Benign Prostatic HyperplasiaPhase 3NeptuneNCT01018511
Study of Solifenacin Succinate and Tamsulosin Hydrochloride OCAS in Males With Lower Urinary Tract Symptoms
A Phase 3 study testing tamsulosin hydrochloride OCAS 0.4 mg and tamsulosin hydrochloride/solifenacin succinate fixed dose combination (0.4 mg/6 mg) in people with Benign Prostatic Hyperplasia and Lower Urinary Tract Symptoms, run by Astellas Pharma Europe B.V. at 118 sites in 13 countries.
Trial summary
Clinical study to examine the efficacy, safety and tolerability of combination therapy of tamsulosin hydrochloride and solifenacin succinate compared to monotherapy of tamsulosin hydrochloride in the treatment of males with LUTS associated with BPH with a substantial storage component. Read more about this study
- Who is it for?
- Ages 45 years and older, men only
- Conditions the study is for
- Benign Prostatic Hyperplasia, Lower Urinary Tract Symptoms
- What is being tested?
- tamsulosin hydrochloride OCAS 0.4 mg and tamsulosin hydrochloride/solifenacin succinate fixed dose combination (0.4 mg/6 mg)
- Type of treatment
- Pill or oral medicine
- Could I receive a placebo?
- Yes, some participants may receive a placebo
- How many people
- 1,334 participants
- Where
- 118 sitesin 13 countries
- Study dates
- 11 Jan 2010to 1 Mar 2011
- 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 45 years and older
- Men only
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- Voiding and storage symptoms diagnosed as LUTS associated with BPH for ≥ 3 months
- A total International Prostate Symptom Score (IPSS) of ≥13
- A maximum urinary flow rate of ≥4.0 mL/s and ≤12.0 mL/s, with voided volume of ≥120 mL during free flow
- A micturition frequency of ≥8 and at least 2 episodes of urgency with Patient Perception of the Intensity of Urgency Scale grade 3 or 4 per day on average on the 3 day micturition diary (at randomization)
Who cannot join
- Any significant Post Void Residual volume (>150 mL)
- A prostate with estimated weight ≥75 ml as assessed by transvesical or transrectal ultrasound
- Evidence of a symptomatic urinary tract infection
Trial locations and contacts
118 sites in 13 countries.
118 sites in 13 countries
United Kingdom18 sites
Study site
Birmingham, B15 2SQ
Study site
Bristol, BS10 5NB
Study site
Bristol, BS2 8HW
Study site
Cardiff, CF14 5GJ
Study site
Chorley, PR7 7NA
Study site
Glasgow, G20 0XA
Study site
Glasgow, G81 2DR
Study site
Liverpool, L22 0LG
Study site
Manchester, M15 6SX
Study site
Northwood, HA6 2RN
Study site
Nottingham, NG5 1PB
Study site
Plymouth, PL6 8DH
Study site
Reading, RG1 5AN
Study site
Reading, RG2 0TG
Study site
Reading, RG2 7AG
Study site
Sheffield, S10 2JF
Study site
Taunton, TA1 5DA
Study site
Torquay, TQ2 7AA
France15 sites
Study site
Aix-en-Provence, 13616
Study site
Angers, 49033
Study site
Bordeaux, 33076
Study site
Colmar, 68024
Study site
Dijon, 21000
Study site
Dijon, 21079
Study site
Lyon, 69437
Study site
Montluçon, 03100
Study site
Orléans, 45067
Study site
Paris, 75010
Study site
Paris, 75020
Study site
Paris, 75679
Study site
Pierre-Bénite, 69495
Study site
Rennes, 35033
Study site
Tours, 37044
Germany14 sites
Study site
Bad Ems, 56130
Study site
Bautzen, 02625
Study site
Eisleben Lutherstadt, 06295
Study site
Frankfurt, 65933
Study site
Hagenow, 19230
Study site
Halle, 06132
Study site
Hamburg, 20253
Study site
Henningsdorf, 16761
Study site
Hettstedt, 06333
Study site
Koblenz, 56068
Study site
Leipzig, 04105
Study site
Leipzig, 04109
Study site
Neustadt in Sachsen, 01844
Study site
Uetersen, 25436
Belgium13 sites
Study site
Antwerp, 2020
Study site
Antwerp, 2030
Study site
Assebroek, 8310
Study site
Brussels, 1070
Study site
Brussels, 1090
Study site
Brussels, 1200
Study site
Edegem, 2650
Study site
Ghent, 9000
Study site
Kortrijk, 8500
Study site
Leuven, 3000
Study site
Liège, 4000
Study site
Sint-Truiden, 3800
Study site
Turnhout, 2300
Netherlands10 sites
Study site
Amsterdam, 1100 AD
Study site
Apeldoorn, 7334 DZ
Study site
Doetinchem, 7009 BL
Study site
Eindhoven, 5623 EJ
Study site
Etten-Leur, 4872 LA
Study site
Maastricht, 6229 HX
Study site
Sneek, 8600 BA
Study site
Sneek, 8601 ZK
Study site
Tilburg, 5022 GC
Study site
Winterswijk, 7101 BN
Italy9 sites
Study site
Avellino, 83100
Study site
Bari, 70124
Study site
Bergamo, 24125
Study site
Catania, 95124
Study site
Catanzaro, 88100
Study site
Florence, 50139
Study site
Palermo, 90146
Study site
Treviglio, 24047
Study site
Turin, 10154
Czechia8 sites
Study site
Hradec Králové, 500 02
Study site
Ostrava, 700 30
Study site
Pilsen, 301 24
Study site
Prague, 180 81
Study site
Roudnice nad Labem, 413 01
Study site
Uherské Hradiště, 686 08
Study site
Ústí nad Labem, 40001
Study site
Zdar, 591 01
Hungary7 sites
Study site
Budapest, 1204
Study site
Körmend, 9900
Study site
Nyíregyháza, 4400
Study site
Sopron, 9400
Study site
Szekszárd, 7100
Study site
