Overactive BladderPhase 3NCT00444925
Clinical Trial to Evaluate the Efficacy and Safety of Fesoterodine in Comparison to Tolterodine for Overactive Bladder (OAB)
A Phase 3 study testing fesoterodine fumarate and tolterodine tartrate in people with Overactive Bladder, run by Pfizer at 178 sites in 29 countries.
Trial summary
To evaluate the efficacy and safety of fesoterodine in comparison to tolterodine and placebo for overactive bladder Read more about this study
- Who is it for?
- Ages 18 years and older
- Conditions the study is for
- Overactive Bladder
- What is being tested?
- fesoterodine fumarate and tolterodine tartrate
- Type of treatment
- Pill or oral medicine
- Could I receive a placebo?
- Yes, some participants may receive a placebo
- How many people
- 1,712 participants
- Where
- 178 sitesin 29 countries
- Study dates
- Apr 2007to Jul 2008
- Phase
- Phase 3
- 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 18 years and older
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- Adult overactive bladder (OAB) patients who present with OAB symptoms, including urinary frequency >= 8 per day and urgency urinary incontinence >=1 per day
Who cannot join
- Patients with conditions that would contraindicate for fesoterodine use, e.g, hypersensitivity to the active substance (fesoterodine) or to peanut or soya or any of the excipients, urinary retention, and gastric retention.
- Patients with significant hepatic and renal disease or other significant unstable diseases.
- OAB symptoms caused by neurological conditions, known pathologies of urinary tract, etc.
Trial locations and contacts
178 sites in 29 countries.
178 sites in 29 countries
United States41 sites
Pfizer Investigational Site
Albuquerque, New Mexico, 87109
Pfizer Investigational Site
Allentown, Pennsylvania, 18103
Pfizer Investigational Site
Allentown, Pennsylvania, 18106
Pfizer Investigational Site
Atlanta, Georgia, 30342
Pfizer Investigational Site
Aurora, Colorado, 80012
Pfizer Investigational Site
Aurora, Illinois, 60504
Pfizer Investigational Site
Burlington, North Carolina, 27215
Pfizer Investigational Site
Carmichael, California, 95608
Pfizer Investigational Site
Charleston, South Carolina, 29425
Pfizer Investigational Site
Chaska, Minnesota, 55318
Pfizer Investigational Site
Chesapeake, Virginia, 23320
Pfizer Investigational Site
Coeur d'Alene, Idaho, 83814
Pfizer Investigational Site
Columbia, South Carolina, 29201
Pfizer Investigational Site
Concord, North Carolina, 28025
Pfizer Investigational Site
Dayton, Ohio, 45439
Pfizer Investigational Site
East Providence, Rhode Island, 02914
Pfizer Investigational Site
Garden City, New York, 11530
Pfizer Investigational Site
Homewood, Alabama, 35209
Pfizer Investigational Site
Houston, Texas, 77024
Pfizer Investigational Site
Huntersville, North Carolina, 28078
Pfizer Investigational Site
Huntsville, Alabama, 35801
Pfizer Investigational Site
Kingsport, Tennessee, 37660
Pfizer Investigational Site
Lawrenceville, New Jersey, 08648
Pfizer Investigational Site
Menomonee Falls, Wisconsin, 53051
Pfizer Investigational Site
Miami, Florida, 33186
Pfizer Investigational Site
Milan, Tennessee, 38358
Pfizer Investigational Site
Mineola, New York, 11501
Pfizer Investigational Site
Mobile, Alabama, 36608
Pfizer Investigational Site
Newton, Kansas, 67114
Pfizer Investigational Site
Orangevale, California, 95662
Pfizer Investigational Site
Pittsburgh, Pennsylvania, 15212
