Trial Outcomes & Findings for Solifenacin Succinate (VESIcare) for the Treatment of Overactive Bladder in Parkinson's Disease (NCT NCT01018264)

NCT ID: NCT01018264

Last Updated: 2021-11-09

Results Overview

The primary objective of this study is to measure the efficacy of solifenacin succinate (VESIcare) in reducing the mean number of micturitions per 24 hour period in Parkinson's disease (PD) patients as measured by voiding diaries.

Recruitment status

COMPLETED

Study phase

PHASE4

Target enrollment

23 participants

Primary outcome timeframe

12 weeks

Results posted on

2021-11-09

Participant Flow

Participant milestones

Participant milestones
Measure
Solifenacin Succinate (VESIcare)
solifenacin succinate (VESIcare): up to 10mg every day orally
Placebo
placebo: placebo matching solifenacin succinate (VESIcare) up to 10mg orally every day
Overall Study
STARTED
10
13
Overall Study
COMPLETED
9
12
Overall Study
NOT COMPLETED
1
1

Reasons for withdrawal

Reasons for withdrawal
Measure
Solifenacin Succinate (VESIcare)
solifenacin succinate (VESIcare): up to 10mg every day orally
Placebo
placebo: placebo matching solifenacin succinate (VESIcare) up to 10mg orally every day
Overall Study
Withdrawal by Subject
1
0
Overall Study
Lost to Follow-up
0
1

Baseline Characteristics

Solifenacin Succinate (VESIcare) for the Treatment of Overactive Bladder in Parkinson's Disease

