A Study To Find Out How Fesoterodine Works In Children Aged 6 To 17 Years With Bladder Overactivity Caused By A Neurological Condition

NCT ID: NCT01557244

Last Updated: 2021-02-02

Study Results

Results available

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE3

Total Enrollment

181 participants

Study Classification

INTERVENTIONAL

Study Start Date

2012-07-02

Study Completion Date

2020-02-13

Brief Summary

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The objective of the study is to find out if the medicine fesoterodine is a useful treatment in children with bladder muscle overactivity caused by a neurological condition. Children will be aged 6 to 17 years old. This is done by finding out how well it works, what the body does to fesoterodine, what side effects are experienced and the safety of fesoterodine. It will be compared with the medicine oxybutynin, which is already available for treating the condition.

Detailed Description

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Conditions

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Urinary Bladder, Neurogenic

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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Fesoterodine PR 4 mg

Fesoterodine PR 4 mg for 12 weeks in active comparator period, followed by 12 weeks in safety extension period

Group Type EXPERIMENTAL

Fesoterodine PR 4 mg

Intervention Type DRUG

Fesoterodine 4 mg tablet once daily for 24 weeks

Fesoterodine PR 8 mg

Fesoterodine 8 mg for first week followed by 11 weeks at 8 mg in active control period, followed by 12 weeks in safety extension period.

Group Type EXPERIMENTAL

Fesoterodine PR 8 mg

Intervention Type DRUG

Fesoterodine PR 8 mg tablet once daily for 24 weeks, the first week being 4 mg.

Fesoterodine PR 8 mg

Intervention Type DRUG

Fesoterodine 8 mg tablet once daily for 24 weeks, the first week being 4 mg.

Oxybutynin

Oxybutynin

Group Type ACTIVE_COMPARATOR

Oxybutynin

Intervention Type DRUG

Oxybutynin extended release tablets according to approved pediatric labeling for 12 weeks with dose titration phase for first 4 weeks to achieve dose optimisation.

Fesoterodine PR

Intervention Type DRUG

Fesoterodine 4 mg or 8 mg tablets once daily for 12 weeks after 12 weeks of oxybutinin. Those assigned to 8 mg will take 4 mg for the first week.

Fesoterodine BIC 2 mg

Fesoterodine BIC 2 mg for 12 weeks in efficicay period, followed by 12 weeks in safety extension period.

Group Type EXPERIMENTAL

Fesoterodine BIC 2 mg

Intervention Type DRUG

Fesoterodine BIC 2 mg tablet once daily for 24 weeks.

Fesoterodine BIC 4 mg

Fesoterodine BIC 4 mg for first week followed by 11 weeks at 8 mg in the efficacy period, followed by 12 weeks in safety extension period.

Group Type EXPERIMENTAL

Fesoterodine BIC 4 mg

Intervention Type DRUG

Fesoterodine BIC 4 mg tablet once daily for 24 weeks, with the first week being 2 mg.

Interventions

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Fesoterodine PR 4 mg

Fesoterodine 4 mg tablet once daily for 24 weeks

Intervention Type DRUG

Fesoterodine PR 8 mg

Fesoterodine PR 8 mg tablet once daily for 24 weeks, the first week being 4 mg.

Intervention Type DRUG

Fesoterodine PR 8 mg

Fesoterodine 8 mg tablet once daily for 24 weeks, the first week being 4 mg.

Intervention Type DRUG

Oxybutynin

Oxybutynin extended release tablets according to approved pediatric labeling for 12 weeks with dose titration phase for first 4 weeks to achieve dose optimisation.

Intervention Type DRUG

Fesoterodine PR

Fesoterodine 4 mg or 8 mg tablets once daily for 12 weeks after 12 weeks of oxybutinin. Those assigned to 8 mg will take 4 mg for the first week.

Intervention Type DRUG

Fesoterodine BIC 2 mg

Fesoterodine BIC 2 mg tablet once daily for 24 weeks.

Intervention Type DRUG

Fesoterodine BIC 4 mg

Fesoterodine BIC 4 mg tablet once daily for 24 weeks, with the first week being 2 mg.

Intervention Type DRUG

Other Intervention Names

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Safety extension phase

Eligibility Criteria

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Inclusion Criteria

* Subjects aged 6 to 17 years old
* Subjects with stable neurological disease and neurogenic detrusor overactivity
* Subjects using clean intermittent catheterization may participate

Exclusion Criteria

* Concomitant medications which may increase the risk to subjects or confound study results
* Other medical conditions which may increase the risk to subjects or confound study results
* Contraindications to the use of fesoterodine or oxybutynin
Minimum Eligible Age

6 Years

Maximum Eligible Age

17 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Pfizer

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Pfizer CT.gov Call Center

Role: STUDY_DIRECTOR

Pfizer

Locations

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Urological Associates of Southern Arizona

Tucson, Arizona, United States

Site Status

Childrens Hospital of Orange County

Orange, California, United States

Site Status

CHOC Children's Urology Center

Orange, California, United States

Site Status

Children's Healthcare of Atlanta

Atlanta, Georgia, United States

Site Status

Georgia Urology, P.A.

