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Urinary Bladder, OveractivePhase 4VIBRANTNCT00573508

Study of VESIcare® In Overactive Bladder (OAB) Subjects to Evaluate Symptom Bother and Health Related Quality of Life

A Phase 4 study testing Solifenacin Succinate in people with Urinary Bladder, Overactive, run by Astellas Pharma Inc at 59 sites in United States.

Completed

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

Official record
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Trial summary

Evaluate the effect of VESIcare® on symptom bother for subjects with OAB Read more about this study

Who is it for?
Ages 18 years and older
Conditions the study is for
Urinary Bladder, Overactive
What is being tested?
Solifenacin Succinate
Type of treatment
Pill or oral medicine
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
768 participants
Where
59 sitesUnited States
Study dates
Aug 2007to Jul 2008
Phase
Phase 4
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

  • Ambulatory male or female subject ≥ 18 years of age and able to use the toilet without difficulty
  • History of OAB symptoms for ≥ 3 months
  • An average of ≥ 8 micturitions per 24 hours and ≥ 1 urgency episode (with or without incontinence) per 24 hours as documented in a 3-day micturition diary
  • Subjects are bothered by symptoms as reflected by PPBC ≥3

Who cannot join

  • Evidence of chronic urologic inflammation such as interstitial cystitis and bladder stones; uncontrolled narrow angle glaucoma; urinary or gastric retention
  • Recurrent urinary tract infection (UTI) of > 3 episodes within the last 3 months or evidence of a urinary tract infection at Baseline Visit (Visit 2)
  • Significant stress incontinence or mixed stress/urge incontinence where stress is the predominant factor as determined by the investigator
  • History of renal or hepatic impairment(2 x Upper Limit of Normal(ULN) values in parameters and considered clinically significant by the investigator
  • History of diagnosed gastrointestinal obstruction disease
  • Subject has a known diagnosis or history of carcinoma (including prostate cancer) except non metastatic basal or squamous cell carcinoma of the skin that has been successfully treated or previous pelvis radiation within the past five years
  • Known or suspected hypersensitivity to solifenacin succinate, any components, or other anticholinergics

Trial locations and contacts

59 sites in 1 country.

