The Effect of Nighttime Mirabegron, Solifenacin, Tolterodine, or Oxybutynin on Nocturia, Sexual Function, Autonomic Function, and Lower Urinary Tract Blood Flow Perfusion in Women With Overactive Bladder Syndrome: Randomized Controlled Trial

NCT ID: NCT07114640

Last Updated: 2025-08-11

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

NOT_YET_RECRUITING

Clinical Phase

PHASE3

Total Enrollment

220 participants

Study Classification

INTERVENTIONAL

Study Start Date

2025-08-07

Study Completion Date

2028-12-31

Brief Summary

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The optimal medication for women with nocturia remains uncertain. This clinical trial aimed to determine the most effective medication for women with overactive bladder and nocturia. Its primary objectives were to answer the following questions:

Which medication is most effective for women with nocturia? Which medication has the least effect on heart rate variability in women with nocturia?

Detailed Description

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We will conduct a prospective randomized controlled study in the outpatient clinic of Department of Obstetrics and Gynecology of Far Eastern Memorial Hospital. All female patients with overactive bladder syndrome enrolled in the study will be requested to fill in the questionnaires and before taking the drug and four weeks and twelve weeks after taking the medication. In addition, measurement of heart rate variability will be performed before and twelve weeks after taking the medication. All enrolled women will be randomized to receive nighttime mirabegron, solifenacin, tolterodine or oxybutynin for 12 weeks.

The aims of this study is to obtain the impact of nighttime dosing of mirabegron, solifenacin, tolterodine or oxybutynin versus combined therapy on nocturia, psychologic distress, sexual function, cognition, heart rate variability and bladder blood perfusion in women with overactive bladder syndrome.

Conditions

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Urinary Bladder, Overactive

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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mirabegron

mirabegron 25 mg

Group Type ACTIVE_COMPARATOR

Mirabegron 25mg

Intervention Type DRUG

Taking 25 mg mirabegron in the nighttime

Solifenacin

Solifenacin 5mg

Group Type ACTIVE_COMPARATOR

Solifenacin 5 mg

Intervention Type DRUG

Taking 5 mg solifenacin in the nighttime

Tolterodine

Tolterodine 4mg

Group Type ACTIVE_COMPARATOR

Tolterodine 4 mg

Intervention Type DRUG

Taking 5 mg tolterodine in the nighttime

Oxybutynin ER

Oxybutynin ER 5mg

Group Type ACTIVE_COMPARATOR

Oxybutynin ER 5 mg

Intervention Type DRUG

Taking 5 mg oxybutynin ER in the nighttime

Interventions

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Mirabegron 25mg

Taking 25 mg mirabegron in the nighttime

Intervention Type DRUG

Solifenacin 5 mg

Taking 5 mg solifenacin in the nighttime

Intervention Type DRUG

Tolterodine 4 mg

Taking 5 mg tolterodine in the nighttime

Intervention Type DRUG

Oxybutynin ER 5 mg

Taking 5 mg oxybutynin ER in the nighttime

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* \>18 years old.
* female patients with overactive bladder syndrome

Exclusion Criteria

* Clinically significant dysuria (inability to urinate, difficulty urinating).
* Severe stress urinary incontinence (urinary incontinence caused by coughing).
* Mixed urinary incontinence mainly caused by stress urinary incontinence (urinary incontinence caused by coughing as the main symptom).
* Contraindications to antimuscarinic drugs or adrenergic receptor agonists.
Minimum Eligible Age

18 Years

Eligible Sex

FEMALE

Accepts Healthy Volunteers

No

Sponsors

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Far Eastern Memorial Hospital

OTHER

Sponsor Role lead

Responsible Party

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Sheng-Mou Hsiao

Chief and Professor, Department of Obstetrics and Gynecology

Responsibility Role PRINCIPAL_INVESTIGATOR

Locations

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Department of Obstetrics and Gynecology, Far Eastern Memorial Hospital,

Banqiao District, New Taipei, Taiwan

Site Status

Countries

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Taiwan

Facility Contacts

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Sheng-Mou Hsiao, M.D.

Role: primary

+886-2-89667000 ext. 1818

Other Identifiers

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110416-F

Identifier Type: -

Identifier Source: org_study_id

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