Pfizer Investigational Site
Pittsburgh, Pennsylvania, 15213-3180
Pfizer Investigational Site
Provo, Utah, 84604
Pfizer Investigational Site
San Diego, California, 92103-6204
Pfizer Investigational Site
Sandpoint, Idaho, 83864
Pfizer Investigational Site
Seattle, Washington, 98104
Pfizer Investigational Site
Shrevport, Louisiana, 71106
Pfizer Investigational Site
Waterbury, Connecticut, 06708
Pfizer Investigational Site
Watertown, Massachusetts, 02472
Pfizer Investigational Site
Wellington, Florida, 33414
Pfizer Investigational Site
West Des Moines, Iowa, 50266
Germany14 sites
Pfizer Investigational Site
Ahaus, 41683
Pfizer Investigational Site
Alzey, 55232
Pfizer Investigational Site
Berlin, 10787
Pfizer Investigational Site
Berlin, 13125
Pfizer Investigational Site
Berlin, 13347
Pfizer Investigational Site
Karlsruhe, 76199
Pfizer Investigational Site
Krumbach, 86381
Pfizer Investigational Site
Leipzig, 04105
Pfizer Investigational Site
Leipzig, 04109
Pfizer Investigational Site
Marburg, 35039
Pfizer Investigational Site
Muelheim A.d. Ruhr, 45468
Pfizer Investigational Site
München, 81241
Pfizer Investigational Site
München, 81925
Pfizer Investigational Site
Rosenheim, 83022
Canada11 sites
Pfizer Investigational Site
Calgary, Alberta, T2V 4R6
Pfizer Investigational Site
Edmonton, Alberta, T5H 3V9
Pfizer Investigational Site
Kitchener, Ontario, N2N 2B9
Pfizer Investigational Site
Montreal, Quebec, H2X 1N8
Pfizer Investigational Site
Montreal, Quebec, H2X 3J4
Pfizer Investigational Site
Montreal, Quebec, H3S 1Z1
Pfizer Investigational Site
Saint John, New Brunswick, E2L 3J8
Pfizer Investigational Site
Sherbrooke, Quebec, J1H 5N4
Pfizer Investigational Site
Toronto, Ontario, M4N 3M5
Pfizer Investigational Site
Toronto, Ontario, M6A 3B5
Pfizer Investigational Site
Victoria, British Columbia, V8V 3N1
Brazil7 sites
Pfizer Investigational Site
Campinas, São Paulo, 13084-882
Pfizer Investigational Site
Porto Alegre, Rio Grande do Sul, 90020-090
Pfizer Investigational Site
Porto Alegre, Rio Grande do Sul, 90470-340
Pfizer Investigational Site
Rio de Janeiro, Rio de Janeiro, CEP 20551-030
Pfizer Investigational Site
Salvador, Estado de Bahia, 40420-000
Pfizer Investigational Site
São Paulo, São Paulo, 04039-901
Pfizer Investigational Site
São Paulo, São Paulo, 04262-000
Denmark7 sites
Pfizer Investigational Site
Aalborg, 9100
Pfizer Investigational Site
Aarhus N, 8200
Pfizer Investigational Site
Glostrup Municipality, 2600
Pfizer Investigational Site
Herlev, 2730
Pfizer Investigational Site
Kolding, 6000
Pfizer Investigational Site
Nykoebing Falster, 4800
Pfizer Investigational Site
Roskilde, 4000
South Africa7 sites
Pfizer Investigational Site
Bloemfontein, Free State, 9300
Pfizer Investigational Site
Cape Town, 8001
Pfizer Investigational Site
Durban, KwaZulu-Natal, 4001
Pfizer Investigational Site
Parktown, Gauteng, 2193
Pfizer Investigational Site
Pietermaritzburg, KwaZulu-Natal, 3201
Pfizer Investigational Site
Pretoria, 0083
Pfizer Investigational Site
Vosloorus, Gauteng, 1475
India6 sites
Pfizer Investigational Site
Bangalore, Karnataka, 560 034
Pfizer Investigational Site
Hyderabad, Andhra Pradesh, 500 001
Pfizer Investigational Site
Hyderabad, Andhra Pradesh, 500 082
Pfizer Investigational Site
Jaipur, Rajasthan, 302 004
Pfizer Investigational Site
Lucknow, Uttar Pradesh, 226003
Pfizer Investigational Site
Vellore, Tamil Nadu, 632 004
Norway6 sites
Pfizer Investigational Site
Bergen, 5005
