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Overactive BladderPhase 4NCT02656173

A Phase 4 Study to Evaluate the Efficacy, Safety, and Tolerability of Mirabegron in Male Subjects With Overactive Bladder (OAB) Symptoms, While Taking the Alpha Blocker for Benign Prostatic Hypertrophy (BPH)

A Phase 4 study testing Mirabegron and Tamsulosin in people with Overactive Bladder, run by Astellas Pharma Inc at 58 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 primary objective of the study was to investigate the efficacy of mirabegron versus placebo in male patients with OAB symptoms while taking the alpha blocker, tamsulosin, for BPH. Read more about this study

Who is it for?
Ages 40 years and older, men only
Conditions the study is for
Overactive Bladder
What is being tested?
Mirabegron and Tamsulosin
Type of treatment
Pill or oral medicine
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
568 participants
Where
58 sitesin 2 countries
Study dates
25 Jan 2016to 21 Jul 2017
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 40 years and older
  • Men only
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • at Visit 1 (Screening):
  • Patient had been under treatment with tamsulosin 0.2mg for at least 4 weeks before the start of the Screening period.
  • Patient with a history of an average of at least 2 episodes of urgency per 24 hours and an average of 8 or more micturitions per 24 hours during the last 3 days before the start of the Screening period (verified by interview).
  • Patient who had no wish to have children in the future (Unique to Japan).
  • Male subjects and their female spouses/partners who were of childbearing potential must be using highly effective contraception consisting of two forms of birth control (at least one of which must be a barrier method), starting at Screening, continuing throughout the study period, and for 28 days after the final study drug administration.
  • Subject must not donate sperm, starting at Screening, continuing throughout the study period, and for 28 days after the final study drug administration.
Show all 10Show fewer
  • Patient was willing and able to complete the micturition diary and questionnaires correctly.
  • Subject agreed not to participate in another interventional study while receiving treatment in this study.
  • at Visit 2 (Baseline):
  • Subject with an average of at least 2 episodes of urgency per 24 hours and an average of 8 or more micturitions per 24 hours based on a 3-day micturition diary from the Screening period.

Who cannot join

  • at Visit 1 (Screening):
  • Patient with suspected symptoms of OAB, with onset only transient (e.g., drug-induced, psychogenic).
  • Patient with PVR urine volume >100 mL or Q max <5 mL/sec.
  • Patient with prostate-specific antigen (PSA) ≥4 ng/mL.
  • Patient with neurogenic bladder (e.g., spinal-cord lesions or other damage that will clearly affect urination; multiple sclerosis; Parkinson's disease) or a history of surgery that caused damage to the pelvic plexus.
  • Patient with urethral stricture or bladder-neck stenosis.
Show all 36Show fewer
  • Patient with diabetic neuropathy complications.
  • Patient who had undergone a surgical procedure, previous pelvic radiation therapy, or hyperthermia therapy that may affect urinary tract function.
  • Patient with significant stress incontinence or postsurgical prostate incontinence, as determined by the Investigator.
  • Patient with an indwelling catheter or practices intermittent self-catheterization.
  • Patient with 3 or more episodes of recurrent urinary tract infection (UTI) within the last 6 months.
  • Patient with a UTI; prostatitis; chronic inflammation, such as interstitial cystitis; urinary calculus; or previous or current malignant disease of the pelvic organs.
  • Patient with a concurrent malignancy or history of any malignancy (within the past 5 years), except for non-metastatic basal-cell or squamous-cell carcinoma of the skin that had been treated successfully.
  • Patient with serious heart disease, liver disease, kidney disease, immunological disease, lung disease.
  • Patient who had received intravesical injection within the last 12 months with botulinum toxin, resiniferatoxin, or capsaicin.
  • Patient who had received electrostimulation therapy for OAB.
  • Patient who had received a bladder training program or pelvic floor exercises <28 days prior to the start of the Screening period.
  • Patient with postural hypotension or syncope, hypokalemia, or closed-angle glaucoma.
  • Patient with evidence of QT prolongation on electrocardiogram (ECG), defined as QTcF >450 msec.
  • Patient with severe uncontrolled hypertension, defined as sitting systolic blood pressure (SBP) >180 mmHg and/or diastolic blood pressure (DBP) >110 mmHg.
  • Patient with a clinically significant ECG abnormality, as determined by the Investigator.
  • Patient who had severe renal impairment, defined as an estimated glomerular filtration rate of <29 mL/min/1.73m2; end-stage renal disease; or is undergoing dialysis.
  • Patient with aspartate transaminase (AST) or alanine transaminase (ALT) >2 times the upper limit of normal (ULN), or gamma-glutamyl transferase (γ-GT) >3 times the ULN and considered clinically significant by the Investigator.
  • Patient with moderate or severe hepatic impairment, defined as Child-Pugh Class B or C.
  • Patient with hypersensitivity to any of the components of mirabegron, other beta-adrenergic receptor (β-AR) agonists, or any of the inactive ingredients.
  • Patient with ongoing alcohol and/or drug abuse.
  • Patient with or a history of mood disorder, neurotic disorder, or schizophrenia.
  • Patient with dementia, cognitive dysfunction, or clinically significant cerebrovascular disorder.
  • Patient who had been treated with an experimental device <84 days or received an investigational agent <84 days prior to the start of the Screening period.
  • Patient had used any prohibited concomitant medication <28 days (but, <1 year for 5α-reductase inhibitors) before the start of the Screening period.
  • Patient with any clinically significant condition, which in the opinion of the Investigator, made the subject unsuitable for study participation.
  • Patient who was involved in the conduct of the study as an employee of the Astellas group, a third party associated with the study, or the study site team.
  • at Visit 2 (Baseline):
  • Subject fulfills any exclusion criteria of Visit 1 at Visit 2.
  • Subject was noncompliant during the 4 week tamsulosin Screening period, defined as taking less than 80% or greater than 120% of prescribed dose of study medication.
  • Subject had an average total daily urine volume >3000 mL, as recorded in the 3-day micturition diary.

