A Multinational Study Comparing the Long-term Efficacy and Safety of Two Medicines, Solifenacin Succinate and Mirabegron Taken Together, or Separately, in Subjects With Symptoms of Overactive Bladder

NCT ID: NCT02045862

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

1829 participants

Study Classification

INTERVENTIONAL

Study Start Date

2014-03-17

Study Completion Date

2016-09-08

Brief Summary

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The purpose of this study was to examine how well the combination of two medicines (solifenacin succinate and mirabegron) worked compared to each medicine alone in the treatment of bladder problems, and how safe they were for long term use.

Detailed Description

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Conditions

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Urinary Bladder Overactive Overactive Bladder Urgency Incontinence Urinary Bladder Diseases\Urologic Diseases

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

QUADRUPLE

Participants Caregivers Investigators Outcome Assessors

Study Groups

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Mirabegron 50 mg

Participants received mirabegron 50 mg once a day for 52 weeks.

Group Type ACTIVE_COMPARATOR

Mirabegron

Intervention Type DRUG

Participants received mirabegron 50 mg orally once a day at the same time each day.

Placebo to match solifenacin

Intervention Type DRUG

Participants received placebo to match solifenacin 5 mg orally once a day at the same time each day. This intervention was given to maintain the blind during the study.

Solifenacin 5 mg

Participants received solifenacin 5 mg once a day for 52 weeks.

Group Type ACTIVE_COMPARATOR

Solifenacin succinate

Intervention Type DRUG

Participants received solifenacin 5 mg orally once a day at the same time each day.

Placebo to match mirabegron

Intervention Type DRUG

Participants received placebo to match mirabegron 50 mg orally once a day at the same time each day. This intervention was given to maintain the blind during the study.

Solifenacin 5 mg + Mirabegron 50 mg

Participants received solifenacin 5 mg and mirabegron 50 mg once a day for 52 weeks.

Group Type EXPERIMENTAL

Solifenacin succinate

Intervention Type DRUG

Participants received solifenacin 5 mg orally once a day at the same time each day.

Mirabegron

Intervention Type DRUG

Participants received mirabegron 50 mg orally once a day at the same time each day.

Interventions

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Solifenacin succinate

Participants received solifenacin 5 mg orally once a day at the same time each day.

Intervention Type DRUG

Mirabegron

Participants received mirabegron 50 mg orally once a day at the same time each day.

Intervention Type DRUG

Placebo to match solifenacin

Participants received placebo to match solifenacin 5 mg orally once a day at the same time each day. This intervention was given to maintain the blind during the study.

Intervention Type DRUG

Placebo to match mirabegron

Participants received placebo to match mirabegron 50 mg orally once a day at the same time each day. This intervention was given to maintain the blind during the study.

Intervention Type DRUG

Other Intervention Names

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Vesicare Vesitrim YM905 Vesikur Myrbetriq YM178 Betmiga Betanis

Eligibility Criteria

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Inclusion Criteria

Main Inclusion at Screening (Visit 1):

* Subject had completed study 178-CL-101 or study 905-EC-012 (This inclusion criterion would no longer apply once the recruitment for study 178-CL-101 and study 905-EC-012 had been completed. In that case the subject had to have symptoms of "wet" OAB (urinary frequency and urgency with incontinence) for at least 3 months);
* Subject was willing and able to complete the micturition diary and questionnaires correctly and able to measure his/her vital signs at home at stipulated time points, using the device provided by the study personnel, and to adequately record the readings;

Main Inclusion at Randomization (Visit 2):

* Subject had a micturition frequency of on average ≥ 8 times per 24-hour period during the last 7 days of the micturition diary period (incontinence episode should not be counted as a micturition).
* Subject had experienced at least 3 incontinence episodes during the last 7 days of the micturition diary period.
* Subject had experienced on average at least 1 urgency episode (grade 3 or 4 on Patient Perception of Intensity of Urgency Scale \[PPIUS\]) per 24-hour period during the 7-day micturition diary period.

