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Urinary IncontinencePhase 4NCT01371994

A Study to Assess Efficacy and Safety With Solifenacin Succinate to Improve Urinary Continence After Robotic Assisted Radical Prostatectomy

A Phase 4 study testing solifenacin succinate in people with Urinary Incontinence, run by Astellas Pharma Inc at 60 sites in 2 countries.

Completed

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

Official record
Search all trials

Trial summary

The purpose of this study is to assess the efficacy and safety of 12 weeks of treatment of solifenacin succinate versus placebo in participants who are incontinent after Robotic Assisted Radical Prostatectomy. Read more about this study

Who is it for?
Ages 18 years and older, men only
Conditions the study is for
Urinary Incontinence
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
640 participants
Where
60 sitesin 2 countries
Study dates
2 Aug 2011to 21 Oct 2013
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
  • Men only
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Ambulatory
  • Willing and able to complete the daily pad use diary,
  • American Urology Association Symptom Score (AUASS) with Bother Score, the International Consultation on Incontinence Questionnaire Short Form (ICIQ-SF), and the Work Productivity and Activity Impairment Questionnaire (WPAI)
  • Has not used any medication for over-active bladder symptoms for at least 14 days prior to enrollment
  • Diagnosed with prostate cancer, treated by Robotic Assisted Radical Prostatectomy, is voiding spontaneously and has urinary incontinence one week after removal of the indwelling catheter which requires management with 2 to 10 pads inclusive per day (24 hour days) for 7 consecutive days

Who cannot join

  • Evidence of severe neurologic damage post-prostatectomy
  • Evidence of chronic urologic inflammation such as interstitial cystitis and bladder stone; uncontrolled narrow angle glaucoma; urinary or gastric retention or neurogenic bladder
  • Symptomatic for urinary tract infection or has a urine culture result which requires treatment as determined by the investigator.
  • Clinically significant history of hepatic or renal impairment (2 X Upper Limit of Normal (ULN) values in alanine aminotransferase (ALT), aspartate aminotransferase (AST) or creatinine clearance < 30 ml/min)
  • History of diagnosed gastrointestinal obstruction disease
  • Any prior history of local radiation therapy to the prostate or rectum or any prior hormonal therapy or has planned such therapy during study conduct
Show all 14Show fewer
  • Known or suspected hypersensitivity to solifenacin succinate, any components, or other anticholinergics
  • Treated with any investigational drug within last 30 days
  • History of a clinically significant illness or medical condition that would preclude participation in the study
  • Diagnosed with New York Heart Association Class III and IV heart failure
  • Any of the following peri-operative laboratory results: ALT > 2.0 ULN, AST > 2.0 ULN, serum creatinine > 1.5 mg/L, blood glucose > 130 mg/dL, blood urea nitrogen (BUN) > 23 mg/dL.
  • Severe hypertension on peri-operative evaluation which is defined as a sitting systolic blood pressure > 180 mmHg and/or diastolic blood pressure > 110 mmHg, and which is not corrected
  • Electrolytes (sodium, potassium, chloride or bicarbonate) that are not in normal range and clinically significant as determined by the investigator in the perioperative period. Can be eligible if electrolytes are corrected to within normal range prior to randomization
  • Participated in any interventional clinical study or has been treated with any investigational drugs within 30 days or 5 half lives, whichever is longer, prior to the initiation of Screening.

Trial locations and contacts

60 sites in 2 countries.

