To Determine How Effective Duloxetine is in Treating Women 65 Years and Older With Symptoms of Stress Urinary Incontinence, or With a Combination of Stress Urinary Incontinence and Urge Urinary Incontinence Symptoms

This study has been completed.
Sponsor:
Collaborator:
Boehringer Ingelheim
Information provided by:
Eli Lilly and Company
ClinicalTrials.gov Identifier:
NCT00244296
First received: October 24, 2005
Last updated: January 24, 2007
Last verified: January 2007
  Purpose

The purpose of this study is to determine how effective duloxetine is in treating women who are 65 years of age or older with symptoms of stress urinary incontinence, or with a combination of stress urinary incontinence and urge urinary incontinence symptoms.


Condition Intervention Phase
Urinary Incontinence, Stress
Drug: Duloxetine hydrochloride
Drug: placebo
Phase 4

Study Type: Interventional
Study Design: Allocation: Randomized
Endpoint Classification: Safety/Efficacy Study
Intervention Model: Parallel Assignment
Masking: Double-Blind
Primary Purpose: Treatment
Official Title: A Double-Blind, Stratified, Randomised, Parallel, Placebo-Controlled, Multi-Centre Study to Assess the Efficacy and Safety of Duloxetine (20 mg Bid for 2 Weeks Escalating to 40 mg Bid) for up to 12 Weeks, Compared to Placebo, in Community-Dwelling Elderly Women > or = 65 Years of Age With Symptoms of Stress Urinary Incontinence or Stress-Predominant Mixed Urinary Incontinence.

Resource links provided by NLM:


Further study details as provided by Eli Lilly and Company:

Primary Outcome Measures:
  • Assess the efficacy of duloxetine for up to 12 weeks, compared to placebo, in community dwelling women > or = 65 years of age with symptoms of pure stress urinary incontinence (SUI) or stress-predominant mixed urinary incontinence

Secondary Outcome Measures:
  • Compare the efficacy of duloxetine 40 mg twice daily with that of placebo in the treatment of the symptoms of SUI and stress-predominant MUI as measured by:Absolute change in IEF
  • Change in mean time between voids
  • Percent change in the number of continence pads used per week
  • Change in the Incontinence Quality of Life total score and 3 sub-domain scores
  • Responder analysis based on the established within-treatment minimal clinically important difference established for the I-QOL
  • Responder analysis based on percent change in IEF
  • Patient's rating of improvement using the PGI-I
  • Compare efficacy of duloxetine 40 mg twice daily with that of placebo as measured by the percent change in IEF using in the SUI and MUI subgroups
  • To assess the impact of treatment with duloxetine 40 mg twice daily and placebo on the development of suicidal ideation.
  • Assess the impact of treatment with duloxetine 40 mg twice daily and placebo in cognition.
  • Assess the impact of treatment with duloxetine 40 mg twice daily and placebo as measured by changes in BDI-II.
  • To compare the safety of duloxetine with placebo based on changes in vital signs, clinical lab values, occurrence and duration of adverse events and premature discontinuation of study due to adverse events.

Estimated Enrollment: 276
Study Start Date: October 2005
Estimated Study Completion Date: January 2007
  Eligibility

Ages Eligible for Study:   65 Years and older
Genders Eligible for Study:   Female
Accepts Healthy Volunteers:   No
Criteria

Inclusion Criteria:

  • female outpatient greater than or equal to 65 years of age
  • have symptoms of SUI or stress-predominant MUI for at least 3 consecutive months
  • have at least 7 incontinence episodes per week. For patients with MUI, at least 50% of the IEF must be due to stress.
  • is ambulatory and able to use a toilet independently and without difficulty

Exclusion Criteria:

  • at Visit 1 have a positive urine culture or a history of four or more urinary tract infections (UTIs) in the preceding year
  • have had continence surgery or received bladder neck bulking agent therapy within 3 months prior to study entry
  • began pelvic floor muscle exercises (for example, Kegel or biofeedback) within 3 months prior to study entry or at any time during the study.
  • have neurologic lesions or conditions (e.g. multiple sclerosis, spinal cord lesions or Parkinson's disease) or local lesions (e.g. bladder stones present or tumors) that affect the lower urinary tract.
  • intake of monoamine oxidase inhibitors (MAOIs) within 14 days prior to randomisation or at any time during the study
  Contacts and Locations
Choosing to participate in a study is an important personal decision. Talk with your doctor and family members or friends about deciding to join a study. To learn more about this study, you or your doctor may contact the study research staff using the Contacts provided below. For general information, see Learn About Clinical Studies.

Please refer to this study by its ClinicalTrials.gov identifier: NCT00244296

Locations
France
For additional information regarding investigative sites for this trial, contact 1-877-CTLILLY (1-877-285-4559, 1-317-615-4559) Mon - Fri from 9 AM to 5 PM Eastern Time (UTC/GMT - 5 hours, EST), or speak with your personal physician.
Champcueil, France
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Limoges, France
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Nice, France
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Nimes, France
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Paris, France
Germany
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Alzey, Germany
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Bad Ems, Germany
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Dusseldorf, Germany
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Karlsruhe, Germany
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Koblenz, Germany
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Leipzig, Germany
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Muehlacker, Germany
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Rheinstetten/Baden, Germany
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Vellmar, Germany
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Wiesloch, Germany
Netherlands
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Amsterdam, Netherlands
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Apeldoorn, Netherlands
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Nieuwegein, Netherlands
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Tilburg, Netherlands
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Zeist, Netherlands
South Africa
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Johannesburg, South Africa
Spain
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Barcelona, Spain
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Castellon, Spain
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Tenerife, Spain
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Vigo, Spain
Sweden
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Lund, Sweden
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Stockholm, Sweden
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Uppsala, Sweden
Switzerland
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Basel, Switzerland
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Riehen, Switzerland
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Zurich, Switzerland
Sponsors and Collaborators
Eli Lilly and Company
Boehringer Ingelheim
Investigators
Study Director: Call 1-877-CTLILLY (1-877-285-4559) or 1-317-615-4559 Mon - Fri 9 AM - 5 PM Eastern time (UTC/GMT - 5 hours, EST) Eli Lilly and Company
  More Information

No publications provided

ClinicalTrials.gov Identifier: NCT00244296     History of Changes
Other Study ID Numbers: 8672, F1J-MC-SBCM
Study First Received: October 24, 2005
Last Updated: January 24, 2007
Health Authority: Netherlands: The Central Committee on Research Involving Human Subjects (CCMO)

Additional relevant MeSH terms:
Urinary Incontinence
Urinary Incontinence, Stress
Urinary Incontinence, Urge
Urination Disorders
Urologic Diseases
Urological Manifestations
Signs and Symptoms
Duloxetine
Serotonin Uptake Inhibitors
Neurotransmitter Uptake Inhibitors
Neurotransmitter Agents
Molecular Mechanisms of Pharmacological Action
Pharmacologic Actions
Serotonin Agents
Physiological Effects of Drugs
Adrenergic Uptake Inhibitors
Adrenergic Agents
Dopamine Uptake Inhibitors
Dopamine Agents
Antidepressive Agents
Psychotropic Drugs
Central Nervous System Agents
Therapeutic Uses

ClinicalTrials.gov processed this record on July 24, 2014