Pfizer Investigational Site
Hamar, 2317
Pfizer Investigational Site
Lysaker, 1366
Pfizer Investigational Site
Oslo, 0264
Pfizer Investigational Site
Oslo, NO-0257
Pfizer Investigational Site
Sandnes, 4313
Russia6 sites
Pfizer Investigational Site
Moscow, Russia, 105425
Pfizer Investigational Site
Moscow, 101000
Pfizer Investigational Site
Moscow, 115516
Pfizer Investigational Site
Moscow, 117815
Pfizer Investigational Site
Rostov-on-Don, 344022
Pfizer Investigational Site
Saint Petersburg, Russia
South Korea6 sites
Pfizer Investigational Site
Daegu, 705-718
Pfizer Investigational Site
Seoul, Korea, 110-744
Pfizer Investigational Site
Seoul, 100-380
Pfizer Investigational Site
Seoul, 120-752
Pfizer Investigational Site
Seoul, 136-705
Pfizer Investigational Site
Seoul, 137-040
Czechia5 sites
Pfizer Investigational Site
Hradec Králové, 500 02
Pfizer Investigational Site
Jablonec nad Nisou, 466 60
Pfizer Investigational Site
Jindřichův Hradec, 377 38
Pfizer Investigational Site
Ostrava, 708 52
Pfizer Investigational Site
Prague, 180 00
Poland5 sites
Pfizer Investigational Site
Bialystok, 15-950
Pfizer Investigational Site
Bydgoszcz, 85-168
Pfizer Investigational Site
Lodz, 91-463
Pfizer Investigational Site
Szczecin, 70-11
Pfizer Investigational Site
Warsaw, 02-507
Romania5 sites
Pfizer Investigational Site
Arad, 310175
Pfizer Investigational Site
Bucharest, 041345
Pfizer Investigational Site
Bucharest, 050653
Pfizer Investigational Site
Sibiu, 550245
Pfizer Investigational Site
Timișoara, 300736
Sweden5 sites
Pfizer Investigational Site
Huskvarna, 561 36
Pfizer Investigational Site
Luleå, 97180
Pfizer Investigational Site
Malmö, 205 02
Pfizer Investigational Site
Skövde, 541 30
Pfizer Investigational Site
Stockholm
Taiwan5 sites
Pfizer Investigational Site
Hualien City, 970
Pfizer Investigational Site
Niao-Sung Hsiang, Kaohsiung, 833
Pfizer Investigational Site
Taichung, 40705
Pfizer Investigational Site
Taipei, 100
Pfizer Investigational Site
Taipei
Ukraine5 sites
Pfizer Investigational Site
Chernivtsi, 58002
Pfizer Investigational Site
Kharkiv, 61037
Pfizer Investigational Site
Kyiv, 04053
Pfizer Investigational Site
Odesa, 65000
Pfizer Investigational Site
Zaporizhzhya, 69000
Belgium4 sites
Pfizer Investigational Site
Antwerp, 2020
Pfizer Investigational Site
Brussels, 1070
Pfizer Investigational Site
Kortrijk, 8500
Pfizer Investigational Site
Tessenderlo, 3980
Greece4 sites
Pfizer Investigational Site
Athens, Attica, 10552
Pfizer Investigational Site
Ioannina, Ipiros, 45001
Pfizer Investigational Site
Rio, Patras, 26500
Pfizer Investigational Site
Thessaloniki, 56403
Hungary4 sites
Pfizer Investigational Site
Debrecen, 4026
Pfizer Investigational Site
Nyíregyháza, 4400
Pfizer Investigational Site
Szeged, 6725
Pfizer Investigational Site
Szentes, 6600
Spain4 sites
Pfizer Investigational Site
Bilbao, Vizcaya, 48013
Pfizer Investigational Site
Getafe, Madrid, 28905
Pfizer Investigational Site
Madrid, Madrid, 28046
Pfizer Investigational Site
Valencia, Valencia, 46010
Chile3 sites
Pfizer Investigational Site
Port Montt, 5480000
Pfizer Investigational Site
Rancagua, Región del Libertador General Bernardo O’Higgins, 2820945
Pfizer Investigational Site
Santiago
Costa Rica3 sites
Pfizer Investigational Site
Alajuela, Alajuela Province
Pfizer Investigational Site
Cartago, Cartago Province
Pfizer Investigational Site
San José, Provincia de San José
Italy3 sites
Pfizer Investigational Site
Latina, 04100
