Therapeutic Merit of Solifenacin in the Mitigation of Ureteral Stent-induced Pain and Lower Urinary Tract Symptoms

NCT ID: NCT01381120

Last Updated: 2012-08-30

Study Results

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE4

Total Enrollment

84 participants

Study Classification

INTERVENTIONAL

Study Start Date

2010-10-31

Study Completion Date

2012-06-30

Brief Summary

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Most ureteral stent insertions follow ureteroscopy procedures for stone management. Stents are essentially designed to prevent the blockage of the ureter. Such blockage is often a result of inflammation caused by ureteroscopy procedures. The stent provides a secure passageway for urine as it travels from the kidneys to the bladder, circumventing potential urinary retention. In our community, only one kind of stent is used, and it is manufactured by Bard. Standard protocol involves the removal of the stent 5 to 8 days following insertion. If stenting is required for greater than 8 days, special accommodations will be made for you in this study.

Unfortunately, pain and lower urinary tract symptoms are often associated with the insertion and removal of stents. It is our goal to determine whether VESIcare is capable of relieving such symptoms.

As a prospective member of this study, you will be asked to complete three surveys. The first survey will ask you about your experiences of urinary urgency and pain before your surgery. If you are an emergency patient, you will be asked to remember your condition before the surgery, completing this questionnaire at your first post-op visit. If you are not an emergency patient, this survey will be completed before your surgery. If your stent is removed within 5 to 8 days of surgery, you will be asked to complete the second survey at the time of removal. You will then complete the final survey at a scheduled post-operative check-up 4 to 5 weeks later. If your stent remains inserted for greater than 8 days after surgery, you will be asked to complete the second survey 3 to 4 days after your stent was inserted. You will then complete the final survey, 7 to 8 weeks post-op.

Throughout this study, both VESIcare and non-VESIcare patients will be important in determining whether VESIcare truly is capable of relieving stent pain. As such, you will be randomly assigned to one of the two groups, those receiving VESIcare, and those who are not.

Detailed Description

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Conditions

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Flank Pain Urinary Bladder, Overactive

Keywords

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Flank Pain Lower Urinary Tract Symptoms LUTS Urgency Nocturia Frequency Ureteroscopy Kidney Stones Stent Incontinence VESIcare Ureter Urinary Bladder, Overactive OAB Overactive Bladder Syndrome

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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VESIcare + Narcotic Painkiller

VESIcare: Dosage form: tablet, film coated Dosage: 5 mg Frequency: daily Duration: three months Oxycodone and acetaminophen combination treatment: Dosage form: tablet, film coated Dosage: 10 mg Frequency: every 6 hours Duration: 5 - 8 days (stent inserted)

Group Type EXPERIMENTAL

Solifenacin succinate treatment

Intervention Type DRUG

Dosage form: tablet, film coated Dosage: 5 mg Frequency: daily Duration: three months

Oxycodone and acetaminophen combination treatment

Intervention Type DRUG

Dosage form: tablet, film coated Dosage: 10 mg Frequency: every 6 hours Duration: 5 - 8 days (stent inserted)

Narcotic Painkiller

Oxycodone and acetaminophen combination treatment: Dosage form: tablet, film coated Dosage: 10 mg Frequency: every 6 hours Duration: 5 - 8 days (stent inserted)

Group Type ACTIVE_COMPARATOR

Oxycodone and acetaminophen combination treatment

Intervention Type DRUG

Dosage form: tablet, film coated Dosage: 10 mg Frequency: every 6 hours Duration: 5 - 8 days (stent inserted)

Interventions

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Solifenacin succinate treatment

Dosage form: tablet, film coated Dosage: 5 mg Frequency: daily Duration: three months

Intervention Type DRUG

Oxycodone and acetaminophen combination treatment

Dosage form: tablet, film coated Dosage: 10 mg Frequency: every 6 hours Duration: 5 - 8 days (stent inserted)

Intervention Type DRUG

Other Intervention Names

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VESIcare

Eligibility Criteria

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Inclusion Criteria

1. Post-ureteroscopy for stone management.
2. Stent inserted for more than 5 days.
3. No significant flank pain or LUTS prior to kidney stones/stent insertion.
4. Complete agreement with and signing of Informed Consent form.

Exclusion Criteria

1. Significant flank pain or LUTS prior to kidney stones/stent insertion.
2. Currently taking antimuscarinics or α1 blockers.
3. Patients with urinary retention, dependent on dialysis, gastroparesis or narrow angle glaucoma.
Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Astellas Pharma Canada, Inc.

INDUSTRY

Sponsor Role collaborator

Barrie Urology Associates

OTHER

Sponsor Role lead

Responsible Party

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Dr. Joseph Zadra

Chief of Urology, RVH

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Joseph A Zadra, MD CM FRCSC

Role: PRINCIPAL_INVESTIGATOR

Barrie Urology Associates - The Male/Female Health and Research Centre

Locations

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Barrie Urology Associates - The Male/Female Health and Research Centre

Barrie, Ontario, Canada

Site Status

Countries

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Canada

References

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Mendez-Probst CE, Fernandez A, Denstedt JD. Current status of ureteral stent technologies: comfort and antimicrobial resistance. Curr Urol Rep. 2010 Mar;11(2):67-73. doi: 10.1007/s11934-010-0091-y.

Reference Type BACKGROUND
PMID: 20425092 (View on PubMed)

Wang CJ, Huang SW, Chang CH. Effects of specific alpha-1A/1D blocker on lower urinary tract symptoms due to double-J stent: a prospectively randomized study. Urol Res. 2009 Jun;37(3):147-52. doi: 10.1007/s00240-009-0182-8. Epub 2009 Mar 10.

Reference Type BACKGROUND
PMID: 19277623 (View on PubMed)

Damiano R, Autorino R, De Sio M, Giacobbe A, Palumbo IM, D'Armiento M. Effect of tamsulosin in preventing ureteral stent-related morbidity: a prospective study. J Endourol. 2008 Apr;22(4):651-6. doi: 10.1089/end.2007.0257.

Reference Type BACKGROUND
PMID: 18338955 (View on PubMed)

Park SC, Jung SW, Lee JW, Rim JS. The effects of tolterodine extended release and alfuzosin for the treatment of double-j stent-related symptoms. J Endourol. 2009 Nov;23(11):1913-7. doi: 10.1089/end.2009.0173.

Reference Type BACKGROUND
PMID: 19814699 (View on PubMed)

Joshi HB, Newns N, Stainthorpe A, MacDonagh RP, Keeley FX Jr, Timoney AG. Ureteral stent symptom questionnaire: development and validation of a multidimensional quality of life measure. J Urol. 2003 Mar;169(3):1060-4. doi: 10.1097/01.ju.0000049198.53424.1d.

Reference Type BACKGROUND
PMID: 12576846 (View on PubMed)

Other Identifiers

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ARC-2010-03

Identifier Type: -

Identifier Source: org_study_id