Trial Outcomes & Findings for Enhancing Conservative Treatment for Urge Incontinence (NCT NCT00223821)

NCT ID: NCT00223821

Last Updated: 2013-12-19

Results Overview

Percent change from baseline in weekly frequency of incontinent episodes immediately post-treatment, derived from baseline and week 8 seven-day bladder diaries.

Recruitment status

COMPLETED

Study phase

NA

Target enrollment

166 participants

Primary outcome timeframe

Baseline and immediately post-treatment - week 8

Results posted on

2013-12-19

Participant Flow

Participants were community-dwelling women with urge predominant incontinence recruited between July 2003 and January 2008.

Of the 166 women enrolled, 58 were found to be ineligible on clinical evaluation, 44 withdrew, and 64 were randomized.

Participant milestones

Participant milestones
Measure
Drug Therapy Alone
drug therapy alone Oxybutynin chloride, extended-release: Individually-titrated, extended-release oxybutynin chloride with management of side-effects.
Drug Therapy + Behavioral Training
drug therapy + behavioral training Oxybutynin chloride, extended-release: Individually-titrated, extended-release oxybutynin chloride with management of side-effects. Behavior Training: Behavioral training consists of teaching urge suppression strategies and pelvic floor muscle training.
Overall Study
STARTED
32
32
Overall Study
Completed Therapy
31
28
Overall Study
Completed Post-treatment Assessment
31
27
Overall Study
Completed 6-month Follow-up
28
25
Overall Study
COMPLETED
28
22
Overall Study
NOT COMPLETED
4
10

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Enhancing Conservative Treatment for Urge Incontinence

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Arm 1
n=32 Participants
drug therapy alone Extended release Oxybutynin Chloride : Individually-titrated, extended release oxybutynin chloride with management of side-effects.
Arm 2
n=32 Participants
drug therapy + behavioral training Extended release Oxybutynin Chloride : Individually-titrated, extended release oxybutynin chloride with management of side-effects. Behavior Training : Behavioral training consists of teaching urge suppression strategies and pelvic floor muscle training.
Total
n=64 Participants
Total of all reporting groups
Age Continuous
59.3 years
STANDARD_DEVIATION 11.2 • n=5 Participants
57.4 years
STANDARD_DEVIATION 12.6 • n=7 Participants
58.4 years
STANDARD_DEVIATION 11.9 • n=5 Participants
Sex: Female, Male
Female
32 Participants
n=5 Participants
32 Participants
n=7 Participants
64 Participants
n=5 Participants
Sex: Female, Male
Male
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
32 Participants
n=5 Participants
32 Participants
n=7 Participants
64 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Asian
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Black or African American
6 Participants
n=5 Participants
14 Participants
n=7 Participants
20 Participants
n=5 Participants
Race (NIH/OMB)
White
26 Participants
n=5 Participants
18 Participants
n=7 Participants
44 Participants
n=5 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Region of Enrollment
United States
32 participants
n=5 Participants
32 participants
n=7 Participants
64 participants
n=5 Participants
Incontinence type
Urge only
25 participants
n=5 Participants
26 participants
n=7 Participants
51 participants
n=5 Participants
Incontinence type
Mixed urge + stress
7 participants
n=5 Participants
5 participants
n=7 Participants
12 participants
n=5 Participants
Incontinence type
missing
0 participants
n=5 Participants
1 participants
n=7 Participants
1 participants
n=5 Participants
Incontinence severity
Mild (less than 5 episodes/wk)
4 participant
n=5 Participants
4 participant
n=7 Participants
8 participant
n=5 Participants
Incontinence severity
Moderate (5-10 episodes/wk)
7 participant
n=5 Participants
10 participant
n=7 Participants
17 participant
n=5 Participants
Incontinence severity
Severe (> 10 episodes/wk)
21 participant
n=5 Participants
18 participant
n=7 Participants
39 participant
n=5 Participants

PRIMARY outcome

Timeframe: Baseline and immediately post-treatment - week 8

Population: Intention to treat

Percent change from baseline in weekly frequency of incontinent episodes immediately post-treatment, derived from baseline and week 8 seven-day bladder diaries.

Outcome measures

Outcome measures
Measure
Drug Therapy Alone
n=32 Participants
Extended release Oxybutynin Chloride : Individually-titrated, extended release oxybutynin chloride with management of side-effects.
Drug Therapy + Behavioral Training
n=32 Participants
Extended release Oxybutynin Chloride : Individually-titrated, extended release oxybutynin chloride with management of side-effects. Behavior Training : Behavioral training consists of teaching urge suppression strategies and pelvic floor muscle training.
Change in Incontinent Episodes Immediately Post-treatment
-88.5 percentage change
Standard Deviation 24.0
-78.3 percentage change
Standard Deviation 32.6

SECONDARY outcome

Timeframe: Baseline and 12 months post-treatment

Population: Intention to treat

Percent change from baseline in weekly frequency of incontinent episodes at 12-months post-treatment, derived from baseline and 12-month seven-day bladder diaries

Outcome measures

Outcome measures
Measure
Drug Therapy Alone
n=32 Participants
Extended release Oxybutynin Chloride : Individually-titrated, extended release oxybutynin chloride with management of side-effects.
Drug Therapy + Behavioral Training
n=32 Participants
Extended release Oxybutynin Chloride : Individually-titrated, extended release oxybutynin chloride with management of side-effects. Behavior Training : Behavioral training consists of teaching urge suppression strategies and pelvic floor muscle training.
Change in Incontinent Episodes at 12-month Follow-up
-82.0 percent change
Standard Deviation 26.1
-75.2 percent change
Standard Deviation 33.4

Adverse Events

Arm 1

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Arm 2

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Adverse event data not reported

Additional Information

Kathryn L. Burgio, PhD

Birmingham VA Medical Center

Phone: 205-558-7064

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place