Pfizer Investigational Site
Padova, 35128
Pfizer Investigational Site
Siena, 53100
Colombia2 sites
Pfizer Investigational Site
Bogota, Cundinamarca, 0
Pfizer Investigational Site
Bogota, Cundinamarca
Hong Kong2 sites
Pfizer Investigational Site
Hong Kong
Pfizer Investigational Site
Shatin
Malaysia2 sites
Pfizer Investigational Site
Batu Caves, Selangor, 68100
Pfizer Investigational Site
Kuala Lumpur, 59100
Peru2 sites
Pfizer Investigational Site
Lima, Lima Province, L27
Pfizer Investigational Site
Surco, Lima region, L33
Singapore2 sites
Pfizer Investigational Site
Singapore, Singapore, 119074
Pfizer Investigational Site
Singapore, Singapore, 229899
Switzerland2 sites
Pfizer Investigational Site
Frauenfeld, CH-8500
Pfizer Investigational Site
Lucerne, CH-6000
About this study
Official title: 12-Week, Randomized, Double-Blind, Double-Dummy,Placebo-Controlled, Parallel-Group, Multicenter Trial To Evaluate The Efficacy And Safety Of Fesoterodine In Comparison To Tolterodine ER In Patients With Overactive Bladder (OAB)
To evaluate the efficacy and safety of fesoterodine in comparison to tolterodine and placebo for overactive bladder
- Conditions
- Overactive Bladder
- Being tested
- fesoterodine fumarate, placebo, tolterodine tartrate
- Medical subject headings
- Urinary Bladder, Overactive
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
fesoterodine fumarateDrug
4 mg once daily (OD) for 1 week followed by a forced dose-escalation to 8 mg once daily (OD) for 11 weeks
placeboDrug
once daily (OD)for 12 weeks
tolterodine tartrateDrug
4 mg once daily (OD) for 12 weeks
| Study group | Role | What they receive |
|---|---|---|
| Fesoterodine | Experimental | Tablets Receives: Drug: fesoterodine fumarate |
| Placebo | Placebo comparator | Tablets and capsules Receives: Drug: placebo |
| Tolterodine | Active comparator | Capsules Receives: Drug: tolterodine tartrate |
What is being measured
The primary outcome is the main question the study is designed to answer.
Change From Baseline in Mean Number of Urgency Urinary Incontinence (UUI) Episodes Per 24 Hours at Week 12 (End of Treatment).
UUI per 24 hours: total number of micturitions with Urinary Sensation Scale (USS) of 5 divided by total number of diary days collected at visit. USS: 5-item scale to measure urinary urgency; range: 1 (no feeling of urgency) to 5 (unable to hold; leak urine). Change: mean at observation minus mean at baseline.
Measured: Baseline, Week 12
Secondary outcomes (17)
Change From Baseline in Mean Number of UUI Episodes Per 24 Hours at Week 1 and Week 4.
UUI episodes per 24 hours calculated as total number of micturitions with Urinary Sensation Scale (USS) of 5 divided by total number of diary days collected at visit. USS is 5-item scale measuring urinary urgency; range is 1 (no feeling of urgency) to 5 (unable to hold; leak urine). Change calculated as mean at observation minus mean at baseline.
Measured: Baseline, Week 1, Week 4
Percent Change From Baseline of UUI Episodes Per 24 Hours.
UUI episodes per 24 hours calculated as total number of micturitions with USS of 5 in diary. USS is 5-item scale measuring urinary urgency; range is 1 (no feeling of urgency) to 5 (unable to hold; leak urine). Change calculated as UUI episodes per 24 hours at observation divided by baseline number of UUI episodes per 24 hours, multiplied by 100.
Measured: Baseline, Week 1, Week 4, Week 12
Change From Baseline in Mean Voided Volume Per Micturition.