Szentes, 6601
Study site
Tatabánya, 2800
Poland6 sites
Study site
Bielsko-Biala, 43-300
Study site
Bydgoszcz, 85-094
Study site
Krakow, 31-530
Study site
Puławy, 24-100
Study site
Warsaw, 02-005
Study site
Więcbork, 89-410
Russia6 sites
Study site
Moscow, 111020
Study site
Moscow, 111123
Study site
Moscow, 119435
Study site
Moscow, 125206
Study site
Saint Petersburg, 197089
Study site
Saint Petersburg, 198013
Slovakia6 sites
Study site
Nitra, 949 01
Study site
Piešťany, 921 01
Study site
Prešov, 080 01
Study site
Skalica, 909 82
Study site
Trenčín, 911 01
Study site
Žilina
Austria3 sites
Study site
Innsbruck, 6020
Study site
Salzburg, 5020
Study site
Vienna, 1090
Belarus3 sites
Study site
Minsk, 220036
Study site
Minsk, 220114
Study site
Minsk, 220119
About this study
Official title: A Randomized, Double-blind, Parallel Group, Placebo Controlled, Multi-center Study of Fixed Dose Combinations of Solifenacin Succinate (6 mg and 9 mg) With Tamsulosin Hydrochloride OCAS 0.4 mg and Tamsulosin Hydrochloride OCAS 0.4 mg Monotherapy, in Male Subjects With Lower Urinary Tract Symptoms (LUTS) Associated With Benign Prostatic Hyperplasia (BPH) With a Substantial Storage Component
Clinical study to examine the efficacy, safety and tolerability of combination therapy of tamsulosin hydrochloride and solifenacin succinate compared to monotherapy of tamsulosin hydrochloride in the treatment of males with LUTS associated with BPH with a substantial storage component.
- Being tested
- Placebo tamsulosin hydrochloride OCAS 0.4 mg, Placebo FDC tamsulosin hydrochloride/solifenacin succinate 0.4 mg/6 mg, Placebo FDC tamsulosin hydrochloride/solifenacin succinate 0.4 mg/9 mg, tamsulosin hydrochloride OCAS 0.4 mg, tamsulosin hydrochloride/solifenacin succinate fixed dose combination (0.4 mg/6 mg)
- Keywords
- EC905, Solifenacin succinate, Tamsulosin hydrochloride OCAS, Treatment, Benign Prostatic Hyperplasia, Vesomni, Lower Urinary Tract Symptoms
- Medical subject headings
- Prostatic Hyperplasia, Lower Urinary Tract Symptoms
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Placebo tamsulosin hydrochloride OCAS 0.4 mgDrug
tablet
Placebo FDC tamsulosin hydrochloride/solifenacin succinate 0.4 mg/6 mgDrug
tablet
Placebo FDC tamsulosin hydrochloride/solifenacin succinate 0.4 mg/9 mgDrug
tablet
tamsulosin hydrochloride OCAS 0.4 mgDrug
Also called Harnal ®, Omnic®, Flomax®, YM617
tablet
tamsulosin hydrochloride/solifenacin succinate fixed dose combination (0.4 mg/6 mg)Drug
Also called Vesomni, EC905
tablet
tamsulosin hydrochloride/solifenacin succinate fixed dose combination (0.4 mg/9 mg)Drug
Also called EC905
tablet
| Study group | Role | What they receive |
|---|---|---|
| Placebo | Placebo comparator | Participants received 3 tablets once a day for 12 weeks. Placebo tamsulosin hydrochloride oral controlled absorption system (OCAS) 0.4 mg tablet; Placebo fixed dose combination (FDC) tamsulosin hydrochloride/solifenacin succinate 0.4 mg/6 mg tablet; Placebo FDC tamsulosin hydrochloride/solifenacin succinate 0.4 mg/9 mg tablet Receives: Drug: Placebo tamsulosin hydrochloride OCAS 0.4 mg; Drug: Placebo FDC tamsulosin hydrochloride/solifenacin succinate 0.4 mg/6 mg; Drug: Placebo FDC tamsulosin hydrochloride/solifenacin succinate 0.4 mg/9 mg |
| TOCAS 0.4 mg | Active comparator | Participants received 3 tablets once a day for 12 weeks. Tamsulosin hydrochloride OCAS (TOCAS) 0.4 mg tablet; Placebo FDC tamsulosin hydrochloride/solifenacin succinate 0.4 mg/6 mg tablet; Placebo FDC tamsulosin hydrochloride/solifenacin succinate 0.4 mg/9 mg tablet Receives: Drug: Placebo FDC tamsulosin hydrochloride/solifenacin succinate 0.4 mg/6 mg; Drug: Placebo FDC tamsulosin hydrochloride/solifenacin succinate 0.4 mg/9 mg; Drug: tamsulosin hydrochloride OCAS 0.4 mg |
| FDC 0.4 mg/6 mg | Experimental | Participants received 3 tablets once a day for 12 weeks. Placebo TOCAS 0.4 mg tablet; FDC tamsulosin hydrochloride/solifenacin succinate 0.4 mg/6 mg tablet; Placebo FDC tamsulosin hydrochloride/solifenacin succinate 0.4 mg/9 mg tablet Receives: Drug: Placebo tamsulosin hydrochloride OCAS 0.4 mg; Drug: Placebo FDC tamsulosin hydrochloride/solifenacin succinate 0.4 mg/9 mg; Drug: tamsulosin hydrochloride/solifenacin succinate fixed dose combination (0.4 mg/6 mg) |
| FDC 0.4 mg/9 mg | Experimental | Participants received 3 tablets once a day for 12 weeks. Placebo TOCAS 0.4 mg tablet; Placebo FDC tamsulosin hydrochloride/solifenacin succinate 0.4 mg/6 mg tablet; FDC tamsulosin hydrochloride/solifenacin succinate 0.4 mg/9 mg tablet Receives: Drug: Placebo tamsulosin hydrochloride OCAS 0.4 mg; Drug: Placebo FDC tamsulosin hydrochloride/solifenacin succinate 0.4 mg/6 mg; Drug: tamsulosin hydrochloride/solifenacin succinate fixed dose combination (0.4 mg/9 mg) |
What is being measured
The primary outcome is the main question the study is designed to answer.
