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| Sponsor: | Astellas Pharma Inc |
|---|---|
| Information provided by: | Astellas Pharma Inc |
| ClinicalTrials.gov Identifier: | NCT00573508 |
Purpose
Evaluate the effect of VESIcare® on symptom bother for subjects with OAB
| Condition | Intervention | Phase |
|---|---|---|
|
Urinary Bladder, Overactive |
Drug: Placebo Drug: Solifenacin Succinate |
Phase IV |
| Study Type: | Interventional |
| Study Design: | Allocation: Randomized Endpoint Classification: Safety/Efficacy Study Intervention Model: Parallel Assignment Masking: Double Blind (Subject, Caregiver, Investigator, Outcomes Assessor) Primary Purpose: Treatment |
| Official Title: | A Randomized, Double-Blind, Placebo-Controlled, Parallel Group, Phase 4, Multi-center Study of VESIcare® (Solifenacin Succinate) in Overactive Bladder (OAB) Subjects to Evaluate Symptom Bother and Health Related Quality of Life VIBRANT: VESIcare® Investigation of BotheR And Quality of Life iN subjecTs With OAB |
The OAB-q is used to assess how much a patient is bothered by OAB symptoms & the impact of these symptoms on the patient's Health Related Quality of Life(HRQL). It is a patient administered tool comprised of 33 items, where the first 8 define symptom bother with raw score being converted to a scale of 0 to 100.
Higher score values are indicative of greater symptom severity or bother, and a lower score in change from baseline indicates improvement.
End of Treatment results include patients who had early discontinuation from the study.
Change is calculated as End of Treatment - Baseline.
The OAB-q is used to assess how much a patient is bothered by OAB symptoms and the impact of these symptoms on the patient's HRQL. It is a validated patient administered tool comprised of 33 items, where the first 8 items define symptom bother with raw score being converted to a scale of 0 to 100.
Higher score values are indicative of greater symptom severity or bother, and a lower score in change from baseline indicates improvement.
Change is calculated as Actual Data for each timepoint - Baseline.
The OAB-q is used to assess how much a patient is bothered by OAB symptoms and the impact of these symptoms on the patient's HRQL. It is a validated patient administered tool comprised of 33 items, where items 9 - 33 define HRQL with raw score being converted to a scale of 0 to 100.
Higher score values are indicative of better HRQL, and a positive score in change from baseline indicates improvement.
Change is calculated as Actual Data for each time point - Baseline.
The PPBC is a validated, global assessment tool using a 6-point Likert scale which requires patients to assess their bladder condition by selecting one of the following responses: 1=Does not cause me any problem at all; 2=Cause me some very minor problems; 3=Causes me some minor problems; 4=Causes me (some) moderate problems; 5=Causes me severe problems; 6=Causes me many severe problems
Improvement is defined by any reduction in PPBC score.
End of Treatment results include patients who had early discontinuation from the study.
Change is calculated as End of Treatment (EOT) - Baseline
The OAB-q is used to assess how much a patient is bothered by OAB symptoms & the impact on the patient's HRQL. It is comprised of 33 items, with raw scores for each sub-domain being converted to a scale of 0 to 100.
Higher score values are indicative of better HRQL, and a positive score in change from baseline indicates improvement.
Change is calculated End of Treatment (EOT) for each sub-domain - Baseline.
The WPAI is a tool used to evaluate the effect of solifenacin succinate on a patient's overall satisfaction & quality of life, and included 6 questions regarding the effect that bladder condition had on ability to perform work-related functions & carry out daily activities over the past 4 weeks. The scores were converted to percentages for reporting.
A negative score in Change from Baseline indicates improvement. End of Treatment results include patients who had early discontinuation from the study.
Change from baseline is based on the ANCOVA model after adjusting baseline value & center.
MCUI is a Patient Reported Outcome instrument utilized to further evaluate the effect of solifenacin succinate on patient's overall satisfaction and quality of life.The tool included questions concerning the effect of the patients bladder condition on access to medical care.
A negative score in Change from Baseline indicates improvement.
End of Treatment results include patients who had early discontinuation from the study.
Change is calculated as End of Treatment (EOT) - Baseline
MCUI is a Patient Reported Outcome instrument utilized to further evaluate the effect of solifenacin succinate on patient's overall satisfaction and quality of life. The tool included questions concerning the effect of the patients bladder condition on access to medical care.
