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Lower Urinary Tract SymptomsPhase 2NCT00410514

A Study of Mirabegron (YM178) in Men With Lower Urinary Tract Symptoms (LUTS) and Bladder Outlet Obstruction (BOO)

A Phase 2 study testing Mirabegron in people with Lower Urinary Tract Symptoms and Bladder Outlet Obstruction, run by Astellas Pharma Inc at 27 sites in 2 countries.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
Search all trials

Trial summary

This study examined the safety, tolerability, and efficacy of mirabegron (YM178) compared to placebo. Read more about this study

Who is it for?
Ages 45 years and older, men only
What is being tested?
Mirabegron
Type of treatment
Pill or oral medicine
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
200 participants
Where
27 sitesin 2 countries
Study dates
Dec 2006to Aug 2008
Phase
Phase 2
Are there results?
Yes, posted in the registrySummary in the doctors' view

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 45 years and older
  • Men only
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Men 45 years of age or older
  • Documented bladder outlet obstruction

Who cannot join

  • History of urinary retention
  • Symptomatic and recurrent urinary tract infection (UTI)

Trial locations and contacts

27 sites in 2 countries.

27 sites in 2 countries

United States15 sites
  • Study site

    Atherton, California, 94027

  • Study site

    Cincinnati, Ohio, 45212

  • Study site

    Culver City, California, 90232

  • Study site

    Des Moines, Iowa, 50309

  • Study site

    Fresno, California, 93720

  • Study site

    Garden City, New York, 11530

  • Study site

    Middlebury, Connecticut, 06762

  • Study site

    San Diego, California, 92103

  • Study site

    Shreveport, Louisiana, 71106

  • Study site

    Tallahassee, Florida, 32308

  • Study site

    Torrance, California, 90505

  • Study site

    Tuscon, Arizona, 85712

  • Study site

    Virginia Beach, Virginia, 23454

  • Study site

    Watertown, Massachusetts, 02472

  • Study site

    Winston-Salem, North Carolina, 27103

Other trials in United States

Canada12 sites
  • Study site

    Chicoutimi, Quebec, G7F 4A3

  • Study site

    Chicoutimi, Quebec

  • Study site

    Halifax, Nova Scotia, B3H 3A7

  • Study site

    Kitchener, Ontario, N2N 2B9

  • Study site

    Montreal, Quebec, H3T 1E2

  • Study site

    Pointe-Claire, Quebec, H9R 4S3

  • Study site

    Saint John, New Brunswick, E2L 378

  • Study site

    Sherbrooke, Quebec, J1H 5N4

  • Study site

    Toronto, Ontario, M4N 3M5

  • Study site

    Victoria, British Columbia, V8T 5G1

  • Study site

    Victoria, British Columbia, V8V 3N1

  • Study site

    Winnipeg, Manitoba, R3A 1R9

Other trials in Canada

About this study

Official title: A Phase 2, Randomized, Double-blind, Parallel Group, Placebo Controlled, Multi-center Study to Evaluate the Urodynamics and Safety of YM178 in Male Subjects With Lower Urinary Tract Symptoms (LUTS) and Bladder Outlet Obstruction (BOO)

This study examined the safety, tolerability, and efficacy of mirabegron (YM178) compared to placebo.

Being tested
Mirabegron, Placebo
Keywords
Beta-3 Receptor Agonist, YM178, Men, Lower Urinary Tract Symptoms, Bladder Outlet Obstruction
Medical subject headings
Lower Urinary Tract Symptoms, Urinary Bladder Neck Obstruction, Multiple Endocrine Neoplasia Type 1

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • MirabegronDrug

    Also called YM178, Myrbetriq

    oral

  • PlaceboDrug

    oral

Study groups in NCT00410514
Study groupRoleWhat they receive
PlaceboPlacebo comparatorParticipants received matching mirabegron placebo tablets orally once daily for 12 weeks.
Receives: Drug: Placebo
Mirabegron 50 mgExperimentalParticipants received 50 mg mirabegron tablets orally once daily for 12 weeks.
Receives: Drug: Mirabegron
Mirabegron 100 mgExperimentalParticipants received 100 mg mirabegron tablets orally once daily for 12 weeks.
Receives: Drug: Mirabegron

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Change From Baseline to End of Treatment in Maximum Flow Rate (Qmax)

    Maximum urinary flow rate (Qmax) was measured by the Investigator using cystometry and was sent to an independent central reading center for review and interpretation.

