A Study to Assess the Long Term Effect, Safety and Metabolism of a Solifenacin Liquid Suspension in Participants 5 to 18 Years of Age With Neurogenic Detrusor Overactivity

NCT ID: NCT01565694

Last Updated: 2024-11-14

Study Results

Results available

Outcome measurements, participant flow, baseline characteristics, and adverse events have been published for this study.

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE3

Total Enrollment

76 participants

Study Classification

INTERVENTIONAL

Study Start Date

2012-08-14

Study Completion Date

2016-04-28

Brief Summary

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The purpose of this study was to investigate a medicine for the treatment of symptoms and complications of neurogenic detrusor overactivity (NDO) in children and adolescents.

Detailed Description

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The NDO often occurs in patients with spina bifida or other spinal cord damage where the bladder muscle contracts more than normal during filling. These patients often have an inability to void, so that catheterization is required to empty the bladder.

The medicine being tested in this study is called solifenacin succinate. Solifenacin tablets are given to adults for the treatment of overactive bladder. A new liquid suspension has been developed to treat children and adolescents in this and other studies.

The efficacy and safety of the solifenacin suspension was investigated. The take-up and length of time that the solifenacin suspension stays in the body was also investigated during this study. Effectiveness was measured by urodynamics (the filling and emptying of the bladder) and the urine volumes during catheterization together with the diary responses relating to the number of incontinence episodes or incontinence free days.

Safety assessments included analysis of the blood and urine, review of the electrocardiogram (ECG), ultrasound of the kidney, simple memory and understanding tests (cognitive function) and the ability to see near and far objects (visual accommodation).

Conditions

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Neurogenic Detrusor Overactivity

Study Design

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Allocation Method

NA

Intervention Model

SINGLE_GROUP

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Solifenacin succinate

Participants aged 5 years to \< 18 years received solifenacin orally once a day, with sequential titrated doses for 12 weeks to identify the optimal dose during the dose-titration period. The initial dose was pediatric equivalent dose (PED) 5 mg.

After completing the dose titration period participants entered the fixed-dose period during which solifenacin was taken orally once a day for 40 weeks or until the end of study visit (Week 52).

Group Type EXPERIMENTAL

Solifenacin succinate

Intervention Type DRUG

Oral suspension administered once a day via syringe.

Interventions

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Solifenacin succinate

Oral suspension administered once a day via syringe.

Intervention Type DRUG

Other Intervention Names

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YM905

Eligibility Criteria

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Inclusion Criteria

* Documented diagnosis of NDO, confirmed by urodynamics
* Practicing clean intermittent catheterization (CIC)
* Currently on treatment with an antimuscarinic drug

Exclusion Criteria

* Known genitourinary condition (other than NDO) that may cause incontinence
* Bladder augmentation surgery
* Current Faecal impaction
* Electro-stimulation therapy within 2 weeks prior to screening and at any time during the study
* Subjects with the following gastro-intestinal problems: partial or complete obstruction, decreased motility like paralytic ileus, subjects at risk of gastric retention
* Reflux grade 3 or 4
* Current urinary tract infection (UTI)
* Subject has severe renal impairment (glomerular filtration rate \< 30 ml/min)
* Subject has severe hepatic impairment (Child-Pugh score \> 9).
* Subject has received intra-vesical botulinum toxin within 9 months prior to screening
Minimum Eligible Age

5 Years

Maximum Eligible Age

17 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Astellas Pharma Europe B.V.

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Clinical Study Manager

Role: STUDY_CHAIR

Astellas Pharma Europe B.V.

Locations

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Site US1008

Tarrytown, New York, United States

Site Status

Site US1010

Cincinnati, Ohio, United States

Site Status

Site BE3201

Ghent, , Belgium

Site Status

Site BR5505

São José do Rio Preto, São Paulo, Brazil

Site Status

Site BR5507

Campinas, , Brazil

Site Status

Site BR5504

Campinas, , Brazil

Site Status

Site BR5506

Curitiba, , Brazil

Site Status

Site BR5503

Porto Alegre, , Brazil

Site Status

Site DK4501

Aarhus, , Denmark

Site Status

Site HU3602

Miskolc, , Hungary

Site Status

Site MX5203

León, , Mexico

Site Status

Site MX5205

Mexico City, , Mexico

Site Status

Site PH6301

Manila, , Philippines

Site Status

Site PH6302

Quezon City, , Philippines

Site Status

Site PL4803

Gdansk, , Poland

Site Status

Site PL4805

Gdansk, , Poland

Site Status

Site PL4801

Warsaw, , Poland

Site Status

Site KR8207

Seoul, , South Korea

Site Status

Site KR8201

Seoul, , South Korea

Site Status

Site TR9003

Ankara, , Turkey (Türkiye)

Site Status

Site TR9002

Izmir, , Turkey (Türkiye)

Site Status

Countries

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United States Belgium Brazil Denmark Hungary Mexico Philippines Poland South Korea Turkey (Türkiye)

References

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Tannenbaum S, den Adel M, Krauwinkel W, Meijer J, Hollestein-Havelaar A, Verheggen F, Newgreen D. Pharmacokinetics of solifenacin in pediatric populations with overactive bladder or neurogenic detrusor overactivity. Pharmacol Res Perspect. 2020 Dec;8(6):e00684. doi: 10.1002/prp2.684.

Reference Type DERIVED
PMID: 33231929 (View on PubMed)

Franco I, Hoebeke P, Baka-Ostrowska M, Bolong D, Davies LN, Dahler E, Snijder R, Stroosma O, Verheggen F, Newgreen D, Bosman B, Vande Walle J. Long-term efficacy and safety of solifenacin in pediatric patients aged 6 months to 18 years with neurogenic detrusor overactivity: results from two phase 3 prospective open-label studies. J Pediatr Urol. 2020 Apr;16(2):180.e1-180.e8. doi: 10.1016/j.jpurol.2019.12.012. Epub 2019 Dec 27.

Reference Type DERIVED
PMID: 32007426 (View on PubMed)

Related Links

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https://astellasclinicalstudyresults.com/study.aspx?ID=248

Link to results on the Astellas Clinical Study Results website

Other Identifiers

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2011-000330-11

Identifier Type: EUDRACT_NUMBER

Identifier Source: secondary_id

905-CL-047

Identifier Type: -

Identifier Source: org_study_id

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