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Overactive BladderPhase 3EmpowurNCT03583372

An Extension Study to Examine the Safety and Tolerability of a New Drug in Patients With Symptoms of Overactive Bladder (OAB).

A Phase 3 study testing Vibegron and Tolterodine Tartrate ER in people with Overactive Bladder, run by Urovant Sciences GmbH at 107 sites in United States.

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

This study is designed to evaluate the safety, tolerability, and efficacy of vibegron administered once daily in participants with OAB for up to 52 weeks. Read more about this study

Who is it for?
Ages 18 years and older
Conditions the study is for
Overactive Bladder
What is being tested?
Vibegron and Tolterodine Tartrate ER
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
506 participants
Where
107 sitesUnited States
Study dates
14 Jun 2018to 25 Jul 2019
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

  • Has completed participation in study RVT-901-3003.
  • Has demonstrated ≥ 80% compliance with self-administration of Study Treatment in study RVT-901-3003.

Who cannot join

  • Has a change in history or current evidence of any clinically significant condition, therapy, lab abnormality, or other circumstance that might, in the opinion of the Investigator, confound the results of the study, interfere with the participant's ability to comply with study procedures, or make participation in the study not in the participant's best interest.
  • Has coronary or neurovascular interventions planned during the duration of the study.
  • Has uncontrolled hyperglycemia (defined as fasting blood glucose >150 mg/dL or 8.33 mmol/L and/or non-fasting blood glucose >200 mg/dL or 11.1 mmol/L) based on most recent available lab results in study RVT-901-3003 or, if in the opinion of the Investigator, is uncontrolled.
  • Has uncontrolled hypertension (systolic blood pressure of ≥ 180 mm Hg and/or diastolic blood pressure of ≥ 100 mm Hg) or has a resting heart rate (by pulse) > 100 beats per minute.
  • Has clinically significant ECG abnormality which, in the opinion of the Investigator, exposes the participant to risk by participating in the study
  • Has alanine aminotransferase or aspartate aminotransferase > 2.0 times the upper limit of normal (ULN), or bilirubin (total bilirubin) > 1.5 x ULN (or > 2.0 x ULN if secondary to Gilbert syndrome or pattern consistent with Gilbert syndrome) based on most recent available lab results in study RVT-901-3003.
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  • Has an estimated glomerular filtration rate (eGFR) < 30mL/min/1.73 m2 based on most recent available lab results in study RVT-901-3003.
  • Use of any prohibited medications as detailed in Section 7.7.3.
  • Plans to initiate or change the dosing of any medications listed in Section 7.7.5 during the study that in the opinion of the investigator is assessed to be clinical significant.
  • Has an allergy, intolerance, or a history of a significant clinical or laboratory adverse experience associated with any of the active or inactive components of the vibegron formulation or tolterodine formulation.
  • Is currently participating or has participated in a study with an investigational compound or device within 28 days of signing informed consent, not including participation in study RVT-901-3003.
  • Has a history of significant drug or alcohol abuse/dependence within a year of informed consent, as assessed by the investigator.
  • Has a varying sleep schedule anticipated during times when the voiding diaries are to be completed.

Trial locations and contacts

107 sites in 1 country.

107 sites in 1 country

United States107 sites
  • Albuquerque Clinical Trials, Inc.

    Albuquerque, New Mexico, 87102

  • AccumetRx Clinical Research - Division of Urology Group of New Mexico

    Albuquerque, New Mexico, 87109

  • Montana Health Research Institute Inc.

    Billings, Montana, 59102

  • United Medical Associates

    Binghamton, New York, 13901

  • Boston Clinical Trials

    Boston, Massachusetts, 02131

  • PAB Clinical Research

    Brandon, Florida, 33511

  • Investigators Research Group LLC

    Brownsburg, Indiana, 46112

  • DiscoveResearch Inc.

    Bryan, Texas, 77802-2589

  • Seattle Urology Research

    Burien, Washington, 98166

  • Hope Clinical Research

    Canoga Park, California, 91303

  • Core Healthcare Group

    Cerritos, California, 90703

  • Clinical Trials of South Carolina

    Charleston, South Carolina, 29406-8106

  • PMG Research of Charlotte LLC

    Charlotte, North Carolina, 28209

  • Sentral Clinical Research Services

    Cincinnati, Ohio, 45236-2934

  • Rapid Medical Research

    Cleveland, Ohio, 44122

  • Buckeye Health and Research

    Columbus, Ohio, 43207

  • Aventiv Research, Inc.

    Columbus, Ohio, 43213-6523

  • Top Medical Research Inc.

