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Overactive Bladder SyndromePhase 2NCT03632772

Comparison of Solifenacin and Mirabegron in Treatment of Overactive Bladder Symptoms in Men After TURP

A Phase 2 study testing Solifenacin 5Mg and Mirabegron 50 MG in people with Overactive Bladder Syndrome, run by Buddhist Tzu Chi General Hospital at 1 site in Taiwan.

Unknown status

Status not confirmed. The sponsor has not verified this record for over two years, so it may be out of date.

Official record
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Trial summary

Urinary frequency urgency and urgency urinary incontinence (UUI) are commonly encountered in patients after transurethral prostatectomy (TURP) or transurethral incision of the prostate (TUIP). Antimuscarinics has been widely used to treat OAB and around 70% of patients can improve symptoms after treatment. Read more about this study

Who is it for?
Ages 20 to 80 years, men only
Conditions the study is for
Overactive Bladder Syndrome
What is being tested?
Solifenacin 5Mg and Mirabegron 50 MG
Could I receive a placebo?
No, everyone receives an active treatment
How many people
130 participants
Where
1 siteTaiwan
Study dates
1 Aug 2018to 31 Jul 2019
Phase
Phase 2
Are there results?
None posted in the registry

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 20 to 80 years
  • Men only
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Male patients with BPH and undergo TURP or TUIP.
  • Patients void smoothly after catheter removal.
  • No active urinary tract infection.
  • No gross hematuria or blood clot obstruction.
  • Patient or his care giver can complete voiding diary and report symptoms.

Who cannot join

  • Patients have overt neurological diseases such as cerebrovascular disease, senile dementia or spinal cord injury.
  • Patients have severe medical disease and completely immobile.
  • Patients have PVR larger than 150ml.
  • Patients do not have OAB after TURP.

Trial locations and contacts

1 site in 1 country.

Hann-Chorng Kuo, M.D. contact

886-3-8561825 ext. 12113

hck@tzuchi.com.tw

Taiwan1 site, 1 recruiting
  • Buddhist Tzu Chi General Hospital

    Hualien City, 970

    Hann-Chorng Kuo, M.D., 886-3-8561825 ext. 2113, hck@tzuchi.com.tw

    Recruiting

Other trials in Taiwan

About this study

Official title: Comparative Study of Solifenacin and Mirabegron in Treatment of Overactive Bladder Symptoms in Men After Transurethral Resection of the Prostate - A Randomized Prospective Study

Urinary frequency urgency and urgency urinary incontinence (UUI) are commonly encountered in patients after transurethral prostatectomy (TURP) or transurethral incision of the prostate (TUIP). Antimuscarinics has been widely used to treat OAB and around 70% of patients can improve symptoms after treatment. Beta-3 adrenoceptor agonist (mirabegron) can also decrease DO and improve OAB symptoms. Combination treatment of solifenacin 5mg plus mirabegron 25 or 50mg was more effective than mirabegron 50mg alone, but with more anticholinergic side effects. However, there has been no clinical trial to compare which drug provides more benefit to decrease the OAB symptom severity immediately after TURP. This study tries to compare the safety and therapeutic efficacy between solifenacin and mirabegron in men with BPH and having OAB symptoms immediately after TURP.

This study was designed as a prospective, randomized trial to compare the safety and efficacy of OAB medication on the decrease of overactive bladder symptoms score (OABSS) and urgency severity score (USS) between solifenacin 5mg QD and mirabegron 50mg QD in men with BPH undergoing TURP. A total of 130 male patients with BPH and undergo TURP or TUIP will be enrolled. The primary end point is the change of USS from baseline to 4 weeks after catheter removal and starting OAB medication. Secondary end-points include the changes of OABSS, frequency episodes, urgency episodes, UUI episodes in the 3-day voiding diary, maximum flow rate (Qmax), voided volume and PVR, International Prostate Symptom Score (IPSS) and quality of life index (QoL-I) from baseline to 2 weeks and 4 weeks.

We expect that patients receiving solifenacin and mirabegron might have similar therapeutic effects on decrease of USS, but patients who received mirabegron might have less adverse events such as dry mouth or difficulty in urination.

