Urinary Bladder OveractivePhase 3SYNERGYNCT01972841
This Was a Multinational Study Comparing the Efficacy and Safety of Two Medicines , Solifenacin Succinate and Mirabegron Taken Together, or Separately, or a Mock Treatment (Placebo) in Subjects With Symptoms of Overactive Bladder
A Phase 3 study testing Solifenacin succinate and Mirabegron in people with Urinary Bladder Overactive and Urinary Bladder Diseases\Urologic Diseases, run by Astellas Pharma Europe B.V. at 435 sites in 42 countries.
Trial summary
The purpose of this study was to examine how well two medicines (solifenacin succinate and mirabegron) combined work compared to each medicine alone in the treatment of bladder problems. Read more about this study
- Who is it for?
- Ages 18 years and older
- Conditions the study is for
- Urinary Bladder Overactive, Urinary Bladder Diseases\Urologic Diseases, Overactive Bladder
- What is being tested?
- Solifenacin succinate and Mirabegron
- Type of treatment
- Pill or oral medicine
- Could I receive a placebo?
- Yes, some participants may receive a placebo
- How many people
- 3,527 participants
- Where
- 435 sitesin 42 countries
- Study dates
- 5 Nov 2013to 22 Oct 2015
- Phase
- Phase 3
- Are there results?
- Yes, posted in the registrySummary in the doctors' view
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 18 years and older
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- Subject was willing and able to complete the micturition diary and questionnaires correctly and able to measure his/her vital signs at home at stipulated time points, using the device provided by the study personnel, and to adequately record the readings;
- Subject had symptoms of "wet" OAB (urinary frequency and urgency with incontinence) for at least 3 months;
Who cannot join
- Subject had significant PVR volume (> 150 mL);
- Subject had a neurological cause for detrusor overactivity (e.g. neurogenic bladder, diabetic neuropathy with autonomic component or bladder involvement, or systemic or central neurological disease such as multiple sclerosis and Parkinson's disease with autonomic component or bladder involvement). An autonomic component could be inferred when autonomic functions were affected, including heart rate, blood pressure, perspiration and digestion.
- Subject had an indwelling catheter or practices intermittent self catheterization.
- Subject had chronic inflammation such as bladder pain syndrome /interstitial cystitis, symptomatic bladder stones or any previous or current radiation cystitis.
- Subject had received intravesical treatment in the past 12 months with e.g., botulinum toxin, resiniferatoxin, capsaicin.
- Subject had moderate to severe hepatic impairment
Show all 11Show fewer
- Subject had severe renal impairment
- Subject had a clinically significant abnormal ECG
- Subject had a concurrent malignancy or history of cancer (except noninvasive skin cancer) within the last 5 years prior to screening.
- Subject had an average QTcF interval > 450 ms for males or > 470 ms for females based on the triplicate ECGs completed at Screening or is at risk of QT prolongation (e.g., family history of long QT syndrome, hypokalaemia).
- Subject had severe hypertension, which is defined as a sitting average systolic blood pressure ≥ 180 mmHg and/or average diastolic blood pressure ≥ 110 mmHg.
Trial locations and contacts
435 sites in 42 countries.
435 sites in 42 countries
United States121 sites
Site US10077 Northeast Urogynecology
Albany, New York, 12205
Site US10011 Albuquerque Clinical Trials, Inc.
Albuquerque, New Mexico, 87102
Site US10015 Urology Group of New Mexico
Albuquerque, New Mexico, 87109
Site US10037 Atlanta Medical Research Institute
Alpharetta, Georgia, 30005
Site US10122 Orange County Research Institute
Anaheim, California, 92801
Site US10084 Dynamed Clinical Research of Austin,LLC dba DM Clinical Resc
Austin, Texas, 78745
Site US10008 Urologic Consultants of Southeastern Pennsylvania
Bala-Cynwyd, Pennsylvania, 19004
Site US10110 Montana Health Research Institute, Inc.
Billings, Montana, 59102
Site US10282 Boston Clinical Trials
Boston, Massachusetts, 02131
Site US10060 Meridien Research
Bradenton, Florida, 34208
Site US10089 Maimonides Medical Center
Brooklyn, New York, 11220
Site US10013 Seattle Urology Research Center
Burien, Washington, 98166
Site US10066 Texas Urology PA
Carrollton, Texas, 75010
Site US10098 Skyline Research
Cerritos, California, 90703
Site US10104 Clinical Research Advantage, Inc.
Chandler, Arizona, 85224
Site US10166 Medical University of South Carolina
Charleston, South Carolina, 29425
Site US10050 Rapid Medical Research, Inc.
Cleveland, Ohio, 44122
Site US10076 Carolina Clinical Trials
Concord, North Carolina, 28025
Site US10065 Advanced Research Associates
Corpus Christi, Texas, 78414
Site US10128 Clinical Research Center of CT
Danbury, Connecticut, 06810
Site US10034 Urology Center of Colorado
Denver, Colorado, 80211
Site US10002 Urology Center Research Institute
Englewood, New Jersey, 07631
Site US10026 AccuMed Research Associates
Garden City, New York, 11530
Site US10558 Chesapeake Urology Research Associates
Glen Burnie, Maryland, 21061
Site US10539 Citrus Valley Medical Research
Glendora, California, 91741
Site US10152 Female Pelvic Medicine & Urogynecology Institute
Grand Rapids, Michigan, 49503
Site US10094 University Medical Group
Greer, South Carolina, 29650
Site US10082 American Clinical Trials
Hawaiian Gardens, California, 90716
Site US10097 A.G.A. Clinical Trials DBA Neostart Group
Hialeah, Florida, 33012
Site US10148 Best Quality Research, Inc.
Hialeah, Florida, 33016
Site US10153 Palmetto Professional Research
Hialeah, Florida, 33016
Site US10159 Urological Research Network
Hialeah, Florida, 33016
Site US10534 South Florida Medical Research
Hialeah, Florida, 33016
Site US10535 South Florida Medical Research
Homestead, Florida, 33030
Site US10085 Centex Studies, Inc.
Houston, Texas, 77062
Site US10108 Clinical Trial Network
Houston, Texas, 77074
Site US10219 Methodist Urology Associates
Houston, Texas, 77094
Site US10093 Pioneer Research Solutions, Inc.
Houston, Texas, 77098
Site US10090 Protenium Clinical Research, LLC
Hurst, Texas, 76054
Site US10165 East Coast Institute for Research
Jacksonville, Florida, 32216
Site US10091 Health Awareness
Jupiter, Florida, 33458
Site US10006 Holston Medical Group
Kingsport, Tennessee, 37660
Site US10040 Premier Medical Group Of The Hudson Valley
Kingston, New York, 12401
Site US10088 Centex Studies, Inc.
Lake Charles, Louisiana, 70601
Site US10070 Physicians' Research Options/Red Rocks OB/GYN
Lakewood, Colorado, 80228
Site US10045 Lancaster Urology
Lancaster, Pennsylvania, 17604
Site US10140 IVCTLV
Las Vegas, Nevada, 89106
Site US10051 AdvancedMed Research
Lawrenceville, New Jersey, 08648
Site US10047 Lawrence OBGYN Associates
Lawrenceville, New Jersey, 86480
Site US10553 Women's Clinic of Lincoln
Lincoln, Nebraska, 68510
Site US10132 Axis Clinical Trials
Los Angeles, California, 90017
Site US10133 Axis Clinical Trials
Los Angeles, California, 90036
Site US10033 Ohio Clinical Research
Lyndhurst, Ohio, 44124
Site US10541 Sunstone Medical Research
Medford, Oregon, 97504
Site US10074 Medpharmics, LLC
Metairie, Louisiana, 70006
Site US10154 Montana Medical Research Inc
Missoula, Montana, 59801
Site US10049 Coastal Clinical Research, Inc.
Mobile, Alabama, 36608
Site US10112 TFI, LLC
Mobile, Alabama, 36608
Site US10162 Phoenix OB-GYN Associates, LLC
Moorestown, New Jersey, 08057
Site US10004 Integrity Medical Research, LLC
Mountlake Terrace, Washington, 98043
Site US10046 Coastal Carolina Research Center
Mt. Pleasant, South Carolina, 29464
Site US10079 PMG Research of Charleston, LLC
Mt. Pleasant, South Carolina, 29464
Site US10117 Carolina Urologic Research Center
Myrtle Beach, South Carolina, 29572
Site US10018 Grove Hill Clinical Research
New Britain, Connecticut, 06052
Site US10170 Yale - New Haven Hospital West Haven VAMC
New Haven, Connecticut, 06510
Site US10150 Suncoast Clinical Research, Inc.
New Port Richey, Florida, 34652
Site US10073 Manhattan Medical Research Practice, PLLC
New York, New York, 10016
Site US10249 New York Clinical Trials
New York, New York, 10018
Site US10168 Weill Cornell Medical College
New York, New York, 10065
Site US10126 Premier Medical Group
Newburgh, New York, 12550
Site US10158 Renstar Medical Research
Ocala, Florida, 34471
Site US10109 Lynn Health Science Institute
Oklahoma City, Oklahoma, 73112
Site US10124 Winter Park Urology Associates
Orlando, Florida, 32803
Site US10134 Compass Research, LLC
Orlando, Florida, 32806
Site US10560 Chesapeake Urology Research Associates
Owings Mills, Maryland, 21117
Site US10536 Stanford School of Medicine
Palo Alto, California, 93404
Site US10149 Bayview Research Group
Paramount, California, 90723
Site US10009 South Broward Research
Pembroke Pines, Florida, 33027
Site US10540 Demaur Clinical Research, INC
Pembroke Pines, Florida, 33028
Site US10017 Philadelphia Clinical Research, LLC
Philadelphia, Pennsylvania, 19114
Site US10021 Beach Clinical Studies
Phoenix, Arizona, 85051
Site US10167 University of Pittsburgh Medical Center
Pittsburgh, Pennsylvania, 15213
Site US10250 Preferred Primary Care Physicians Inc.
Pittsburgh, Pennsylvania, 15236
Site US10248 Preferred Primary Care Physicians, Inc
Pittsburgh, Pennsylvania, 15243
Site US10554 Private Practice
Plantation, Florida, 33317
Site US10028 Premier Medical Group of the Hudson Valley
Poughkeepsie, New York, 12601
Site US10129 PMG Research of Raleigh
Raleigh, North Carolina, 27609
Site US10549 Associated Urologists of North Carolina
Raleigh, North Carolina, 27612
Site US10032 National Clinical Research Inc.
Richmond, Virginia, 23294
Site US10127 Perimeter North Medical Research, Inc.