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Solifenacin Succinate (VESIcare)
n=10 Participants
solifenacin succinate (VESIcare): up to 10mg every day orally
Placebo
n=13 Participants
placebo: placebo matching solifenacin succinate (VESIcare) up to 10mg orally every day
Total
n=23 Participants
Total of all reporting groups
Age, Customized
Age (years)
67.6 years
STANDARD_DEVIATION 6.6 • n=5 Participants
66.5 years
STANDARD_DEVIATION 9.3 • n=7 Participants
66.96 years
STANDARD_DEVIATION 8.04 • n=5 Participants
Sex: Female, Male
Female
3 Participants
n=5 Participants
5 Participants
n=7 Participants
8 Participants
n=5 Participants
Sex: Female, Male
Male
7 Participants
n=5 Participants
8 Participants
n=7 Participants
15 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
1 Participants
n=5 Participants
1 Participants
n=7 Participants
2 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
9 Participants
n=5 Participants
12 Participants
n=7 Participants
21 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
1 Participants
n=7 Participants
1 Participants
n=5 Participants
Race (NIH/OMB)
Black or African American
1 Participants
n=5 Participants
1 Participants
n=7 Participants
2 Participants
n=5 Participants
Race (NIH/OMB)
White
8 Participants
n=5 Participants
10 Participants
n=7 Participants
18 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
1 Participants
n=5 Participants
1 Participants
n=7 Participants
2 Participants
n=5 Participants
Unified Parkinson's Disease Rating Scale (UPDRS) ADL subsection (mean)
9.50 units on a scale
STANDARD_DEVIATION 5.40 • n=5 Participants
11.23 units on a scale
STANDARD_DEVIATION 4.76 • n=7 Participants
10.48 units on a scale
STANDARD_DEVIATION 5.01 • n=5 Participants
Unified Parkinson's Disease Rating Scale (UPDRS) Motor subsection (Part III)
12.60 points
STANDARD_DEVIATION 4.38 • n=5 Participants
14.69 points
STANDARD_DEVIATION 5.19 • n=7 Participants
13.78 points
STANDARD_DEVIATION 4.86 • n=5 Participants
Unified Parkinson's Disease Rating Scale (UPDRS) Total score
24.00 units on a scale
STANDARD_DEVIATION 9.67 • n=5 Participants
25.08 units on a scale
STANDARD_DEVIATION 11.93 • n=7 Participants
24.61 units on a scale
STANDARD_DEVIATION 10.78 • n=5 Participants
Parkinson's Disease Quality of Life (PDQOL) total score
124.10 units on a scale
STANDARD_DEVIATION 19.96 • n=5 Participants
115.31 units on a scale
STANDARD_DEVIATION 10.68 • n=7 Participants
119.13 units on a scale
STANDARD_DEVIATION 15.65 • n=5 Participants
Hoehn & Yahr stage
Stage 1
1 participants
n=5 Participants
0 participants
n=7 Participants
1 participants
n=5 Participants
Hoehn & Yahr stage
Stage 1.5
1 participants
n=5 Participants
1 participants
n=7 Participants
2 participants
n=5 Participants
Hoehn & Yahr stage
Stage 2
1 participants
n=5 Participants
2 participants
n=7 Participants
3 participants
n=5 Participants
Hoehn & Yahr stage
Stage 2.5
6 participants
n=5 Participants
7 participants
n=7 Participants
13 participants
n=5 Participants
Hoehn & Yahr stage
Stage 3
1 participants
n=5 Participants
3 participants
n=7 Participants
4 participants
n=5 Participants
Incontinence Quality of Life scale (IQOL)
78.00 units on a scale
STANDARD_DEVIATION 20.03 • n=5 Participants
75.92 units on a scale
STANDARD_DEVIATION 18.87 • n=7 Participants
76.83 units on a scale
STANDARD_DEVIATION 18.96 • n=5 Participants
Bladder diary: # micturations
9.03 Micturation episodes per 24 hour period
STANDARD_DEVIATION 2.21 • n=5 Participants
9.23 Micturation episodes per 24 hour period
STANDARD_DEVIATION 3.31 • n=7 Participants
9.14 Micturation episodes per 24 hour period
STANDARD_DEVIATION 2.83 • n=5 Participants
Bladder diary: # leaks
1.33 Number of leaks per 24-hour period
STANDARD_DEVIATION 2.45 • n=5 Participants
1.72 Number of leaks per 24-hour period
STANDARD_DEVIATION 1.23 • n=7 Participants
1.55 Number of leaks per 24-hour period
STANDARD_DEVIATION 1.82 • n=5 Participants
Bladder diary: # nocturia episodes
2.23 Number of nocturia episodes per 24 hours
STANDARD_DEVIATION 1.69 • n=5 Participants
1.90 Number of nocturia episodes per 24 hours
STANDARD_DEVIATION 1.09 • n=7 Participants
2.04 Number of nocturia episodes per 24 hours
STANDARD_DEVIATION 1.36 • n=5 Participants
Patient perception of Bladder Condition (PBC/PPBC)
Causes me (some) moderate problems
5 participants
n=5 Participants
5 participants
n=7 Participants
10 participants
n=5 Participants
Patient perception of Bladder Condition (PBC/PPBC)
Causes me severe problems
4 participants
n=5 Participants
7 participants
n=7 Participants
11 participants
n=5 Participants
Patient perception of Bladder Condition (PBC/PPBC)
Causes me many severe problems
1 participants
n=5 Participants
1 participants
n=7 Participants
2 participants
n=5 Participants
Patient Perception of Intensity of Urgency Scale (PPIUS)
Mild Urgency
3 participants
n=5 Participants
1 participants
n=7 Participants
4 participants
n=5 Participants
Patient Perception of Intensity of Urgency Scale (PPIUS)
Moderate Urgency
4 participants
n=5 Participants
5 participants
n=7 Participants
9 participants
n=5 Participants
Patient Perception of Intensity of Urgency Scale (PPIUS)
Moderate-Severe
0 participants
n=5 Participants
1 participants
n=7 Participants
1 participants
n=5 Participants
Patient Perception of Intensity of Urgency Scale (PPIUS)
Severe Urgency
3 participants
n=5 Participants
6 participants
n=7 Participants
9 participants
n=5 Participants

PRIMARY outcome

Timeframe: 12 weeks

The primary objective of this study is to measure the efficacy of solifenacin succinate (VESIcare) in reducing the mean number of micturitions per 24 hour period in Parkinson's disease (PD) patients as measured by voiding diaries.

Outcome measures

Outcome measures
Measure
Solifenacin Succinate (VESIcare)
n=9 Participants
solifenacin succinate (VESIcare): up to 10mg every day orally
Placebo
n=12 Participants
placebo: placebo matching solifenacin succinate (VESIcare) up to 10mg orally every day
Number of Micturations Per 24 Hour Period
Baseline
8.78 Number of micturations per 24 hours
Standard Deviation 2.18
9.19 Number of micturations per 24 hours
Standard Deviation 3.46
Number of Micturations Per 24 Hour Period
Endpoint (12 weeks)
8.00 Number of micturations per 24 hours
Standard Deviation 3.36
8.94 Number of micturations per 24 hours
Standard Deviation 3.06

SECONDARY outcome

Timeframe: 12 weeks

This scale it the mean number of urinary incontinence episodes per 24 hour period, as assessed by a 3-day bladder diary. The goal is to examine the effect of solifenacin succinate (VESIcare) on urinary incontinence severity.