60 sites in 2 countries

United States58 sites
  • Community Care Physicians PC

    Albany, New York, 12208

  • Alaska Clinical Research Center

    Anchorage, Alaska, 99508

  • Urologic Consultants of Southeastern Pennsylvania

    Bala-Cynwyd, Pennsylvania, 19004

  • Brooklyn Urology Research Group

    Brooklyn, New York, 11215

  • Lahey Clinic Medical Center

    Burlington, Massachusetts, 01805

  • Cary Urology

    Cary, North Carolina, 27511

  • CAMC Institute Clinical Trial Center

    Charleston, West Virginia, 25304

  • Academic Urologists

    Chattanooga, Tennessee, 37403

  • Northwestern University

    Chicago, Illinois, 60611

  • The Urology Group

    Cincinnati, Ohio, 45212

  • Cleveland Clinic

    Cleveland, Ohio, 44195

  • Urology Clinics of North Texas

    Dallas, Texas, 75231

  • Urology Center of Colorado

    Denver, Colorado, 80211

  • Henry Ford Hospital

    Detroit, Michigan, 48202

  • Pharma Resources

    East Providence, Rhode Island, 02915

  • Urology Associates

    Englewood, Colorado, 80113

  • Northeast Indiana Research

    Fort Wayne, Indiana, 46825

  • University of Florida

    Gainesville, Florida, 32610

  • Spectrum Health Medical Group

    Grand Rapids, Michigan, 49546

  • Urology of Indiana

    Greenwood, Indiana, 46143

  • Urology Research Network

    Hialeah, Florida, 33016

  • Urology Centers of Alabama

    Homewood, Alabama, 35209

  • Methodist Hospital Research Institute

    Houston, Texas, 77030

  • Methodist Urology Associates

    Houston, Texas, 77094

  • The University of Iowa Hospitals and Clinics

    Iowa City, Iowa, 52242

  • East Coast Institute for Research

    Jacksonville, Florida, 32204

  • Volunteer Research Group

    Knoxville, Tennessee, 37920

  • University of California, San Diego Moores Cancer Center

    La Jolla, California, 92093

  • South Nevada Aids Research

    Las Vegas, Nevada, 89106

  • AdvanceMed Research

    Lawrenceville, New Jersey, 08648

  • Tower Urology

    Los Angeles, California, 90048

  • University of Wisconsin Hospital

    Madison, Wisconsin, 53792

  • Southeast Urology Network

    Memphis, Tennessee, 38119

  • Connecticut Clinical Research Center

    Middlebury, Connecticut, 06762

  • Five Valley Urology

    Missoula, Montana, 59808

  • Delaware Valley Urology

    Mount Laurel, New Jersey, 08043

  • Grove Hill Medical Center

    New Britain, Connecticut, 06052

  • Robert Wood Johnson Medical School

    New Brunswick, New Jersey, 08901

  • Tulane University School of Medicine, Department of Urology

    New Orleans, Louisiana, 70112

  • University Urology Associates

    New York, New York, 10016

  • Winter Park Urology Associates

    Orlando, Florida, 32803

  • Advanced Urology

    Parker, Colorado, 80134

  • Oregon Health and Science University

    Portland, Oregon, 97239

  • Hudson Valley Urology, PC

    Poughkeepsie, New York, 12601

  • Associated Urologists of North Carolina

    Raleigh, North Carolina, 27607

  • University of Rochester Medical Center

    Rochester, New York, 14642

  • Radiological Associates of Sacramento Medical Group, Inc.

    Sacramento, California, 95815

  • Urology San Antonio Research

    San Antonio, Texas, 78229

  • Adult and Pediatric Urology Group

    Sartell, Minnesota, 56377

  • Virginia Mason Medical Center

    Seattle, Washington, 98101

  • Swedish Urology Group

    Seattle, Washington, 98104

  • Springfield Clinic

    Springfield, Illinois, 62703

  • AMP Urology

    Syracuse, New York, 13210

  • Southeastern Research Group

    Tallahassee, Florida, 32308

  • Romius Institute of Northwest Ohio

    Toledo, Ohio, 43615

  • Urological Associates of Southern Arizona

    Tucson, Arizona, 85715

  • Urologic Surgeons of Washington

    Washington D.C., District of Columbia, 20036

  • The Iowa Clinic

    West Des Moines, Iowa, 50266

Other trials in United States

Canada2 sites
  • University Health Network/ Princess Margaret Hospital

    Toronto, Ontario, M5G 2M9

  • The Prostate Centre, Diamond Health Care Centre

    Vancouver, British Columbia, V5Z IM9

Other trials in Canada

About this study

Official title: A Randomized, Double-Blind, Parallel, Placebo-Controlled, Phase 4, Multicenter Study to Assess Efficacy and Safety of VESIcare® (Solifenacin Succinate) to Improve Urinary Continence of Subjects After Robotic Assisted Radical Prostatectomy

The purpose of this study is to assess the efficacy and safety of 12 weeks of treatment of solifenacin succinate versus placebo in participants who are incontinent after Robotic Assisted Radical Prostatectomy.