59 sites in 1 country

United States59 sites
  • Study site

    Arlington, Texas, 76017

  • Study site

    Aurora, Colorado, 80012

  • Study site

    Austin, Texas, 78759

  • Study site

    Bedford, Texas, 76021

  • Study site

    Billings, Montana, 59102

  • Study site

    Buena Park, California, 90620

  • Study site

    Carmichael, California, 95608

  • Study site

    Central Point, Oregon, 97502

  • Study site

    Cincinnati, Ohio, 45212

  • Study site

    Clearwater, Florida, 33761

  • Study site

    Concord, North Carolina, 28025

  • Study site

    Corpus Christi, Texas, 78414

  • Study site

    Denver, Colorado, 80211

  • Study site

    Denver, Colorado, 80220

  • Study site

    Edmond, Oklahoma, 73034

  • Study site

    Endwell, New York, 13760

  • Study site

    Englewood, Colorado, 32308

  • Study site

    Englewood, New Jersey, 07631

  • Study site

    Fargo, North Dakota, 58104

  • Study site

    Fresno, California, 93720

  • Study site

    Garden City, New York, 11530

  • Study site

    Greer, South Carolina, 29650

  • Study site

    Houston, Texas, 77024

  • Study site

    Idaho Falls, Idaho, 83404

  • Study site

    Jeffersonville, Indiana, 47130

  • Study site

    Kingston, New York, 12401

  • Study site

    Lawrenceville, New Jersey, 08648

  • Study site

    Lyndhurst, Ohio, 44124

  • Study site

    Madison, Wisconsin, 53703

  • Study site

    Melrose Park, Illinois, 60160

  • Study site

    Montgomery, Alabama, 36067

  • Study site

    Mount Lake, Washington, 98043

  • Study site

    New York, New York, 10016

  • Study site

    New York, New York, 10029

  • Study site

    Omaha, Nebraska, 68114

  • Study site

    Orchard Park, New York, 14127

  • Study site

    Philadelphia, Pennsylvania, 19114

  • Study site

    Phoenix, Arizona, 85051

  • Study site

    Plantation, Florida, 33324

  • Study site

    Poughkeepsie, New York, 12601

  • Study site

    Raleigh, North Carolina, 27612

  • Study site

    Roswell, Georgia, 30076

  • Study site

    Sacramento, California, 95825

  • Study site

    San Bernardino, California, 92404

  • Study site

    San Diego, California, 92108

  • Study site

    Shreveport, Louisiana, 71106

  • Study site

    Simpsonville, South Carolina, 29681

  • Study site

    Spokane, Washington, 99202

  • Study site

    Tacoma, Washington, 98405

  • Study site

    Tallahassee, Florida, 32308

  • Study site

    Tampa, Florida, 33607

  • Study site

    Tampa, Florida, 33613

  • Study site

    Tucson, Arizona, 85741

  • Study site

    Uniontown, Pennsylvania, 15401

  • Study site

    Waterbury, Connecticut, 67080

  • Study site

    Watertown, Massachusetts, 02472

  • Study site

    Wellington, Florida, 33414

  • Study site

    West Reading, Pennsylvania, 19611

  • Study site

    Winston-Salem, North Carolina, 27103

Other trials in United States

About this study

Official title: A Randomized, Double-Blind, Placebo-Controlled, Parallel Group, Phase 4, Multi-center Study of VESIcare® (Solifenacin Succinate) in Overactive Bladder (OAB) Subjects to Evaluate Symptom Bother and Health Related Quality of Life VIBRANT: VESIcare® Investigation of BotheR And Quality of Life iN subjecTs With OAB

Evaluate the effect of VESIcare® on symptom bother for subjects with OAB

Read the detailed description

Phase 4, multi-center, randomized, double-blind, placebo-controlled, parallel group study. All subjects that meet the baseline criteria will be randomized in a 1:1 ratio into VESIcare® (solifenacin succinate) or placebo group.

The study duration consists of a screening period which includes a minimum of a 14 day treatment free wash-out period. Subjects meeting the baseline criteria will have a 12 week treatment period. Maximum total study duration is 15 weeks: 2 3 week screening / washout period; 12 week double-blind treatment.

Primary efficacy will be based on OAB-q symptom bother score.

Being tested
Placebo, Solifenacin Succinate
Keywords
Overactive Bladder
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.

  • PlaceboDrug

    Oral Administration

  • Solifenacin SuccinateDrug

    Also called VESIcare®, YM905

    Oral Administration

Study groups in NCT00573508
Study groupRoleWhat they receive
PlaceboActive comparatorMatching placebo tablet taken once daily
Receives: Drug: Placebo
Solifenacin SuccinateExperimental5mg or 10mg tablet taken once daily
Receives: Drug: Solifenacin Succinate

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 Overactive Bladder Questionnairre (OAB-q) Symptom Bother Score

    The OAB-q is used to assess how much a patient is bothered by OAB symptoms \& the impact of these symptoms on the patient's Health Related Quality of Life(HRQL). It is a patient administered tool comprised of 33 items, where the first 8 define symptom bother with raw score being converted to a scale of 0 to 100.

    Higher score values are indicative of greater symptom severity or bother, and a lower score in change from baseline indicates improvement.

    End of Treatment results include patients who had early discontinuation from the study.

    Change is calculated as End of Treatment - Baseline.

    Measured: Baseline and 12 Weeks

Secondary outcomes (12)
  1. Change From Baseline to Each Visit in Symptom Bother Utilizing the OAB-q Score

    The OAB-q is used to assess how much a patient is bothered by OAB symptoms and the impact of these symptoms on the patient's HRQL. It is a validated patient administered tool comprised of 33 items, where the first 8 items define symptom bother with raw score being converted to a scale of 0 to 100.

    Higher score values are indicative of greater symptom severity or bother, and a lower score in change from baseline indicates improvement.

    Change is calculated as Actual Data for each timepoint - Baseline.

    Measured: Baseline, Week 4, Week 8 and Week 12

  2. Change From Baseline to Each Visit in OAB-q Health Related Quality of Life (HRQL) Total Score

    The OAB-q is used to assess how much a patient is bothered by OAB symptoms and the impact of these symptoms on the patient's HRQL. It is a validated patient administered tool comprised of 33 items, where items 9 - 33 define HRQL with raw score being converted to a scale of 0 to 100.