Read the detailed description

Introduction:

Urinary frequency urgency and urgency urinary incontinence (UUI) are commonly encountered in patients after transurethral prostatectomy (TURP) or transurethral incision of the prostate (TUIP). [1] Patients usually bother by these overactive bladder (OAB) symptoms. The causes of postprostatectomy OAB might be detrusor overactivity (DO) before TURP, increase afferent input due to acute inflammation after TURP, or a weak urethral sphincter which cannot hold urine at the bladder capacity. Antimuscarinics and beta-3 adrenoceptor agonist are two different classes of medication for OAB. [2] Antimuscarinics has been widely used to treat OAB and around 70% of patients can improve symptoms after treatment. Beta-3 adrenoceptor agonist (mirabegron) can also decrease DO and improve OAB symptoms. Combination treatment of solifenacin 5mg plus mirabegron 25 or 50mg was more effective than mirabegron 50mg alone, but with more anticholinergic side effects. [3] However, antimuscarnics might decrease detrusor contractility and result in increase of postvoid residual (PVR) volume. Current clinical studies reveal that mirabegron does not impair detrusor contractility or increase PVR. [4] Under this consideration, mirabegron has been widely used to treat male lower urinary tract symptoms (LUTS) due to benign prostate hyperplasia (BPH). [5] However, there has been no clinical trial to compare which drug provides more benefit to decrease the OAB symptom severity immediately after TURP. This study tries to compare the safety and therapeutic efficacy between solifenacin and mirabegron in men with BPH and having OAB symptoms immediately after TURP.

Material and methods:

Objectives and Endpoints: This study was designed as a prospective, randomized trial to compare the safety and efficacy of OAB medication on the decrease of overactive bladder symptoms score (OABSS) and urgency severity score (USS) between solifenacin 5mg QD and mirabegron 50mg QD in men with BPH undergoing TURP.

Randomization: Permuted block randomization method will be applied to generate randomization codes. Each randomization number will be assigned to individual patient according to the time-sequence for screened patient become eligible.

Expected Results:

Patients receiving solifenacin and mirabegron might have similar therapeutic effects on decrease of USS, but patients who received mirabegron might have less adverse events such as dry mouth or difficulty in urination.

Being tested
Solifenacin 5Mg, Mirabegron 50 MG
Keywords
Overactive bladder, Transurethral Resection of the Prostate, Pharmacotherapy, Mirabegron, Solifenacin
Medical subject headings
Urinary Bladder, Overactive

What participants receive

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

  • Solifenacin 5MgDrug

    Also called Vesicare

    We compared the safety and therapeutic efficacy between Solifenacin and Mirabegron in men with benign prostate hyperplasia and having overactive bladder symptoms immediately after Transurethral Resection of the Prostate.

  • Mirabegron 50 MGDrug

    Also called Betmiga

    We compared the safety and therapeutic efficacy between Solifenacin and Mirabegron in men with benign prostate hyperplasia and having overactive bladder symptoms immediately after Transurethral Resection of the Prostate.

Study groups in NCT03632772
Study groupRoleWhat they receive
Solifenacin 5 mg for 4 weeksExperimentalSolifenacin 5 mg once-daily for 4 weeks.
Receives: Drug: Solifenacin 5Mg
Mirabegron 50 mg for 4 weeksExperimentalMirabegron 50 mg once-daily for 4 weeks.
Receives: Drug: Mirabegron 50 MG
Control: non treatmentNo interventionControl: non treatment.

What is being measured

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

  1. Urgency Severity Scale (USS)

    The change of USS from baseline to 4 weeks after catheter removal and starting OAB medication.

    Measured: from baseline to 4 weeks

Secondary outcomes (7)
  1. Overactive Bladder Symptom Score (OABSS)

    The changes of OABSS

    Measured: from baseline to 2 weeks and 4 weeks.

  2. frequency episodes, urgency episodes, urgency urinary incontinence (UUI) episodes in the 3-day voiding diary

    The changes of frequency episodes, urgency episodes, urgency urinary incontinence (UUI) episodes in the 3-day voiding diary

    Measured: from baseline to 2 weeks and 4 weeks.