Mean voided volume calculated as sum of voided volume divided by the total number of micturition episodes with a recorded voided volume greater than 0 in the 3-day diary at that visit.
Measured: Baseline, Week 1, Week 4, Week 12
Change From Baseline in Mean Number of Micturitions Per 24 Hours.
The mean number of micturitions was calculated as the sum of all micturitions divided by the total number of diary days collected at that visit. Change calculated as mean at observation minus mean at baseline.
Measured: Baseline, Week 1, Week 4, Week 12
Percent Change From Baseline of Micturitions Per 24 Hours.
Percent change of micturitions per 24 hours was calculated as change in 24-hour mean at that visit divided by the baseline 24-hour mean multiplied by 100 (ie, 100% *(Week 12 or 4 - baseline)/baseline).
Measured: Baseline, Week 1, Week 4, Week 12
Change From Baseline in Mean Number of Nocturnal Micturitions Per 24 Hours.
Mean number of nocturnal micturitions per 24 hours was calculated as the sum of all micturitions divided by the total number of diary days collected at that visit. Nocturnal (Bedtime) was defined as the time the subject went to bed until he/she arose to start the next day.
Measured: Baseline, Week 1, Week 4, Week 12
Percent Change From Baseline of Nocturnal Micturitions Per 24 Hours.
Percent change of nocturnal micturitions per 24 hours was calculated as change in 24-hour mean at that visit divided by the baseline 24-hour mean multiplied by 100 (ie, 100% *(Week 12 or 4 - baseline)/baseline). Nocturnal (Bedtime) was defined as the time the subject went to bed until he/she arose to start the next day.
Measured: Baseline, Week 1, Week 4, Week 12
Change From Baseline in Mean Number of Urgency Episodes Per 24 Hours.
Mean number urgency episodes (USS rating >= to 3 in diary) per 24 hours calculated as sum of all micturitions divided by total number of diary days collected at visit. USS: 5-item scale measuring urinary urgency; range is 1 (no feeling of urgency) to 5 (unable to hold; leak urine). Change calculated as mean at observation minus mean at baseline.
Measured: Baseline, Week 1, Week 4, Week 12
Percent Change From Baseline of Urgency Episodes Per 24 Hours.
Percent change of urgency episodes (USS rating >= to 3 in diary) per 24 hours calculated as change in 24-hour mean at that visit divided by the baseline 24-hour mean multiplied by 100. USS: 5-item scale measuring urinary urgency; range is 1 (no feeling of urgency) to 5 (unable to hold; leak urine).
Measured: Baseline, Week 1, Week 4, Week 12
Change From Baseline in Mean Number of Severe Urgency Episodes Per 24 Hours.
Mean number of severe urgency episodes (USS rating >= to 4 in diary ) per 24 hours: sum of all micturitions divided by total number of diary days collected at that visit. USS: 5-item scale to measure urinary urgency; range: 1 (no feeling of urgency) to 5 (unable to hold; leak urine). Change calculated as mean at observation minus mean at baseline.
Measured: Baseline, Week 1, Week 4, Week 12
Percent Change From Baseline of Severe Urgency Episodes Per 24 Hours.
Percent change calculated as change in severe urgency episodes (USS rating >= to 4 in diary ) per 24 hours at that visit divided by the baseline number of severe urgency episodes per 24 hours, multiplied by 100. USS is 5-item scale measuring urinary urgency; range is 1 (no feeling of urgency) to 5 (unable to hold; leak urine).
Measured: Baseline, Week 1, Week 4, Week 12
Change From Baseline in Mean USS Rating Per Micturition Per 24 Hours.
Mean USS rating calculated as the sum of rating scores on USS per 24 hours divided by the mean number of micturitions per 24 hours at that visit. USS is 5-item scale measuring urinary urgency; range is 1 (no feeling of urgency) to 5 (unable to hold; leak urine). Change calculated as mean at observation minus mean at baseline.
Measured: Baseline, Week 1, Week 4, Week 12
Change From Baseline in Frequency-Urgency Sum (Formerly Known as Urinary Sensations Scale Sum in Protocol) Per 24 Hours.