Exclusion Criteria

Main Exclusion at Screening (Visit 1):

* Subject had clinically significant bladder outflow obstruction at risk of urinary retention;
* Subject had significant PVR volume (\> 150 mL);
* Subject had significant stress incontinence or mixed stress/urgency incontinence where stress is the predominant factor;
* Subject has an indwelling catheter or practices intermittent self-catheterization;
* Subject had evidence of a UTI (urine culture containing \> 100,000 cfu/mL), chronic inflammation such as interstitial cystitis, bladder stones, previous pelvic radiation therapy or previous or current malignant disease of the pelvic organs;
* Subject had intravesical treatment in the past 12 months with e.g., botulinum toxin, resiniferatoxin, capsaicin;

Main Exclusion at Randomization (Visit 2):

* Subject had evidence of a urinary tract infection (UTI) (urine culture containing \> 100,000 cfu/mL) as assessed in the Screening visit (V1) samples. The subject could be rescreened after successful treatment of the UTI (confirmed by a dipstick negative for nitrite).
* Subject had an average total daily urine volume \> 3000 mL as recorded in the micturition diary period.
Minimum Eligible Age

18 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 US10049

Mobile, Alabama, United States

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Site US10112

Mobile, Alabama, United States

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Site US10104

Chandler, Arizona, United States

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Site US10021

Phoenix, Arizona, United States

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Site US10122

Anaheim, California, United States

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Site US10082

Hawaiian Gardens, California, United States

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Site US10132

Los Angeles, California, United States

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Site US10133

Los Angeles, California, United States

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Site US10149

Paramount, California, United States

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Site US10003

San Diego, California, United States

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Site US10106

Tarzana, California, United States

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Site US10595

Valley Village, California, United States

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Site US10053

Wheat Ridge, Colorado, United States

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Site US10060

Bradenton, Florida, United States

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Site US10097

Hialeah, Florida, United States

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Site US10148

Hialeah, Florida, United States

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Site US10153

Hialeah, Florida, United States

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Site US10091

Jupiter, Florida, United States

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Site US10150

New Port Richey, Florida, United States

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Site US10124

Orlando, Florida, United States

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Site US10134

Orlando, Florida, United States

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Site US10009

Pembroke Pines, Florida, United States

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Site US10554

Plantation, Florida, United States

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Site US10037

Alpharetta, Georgia, United States

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Site US10127

Roswell, Georgia, United States

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Site US10120

Sandy Springs, Georgia, United States

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Site US10078

Wichita, Kansas, United States

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Site US10088

Lake Charles, Louisiana, United States

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Site US10025

Shreveport, Louisiana, United States

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Site US10558

Hanover, Maryland, United States

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Site US10282

Boston, Massachusetts, United States

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Site US10114

Watertown, Massachusetts, United States

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Site US10110

Billings, Montana, United States

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Site US10154

Missoula, Montana, United States

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Site US10553

Lincoln, Nebraska, United States

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Site US10002

Englewood, New Jersey, United States

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Site US10047

Lawrenceville, New Jersey, United States

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Site US10011

Albuquerque, New Mexico, United States

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Site US10015

Albuquerque, New Mexico, United States

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Site US10026

Garden City, New York, United States

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Site US10040

Kingston, New York, United States

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Site US10168

New York, New York, United States

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Site US10126

Newburgh, New York, United States

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Site US10028

Poughkeepsie, New York, United States

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Site US10076

Concord, North Carolina, United States

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Site US10129

Raleigh, North Carolina, United States

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Site US10062

Winston-Salem, North Carolina, United States

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Site US10050

Cleveland, Ohio, United States

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Site US10067

Wadsworth, Ohio, United States

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Site US10109

Oklahoma City, Oklahoma, United States

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Site US10541

Medford, Oregon, United States

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Site US10008

Bala-Cynwyd, Pennsylvania, United States

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Site US10017

Philadelphia, Pennsylvania, United States

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Site US10167

Pittsburgh, Pennsylvania, United States

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Site US10250

Pittsburgh, Pennsylvania, United States

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Site US10248

