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.
Quick facts
| Phase | Phase 1 |
|---|---|
| Study type | Interventional |
| Ages | 18 Years to 55 Years |
| Sex | Men only |
| Enrollment | 24 (estimated) |
| Sponsor | Otsuka Pharmaceutical Development & Commercialization, Inc. Industry-sponsored |
| Locations | 3 sites (Santa Ana, California and 2 other locations) |
| Status | Recruiting |
| Started | July 7, 2026 |
| Main results expected | August 25, 2027 |
| Study ends | August 25, 2027 |
| Registry record updated | October 20, 2026 |
| Trial ID | NCT07525960 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
- Study coordinator: Otsuka Call Center
- Email: Otsuka-ProfessionalServices@otsuka-us.com
- Phone: 844-687-8522
Similar studies
Other studies for the same condition or treatment. Recruiting studies are listed first.
-
How oral estrogens affect blood oxytocin in healthy people and those with AVP deficiency
This study will test whether two oral estrogens can trigger oxytocin release in healthy adults and in people with AVP-deficiency (central diabetes insipidus).
-
Effects of intranasal oxytocin on emotion recognition and stress in diabetes insipidus patients
This study is testing if a nasal spray of oxytocin can help people with diabetes insipidus better recognize emotions and lower their stress levels compared to a placebo.
-
Lower dose radiotherapy for treating children with CNS germinoma
This study is testing if giving a lower dose of radiotherapy after chemotherapy can effectively treat children with CNS germinomas while reducing side effects.
-
Registry and clinical study for Wolfram syndrome and related disorders
This study is trying to gather information from people with Wolfram syndrome to better understand the condition and its effects, while also looking for specific gene mutations.
-
Intranasal oxytocin for sexual well‑being in people with arginine vasopressin deficiency and matched healthy adults
This trial will test whether a nasal oxytocin spray can improve sexual well‑being, arousal, intimacy and related emotions in adults with arginine vasopressin deficiency and in matched healthy adults.
-
Effects of low-dose MDMA on oxytocin levels in patients with vasopressin deficiency and healthy controls
This study is testing whether low-dose MDMA can increase oxytocin levels in people with a vasopressin deficiency and healthy individuals to see how it affects them differently.
How to take part
- Review the eligibility criteria above with your treating physician.
- Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
- Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.