Trial Outcomes & Findings for Study of Behavioral Modification Program and Mirabegron to Improve Urinary Urgency in Multiple Sclerosis (NCT NCT02086188)

NCT ID: NCT02086188

Last Updated: 2023-10-18

Results Overview

Primary outcome: Overactive Bladder Symptom Composite Score (OAB-SCS) total score, average daily, Baseline vs. Final Visit The OAB-SCS measures symptoms of overactive bladder, urgency, frequency, incontinence. This is an ordinal scale is 1-5, 1 (minimum) = no urgency, 5 (maximum) = urgency incontinence. Higher values represent a worse outcome.

Recruitment status

COMPLETED

Study phase

PHASE4

Target enrollment

28 participants

Primary outcome timeframe

10 weeks

Results posted on

2023-10-18

Participant Flow

Participant milestones

Participant milestones
Measure
Mirabegron
Mirabegron - 25mg (one tablet) taken by mouth daily with option to up-titrate to 50mg daily (two tablets) taken by mouth daily Mirabegron: see detailed information in associated Arm Description
Placebo
Placebo - one tablet taken by mouth daily and two tablets taken by mouth daily if subject chooses up-titration Placebo: Sugar pill manufactured to mimic Mirabegron 25mg tablet.
Overall Study
STARTED
14
14
Overall Study
COMPLETED
14
14
Overall Study
NOT COMPLETED
0
0

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Study of Behavioral Modification Program and Mirabegron to Improve Urinary Urgency in Multiple Sclerosis

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Mirabegron
n=14 Participants
Mirabegron - 25mg (one tablet) taken by mouth daily with option to up-titrate to 50mg daily (two tablets) taken by mouth daily Mirabegron: see detailed information in associated Arm Description
Placebo
n=14 Participants
Placebo - one tablet taken by mouth daily and two tablets taken by mouth daily if subject chooses up-titration Placebo: Sugar pill manufactured to mimic Mirabegron 25mg tablet.
Total
n=28 Participants
Total of all reporting groups
Age, Continuous
55 years
n=5 Participants
50 years
n=7 Participants
53 years
n=5 Participants
Sex: Female, Male
Female
13 Participants
n=5 Participants
12 Participants
n=7 Participants
25 Participants
n=5 Participants
Sex: Female, Male
Male
1 Participants
n=5 Participants
2 Participants
n=7 Participants
3 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
14 Participants
n=5 Participants
14 Participants
n=7 Participants
28 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Asian
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Black or African American
0 Participants
n=5 Participants
1 Participants
n=7 Participants
1 Participants
n=5 Participants
Race (NIH/OMB)
White
14 Participants
n=5 Participants
13 Participants
n=7 Participants
27 Participants
n=5 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Region of Enrollment
United States
14 participants
n=5 Participants
14 participants
n=7 Participants
28 participants
n=5 Participants

PRIMARY outcome

Timeframe: 10 weeks

Primary outcome: Overactive Bladder Symptom Composite Score (OAB-SCS) total score, average daily, Baseline vs. Final Visit The OAB-SCS measures symptoms of overactive bladder, urgency, frequency, incontinence. This is an ordinal scale is 1-5, 1 (minimum) = no urgency, 5 (maximum) = urgency incontinence. Higher values represent a worse outcome.

Outcome measures

Outcome measures
Measure
Mirabegron
n=14 Participants
Mirabegron - 25mg (one tablet) taken by mouth daily with option to up-titrate to 50mg daily (two tablets) taken by mouth daily Mirabegron: see detailed information in associated Arm Description
Placebo
n=14 Participants
Placebo - one tablet taken by mouth daily and two tablets taken by mouth daily if subject chooses up-titration Placebo: Sugar pill manufactured to mimic Mirabegron 25mg tablet. egron group had a worse outcome on this measure.
Overactive Bladder Symptom Composite Score (OAB-SCS) at Baseline vs. Final Visit
3.01 score on a scale
Standard Deviation 0.48
2.56 score on a scale
Standard Deviation 0.84

SECONDARY outcome

Timeframe: 5 weeks

Population: MS patients with overactive bladder

Secondary Outcome Measure based on voiding diary: Average daily Overactive Bladder Symptom Composite Score (OAB-SCS) Baseline compared to Titration Visit The OAB-SCS measures symptoms of overactive bladder, urgency, frequency, incontinence. This is an ordinal scale is 1-5, 1 (minimum) = no urgency, 5 (maximum) = urgency incontinence. Higher values represent a worse outcome.