Change From Baseline to End of Treatment in Total International Prostate Symptom Score
The International Prostate Symptom Score (IPSS) is a validated global questionnaire to assess the degree of urinary symptoms, based on answers to 7 questions concerning urinary symptoms: •Incomplete emptying of the bladder •Intermittency •Weak stream •Hesitancy •Frequency •Urgency •Nocturia Each question is assigned points from 0 to 5 indicating increasing severity of the symptom. Total score can range from 0 to 35 (mildly symptomatic to severely symptomatic).
Measured: Baseline and Week 12
Change From Baseline to End of Treatment in Total Urgency Frequency Score (TUFS, Previously Known as Total Urgency Score [TUS])
The Patient Perception of the Intensity of Urgency Scale (PPIUS) is a validated scale completed as part of the micturition diary. For each micturition and/or incontinence episode, the participant rated the degree of associated urgency according to the following 5-point categorical scale: - 0. No urgency; - 1. Mild urgency; - 2. Moderate urgency; - 3. Severe urgency; - 4. Urgency incontinence TUFS was calculated as the sum of the PPIUS gradings from the 3-day diary divided by the number of days on which urgency grading was recorded. Higher scores indicate more severe urgency.
Measured: Baseline and Week 12
Secondary outcomes (42)
Change From Baseline to 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.
Measured: Baseline and Week 12
Change From Baseline to End of Treatment in Mean Voided Volume Per Micturition
A micturition is any voluntary urination, excluding episodes of incontinence only. 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.
Measured: Baseline and Week 12
Change From Baseline to End of Treatment in Maximum Volume Voided Per Micturition
A micturition is any voluntary urination, excluding episodes of incontinence only. The maximum volume voided per micturition was calculated from data recorded by the participant in the micturition diary for the 3 days preceding each clinic visit.
Measured: Baseline and Week 12
Change From Baseline to End of Treatment in Mean Number of Urgency Episodes (PPIUS Grade 3 or 4) Per 24 Hours
An urgency episode is defined as an episode of strong desire to void accompanied by fear of leakage or pain. The mean number of urgency episodes with PPIUS grade 3 (Severe urgency) or 4 (Urgency incontinence) per 24 hours was calculated from data recorded by the participant in the micturition diary for the 3 days preceding each clinic visit.
Measured: Baseline and Week 12
Change From Baseline to End of Treatment in Mean Number of Urgency Incontinence Episodes Per 24 Hours
An urgency incontinence episode is defined as an episode with any involuntary leakage of urine accompanied by or immediately preceded by urgency. The mean number of urgency incontinence episodes with PPIUS grade 3 (Severe incontinence) or 4 (Urgency incontinence) per 24 hours was calculated from data recorded by the participant in the micturition diary for the 3 days preceding each clinic visit.
Measured: Baseline and Week 12
Change From Baseline to End of Treatment in Mean Number of Incontinence Episodes Per 24 Hours
An incontinence episode is defined as an episode with any involuntary loss of urine. The mean number of incontinence episodes per 24 hours was calculated from data recorded by the participant in the micturition diary for the 3 days preceding each clinic visit.
Measured: Baseline and Week 12
Change From Baseline to End of Treatment in Mean Number of Nocturia Episodes Per 24 Hours
A nocturia episode is defined as waking up at night to void (i.e., any voiding associated with sleep disturbance between the time the participant goes to bed with the intention to sleep until the time the patient gets up in the morning with the intention to stay awake). The mean number of nocturia episodes per 24 hours was calculated from data recorded by the participant in the micturition diary for the 3 days preceding each clinic visit.
Measured: Baseline and Week 12
Change From Baseline to End of Treatment in Mean Number of Pads Used Per 24 Hours
The mean number of pads per 24 hours was calculated from data recorded by the participant in the micturition diary for the 3 days preceding each clinic visit.
Measured: Baseline and Week 12
Change From Baseline to End of Treatment in IPSS Voiding Score
The IPSS is a validated global questionnaire to assess the degree of urinary symptoms based on answers to 7 questions. 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 voiding questions (incomplete emptying of the bladder, intermittency, weak stream, hesitancy) and ranges from 0 to 20 (mildly symptomatic to severely symptomatic).
Measured: Baseline and Week 12
Change From Baseline to End of Treatment in IPSS Storage Score
The IPSS is a validated global questionnaire to assess the degree of urinary symptoms based on 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 storage questions (frequency, urgency and nocturia) and ranges from 0 to 15 (mildly symptomatic to severely symptomatic).