Outcome measures

Outcome measures
Measure
Solifenacin Succinate (VESIcare)
n=9 Participants
solifenacin succinate (VESIcare): up to 10mg every day orally
Placebo
n=12 Participants
placebo: placebo matching solifenacin succinate (VESIcare) up to 10mg orally every day
Number of Urinary Incontinence Episodes Per 24 Hour Period
Baseline
1.48 Number of incontinence episodes/24 hours
Standard Deviation 2.56
1.78 Number of incontinence episodes/24 hours
Standard Deviation 1.27
Number of Urinary Incontinence Episodes Per 24 Hour Period
Endpoint (12 weeks)
0.30 Number of incontinence episodes/24 hours
Standard Deviation 0.31
1.61 Number of incontinence episodes/24 hours
Standard Deviation 1.40

SECONDARY outcome

Timeframe: 12 weeks

To examine the effect of solifenacin succinate (VESIcare) on Parkinson's disease severity. The UPDRS total score ranges from 0 (no disability) to 199 (total disability).

Outcome measures

Outcome measures
Measure
Solifenacin Succinate (VESIcare)
n=9 Participants
solifenacin succinate (VESIcare): up to 10mg every day orally
Placebo
n=12 Participants
placebo: placebo matching solifenacin succinate (VESIcare) up to 10mg orally every day
Unified Parkinson's Disease Rating Scale (UPDRS) Total
Baseline
25.00 units on a scale
Standard Deviation 9.70
25.67 units on a scale
Standard Deviation 12.26
Unified Parkinson's Disease Rating Scale (UPDRS) Total
Endpoint (12 weeks)
21.67 units on a scale
Standard Deviation 9.59
25.75 units on a scale
Standard Deviation 8.76

SECONDARY outcome

Timeframe: 12 weeks

This scale is used to assess quality of life in Parkinson's Disease patients. Parkinson's disease quality of life scale has a possible point range from 37 (worst outcome) to 185 (best outcome). The goal of this outcome measure is to examine the effect of solifenacin succinate (VESIcare) on quality of life.

Outcome measures

Outcome measures
Measure
Solifenacin Succinate (VESIcare)
n=9 Participants
solifenacin succinate (VESIcare): up to 10mg every day orally
Placebo
n=12 Participants
placebo: placebo matching solifenacin succinate (VESIcare) up to 10mg orally every day
Parkinson's Disease Quality of Life Scale (PDQOL)
Baseline
125.00 units on a scale
Standard Deviation 20.95
114.50 units on a scale
Standard Deviation 10.73
Parkinson's Disease Quality of Life Scale (PDQOL)
Endpoint (12 weeks)
116.00 units on a scale
Standard Deviation 26.42
112.92 units on a scale
Standard Deviation 17.19

SECONDARY outcome

Timeframe: 12 weeks

To examine the effect of solifenacin succinate (VESIcare) on urinary incontinence severity

Outcome measures

Outcome measures
Measure
Solifenacin Succinate (VESIcare)
n=9 Participants
solifenacin succinate (VESIcare): up to 10mg every day orally
Placebo
n=12 Participants
placebo: placebo matching solifenacin succinate (VESIcare) up to 10mg orally every day
Number of Nocturia Episodes Per 24 Hour Period
Baseline
2.48 Number of nocturia episodes per 24 hours
Standard Deviation 1.59
1.92 Number of nocturia episodes per 24 hours
Standard Deviation 1.14
Number of Nocturia Episodes Per 24 Hour Period
Endpoint (12 weeks)
2.04 Number of nocturia episodes per 24 hours
Standard Deviation 1.96
1.78 Number of nocturia episodes per 24 hours
Standard Deviation 0.88

Adverse Events

Solifenacin Succinate (VESIcare)

Serious events: 0 serious events
Other events: 4 other events
Deaths: 0 deaths

Placebo

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

Serious adverse events

Adverse event data not reported

Other adverse events

Other adverse events
Measure
Solifenacin Succinate (VESIcare)
n=10 participants at risk
solifenacin succinate (VESIcare): up to 10mg every day orally
Placebo
n=13 participants at risk
placebo: placebo matching solifenacin succinate (VESIcare) up to 10mg orally every day
Gastrointestinal disorders
Constipation
10.0%
1/10 • Number of events 1
0.00%
0/13
Skin and subcutaneous tissue disorders
Xerostomia
20.0%
2/10 • Number of events 2
0.00%
0/13
Renal and urinary disorders
urinary retention
10.0%
1/10 • Number of events 1
0.00%
0/13

Additional Information

Theresa Zesiewicz, MD, Professor of Neurology

University of South Florida

Phone: 813-974-5909

Results disclosure agreements

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