Roswell, Georgia, 30076
Site US10559 UC Davis Medical Center
Sacramento, California, 95817
Site US10105 Clinical Trials of Texas
San Antonio, Texas, 78229
Site US10111 Clinical Trials of Texas
San Antonio, Texas, 78229
Site US10003 San Diego Clinical Trials
San Diego, California, 92120
Site US10545 San Diego Institute for Sexual Medicine
San Diego, California, 92120
Site US10092 Physicians' Research Options/Salt Lake Women's Center
Sandy City, Utah, 84070
Site US10120 WR-Mount Vernon Clinical Research
Sandy Springs, Georgia, 30328
Site US10095 Florida Urology Specialists
Sarasota, Florida, 34237
Site US10542 Adult & Pediatric Urology Group
Sartell, Minnesota, 56377
Site US10155 Seattle Women's Health, Research, Gynecology
Seattle, Washington, 98105
Site US10024 GTC Research
Shawnee Mission, Kansas, 66218
Site US10025 Regional Urology, LLC
Shreveport, Louisiana, 71106
Site US10023 Hillcrest Clinical Research, LLC
Simpsonville, South Carolina, 29681
Site US10101 Palmetto Clinical Research
Summerville, South Carolina, 29485
Site US10010 Southeastern Research Group, Inc
Tallahassee, Florida, 32308
Site US10106 West Coast Clinical Research
Tarzana, California, 91356
Site US10063 Preferred Primary Care Physician Research
Uniontown, Pennsylvania, 15401
Site US10595 Bayview Research Group
Valley Village, California, 91607
Site US10064 The Group for Women
Virginia Beach, Virginia, 23456
Site US10083 Urology of Virginia, PLLC.
Virginia Beach, Virginia, 23462
Site US10067 Family Practice Center of Wadsworth
Wadsworth, Ohio, 44281
Site US10135 Walla Walla Clinic
Walla Walla, Washington, 99362
Site US10123 Chase Medical Research, LLC
Waterbury, Connecticut, 06708
Site US10114 Bay State Clinical Trials, Inc.
Watertown, Massachusetts, 02472
Site US10014 Private Practice
Wellington, Florida, 33449
Site US10551 The Christ Hospital
West Chester, Ohio, 45069
Site US10012 Advanced Clinical Concepts
West Reading, Pennsylvania, 19611
Site US10053 Western Clinical Research, Inc.
Wheat Ridge, Colorado, 80033
Site US10078 Heartland Research Associates, LLC
Wichita, Kansas, 67205
Site US10593 Upstate Clinical Research Associates LLC
Williamsville, New York, 14221
Site US10062 Piedmont Medical Research
Winston-Salem, North Carolina, 27103
Canada26 sites
Site CA15001 The Male/Female Health & Research Centre
Barrie, Ontario, L4M 7G1
Site CA15006 Bramalea Medical Centre
Brampton, Ontario, L6T 4S5
Site CA15003 Brantford Urology Research
Brantford, Ontario, N3R 4N3
Site CA15042 G. Kenneth Jansz Medicine Professional Corporation
Burlington, Ontario, L7N 3V2
Site CA15026 Rhodin Recherche Clinique
Drummondville, Quebec, J2B 7T1
Site CA15029 Royal Alexandra Hospital
Edmonton, Alberta, T5H 3V9
Site CA15035 Glenrose Rehabilitation Hospital
Edmonton, Alberta, T6G 2P4
Site CA15015 Recherches Cliniques Theradev, Inc.
Granby, Quebec
Site CA15021 Urology South Shore Research
Greenfield Park, Quebec, J4V 2H3
Site CA15044 McMaster Institute of Urology
Hamilton, Ontario, L8N 4A6
Site CA15031 Centre for Applied Urology Research (CAUR)
Kingston, Ontario, K7L 3J7
Site CA15007 Eunoia2 Incorporated
Kitchener, Ontario, N2N 2B9
Site CA15030 UroLaval
Laval, Quebec, H7G 2E6
Site CA15034 Oxford/Richmond Medical
London, Ontario, N6A 5R9
Site CA15040 RechercheGCP Research
Montreal, Quebec, H2R1V6
Site CA15020 Diex Research Montreal
Montreal, Quebec, H4N 3C5
Site CA15032 Stanley Flax Medical Prof Corp
North York, Ontario, M2J 1V1
Site CA15010 Ultra Med Research, Inc.
Point-Claire, Quebec, H9R 4S3
Site CA15025 Clinique RSF Inc.
Québec, Quebec, G1S 2L6
Site CA15008 Private Practice
Saint John, New Brunswick, E2L 3J8
Site CA15039 Pro-recherche
Saint Romuald, Quebec, G6W 5M6
Site CA15027 Diex Research Sherbrooke Inc
Sherbrooke, Quebec, J1H 1Z1
Site CA15013 Sunnybrook Health Sciences Center
Toronto, Ontario, M4N 3M5
Site CA15004 Primehealth Clinical Research
Toronto, Ontario, M4S 1Y2
Site CA15002 Toronto Western Hospital
Toronto, Ontario, M5T 2S8
Site CA15033 Prohealth
Vancouver, British Columbia, V5Z 4E1
South Korea26 sites
Site KR82014 Soon Chun Hyang University Hospital
Bucheon-si, 420-767
Site KR82006 Dong-A University Medical Center
Busan, 602-715
Site KR82016 Pusan National University Hospital
Busan, 602-739
Site KR82024 Chungbuk National University Hospital
Cheongju-si, 361-711
Site KR82032 Kyungpook National University Hospital
Daegu, 700-421
Site KR82005 Yeungnam University Hospital
Daegu, 705-717
Site KR82029 Daegu Catholic Univ. Medical Center
Daegu, 705-718
Site KR82019 Chungnam National University Hospital
Daejeon, 301-721
Site KR82011 Eulji University Hospital
Daejeon, 302-799
Site KR82031 Chonnam National University Hospital
Gwangju, 501757
Site KR82009 Wonkwang University Hospital
Iksan -Si, 570-711
Site KR82023 Gachon University Gil Hospital
Incheon, 405760
Site KR82010 Chonbuk National University Hospital
Jeonju, 561-712
Site KR82025 Seoul National University Bundang Hospital
Seongnam-si, 463-707
Site KR82021 Cheil General Hospital & Women's Healthcare Center
Seoul, 100-380
Site KR82020 Seoul National University Hospital
Seoul, 110-744
Site KR82030 Severance Hospital
Seoul, 120-752
Site KR82013 Hallym University Kangdong Sacred Heart Hospital
Seoul, 134-701
Site KR82017 Kyung Hee University Medical Center
Seoul, 134-872
Site KR82002 Samsung Medical Center
Seoul, 135-710
Site KR82008 Gangnam Severance Hospital
Seoul, 135-720
Site KR82015 Korea University Medical Center
Seoul, 136-075
Site KR82001 Seoul Saint Mary's Hospital
Seoul, 137-040
Site KR82003 Asan Medical Center
Seoul, 138-736
Site KR82012 Konkuk University Medical Center
Seoul, 143-729
Site KR82004 Ajou University Hospital
Suwon, 443-721
China22 sites
Site CN86025 Beijing Friendship Hospital
Beijing, 100050
Site CN86009 Peking University 3rd Hospital
Beijing, 100191
Site CN86013 Beijing Hospital
Beijing, 100730
Site CN86014 The First Hospital Bethune of Jilin University
Changchun, 130021
Site CN86002 Changsha Central Hospital
Changsha, 410008
Site CN86028 General Hospital of Chengdu Military Region of PLA
Chengdu
Site CN86029 Southwest Hospital (Chongqing)
Chongqing, 400038
Site CN86017 Affiliated Union Hospital of Fujian Medical Uni.
Fuzhou, Fujian, 350001
Site CN86016 Guangzhou First People's Hospital
Guangzhou, 510180
Site CN86027 Second Hospital of Lanzhou University
Lanzhou, 730030
Site CN86030 Lanzhou University First Hospital
Lanzhou
Site CN86020 The First Affiliated Hospital of NanChang Univers
Nanchang, 330006
Site CN86023 Nanjing First Hospital
Nanjing, 210006
Site CN86021 HuaDong Hosipital Affiliated to Fudan University
Shanghai, 200040
Site CN86003 Shanghai Renji Hospital
Shanghai, 200127
Site CN86012 The Fifth People's Hospital of Shanghai
Shanghai, 200240
Site CN86011 The Second Affiliated Hospital of Soochow Universi
Suzhou, 215004
Site CN86010 1st Affiliated Hosptital of Suchow University
Suzhou, 215006
Site CN86026 The First Affiliated Hospital of Wenzhou Medical C
Wenzhou, 325000
Site CN86022 Tongji Hospital, Tongji Medical College of Hust
Wuhan, 430030
Site CN86015 Zhongnan Hospital of Wuhan University
Wuhan, 430071
Site CN86018 Wuxi People's Hospital
Wuxi, 214023
Australia15 sites
Site AU61026 Ballarat Urology
Ballarat, 3350
Site AU61022 Brisbane South Clinical Research Centre
Brisbane, 4152
Site AU61005 Hunter Clinical Research
Broadmeadow, 2292
Site AU61015 Repatriation General Hospital
Daw Park, 5041
Site AU61025 Western Health
Footscray, 3011
Site AU61012 Cabrini Hospital
Malvern, 3144
Site AU61010 Nambour General Hospital
Nambour, 4560
Site AU61002 The Royal Womens Hospital
Parkville, 3052
Site AU61004 Keogh Institute for Medical Research
Perth, 6009
Site AU61007 Prince of Wales Hospital
Randwick, 2031
Site AU61008 Epworth Healthcare
Richmond, 3121
Site AU61019 AusTrialsSherwood
Sherwood, 4075
Site AU61017 Healthpac Medical Centre
Sydney, 2000
Site AU61021 Royal Hospital for Women
Sydney, 2031
Site AU61011 Illawarra Health and Medical Research Institute
Wollongong, 2522
Germany13 sites
Site DE49008 Private Practice
Bad Ems, 56130
Site DE49031 Urologisches Zentrum Refrath
Bergisch Gladbach, 51427
Site DE49033 Universitsy Clinic Bonn
Bonn, 53217
Site DE49002 Private Practice
Duisburg, 47051
Site DE49032 Urologicum Duisburg
Duisburg, 47179
Site DE49003 Private Practice
Eisleben Lutherstadt, 6295
Site DE49010 Private Practice
Ganderkesee, 27777
Site DE49011 Private Practice
Halle, 06132
Site DE49013 Private Practice
Leipzig, 04105
Site DE49034 LMU Muenchen
Munich, 81377
Site DE49001 Private Practice
Neustadt in Sachsen, 1844
Site DE49026 Zentrum fuer Onkologie und Urologie Rostock
Rostock, 18107
Site DE49014 Private Practice
Sangerhausen, 6526
Czechia12 sites
Site CZ42015 Centrum ambulantni gynekologie a primarni pece
Brno, 602 00
Site CZ42003 SANUS
Hradec Králové, 500 02
Site CZ42001 Fakultni Nemocnice Hradec Kralove
Hradec Králové, 50005
Site CZ42002 Hospital Jihlava
Jihlava, 586 33
Site CZ42011 Hospital Novy Jicin
Nový Jičín, 741 01
Site CZ42010 G-centrum Olomouc S.R.O.