Measured: Baseline and Week 12
Change From Baseline to End of Treatment in IPSS QoL Score
The QoL assessment was a single question asking the participant how he would feel about tolerating his current level of symptoms for the rest of his life. The answers ranged from 0 to 6 (delighted to terrible).
Measured: Baseline and Week 12
Change From Baseline to End of Treatment in Individual IPSS Scores
The IPSS is a validated global questionnaire to assess the degree of urinary symptoms, based on answers to 7 questions concerning urinary symptoms: •Incomplete emptying of the bladder •Intermittency •Weak stream •Hesitancy •Frequency •Urgency •Nocturia Each question is assigned points from 0 to 5 indicating increasing severity of the symptom.
Measured: Baseline and Week 12
Change From Baseline to End of Treatment in Symptom Bother Score
The Overactive Bladder Questionnaire (OAB-q) is a self-reported questionnaire with items relating to Symptom Bother and health-related quality of life (HRQoL). The Symptom Bother portion consists of an 8-item scale scored from 1 to 6. The total symptom bother score was calculated from the 8 answers and then transformed to range from 0 to 100, with 100 indicating worst severity. A negative change from baseline indicates an improvement.
Measured: Baseline and Week 12
Change From Baseline to End of Treatment in Health Related QoL (HRQoL) Subscale: Coping Score
The Overactive Bladder Questionnaire (OAB-q) is a self-reported questionnaire with items relating to Symptom Bother and health-related quality of life (HRQoL). The HRQoL portion consists of an 25-item HRQoL subscale containing the following domains scored from 1 to 6: - coping - concern - sleep - social interaction Coping score can range from 8 to 48 (none of the time to all of the time) and transformed to a scale from 0 to 100, with higher scores indicating better quality of life. A positive change from baseline indicates an improvement.
Measured: Baseline and Week 12
Change From Baseline to End of Treatment in HRQoL Subscale: Concern Score
The Overactive Bladder Questionnaire (OAB-q) is a self-reported questionnaire with items relating to Symptom Bother and health-related quality of life (HRQoL). The HRQoL portion consists of an 25-item HRQoL subscale containing the following domains scored from 1 to 6: •coping •concern •sleep •social interaction Concern score can range from 8 to 48 (none of the time to all of the time) and transformed to a scale from 0 to 100, with higher scores indicating better quality of life. A positive change from baseline indicates an improvement.
Measured: Baseline and Week 12
Change From Baseline to End of Treatment in HRQoL Subscale: Sleep Score
The Overactive Bladder Questionnaire (OAB-q) is a self-reported questionnaire with items relating to Symptom Bother and health-related quality of life (HRQoL). The HRQoL portion consists of an 25-item HRQoL subscale containing the following domains scored from 1 to 6: •coping •concern •sleep •social interaction Sleep score can range from 8 to 48 (none of the time to all of the time) and transformed to a scale from 0 to 100, with higher scores indicating better quality of life. A positive change from baseline indicates an improvement.
Measured: Baseline and Week 12
Change From Baseline to End of Treatment in HRQoL Subscale: Social Score
The Overactive Bladder Questionnaire (OAB-q) is a self-reported questionnaire with items relating to Symptom Bother and health-related quality of life (HRQoL). The HRQoL portion consists of an 25-item HRQoL subscale containing the following domains scored from 1 to 6: •coping •concern •sleep •social interaction Social score can range from 8 to 48 (none of the time to all of the time) and transformed to a scale from 0 to 100, with higher scores indicating better quality of life. A positive change from baseline indicates an improvement.
Measured: Baseline and Week 12
Change From Baseline to End of Treatment in HRQoL Subscale: Total Score
The Overactive Bladder Questionnaire (OAB-q) is a self-reported questionnaire with items relating to Symptom Bother and health-related quality of life (HRQoL). The HRQoL portion consists of an 25-item HRQoL subscale containing the following domains scored from 1 to 6: •coping •concern •sleep •social interaction Total score is calculated by adding the 4 HRQoL subscale scores and transforming to a scale from 0 to 100, with higher scores indicating better quality of life. A positive change from baseline indicates an improvement.
Measured: Baseline and Week 12
Percentage of Participants Who Were OAB-q Responders at End of Treatment
A OAB-q responder was defined as a participant with an improvement from baseline in HRQoL subscale total score ≥ 10.
Measured: Week 12 (end of treatment)
Change From Baseline to End of Treatment in EQ-5D Mobility Score
The European quality of life-5 dimensions (EQ-5D) is an international standardized non-disease specific instrument for describing and valuing health status. The EQ5D has 5 domains: - mobility - self-care - usual activity - pain/discomfort - anxiety/depression Each domain has 3 response levels (1= no problem, 2= some problems, 3 = confined to bed).
Measured: Baseline and Week 12
Change From Baseline to End of Treatment in EQ-5D Self-care Score
The European quality of life-5 dimensions (EQ-5D) is an international standardized non-disease specific instrument for describing and valuing health status. The EQ5D has 5 domains: - mobility - self-care - usual activity - pain/discomfort - anxiety/depression Each domain has 3 response levels (1= no problem, 2= some problems, 3 = unable to wash/dress).
Measured: Baseline and Week 12
Change From Baseline to End of Treatment in EQ-5D Usual Activities Score
The European quality of life-5 dimensions (EQ-5D) is an international standardized non-disease specific instrument for describing and valuing health status. The EQ5D has 5 domains: - mobility - self-care - usual activity - pain/discomfort - anxiety/depression Each domain has 3 response levels (1= no problem, 2= some problems, 3 = unable to perform usual activities).
