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| Study Type: | Interventional |
|---|---|
| Study Design: | Allocation: Randomized; Endpoint Classification: Safety/Efficacy Study; Intervention Model: Parallel Assignment; Masking: Double Blind (Subject, Caregiver, Investigator); Primary Purpose: Treatment |
| Condition: |
Overactive Bladder |
| Interventions: |
Drug: Tolterodine ER Drug: Placebo Drug: Fesoterodine |
Participant Flow
| Key information relevant to the recruitment process for the overall study, such as dates of the recruitment period and locations |
|---|
| Participants with urgency incontinence Overactive Bladder (OAB) symptoms who met all entrance criteria were randomized to the double-blind treatment period. |
| Significant events and approaches for the overall study following participant enrollment, but prior to group assignment |
|---|
| 3867 participants entered the single-blind placebo run-in period; 2417 participants completed single-blind placebo run-in and progressed to randomization in the double-blind treatment period. |
| Description | |
|---|---|
| Placebo | Tablets 4 milligrams (mg) orally (PO) once daily (QD) for 1 week followed by a forced dose escalation to 8 mg PO QD for 11 weeks or capsules (4 mg) PO QD for 12 weeks matching to treatment. |
| Tolterodine ER | Capsules 4 mg PO QD for 12 weeks. Tolterodine Extended Release (ER). |
| Fesoterodine | Tablets 4 mg PO QD for 1 week followed by a forced dose escalation to 8 mg PO QD for 11 weeks. |
| Placebo | Tolterodine ER | Fesoterodine | |
|---|---|---|---|
| STARTED | 480 | 974 | 963 |
| COMPLETED | 478 | 973 | 960 |
| NOT COMPLETED | 2 | 1 | 3 |
| Not treated | 2 | 1 | 3 |
| Placebo | Tolterodine ER | Fesoterodine | |
|---|---|---|---|
| STARTED | 478 | 973 | 960 |
| COMPLETED | 431 | 885 | 862 |
| NOT COMPLETED | 47 | 88 | 98 |
| Death | 1 | 0 | 0 |
| Adverse Event | 9 | 28 | 46 |
| Lack of Efficacy | 11 | 10 | 4 |
| Lost to Follow-up | 6 | 11 | 14 |
| Withdrawal by Subject | 7 | 19 | 16 |
| Unspecified | 13 | 20 | 18 |
Baseline Characteristics
| Description | |
|---|---|
| Placebo | Tablets 4 milligrams (mg) orally (PO) once daily (QD) for 1 week followed by a forced dose escalation to 8 mg PO QD for 11 weeks or capsules (4 mg) PO QD for 12 weeks matching to treatment. |
| Tolterodine ER | Capsules 4 mg PO QD for 12 weeks. Tolterodine Extended Release (ER). |
| Fesoterodine | Tablets 4 mg PO QD for 1 week followed by a forced dose escalation to 8 mg PO QD for 11 weeks. |
| Placebo | Tolterodine ER | Fesoterodine | Total | |
|---|---|---|---|---|
|
Number of Participants
[units: participants] |
478 | 973 | 960 | 2411 |
|
Age, Customized
[units: participants] |
||||
| Between 18 and 44 years | 70 | 157 | 156 | 383 |
| Between 45 and 64 years | 214 | 462 | 474 | 1150 |
| ≥65 years | 194 | 354 | 330 | 878 |
|
Gender
[units: participants] |
||||
| Female | 410 | 818 | 816 | 2044 |
| Male | 68 | 155 | 144 | 367 |
Outcome Measures
| 1. Primary: | Change From Baseline in Mean Number of Urgency Urinary Incontinence (UUI) Episodes Per 24 Hours at Week 12 [ Time Frame: Baseline, Week 12 ] |
| 2. Secondary: | Change From Baseline in Mean Voided Volume Per Micturition [ Time Frame: Baseline, Week 1, Week 4, Week 12 ] |
| 3. Secondary: | Change From Baseline in Mean Number of Micturitions Per 24 Hours [ Time Frame: Baseline, Week 1, Week 4, Week 12 ] |
| 4. Secondary: | Percent Change From Baseline of Micturitions Per 24 Hours [ Time Frame: Baseline, Week 1, Week 4, Week 12 ] |