This study will also assess the effect of 12 weeks of treatment with solifenacin succinate versus placebo on quality of life (QOL) as measured by questionnaires.

Read the detailed description

The study duration includes a 14-day treatment free wash-out period. The maximum total study duration is 15 weeks (2-3 week screening/washout period and a 12 week treatment period). The Baseline, Week 4, and Week 8 visits will be telephone contact visits.

Participants will complete an electronic daily pad use diary during the study

duration. Participants will also be asked to complete several questionnaires during the study.

Being tested
solifenacin succinate, Placebo
Keywords
Radical Robotic Arm, Vesicare, Post Prostatectomy Incontinence, YM905
Medical subject headings
Urinary Incontinence

What participants receive

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

  • solifenacin succinateDrug

    Also called Vesicare, YM905

    oral

  • PlaceboDrug

    oral

Study groups in NCT01371994
Study groupRoleWhat they receive
Solifenacin succinateExperimentalParticipants received 5 mg solifenacin succinate tablets once a day for 12 weeks. At week 4, based on efficacy and safety and in agreement with the investigator, the dose might be increased to 10 mg (2 tablets of 5 mg) once daily.
Receives: Drug: solifenacin succinate
PlaceboPlacebo comparatorParticipants received matching placebo tablets once a day for 12 weeks.
Receives: Drug: Placebo

What is being measured

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

  1. Time From First Dose to Urinary Continence

    Urinary continence is defined as the first of three consecutive 24-hour days in which a participant uses no pads, or a pad for security which remains completely dry, during the 12-week treatment period. Participants recorded their daily pad usage in an electronic diary. Kaplan-Meier curves were used to estimate the distribution of cumulative incidence of urinary continence over the 12-week study treatment period. Participants who did not experience the event during the 12-week treatment period were considered as censored at the End of Treatment (EOT) visit or Week 12, whichever occurs first.

    Measured: 12 weeks

Secondary outcomes (18)
  1. Percentage of Participants Who Gain Continence During 12-week Treatment Period

    Urinary continence is defined as three consecutive 24-hour days in which a participant uses no pads or a pad for security which remains completely dry. Participants recorded their daily pad usage in an electronic diary during the 12-week treatment period. End of treatment is the last on-treatment assessment during the treatment period.

    Measured: Weeks 4, 8, and 12

  2. Average Daily Pad Usage at Baseline

    Participants recorded their daily pad usage in an electronic diary during the 12-week treatment period. A 7-day window was used to calculate the average daily pad usage.

    Measured: Baseline (7 days prior to Day 1)

  3. Change From Baseline in Average Daily Pad Usage

    Participants recorded their daily pad usage in an electronic diary during the 12-week treatment period. A 7-day window was used to calculate the average daily pad usage. End of treatment is the last on-treatment assessment during the treatment period.

    Measured: Baseline and Weeks 4, 8 and 12

  4. American Urology Association Symptom Score (AUASS) at Baseline

    Quality of life was measured by the American Urology Association Symptom Score (AUASS). The AUASS includes 7 questions addressing symptoms of frequency, urgency, nocturia (waking during the night to urinate), hesitancy, weak urinary, incomplete emptying, and intermittence. The questionnaire asked participants to consider how these symptoms affected them over the past month on a scale from 0 (not at all) to 5 (almost always). The AUASS is a sum of the 7 symptom scores and ranges from 0 (best) to 35 (worst).

