Clinical trial Recruiting at 2 sites Phase 1 Interventional Ages 18 to 55 Men only

Test of NDI-5001 in adult men with X-linked nephrogenic diabetes insipidus

Official title: A Phase 1b, Open-label Trial to Assess the Safety, Pharmacokinetics, and Pharmacodynamics of NDI-5001 in a Capsule Following Daily Oral Doses to Adult Males With X-linked Congenital Nephrogenic Diabetes Insipidus

Run by Otsuka Pharmaceutical Development & Commercialization, Inc. · NCT07525960 · Data updated 2026-11-12

This trial tests whether NDI-5001 is safe and well taken up in the body when taken as capsules by adult men with X-linked nephrogenic diabetes insipidus.

More Diabetes Insipidus trials

Quick facts

PhasePhase 1
Study typeInterventional
Ages18 Years to 55 Years
SexMen only
Enrollment24 (estimated)
SponsorOtsuka Pharmaceutical Development & Commercialization, Inc.
Industry-sponsored
Locations3 sites (Santa Ana, California and 2 other locations)
StatusRecruiting
StartedJuly 7, 2026
Main results expectedAugust 25, 2027
Study endsAugust 25, 2027
Registry record updatedOctober 20, 2026
Trial IDNCT07525960 on ClinicalTrials.gov

Is this trial a fit for you?

Likely a good fit

Adult males with genetically confirmed AVPR2 mutations causing X-linked nephrogenic diabetes insipidus, and urine osmolality ≤200 mOsm/kg on first morning void.

Probably not a fit

Participants without the AVPR2 mutation or with normal morning urine osmolality may not experience benefit.

A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.

What this trial studies

This is a Phase 1 interventional study evaluating safety, tolerability, and pharmacokinetics of daily oral NDI-5001 in adult males with AVPR2-linked nephrogenic diabetes insipidus. Participants will receive NDI-5001 capsules over multiple days and undergo PK/PD assessments to understand absorption and effects on water balance. Eligibility requires confirmed AVPR2 mutations, low morning urine osmolality, and a BMI within 18.0–35.0 kg/m^2, among other criteria. Key exclusions include high sodium intake, positive drug screens, kidney function concerns, prior NDI-5001 exposure, and recent investigational drug use. The study is sponsored by Otsuka and conducted at sites in California, Florida, and Texas.

Why it matters

Potential benefit: If successful, NDI-5001 could offer a new treatment option to help manage symptoms in X-linked nephrogenic diabetes insipidus.

How similar studies have gone: Previous similar early-phase approaches in NDI have shown safety signals, but this exact formulation and population are relatively novel.

Who can join: the full rules

Show full inclusion / exclusion criteria
Inclusion Criteria

1. X-linked congenital NDI with a genotype-confirmed arginine vasopressin receptor 2 (gene) (AVPR2) mutation and no mutation in aquaporin-2 (AQP2).
2. Urine osmolality of ≤ 200 milliosmoles per kilogram of water (mOsm/kg) in a spot urine sample obtained from a first morning void upon awakening (at screening) before consuming any food or drink after awakening.
3. BMI between 18.0 to 35.0 kilograms per square meter (kg/m\^2), inclusive.

Exclusion Criteria

1. Participant who is not willing to follow a low-sodium (\<=1 gram/day) diet during the in-clinic portion of the trial.
2. A positive drug screen for substances of abuse (including THC, cannabidiol) at screening or check-in.
3. Estimated glomerular filtration rate \<60 milliliters per minute per 1.73-kilogram square meters by serum creatinine and cystatin C at screening.
4. Participants who have taken an investigational drug within 30 days prior to screening.
5. Previous exposure to NDI-5001.
6. Any history of significant bleeding or hemorrhagic tendencies.

Note: Other protocol-specified inclusion/exclusion criteria may apply.

Where it's running

  • Flourish Jacksonville
    Jacksonville, Florida, United States
    Recruiting
  • Flourish San Antonio
    San Antonio, Texas, United States
    Recruiting
  • NRC Research Institute
    Santa Ana, California, United States
    Not yet recruiting

Study contacts

Similar studies

Other studies for the same condition or treatment. Recruiting studies are listed first.

How to take part

  1. Review the eligibility criteria above with your treating physician.
  2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
  3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.
Last reviewed 2026-11-14 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.