Outcome measures

Outcome measures
Measure
Mirabegron
n=14 Participants
Mirabegron - 25mg (one tablet) taken by mouth daily with option to up-titrate to 50mg daily (two tablets) taken by mouth daily Mirabegron: see detailed information in associated Arm Description
Placebo
n=14 Participants
Placebo - one tablet taken by mouth daily and two tablets taken by mouth daily if subject chooses up-titration Placebo: Sugar pill manufactured to mimic Mirabegron 25mg tablet. egron group had a worse outcome on this measure.
Overactive Bladder Symptom Composite Score (OAB-SCS) at Baseline vs. Titration Visit
2.8 score on a scale
Standard Deviation 0.64
2.23 score on a scale
Standard Deviation 0.72

SECONDARY outcome

Timeframe: 10 weeks

Secondary Outcome Measure based on voiding diary: Baseline vs Final Visit: mean # of micturitions/day

Outcome measures

Outcome measures
Measure
Mirabegron
n=14 Participants
Mirabegron - 25mg (one tablet) taken by mouth daily with option to up-titrate to 50mg daily (two tablets) taken by mouth daily Mirabegron: see detailed information in associated Arm Description
Placebo
n=14 Participants
Placebo - one tablet taken by mouth daily and two tablets taken by mouth daily if subject chooses up-titration Placebo: Sugar pill manufactured to mimic Mirabegron 25mg tablet. egron group had a worse outcome on this measure.
Mean # of Micturitions/Day Based on Voiding Diaries
6.82 micturitions/day
Standard Deviation 2.2
8.72 micturitions/day
Standard Deviation 3.14

SECONDARY outcome

Timeframe: 10 weeks

Secondary Outcome Measure based on voiding diary: Baseline vs. Final Visit: Mean # of incontinence episodes/day

Outcome measures

Outcome measures
Measure
Mirabegron
n=14 Participants
Mirabegron - 25mg (one tablet) taken by mouth daily with option to up-titrate to 50mg daily (two tablets) taken by mouth daily Mirabegron: see detailed information in associated Arm Description
Placebo
n=14 Participants
Placebo - one tablet taken by mouth daily and two tablets taken by mouth daily if subject chooses up-titration Placebo: Sugar pill manufactured to mimic Mirabegron 25mg tablet. egron group had a worse outcome on this measure.
Mean # of Incontinence Episodes/Day
0.7 Incontinence Episodes/Day
Standard Deviation 1.09
1.05 Incontinence Episodes/Day
Standard Deviation 2.82

SECONDARY outcome

Timeframe: 10 weeks

Secondary Outcome Measure based on voiding diary: Baseline vs. Final Visit: Mean volume voided/micturition

Outcome measures

Outcome measures
Measure
Mirabegron
n=14 Participants
Mirabegron - 25mg (one tablet) taken by mouth daily with option to up-titrate to 50mg daily (two tablets) taken by mouth daily Mirabegron: see detailed information in associated Arm Description
Placebo
n=14 Participants
Placebo - one tablet taken by mouth daily and two tablets taken by mouth daily if subject chooses up-titration Placebo: Sugar pill manufactured to mimic Mirabegron 25mg tablet. egron group had a worse outcome on this measure.
Mean Volume Voided/Micturition
356 ml/micturition
Standard Deviation 153
282 ml/micturition
Standard Deviation 174