    Least squares means (LSM) were derived from an analysis of covariance (ANCOVA) model with the pooled study center and treatment as factors and the baseline value as a covariate.

    Measured: Baseline and Week 12

  2. Change From Baseline to End of Treatment in Detrusor Pressure at Maximum Flow Rate (PdetQmax)

    Detrusor pressure at maximum urinary flow rate (PdetQmax) was measured by the Investigator using cystometry and was sent to an independent central reading center for review and interpretation.

    Least squares means (LSM) were derived from an analysis of covariance (ANCOVA) model with the pooled study center and treatment as factors and the baseline value as a covariate.

    Measured: Baseline and Week 12

Secondary outcomes (16)
  1. Change From Baseline to End of Treatment in Bladder Contractile Index (BCI)

    The Bladder Contractile Index (BCI) is a value used to measure the degree of contractility. BCI was calculated using the following formula:

    BCI = pdetQmax + 5Qmax.

    Strong contractility is a BCI > 150, normal contractility is a BCI of 100-150 and weak contractility is a BCI of < 100.

    Least squares means were derived from an ANCOVA model with the pooled study center and treatment as factors and the baseline value as a covariate.

    Measured: Baseline and Week 12

  2. Change From Baseline to End of Treatment in Bladder Voiding Efficiency (BVE)

    Bladder Voiding Efficiency (BVE) is a product of bladder contractility against the urethral resistance and is measured according to the degree of bladder emptying. BVE is expressed as a percentage and is calculated using the formula:

    Bladder Voiding efficiency = (Voided volume x 100)/maximum cystometric capacity.

    A higher number indicates a higher voiding efficiency. Least squares means were derived from an ANCOVA model with the pooled study center and treatment as factors and the baseline value as a covariate.

    Measured: Baseline and Week 12

  3. Change From Baseline to Weeks 1, 4, 8, 12 and End of Treatment in Postvoid Residual Volume (PVR)

    Healthy micturitions (urinations) result in complete emptying of the bladder. Post Void Residual (PVR) is the volume of urine retained after voiding and was assessed using abdominal ultrasound. An increasing PVR over time is an indicator of abnormal bladder function or detrusor decompensation.

    Least squares means were derived from an ANCOVA model with the pooled study center and treatment as factors and the baseline value as a covariate.

    Measured: Baseline and Weeks 1, 4, 8 and 12

  4. Safety Assessed by Adverse Events (AEs), Electrocardiogram (ECG), Vital Signs, Physical Exam and Laboratory Tests

    Abnormal laboratory parameters, vital signs or ECG data were defined as AEs if the abnormality induced clinical signs or symptoms, needed active intervention, interruption or discontinuation of study medication or was clinically significant. A serious AE was an event resulting in death, persistent or significant disability/incapacity or congenital anomaly or birth defect, was life-threatening, required or prolonged hospitalization or was considered medically important. AEs were assessed by the Investigator for intensity as mild, moderate or severe and for causal relationship to study drug.

    Measured: From first dose to within 30 days after last dose of double blind study medication (up to 16 weeks).

  5. Change From Baseline to Weeks 1, 4, 8, 12 and End of Treatment in International Prostate Symptoms Score (IPSS) Total Score

    The IPSS is a validated global questionnaire used to assess the degree of "bother" from benign prostatic hyperplasia symptoms and is based on the answers to 7 questions concerning urinary symptoms. Each question is assigned points from 0 to 5 indicating increasing severity of the particular symptom. The total score can therefore range from 0 to 35 (asymptomatic to very symptomatic).

    Least squares means were derived from an ANCOVA model with the pooled study center and treatment as factors and the baseline value as a covariate.