    Higher score values are indicative of better HRQL, and a positive score in change from baseline indicates improvement.

    Change is calculated as Actual Data for each time point - Baseline.

    Measured: Baseline, Week 4, Week 8 and Week 12

  3. Number of Participants With Change From Baseline in the Global Assessment Score of the Patient Perception of Bladder Condition (PPBC)

    The PPBC is a validated, global assessment tool using a 6-point Likert scale which requires patients to assess their bladder condition by selecting one of the following responses: 1=Does not cause me any problem at all; 2=Cause me some very minor problems; 3=Causes me some minor problems; 4=Causes me (some) moderate problems; 5=Causes me severe problems; 6=Causes me many severe problems

    Improvement is defined by any reduction in PPBC score.

    End of Treatment results include patients who had early discontinuation from the study.

    Change is calculated as End of Treatment (EOT) - Baseline

    Measured: Baseline and 12 Weeks

  4. Patient Perception of Treatment Benefit at the End of Treatment in the Global Assessment Score of the Benefit, Satisfaction, and Willingness (BSW) Questionnaire

    The BSW questionnaire is a validated instrument that can be used to assess patient satisfaction with antimuscarinic agents for OAB. It is designed to capture the patient's perception of the effect of treatment in terms of relative benefit, patient satisfaction, and patient intention or willingness to continue on therapy.

    Measured: Baseline and 12 Weeks

  5. Change From Baseline to Each Visit in the OAB-q HRQL Sub-domain Scores of Coping, Concern, Sleep and Social

    The OAB-q is used to assess how much a patient is bothered by OAB symptoms \& the impact on the patient's HRQL. It is comprised of 33 items, with raw scores for each sub-domain being converted to a scale of 0 to 100.

    Higher score values are indicative of better HRQL, and a positive score in change from baseline indicates improvement.

    Change is calculated End of Treatment (EOT) for each sub-domain - Baseline.

    Measured: Baseline, Week 4, Week 8 and Week 12

  6. Change From Baseline in Work Productivity Assessment Index (WPAI)

    The WPAI is a tool used to evaluate the effect of solifenacin succinate on a patient's overall satisfaction \& quality of life, and included 6 questions regarding the effect that bladder condition had on ability to perform work-related functions \& carry out daily activities over the past 4 weeks. The scores were converted to percentages for reporting.

    A negative score in Change from Baseline indicates improvement. End of Treatment results include patients who had early discontinuation from the study.

    Change from baseline is based on the ANCOVA model after adjusting baseline value \& center.

    Measured: Baseline and 12 Weeks

  7. Change From Baseline in the Medical Care Use Index (MCUI) Medical Resource Utilization in the Past 3 Months

    MCUI is a Patient Reported Outcome instrument utilized to further evaluate the effect of solifenacin succinate on patient's overall satisfaction and quality of life.The tool included questions concerning the effect of the patients bladder condition on access to medical care.

    A negative score in Change from Baseline indicates improvement.

    End of Treatment results include patients who had early discontinuation from the study.

    Change is calculated as End of Treatment (EOT) - Baseline

    Measured: Baseline and 12 Weeks

  8. Change From Baseline in the MCUI Behavior Therapy Stratified

    MCUI is a Patient Reported Outcome instrument utilized to further evaluate the effect of solifenacin succinate on patient's overall satisfaction and quality of life. The tool included questions concerning the effect of the patients bladder condition on access to medical care.

    A negative score in Change from Baseline indicates improvement.

    End of Treatment results include patients who had early discontinuation from the study.

    Change is calculated as End of Treatment (EOT) - Baseline

    Measured: Baseline and 12 Weeks

  9. Change From Baseline in International Consultation on Incontinence Modular Questionnaire Male Sexual Matters Associated With Lower Urinary Tract Symptoms (ICIQ-MLUTSsex) Overall Symptom and Bother Scores.

    ICIQ-MLUTSsex is a patient reported outcome instrument to further evaluate the effect of solifenacin succinate on patients' overall satisfaction \& quality of life. The questionnaire contains 5 questions for detailed evaluation of sexual matters associated with lower urinary track symptoms \& impact on sexual quality of life, with a scale of 0 to 12.

