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This phase 2 study examined the efficacy and safety of tolvaptan, an aquaretic drug, in the treatment of ascites associated with cancer. In the dose-escalation phase, oral tolvaptan was initiated at a dose of 3.75mg/day, and the dose was increased daily to 7.5, 15 and 30mg/day. Dose escalation was terminated once the increase from baseline in the daily urine volume reached 500ml, at which point the patient proceeded to the maintenance phase of 5-7days. Improvement of ascites was determined primarily by reduction in body weight and ascit