Measured: Baseline and Week 12
Change From Baseline to End of Treatment in EQ-5D Pain/Discomfort Score
The European quality of life-5 dimensions (EQ-5D) is an international standardized non-disease specific instrument for describing and valuing health status. The EQ5D has 5 domains: - mobility - self-care - usual activity - pain/discomfort - anxiety/depression Each domain has 3 response levels (1= no pain, 2= moderate pain, 3 = extreme pain).
Measured: Baseline and Week 12
Change From Baseline to End of Treatment in EQ-5D Anxiety/Depression Score
The European quality of life-5 dimensions (EQ-5D) is an international standardized non-disease specific instrument for describing and valuing health status. The EQ5D has 5 domains: - mobility - self-care - usual activity - pain/discomfort - anxiety/depression Each domain has 3 response levels (1= not anxious, 2= moderately anxious, 3 = extremely anxious).
Measured: Baseline and Week 12
Change From Baseline to End of Treatment in EQ-5D Visual Analogue Scale (VAS) Score
Visual Analogue Scale (VAS) is part of the EQ-5D questionnaire. The VAS is self-rated by the participant ranging from 0 to 100 (worst imaginable health state to best imaginable health state).
Measured: Baseline and Week 12
Patient Global Impression Scale at End of Treatment: Overall Bladder Symptoms
The Patient Global Impression (PGI) is a global questionnaire completed by the participant to assess both the change in the participants overall condition and the change in bladder symptoms since the start of the study. The questionnaire consists of 2 questions with 7 response levels ranging from 1 to 7 (very much improved to very much worse).
Measured: Baseline and Week 12
Patient Global Impression Scale at End of Treatment: General Health
The Patient Global Impression (PGI) is a global questionnaire completed by the participant to assess both the change in the participants overall condition and the change in bladder symptoms since the start of the study. The questionnaire consists of 2 questions with 7 response levels ranging from 1 to 7 (very much improved to very much worse).
Measured: Baseline and Week 12
Clinician Global Impression Scale at End of Treatment: Overall Bladder Symptoms
The Clinician Global Impression (CGI) is a questionnaire completed by the physician to assess change in the participants bladder symptoms since the start of the study. The questionnaire consists of 1 question with 7 response levels ranging from 1 to 7 (very much improved to very much worse).
Measured: Baseline and Week 12
Number of Participants With Adverse Events (AEs)
Safety is monitored by collecting AEs, which include abnormal laboratory parameters, vital signs or ECG data if the abnormality induced clinical signs or symptoms, needed active intervention, interruption or discontinuation of study medication or was clinically significant. A serious AE (SAE) 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 (no disruption of normal daily activities), moderate (affected normal daily activities) or severe (inability to perform daily activities) and for causal relationship to study drug. A treatment-emergent adverse event (TEAE) was defined as an AE that occurred after administration of the first dose of double-blind study drug until 14 days after the last dose of double-blind study drug.
Measured: From first dose of double-blind study drug up to 14 days of last dose of double-blind study drug (up to 14 weeks)
Change From Baseline to End of Treatment in Post Void Residual (PVR) Volume
PVR volume is the volume of urine retained after voiding. PVR volume was assessed by ultrasonography or bladder scan.
Measured: Baseline and Week 12
Change From Baseline to End of Treatment in Maximum Flow Rate (Qmax)
Qmax during a micturition (urination) was recorded using uroflowmetry.
Measured: Baseline and Week 12
Change From Baseline to End of Treatment in Average Flow Rate (Qmean)
Qmean during a micturition (urination) was recorded using uroflowmetry.
Measured: Baseline and Week 12
Apparent Clearance (CL/F) of Tamsulosin
Measured: Week 4, Week 8 and Week 12
Maximum Concentration at Steady State (Cmaxss) of Tamsulosin
Measured: Week 4, Week 8 and Week 12
Minimum Concentration at Steady State (Cminss) of Tamsulosin
Measured: Week 4, Week 8 and Week 12
Time of Maximum Concentration at Steady State (Tmaxss) of Tamsulosin
Measured: Week 4, Week 8 and Week 12
Area Under the Curve at Steady State (AUCss) of Tamsulosin
Measured: Week 4, Week 8 and Week 12 (collection time points: trough, 1-3 hours post dose, 4-5 hours post-dose and 7-10 hours post-dose)
CL/F of Solifenacin
Measured: Week 4, Week 8 and Week 12
Cmaxss of Solifenacin
Measured: Week 4, Week 8 and Week 12
Cminss of Solifenacin
Measured: Week 4, Week 8 and Week 12
Tmaxss of Solifenacin
Measured: Week 4, Week 8 and Week 12
AUCss of Solifenacin
Measured: Week 4, Week 8 and Week 12 (collection time points: trough, 1-3 hours post dose, 4-5 hours post-dose and 7-10 hours post-dose)
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted23 Nov 2009 (estimated)
- Study start11 Jan 2010
- Primary completion1 Mar 2011
- Study completion1 Mar 2011
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 (1)Papers the sponsor has linked to this study.
- Other trials for Benign Prostatic HyperplasiaStudies of the same condition, open and under way.
- 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
- Quadruple blind
- Who is masked
- Participant, Care provider, Investigator, Outcomes assessor
- Enrolment
- 1,334 participants (actual)
Sponsor and investigators
- Lead sponsor
- Astellas Pharma Europe B.V.