    Cutler Bay, Florida, 33189

  • Providence Health Partners

    Dayton, Ohio, 45439

  • Horizons Clinical Research Center

    Denver, Colorado, 80220

  • Lynn Institute of Denver

    Denver, Colorado, 80246

  • WR Global Medical Research

    DeSoto, Texas, 75115-2052

  • Revival Research

    Doral, Florida, 33122

  • Greater Providence Clinical Research, LLC

    East Providence, Rhode Island, 02914

  • Riverside Clinical Research

    Edgewater, Florida, 32132

  • Premier Urology Group LLC

    Edison, New Jersey, 08837

  • Regional Clinical Research Inc.

    Endwell, New York, 13760

  • Urologic Research and Consulting LLC

    Englewood, New Jersey, 07631

  • HWC Womens Research Center

    Englewood, Ohio, 45322-2722

  • Evanston Premier Healthcare Research

    Evanston, Illinois, 60201

  • Piedmont Research Partners

    Fort Mill, South Carolina, 29707

  • AccuMed Research Associates

    Garden City, New York, 11530-1664

  • PharmQuest

    Greensboro, North Carolina, 27408

  • Clinical Investigation Specialists Inc.

    Gurnee, Illinois, 60031

  • Drug Trials America

    Hartsdale, New York, 10530

  • American Clinical Trials

    Hawaiian Gardens, California, 90716

  • Indago Research Health Center

    Hialeah, Florida, 33012

  • Best Quality Research, Inc.

    Hialeah, Florida, 33016

  • Advances in Health

    Houston, Texas, 77030

  • Pioneer Research Solutions

    Houston, Texas, 77099

  • Protenium Clinical Research

    Hurst, Texas, 76054

  • Leonard Maliver MD Antria, Inc.

    Indiana, Pennsylvania, 15701

  • The Jackson Clinic

    Jackson, Tennessee, 38301

  • The Clinical Trial Center LLC

    Jenkintown, Pennsylvania, 19046

  • MultiSpecialty Clinical Research, Inc.

    Johnson City, Tennessee, 37601

  • Health Awareness, Inc.

    Jupiter, Florida, 33458

  • Grossmont Center for Clinical Research

    La Mesa, California, 91942

  • Barrett Clinic P.C.

    La Vista, Nebraska, 68128

  • Prime-Care Clinical Research

    Laguna Hills, California, 92653

  • Excel Clinical Research

    Las Vegas, Nevada, 89109-6209

  • Lawrence OB-GYN Clinical Research LLC

    Lawrenceville, New Jersey, 08648-2526

  • Central Kentucky Research Associates Inc.

    Lexington, Kentucky, 40509

  • Women's Clinic of Lincoln PC

    Lincoln, Nebraska, 68510

  • Long Beach Clinical Trials LLC

    Long Beach, California, 90806

  • Downtown L.A. Research Center Inc.

    Los Angeles, California, 90017

  • Adams Patterson Gynecology and Obstetrics

    Memphis, Tennessee, 38120-2382

  • Advanced Clinical Research

    Meridian, Idaho, 83642

  • San Marcus Research Clinic Inc.

    Miami, Florida, 33015

  • LCC Medical Research Institute Inc.

    Miami, Florida, 33126

  • Nuren Medical Research Center

    Miami, Florida, 33144

  • AppleMed Research Group LLC

    Miami, Florida, 33155

  • Miami Clinical Research

    Miami, Florida, 33155

  • Advanced Medical Research Institute

    Miami, Florida, 33174

  • Clinical Research Solutions

    Middleburg Heights, Ohio, 44130

  • Clinical Research Consulting LLC

    Milford, Connecticut, 06460

  • Coastal Clinical Research Inc.

    Mobile, Alabama, 36608

  • Tri Valley Urology Medical Group

    Murrieta, California, 92562

  • Family Medicine of SayeBrook LLC

    Myrtle Beach, South Carolina, 29588

  • Coastal Connecticut Research LLC

    New London, Connecticut, 06320

  • DelRicht Research

    New Orleans, Louisiana, 70115

  • Suncoast Clinical Research Inc.

    New Port Richey, Florida, 34652

  • Bayside Clinical Research

    New Port Richey, Florida, 34655

  • Health Research of Hampton Roads Inc.

    Newport News, Virginia, 23606

  • Meridian Clinical Research LLC

    Norfolk, Nebraska, 68701

  • Infinity Medical Research Inc.

    North Dartmouth, Massachusetts, 02747

  • Compass Research LLC

    Orlando, Florida, 32806

  • In-Quest Medical Research, LLC

    Peachtree Corners, Georgia, 30071

  • South Broward Research LLC

    Pembroke Pines, Florida, 33027

  • Clinical Research of Philadelphia LLC

    Philadelphia, Pennsylvania, 19114

  • Preferred Primary Care Physicians Inc.

