Clinical Study of Solifenacin Succinate in Patients With Bladder Symptoms Due to Spinal Cord Injury or Multiple Sclerosis

NCT ID: NCT00629642

Last Updated: 2024-11-14

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE4

Total Enrollment

249 participants

Study Classification

INTERVENTIONAL

Study Start Date

2008-03-14

Study Completion Date

2011-01-28

Brief Summary

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A clinical study to evaluate the efficacy and safety of solifenacin in patients with bladder symptoms due to spinal cord injury or multiple sclerosis

Detailed Description

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A clinical study to compare the efficacy and safety of solifenacin succinate in patients with neurogenic detrusor overactivity. In this randomized, double blind, double dummy study solifenacin will be compared to placebo and an active comparator, oxybutynin hydrochloride. Patients will be randomized to one of four treatment arms; solifenacin 10mg, solifenacin 5mg, placebo or oxybutynin 15mg. Patients will be assessed over a four week treatment period.

Conditions

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Multiple Sclerosis Neurogenic Bladder Spinal Cord Diseases

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

QUADRUPLE

Participants Caregivers Investigators Outcome Assessors

Study Groups

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I.Solifenacin succinate 10mg (2x5mg 1/day)

Oral

Group Type EXPERIMENTAL

Solifenacin Succinate

Intervention Type DRUG

Oral, 10mg

II.Solifenacin succinate 5mg (5mg 1/day)

Oral

Group Type EXPERIMENTAL

Solifenacin Succinate

Intervention Type DRUG

Oral, 5mg

III.Oxybutynin hydrochloride 15mg (5mg 3/day)

Oral

Group Type ACTIVE_COMPARATOR

Oxybutynin Hydrochloride

Intervention Type DRUG

Oral, 15mg

IV. Placebo

Oral

Group Type PLACEBO_COMPARATOR

Placebo

Intervention Type DRUG

Oral

Interventions

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Solifenacin Succinate

Oral, 10mg

Intervention Type DRUG

Solifenacin Succinate

Oral, 5mg

Intervention Type DRUG

Oxybutynin Hydrochloride

Oral, 15mg

Intervention Type DRUG

Placebo

Oral

Intervention Type DRUG

Other Intervention Names

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Vesicare YM905 Vesicare YM905

Eligibility Criteria

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Inclusion Criteria

* Written informed consent has been obtained
* Subjects with neurogenic detrusor overactivity due to:

* Multiple sclerosis(MS)(EDSS≤8) or
* Spinal cord injury(SCI)(partial or complete lesions)
* MS or SCI symptoms should be stable for \>= 6 months
* Neurogenic detrusor overactivity symptoms should be stable for \>= 6 months
* Subject is willing and able to perform clean, intermittent, catheterization, if required
* Subject is willing and able to take study medication in compliance with the protocol

Exclusion Criteria

* Subjects with neurogenic detrusor overactivity due to Parkinson's or cerebrovascular disease
* Subjects with Sjögren's Syndrome or any similar symptoms
* Subjects with evidence of a symptomatic urinary tract infection, chronic inflammation such as interstitial cystitis, bladder stones, previous pelvic radiation therapy or previous or current malignant disease of the pelvic organs
* Subjects with stress incontinence or mixed incontinence where stress is the predominant factor as determined by the investigator
* Subjects with evidence of pressure sores \>= grade 2
* Subjects with a history of bladder sphincterotomy
* Subjects with known history of vesico-ureteral reflux without upper urinary tract infection
* Any clinically significant condition, which in the opinion of the investigator makes the subject unsuitable for the study or includes a history of acute urinary retention, severe gastrointestinal obstruction (including paralytic ileus or intestinal atony), severe gastrointestinal conditions (including toxic megacolon or ulcerative colitis), myasthenia gravis, narrow angle glaucoma or shallow anterior chamber
* Subjects undergoing hemodialysis
* Subjects with severe hepatic impairment
* Concurrent use of drugs intended to treat symptoms of overactive bladder
* Use of antidepressants or muscle relaxants which have not been administered at a constant dose for \>= 3 months
* Use of non-drug treatment intended to treat overactive bladder symptoms including electrostimulation therapy, botulinum toxin and vanilloids therapy in the six months prior to the commencement of the study
* Use of permanent, indwelling catheters
* Known or suspected hypersensitivity to solifenacin succinate, oxybutynin hydrochloride, other anti cholinergics or lactose
* Concomitant use of a strong CYP3A4 inhibitor, e.g. ketoconazole
* Pregnant women, women who intend to become pregnant during the study, women of childbearing potential who are sexually active and practicing an unreliable method of birth control or women who will be lactating during the study. Reliable contraceptive methods are intra-uterine devices, contraceptive pills of combination type, hormonal implants and injectable contraceptives
* Participation in any clinical study within 30 days of randomization, or the limit set by national law, whichever is longer
* Employees of the Astellas Group, third parties associated with the study, or the study site
* Subjects with maximum bladder capacity \>= 400ml at visit 2
Minimum Eligible Age

18 Years

Maximum Eligible Age

65 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Astellas Pharma Inc

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Department of (Neuro) Urology

Role: PRINCIPAL_INVESTIGATOR

Universitaire Ziekenhuizen KU Leuven

Locations

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Brisbane, , Australia

Site Status

Melbourne, , Australia

Site Status

Perth, , Australia

Site Status

Randwick, , Australia

Site Status

Antwerp, , Belgium

Site Status

Esneux, , Belgium

Site Status

Fraiture-en-Condroz, , Belgium

Site Status

Ghent, , Belgium

Site Status

Leuven, , Belgium

Site Status

Melsbroek, , Belgium

Site Status

Brno, , Czechia

Site Status

České Budějovice, , Czechia

Site Status

Prague, , Czechia

Site Status

Caen, , France

Site Status

Garches, , France

Site Status

Paris, , France

Site Status

Ploemeur, , France

Site Status

Berlin, , Germany

Site Status

Hagenow, , Germany

Site Status

Heidelberg, , Germany

Site Status

Kiel, , Germany

Site Status

Nyíregyháza, , Hungary

Site Status

Sopron, , Hungary

Site Status

Szeged, , Hungary

Site Status

Florence, , Italy

Site Status

Milan, , Italy

Site Status

Rome, , Italy

Site Status

Torino, , Italy

Site Status

Apeldoorn, , Netherlands

Site Status

Eindhoven, , Netherlands

Site Status

Nijmegen, , Netherlands

Site Status

Saint Petersburg, , Russia

Site Status

Saint Petersburg, , Russia

Site Status

Sant Joan d'Alacant, Alicante, Spain

Site Status

Badalona, Barcelona, Spain

Site Status

Getafe, Madrid, Spain

Site Status

A Coruña, , Spain

Site Status

Cardiff, , United Kingdom

Site Status

Newcastle upon Tyne, , United Kingdom

Site Status

Countries

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Australia Belgium Czechia France Germany Hungary Italy Netherlands Russia Spain United Kingdom

References

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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.

Reference Type DERIVED
PMID: 37160401 (View on PubMed)

Related Links

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https://www.astellasclinicalstudyresults.com/study.aspx?ID=213

Link to results on the Astellas Clinical Study Results website.

Other Identifiers

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2006-005523-42

Identifier Type: OTHER

Identifier Source: secondary_id

905-EC-005

Identifier Type: -

Identifier Source: org_study_id

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