Trial locations and contacts

58 sites in 2 countries.

58 sites in 2 countries

Japan53 sites
  • Site JP81046

    Aichi

  • Site JP81009

    Chiba

  • Site JP81045

    Chiba

  • Site JP81041

    Fukuoka

  • Site JP81042

    Fukuoka

  • Site JP81043

    Fukuoka

  • Site JP81044

    Fukuoka

  • Site JP81048

    Fukuoka

  • Site JP81004

    Gunma

  • Site JP81005

    Gunma

  • Site JP81001

    Hokkaido

  • Site JP81002

    Hokkaido

  • Site JP81003

    Hokkaido

  • Site JP81038

    Hyōgo

  • Site JP81039

    Hyōgo

  • Site JP81040

    Hyōgo

  • Site JP81024

    Kanagawa

  • Site JP81056

    Kanagawa

  • Site JP81051

    Kochi

  • Site JP81052

    Kochi

  • Site JP81047

    Kumamoto

  • Site JP81025

    Osaka

  • Site JP81026

    Osaka

  • Site JP81027

    Osaka

  • Site JP81028

    Osaka

  • Site JP81029

    Osaka

  • Site JP81030

    Osaka

  • Site JP81031

    Osaka

  • Site JP81032

    Osaka

  • Site JP81033

    Osaka

  • Site JP81034

    Osaka

  • Site JP81035

    Osaka

  • Site JP81036

    Osaka

  • Site JP81037

    Osaka

  • Site JP81053

    Osaka

  • Site JP81054

    Osaka

  • Site JP81006

    Saitama

  • Site JP81007

    Saitama

  • Site JP81008

    Saitama

  • Site JP81050

    Shizuoka

  • Site JP81010

    Tokyo

  • Site JP81011

    Tokyo

  • Site JP81012

    Tokyo

  • Site JP81013

    Tokyo

  • Site JP81014

    Tokyo

  • Site JP81015

    Tokyo

  • Site JP81016

    Tokyo

  • Site JP81017

    Tokyo

  • Site JP81018

    Tokyo

  • Site JP81019

    Tokyo

  • Site JP81020

    Tokyo

  • Site JP81021

    Tokyo

  • Site JP81022

    Tokyo

Other trials in Japan

South Korea5 sites
  • Site KR00001

    Seoul

  • Site KR00002

    Seoul

  • Site KR00003

    Seoul

  • Site KR00004

    Seoul

  • Site KR00005

    Seoul

Other trials in South Korea

About this study

Official title: A Phase 4, Double-blind, Randomized, Placebo-controlled Multicenter Study to Evaluate the Efficacy and Safety of Mirabegron in Japanese and Korean Male Patients With Overactive Bladder Under Treatment With the α-Blocker Tamsulosin for Benign Prostatic Hyperplasia

The primary objective of the study was to investigate the efficacy of mirabegron versus placebo in male patients with OAB symptoms while taking the alpha blocker, tamsulosin, for BPH.