    Pittsburgh, Pennsylvania, 15236

  • Research Protocol Management Specialists Hills ObGyn Associates Inc

    Pittsburgh, Pennsylvania, 15243

  • Clinical Research Center of Florida

    Pompano Beach, Florida, 33060

  • Remidica LLC

    Rochester, Michigan, 48307-1318

  • Northern California Research

    Sacramento, California, 95821

  • Wasatch Clinical Research LLC

    Salt Lake City, Utah, 84107

  • Clinical Trials of Texas Inc.

    San Antonio, Texas, 78229

  • Bandera Family Health Care

    San Antonio, Texas, 78249

  • Artemis Institute for Clinical Research

    San Diego, California, 92103

  • WR MCCCR

    San Diego, California, 92108

  • Artemis Institute for Clinical Research

    San Marcos, California, 92078

  • Seattle Women's: Health, Research, Gynecology

    Seattle, Washington, 98105

  • Regional Urology LLC

    Shreveport, Louisiana, 71106

  • Hillcrest Clinical Research LLC

    Simpsonville, South Carolina, 29681

  • Palmetto Clinical Research

    Summerville, South Carolina, 29485

  • Clinical Research of West Florida

    Tampa, Florida, 33603

  • Clinical Research Consortium

    Tempe, Arizona, 85283

  • Noble Clinical Research

    Tucson, Arizona, 85704

  • Bayview Research Group LLC

    Valley Village, California, 91607-3456

  • Family Practice Center of Wadsworth Inc. - New Venture Medical Research

    Wadsworth, Ohio, 44281

  • Chase Medical Research, LLC

    Waterbury, Connecticut, 06708

  • Bay State Clinical Trials Inc.

    Watertown, Massachusetts, 02472

  • Upstate Clinical Research Associates LLC

    Williamsville, New York, 14221-6046

  • Ohio Clinical Research LLC

    Willoughby Hills, Ohio, 44094

  • PMG Research

    Wilmington, North Carolina, 28401

  • PMG Research of Winston-Salem

    Winston-Salem, North Carolina, 27103

  • Clinical Research of Central Florida

    Winter Haven, Florida, 33880

  • North Georgia Clinical Research

    Woodstock, Georgia, 30189-4255

Other trials in United States

About this study

Official title: An International Phase 3, Randomized, Double-Blind, Active (Tolterodine)-Controlled Multicenter Extension Study to Evaluate the Long-Term Safety and Efficacy of Vibegron in Patients With Symptoms of Overactive Bladder

This study is designed to evaluate the safety, tolerability, and efficacy of vibegron administered once daily in participants with OAB for up to 52 weeks.

Being tested
Vibegron, placebos, Tolterodine Tartrate ER
Keywords
Beta-3 adrenergic receptor (β3-AR) agonists, incontinence, OAB, vibegron, urge urinary incontinence, Urinary bladder, overactive, Urologic Diseases, Lower Urinary Tract Symptoms, Urological Agents
Medical subject headings
Urinary Bladder, Overactive, Urinary Incontinence, Urge, Urologic Diseases, Lower Urinary Tract Symptoms

What participants receive

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

  • VibegronDrug

    Also called RVT-901, MK-4618, KRP114V

    single daily dose 75 mg

  • placebosDrug

    placebo to match vibegron (experimental drug) and tolterodine (active comparator)

  • Tolterodine Tartrate ERDrug

    Also called Mariosea XL

    single daily dose of 4 mg

Study groups in NCT03583372
Study groupRoleWhat they receive
Vibegron + Placebo to match TolterodineExperimentalNot described
Receives: Drug: Vibegron; Drug: placebos
Tolterodine + Placebo to match vibegronActive comparatorNot described
Receives: Drug: placebos; Drug: Tolterodine Tartrate ER

What is being measured

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

  1. Number of Participants With the Indicated Type of Treatment-emergent Adverse Event

    Adverse events were collected in participants with overactive bladder (OAB) who previously completed treatment in Study RVT-901-3003. The treatment-emergent period was defined as the period of time from the first dose date of the active double-blind study treatment, whether in Study RVT-901-3003 or Study RVT-901-3004, through 28 days after the last dose of study treatment, or the date of initiation of another investigational agent or surgical intervention, whichever occurred first.