Frequency-Urgency Sum rating per 24 hours calculated as mean rating scores on the USS multiplied by the mean number of micturitions per 24 hours at that visit. USS is 5-item scale measuring urinary urgency; range is 1 (no feeling of urgency) to 5 (unable to hold; leak urine). Change calculated as mean at observation minus mean at baseline.
Measured: Baseline, Week 1, Week 4, Week 12
Change From Baseline in Patient Perception of Bladder Condition (PPBC).
Number of subjects in 4-point category: >= to 2 points improvement [major improvement]; 1 point improvement [minor improvement]; no change; deterioration, based on PPBC score (rated on 6-point scale: 1=no problems at all; 6=many severe problems). Score change: score at observation minus score at baseline; re-scaled to 4-point categorical variables.
Measured: Baseline, Week 1, Week, 4, Week 12
Change From Baseline in Urgency Perception Scale (UPS). UPS Equals Patient Perception of Urgency Scale (PPUS) in Protocol.
Number of subjects in 3-point category: improvement [>=1-point improvement]; no change; deterioration [>=1-point decrease], based on UPS score (rated on 3-point scale: 1=not able to hold urine; 3=able to finish what I am doing). Score change calculated as score at observation minus score at baseline; re-scaled to 3-point categorical variables.
Measured: Baseline, Week 1, Week 4, Week 12
Change From Baseline in Overactive Bladder Questionnaire (OAB-q): Symptom Bother Score at Week 12 (End of Treatment).
Symptom bother score derived as sum of scores for questions 1-8; lowest possible raw score: 8; highest possible score: 48. Data analyzed based on transformation of the score to a 0 to 100 scale [(Actual total raw score - lowest possible value of raw score)/by raw score range * 100]. Higher transformed scores indicative of greater symptom bother. Negative change in Symptom Bother score indicates improvement. Change calculated as score at observation minus score at baseline.
Measured: Baseline, Week 12
Change From Baseline in OAB-q: Health Related Quality of Life (HRQL) at Week 12 (End of Treatment).
HRQL domain and total raw score derived as sum of scores (6-point scale: 1=not at all/none of the time; 6=a very great deal/all of the time). Transformed score (Total HRQL or domain)=[(Highest possible raw score-Actual total raw score)/Raw score range]x100. Higher transformed scores indicative of better HRQL. Positive change in HRQL scores indicates improvement. Change: score at observation minus score at baseline.
Measured: Baseline, Week 12
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted8 Mar 2007 (estimated)
- Study startApr 2007
- Primary completionJul 2008
- Study completionJul 2008
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Posted resultsParticipant flow, outcome measures and adverse events reported by the sponsor.
- Publications (3)Papers the sponsor has linked to this study.
- Other trials for Overactive BladderStudies of the same condition, open and under way.
- More trials run by PfizerThe sponsor's other registered studies.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
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 3
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Triple blind
- Who is masked
- Participant, Care provider, Investigator
- Enrolment
- 1,712 participants (actual)
Sponsor and investigators
- Lead sponsor
- Pfizer
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
- Investigators
- Pfizer CT.gov Call Center, Study director, Pfizer
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT00444925
- Sponsor's protocol ID
- A0221008
- Status last verified
- Mar 2015
- First submitted
- 6 Mar 2007
- Last updated
- 24 Mar 2015
- Results posted
- Yes, on ClinicalTrials.gov
- Data monitoring committee
- No
Publications
Stoniute A, Madhuvrata P, Still M, Barron-Millar E, Nabi G, Omar MI. Oral anticholinergic drugs versus placebo or no treatment for managing overactive bladder syndrome in adults. Cochrane Database Syst Rev. 2023 May 9;5(5):CD003781. doi: 10.1002/14651858.CD003781.pub3.
PubMed 37160401Wagg AS, Herschorn S, Carlsson M, Fernet M, Oelke M. A plain language summary of the likelihood of symptom relief for patients taking fesoterodine for overactive bladder. J Comp Eff Res. 2022 Sep;11(13):919-925. doi: 10.2217/cer-2022-0041. Epub 2022 Jul 26.