    Measured: Baseline and Weeks 1, 4, 8 and 12

  6. Change From Baseline to Weeks 1, 4, 8, 12 and End of Treatment in International Prostate Symptoms Score (IPSS) Voiding Score

    The IPSS is a validated global questionnaire used to assess the degree of "bother" from benign prostatic hyperplasia symptoms based on the answers to 7 questions concerning urinary symptoms. Each question is assigned points from 0 to 5 indicating increasing severity of the particular symptom. The voiding score is the sum of the responses to 4 questions relating to urination (incomplete emptying, intermittency, weak stream and straining) and ranges from 0 to 20 (asymptomatic to very symptomatic).

    Least squares means were derived from an ANCOVA model with the pooled study center and treatment as factors and the baseline value as a covariate.

    Measured: Baseline and Weeks 1, 4, 8 and 12

  7. Change From Baseline to Weeks 1, 4, 8, 12 and End of Treatment in International Prostate Symptoms Score (IPSS) Storage Symptom Score

    The IPSS is a validated global questionnaire used to assess the degree of "bother" from benign prostatic hyperplasia symptoms based on the answers to 7 questions concerning urinary symptoms. Each question is assigned points from 0 to 5 indicating increasing severity of the particular symptom. The storage symptom score is the sum of the responses to 3 questions relating to storage symptoms (frequency, urgency and nocturia) and ranges from 0 to 15 (asymptomatic to very symptomatic).

    Least squares means were derived from an ANCOVA model with the pooled study center and treatment as factors and the baseline value as a covariate.

    Measured: Baseline and Weeks 1, 4, 8 and 12

  8. Change From Baseline to Weeks 1, 4, 8, 12 and End of Treatment in Patient Perception of Bladder Condition (PPBC)

    The patient perception of bladder condition (PPBC) asks participants to assess their bladder condition using a 6-point validated Likert scale which ranges from 1 (does not cause me any problems at all) to 6 (causes me many severe problems).

    Least squares means were derived from an ANCOVA model with the pooled study center and treatment as factors and the baseline value as a covariate.

    Measured: Baseline and Weeks 1, 4, 8 and 12

  9. Change From Baseline to Weeks 1, 4, 8, 12 and End of Treatment in Mean Number of Micturitions Per 24 Hours

    A micturition is any voluntary urination, excluding episodes of incontinence only. The mean number of micturitions per 24 hours was calculated from data recorded by the participant in the micturition diary for the 3 days preceding each clinic visit.

    Least squares means were derived from an ANCOVA model with the pooled study center and treatment as factors and the baseline value as a covariate.

    Measured: Baseline and Weeks 1, 4, 8 and 12

  10. Change From Baseline to Weeks 1, 4, 8, 12 and End of Treatment in Mean Number of Urgency Episodes With Urgency Severity ≥ 3 Per 24 Hours

    For each micturition and/or incontinence episode in the 3 days preceding the clinic visit, participants rated the degree of associated urgency (the sudden compelling desire to pass urine, which is difficult to defer) according to the following scale: 0: No Urgency, felt no need to empty my bladder but did so for another reason; 1: Mild Urgency, could postpone passing water for as long as necessary; 2: Moderate Urgency, could postpone passing water for a short while; 3: Severe Urgency, could not postpone passing water; 4: Urge Incontinence, leaked before reaching the toilet.

    Least squares means were derived from an ANCOVA model with the pooled study center and treatment as factors and the baseline value as a covariate.

    Measured: Baseline and Weeks 1, 4, 8 and 12

  11. Change From Baseline to Weeks 1, 4, 8, 12 and End of Treatment in Mean Number of Incontinence Episodes Per 24 Hours

    The mean number of incontinence episodes (the involuntary leakage of urine) per 24 hours was calculated from data recorded by the participant in the micturition diary for the 3 days preceding each clinic visit.

    Least squares means were derived from an ANCOVA model with the pooled study center and treatment as factors and the baseline value as a covariate.

    Measured: Baseline and Weeks 1, 4, 8 and 12

  12. Change From Baseline to Weeks 1, 4, 8, 12 and End of Treatment in Mean Voided Volume Per Micturition

    The mean volume voided per micturition was calculated from data recorded by the participant in the micturition diary for the 3 days preceding each clinic visit.