Pittsburgh, Pennsylvania, United States

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Site US10063

Uniontown, Pennsylvania, United States

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Site US10012

West Reading, Pennsylvania, United States

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Site US10166

Charleston, South Carolina, United States

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Site US10079

Mt. Pleasant, South Carolina, United States

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Site US10023

Simpsonville, South Carolina, United States

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Site US10101

Summerville, South Carolina, United States

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Site US10006

Kingsport, Tennessee, United States

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Site US10065

Corpus Christi, Texas, United States

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Site US10085

Houston, Texas, United States

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Site US10219

Houston, Texas, United States

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Site US10093

Houston, Texas, United States

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Site US10090

Hurst, Texas, United States

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Site US10105

San Antonio, Texas, United States

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Site US10111

San Antonio, Texas, United States

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Site US10083

Virginia Beach, Virginia, United States

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Site US10013

Burien, Washington, United States

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Site US10004

Mountlake Terrace, Washington, United States

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Site US10155

Seattle, Washington, United States

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Site US10135

Walla Walla, Washington, United States

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Site AU61005

Broadmeadow, New South Wales, Australia

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Site AU61007

Randwick, New South Wales, Australia

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Site AU61021

Randwick, New South Wales, Australia

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Site AU61011

Wollongong, New South Wales, Australia

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Site AU61022

Brisbane, Queensland, Australia

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Site AU61010

Nambour, Queensland, Australia

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Site AU61019

Sherwood, Queensland, Australia

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Site AU61015

Daw Park, South Australia, Australia

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Site AU61025

Footscray, Victoria, Australia

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Site AU61002

Parkville, Victoria, Australia

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Perth, Western Australia, Australia

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Site BE32004

Ghent, , Belgium

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Site BE32014

Roeselare, , Belgium

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Site BE32012

Sint-Truiden, , Belgium

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Site BG35908

Plovdiv, , Bulgaria

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Site BG35902

Rousse, , Bulgaria

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Sofia, , Bulgaria

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Sofia, , Bulgaria

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Site CA15035

Edmonton, Alberta, Canada

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Site CA15033

Vancouver, British Columbia, Canada

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Site CA15008

Saint John, New Brunswick, Canada

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Barrie, Ontario, Canada

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Site CA15006

Brampton, Ontario, Canada

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Brantford, Ontario, Canada

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Site CA15007

Kitchener, Ontario, Canada

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Toronto, Ontario, Canada

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Toronto, Ontario, Canada

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Site CA15026

Drummondville, Quebec, Canada

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Site CA15039

Lévis, Quebec, Canada

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Montreal, Quebec, Canada

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Québec, Quebec, Canada

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Site CA15027

Sherbrooke, Quebec, Canada

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Montreal, , Canada

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Site CZ42015

Brno, , Czechia

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Hradec Králové, , Czechia

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Hradec Králové, , Czechia

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Olomouc, , Czechia

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Ostrava, , Czechia

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Pilsen, , Czechia

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Prague, , Czechia

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Prague, , Czechia

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Sternberk, , Czechia

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Uherské Hradiště, , Czechia

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Ústí nad Labem, , Czechia

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Aarhus, , Denmark

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Site EE37201

Pärnu, , Estonia

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Site FI35801

Kouvola, , Finland

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Site DE49034

Munich, Bavaria, Germany

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Site DE49032

Duisburg, North Rhine-Westphalia, Germany

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Site DE49031

Bergisch Gladbach, Northwest, Germany

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Site DE49013

Leipzig, Saxony, Germany

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Site DE49003

Eisleben Lutherstadt, Saxony-Anhalt, Germany

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Bad Ems, , Germany

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Duisburg, , Germany

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Ganderkesee, , Germany

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Halle, , Germany

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Neustadt in Sachsen, , Germany