    Measured: Baseline

  5. Change From Baseline in American Urology Association Symptom Score (AUASS)

    Quality of life was measured by the American Urology Association Symptom Score (AUASS). The AUASS includes 7 questions addressing symptoms of frequency, urgency, nocturia (waking during the night to urinate), hesitancy, weak urinary, incomplete emptying, and intermittence. The questionnaire asked participants to consider how these symptoms affected them over the past month on a scale from 0 (not at all) to 5 (almost always). The AUASS Symptom Score is a sum of the 7 symptom scores and ranges from 0 (best) to 35 (worst). End of treatment is the last on-treatment assessment during the treatment period.

    Measured: Baseline and Week 12

  6. American Urology Association Quality of Life (QOL) Score at Baseline

    The American Urology Association (AUA) includes a single bother question which asked participants how they would feel if they had to live with their urinary condition the way it is now for the rest of their life. The bother question score ranges from 0 (delighted) to 6 (terrible).

    Measured: Baseline

  7. Change From Baseline in American Urology Association Quality of Life (QOL) Score

    The American Urology Association (AUA) includes a single bother question which asked participants how they would feel if they had to live with their urinary condition the way it is now for the rest of their life. The bother question score ranges from 0 (delighted) to 6 (terrible). End of treatment is the last on-treatment assessment during the treatment period.

    Measured: Baseline and Week 12

  8. International Consultation on Incontinence Questionnaire Short Form (ICIQ-SF) QOL Score at Baseline

    The ICIQ-SF is a validated self-administered questionnaire designed for patients with urinary incontinence. The ICIQ-SF assessed urinary incontinence using 3 scored questions which ask patients about their frequency of urine leakage, how much urine leakage, and perceived impact of leakage on daily lives over the past 4 weeks. The ICIQ-SF is a sum of the 3 scores and ranges from 0 (low bother) to 21 (maximum bother).

    Measured: Baseline

  9. Change From Baseline in International Consultation on Incontinence Questionnaire Short Form (ICIQ-SF) QOL Score

    The ICIQ-SF is a validated self-administered questionnaire designed for patients with urinary incontinence. The ICIQ-SF assessed urinary incontinence using 3 scored questions which ask patients about their frequency of urine leakage, how much urine leakage, and perceived impact of leakage on daily lives over the past 4 weeks. The ICIQ-SF is a sum of the 3 scores and ranges from 0 (low bother) to 21 (maximum bother).

    Measured: Baseline and Week 12

  10. Baseline Work Productivity and Activity Impairment (WPAI): Percent Work Time Missed

    Work productivity was measured by the Work Productivity and Activity Impairment Questionnaire (WPAI). WPAI asks participants about the effect of urinary leakage on their ability to perform their work-related functions and carry out daily activities over the past seven days. Percent work time missed is derived from the number of hours of work missed due to urinary leakage as a percentage of total hours that should have been worked. A higher percentage indicates more hours missed.

    Measured: Baseline

  11. Change From Baseline in Work Productivity and Activity Impairment (WPAI): Percent Work Time Missed

    Work productivity was measured by the Work Productivity and Activity Impairment Questionnaire (WPAI). WPAI asks participants about the effect of urinary leakage on their ability to perform their work-related functions and carry out daily activities over the past seven days. Percent work time missed is derived from the number of hours of work missed due to urinary leakage as a percentage of total hours that should have been worked. A higher percentage indicates more hours missed. A negative change from Baseline indicates improvement.

    Measured: Baseline and Week 12

  12. Baseline Work Productivity and Activity Impairment (WPAI): Percent Impairment While Working

    Work productivity was measured by the Work Productivity and Activity Impairment Questionnaire (WPAI). WPAI asks participants about the effect of urinary leakage on their ability to perform their work-related functions and carry out daily activities over the past seven days. Percent impairment while working was derived from the participant's assessment of the degree to which urinary leakage affected their productivity while working. A higher percentage indicates greater impairment and less productivity.