Olomouc, 772 00
Site CZ42014 Private Practice
Ostrava, 700 30
Site CZ42005 Research Site s.r.o.
Pilsen, 301 00
Site CZ42007 Uro-Santé/Nová Brumlovka
Prague, 140 00
Site CZ42013 Urology Clinic
Sternberk, 78501
Site CZ42009 Hospital Uherské Hradiště a.s.
Uherské Hradiště, 686 08
Site CZ42006 Private Practice
Ústí nad Labem, 40001
Poland12 sites
Site PL48018 Gastromed
Bialystok, 15-351
Site PL48013 Urovita Ltd.
Chorzów, 41-500
Site PL48014 Synexus Polska
Gdynia, 81-384
Site PL48004 NZOZ Szpital Sw.Rodziny Centrum Medyczne
Lodz, 90-302
Site PL48010 Nzoz Novita
Lublin, 20-632
Site PL48011 Nzoz Centrum Urologiczne sp. z o.o.
Mysłowice, 41-400
Site PL48016 Prywatny Gabinet Urologiczny
Opole, 45-086
Site PL48005 HEUREKA Hanna Szalecka
Piaseczno, 05-500
Site PL48012 Military Institute of Medicine
Warsaw, 00-909
Site PL48003 CSKMSW
Warsaw, 02-507
Site PL48001 Specjalistyczny Gabinet Lekarski
Warsaw, 02-929
Site PL48019 Synexus Polska sp. z o. o.
Wroclaw, 50-088
Spain11 sites
Site ES34010 Hospital del Henares
Coslada, 28822
Site ES34024 Hospital San Juan de Dios
Esplugues de Llobregat-Barcelo, 08950
Site ES34001 Hospital Universitario de Getafe
Getafe (Madrid), 28905
Site ES34006 Hospital San Rafael
Madrid, 28016
Site ES34004 Hospital Infanta Leonor
Madrid, 28031
Site ES34015 Hospital 12 de Octubre
Madrid, 28044
Site ES34009 Hospital Universitario La Paz
Madrid, 28046
Site ES34005 Hospital de Fuenlabrada
Madrid, 28942
Site ES34003 Hospital Universitario Nuestra Señora de Valme
Seville, 41001
Site ES34007 Hospital Virgen del Rocio
Seville, 41013
Site ES34002 H. U. Politecnico La Fe
Valencia, 46026
France10 sites
Site FR33007 Centre Hospitalier Louis Pasteur
Colmar, 68024
Site FR33010 CHU Hopital du Bocage
Dijon, 21079
Site FR33008 CHU Nantes
Nantes, 44035
Site FR33002 CHU Carémeau
Nîmes, 30029
Site FR33013 Hopital Saint Louis
Paris, 75475
Site FR33001 Hopital Tenon
Paris, 75970
Site FR33024 Hopital Tenon
Paris, 75970
Site FR33011 Centre Hospitalier Lyon Sud
Pierre-Bénite, 69495
Site FR33012 Hopital Foch
Suresnes, 92151
Site FR33005 Hopital Bretonneau
Tours, 37044
Ukraine10 sites
Site UA38002 City Hospital No 2
Chernihiv, 14034
Site UA38015 Regional Municipal Institution, Urology Department
Chernivtsi, 58000
Site UA38013 Dnipropetrovsk State Medical Academy, Mechnikov Dnipropetrov
Dnipropetrovsk, 49005
Site UA38006 Shapoval Regional Clinical Centre of Urology and Nephrology
Kharkiv, 61037
Site UA38007 Central Outpatient Hospital of Deanyanskyy Distric
Kiev, 02232
Site UA38003 Urology Dpt of Kyiv City Clinical Hospital #3
Kyiv, 02660
Site UA38010 Academy of Medical Sciences of Ukraine
Kyiv, 04053
Site UA38014 Uzhgorod City Polyclinic
Uzhhorod, 88000
Site UA38004 Vinnitsa Endocrinology Dispens
Vinnytsia, 21010
Site UA38008 Medical Academy of Postgraduate Education, Urology Clinic
Zaporizhzhya, 69600
Lithuania9 sites
Site LT37008 Kaunas 2nd Clinical Hospital
Kaunas, 47144
Site LT37004 KHospital of Lithuanian University of Health Science
Kaunas, 50009
Site LT37011 Saules Family Medicine Centre
Kaunas
Site LT37012 Klaipeda University Hospital
Klaipėda, LT-92288
Site LT37005 Public Institution Vilnius City University Hospital
Vilnius, 10207
Site LT37010 Public Institution Vilnius City University Hospital
Vilnius, 10207
Site LT37003 Family Medical Centre Seimos gydytojas
Vilnius, LT-01118
Site LT37007 Vilnius University Hospital Santariskiu Klinikos
Vilnius, LT-08661
Site LT37009 Clinics Privatus gydytojas
Vilnius, LT-09108
Sweden9 sites
Site SE46007 Ladulaas Clinical Studies
Borås, 506 30
Site SE46025 Pharmasite
Helsingborg, 252 20
Site SE46005 Center för Läkemedelsstudier
Malmö, 211 52
Site SE46016 Citydiabetes - Stockholm
Stockholm, 111 57
Site SE46008 Bragée Medect AB
Stockholm, 115 22
Site SE46012 Karolinska University Hospital Huddinge
Stockholm, 141 86
Site SE46003 Danderyds Hospital
Stockholm, 182 88
Site SE46009 Encia AB, Uppsala Hälsomottagning
Uppsala, 753 35
Site SE46017 S3 Clinical Research Centers
Vällingby, 162 68
United Kingdom9 sites
Site GB44003 Leighton Hospital
Crewe, CW1 4QJ
Site GB44009 Sheepcot Medical Centre
Garston, Watfort, WD25 0EA
Site GB44021 Medway Hospital
Gillingham, ME7 5WY
Site GB44005 North West London Hosp Menopause Clinic
Harrow, HA1 3UJ
Site GB44024 St James's University Hospital
Leeds, LS7 9TF
Site GB44025 Kings College Hospital
London, SE5 9RS
Site GB44006 Derriford Hospital
Plymouth, PL6 8DH
Site GB44022 The Royal Berkshire Hospital
Reading, RG1 5AN
Site GB44001 Royal Hallamshire Hospital
Sheffield, S10 2JF
Romania8 sites
Site RO40015 Spitaul Clinic Judetean de Urgenta Brasov
Brasov, 500152
Site RO40004 Spitalul Clinic de Urgenta Sfantul Ioan
Bucharest, 42122
Site RO40001 Spiatlul Clinic Th. Burghele
Bucharest, 50659
Site RO40005 Spiatlul Clinic Th. Burghele
Bucharest, 50659
Site RO40014 E-URO Cabinet
Cluj-Napoca, 400046
Site RO40007 Spital Clinic
Iași, 700503
Site RO40010 Spitalul Clinic Judetan de Urgenta Sibiu
Sibiu, 550245
Site RO40002 Spitalul Clinic Judetean de Urgenta Timisoara
Timișoara, 300736
Slovakia8 sites
Site SK42105 Ruzinovska poliklinika a.s.
Bratislava, 82101
Site SK42107 Zeleznicne zdravotnictvo Kosice, s.r.o.
Košice, 4001
Site SK42101 Andrologicka a Urologicka Ambulancia
Košice, 4013
Site SK42103 UroExam s.r.o.
Nitra, 949 01
Site SK42108 BrenCare, s. r. o.
Poprad, 058 01
Site SK42104 Urology Outpatient Department
Prešov, 8001
Site SK42106 Private Urological Care Center
Trenčín, 911 01
Site SK42102 CeGys, s.r.o.