  3. maximum flow rate (Qmax)

    The changes of maximum flow rate (Qmax)

    Measured: from baseline to 2 weeks and 4 weeks.

  4. voided volume (Vol)

    The changes of voided volume (Vol)

    Measured: from baseline to 2 weeks and 4 weeks.

  5. Postvoid residual volume (PVR)

    The changes of Postvoid residual volume (PVR)

    Measured: from baseline to 2 weeks and 4 weeks.

  6. International Prostate Symptom Score (IPSS)

    The changes of International Prostate Symptom Score (IPSS)

    Measured: from baseline to 2 weeks and 4 weeks.

  7. quality of life index (QoL-I)

    The changes of quality of life index (QoL-I)

    Measured: from baseline to 2 weeks and 4 weeks.

Timeline

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

  1. First posted15 Aug 2018
  2. Study start1 Aug 2018
  3. Primary completion31 Jul 2019 (estimated)
  4. Study completion31 Jul 2019 (estimated)

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 2
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
Single blind
Who is masked
Participant
Enrolment
130 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT03632772
Sponsor's protocol ID
TCGH107-115-A
Status last verified
Aug 2018
First submitted
13 Aug 2018
Last updated
24 Aug 2018
Results posted
No
Data monitoring committee
Yes
FDA-regulated drug
Yes
FDA-regulated device
No
Individual data sharing
No: IPD was not planned to share.

Publications

  • Seki N, Yuki K, Takei M, Yamaguchi A, Naito S. Analysis of the prognostic factors for overactive bladder symptoms following surgical treatment in patients with benign prostatic obstruction. Neurourol Urodyn. 2009;28(3):197-201. doi: 10.1002/nau.20619.

    PubMed 18973143
  • Yamada S, Ito Y, Nishijima S, Kadekawa K, Sugaya K. Basic and clinical aspects of antimuscarinic agents used to treat overactive bladder. Pharmacol Ther. 2018 Sep;189:130-148. doi: 10.1016/j.pharmthera.2018.04.010. Epub 2018 Apr 27.

    PubMed 29709423
  • Kelleher C, Hakimi Z, Zur R, Siddiqui E, Maman K, Aballea S, Nazir J, Chapple C. Efficacy and Tolerability of Mirabegron Compared with Antimuscarinic Monotherapy or Combination Therapies for Overactive Bladder: A Systematic Review and Network Meta-analysis. Eur Urol. 2018 Sep;74(3):324-333. doi: 10.1016/j.eururo.2018.03.020. Epub 2018 Apr 23.

    PubMed 29699858
  • Wada N, Iuchi H, Kita M, Hashizume K, Matsumoto S, Kakizaki H. Urodynamic Efficacy and Safety of Mirabegron Add-on Treatment with Tamsulosin for Japanese Male Patients with Overactive Bladder. Low Urin Tract Symptoms. 2016 Sep;8(3):171-6. doi: 10.1111/luts.12091. Epub 2015 Feb 17.

    PubMed 27619782
  • Nitti VW, Rosenberg S, Mitcheson DH, He W, Fakhoury A, Martin NE. Urodynamics and safety of the beta(3)-adrenoceptor agonist mirabegron in males with lower urinary tract symptoms and bladder outlet obstruction. J Urol. 2013 Oct;190(4):1320-7. doi: 10.1016/j.juro.2013.05.062. Epub 2013 May 30.

    PubMed 23727415
  • 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

Questions about this trial

What is this clinical trial studying?

A Phase 2 study testing Solifenacin 5Mg and Mirabegron 50 MG in people with Overactive Bladder Syndrome, run by Buddhist Tzu Chi General Hospital at 1 site in Taiwan.

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

Who may be eligible to take part?

The sponsor lists 5 inclusion and 4 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: status not confirmed, as of the sponsor's last update on 24 Aug 2018. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in Taiwan. 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 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.

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

Are results available for this study?

Results are not available in the source record.

How can a doctor refer a patient or contact the research team?

Contact Hann-Chorng Kuo, M.D. (886-3-8561825 ext. 12113, hck@tzuchi.com.tw), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Urgency Severity Scale (USS) (time frame: from baseline to 4 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 NCT03632772, which also lists 6 linked publications.

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 24 Aug 2018.

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