| 5. Secondary: | Change From Baseline in Mean Number of Nocturnal Micturitions Per 24 Hours [ Time Frame: Baseline, Week 1, Week 4, Week 12 ] |
| 6. Secondary: | Percent Change From Baseline of Nocturnal Micturitions Per 24 Hours [ Time Frame: Baseline, Week 1, Week 4, Week 12 ] |
| 7. Secondary: | Change From Baseline in Mean Number of Urgency Urinary Incontinence (UUI) Episodes Per 24 Hours at Week 1 and Week 4 [ Time Frame: Baseline, Week 1, Week 4 ] |
| 8. Secondary: | Percent Change From Baseline of UUI Episodes Per 24 Hours [ Time Frame: Baseline, Week 1, Week 4, Week 12 ] |
| 9. Secondary: | Change From Baseline in Mean Number of Urgency Urinary Episodes Per 24 Hours (Urinary Sensation Scale ≥3 in the Diary) [ Time Frame: Baseline, Week 1, Week 4, Week 12 ] |
| 10. Secondary: | Percent Change From Baseline in Mean Number of Urgency Urinary Episodes Per 24 Hours (Urinary Sensation Scale ≥3 in the Diary) [ Time Frame: Baseline, Week 1, Week 4, Week 12 ] |
| 11. Secondary: | Change From Baseline in Mean Number of Severe Urgency Episodes Per 24 Hours [ Time Frame: Baseline, Week 1, Week 4, Week 12 ] |
| 12. Secondary: | Percent Change From Baseline of Severe Urgency Episodes Per 24 Hours [ Time Frame: Baseline, Week 1, Week 4, Week 12 ] |
| 13. Secondary: | Change From Baseline in Mean Urinary Sensation Scale (USS) Rating Per Micturition Per 24 Hours. [ Time Frame: Baseline, Week 1, Week 4, Week 12 ] |
| 14. Secondary: | Change From Baseline in Frequency-Urgency Sum (FUS) Per 24 Hours (Synonymous With USS Sum in the Study Protocol) [ Time Frame: Baseline, Week 1, Week 4, Week 12 ] |
| 15. Secondary: | Diary Dry Rate: Percentage of Participants With no Urgency Urinary Incontinence (UUI) in the 3-day Bladder Diary [ Time Frame: Week 1, Week 4, Week 12 ] |
| 16. Secondary: | Change From Baseline in Patient Perception of Bladder Condition (PPBC) [ Time Frame: Baseline, Week 1, Week, 4, Week 12 ] |
| 17. Secondary: | Change From Baseline in Urgency Perception Scale (UPS). UPS Formerly Known as Patient Perception of Urgency Scale (PPUS) in the Protocol. [ Time Frame: Baseline, Week 1, Week, 4, Week 12 ] |
| 18. Secondary: | Change From Baseline in Overactive Bladder Questionnaire (OAB-q): Symptom Bother Score at Week 12 [ Time Frame: Baseline, Week 12 ] |
| 19. Secondary: | Change From Baseline in Overactive Bladder Questionnaire (OAB-q): Health Related Quality of Life (HRQL) at Week 12 [ Time Frame: Baseline, Week 12 ] |
| 20. Post-Hoc: | Post-hoc Adverse Events (AEs) [ Time Frame: Baseline up to Week 12 ] |
More Information
| Principal Investigators are NOT employed by the organization sponsoring the study. | ||||||
| There IS an agreement between Principal Investigators and the Sponsor (or its agents) that restricts the PI's rights to discuss or publish trial results after the trial is completed. | ||||||
The agreement is:
|
| Limitations of the study, such as early termination leading to small numbers of participants analyzed and technical problems with measurement leading to unreliable or uninterpretable data |
|---|
| No text entered. |
| Responsible Party: | Director, Clinical Trial Disclosure Group, Pfizer Inc |
| ClinicalTrials.gov Identifier: | NCT00611026 History of Changes |
| Other Study ID Numbers: | A0221046 |
| Study First Received: | January 28, 2008 |
| Results First Received: | October 12, 2010 |
| Last Updated: | January 28, 2011 |
| Health Authority: | United States: Food and Drug Administration |