Efficacy and Tolerability of Propiverine Hydrochloride in Patients With Neurogenic Detrusor Overactivity
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ClinicalTrials.gov Identifier: NCT01530620 |
Recruitment Status :
Completed
First Posted : February 10, 2012
Last Update Posted : February 10, 2012
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Condition or disease | Intervention/treatment | Phase |
---|---|---|
Neurogenic Urinary Bladder Disorder Urinary Bladder, Neurogenic Bladder Disorder, Neurogenic Urinary Bladder Disorder, Neurogenic Neurogenic Bladder Disorder Urinary Bladder Neurogenic Dysfunction Urologic Diseases Overactive Detrusor Function Urinary Incontinence | Drug: Propiverine hydrochloride ER (extended release) Drug: Propiverine hydrochloride IR (immediate release) | Phase 3 |
Study Type : | Interventional (Clinical Trial) |
Actual Enrollment : | 66 participants |
Allocation: | Randomized |
Intervention Model: | Parallel Assignment |
Masking: | Quadruple (Participant, Care Provider, Investigator, Outcomes Assessor) |
Primary Purpose: | Treatment |
Official Title: | Efficacy and Tolerability of Propiverine Hydrochloride Extended Release (ER) Compared to Immediate Release (IR) in Patients With Neurogenic Detrusor Overactivity. A Randomized, Double Blind, Parallel Group, Multicenter Clinical Trial |
Study Start Date : | December 2004 |
Actual Primary Completion Date : | June 2005 |
Actual Study Completion Date : | July 2006 |
Arm | Intervention/treatment |
---|---|
Experimental: Propiverine hydrochloride ER
45 mg
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Drug: Propiverine hydrochloride ER (extended release)
45 mg capsule (1x1/d)
Other Names:
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Active Comparator: Propiverine hydrochloride IR
15 mg
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Drug: Propiverine hydrochloride IR (immediate release)
15 mg tablet (3x1/d)
Other Names:
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- Reflex volume (cystometry) [ Time Frame: three weeks ]Change in reflex volume compared to baseline and compared between the two treatment arms
- Leak point pressure [ Time Frame: three weeks ]Change in LPP compared to baseline and compared between the two treatment arms
- Leak point volume [ Time Frame: three weeks ]Change in LPV compared to baseline and compared between the two treatment arms
- Maximum detrusor pressure [ Time Frame: three weeks ]Change in maximum p det compared to baseline and compared between the two treatment arms
- Maximum cystometric capacity [ Time Frame: three weeks ]Change in maximum cystometric capacity compared to baseline and compared between the two treatment arms
- Bladder compliance [ Time Frame: three weeks ]Change in compliance compared to baseline and compared between the two treatment arms
- Change in number of incontinence episodes [ Time Frame: three weeks ]Change of incontinence episodes compared to baseline and compared between the two treatment arms
- State of Well-Being Questionnaire [ Time Frame: three weeks ]Change of well-beeing compared to baseline and compared between the two treatment arms
- Post void residual volume [ Time Frame: three weeks ]Change in PVR compared to baseline and compared between the two treatment arms
- Incidence and severity of adverse events [ Time Frame: three weeks ]occurrences and intensity of adverse events or withdrawals over the whole treatment period

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Ages Eligible for Study: | 18 Years to 70 Years (Adult, Older Adult) |
Sexes Eligible for Study: | All |
Accepts Healthy Volunteers: | No |
Inclusion Criteria:
- Male or female Caucasian patients aged ≥18 and ≤70 years
- Voluntarily signed informed consent
- Neurogenic detrusor overactivity with occurrence of reflex detrusor contractions
- Reflex volume of ≤250 mL
- Intact reflex arcs in the area of segments S2-S4
Exclusion Criteria:
- Patients suffering from multiple sclerosis under unstable conditions
- Augmented reflex bladder
- Patients with increased residual urine (≥20 % of the maximum bladder capacity), in whom catheterization is not possible
- Acute urinary tract infection
- Electrostimulation therapy (within 4 weeks propir to Visit 1)
- Anomalies of the lower genitourinary tract (e.g. ectopic ureters, fistulas, urethral stenosis)
- Radiation bladder, interstitial cystitis, bladder calculi, bladder carcinoma
- Surgery of the lower genitourinary tract within the last 6 months (e.g. prostatectomy, hysterectomy, tumor surgery)
- Pre-existing medical contraindications for anticholinergics
- Cardiac insufficiency (NYHA stage III/ IV)
- Therapy with botulinum toxin within the last 12 months
- Evidence of severe renal, hepatic or metabolic disorders
- History of drug or alcohol abuse
- Concomitant medication known to have a potential to interfere with the trial medication
- Known hypersensitivity to Propiverine hydrochloride or excipients contained in the trial medication, respectively
- Pregnant or breast-feeding women, or women of childbearing potential without using any reliable contraceptive method
- Patients with impaired co-operation or who are unable to understand the nature, scope and possible consequences of the study

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.
Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT01530620
Austria | |
Graz, Austria | |
Germany | |
Hagenow, Germany | |
Romania | |
Bucharest, Romania |
Responsible Party: | APOGEPHA Arzneimittel GmbH |
ClinicalTrials.gov Identifier: | NCT01530620 |
Other Study ID Numbers: |
8405010 |
First Posted: | February 10, 2012 Key Record Dates |
Last Update Posted: | February 10, 2012 |
Last Verified: | February 2012 |
Antimuscarinics Neurogenic bladder Propiverine Urodynamics |
Urinary Bladder, Neurogenic Urinary Incontinence Urologic Diseases Urinary Bladder, Overactive Urinary Bladder Diseases Disease Pathologic Processes Urination Disorders Lower Urinary Tract Symptoms Urological Manifestations Neurologic Manifestations Nervous System Diseases |
Propiverine Parasympatholytics Autonomic Agents Peripheral Nervous System Agents Physiological Effects of Drugs Muscarinic Antagonists Cholinergic Antagonists Cholinergic Agents Neurotransmitter Agents Molecular Mechanisms of Pharmacological Action Urological Agents |