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
- Investigators
- Use Central Contact, Study chair, Astellas Pharma Global Development
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT01018511
- Sponsor's protocol ID
- 905-CL-055
- Other IDs
- 2008-001211-37, 2008
- Acronym
- Neptune
- Status last verified
- Nov 2024
- First submitted
- 19 Nov 2009
- Last updated
- 3 Dec 2024
- Results posted
- Yes, on ClinicalTrials.gov
- Data monitoring committee
- No
- Individual data sharing
- Yes: Access to anonymized individual participant level data collected during the study, in addition to study-related supporting documentation, is planned for studies conducted with approved product indications and formulations, as well as products terminated during development. Studies conducted with product indications or formulations that remain active in development are assessed after study completion to determine if Individual Participant Data can be shared. Further details on Astellas' data sharing policy can be found at https://www.clinicaltrials.astellas.com/transparency/.
Publications
van Kerrebroeck P, Chapple C, Drogendijk T, Klaver M, Sokol R, Speakman M, Traudtner K, Drake MJ; NEPTUNE Study Group. Combination therapy with solifenacin and tamsulosin oral controlled absorption system in a single tablet for lower urinary tract symptoms in men: efficacy and safety results from the randomised controlled NEPTUNE trial. Eur Urol. 2013 Dec;64(6):1003-12. doi: 10.1016/j.eururo.2013.07.034. Epub 2013 Aug 3.
PubMed 23932438
Study at a glance
From the registry record, last updated by the sponsor on 3 Dec 2024. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Randomized, Double-blind, Parallel Group, Placebo Controlled, Multi-center Study of Fixed Dose Combinations of Solifenacin Succinate (6 mg and 9 mg) With Tamsulosin Hydrochloride OCAS 0.4 mg and Tamsulosin Hydrochloride OCAS 0.4 mg Monotherapy, in Male Subjects With Lower Urinary Tract Symptoms (LUTS) Associated With Benign Prostatic Hyperplasia (BPH) With a Substantial Storage Component
- ClinicalTrials.gov ID
- NCT01018511
- Acronym / sponsor ID
- Neptune / 905-CL-055
- Keywords
- EC905, Solifenacin succinate, Tamsulosin hydrochloride OCAS, Treatment, Benign Prostatic Hyperplasia, Vesomni, Lower Urinary Tract Symptoms
- Phase
- Phase 3
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 1,334 participants (actual)
- Lead sponsor
- Astellas Pharma Europe B.V.Industry (pharma, biotech, devices)
- Study start
- 11 Jan 2010 (actual)
- Primary completion
- 1 Mar 2011 (actual)
- Study completion
- 1 Mar 2011 (actual)
- First posted
- 23 Nov 2009 (estimated)
- Results
- Posted 17 Dec 2015
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
Clinical study to examine the efficacy, safety and tolerability of combination therapy of tamsulosin hydrochloride and solifenacin succinate compared to monotherapy of tamsulosin hydrochloride in the treatment of males with LUTS associated with BPH with a substantial storage component.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Quadruple blind (participant, care provider, investigator, outcomes assessor)
- Number of arms
- 4
| Arm | Type | Receives |
|---|---|---|
| Placebo | Placebo comparator | Drug: Placebo tamsulosin hydrochloride OCAS 0.4 mg, Drug: Placebo FDC tamsulosin hydrochloride/solifenacin succinate 0.4 mg/6 mg, Drug: Placebo FDC tamsulosin hydrochloride/solifenacin succinate 0.4 mg/9 mgParticipants received 3 tablets once a day for 12 weeks. Placebo tamsulosin hydrochloride oral controlled absorption system (OCAS) 0.4 mg tablet; Placebo fixed dose combination (FDC) tamsulosin hydrochloride/solifenacin succinate 0.4 mg/6 mg tablet; Placebo FDC tamsulosin hydrochloride/solifenacin succinate 0.4 mg/9 mg tablet |
| TOCAS 0.4 mg | Active comparator | Drug: Placebo FDC tamsulosin hydrochloride/solifenacin succinate 0.4 mg/6 mg, Drug: Placebo FDC tamsulosin hydrochloride/solifenacin succinate 0.4 mg/9 mg, Drug: tamsulosin hydrochloride OCAS 0.4 mgParticipants received 3 tablets once a day for 12 weeks. Tamsulosin hydrochloride OCAS (TOCAS) 0.4 mg tablet; Placebo FDC tamsulosin hydrochloride/solifenacin succinate 0.4 mg/6 mg tablet; Placebo FDC tamsulosin hydrochloride/solifenacin succinate 0.4 mg/9 mg tablet |
| FDC 0.4 mg/6 mg | Experimental | Drug: Placebo tamsulosin hydrochloride OCAS 0.4 mg, Drug: Placebo FDC tamsulosin hydrochloride/solifenacin succinate 0.4 mg/9 mg, Drug: tamsulosin hydrochloride/solifenacin succinate fixed dose combination (0.4 mg/6 mg)Participants received 3 tablets once a day for 12 weeks. Placebo TOCAS 0.4 mg tablet; FDC tamsulosin hydrochloride/solifenacin succinate 0.4 mg/6 mg tablet; Placebo FDC tamsulosin hydrochloride/solifenacin succinate 0.4 mg/9 mg tablet |
| FDC 0.4 mg/9 mg | Experimental | Drug: Placebo tamsulosin hydrochloride OCAS 0.4 mg, Drug: Placebo FDC tamsulosin hydrochloride/solifenacin succinate 0.4 mg/6 mg, Drug: tamsulosin hydrochloride/solifenacin succinate fixed dose combination (0.4 mg/9 mg)Participants received 3 tablets once a day for 12 weeks. Placebo TOCAS 0.4 mg tablet; Placebo FDC tamsulosin hydrochloride/solifenacin succinate 0.4 mg/6 mg tablet; FDC tamsulosin hydrochloride/solifenacin succinate 0.4 mg/9 mg tablet |