Trenčín, 91101
Thailand8 sites
Site TH66002 Chulalongkorn Hospital
Bangkok, 10330
Site TH66008 Phramongkutklao Hospital
Bangkok, 10400
Site TH66005 Siriraj Hospital
Bangkok, 10700
Site TH66010 Maharaj Nakorm Chiangmai Hosp
Chiang Mai, 50200
Site TH66006 Songklanagarind Hospital, Prince of Songkla University
Hat Yai, 90110
Site TH66009 Srinagarind Hospital
Khon Kaen, 40002
Site TH66007 Thammasat University Hospital
Pathum Thani, 12120
Site TH66011 Ramathibodi Hospital
Ratchathewi, 10400
Bulgaria7 sites
Site BG35904 University Hospital (UMHAT) - George Stranski
Pleven, 5800
Site BG35908 MHAT Plovdiv AD
Plovdiv, 4003
Site BG35902 MHAT Ruse
Rousse, 7002
Site BG35905 MHAT Alexandrovska Hospital
Sofia, 1431
Site BG35903 MHATEM Pirogov
Sofia, 1606
Site BG35906 UMHAT Varna
Varna, 9000
Site BG35910 MHAT
Veliko Tarnovo, 5000
Russia7 sites
Site RU70015 LLC Clinical Research Medical Complex
Kazan', 420097
Site RU70023 Penza Regional Clinical Hospatal n. a. N.N. Burdenko
Penza, 440026
Site RU70019 City Multidisciplinary Hospital No. 2
Saint Petersburg, 194354
Site RU70002 Pavlov St. Petersburg State Medical University
Saint Petersburg, 197089
Site RU70022 St. Petersburg State Public Health Institution
Saint Petersburg, 198103
Site RU70014 OOO Hospital Orkli
Saint Petersburg, 199178
Site RU70018 Bashkirsky State Medical University of Roszdrav
Ufa, 450096
Hungary6 sites
Site HU36003 Dr.Szarka Ödön Kistérségi Egészségügyi Szolgáltató Kft
Csongrád, 6640
Site HU36007 Mediroyal Prevention Center
Kecskemét, 6000
Site HU36005 Uro-clin Ltd
Pécs, 7621
Site HU36013 Sopron Erzsébet Hospital
Sopron, H-9400
Site HU36001 Donatella 99BT
Szentes, 6600
Site HU36012 Veszprém County Cholnoky Ferenc Hospital
Veszprém, 8200
Malaysia6 sites
Site MY60006 Hospital Pulau Pinang
George Town, 10990
Site MY60001 Hospital Kuala Lumpur
Kuala Lumpur, 50586
Site MY60004 University Malaya Medical Centre
Kuala Lumpur, 50603
Site MY60005 Universiti Kebangsaan Malaysia Medical Centre
Kuala Lumpur, 56000
Site MY60003 Hospital Ummum Sarawak
Kuching, 93586
Site MY60002 Sime Darby Medical Centre
Petaling Jaya, 47500
New Zealand6 sites
Site NZ64004 John A Tuckey Ltd Ascot Central
Auckland, 1541
Site NZ64001 Canterbury Urology Research Trust
Christchurch, 8014
Site NZ64005 Waikato Urology Research Limited
Hamilton, 3204
Site NZ64002 Roundhay Medical Centre
Nelson, 7010
Site NZ64003 Tauranga Urology Research Ltd
Tauranga, 3140
Site NZ64006 Cardinal Point Specialist Centre
Whangarei
Peru6 sites
Site PE51006 Hospital Nacional Guillermo Almenara Irigoyen EsSalud
La Victoria, Lima region, 13
Site PE51001 Instituto de Ginecologia y Reproduccion
Lima, 33
Site PE51002 Clinica San Borja
Lima, 41
Site PE51004 Clinica San Pablo
Lima
Site PE51005 Hospital Nacional Hipolito Unanue
Lima
Site PE51007 Clínica Anglo Americana
San Isidro, Lima region, 27
Philippines6 sites
Site PH63008 Dr. Pablo O. Torre Memorial Hospital
Bacolod City, 6100
Site PH63005 Davao Doctor's Hospital
Davao City, 8000
Site PH63010 Davao Doctor's Hospital
Davao City, 8000
Site PH63003 University of Santo Tomas Hospital (USTH)
Manila, 1008
Site PH63009 Chinese General Hospital and Medical Center
Manila, 1008
Site PH63004 East Avenue Medical Center
Quezon City, 1101
South Africa6 sites
Site ZA27005 Grootte Schuur Hospital
Cape Town, 7925
Site ZA27001 Private Practice
Centurion, 0157
Site ZA27006 Parklands Hospital
Durban, 4001
Site ZA27013 Synexus Clinical Research SA (Pty) Ltd
Meyerspark, 184
Site ZA27007 Paarl Medical Centre
Paarl, 7646
Site ZA27002 Mayo Clinic
Roodepoort, 1709
Argentina5 sites
Site AR54005 IUBA - Instituto Urologico de Buenos Aires
Buenos Aires, 1419
Site AR54003 Hospital Italiano de Buenos Aires
Buenos Aires, C1181ACH
Site AR54006 Hospital Italiano de Buenos Aires
Buenos Aires, C1181ACH
Site AR54001 CDU - Centro de Urología
Ciudad Autónoma Buenos Aires, C1120AAT
Site AR54004 Instituto de Investigaciones Clnicas Rosario
Rosario Provincia de Santa Fe, 2000
Italy5 sites
Site IT39022 Azienda Ospedale Umberto I (Ancona)
Ancona, 60126
Site IT39007 Azienda Ospedaliera San Giuseppe Moscati
Avellino, 83100
Site IT39001 U.O. Dip. di Neuro-Urologia; Univ. di Roma La Sapienza
Latina, 4100
Site IT39003 Ospedale San Raffaele
Milan, 20132
Site IT39020 Ospedale San Raffaele IRCCS, U.O. di Ginecologia e Ostetricia, Unità Funzionale di Uroginecologia
Milan, 20132
Netherlands5 sites
Site NL31002 Academic Medical Center (AMC)
Amsterdam, 1105 AZ
Site NL31006 Medisch Spectrum Twente
Enschede, 7513ER
Site NL31005 Canisius-Wilhelmina Ziekenhuis
Nijmegen, 6532 SZ
Site NL31010 Antonius Ziekenhuis Sneek
Sneek, 8601 ZK
Site NL31001 University Medical Centre Utrecht
Utrecht, 3584 CX
Belgium4 sites
Site BE32004 Gent University Hospital
Ghent, 9000
Site BE32011 Universitaire Ziekenhuizen Leuven
Leuven, 3000
Site BE32014 Hart Ziekenhuis
Roeselare, 8800
Site BE32012 Sint-Trudo Ziekenhuis, Campus Sint Jozef/Sint-Anna
Sint-Truiden, 3800
Mexico4 sites
Site MX52004 Consultorio de Especialidad en Urologia
Durango, 34000
Site MX52001 Centro de Investigacin Basica y Clnica
Guadalajara, 45040
Site MX52003 Clinstile, Sociedad Anonima de Capital Variable
Mexico City, 6700
Site MX52002 Accelerium Clinical Research/ Hospital San Jorge
Monterrey, 64000
Taiwan4 sites
Site TW88605 Taichung Veteran General Hospital
Taichung, 40705
Site TW88611 Chung Shan Medical University Hospital
Taichung, 407
Site TW88612 Chi Mei Medical Center, Yong Kang
Tainan, 710
Site TW88614 Tri-Service General Hospital
Taipei, 114
Turkey (Türkiye)4 sites
Site TR90019 Ankara University Medical Faculty Ibni Sina Hospital
Ankara, 06100
Site TR90013 Uludag University Faculty of Medicine
Bursa, 16059
Site TR90001 Pamukkale University Faculty of Medicine
Denizli, 20070
Site TR90017 Bilim University Sisli Florence Nightingale Hospital
Istanbul, 34381
Estonia3 sites
Site EE37201 Parnu Hospital
Pärnu, 80010
Site EE37205 West Tallinn Central Hospital
Tallinn, 10617
Site EE37202 Tartu University Hospital
Tartu, 51014
Finland3 sites
Site FI35801 Kouvolan Lääkäriasema
Kouvola, 45200
Site FI35803 Oulu University Hospital
Oulu, 90029
Site FI35802 Meilahti Hospital
Vantaa, 01400
Hong Kong3 sites
Site HK85204 The Chinese Uni of HK, Prince of Wales Hospital
Hong Kong
Site HK85201 Kwong Wah Hospital
Kowloon
Site HK85203 The Chinese Uni of HK, Prince of Wales Hospital
Shatin, 30-32
Latvia3 sites
Site LV37102 Private Practice
Liepāja, LV-3401
Site LV37103 Health Centre "Olaine"
Olaine, LV-2114
Site LV37105 P.Stradins Clinical University Hospital
Riga, 1002
Norway3 sites
Site NO47007 Medi3 Clinic AS, Ålesund
Ålesund, 6003
Site NO47006 M3 Helse AS
Hamar, 2317
Site NO47008 Norsk Helseklinikk (Heiaklinikken)
Lierskogen, 3420
Singapore3 sites
Site SG65001 National University Hospital
Singapore, 119074
Site SG65002 Singapore General Hospital
Singapore, 169608
Site SG65003 KK Women's and Children's Hospital
Singapore, 229899
Colombia2 sites
Site CO57003 Hospital Pablo Tobón Uribe
Medellín, Antioquia
Site CO57004 Instituto de Coloproctologia ICO SAS
Medellín
Denmark2 sites
Site DK45012 Aalborg Sygehus Nord
Aalborg, 9000
Site DK45013 University Hospital of Aarhus, Skejby
Aarhus, 8200
Slovenia2 sites
Site SI38604 General Hospital Murska Sobota
Murska Sobota, 9000
Site SI38602 General Hospital Novo Mesto
Novo Mesto, 8000
About this study
Official title: A Randomized, Double-Blind, Parallel-Group, Placebo- and Active-Controlled, Multi-center Study to Evaluate the Efficacy, Safety and Tolerability of Combinations of Solifenacin Succinate and Mirabegron Compared to Solifenacin Succinate and Mirabegron Monotherapy in the Treatment of Overactive Bladder
The purpose of this study was to examine how well two medicines (solifenacin succinate and mirabegron) combined work compared to each medicine alone in the treatment of bladder problems.
- Conditions
- Urinary Bladder Overactive, Urinary Bladder Diseases\Urologic Diseases, Overactive Bladder, Urgency Incontinence
- Being tested
- Solifenacin succinate, Mirabegron, Placebo to match solifenacin succinate, Placebo to match mirabegron
- Keywords
- Combination Therapy, Mirabegron, Overactive Bladder, Urgency, Urinary Incontinence, Nocturia, Solifenacin Succinate
- Medical subject headings
- Urinary Bladder, Overactive, Urinary Incontinence, Nocturia
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Solifenacin succinateDrug
Also called Vesikur, Vesitrim, YM905, Vesicare
Oral tablet
MirabegronDrug
Also called YM178, Betmiga, Betanis, Myrbetriq
Oral tablet
Placebo to match solifenacin succinateDrug
Oral tablet
Placebo to match mirabegronDrug
Oral tablet
| Study group | Role | What they receive |
|---|---|---|
| 1: Solifenacin 5 mg + Mirabegron 25 mg | Experimental | Participants who received solifenacin 5 mg and mirabegron 25 mg once a day for 12 weeks. Receives: Drug: Solifenacin succinate; Drug: Mirabegron; Drug: Placebo to match mirabegron |
| 2: Solifenacin 5 mg + Mirabegron 50 mg | Experimental | Participants who received solifenacin 5 mg and mirabegron 50 mg once a day for 12 weeks. Receives: Drug: Solifenacin succinate; Drug: Mirabegron; Drug: Placebo to match mirabegron |
| 3: Placebo | Placebo comparator | Participants who received matching placebo once a day for 12 weeks. Receives: Drug: Placebo to match solifenacin succinate; Drug: Placebo to match mirabegron |
| 4: Solifenacin 5 mg | Active comparator | Participants who received solifenacin 5 mg once a day for 12 weeks. Receives: Drug: Solifenacin succinate; Drug: Placebo to match mirabegron |
| 5:Mirabegron 25 mg | Active comparator | Participants who received mirabegron 25 mg once a day for 12 weeks. Receives: Drug: Mirabegron; Drug: Placebo to match solifenacin succinate; Drug: Placebo to match mirabegron |
| 6: Mirabegron 50 mg | Active comparator | Participants who received mirabegron 50 mg once a day for 12 weeks. Receives: Drug: Mirabegron; Drug: Placebo to match solifenacin succinate; Drug: Placebo to match mirabegron |
What is being measured
The primary outcome is the main question the study is designed to answer.