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Site DE49026

Rostock, , Germany

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Sangerhausen, , Germany

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Site HU36007

Kecskemét, Bacs-Kiskun Megye, Hungary

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Site HU36005

Pécs, Baranya, Hungary

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Site HU36003

Csongrád, Csongrád megye, Hungary

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Site HU36001

Szentes, Csongrád megye, Hungary

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Site HU36013

Sopron, Győr-Moson-Sopron, Hungary

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Site HU36012

Veszprém, Veszprém megye, Hungary

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Site IT39022

Ancona, , Italy

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Site IT39007

Avellino, , Italy

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Latina, , Italy

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Site IT39020

Milan, , Italy

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Site LV37102

Liepāja, , Latvia

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Site LV37103

Olaine, , Latvia

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Site LV37105

Riga, , Latvia

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Site LT37008

Kaunas, , Lithuania

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Site LT37004

Kaunas, , Lithuania

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Kaunas, , Lithuania

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Klaipėda, , Lithuania

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Site LT37010

Vilnius, , Lithuania

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Site LT37003

Vilnius, , Lithuania

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Site LT37007

Vilnius, , Lithuania

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Site LT37009

Vilnius, , Lithuania

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Site MY60002

Petaling Jaya, , Malaysia

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Site MX52003

Mexico City, Mexico City, Mexico

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Site NL31006

Enschede, NL, Netherlands

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Site NL31002

Amsterdam, , Netherlands

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Site NL31005

Nijmegen, , Netherlands

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Site NL31010

Sneek, , Netherlands

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Site NZ64001

Christchurch, Canterbury, New Zealand

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Site NZ64002

Nelson, , New Zealand

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Site NZ64003

Tauranga, , New Zealand

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Site NZ64006

Whangarei, , New Zealand

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Site NO47007

Ålesund, , Norway

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Site NO47006

Hamar, , Norway

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Site NO47008

Lierskogen, , Norway

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Site PL48018

Bialystok, , Poland

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Site PL48013

Chorzów, , Poland

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Site PL48014

Gdynia, , Poland

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Site PL48004

Lodz, , Poland

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Site PL48010

Lublin, , Poland

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Site PL48011

Mysłowice, , Poland

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Site PL48016

Opole, , Poland

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Site PL48005

Piaseczno, , Poland

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Site PL48012

Warsaw, , Poland

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Site PL48003

Warsaw, , Poland

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Site PL48001

Warsaw, , Poland

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Site PL48019

Wroclaw, , Poland

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Site RO40014

Cluj-Napoca, Cluj, Romania

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Site RO40004

Bucharest, , Romania

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Site RO40001

Bucharest, , Romania

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Site RO40005

Bucharest, , Romania

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Site RO40010

Sibiu, , Romania

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Site RO40002

Timișoara, , Romania

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Site RU70015

Kazan', , Russia

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Site RU70023

Penza, , Russia

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Site RU70019

Saint Petersburg, , Russia

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Site RU70002

Saint Petersburg, , Russia

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Site RU70022

Saint Petersburg, , Russia

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Site RU70014

Saint Petersburg, , Russia

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Site RU70018

Ufa, , Russia

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Site SG65002

Singapore, , Singapore

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Site SG65003

Singapore, , Singapore

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Site SK42105

Bratislava, , Slovakia

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Site SK42107

Košice, , Slovakia

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Site SK42101

Košice, , Slovakia

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Site SK42103

Nitra, , Slovakia

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Site SK42108

Poprad, , Slovakia

