Medication Effects on Periurethral Sensation,Urethral Sphincter Activity and Pressure Flow Parameters

NCT ID: NCT01028014

Last Updated: 2012-06-08

Study Results

Results available

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

56 participants

Study Classification

INTERVENTIONAL

Study Start Date

2010-04-30

Study Completion Date

2011-04-30

Brief Summary

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Lower urinary tract symptoms such as urinary leakage and overactive bladder affect millions of American women. Women may develop these problems because the innervation of the muscles of the bladder and urethra are injured. Most research on treating these problems has focused on the abnormalities of the bladder muscle, but newer studies have shown abnormalities in the innervation and muscle function of the urethra.

Women with these symptoms may benefit from treatment with medications to improve their urethral function. However, to truly understand what types of medications will help women with these symptoms, the investigators wish to study how these medications affect innervation and muscle function in healthy women who do not have lower urinary tract symptoms.

Detailed Description

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Women without urinary incontinence or bladder symptoms (healthy controls)will undergo urethral testing prior to randomization to one of 5 medications or placebo. Participants will take an oral medication for 2 weeks and then return for repeat testing.

Conditions

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Urethral Sphincter Activity

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

BASIC_SCIENCE

Blinding Strategy

DOUBLE

Participants Investigators

Study Groups

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Pseudoephedrine

Pseudoephedrine 120mg extended release tablets

Group Type ACTIVE_COMPARATOR

Pseudoephedrine

Intervention Type DRUG

Pseudoephedrine ER 120 mg by mouth once daily for 2 weeks

Solifenacin

Solifenacin 5mg capsule

Group Type ACTIVE_COMPARATOR

Solifenacin

Intervention Type DRUG

Solifenacin 5mg by mouth daily for 2 weeks

Tamsulosin

Tamsulosin 0.4mg capsule

Group Type ACTIVE_COMPARATOR

Tamsulosin

Intervention Type DRUG

Tamsulosin 0.4mg by mouth daily for 2 weeks

Imipramine

Imipramine 25mg tablet

Group Type ACTIVE_COMPARATOR

Imipramine

Intervention Type DRUG

Imipramine 25mg daily by mouth for 2 weeks

Cyclobenzaprine

Cyclobenzaprine 10mg tablet

Group Type ACTIVE_COMPARATOR

Cyclobenzaprine

Intervention Type DRUG

Cyclobenzaprine 10mg daily by mouth for 2 weeks

Lactose capsules

Sham

Group Type PLACEBO_COMPARATOR

Lactose capsule

Intervention Type DRUG

Lactose capsule 1 by mouth daily for 2 weeks

Interventions

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Pseudoephedrine

Pseudoephedrine ER 120 mg by mouth once daily for 2 weeks

Intervention Type DRUG

Tamsulosin

Tamsulosin 0.4mg by mouth daily for 2 weeks

Intervention Type DRUG

Imipramine

Imipramine 25mg daily by mouth for 2 weeks

Intervention Type DRUG

Cyclobenzaprine

Cyclobenzaprine 10mg daily by mouth for 2 weeks

Intervention Type DRUG

Lactose capsule

Lactose capsule 1 by mouth daily for 2 weeks

Intervention Type DRUG

Solifenacin

Solifenacin 5mg by mouth daily for 2 weeks

Intervention Type DRUG

Other Intervention Names

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Flomax Tofranil Flexeril VESIcare

Eligibility Criteria

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Inclusion Criteria

* Healthy Females only
* Ages 19-51 and up including pre-menopausal older women who have had a normal menstrual cycle for the prior 3 months
* Able to take oral medication for 2 weeks
* For women of child bearing potential,willing to use an approved method of birth control during the study

Exclusion Criteria

* Urinary Incontinence or other bladder symptoms
* Known neurologic disease that may impair urethral tone or sensation
* Currently taking a class of medication that is being tested (alpha-antagonists, anticholinergics, sympathomimetics, tricyclic antidepressants, or skeletal muscle relaxants)
* History of QTc prolongation or cardiac arrhythmia
* Pregnant, breastfeeding, or are less than 6 months postpartum
* Known hypersensitivity to or other contraindications to taking any of the study medications
Minimum Eligible Age

19 Years

Maximum Eligible Age

51 Years

Eligible Sex

FEMALE

Accepts Healthy Volunteers

Yes

Sponsors

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Astellas Pharma Inc

INDUSTRY

Sponsor Role collaborator

University of Alabama at Birmingham

OTHER

Sponsor Role lead

Responsible Party

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Holly Richter, MD

Principal Investigator

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Holly E Richter, PhD, MD

Role: PRINCIPAL_INVESTIGATOR

University of Alabama at Birmingham

Locations

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University of Alabama at Birmingham, The Kirklin Clinic

Birmingham, Alabama, United States

Site Status

Countries

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United States

References

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Greer WJ; Gleason J; Szychowski JM; Goode P; Kenton K; Richter HE. Medication Effects on Urethral Current Perception Thresholds and Pressure Flow Parameters. Fem Pelv Med Recons Surg 2011;17:S33.

Reference Type RESULT

Other Identifiers

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VESI-9E03-UAB

Identifier Type: -

Identifier Source: org_study_id

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