Single-dose Study to Assess Pharmacokinetics of Solifenacin Succinate Suspension in Children and Adolescents
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Purpose
This single-dose study will investigate how well solifenacin suspension is taken up, how long it stays in the body and how well it will be tolerated in children and adolescents aged 5-17 years with symptoms of overactive bladder.
| Condition | Intervention | Phase |
|---|---|---|
|
Urinary Bladder, Overactive |
Drug: solifenacin suspension |
Phase 1 |
| Study Type: | Interventional |
| Study Design: | Allocation: Non-Randomized Endpoint Classification: Pharmacokinetics Study Intervention Model: Single Group Assignment Masking: Open Label Primary Purpose: Treatment |
| Official Title: | A Multicenter, Open-label, Single Ascending Dose Study to Evaluate Pharmacokinetics, Safety and Tolerability of Solifenacin Succinate Suspension in Pediatric Patients Aged 5 to 17 Years (Inclusive) With Overactive Bladder (OAB) |
- AUC extrapolated until time is infinity (AUCinf) [ Time Frame: day 1 through day 7 post-dose ] [ Designated as safety issue: No ]
- Assessment of safety through evaluation of adverse events, vital signs and ECG [ Time Frame: day 1 through day 7 post-dose ] [ Designated as safety issue: No ]
| Enrollment: | 42 |
| Study Start Date: | October 2010 |
| Study Completion Date: | August 2011 |
| Primary Completion Date: | August 2011 (Final data collection date for primary outcome measure) |
| Arms | Assigned Interventions |
|---|---|
|
Experimental: treatment group 1
adolescents - lowest group
|
Drug: solifenacin suspension
oral suspension
|
|
Experimental: treatment group 2
adolescents - middle dose
|
Drug: solifenacin suspension
oral suspension
|
|
Experimental: treatment group 3
children - lowest dose
|
Drug: solifenacin suspension
oral suspension
|
|
Experimental: treatment group 4
adolescents - highest dose
|
Drug: solifenacin suspension
oral suspension
|
|
Experimental: treatment group 5
children - middle dose
|
Drug: solifenacin suspension
oral suspension
|
|
Experimental: treatment group 6
children - highest dose
|
Drug: solifenacin suspension
oral suspension
|
Detailed Description:
This is a multicenter, open-label, sequential, single ascending dose study. The study will consist of three treatment groups in children and three treatment groups in adolescents, targeting equivalent exposure to the 2.5, 5 and 10 mg doses o.d. in adults at steady state. The study will be conducted in pediatric OAB patients to establish the single-dose PK and the acute safety profile of solifenacin aqueous suspension. Each of the six groups will consist of at least six patients.
The study will start with the lowest dose group in adolescent patients (12 to 17 years). When this group has completed the study, their safety and concentration data will be reviewed by a Safety Review Committee. If no safety concerns are evident according to pre-specified criteria, enrollment of children (5 to 11 years) in the lowest dose group and adolescents in the intermediate dose group will be started simultaneously. When these groups have completed the study, their safety data and drug concentration data will also be reviewed. If no safety concerns occurred, enrollment of children in the intermediate dose group and of adolescents in the highest dose group will be started simultaneously. Finally, after these groups completed the study and no safety concerns occurred during associated data review, enrollment of children in the highest dose group will start. Interim review of plasma exposure at lower doses will be used to adjust the next higher doses administered, if necessary.
Eligibility| Ages Eligible for Study: | 5 Years to 17 Years |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | No |
Inclusion Criteria:
- Symptoms of urgency, diagnosed as OAB according to International Children's Continence Society (ICCS) criteria
- Daytime urgency incontinence at least once/day
Exclusion Criteria:
- Daytime voiding frequency less than 5
- Uroflow indicative of pathology other than OAB
- Maximum voided volume > age expected capacity ([age +1] x 30) in ml
- Post voiding residual (PVR) > 10% of the functional bladder capacity
- Monosymptomatic enuresis
- Congenital anomalies of the genito-urinary tract or nervous system
- Current constipation (when treated the patient can enter the study)
- Current urinary tract infection (patient will be eligible for enrolment 14 days after a negative dipstick test, provided a second dipstick test, performed after these 14 days, is also negative)
- Serum creatinine more than or equal to 2 times the upper limit of normal (ULN)
- Aspartate aminotransferase (AST) or alanine aminotransferase (ALT) more than or equal to 2 times ULN, or bilirubin more than or equal to 1.5 times ULN
Contacts and Locations| Belgium | |
| Ghent, Belgium, 9000 | |
| Kortrijk, Belgium, 8500 | |
| Denmark | |
| Arhus, Denmark, 8200 | |
| Sweden | |
| Goteborg, Sweden, 41685 | |
| Uppsala, Sweden, 75185 | |
| United Kingdom | |
| Cambridge, United Kingdom, CB2 2QQ | |
| Manchester, United Kingdom, M13 9WL | |
| Sheffield, United Kingdom, S10 2TH | |
| Study Chair: | Use Central Contact | Astellas Pharma Europe BV |
More Information
No publications provided
| Responsible Party: | Astellas Pharma Inc |
| ClinicalTrials.gov Identifier: | NCT01262391 History of Changes |
| Other Study ID Numbers: | 905-CL-075, 2009-017197-21 |
| Study First Received: | November 1, 2010 |
| Last Updated: | August 31, 2011 |
| Health Authority: | Belgium: Federal Agency for Medicinal Products and Health Products Denmark: Danish Medicines Agency Norway: Norwegian Medicines Agency Sweden: Medical Products Agency United Kingdom: Medicines and Healthcare Products Regulatory Agency |
Keywords provided by Astellas Pharma Inc:
|
Overactive bladder Pediatric Pharmacokinetics Single-dose Solifenacin suspension |
Additional relevant MeSH terms:
|
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 |
ClinicalTrials.gov processed this record on May 22, 2013