Evaluation of an Alternative Injection Paradigm for OnabotulinumtoxinA (BOTOX®) in the Treatment of Overactive Bladder in Patients With Urinary Incontinence

NCT ID: NCT03052764

Last Updated: 2019-12-24

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

PHASE4

Total Enrollment

120 participants

Study Classification

INTERVENTIONAL

Study Start Date

2016-12-12

Study Completion Date

2018-12-10

Brief Summary

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This study will evaluate the efficacy and safety of onabotulinumtoxinA 100 U (BOTOX®), compared to placebo, when injected into the bladder using an alternative injection paradigm in reducing the number of daily urinary incontinence episodes in patients with overactive bladder (OAB) and urinary incontinence whose symptoms have not been adequately managed with an anticholinergic.

Detailed Description

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Conditions

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Urinary Bladder, Overactive Urinary Incontinence

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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BOTOX® 100 U/BOTOX® 100 U

BOTOX® (onabotulinumtoxinA) 100 U injection into the bladder on Day 1 and a second injection BOTOX® 100 U after Week 12 if applicable.

Group Type ACTIVE_COMPARATOR

onabotulinumtoxinA

Intervention Type BIOLOGICAL

OnabotulinumtoxinA (BOTOX®) injection into the bladder.

Placebo/BOTOX® 100 U

Placebo (saline) injection into the bladder on Day 1 and a second injection BOTOX® 100 U after Week 12 if applicable.

Group Type PLACEBO_COMPARATOR

onabotulinumtoxinA

Intervention Type BIOLOGICAL

OnabotulinumtoxinA (BOTOX®) injection into the bladder.

Placebo (saline)

Intervention Type DRUG

Placebo (saline) injection into the bladder.

Interventions

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onabotulinumtoxinA

OnabotulinumtoxinA (BOTOX®) injection into the bladder.

Intervention Type BIOLOGICAL

Placebo (saline)

Placebo (saline) injection into the bladder.

Intervention Type DRUG

Other Intervention Names

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BOTOX® botulinum toxin Type A

Eligibility Criteria

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Inclusion Criteria

* Participant weighs ≥ 40 kg (88 lb)
* Participant has symptoms of Over Active Bladder (OAB) (frequency and urgency) with urinary incontinence for a period of at least 6 months immediately prior to screening.

Exclusion Criteria

* Participant has symptoms of OAB due to any known neurological reason (eg, spinal cord injury, multiple sclerosis, cerebrovascular accident, Alzheimer's disease, Parkinson's disease, etc.)
* Participant has received pharmacologic therapy to treat symptoms of OAB, including nocturia, within 7 days of the start of the screening period procedures
* Participant uses clean intermittent catheterization (CIC) or indwelling catheter to manage urinary incontinence
* Participant has been treated with any intravesical pharmacologic agent (eg, capsaicin, resiniferatoxin) within 12 months of Day 1
* Participant has had previous or current botulinum toxin therapy of any serotype for any urological condition
* Participant has had previous or current botulinum toxin therapy of any serotype for any non-urological condition within 12 weeks of Day 1
* Participant has been immunized for any botulinum toxin serotype
* Participant has history or evidence of any pelvic or urological abnormalities, bladder surgery or disease, other than OAB, that may affect bladder function
* Participant has an active genital infection, other than genital warts, either concurrently or within 4 weeks prior to screening
* Participant has a history or current diagnosis of bladder cancer or other urothelial malignancy
* Participant is male with previous or current diagnosis of prostate cancer
* Participant has a history of 2 or more urinary tract infections (UTIs) within 6 months of Day 1 or is taking prophylactic antibiotics to prevent chronic UTIs
* Participant has current or previous uninvestigated hematuria
* Participant has hemophilia, or other clotting factor deficiencies, or disorders that cause bleeding diathesis
* Participant cannot withhold any antiplatelet, anticoagulant therapy or medications with anticoagulant effects for 3 days prior to Day 1
* Participant has a known allergy or sensitivity to any botulinum toxin preparation
* Participant has any medical condition that may put him/her at increased risk with exposure to BOTOX® including diagnosed myasthenia gravis, Eaton-Lambert syndrome, or amyotrophic lateral sclerosis
* Participant has current swallowing or breathing difficulties.
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Allergan

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Dana Fetterolf

Role: STUDY_DIRECTOR

Allergan

Amin Boroujerdi

Role: STUDY_DIRECTOR

Allergan

Locations

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Orange County Urology Associates

Laguna Hills, California, United States

Site Status

Tower Urology

Los Angeles, California, United States

Site Status

University of California, Irvine Medical Center

Orange, California, United States

Site Status

Genitourinary Surgical Consultants

Denver, Colorado, United States

Site Status

East Coast Institute for Research, LLC

Jacksonville, Florida, United States

Site Status

PMG Research of Christie Clinic

Champaign, Illinois, United States

Site Status

Deaconess Clinic, Inc.

Evansville, Indiana, United States

Site Status

Women's Health Advantage

Fort Wayne, Indiana, United States

Site Status

Urogynecology Associates

Indianapolis, Indiana, United States

Site Status

Urology of Indiana

Noblesville, Indiana, United States

Site Status

Iowa Clinic

West Des Moines, Iowa, United States

Site Status

Regional Urology

Shreveport, Louisiana, United States

Site Status

Chesapeake Urology

Owings Mills, Maryland, United States

Site Status

Beyer Research

Kalamazoo, Michigan, United States

Site Status

Michigan Institute of Urology, P.C.

Troy, Michigan, United States

Site Status

Adult and Pediatric Urology

Omaha, Nebraska, United States

Site Status

Premier Urology LLC

Edison, New Jersey, United States

Site Status

Western New York Urology Associates

Cheektowaga, New York, United States

Site Status

Manhattan Medical Research

New York, New York, United States

Site Status

Advanced Urology Centers of NY A division of IMP

Plainview, New York, United States

Site Status

Premier Medical Group of the Hudson Valley

Poughkeepsie, New York, United States

Site Status

Alliance Urology Specialists

Greensboro, North Carolina, United States

Site Status

Sandhills Medical Center

Hamlet, North Carolina, United States

Site Status

PMG Research of Wilmington

Wilmington, North Carolina, United States

Site Status

Urologic Consultants of Southeastern Pennsylvania

Bala-Cynwyd, Pennsylvania, United States

Site Status

Center for Pelvic Health

Franklin, Tennessee, United States

Site Status

Urology Clinics of North Texas

Dallas, Texas, United States

Site Status

Virginia Urology

Richmond, Virginia, United States

Site Status

Virginia Urology Center

Richmond, Virginia, United States

Site Status

Urology of Virginia

Virginia Beach, Virginia, United States

Site Status

Integrity Medical Research, LLC

Mountlake Terrace, Washington, United States

Site Status

Countries

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United States

References

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Poster. Female Pelvic Med Reconstr Surg. 2020 Oct 1;26(10S Suppl 1):S89-S189. doi: 10.1097/SPV.0000000000000936. No abstract available.

Reference Type DERIVED
PMID: 33955921 (View on PubMed)

Provided Documents

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Document Type: Statistical Analysis Plan

View Document

Document Type: Study Protocol

View Document

Related Links

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Other Identifiers

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CMO-US-URO-0470

Identifier Type: -

Identifier Source: org_study_id