Being tested
Mirabegron, Placebo, Tamsulosin
Keywords
Tamsulosin, Overactive bladder, Benign prostatic hypertrophy, Mirabegron
Medical subject headings
Urinary Bladder, Overactive, Prostatic Hyperplasia

What participants receive

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

  • MirabegronDrug

    Also called YM178

    Oral tablet

  • PlaceboDrug

    Oral tablet

  • TamsulosinDrug

    Oral tablet

Study groups in NCT02656173
Study groupRoleWhat they receive
Mirabegron 50 mgExperimentalParticipants who received mirabegron 50 mg once a day along with tamsulosin 0.2 mg for 12 weeks
Receives: Drug: Mirabegron; Drug: Tamsulosin
PlaceboExperimentalParticipants who received matching placebo once a day along with tamsulosin 0.2 mg for 12 weeks.
Receives: Drug: Placebo; Drug: Tamsulosin

What is being measured

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

  1. Change From Baseline to End of Treatment (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 participants on a 3-day micturition diary before each visit.

    Measured: Baseline and EoT (up to 12 weeks)

  2. Change From Baseline to Weeks 4, 8, 12 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 participants on a 3-day micturition diary before each visit.

    Measured: Baseline and week 4, 8 and 12

Secondary outcomes (14)
  1. Change From Baseline to EoT in Mean Number of Urgency Episodes Per 24 Hours

    An urgency episode was defined as a complaint of a sudden, compelling desire to pass urine, which is difficult to defer. The mean number of urgency episodes per 24 hours was calculated from data recorded by participants on a 3-day micturition diary before each visit.

    Measured: Baseline and EoT (up to 12 weeks)

  2. Change From Baseline to EoT in Mean Number of Urgency Incontinence Episodes Per 24 Hours

    An urgency incontinence episode was defined as any episode when both urgency and incontinence occurred concurrently. The mean number of urgency incontinence episodes per 24 hours was calculated from data recorded by participants on a 3-day micturition diary before each visit.

    Measured: Baseline and EoT (up to 12 weeks)

  3. Change From Baseline to 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 participants on a 3-day micturition diary before each visit.

    Measured: Baseline and EoT (up to 12 weeks)

  4. Change From Baseline to EoT in Mean Number of Nocturia Episodes

    A nocturia episode was defined as a micturition episode initiated between night time. Night time was defined as the period between sleep onset time and the wake-up time the following day (micturitions at the same time as the wake-up time were excluded). The mean number of nocturia episodes per 24 hours was calculated from data recorded by participants on a 3-day micturition diary before each visit.

    Measured: Baseline and EoT (up to 12 weeks)

  5. Change From Baseline to EoT in Mean Volume Voided Per Micturition

    The mean volume voided per micturition was calculated from data recorded by participants on a 3-day micturition diary before each visit.

    Measured: Baseline and EoT (up to 12 weeks)

  6. Change From Baseline to EoT in Total Overactive Bladder Symptom Score (OABSS)

    The OABSS is a 4-item questionnaire that assesses urinary frequency. Total score was the sum total of the score of each item (ranges: 0-15). Negative change means improvement.

    Measured: Baseline and EoT (up to 12 weeks)

  7. Change From Baseline to EoT in OABSS Subscale Scores

    Each OABSS subscale score was based on each question in the questionnaire: Daytime Frequency ("How many times do you typically urinate from waking in the morning until sleeping at night?" where scores range from 0-2), Nighttime Frequency ("How many times do you typically wake up to urinate from sleeping at night until waking in the morning?" where scores range from 0-3), Urgency ("How often do you have a sudden desire to urinate, which is difficult to defer?" where scores range from 0-5), Urgency Incontinence ("How often do you leak urine because you cannot defer the sudden desire to urinate?" where scores range from 0-5). A higher score is indicative of worse condition and a negative change from baseline indicates an improvement.

    Measured: Baseline and EoT (up to 12 weeks)

  8. Change From Baseline to EoT in Total International Prostate Symptom Score (IPSS)

    The IPSS included an 7-item questionnaire that assesses urinary frequency and incomplete voiding along with a QoL assessment. Total IPSS score was the sum total of the score (range: 0-35) of each item (Questions 1-7). Negative change means improvement.