A negative score in Change from Baseline indicates improvement.
End of Treatment results include patients who had early discontinuation from the study.
Change is calculated as End of Treatment (EOT) - Baseline
ICIQ-MLUTSsex is a patient reported outcome instrument to further evaluate the effect of solifenacin succinate on patients' overall satisfaction & quality of life. The questionnaire contains 5 questions for detailed evaluation of sexual matters associated with lower urinary track symptoms & impact on sexual quality of life, with a scale of 0 to 12.
Change from baseline with a negative score indicates improvement. End of Treatment results include patients who had early discontinuation. Change is calculated as End of Treatment(EOT)-Baseline.
ICIQ-FLUTSsex is a patient reported outcome instrument to further evaluate the effect of solifenacin succinate on patients' overall satisfaction & quality of life.The questionnaire contains 5 questions for detailed evaluation of sexual matters associated with lower urinary track symptoms & impact on sexual quality of life, with a scale of 0 to 14.
Change from baseline with a negative score indicates improvement. End of Treatment results include patients who had early discontinuation. Change is calculated as End of Treatment(EOT)-Baseline.
The TS-VAS is a instrument utilized to further evaluate the effect of solifenacin succinate on patients' overall satisfaction & quality of life. Each patient completed a TS-VAS to rate satisfaction with treatment. They were to answer the following question: "Are you satisfied with your treatment?" by placing a mark on a line that ran from 0 (no, not at all) to 100 (yes, completely).
Change from baseline with a positive score indicates an improvement. The End of Treatment (EOT) results include patients who had early discontinuation from the study.
Change is calculated as EOT - Baseline
The mean parameters recorded for previous 24 hours in the 3-day diary were: number of micturitions, number of incontinence episodes, number of urgency episodes, number of nocturia episodes and number of nocturnal voids.
Change from baseline with a lower score indicates an improvement.
End of Treatment (EOT) results include patients who had early discontinuation from the study; only patients who had the symptom at baseline and data at the EOT in the 3-day diary are included in the data table.
Change is calculated as EOT - Baseline
| Enrollment: | 768 |
| Study Start Date: | August 2007 |
| Study Completion Date: | July 2008 |
| Primary Completion Date: | July 2008 (Final data collection date for primary outcome measure) |
| Arms | Assigned Interventions |
|---|---|
|
Active Comparator: Placebo
Matching placebo tablet taken once daily
|
Drug: Placebo
Oral Administration
|
|
Experimental: Solifenacin Succinate
5mg or 10mg tablet taken once daily
|
Drug: Solifenacin Succinate
Oral Administration
Other Names:
|
Phase 4, multi-center, randomized, double-blind, placebo-controlled, parallel group study. All subjects that meet the baseline criteria will be randomized in a 1:1 ratio into VESIcare® (solifenacin succinate) or placebo group.
The study duration consists of a screening period which includes a minimum of a 14 day treatment free wash-out period. Subjects meeting the baseline criteria will have a 12 week treatment period. Maximum total study duration is 15 weeks: 2 3 week screening / washout period; 12 week double-blind treatment.
Primary efficacy will be based on OAB-q symptom bother score.
Eligibility| Ages Eligible for Study: | 18 Years and older |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | No |
Inclusion Criteria:
Exclusion Criteria:
Contacts and Locations
Show 59 Study Locations| Study Director: | Central Contact | Astellas Pharma US, Inc. |
More Information
| Responsible Party: | Sr. Manager Clinical Trials Registry, Astellas Pharma US, Inc |
| ClinicalTrials.gov Identifier: | NCT00573508 History of Changes |
| Other Study ID Numbers: | 905-UC-010 |
| Study First Received: | December 12, 2007 |
| Results First Received: | February 2, 2010 |
| Last Updated: | September 7, 2010 |
| Health Authority: | United States: Food and Drug Administration |
|
Overactive Bladder |
|
Urinary Bladder, Overactive Urinary Bladder Diseases Urologic Diseases Urological Manifestations Signs and Symptoms Quinuclidin-3'-yl-1-phenyl-1,2,3,4-tetrahydroisoquinoline-2-carboxylate monosuccinate Muscarinic Antagonists |
Cholinergic Antagonists Cholinergic Agents Neurotransmitter Agents Molecular Mechanisms of Pharmacological Action Pharmacologic Actions Physiological Effects of Drugs |