    Least squares means were derived from an ANCOVA model with the pooled study center and treatment as factors and the baseline value as a covariate.

    Measured: Baseline and Weeks 1, 4, 8 and 12

  13. Change From Baseline to Weeks 4, 8, 12 and End of Treatment in International Consultation on Incontinence Questionnaire - Male Lower Urinary Tract Symptom (ICIQ MLUTS) Total Symptom Score

    Male lower urinary tract symptoms were assessed by the ICIQ MaleLUTS questionnaire which consists of 13 questions each on a 0-4 scale (larger scores correspond to worse conditions). The total symptom score ranges from 0 to 52.

    Least squares means were derived from an ANCOVA model with the pooled study center and treatment as factors and the baseline value as a covariate.

    Measured: Baseline and Weeks 4, 8 and 12

  14. Change From Baseline to Weeks 4, 8, 12 and End of Treatment in International Consultation on Incontinence Questionnaire - Male Lower Urinary Tract Symptom (ICIQ MLUTS) Total Bother Score

    The degree to which urinary symptoms bothered participants was assessed by the ICIQ MaleLUTS questionnaire which consists of 13 symptom bother questions each on a 0-10 scale (larger scores correspond to worse outcomes). The total bother score ranges from 0 to 130.

    Least squares means were derived from an ANCOVA model with the pooled study center and treatment as factors and the baseline value as a covariate.

    Measured: Baseline and Weeks 4, 8 and 12

  15. Change From Baseline to Weeks 4, 8, 12 and End of Treatment in International Consultation on Incontinence Questionnaire - Lower Urinary Tract Symptom Quality of Life (ICIQ-LUTSqol) Symptom Score

    Quality of life was assessed by the ICIQ-LUTSqol questionnaire which consists of 19 questions each on a 1-4 scale (larger scores correspond to less quality of life). The total symptom score ranges from 19 - 76.

    Least squares means were derived from an ANCOVA model with the pooled study center and treatment as factors and the baseline value as a covariate.

    Measured: Baseline and Weeks 4, 8 and 12

  16. Change From Baseline to Weeks 4, 8, 12 and End of Treatment in International Consultation on Incontinence Questionnaire - Lower Urinary Tract Symptom Quality of Life (ICIQ-LUTSqol) Overall Symptom Interference of Life Score

    Participants were asked to rate how much their urinary symptoms interfered overall with their everyday life on a scale from 0 (not at all) to 10 (a great deal).

    Least squares means were derived from an ANCOVA model with the pooled study center and treatment as factors and the baseline value as a covariate.

    Measured: Baseline and Weeks 4, 8 and 12

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted13 Dec 2006 (estimated)
  2. Study startDec 2006
  3. Primary completionAug 2008
  4. Study completionAug 2008

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase 2
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
Triple blind
Who is masked
Participant, Care provider, Investigator
Enrolment
200 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT00410514
Sponsor's protocol ID
178-CL-060
Status last verified
Sep 2012
First submitted
12 Dec 2006
Last updated
4 Apr 2014
Data monitoring committee
No

Publications

  • Nitti VW, Rosenberg S, Mitcheson DH, He W, Fakhoury A, Martin NE. Urodynamics and safety of the beta(3)-adrenoceptor agonist mirabegron in males with lower urinary tract symptoms and bladder outlet obstruction. J Urol. 2013 Oct;190(4):1320-7. doi: 10.1016/j.juro.2013.05.062. Epub 2013 May 30.

    PubMed 23727415

Questions about this trial

What is this clinical trial studying?

A Phase 2 study testing Mirabegron in people with Lower Urinary Tract Symptoms and Bladder Outlet Obstruction, run by Astellas Pharma Inc at 27 sites in 2 countries.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 2 inclusion and 2 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 4 Apr 2014. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 27 sites in United States, Canada. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. Some participants in this study may receive a placebo. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

What does this phase mean?

Phase 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

Yes. Results are posted in the registry (first posted 5 Sep 2012). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Change From Baseline to End of Treatment in Maximum Flow Rate (Qmax) (time frame: Baseline and Week 12). The study lists 2 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT00410514, which also lists 1 linked publication.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 4 Apr 2014.

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