Who may qualify
- Ages
- 45 years and older
- Sex
- Male only
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (4 listed)
- Voiding and storage symptoms diagnosed as LUTS associated with BPH for ≥ 3 months
- A total International Prostate Symptom Score (IPSS) of ≥13
- A maximum urinary flow rate of ≥4.0 mL/s and ≤12.0 mL/s, with voided volume of ≥120 mL during free flow
- A micturition frequency of ≥8 and at least 2 episodes of urgency with Patient Perception of the Intensity of Urgency Scale grade 3 or 4 per day on average on the 3 day micturition diary (at randomization)
Key exclusion criteria (3 listed)
- Any significant Post Void Residual volume (>150 mL)
- A prostate with estimated weight ≥75 ml as assessed by transvesical or transrectal ultrasound
- Evidence of a symptomatic urinary tract infection
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 |
|---|---|---|
| Placebo tamsulosin hydrochloride OCAS 0.4 mgtablet | Drug | FDC 0.4 mg/6 mg, FDC 0.4 mg/9 mg, Placebo |
| Placebo FDC tamsulosin hydrochloride/solifenacin succinate 0.4 mg/6 mgtablet | Drug | FDC 0.4 mg/9 mg, Placebo, TOCAS 0.4 mg |
| Placebo FDC tamsulosin hydrochloride/solifenacin succinate 0.4 mg/9 mgtablet | Drug | FDC 0.4 mg/6 mg, Placebo, TOCAS 0.4 mg |
| tamsulosin hydrochloride OCAS 0.4 mgAlso: Harnal ®, Omnic®, Flomax®, YM617tablet | Drug | TOCAS 0.4 mg |
| tamsulosin hydrochloride/solifenacin succinate fixed dose combination (0.4 mg/6 mg)Also: Vesomni, EC905tablet | Drug | FDC 0.4 mg/6 mg |
| tamsulosin hydrochloride/solifenacin succinate fixed dose combination (0.4 mg/9 mg)Also: EC905tablet | Drug | FDC 0.4 mg/9 mg |
Primary outcome
Change From Baseline to End of Treatment in Total International Prostate Symptom Score
Time frame: Baseline and Week 12
The International Prostate Symptom Score (IPSS) is a validated global questionnaire to assess the degree of urinary symptoms, based on answers to 7 questions concerning urinary symptoms: •Incomplete emptying of the bladder •Intermittency •Weak stream •Hesitancy •Frequency •Urgency •Nocturia Each question is assigned points from 0 to 5 indicating increasing severity of the symptom. Total score can range from 0 to 35 (mildly symptomatic to severely symptomatic).
Change From Baseline to End of Treatment in Total Urgency Frequency Score (TUFS, Previously Known as Total Urgency Score [TUS])
Time frame: Baseline and Week 12
The Patient Perception of the Intensity of Urgency Scale (PPIUS) is a validated scale completed as part of the micturition diary. For each micturition and/or incontinence episode, the participant rated the degree of associated urgency according to the following 5-point categorical scale: - 0. No urgency; - 1. Mild urgency; - 2. Moderate urgency; - 3. Severe urgency; - 4. Urgency incontinence TUFS was calculated as the sum of the PPIUS gradings from the 3-day diary divided by the number of days on which urgency grading was recorded. Higher scores indicate more severe urgency.
42 secondary outcomes
Change From Baseline to End of Treatment in Mean Number of Micturitions Per 24 Hours
Time frame: Baseline and Week 12
Change From Baseline to End of Treatment in Mean Voided Volume Per Micturition
Time frame: Baseline and Week 12
Change From Baseline to End of Treatment in Maximum Volume Voided Per Micturition
Time frame: Baseline and Week 12
Change From Baseline to End of Treatment in Mean Number of Urgency Episodes (PPIUS Grade 3 or 4) Per 24 Hours
Time frame: Baseline and Week 12
Change From Baseline to End of Treatment in Mean Number of Urgency Incontinence Episodes Per 24 Hours
Time frame: Baseline and Week 12
Change From Baseline to End of Treatment in Mean Number of Incontinence Episodes Per 24 Hours
Time frame: Baseline and Week 12
Change From Baseline to End of Treatment in Mean Number of Nocturia Episodes Per 24 Hours
Time frame: Baseline and Week 12
Change From Baseline to End of Treatment in Mean Number of Pads Used Per 24 Hours
Time frame: Baseline and Week 12
Change From Baseline to End of Treatment in IPSS Voiding Score
Time frame: Baseline and Week 12
Change From Baseline to End of Treatment in IPSS Storage Score
Time frame: Baseline and Week 12
Change From Baseline to End of Treatment in IPSS QoL Score
Time frame: Baseline and Week 12
Change From Baseline to End of Treatment in Individual IPSS Scores
Time frame: Baseline and Week 12
Change From Baseline to End of Treatment in Symptom Bother Score
Time frame: Baseline and Week 12
Change From Baseline to End of Treatment in Health Related QoL (HRQoL) Subscale: Coping Score
Time frame: Baseline and Week 12
Change From Baseline to End of Treatment in HRQoL Subscale: Concern Score
Time frame: Baseline and Week 12
Change From Baseline to End of Treatment in HRQoL Subscale: Sleep Score
Time frame: Baseline and Week 12
Change From Baseline to End of Treatment in HRQoL Subscale: Social Score
Time frame: Baseline and Week 12
Change From Baseline to End of Treatment in HRQoL Subscale: Total Score
Time frame: Baseline and Week 12
Percentage of Participants Who Were OAB-q Responders at End of Treatment
Time frame: Week 12 (end of treatment)