Change From Baseline to End of Treatment (EoT) in Mean Number of Incontinence Episodes Per 24 Hours
An incontinence episode was defined as the complaint of any involuntary leakage of urine. The mean number of incontinence episodes per 24 hours was calculated from data recorded by the participant per day on valid diary days during the 7-day micturition diary period.
Measured: Baseline and EoT (up to 12 weeks)
Change From Baseline to EoT in Mean Number of Micturitions Per 24 Hours
A micturition was defined as any voluntary micturition (excluding incontinence only episodes). The mean number of micturitions per 24 hours was calculated from data recorded by the participant per day on valid diary days during the 7-day micturition diary period.
Measured: Baseline and EoT (up to 12 weeks)
Secondary outcomes (68)
Change From Baseline to EoT in Mean Volume Voided Per Micturition
The mean volume voided per micturition was calculated from the data recorded by the participant during 3 consecutive days with volume measurements during the 7-day micturition diary period.
Measured: Baseline and EoT (up to 12 weeks)
Change From Baseline to EoT in Overactive Bladder Questionnaire (OAB-q) Symptom Bother Score
The OAB-q was a self-reported questionnaire with items relating to symptom bother and health-related quality of life (HRQoL). The symptom bother portion consisted of 8 items, rated on a 6-point Likert scale (1 through 6). The total symptom bother score was calculated from the 8 answers and then transformed to range from 0 (least severity) to 100 (worst severity). A negative change from baseline indicates an improvement.
Measured: Baseline and EoT (up to 12 weeks)
Change From Baseline to EoT in Treatment Satisfaction-Visual Analogue Scale (TS-VAS)
The TS-VAS was a visual analogue scale which asked participants to rate their satisfaction with the treatment by placing a vertical mark on a line that runs from 0 (No, not at all) on the left to 10 (Yes, completely) on the right. A positive change from baseline indicated improvement.
Measured: Baseline and EoT (up to 12 weeks)
Number of Incontinence Episodes at Weeks 4, 8, 12 and EoT
The number of incontinence episodes was calculated as the total number of incontinence episodes on valid diary days recorded during the 7-day micturition diary period.
Measured: Weeks 4, 8, 12 and EoT (up to 12 weeks)
Change From Baseline to Weeks 4, 8, 12 and EoT in Number of Incontinence Episodes
Measured: Baseline and weeks 4, 8, 12 and EoT (up to 12 weeks)
Change From Baseline to Weeks 4, 8 and 12 in Mean Number of Incontinence Episodes Per 24 Hours
Measured: Baseline and weeks 4, 8 and 12
Change From Baseline to Weeks 4, 8 and 12 in Mean Number of Micturitions Per 24 Hours
Measured: Baseline and weeks 4, 8 and 12
Change From Baseline to Weeks 4, 8 and 12 in Mean Volume Voided Per Micturition
Measured: Baseline and weeks 4, 8 and 12
Change From Baseline to EoT in Corrected Micturition Frequency
Corrected micturition frequency was defined as the mean number of micturitions per 24 hours that participants had at end of treatment if their fluid intake had remained unchanged since baseline.
Measured: Baseline and Week 12
Number of Urgency Incontinence Episodes at Weeks 4, 8, 12 and EoT
An urgency incontinence episode was defined as the involuntary leakage of urine accompanied by or immediately preceded by urgency. The number of urgency incontinence episodes was the number of times a participant recorded an urgency incontinence episode on valid diary days during the 7-day micturition diary period prior to each visit.
Measured: Weeks 4, 8, 12 and EoT (up to 12 weeks)
Change From Baseline to Weeks 4, 8, 12 and EoT in Number of Urgency Incontinence Episodes
Measured: Baseline and weeks 4, 8, 12 and EoT (up to 12 weeks)
Change From Baseline to Weeks 4, 8, 12 and EoT in Mean Number of Urgency Incontinence Episodes Per 24 Hours
The mean number of urgency incontinence episodes per 24 hours was calculated from data recorded by the participant per day on valid diary days during the 7-day micturition diary period prior to each visit.
Measured: Baseline and weeks 4, 8, 12 and EoT (up to 12 weeks)
Change From Baseline to Weeks 4, 8, 12 and EoT in Mean Number of Urgency Episodes (Grade 3 or 4) Per 24 Hours
An urgency episode was a complaint of a sudden, compelling desire to pass urine, which was difficult to defer; it was recorded when a micturition or incontinence episode was recorded and the severity of urinary urgency recorded was 3 (severe urgency) or 4 (urgency incontinence) according to the Patient Perception of Intensity of Urgency Scale (PPIUS). The mean number of urgency episodes per 24 hours was calculated from data recorded by the participant per day on valid diary days during the 7-day micturition diary period prior to each visit.
Measured: Baseline and weeks 4, 8, 12 and EoT (up to 12 weeks)
Number of Nocturia Episodes at Weeks 4, 8, 12 and EoT
A nocturia episode was defined as waking at night 1 or more times to void (i.e., any voiding associated with sleep disturbance between the time the participant went to bed with the intention to sleep until the time the patients got up in the morning with the intention to stay awake). The number of nocturia episodes was the number of times a participant recorded a nocturia episode on valid diary days during the 7-day micturition diary period prior to each visit.
Measured: Weeks 4, 8, 12 and EoT (up to 12 weeks)
Change From Baseline to Weeks 4, 8, 12 and EoT in Number of Nocturia Episodes
Measured: Baseline and weeks 4, 8, 12, and EoT (up to 12 weeks)
Change From Baseline to Weeks 4, 8, 12 and EoT in Mean Number of Nocturia Episodes Per 24 Hours
The mean number of nocturia episodes per 24hr was calculated from data recorded by the participant per day on valid diary days during the 7-day micturition diary period prior to each visit.
Measured: Baseline and weeks 4, 8, 12 and EoT (up to 12 weeks)
Number of Pads Used at Weeks 4, 8, 12 and EoT
The number of pads used was the number of times a participant recorded a new pad used on valid diary days during the 7-day micturition diary period prior to each visit.
Measured: Weeks 4, 8 and 12 (up to 12 weeks)
Change From Baseline to Weeks 4, 8, 12 and EoT in Number of Pads Used
Measured: Baseline and weeks 4, 8, 12 and EOT (up to 12 weeks)
Change From Baseline to Weeks 4, 8, 12 and EoT in Mean Number of Pads Used Per 24 Hours
The mean number of pads used per 24 hours was calculated from data recorded by the participant per day on valid diary days during the 7-day micturition diary period prior to each visit.
Measured: Baseline and weeks 4, 8 and 12 (up to 12 weeks)
Number of Incontinence-Free Days at Weeks 4, 8, 12 and EoT
The number of incontinence-free days was the number of valid diary days during the 7-day micturition diary period with no incontinence episodes recorded.
Measured: Weeks 4, 8, 12 and EoT (up to 12 weeks)
Number of Days With < 8 Micturitions at Weeks 4, 8, 12 and EoT
The number of days with < 8 micturitions was the number of valid diary days during the 7-day micturition diary period with less than 8 micturitions per day.
Measured: Weeks 4, 8,12 and EoT (up to 12 weeks)
Number of Incontinence-Free Days With < 8 Micturitions at Weeks 4, 8, 12 and EoT
The number of incontinence-free days with < 8 micturitions per day was the number of valid diary days during the 7-day micturition diary period with no incontinence episodes recorded and with < 8 micturitions per day.
Measured: Weeks 4, 8, 12 and EoT (up to 12 weeks)
Change From Baseline to Weeks 4, 8, 12 and EoT in Patient Perception of Bladder Condition Questionnaire (PPBC)
The PPBC was a validated, global assessment tool using a 6-point Likert scale on which participants rated their subjective impression of their current bladder condition. Participants assessed their bladder condition using this scale: 1. Does not cause me any problems at all; 2. Causes 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.
Measured: Baseline and weeks 4, 8, 12, EoT (up to 12 weeks)
Change From Baseline to Weeks 4, 8 and 12 in the OAB-q Symptom Bother Score
The OAB-q was a self-reported questionnaire with items relating to symptom bother and health-related quality of life (HRQoL). The symptom bother portion in the OAB-q (seen in this outcome measure) consisted of 8 items, rated on a 6-point Likert scale (1 through 6). The total symptom bother score was calculated from the 8 answers and then transformed to range from 0 (least severity) to 100 (worst severity). A negative change from baseline indicated an improvement.
Measured: Baseline and weeks 4, 8 and 12
Change From Baseline to Weeks 4, 8, 12 and EoT in OAB-q Health-Related Quality of Life Questionnaire (HRQL) Total Score
The OAB-q was a self-reported questionnaire with items relating to symptom bother and health-related quality of life (HRQoL). The HRQoL portion in the OAB-q (seen in this outcome measure) consisted of 25 HRQL items comprising 4 HRQL subscales (Coping, Concern, Sleep, and Social Interaction), scored 1-6. The total HRQoL score was 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 indicated an improvement.
Measured: Baseline and weeks 4, 8, 12 and EoT (up to 12 weeks)
Change From Baseline to Weeks 4, 8, 12 and EoT in OAB-q HRQL Subscale Score: Coping
The Coping score was calculated by adding 8 response scores and transforming to a scale from 0 to 100, with higher scores indicating better quality of life. A positive change from baseline indicated an improvement.
Measured: Baseline and weeks 4, 8, 12 and EoT (up to 12 weeks)
Change From Baseline to Weeks 4, 8, 12 and EoT in OAB-q HRQL Subscale Score: Concern
The Concern score was calculated by adding 7 response scores and transforming to a scale from 0 to 100, with higher scores indicating better quality of life. A positive change from baseline indicated an improvement.
Measured: Baseline and weeks 4, 8, 12 and EoT (up to 12 weeks)
Change From Baseline to Weeks 4, 8, 12 and EoT in OAB-q HRQL Subscale Score: Sleep
The Sleep score was calculated by adding 5 response scores and transforming to a scale from 0 to 100, with higher scores indicating better quality of life. A positive change from baseline indicated an improvement.
Measured: Baseline and weeks 4, 8, 12 and EoT (up to 12 weeks)
Change From Baseline to Weeks 4, 8, 12 and EoT in OAB-q HRQL Subscale Score: Social
The Social score was calculated by adding 5 response scores and transforming to a scale from 0 to 100, with higher scores indicating better quality of life. A positive change from baseline indicated an improvement.
