abnormal findings inappropriate
             for inclusion in the trial are observed by 12-lead ECG

          -  Subjects who are unable to sense thirst or who have difficulty with fluid or food
             intake

          -  Subjects who have participated in any other clinical trial or post-marketing clinical
             studies within 4 weeks prior to informed consent

          -  Female subjects who are pregnant, possibly pregnant, or nursing, or who plan to become
             pregnant during the trial period

          -  Subjects otherwise judged by the investigator or subinvestigator to be inappropriate
             for inclusion in the trial