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Site SK42104

Prešov, , Slovakia

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Site SK42102

Trenčín, , Slovakia

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Site SK42106

Trenčín, , Slovakia

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Site SI38604

Murska Sobota, , Slovenia

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Site ZA27001

Centurion, Gauteng, South Africa

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Site ZA27002

Roodepoort, Gauteng, South Africa

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Site ZA27006

Durban, KwaZulu-Natal, South Africa

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Site ZA27013

Meyerspark, Pretoria, South Africa

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Site ZA27007

Paarl, Western Cape, South Africa

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Site KR82004

Suwon, Gyeonggi-do, South Korea

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Site KR82014

Bucheon-si, Gyunggido, South Korea

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Site KR82012

Seoul, Gyunggido, South Korea

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Site KR82010

Jeonju, Jeollabuk-do South Korea, South Korea

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Site KR82006

Busan, , South Korea

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Site KR82016

Busan, , South Korea

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Site KR82005

Daegu, , South Korea

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Site KR82029

Daegu, , South Korea

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Site KR82019

Daejeon, , South Korea

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Site KR82023

Incheon, , South Korea

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Site KR82003

Seoul, , South Korea

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Site KR82021

Seoul, , South Korea

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Site KR82020

Seoul, , South Korea

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Site KR82030

Seoul, , South Korea

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Site KR82013

Seoul, , South Korea

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Site KR82017

Seoul, , South Korea

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Site KR82002

Seoul, , South Korea

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Site KR82008

Seoul, , South Korea

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Site KR82015

Seoul, , South Korea

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Site KR82001

Seoul, , South Korea

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Site ES34004

Madrid, , Spain

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Site ES34015

Madrid, , Spain

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Site ES34009

Madrid, , Spain

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Site ES34002

Valencia, , Spain

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Site SE46007

Borås, , Sweden

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Site SE46005

Malmo, , Sweden

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Site SE46016

Stockholm, , Sweden

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Site SE46012

Stockholm, , Sweden

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Site SE46003

Stockholm, , Sweden

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Site SE46009

Uppsala, , Sweden

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Site TH66008

Bangkok, , Thailand

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Site TH66009

Khon Kaen, , Thailand

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Site UA38002

Cherenigiv, , Ukraine

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Site UA38015

Chernivtsi, , Ukraine

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Site UA38013

Dnipro, , Ukraine

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Site UA38007

Kiev, , Ukraine

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Site UA38003

Kyiv, , Ukraine

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Site UA38010

Kyiv, , Ukraine

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Site UA38008

Zaporizhzhya, , Ukraine

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Site GB44001

Sheffield, South Yorkshire, United Kingdom

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Site GB44006

Plymouth, , United Kingdom

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Site GB44009

Watford, , United Kingdom

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Countries

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United States Australia Belgium Bulgaria Canada Czechia Denmark Estonia Finland Germany Hungary Italy Latvia Lithuania Malaysia Mexico Netherlands New Zealand Norway Poland Romania Russia Singapore Slovakia Slovenia South Africa South Korea Spain Sweden Thailand Ukraine United Kingdom

References

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Gratzke C, van Maanen R, Chapple C, Abrams P, Herschorn S, Robinson D, Ridder A, Stoelzel M, Paireddy A, Yoon SJ, Al-Shukri S, Rechberger T, Mueller ER. Long-term Safety and Efficacy of Mirabegron and Solifenacin in Combination Compared with Monotherapy in Patients with Overactive Bladder: A Randomised, Multicentre Phase 3 Study (SYNERGY II). Eur Urol. 2018 Oct;74(4):501-509. doi: 10.1016/j.eururo.2018.05.005. Epub 2018 Jun 1.

Reference Type DERIVED
PMID: 29866467 (View on PubMed)

Related Links

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https://astellasclinicalstudyresults.com/study.aspx?ID=246

Link to results on the Astellas Clinical Study Results website

Other Identifiers

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2012-005736-29

Identifier Type: EUDRACT_NUMBER

Identifier Source: secondary_id

178-CL-102

Identifier Type: -

Identifier Source: org_study_id

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