    Measured: up to 56 weeks

Secondary outcomes (4)
  1. Change From Baseline (CFB) at Week 52 in the Average Number of Micturitions Per 24 Hours in All Overactive Bladder (OAB) Participants

    A micturition/void is defined as "Urinated in Toilet" as indicated on the Patient Voiding Diary (PVD). The number of micturitions is defined as the number of times a participant voided in the toilet as indicated in the PVD. The average daily number of micturitions was calculated using the daily entries in the PVD (which was to be completed prior to each study visit) as the total number of micturitions that occurred on a Complete Diary Day (CDD) divided by the number of CDDs in the PVD. CFB was calculated as the post-BL value minus the BL value. "Per 24 hours" corresponds to one Diary Day (i.e., time between when the participant got up for the day each morning and time the participant got up for the day the next morning as recorded in the PVD). Covariates included in the mixed model for repeated measures (MMRM) were study visit, treatment, treatment by study visit interaction, Baseline, and the statistically significant terms in Study RVT-901-3003: OAB type (Wet versus Dry) and sex.

    Measured: Baseline; Week 52

  2. CFB at Week 52 in the Average Number of Urge Urinary Incontinence (UUI) Episodes Per 24 Hours in OAB Wet Participants

    The number of UUI episodes is defined as the number of times a participant had checked "urge" as the main reason for the leakage in the PVD, regardless of whether more than one reason for leakage in addition to "urge" was checked. The average daily number of UUI episodes was calculated using the daily entries in the PVD (which was to be completed prior to each study visit) as the total number of UUI episodes that occurred on a CDD divided by the number of CDDs in the PVD. CFB was calculated as the post-BL value minus the BL value. "Per 24 hours" corresponds to one Diary Day (i.e., time between when participant got up for the day each morning and time participant got up for the day the next morning as recorded in the PVD). Covariates included in the MMRM were study visit, treatment, treatment by study visit interaction, Baseline, and the statistically significant terms in Study RVT-901-3003: sex. Only participants with evaluable data were analyzed.

    Measured: Baseline; Week 52

  3. CFB at Week 52 in the Average Number of Urgency Episodes (Need to Urinate Immediately) Over 24 Hours in All OAB Participants

    The number of urgency episodes is defined as the number of times a participant had checked "need to urinate immediately" on a CDD divided by the number of CDDs in the PVD. CFB is calculated as the post-BL value minus the BL value. "Over 24 hours" corresponds to one Diary Day (i.e., time between when the participant got up for the day each morning and time the participant got up for the day the next morning as recorded in the PVD). Covariates included in the MMRM were study visit, treatment, treatment by study visit interaction, Baseline, and the statistically significant terms in Study RVT-901-3003: OAB type (Wet versus Dry) and sex.

    Measured: Baseline; Week 52

  4. CFB at Week 52 in the Average Number of Total Urinary Incontinence Episodes Over 24 Hours in OAB Wet Participants

    The number of total incontinence episodes is defined as the number of times a participant had checked the accidental urine leakage box in the PVD, including for reasons of "urge," "stress," or "other." CFB was calculated as the post-BL value minus the BL value. "Over 24 hours" corresponds to one Diary Day (i.e., time between when the participant got up for the day each morning and time the participant got up for the day the next morning as recorded in the PVD). Covariates included in the MMRM were study visit, treatment, treatment by study visit interaction, Baseline, and the statistically significant terms in Study RVT-901-3003: sex. hr = hour.

    Measured: Baseline; Week 52

Timeline

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

  1. First posted11 Jul 2018
  2. Study start14 Jun 2018
  3. Primary completion13 Jun 2019
  4. Study completion25 Jul 2019

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 3
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
Quadruple blind
Who is masked
Participant, Care provider, Investigator, Outcomes assessor
Enrolment
506 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT03583372
Sponsor's protocol ID
RVT-901-3004
Other IDs
2017-003294-33, 2017
Acronym
Empowur
Status last verified
Feb 2021
First submitted
28 Jun 2018
Last updated
18 Mar 2021
Data monitoring committee
No
FDA-regulated drug
Yes
FDA-regulated device
No
Individual data sharing
No

Publications

  • Staskin D, Frankel J, Varano S, Shortino D, Jankowich R, Mudd PN Jr. Once-Daily Vibegron 75 mg for Overactive Bladder: Long-Term Safety and Efficacy from a Double-Blind Extension Study of the International Phase 3 Trial (EMPOWUR). J Urol. 2021 May;205(5):1421-1429. doi: 10.1097/JU.0000000000001574. Epub 2020 Dec 28.

    PubMed 33356445

Questions about this trial

What is this clinical trial studying?

A Phase 3 study testing Vibegron and Tolterodine Tartrate ER in people with Overactive Bladder, run by Urovant Sciences GmbH at 107 sites in United States.

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

Who may be eligible to take part?

The sponsor lists 2 inclusion and 13 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 18 Mar 2021. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 107 sites in United States. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

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

What does this phase mean?

Phase 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 3 Feb 2021). 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?

Number of Participants With the Indicated Type of Treatment-emergent Adverse Event (time frame: up to 56 weeks). It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT03583372, 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 18 Mar 2021.

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