Measured: Weeks 4, 8, 12 and EoT (up to 12 weeks)
Patient's Global Impression of Change (PGIC) Scale: Impression in Bladder Symptoms at Week 12 and EoT
The PGIC was a 2-part questionnaire, assessing both the change in the patient's overall condition and change in bladder condition since the start of the study (from very much worse to very much improved).
Measured: Week 12 and EoT (up to 12 weeks)
PGIC Scale: Impression in General Health at Week 12 and EoT
The PGIC was a 2-part questionnaire, assessing both the change in the patient's overall condition and change in bladder condition since the start of the study (from very much worse to very much improved).
Measured: Week 12 and EoT (up to 12 weeks)
Change From Baseline to EoT in European Quality of Life in 5 Dimensions (EQ-5D) Questionnaire Subscale Score: Mobility
The EQ-5D questionnaire was an international, standardized, nondisease specific instrument for describing and valuing health status, and has 5 dimensions: Mobility, Self-care, Usual Activities, Pain/Discomfort, and Anxiety/Depression. Each dimension had 5 response levels ranging from level 1 (no problem or none) to level 5 (unable to perform activity).
Measured: Baseline and EoT (up to 12 weeks)
Change From Baseline to EoT in EQ-5D Questionnaire Subscale Score: Self-Care
The EQ-5D questionnaire was an international, standardized, nondisease specific instrument for describing and valuing health status, and has 5 dimensions: Mobility, Self-care, Usual Activities, Pain/Discomfort, and Anxiety/Depression. Each dimension had 5 response levels ranging from level 1 (no problem or none) to level 5 (unable to perform activity).
Measured: Baseline and EoT (up to 12 weeks)
Change From Baseline to EoT in EQ-5D Questionnaire Subscale Score: Usual Activities
The EQ-5D questionnaire was an international, standardized, nondisease specific instrument for describing and valuing health status, and has 5 dimensions: Mobility, Self-care, Usual Activities, Pain/Discomfort, and Anxiety/Depression. Each dimension had 5 response levels ranging from level 1 (no problem or none) to level 5 (unable to perform activity).
Measured: Baseline and EoT (up to 12 weeks)
Change From Baseline to EoT in EQ-5D Questionnaire Subscale Score: Pain/Discomfort
The EQ-5D questionnaire was an international, standardized, nondisease specific instrument for describing and valuing health status, and has 5 dimensions: Mobility, Self-care, Usual Activities, Pain/Discomfort, and Anxiety/Depression. Each dimension had 5 response levels ranging from level 1 (no problem or none) to level 5 (unable to perform activity).
Measured: Baseline and EoT (up to 12 weeks)
Change From Baseline to EoT in EQ-5D Questionnaire Subscale Score: Anxiety/Depression
The EQ-5D questionnaire was an international, standardized, nondisease specific instrument for describing and valuing health status, and has 5 dimensions: Mobility, Self-care, Usual Activities, Pain/Discomfort, and Anxiety/Depression. Each dimension had 5 response levels ranging from level 1 (no problem or none) to level 5 (unable to perform activity).
Measured: Baseline and EoT (up to 12 weeks)
Change From Baseline to Week 12 and EoT in Work Productivity and Activity Impairment: Specific Health Problem Questionnaire (WPAI:SHP) Score: Percent Work Time Missed
The WPAI:SHP was a self-administered questionnaire with 6 questions (Q1=Employment status; Q2=Hours absent from work due to the bladder condition; Q3=Hours absent from work due to other reasons; Q4=Hours actually worked; Q5=Impact of the bladder condition on productivity while working; Q6=Impact of the bladder condition on productivity while doing regular daily activities other than work) and a 1-week recall period. WPAI outcomes were expressed as impairment percentages, with higher numbers indicating greater impairment and less productivity, i.e., worse outcomes. A negative change from baseline indicated improvement.
Measured: Baseline and week 12 and EoT (up to 12 weeks)
Change From Baseline to Week 12 and EoT in WPAI:SHP Score: Percent Impairment While Working
Measured: Baseline and week 12 and EoT (up to 12 weeks)
Change From Baseline to Week 12 and EoT in WPAI:SHP Score: Percent Overall Work Impairment
Measured: Baseline and week 12 and EoT (up to 12 weeks)
Change From Baseline to Week 12 and EoT in WPAI:SHP Score: Percent Activity Impairment
Measured: Baseline and week 12 and EoT (up to 12 weeks)
Change From Baseline to Weeks 4, 8 and 12 in TS-VAS
The TS-VAS was a visual analogue scale which asked participants to rate their satisfaction with the treatment by placing a vertical mark on a line that runs from 0 (No, not at all) on the left to 10 (Yes, completely) on the right. A positive change from baseline indicated improvement.
Measured: Baseline and week 4, 8 and 12
Percentage of Participants With Zero Incontinence Episodes Per 24 Hours Using the Last 3 Diary Days at Weeks 4, 8, 12 and EoT
The percentage of participants with zero incontinence episodes per 24 hours postbaseline in the last 3 days prior to weeks 4, 8, 12 and EoT.
Measured: Weeks 4, 8, 12 and EoT (up to 12 weeks)
Percentage of Participants With ≥ 10 Points Improvement From Baseline in the OAB-q Symptom Bother Score at Weeks 4, 8, 12 and EoT
The percentage of participants with ≥ 10 points improvement from baseline to each visit (weeks 4, 8, 12 and EoT).
Measured: Weeks 4, 8, 12 and EoT (up to 12 weeks)
Percentage of Participants With ≥ 10 Points Improvement From Baseline in HRQL Total Score at Weeks 4, 8, 12 and EoT
The percentage of participants with ≥ 10 points improvement from baseline to each visit (weeks 4, 8, 12 and EoT).
Measured: Weeks 4, 8, 12 and EoT (up to 12 weeks)
Percentage of Participants With 50% Reduction in Mean Number of Incontinence Episodes Per 24 Hours at Weeks 4, 8, 12 and EoT
The percentage of participants with ≥ 50% decrease from baseline in mean number of incontinence episodes per 24 hours at each time point (weeks 4, 8, 12 and EoT).
Measured: Weeks 4, 8, 12 and EoT (up to 12 weeks)
Percentage of Participants for Micturition Frequency Normalization at Weeks 4, 8, 12 and EoT
The percentage of participants with micturition frequency normalization was defined as any participant who had ≥ 8 micturitions/24 hours at baseline and < 8 micturitions/24 h postbaseline at weeks 4, 8, 12 and EoT.
Measured: Weeks 4, 8 , 12 and EoT (up to 12 weeks)
Percentage of Participants With Zero Incontinence Episodes Per 24 Hours Using the Last 7 Diary Days at Weeks 4, 8, 12 and EoT
The percentage of participants with zero incontinence episodes per 24 hours postbaseline in the last 7 days prior to weeks 4, 8, 12 and EoT.
Measured: Weeks 4, 8, 12 and EoT (up to 12 weeks)
Percentage of Participants With ≥ 1 Point Improvement From Baseline in PPBC at Weeks 4, 8, 12 and EoT
The percentage of participants with ≥ 1 point improvement from baseline in PPBC at weeks 4, 8, 12 and EoT.
Measured: Weeks 4, 8, 12 and EoT (up to 12 weeks)
Percentage of Participants With Major (≥ 2 Points) Improvement From Baseline in PPBC at Weeks 4, 8, 12 and EoT
The percentage of participants with a major (≥ 2 points) improvement from baseline in PPBC at weeks 4, 8, 12 and EoT.
Measured: Weeks 4, 8, 12 and EoT (up to 12 weeks)
Percentage of Participants Who Were Double Responders (50% Reduction in Mean Number of Incontinence Episodes Per 24 Hours and at Least 10 Points Improvement on OAB-q Symptom Bother Scale) at Weeks 4, 8, 12 and EoT
The percentage of participants considered as double responders, defined as participants with 50% reduction in mean number of incontinence episodes per 24 hours compared to baseline and minimal important difference reached (improvement by ≥ 10 points) on the OAB-q Symptom Bother score at weeks 4, 8, 12 and EoT.
Measured: Weeks 4, 8, 12 and EoT (up to 12 weeks)
Percentage of Participants Who Were Double Responders (50% Reduction in Mean Number of Incontinence Episodes Per 24 Hours and at Least 10 Points Improvement on OAB-q HRQL Total Score) at Weeks 4, 8, 12 and EoT
The percentage of participants considered as double responders, defined as participants with 50% reduction in mean number of incontinence episodes per 24 hours compared to baseline and minimal important difference reached (improvement by ≥ 10 points) on the OAB-q HRQL total score at weeks 4, 8, 12 and EoT.
Measured: Weeks 4, 8, 12 and EoT (up to 12 weeks)
Percentage of Participants Who Were Double Responders (50% Reduction in Mean Number of Incontinence Episodes Per 24 Hours and at Least 1 Point Improvement on PPBC) at Weeks 4, 8, 12 and EoT
The percentage of participants considered as double responders, defined as participants with 50% reduction in mean number of incontinence episodes per 24 hours compared to baseline and ≥ 1 point improvement from baseline in PPBC at weeks 4, 8, 12 and EoT.
Measured: Weeks 4, 8, 12 and EoT (up to 12 weeks)
Percentage of Participants Who Were Triple Responders (50% Reduction in Mean Number of Incontinence Episodes Per 24 Hours, at Least 10 Points Improvement on OAB-q Symptom Bother Scale and at Least 1 Point Improvement on PPBC) at Weeks 4, 8, 12 and EoT
The percentage of participants considered as triple responders, defined as participants with 50% reduction in mean number of incontinence episodes per 24 hours compared to baseline, minimal important difference reached (improvement by ≥ 10 points) on the OAB-q Symptom Bother score, and ≥ 1 point improvement from baseline in PPBC at weeks 4, 8, 12 and EoT.
Measured: Weeks 4, 8, 12 and EoT (up to 12 weeks)
Percentage of Participants Who Were Triple Responders (50% Reduction in Mean Number of Incontinence Episodes Per 24 Hours, at Least 10 Points Improvement on OAB-q HRQL Total Score and at Least 1 Point Improvement on PPBC) at Weeks 4, 8, 12 and EoT
The percentage of participants considered as triple responders, defined as participants with 50% reduction in mean number of incontinence episodes per24 hours compared to baseline, minimal important difference reached (improvement by ≥ 10 points) on the HRQL total score, and ≥ 1 point improvement from baseline in PPBC at weeks 4, 8, 12 and EoT.