PubMed 35881009Corcos J, Angulo JC, Garely AD, Carlsson M, Gong J, Guan Z; Fesoterodine Assessment and Comparison Versus Tolterodine (FACT) Study Group. Effect of fesoterodine 4 mg on bladder diary and patient-reported outcomes during the first week of treatment in subjects with overactive bladder. Curr Med Res Opin. 2011 May;27(5):1059-65. doi: 10.1185/03007995.2011.565044. Epub 2011 Mar 23.
PubMed 21428726
Study at a glance
From the registry record, last updated by the sponsor on 24 Mar 2015. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- 12-Week, Randomized, Double-Blind, Double-Dummy,Placebo-Controlled, Parallel-Group, Multicenter Trial To Evaluate The Efficacy And Safety Of Fesoterodine In Comparison To Tolterodine ER In Patients With Overactive Bladder (OAB)
- ClinicalTrials.gov ID
- NCT00444925
- Acronym / sponsor ID
- A0221008
- Conditions
- Overactive Bladder
- Phase
- Phase 3
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 1,712 participants (actual)
- Lead sponsor
- PfizerIndustry (pharma, biotech, devices)
- Study start
- Apr 2007
- Primary completion
- Jul 2008 (actual)
- Study completion
- Jul 2008 (actual)
- First posted
- 8 Mar 2007 (estimated)
- Results
- Posted 3 Sep 2009
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
To evaluate the efficacy and safety of fesoterodine in comparison to tolterodine and placebo for overactive bladder
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Triple blind (participant, care provider, investigator)
- Number of arms
- 3
| Arm | Type | Receives |
|---|---|---|
| Fesoterodine | Experimental | Drug: fesoterodine fumarateTablets |
| Placebo | Placebo comparator | Drug: placeboTablets and capsules |
| Tolterodine | Active comparator | Drug: tolterodine tartrateCapsules |
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (1 listed)
- Adult overactive bladder (OAB) patients who present with OAB symptoms, including urinary frequency >= 8 per day and urgency urinary incontinence >=1 per day
Key exclusion criteria (3 listed)
- Patients with conditions that would contraindicate for fesoterodine use, e.g, hypersensitivity to the active substance (fesoterodine) or to peanut or soya or any of the excipients, urinary retention, and gastric retention.
- Patients with significant hepatic and renal disease or other significant unstable diseases.
- OAB symptoms caused by neurological conditions, known pathologies of urinary tract, etc.
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| fesoterodine fumarate4 mg once daily (OD) for 1 week followed by a forced dose-escalation to 8 mg once daily (OD) for 11 weeks | Drug | Fesoterodine |
| placeboonce daily (OD)for 12 weeks | Drug | Placebo |
| tolterodine tartrate4 mg once daily (OD) for 12 weeks | Drug | Tolterodine |
Primary outcome
Change From Baseline in Mean Number of Urgency Urinary Incontinence (UUI) Episodes Per 24 Hours at Week 12 (End of Treatment).
Time frame: Baseline, Week 12
UUI per 24 hours: total number of micturitions with Urinary Sensation Scale (USS) of 5 divided by total number of diary days collected at visit. USS: 5-item scale to measure urinary urgency; range: 1 (no feeling of urgency) to 5 (unable to hold; leak urine). Change: mean at observation minus mean at baseline.
17 secondary outcomes
Change From Baseline in Mean Number of UUI Episodes Per 24 Hours at Week 1 and Week 4.
Time frame: Baseline, Week 1, Week 4
Percent Change From Baseline of UUI Episodes Per 24 Hours.
Time frame: Baseline, Week 1, Week 4, Week 12
Change From Baseline in Mean Voided Volume Per Micturition.
Time frame: Baseline, Week 1, Week 4, Week 12
Change From Baseline in Mean Number of Micturitions Per 24 Hours.
Time frame: Baseline, Week 1, Week 4, Week 12
Percent Change From Baseline of Micturitions Per 24 Hours.
Time frame: Baseline, Week 1, Week 4, Week 12
Change From Baseline in Mean Number of Nocturnal Micturitions Per 24 Hours.