    Measured: Baseline

  13. Change From Baseline in Work Productivity Assessment Index (WPAI): Percent Impairment While Working

    Work productivity was measured by the Work Productivity and Activity Impairment Questionnaire (WPAI). WPAI asks participants about the effect of urinary leakage on their ability to perform their work-related functions and carry out daily activities over the past seven days. Percent impairment while working was derived from the participant's assessment of the degree to which urinary leakage affected their productivity while working. A higher percentage indicates greater impairment and less productivity. A negative change from Baseline indicates improvement.

    Measured: Baseline and Week 12

  14. Baseline Work Productivity and Activity Impairment (WPAI): Percent Overall Work Impairment

    Work productivity was measured by the Work Productivity and Activity Impairment Questionnaire (WPAI). WPAI asks participants about the effect of urinary leakage on their ability to perform their work-related functions and carry out daily activities over the past seven days. Percent overall work impairment takes into account both hours missed due to urinary leakage and the participant's assessment of the degree to which urinary leakage affected their productivity while working. A higher percentage indicates greater impairment and less productivity.

    Measured: Baseline

  15. Change From Baseline in Work Productivity and Activity Impairment (WPAI): Percent Overall Work Impairment

    Work productivity was measured by the Work Productivity and Activity Impairment Questionnaire (WPAI). WPAI asks participants about the effect of urinary leakage on their ability to perform their work-related functions and carry out daily activities over the past seven days. Percent overall work impairment takes into account both hours missed due to urinary leakage and the participant's assessment of the degree to which urinary leakage affected their productivity while working. A higher percentage indicates greater impairment and less productivity. A negative change from Baseline indicates improvement.

    Measured: Baseline and Week 12

  16. Baseline Work Productivity and Activity Impairment (WPAI): Percent Activity Impairment

    Work productivity was measured by the Work Productivity and Activity Impairment Questionnaire (WPAI). WPAI asks participants about the effect of urinary leakage on their ability to perform their work-related functions and carry out daily activities over the past seven days. Percent activity impairment is derived from the participant's assessment of the degree to which their urinary leakage affected their regular daily activities. A higher percentage indicates greater impairment and less productivity.

    Measured: Baseline

  17. Change From Baseline in Work Productivity and Activity Impairment (WPAI): Percent Activity Impairment

    Work productivity was measured by the Work Productivity and Activity Impairment Questionnaire (WPAI). WPAI asks participants about the effect of urinary leakage on their ability to perform their work-related functions and carry out daily activities over the past seven days. Percent activity impairment is derived from the participant's assessment of the degree to which their urinary leakage affected their regular daily activities. A higher percentage indicates greater impairment and less productivity. A negative change from Baseline indicates improvement.

    Measured: Baseline and Week 12

  18. Time From Baseline to First Day of Returning to Work

    The time from Baseline to first day of returning to work was estimated using the Kaplan-Meier method.

    Measured: From Baseline to Week 12

Timeline

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

  1. First posted13 Jun 2011 (estimated)
  2. Study start2 Aug 2011
  3. Primary completion21 Oct 2013
  4. Study completion21 Oct 2013

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
Triple blind
Who is masked
Participant, Care provider, Investigator
Enrolment
640 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT01371994
Sponsor's protocol ID
905-UC-050
Status last verified
Oct 2024
First submitted
10 Jun 2011
Last updated
21 Nov 2024
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/.

Questions about this trial

What is this clinical trial studying?

A Phase 4 study testing solifenacin succinate in people with Urinary Incontinence, run by Astellas Pharma Inc at 60 sites in 2 countries.

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

Who may be eligible to take part?

The sponsor lists 5 inclusion and 14 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 21 Nov 2024. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 60 sites in United States, Canada. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

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

What does this phase mean?

Phase 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 9 Oct 2014). 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?

Time From First Dose to Urinary Continence (time frame: 12 weeks). It is what the study was designed to measure, not a finding.

Where can I read the original study information?
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 21 Nov 2024.

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