Measured: Weeks 4, 8, 12 and EoT (up to 12 weeks)
Number of Participants With Treatment-Emergent Adverse Events (TEAEs)
A TEAE refered to an adverse event (AE; defined as any untoward medical occurrence in a participant administered a study drug or who had undergone study procedures and did not necessarily have a causal relationship with this treatment) which started or worsened in the period from first double-blind medication intake until 14 days after the last double-blind medication intake. Serious TEAEs with a start date reported until 30 days after the last double-blind medication intake were also summarized as TEAEs, and also included serious TEAEs upgraded by the sponsor based on review of the sponsor's list of Always Serious terms if any upgrade was done. Drug-related TEAEs may be possible or probable, as assessed by the investigator, or records where relationship is missing.
Measured: From first dose of double-blind study drug up to 30 days after last dose of double-blind study drug (up to 16 weeks)
Change From Baseline to Weeks 4, 8, 12 and EoT in Postvoid Residual (PVR) Volume
PVR volume was assessed by ultrasonography or a bladder scanner.
Measured: Baseline and weeks 4, 8, 12 and EoT (up to 12 weeks)
Change From Baseline to Weeks 4, 12 and EoT in Mean 24-hours, Mean Daytime and Mean Nighttime Systolic Blood Pressure (SBP)
Vital signs (blood pressure and pulse rate) were monitored using an ambulatory blood pressure monitoring (ABPM) device placed on the upper arm followed by intake of the double-blind study medication and worn for at least 24 hours.
Measured: Baseline and weeks 4, 12 and EoT (up to 12 weeks)
Change From Baseline to Weeks 4, 12 and EoT in Mean 24-h, Mean Daytime and Mean Nighttime Diastolic Blood Pressure (DBP)
Vital signs (blood pressure and pulse rate) were monitored using ABPM device placed on the upper arm followed by intake of the double-blind study medication and worn for at least 24 hours.
Measured: Baseline and weeks 4, 12 and EoT (up to 12 weeks)
Change From Baseline to Weeks 4, 12 and EoT in Mean 24-h, Mean Daytime and Mean Nighttime Pulse Rate (PR)
Vital signs (blood pressure and pulse rate) were monitored using an ABPM device placed on the upper arm followed by intake of the double-blind study medication and worn for at least 24 hours.
Measured: Baseline and weeks 4, 12 and EoT (up to 12 weeks)
Change From Baseline to Weeks 4, 12 and EoT in Mean SBP in the Time to Maximum Concentration (Tmax) Window
Vital signs (blood pressure and pulse rate) were monitored using an ABPM device placed on the upper arm followed by intake of the double-blind study medication and worn for at least 24 hours. Tmax (time to maximum concentration) window of mirabegron and solifenacin was from 4-6 hours postdose.
Measured: Baseline and weeks 4, 12 and EoT (up to 12 weeks)
Change From Baseline to Weeks 4, 12 and EoT in Mean DBP in the Tmax Window
Vital signs (blood pressure and pulse rate) were monitored using an ABPM device placed on the upper arm followed by intake of the double-blind study medication and worn for at least 24 hours. Tmax window of mirabegron and solifenacin was from 4-6 hours postdose.
Measured: Baseline and weeks 4, 12 and EoT (up to 12 weeks)
Change From Baseline to Weeks 4, 12 and EoT in Mean PR in the Tmax Window
Vital signs (blood pressure and pulse rate) were monitored using an ABPM device placed on the upper arm followed by intake of the double-blind study medication and worn for at least 24 hours. Tmax window of mirabegron and solifenacin was from 4-6 hours postdose.
Measured: Baseline and weeks 4, 12 and EoT (up to 12 weeks)
Maximum 1-hour Change From Time-matched Baseline in SBP at Weeks 4, 12 and EoT
Vital signs (blood pressure and pulse rate) were monitored using an ABPM device placed on the upper arm followed by intake of the double-blind study medication and worn for at least 24 hours. The maximum 1 hour change from time-matched baseline was calculated as the maximum difference between the post-baseline hourly means and the time-matched baseline hourly means.
Measured: Baseline and weeks 4, 12 and EoT (up to 12 weeks)
Maximum 1-hour Change From Time-matched Baseline in DBP at Weeks 4, 12 and EoT
Vital signs (blood pressure and pulse rate) were monitored using an ABPM device placed on the upper arm followed by intake of the double-blind study medication and worn for at least 24 hours. Tmax window of mirabegron and solifenacin was from 4-6 hours postdose. The maximum 1 hour change from time-matched baseline was calculated as the maximum difference between the post-baseline hourly means and the time-matched baseline hourly means.
Measured: Baseline and weeks 4, 12 and EoT (up to 12 weeks)
Maximum 1-hour Change From Time-matched Baseline in PR at Weeks 4, 12 and EoT
Vital signs (blood pressure and pulse rate) were monitored using an ABPM device placed on the upper arm followed by intake of the double-blind study medication and worn for at least 24 hours. Tmax window of mirabegron and solifenacin was from 4-6 hours postdose. The maximum 1 hour change from time-matched baseline was calculated as the maximum difference between the post-baseline hourly means and the time-matched baseline hourly means.
Measured: Baseline and weeks 4, 12 and EoT (up to 12 weeks)
Change From Baseline to Weeks 4, 12 and EoT in SBP Peak/Trough Difference
Vital signs (blood pressure and pulse rate) were monitored using an ABPM device placed on the upper arm followed by intake of the double-blind study medication and worn for at least 24 hours. Peak/trough difference was defined as the difference between the highest 1-h to lowest 1-h average per participant per visit.
Measured: Baseline and weeks 4, 12 and EoT (up to 12 weeks)
Change From Baseline to Weeks 4, 12 and EoT in DBP Peak/Trough Difference
Vital signs (blood pressure and pulse rate) were monitored using an ABPM device placed on the upper arm followed by intake of the double-blind study medication and worn for at least 24 hours. Peak/trough difference was defined as the difference between the highest 1-h to lowest 1-h average per participant per visit.
Measured: Baseline and weeks 4, 12 and EoT (up to 12 weeks)
Change From Baseline to Weeks 4, 12 and EoT in PR Peak/Trough Difference
Vital signs (blood pressure and pulse rate) were monitored using an ABPM device placed on the upper arm followed by intake of the double-blind study medication and worn for at least 24 hours. Peak/trough difference was defined as the difference between the highest 1-h to lowest 1-h average per participant per visit.
Measured: Baseline and weeks 4, 12 and EoT (up to 12 weeks)
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted31 Oct 2013 (estimated)
- Study start5 Nov 2013
- Primary completion22 Oct 2015
- Study completion22 Oct 2015
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 Urinary Bladder OveractiveStudies 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
- Double blind
- Who is masked
- Participant, Investigator
- Enrolment
- 3,527 participants (actual)
Sponsor and investigators
- Lead sponsor
- Astellas Pharma Europe B.V.
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
- Investigators
- Medical Director, Study director, Astellas Pharma Europe B.V.
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT01972841
- Sponsor's protocol ID
- 178-CL-101
- Other IDs
- 2012-005735-91, U1111-1153-9095
- Acronym
- SYNERGY
- Status last verified
- Oct 2024
- First submitted
- 25 Oct 2013
- Last updated
- 31 Oct 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
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
Study at a glance
From the registry record, last updated by the sponsor on 31 Oct 2024. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Randomized, Double-Blind, Parallel-Group, Placebo- and Active-Controlled, Multi-center Study to Evaluate the Efficacy, Safety and Tolerability of Combinations of Solifenacin Succinate and Mirabegron Compared to Solifenacin Succinate and Mirabegron Monotherapy in the Treatment of Overactive Bladder
- ClinicalTrials.gov ID
- NCT01972841
- Acronym / sponsor ID
- SYNERGY / 178-CL-101
- Conditions
- Urinary Bladder Overactive, Urinary Bladder Diseases\Urologic Diseases, Overactive Bladder, Urgency Incontinence
- Keywords
- Combination Therapy, Mirabegron, Overactive Bladder, Urgency, Urinary Incontinence, Nocturia, Solifenacin Succinate
- Phase
- Phase 3
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 3,527 participants (actual)
- Lead sponsor
- Astellas Pharma Europe B.V.Industry (pharma, biotech, devices)
- Study start
- 5 Nov 2013 (actual)
- Primary completion
- 22 Oct 2015 (actual)
- Study completion
- 22 Oct 2015 (actual)
- First posted
- 31 Oct 2013 (estimated)
- Results
- Posted 12 Jun 2018
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
The purpose of this study was to examine how well two medicines (solifenacin succinate and mirabegron) combined work compared to each medicine alone in the treatment of bladder problems.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Double blind (participant, investigator)
- Number of arms
- 6
| Arm | Type | Receives |
|---|---|---|
| 1: Solifenacin 5 mg + Mirabegron 25 mg | Experimental | Drug: Solifenacin succinate, Drug: Mirabegron, Drug: Placebo to match mirabegronParticipants who received solifenacin 5 mg and mirabegron 25 mg once a day for 12 weeks. |
| 2: Solifenacin 5 mg + Mirabegron 50 mg | Experimental | Drug: Solifenacin succinate, Drug: Mirabegron, Drug: Placebo to match mirabegronParticipants who received solifenacin 5 mg and mirabegron 50 mg once a day for 12 weeks. |
| 3: Placebo | Placebo comparator | Drug: Placebo to match solifenacin succinate, Drug: Placebo to match mirabegronParticipants who received matching placebo once a day for 12 weeks. |
| 4: Solifenacin 5 mg | Active comparator | Drug: Solifenacin succinate, Drug: Placebo to match mirabegronParticipants who received solifenacin 5 mg once a day for 12 weeks. |
| 5:Mirabegron 25 mg | Active comparator | Drug: Mirabegron, Drug: Placebo to match solifenacin succinate, Drug: Placebo to match mirabegronParticipants who received mirabegron 25 mg once a day for 12 weeks. |
| 6: Mirabegron 50 mg | Active comparator | Drug: Mirabegron, Drug: Placebo to match solifenacin succinate, Drug: Placebo to match mirabegronParticipants who received mirabegron 50 mg once a day for 12 weeks. |
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (2 listed)
- Subject was willing and able to complete the micturition diary and questionnaires correctly and able to measure his/her vital signs at home at stipulated time points, using the device provided by the study personnel, and to adequately record the readings;
- Subject had symptoms of "wet" OAB (urinary frequency and urgency with incontinence) for at least 3 months;
Key exclusion criteria (11 listed)
- Subject had significant PVR volume (> 150 mL);
- Subject had a neurological cause for detrusor overactivity (e.g. neurogenic bladder, diabetic neuropathy with autonomic component or bladder involvement, or systemic or central neurological disease such as multiple sclerosis and Parkinson's disease with autonomic component or bladder involvement). An autonomic component could be inferred when autonomic functions were affected, including heart rate, blood pressure, perspiration and digestion.