Time frame: Baseline, Week 1, Week 4, Week 12
Percent Change From Baseline of Nocturnal Micturitions Per 24 Hours.
Time frame: Baseline, Week 1, Week 4, Week 12
Change From Baseline in Mean Number of Urgency Episodes Per 24 Hours.
Time frame: Baseline, Week 1, Week 4, Week 12
Percent Change From Baseline of Urgency Episodes Per 24 Hours.
Time frame: Baseline, Week 1, Week 4, Week 12
Change From Baseline in Mean Number of Severe Urgency Episodes Per 24 Hours.
Time frame: Baseline, Week 1, Week 4, Week 12
Percent Change From Baseline of Severe Urgency Episodes Per 24 Hours.
Time frame: Baseline, Week 1, Week 4, Week 12
Change From Baseline in Mean USS Rating Per Micturition Per 24 Hours.
Time frame: Baseline, Week 1, Week 4, Week 12
Change From Baseline in Frequency-Urgency Sum (Formerly Known as Urinary Sensations Scale Sum in Protocol) Per 24 Hours.
Time frame: Baseline, Week 1, Week 4, Week 12
Change From Baseline in Patient Perception of Bladder Condition (PPBC).
Time frame: Baseline, Week 1, Week, 4, Week 12
Change From Baseline in Urgency Perception Scale (UPS). UPS Equals Patient Perception of Urgency Scale (PPUS) in Protocol.
Time frame: Baseline, Week 1, Week 4, Week 12
Change From Baseline in Overactive Bladder Questionnaire (OAB-q): Symptom Bother Score at Week 12 (End of Treatment).
Time frame: Baseline, Week 12
Change From Baseline in OAB-q: Health Related Quality of Life (HRQL) at Week 12 (End of Treatment).
Time frame: Baseline, Week 12
Results and safety
Loading the posted results from ClinicalTrials.gov…
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 24 Mar 2015.
- Posted resultsParticipant flow, baseline, all outcome measures and adverse events.
- Derived from this study: PubMed 37160401Stoniute A, Madhuvrata P, Still M, Barron-Millar E, Nabi G, Omar MI. Oral anticholinergic drugs versus placebo or no treatment for managing overactive bladder syndrome in adults. Cochrane Database Syst Rev. 2023 May 9;5(5):CD003781. doi: 10.1002/14651858.CD003781.pub3.
- Derived from this study: PubMed 35881009Wagg AS, Herschorn S, Carlsson M, Fernet M, Oelke M. A plain language summary of the likelihood of symptom relief for patients taking fesoterodine for overactive bladder. J Comp Eff Res. 2022 Sep;11(13):919-925. doi: 10.2217/cer-2022-0041. Epub 2022 Jul 26.
- Derived from this study: PubMed 21428726Corcos J, Angulo JC, Garely AD, Carlsson M, Gong J, Guan Z; Fesoterodine Assessment and Comparison Versus Tolterodine (FACT) Study Group. Effect of fesoterodine 4 mg on bladder diary and patient-reported outcomes during the first week of treatment in subjects with overactive bladder. Curr Med Res Opin. 2011 May;27(5):1059-65. doi: 10.1185/03007995.2011.565044. Epub 2011 Mar 23.
- To obtain contact information for a study center near you, click here.Link provided by the sponsor.
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Pfizer CT.gov Call Center study director
Pfizer
178 sites in 29 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 3 study testing fesoterodine fumarate and tolterodine tartrate in people with Overactive Bladder, run by Pfizer at 178 sites in 29 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 1 inclusion and 3 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 24 Mar 2015. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 178 sites in United States, Germany, Canada, Brazil, Denmark and 24 more countries. 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 3 studies compare the treatment with the current standard treatment or a placebo in a large group, to confirm how well it works and watch for side effects.
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 3 Sep 2009). 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 in Mean Number of Urgency Urinary Incontinence (UUI) Episodes Per 24 Hours at Week 12 (End of Treatment). (time frame: Baseline, Week 12). 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 NCT00444925, which also lists 3 linked publications.
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 24 Mar 2015.