A Clinical Study to Investigate How Solifenacin Fluid is Taken up, How Long it Stays in the Body and How Effective and Safe it is in Treating Children Aged From 6 Months to Less Than 5 Years With Symptoms of Neurogenic Detrusor Overactivity (NDO)

NCT ID: NCT01981954

Last Updated: 2024-10-31

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

23 participants

Study Classification

INTERVENTIONAL

Study Start Date

2013-09-25

Study Completion Date

2015-12-18

Brief Summary

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The purpose of this study was to evaluate long term efficacy and safety of treatment with solifenacin succinate (the study drug) in children with neurogenic detrusor overactivity after multiple dose administration.

Detailed Description

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In some children with a severe form of spina bifida (which is the consequence of a spinal cord defect), the bladder muscle (detrusor) contracts strongly and without warning (also known as neurogenic detrusor overactivity) and the urethra (the passage connecting the bladder with outside) does not relax. Though these children cannot void, urine leakage can happen when the overactive contractions are strong, and/or the pressure in the bladder is so high that it overcomes the closed urethra (overflow at high filling bladder pressure). This high bladder pressure puts these children at risk for kidney damage and can decrease the quality of the bladder. Therapy was aimed to decrease the high filling bladder pressure and the overactive detrusor contractions.

Conditions

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Neurogenic Detrusor Overactivity Pediatric

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

Children aged 6 months to less than 5 years were treated with sequential titrated doses of solifenacin up to 12 weeks in the Titration period after which a fixed dose of solifenacin was given for at least 40 weeks in the Fixed-dose assessment period. Children received solifenacin once daily during these 2 periods.

Group Type EXPERIMENTAL

Solifenacin succinate

Intervention Type DRUG

Oral suspension

Interventions

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Solifenacin succinate

Oral suspension

Intervention Type DRUG

Other Intervention Names

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solifenacin YM905 solifenacin succinate suspension

Eligibility Criteria

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Inclusion Criteria

* Myelomeningocoele
* Documented diagnosis of NDO, confirmed by urodynamics
* DSD (detrusor sphincter dyssynergia)
* Practicing clean intermittent catheterization (CIC)

Exclusion Criteria

* Know genitourinary condition (other than NDO) that may cause incontinence
* Bladder augmentation surgery
* Current faecal impaction
* Electro-stimulation therapy within 2 weeks prior to visit
* Subjects with the following gastro-intestinal problems: partial or complete obstructions, decreased motility like paralytic ileus, subjects at risk of gastric retention
* Reflux grade 3 to 5
* Current urinary tract infection
Minimum Eligible Age

6 Months

Maximum Eligible Age

4 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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Medical Director

Role: STUDY_DIRECTOR

Astellas Pharma Europe B.V.

Locations

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Site US1008 Pediatric Urology Associates, P.C.

Tarrytown, New York, United States

Site Status

Site BE3203 Gent University Hospital

Ghent, , Belgium

Site Status

Site PH6301 Philippines Children's Medical Center

Manila, , Philippines

Site Status

Site PL4803 Uniwersyteckie Centrum Kliniczne

Gdansk, , Poland

Site Status

Site PL4801 Pomnik-Centrum Zdrowia Dziecka

Warsaw, , Poland

Site Status

Site KR8207 Seoul National University Hospital

Seoul, , South Korea

Site Status

Site KR8201 Severance Hospital

Seoul, , South Korea

Site Status

Site GB4401 Sheffield Children's Hospital

Sheffield, , United Kingdom

Site Status

Countries

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United States Belgium Philippines Poland South Korea United Kingdom

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=242

Link to results on the Astellas Clinical Study Results website

Other Identifiers

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2012-003178-22

Identifier Type: EUDRACT_NUMBER

Identifier Source: secondary_id

905-CL-074

Identifier Type: -

Identifier Source: org_study_id

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