- Subject had an indwelling catheter or practices intermittent self catheterization.
- Subject had chronic inflammation such as bladder pain syndrome /interstitial cystitis, symptomatic bladder stones or any previous or current radiation cystitis.
- Subject had received intravesical treatment in the past 12 months with e.g., botulinum toxin, resiniferatoxin, capsaicin.
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 |
|---|---|---|
| Solifenacin succinateAlso: Vesikur, Vesitrim, YM905, VesicareOral tablet | Drug | 1: Solifenacin 5 mg + Mirabegron 25 mg, 2: Solifenacin 5 mg + Mirabegron 50 mg, 4: Solifenacin 5 mg |
| MirabegronAlso: YM178, Betmiga, Betanis, MyrbetriqOral tablet | Drug | 1: Solifenacin 5 mg + Mirabegron 25 mg, 2: Solifenacin 5 mg + Mirabegron 50 mg, 5:Mirabegron 25 mg, 6: Mirabegron 50 mg |
| Placebo to match solifenacin succinateOral tablet | Drug | 3: Placebo, 5:Mirabegron 25 mg, 6: Mirabegron 50 mg |
| Placebo to match mirabegronOral tablet | Drug | 1: Solifenacin 5 mg + Mirabegron 25 mg, 2: Solifenacin 5 mg + Mirabegron 50 mg, 3: Placebo, 4: Solifenacin 5 mg, 5:Mirabegron 25 mg, 6: Mirabegron 50 mg |
Primary outcome
Change From Baseline to End of Treatment (EoT) in Mean Number of Incontinence Episodes Per 24 Hours
Time frame: Baseline and EoT (up to 12 weeks)
An incontinence episode was defined as the complaint of any involuntary leakage of urine. The mean number of incontinence episodes per 24 hours was calculated from data recorded by the participant per day on valid diary days during the 7-day micturition diary period.
Change From Baseline to EoT in Mean Number of Micturitions Per 24 Hours
Time frame: Baseline and EoT (up to 12 weeks)
A micturition was defined as any voluntary micturition (excluding incontinence only episodes). The mean number of micturitions per 24 hours was calculated from data recorded by the participant per day on valid diary days during the 7-day micturition diary period.
68 secondary outcomes
Change From Baseline to EoT in Mean Volume Voided Per Micturition
Time frame: Baseline and EoT (up to 12 weeks)
Change From Baseline to EoT in Overactive Bladder Questionnaire (OAB-q) Symptom Bother Score
Time frame: Baseline and EoT (up to 12 weeks)
Change From Baseline to EoT in Treatment Satisfaction-Visual Analogue Scale (TS-VAS)
Time frame: Baseline and EoT (up to 12 weeks)
Number of Incontinence Episodes at Weeks 4, 8, 12 and EoT
Time frame: Weeks 4, 8, 12 and EoT (up to 12 weeks)
Change From Baseline to Weeks 4, 8, 12 and EoT in Number of Incontinence Episodes
Time frame: Baseline and weeks 4, 8, 12 and EoT (up to 12 weeks)
Change From Baseline to Weeks 4, 8 and 12 in Mean Number of Incontinence Episodes Per 24 Hours
Time frame: Baseline and weeks 4, 8 and 12
Change From Baseline to Weeks 4, 8 and 12 in Mean Number of Micturitions Per 24 Hours
Time frame: Baseline and weeks 4, 8 and 12
Change From Baseline to Weeks 4, 8 and 12 in Mean Volume Voided Per Micturition
Time frame: Baseline and weeks 4, 8 and 12
Change From Baseline to EoT in Corrected Micturition Frequency
Time frame: Baseline and Week 12
Number of Urgency Incontinence Episodes at Weeks 4, 8, 12 and EoT
Time frame: Weeks 4, 8, 12 and EoT (up to 12 weeks)
Change From Baseline to Weeks 4, 8, 12 and EoT in Number of Urgency Incontinence Episodes
Time frame: Baseline and weeks 4, 8, 12 and EoT (up to 12 weeks)
Change From Baseline to Weeks 4, 8, 12 and EoT in Mean Number of Urgency Incontinence Episodes Per 24 Hours
Time frame: Baseline and weeks 4, 8, 12 and EoT (up to 12 weeks)
Change From Baseline to Weeks 4, 8, 12 and EoT in Mean Number of Urgency Episodes (Grade 3 or 4) Per 24 Hours
Time frame: Baseline and weeks 4, 8, 12 and EoT (up to 12 weeks)
Number of Nocturia Episodes at Weeks 4, 8, 12 and EoT
Time frame: Weeks 4, 8, 12 and EoT (up to 12 weeks)
Change From Baseline to Weeks 4, 8, 12 and EoT in Number of Nocturia Episodes
Time frame: Baseline and weeks 4, 8, 12, and EoT (up to 12 weeks)
Change From Baseline to Weeks 4, 8, 12 and EoT in Mean Number of Nocturia Episodes Per 24 Hours
Time frame: Baseline and weeks 4, 8, 12 and EoT (up to 12 weeks)
Number of Pads Used at Weeks 4, 8, 12 and EoT
Time frame: Weeks 4, 8 and 12 (up to 12 weeks)
Change From Baseline to Weeks 4, 8, 12 and EoT in Number of Pads Used
Time frame: Baseline and weeks 4, 8, 12 and EOT (up to 12 weeks)
Change From Baseline to Weeks 4, 8, 12 and EoT in Mean Number of Pads Used Per 24 Hours
Time frame: Baseline and weeks 4, 8 and 12 (up to 12 weeks)
Number of Incontinence-Free Days at Weeks 4, 8, 12 and EoT
Time frame: Weeks 4, 8, 12 and EoT (up to 12 weeks)
Number of Days With < 8 Micturitions at Weeks 4, 8, 12 and EoT
Time frame: Weeks 4, 8,12 and EoT (up to 12 weeks)
Number of Incontinence-Free Days With < 8 Micturitions at Weeks 4, 8, 12 and EoT
Time frame: Weeks 4, 8, 12 and EoT (up to 12 weeks)
Change From Baseline to Weeks 4, 8, 12 and EoT in Patient Perception of Bladder Condition Questionnaire (PPBC)
Time frame: Baseline and weeks 4, 8, 12, EoT (up to 12 weeks)
Change From Baseline to Weeks 4, 8 and 12 in the OAB-q Symptom Bother Score
Time frame: Baseline and weeks 4, 8 and 12
Change From Baseline to Weeks 4, 8, 12 and EoT in OAB-q Health-Related Quality of Life Questionnaire (HRQL) Total Score
Time frame: Baseline and weeks 4, 8, 12 and EoT (up to 12 weeks)
Change From Baseline to Weeks 4, 8, 12 and EoT in OAB-q HRQL Subscale Score: Coping
Time frame: Baseline and weeks 4, 8, 12 and EoT (up to 12 weeks)
Change From Baseline to Weeks 4, 8, 12 and EoT in OAB-q HRQL Subscale Score: Concern
Time frame: Baseline and weeks 4, 8, 12 and EoT (up to 12 weeks)
Change From Baseline to Weeks 4, 8, 12 and EoT in OAB-q HRQL Subscale Score: Sleep
Time frame: Baseline and weeks 4, 8, 12 and EoT (up to 12 weeks)
Change From Baseline to Weeks 4, 8, 12 and EoT in OAB-q HRQL Subscale Score: Social
Time frame: Weeks 4, 8, 12 and EoT (up to 12 weeks)
Patient's Global Impression of Change (PGIC) Scale: Impression in Bladder Symptoms at Week 12 and EoT
Time frame: Week 12 and EoT (up to 12 weeks)
PGIC Scale: Impression in General Health at Week 12 and EoT
Time frame: Week 12 and EoT (up to 12 weeks)
Change From Baseline to EoT in European Quality of Life in 5 Dimensions (EQ-5D) Questionnaire Subscale Score: Mobility
Time frame: Baseline and EoT (up to 12 weeks)
Change From Baseline to EoT in EQ-5D Questionnaire Subscale Score: Self-Care
Time frame: Baseline and EoT (up to 12 weeks)
Change From Baseline to EoT in EQ-5D Questionnaire Subscale Score: Usual Activities
Time frame: Baseline and EoT (up to 12 weeks)
Change From Baseline to EoT in EQ-5D Questionnaire Subscale Score: Pain/Discomfort
Time frame: Baseline and EoT (up to 12 weeks)
Change From Baseline to EoT in EQ-5D Questionnaire Subscale Score: Anxiety/Depression
Time frame: Baseline and EoT (up to 12 weeks)
Change From Baseline to Week 12 and EoT in Work Productivity and Activity Impairment: Specific Health Problem Questionnaire (WPAI:SHP) Score: Percent Work Time Missed
Time frame: Baseline and week 12 and EoT (up to 12 weeks)
Change From Baseline to Week 12 and EoT in WPAI:SHP Score: Percent Impairment While Working
Time frame: Baseline and week 12 and EoT (up to 12 weeks)
Change From Baseline to Week 12 and EoT in WPAI:SHP Score: Percent Overall Work Impairment
Time frame: Baseline and week 12 and EoT (up to 12 weeks)
Change From Baseline to Week 12 and EoT in WPAI:SHP Score: Percent Activity Impairment
Time frame: Baseline and week 12 and EoT (up to 12 weeks)
Results and safety
Loading the posted results from ClinicalTrials.gov…
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 31 Oct 2024.
- Posted resultsParticipant flow, baseline, all outcome measures and adverse events.
- Derived from this study: PubMed 37160401Stoniute A, Madhuvrata P, Still M, Barron-Millar E, Nabi G, Omar MI. Oral anticholinergic drugs versus placebo or no treatment for managing overactive bladder syndrome in adults. Cochrane Database Syst Rev. 2023 May 9;5(5):CD003781. doi: 10.1002/14651858.CD003781.pub3.
- 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/.
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Medical Director study director
Astellas Pharma Europe B.V.
435 sites in 42 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 3 study testing Solifenacin succinate and Mirabegron in people with Urinary Bladder Overactive and Urinary Bladder Diseases\Urologic Diseases, run by Astellas Pharma Europe B.V. at 435 sites in 42 countries.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 2 inclusion and 11 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 31 Oct 2024. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 435 sites in United States, Canada, South Korea, China, Australia and 37 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 12 Jun 2018). 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 (EoT) in Mean Number of Incontinence Episodes Per 24 Hours (time frame: Baseline and EoT (up to 12 weeks)). 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 NCT01972841, 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 31 Oct 2024.