    Change from baseline with a negative score indicates improvement. End of Treatment results include patients who had early discontinuation. Change is calculated as End of Treatment(EOT)-Baseline.

    Measured: Baseline and 12 Weeks

  10. Change From Baseline in International Consultation on Incontinence Modular Questionnaire Female Sexual Matters Associated With Lower Urinary Tract Symptoms (ICIQ-FLUTSsex)Overall Symptom and Bother Scores.

    ICIQ-FLUTSsex is a patient reported outcome instrument to further evaluate the effect of solifenacin succinate on patients' overall satisfaction \& quality of life.The questionnaire contains 5 questions for detailed evaluation of sexual matters associated with lower urinary track symptoms \& impact on sexual quality of life, with a scale of 0 to 14.

    Change from baseline with a negative score indicates improvement. End of Treatment results include patients who had early discontinuation. Change is calculated as End of Treatment(EOT)-Baseline.

    Measured: Baseline and 12 Weeks

  11. Change From Baseline in the Treatment Satisfaction Visual Analog Scale (TS-VAS)

    The TS-VAS is a instrument utilized to further evaluate the effect of solifenacin succinate on patients' overall satisfaction \& quality of life. Each patient completed a TS-VAS to rate satisfaction with treatment. They were to answer the following question: "Are you satisfied with your treatment?" by placing a mark on a line that ran from 0 (no, not at all) to 100 (yes, completely).

    Change from baseline with a positive score indicates an improvement. The End of Treatment (EOT) results include patients who had early discontinuation from the study.

    Change is calculated as EOT - Baseline

    Measured: Baseline and 12 Weeks

  12. Change From Baseline to End of Treatment in Mean Parameters Per 24 Hours Recorded in 3-day Diary

    The mean parameters recorded for previous 24 hours in the 3-day diary were: number of micturitions, number of incontinence episodes, number of urgency episodes, number of nocturia episodes and number of nocturnal voids.

    Change from baseline with a lower score indicates an improvement.

    End of Treatment (EOT) results include patients who had early discontinuation from the study; only patients who had the symptom at baseline and data at the EOT in the 3-day diary are included in the data table.

    Change is calculated as EOT - Baseline

    Measured: Baseline and 12 Weeks

Timeline

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

  1. First posted14 Dec 2007 (estimated)
  2. Study startAug 2007
  3. Primary completionJul 2008
  4. Study completionJul 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 4
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
Quadruple blind
Who is masked
Participant, Care provider, Investigator, Outcomes assessor
Enrolment
768 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT00573508
Sponsor's protocol ID
905-UC-010
Acronym
VIBRANT
Status last verified
Sep 2010
First submitted
12 Dec 2007
Last updated
5 Oct 2010
Data monitoring committee
No

Publications

  • Vardy MD, Mitcheson HD, Samuels TA, Wegenke JD, Forero-Schwanhaeuser S, Marshall TS, He W. Effects of solifenacin on overactive bladder symptoms, symptom bother and other patient-reported outcomes: results from VIBRANT - a double-blind, placebo-controlled trial. Int J Clin Pract. 2009 Dec;63(12):1702-14. doi: 10.1111/j.1742-1241.2009.02209.x.

    PubMed 19930331
  • 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 37160401
  • Crosby RD, Mathias SD, Marshall TS. Relationships between symptoms, symptom bother, and health-related quality of life in patients with overactive bladder taking solifenacin or placebo in the VIBRANT study. Int J Clin Pract. 2011 Feb;65(2):211-8. doi: 10.1111/j.1742-1241.2010.02532.x.

    PubMed 21235700

Questions about this trial

What is this clinical trial studying?

A Phase 4 study testing Solifenacin Succinate in people with Urinary Bladder, Overactive, run by Astellas Pharma Inc at 59 sites in United States.

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 4 inclusion and 7 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 5 Oct 2010. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 59 sites in United States. 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. 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 4 studies take place after a treatment is approved, to learn more about its long-term benefits and risks in everyday use.

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 Oct 2010). 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 Overactive Bladder Questionnairre (OAB-q) Symptom Bother Score (time frame: Baseline and 12 Weeks). 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 NCT00573508, 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 5 Oct 2010.

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