Atlanta, Georgia, United States

Site Status

Judson L. Hawk Jr. M.D.

Atlanta, Georgia, United States

Site Status

Loyola University Medical Center

Maywood, Illinois, United States

Site Status

Loyola University Outpatient Center

Maywood, Illinois, United States

Site Status

The Iowa Clinic

West Des Moines, Iowa, United States

Site Status

UNC Chapel Hill Memorial Hospital

Chapel Hill, North Carolina, United States

Site Status

UNC Memorial Hospital Pediatric Clinic

Chapel Hill, North Carolina, United States

Site Status

Cincinnati Children's Hospital Medical Center

Cincinnati, Ohio, United States

Site Status

Cincinnati Children's Hospital Medical Center

Liberty Township, Ohio, United States

Site Status

Advanced Radiology

East Providence, Rhode Island, United States

Site Status

Pharma Resource

East Providence, Rhode Island, United States

Site Status

University Urological Associates, Inc

Providence, Rhode Island, United States

Site Status

University Urological Associates, Inc.

Providence, Rhode Island, United States

Site Status

Children's Hospital of Wisconsin

Milwaukee, Wisconsin, United States

Site Status

Universitair Ziekenhuis Antwerpen, Urologie

Edegem, Antwerpen, Belgium

Site Status

Hôpital Universitaire des Enfants Reine Fabiola

Brussels, Brussels Capital, Belgium

Site Status

Centre hospitalier universitaire (CHU) Sainte-Justine

Montreal, Quebec, Canada

Site Status

Tallinn Children's Hospital

Tallinn, , Estonia

Site Status

Tampere University Hospital

Tampere, , Finland

Site Status

Centre d'Investigation Clinique

Bron, , France

Site Status

Groupement Hospitalier Est - Hopital Femme Mere Enfant

Bron, , France

Site Status

Hôpitaux Pédiatriques de Nice CHU-Lenval

Nice, , France

Site Status

Kliniken Maria Hilf GmbH

Mönchengladbach, North Rhine-Westphalia, Germany

Site Status

University General Hospital of Larisa/ Urology Department

Larissa, , Greece

Site Status

Aristotle University of Thessaloniki

Thessaloniki, , Greece

Site Status

Department of Pediatrics, Christian Medical College and Hospital

Ludhiana, Punjab, India

Site Status

I.R.C.C.S. - Ospedale "Casa Sollievo della Sofferenza" - Dipartimento Scienze Chirurgiche