    Measured: Baseline and EoT (up to 12 weeks)

  9. Change From Baseline to EoT in IPSS Subscale Scores

    IPSS subscale scores was calculated by following each formula. Storage subscale was derived as sum of scores for questions 2, 4, and 7 (range: 1-15). Voiding subscale-1 was derived as sum of scores for questions 3, 5, and 6 (range: 1-15). Voiding subscale-2 was derived as sum of voiding subscale-1 and the score for question 1 (range: 1-20). Individual scores and IPSS Quality of Life (QoL) score was the score of each item (range: 1-6) (Questions 1-7 and QoL item). A higher score is indicative of worse condition and a negative change from baseline indicates an improvement.

    Measured: Baseline and EoT (up to 12 weeks)

  10. Change From Baseline to EoT in Symptom Bother as Assessed by the Overactive Bladder Questionnaire (OAB-q)

    The OAB-q was a 33-item questionnaire, which consisted of an 8-item symptom bother scale and 25 health-related QoL items that form 4 subscales (coping, concern, sleep, and social interaction) and a total health-related QoL score.

    Symptom Bother was derived as sum of scores for questions 1-8 (range: 0-100). Higher Symptom Bother is indicative of greater symptom bother.

    Measured: Baseline and EoT (up to 12 weeks)

  11. Change From Baseline to EoT in Total Health-Related QoL (HRQoL) Scores as Assessed by the OAB-q

    The OAB-q was a 33-item questionnaire, which consisted of an 8-item symptom bother scale and 25 health-related QoL items that form 4 subscales (coping, concern, sleep, and social interaction) and a total health-related QoL score.

    Total HRQL score was derived as sum of HRQL subscale scores (range: 25-150). Higher total HRQL score is indicative of better HRQL.

    Measured: Baseline and EoT (up to 12 weeks)

  12. Number of Participants With Adverse Events

    Treatment-emergent adverse events (TEAE) was defined as an adverse event (AE) with onset during the double-blind treatment period or an AE with onset during the screening period with worsening severity during the double-blind treatment period. The investigator assessed the severity of AEs as follows: Mild: No disruption of normal daily activities; Moderate: Affected normal daily activities; Severe: Inability to perform daily activities. A drug-related TEAE was a TEAE with at least a possible relationship to the study drug as assessed by the investigator. Serious TEAE was an AE considered serious.

    Measured: From first dose of study drug up to Week 12

  13. Change From Baseline to EoT in Postvoid Residual (PVR) Volume

    PVR was measured by ultrasonography.

    Measured: Baseline and EoT (up to 12 weeks)

  14. Change From Baseline to EoT in Maximum Urine Flow Rate (Qmax)

    Urine flow rate was volume voided per micturition (voided volume) divided by time for the micturition (flow time).

    Measured: Baseline 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.

  1. First posted14 Jan 2016 (estimated)
  2. Study start25 Jan 2016
  3. Primary completion21 Jul 2017
  4. Study completion21 Jul 2017

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
Double blind
Who is masked
Participant, Investigator
Enrolment
568 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT02656173
Sponsor's protocol ID
178-MA-3016
Status last verified
Oct 2024
First submitted
13 Jan 2016
Last updated
12 Nov 2024
Data monitoring committee
No
FDA-regulated drug
Yes
FDA-regulated device
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

  • Kakizaki H, Lee KS, Katou D, Yamamoto O, Sumarsono B, Uno S, Yamaguchi O. Mirabegron Add-On Therapy to Tamsulosin in Men with Overactive Bladder: Post Hoc Analyses of Efficacy from the MATCH Study. Adv Ther. 2021 Jan;38(1):739-757. doi: 10.1007/s12325-020-01517-5. Epub 2020 Nov 27.

    PubMed 33245533

Questions about this trial

What is this clinical trial studying?

A Phase 4 study testing Mirabegron and Tamsulosin in people with Overactive Bladder, run by Astellas Pharma Inc at 58 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 10 inclusion and 36 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 12 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 58 sites in Japan, South Korea. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

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

What does this phase mean?

Phase 4 studies take place after a treatment is approved, to learn more about its long-term benefits and risks in everyday use.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

Yes. Results are posted in the registry (first posted 18 Sep 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 Micturitions 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 NCT02656173, 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 12 Nov 2024.

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Clinical Trial NCT02656173 | AzTrials