SECONDARY outcome

Timeframe: 10 weeks

Secondary Outcome Measures based on the Qualiveen Questionnaire at Final Visit compared to Baseline Qualiveen questionaire is used, including 8 questions about aspects of bladder problems. Each question is rated 0 (not at all)- 4 (extremely). Overall score is averaged (average score per question)

Outcome measures

Outcome measures
Measure
Mirabegron
n=14 Participants
Mirabegron - 25mg (one tablet) taken by mouth daily with option to up-titrate to 50mg daily (two tablets) taken by mouth daily Mirabegron: see detailed information in associated Arm Description
Placebo
n=14 Participants
Placebo - one tablet taken by mouth daily and two tablets taken by mouth daily if subject chooses up-titration Placebo: Sugar pill manufactured to mimic Mirabegron 25mg tablet. egron group had a worse outcome on this measure.
Qualiveen Questionnaire
0.96 score on a scale
Standard Deviation 0.84
0.71 score on a scale
Standard Deviation 0.63

SECONDARY outcome

Timeframe: 10 weeks

Secondary Outcome Measures based on the Subject Global Impression (single question) at Final Visit compared to Baseline This is a single question: "How would you rate your level of bladder control during the past week?" 1-7 analog scale, 1 = "terrible'" 7 = "delighted."

Outcome measures

Outcome measures
Measure
Mirabegron
n=14 Participants
Mirabegron - 25mg (one tablet) taken by mouth daily with option to up-titrate to 50mg daily (two tablets) taken by mouth daily Mirabegron: see detailed information in associated Arm Description
Placebo
n=14 Participants
Placebo - one tablet taken by mouth daily and two tablets taken by mouth daily if subject chooses up-titration Placebo: Sugar pill manufactured to mimic Mirabegron 25mg tablet. egron group had a worse outcome on this measure.
Subject Global Impression (Single Question)
5.71 score on a scale
Standard Deviation 1.14
4.86 score on a scale
Standard Deviation 1.29

Adverse Events

Mirabegron

Serious events: 0 serious events
Other events: 6 other events
Deaths: 0 deaths

Placebo

Serious events: 0 serious events
Other events: 4 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Other adverse events
Measure
Mirabegron
n=14 participants at risk
Mirabegron - 25mg (one tablet) taken by mouth daily with option to up-titrate to 50mg daily (two tablets) taken by mouth daily Mirabegron: see detailed information in associated Arm Description
Placebo
n=14 participants at risk
Placebo - one tablet taken by mouth daily and two tablets taken by mouth daily if subject chooses up-titration Placebo: Sugar pill manufactured to mimic Mirabegron 25mg tablet.
Nervous system disorders
headache
7.1%
1/14 • Number of events 1 • 10 weeks
14.3%
2/14 • Number of events 2 • 10 weeks
Cardiac disorders
hypertension
0.00%
0/14 • 10 weeks
7.1%
1/14 • Number of events 1 • 10 weeks
Respiratory, thoracic and mediastinal disorders
asthma
7.1%
1/14 • Number of events 1 • 10 weeks
0.00%
0/14 • 10 weeks
Gastrointestinal disorders
gastritis
7.1%
1/14 • Number of events 1 • 10 weeks
0.00%
0/14 • 10 weeks
Nervous system disorders
fatigue
7.1%
1/14 • Number of events 1 • 10 weeks
0.00%
0/14 • 10 weeks
Infections and infestations
urinary tract infection
7.1%
1/14 • Number of events 1 • 10 weeks
0.00%
0/14 • 10 weeks
Gastrointestinal disorders
diarrhea
7.1%
1/14 • Number of events 1 • 10 weeks
0.00%
0/14 • 10 weeks
Nervous system disorders
dizziness
0.00%
0/14 • 10 weeks
7.1%
1/14 • Number of events 1 • 10 weeks

Additional Information

Theodore Brown, MD

EvergreenHealth

Phone: 4258995350

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place