San Giovanni Rotondo, Foggia, Italy

Site Status

Azienda Ospedaliera G. Brotzu, Dipartimento di Medicina interna-

Cagliari, , Italy

Site Status

Azienda Ospedaliera Universitaria Careggi

Florence, , Italy

Site Status

IRCCS Ospedale Pediatrico Bambino Gesù

Roma, , Italy

Site Status

ULSS 6 VICENZA - Ospedale San Bortolo di Vicenza

Vicenza, , Italy

Site Status

Aichi Children's Health and Medical Center

Ōbu, Aichi-ken, Japan

Site Status

Chiba Children's Hospital

Chiba, Chiba, Japan, Japan

Site Status

Fukuoka Children's Hospital

Fukuoka, Fukuoka, Japan

Site Status

Hokkaido University Hospital

Sapporo, Hokkaido, Japan

Site Status

Hyogo prefectural Kobe Children's Hospital

Kobe, Hyōgo, Japan

Site Status

Kanagawa Children's Medical Center

Yokohama, Kanagawa, Japan

Site Status

Shinshu University Hospital

Matsumoto, Nagano, Japan

Site Status

Osaka Medical Center and Research Institute for Maternal and Child Health

Izumi-shi, Osaka, Japan

Site Status

Dokkyo Medical University Koshigaya Hospital

Koshigaya, Saitama, Japan

Site Status

Shizuoka Children's Hospital

Shizuoka, Shizuoka, Japan

Site Status

Dokkyo Medical University Hospital / Urology

Shimotsuga-gun, Tochigi, Japan

Site Status

Jichi Medical University Hospital

Shimotsuke, Tochigi, Japan

Site Status

The University of Tokyo Hospital / Urology

Bunkyo-ku, Tokyo, Japan

Site Status

Hospital of Lithuanian University of Health Sciences Kaunas klinikos

Kaunas, , Lithuania

Site Status

Children's Hospital, Affiliate of Vilnius University Hospital Santaros Klinikos

Vilnius, , Lithuania

Site Status

Hospital Selayang

Batu Caves, Selangor, Malaysia

Site Status

Hospital Kuala Lumpur

Kuala Lumpur, , Malaysia

Site Status

Philippine Children's Medical Center

Quezon City, NCR, Philippines

Site Status

Klinika Chorob Nerek i Nadcisnienia Dzieci i Mlodziezy

Gdansk, , Poland

Site Status

Specjalistyczny Gabinet Lekarski Paweł Kroll

Poznan, , Poland

Site Status

FGBNU Scientific center of children health

Moscow, Russian Federation, Russia

Site Status

Kazan State Medical University

Kazan', Tatarstan Republic, Russia

Site Status

Children's Republican Clinical Hospital, Department of Pediatric Surgery

Kazan', , Russia

Site Status

Scientific Research Institute of Urology named after N.A.Lopatkin of the Hertsen Federal Medical

Moscow, , Russia

Site Status

SSS - Research Clinical Institute of Pediatrics n.a. Academician Y.E.Veltishchev GBOU VPO

Moscow, , Russia

Site Status

J. BREZA MEDICAL s.r.o.

Bratislava, , Slovakia

Site Status

Narodny ustav detskych chorob

Bratislava, , Slovakia

Site Status

Red Cross Children's Hospital

Cape Town, Western Cape, South Africa

Site Status

Pusan National University Yangsan Hospital

Yangsan, Gyeongsangnam-do, South Korea

Site Status

Korea University Guro Hospital

Seoul, Korea, South Korea

Site Status

Seoul National University Hospital

Seoul, , South Korea

Site Status

Severance Hospital, Yonsei University Health System

Seoul, , South Korea

Site Status

ASAN Medical Center

Seoul, , South Korea

Site Status

Samsung Medical Center

Seoul, , South Korea

Site Status

Hospital Sant Joan de Deu

Esplugues de Llobregat, Barcelona, Spain

Site Status

Hospital General Universitario Gregorio Marañon

Madrid, , Spain

Site Status

Hospital Infantil Universitario Niño Jesus

Madrid, , Spain

Site Status

Hospital Regional Universitario Carlos Haya

Málaga, , Spain

Site Status

Hospital Universitari i Politecnic La Fe

Valencia, , Spain

Site Status

Akademiska barnsjukhuset

Uppsala, , Sweden

Site Status

Universitäts-Kinderspital beider Basel

Basel, , Switzerland

Site Status

National Cheng Kung University Hospital

Tainan City, , Taiwan

Site Status

Necmettin Erbakan Universitesi Meram Tip Fakultesi

Konya, Konya / Turkey, Turkey (Türkiye)

Site Status

Ankara Universitesi Tip Fakultesi Ibni Sina Hastanesi

Ankara, , Turkey (Türkiye)

Site Status

Hacettepe Universitesi Tip Fakultesi Uroloji Anabilim Dali

Ankara, , Turkey (Türkiye)

Site Status

Istanbul Universitesi Istanbul Tip Fakultesi

Istanbul, , Turkey (Türkiye)

Site Status

Leicester Royal Infirmary

Leicester, , United Kingdom

Site Status

Alder Hey Children's Hospital

Liverpool, , United Kingdom

Site Status

Sheffield Children's NHS Foundation Trust

Sheffield, , United Kingdom

Site Status

Countries

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United States Belgium Canada Estonia Finland France Germany Greece India Italy Japan Lithuania Malaysia Philippines Poland Russia Slovakia South Africa South Korea Spain Sweden Switzerland Taiwan Turkey (Türkiye) United Kingdom

References

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Sano Y, Shoji S, Shahin M, Sweeney K, Darekar A, Malhotra BK. Population Pharmacokinetic and Pharmacodynamic Modeling of Fesoterodine in Pediatric Patients with Neurogenic Detrusor Overactivity. Eur J Drug Metab Pharmacokinet. 2023 May;48(3):257-269. doi: 10.1007/s13318-023-00818-8. Epub 2023 Mar 9.

Reference Type DERIVED
PMID: 36892754 (View on PubMed)

Kitta T, Darekar A, Malhotra B, Shahin MH, Jones P, Lindsay M, Mallen S, Nieto A, Crook TJ. Fesoterodine treatment of pediatric patients with neurogenic detrusor overactivity: A 24-week, randomized, open-label, phase 3 study. J Pediatr Urol. 2023 Apr;19(2):175.e1-175.e10. doi: 10.1016/j.jpurol.2022.11.020. Epub 2022 Nov 29.

Reference Type DERIVED
PMID: 36504158 (View on PubMed)

Provided Documents

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Document Type: Study Protocol

View Document

Document Type: Statistical Analysis Plan

View Document

Related Links

Other Identifiers

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2010-022475-55

Identifier Type: EUDRACT_NUMBER

Identifier Source: secondary_id

A0221047

Identifier Type: -

Identifier Source: org_study_id

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