Change From Baseline to End of Treatment in EQ-5D Mobility Score
Time frame: Baseline and Week 12
Change From Baseline to End of Treatment in EQ-5D Self-care Score
Time frame: Baseline and Week 12
Change From Baseline to End of Treatment in EQ-5D Usual Activities Score
Time frame: Baseline and Week 12
Change From Baseline to End of Treatment in EQ-5D Pain/Discomfort Score
Time frame: Baseline and Week 12
Change From Baseline to End of Treatment in EQ-5D Anxiety/Depression Score
Time frame: Baseline and Week 12
Change From Baseline to End of Treatment in EQ-5D Visual Analogue Scale (VAS) Score
Time frame: Baseline and Week 12
Patient Global Impression Scale at End of Treatment: Overall Bladder Symptoms
Time frame: Baseline and Week 12
Patient Global Impression Scale at End of Treatment: General Health
Time frame: Baseline and Week 12
Clinician Global Impression Scale at End of Treatment: Overall Bladder Symptoms
Time frame: Baseline and Week 12
Number of Participants With Adverse Events (AEs)
Time frame: From first dose of double-blind study drug up to 14 days of last dose of double-blind study drug (up to 14 weeks)
Change From Baseline to End of Treatment in Post Void Residual (PVR) Volume
Time frame: Baseline and Week 12
Change From Baseline to End of Treatment in Maximum Flow Rate (Qmax)
Time frame: Baseline and Week 12
Change From Baseline to End of Treatment in Average Flow Rate (Qmean)
Time frame: Baseline and Week 12
Apparent Clearance (CL/F) of Tamsulosin
Time frame: Week 4, Week 8 and Week 12
Maximum Concentration at Steady State (Cmaxss) of Tamsulosin
Time frame: Week 4, Week 8 and Week 12
Minimum Concentration at Steady State (Cminss) of Tamsulosin
Time frame: Week 4, Week 8 and Week 12
Time of Maximum Concentration at Steady State (Tmaxss) of Tamsulosin
Time frame: Week 4, Week 8 and Week 12
Area Under the Curve at Steady State (AUCss) of Tamsulosin
Time frame: Week 4, Week 8 and Week 12 (collection time points: trough, 1-3 hours post dose, 4-5 hours post-dose and 7-10 hours post-dose)
CL/F of Solifenacin
Time frame: Week 4, Week 8 and Week 12
Cmaxss of Solifenacin
Time frame: Week 4, Week 8 and Week 12
Cminss of Solifenacin
Time frame: Week 4, Week 8 and Week 12
Results and safety
Loading the posted results from ClinicalTrials.gov…
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 3 Dec 2024.
- Posted resultsParticipant flow, baseline, all outcome measures and adverse events.
- Background: PubMed 23932438van Kerrebroeck P, Chapple C, Drogendijk T, Klaver M, Sokol R, Speakman M, Traudtner K, Drake MJ; NEPTUNE Study Group. Combination therapy with solifenacin and tamsulosin oral controlled absorption system in a single tablet for lower urinary tract symptoms in men: efficacy and safety results from the randomised controlled NEPTUNE trial. Eur Urol. 2013 Dec;64(6):1003-12. doi: 10.1016/j.eururo.2013.07.034. Epub 2013 Aug 3.
- Individual participant dataSharing planned: Yes. Access to anonymized individual participant level data collected during the study, in addition to study-related supporting documentation, is planned for studies conducted with approved product indications and formulations, as well as products terminated during development. Studies conducted with product indications or formulations that remain active in development are assessed after study completion to determine if Individual Participant Data can be shared. Further details on Astellas' data sharing policy can be found at https://www.clinicaltrials.astellas.com/transparency/.
Related trials for Benign Prostatic Hyperplasia
Recruiting
Clinical Study on Prostate Thermal Vapor Ablation Guided by MRI/TRUS Fusion Imaging
Benign Prostatic Hyperplasia (BPH)
Active, not recruitingPhase 4
Standard Versus Double Alpha Blockers Treatment for Symptomatic Benign Prostatic Obstruction
BPH (Benign Prostatic Hyperplasia)
RecruitingObservational study
ProVIDE Studies Post Exit Analysis
BPH With Symptomatic Lower Urinary Tract Symptoms
Recruiting
Learning Curve of Tri-lobar HoLEP Versus En-bloc HoLEP
Benign Prostatic Hyperplasia With Outflow Obstruction
RecruitingObservational study
Impact of Long-term Dutasteride Use on Perioperative Outcomes of HoLEP
Prostatic Hyperplasia, Benign
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.
Use Central Contact study chair
Astellas Pharma Global Development
118 sites in 13 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 3 study testing tamsulosin hydrochloride OCAS 0.4 mg and tamsulosin hydrochloride/solifenacin succinate fixed dose combination (0.4 mg/6 mg) in people with Benign Prostatic Hyperplasia and Lower Urinary Tract Symptoms, run by Astellas Pharma Europe B.V. at 118 sites in 13 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 4 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 3 Dec 2024. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 118 sites in United Kingdom, France, Germany, Belgium, Netherlands and 8 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 17 Dec 2015). 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 Total International Prostate Symptom Score (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 NCT01018511, 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 3 Dec 2024.