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Clinical Trial Details — Status: Completed

Administrative data

NCT number NCT00611026
Other study ID # A0221046
Secondary ID
Status Completed
Phase Phase 3
First received January 28, 2008
Last updated January 28, 2011
Start date February 2008
Est. completion date October 2009

Study information

Verified date January 2011
Source Pfizer
Contact n/a
Is FDA regulated No
Health authority United States: Food and Drug Administration
Study type Interventional

Clinical Trial Summary

To evaluate the efficacy and safety of fesoterodine in comparison to tolterodine and placebo for overactive bladder


Recruitment information / eligibility

Status Completed
Enrollment 2417
Est. completion date October 2009
Est. primary completion date October 2009
Accepts healthy volunteers No
Gender Both
Age group 18 Years and older
Eligibility Inclusion Criteria:

- Adult subjects with overactive bladder symptoms (subject-reported) for greater than or equal to 3 months prior to Screening/Enrollment visit.

- Reported at least an average of 1 UUI episode per 24 hours in the 3-day bladder diary prior to the Randomization/Baseline visit

- Mean urinary frequency of greater than or equal to 8 micturitions per 24 hours as verified by the 3-day bladder diary prior to randomization/Baseline visit.

Exclusion Criteria:

- Subjects with any condition that would contraindicate their usage of fesoterodine including: hypersensitivity to the active substance (fesoterodine fumarate) or to peanut or soya or any of the excipients, urinary retention, gastric retention, uncontrolled narrow angle glaucoma, myasthenia gravis, severe hepatic impairment (Child Pugh C), severe ulcerative colitis, and toxic megacolon.

- Subjects with clinically significant hepatic or renal disease or other significant unstable diseases.

- OAB symptoms caused by neurological conditions, known pathologies of urinary tract, etc.

- Subjects with previous history of acute urinary retention requiring catheterization, or severe voiding difficulties in the judgment of the investigator, prior to baseline.

Study Design

Allocation: Randomized, Endpoint Classification: Safety/Efficacy Study, Intervention Model: Parallel Assignment, Masking: Double Blind (Subject, Caregiver, Investigator), Primary Purpose: Treatment


Related Conditions & MeSH terms


Intervention

Drug:
Tolterodine ER
The tolterodine treatment will be 4 mg once daily(QD) for 12 weeks.
Placebo
Placebo treatment will be once daily(QD) for 12 weeks.
Fesoterodine
The fesoterodine treatment will start with 4 mg once daily(QD) for 1 week followed by a forced dose-escalation to 8mg once daily(QD) for 11 weeks.

Locations

Country Name City State
Brazil Pfizer Investigational Site Curitiba PR
Brazil Pfizer Investigational Site Goiania GO
Brazil Pfizer Investigational Site Porto Alegre RS
Brazil Pfizer Investigational Site Rio de Janeiro RJ
Brazil Pfizer Investigational Site Salvador BA
Brazil Pfizer Investigational Site Sao Paulo SP
Bulgaria Pfizer Investigational Site Pernik
Bulgaria Pfizer Investigational Site Pleven
Bulgaria Pfizer Investigational Site Plovdiv
Bulgaria Pfizer Investigational Site Plovdiv
Bulgaria Pfizer Investigational Site Sofia
Bulgaria Pfizer Investigational Site Veliko Tarnovo
Canada Pfizer Investigational Site Chicoutimi Quebec
Canada Pfizer Investigational Site Halifax Nova Scotia
Canada Pfizer Investigational Site Montreal Quebec
Canada Pfizer Investigational Site Montreal Quebec
Canada Pfizer Investigational Site Montreal Quebec
Canada Pfizer Investigational Site Oshawa Ontario
Canada Pfizer Investigational Site Saskatoon Saskatchewan
Canada Pfizer Investigational Site Surrey British Columbia
Canada Pfizer Investigational Site Trois-Rivieres Quebec
Canada Pfizer Investigational Site Winnipeg Manitoba
Colombia Pfizer Investigational Site Barranquilla Atlantico
Colombia Pfizer Investigational Site Bogota
Costa Rica Pfizer Investigational Site Alajuela
Costa Rica Pfizer Investigational Site Cartago
Costa Rica Pfizer Investigational Site San Jose
Estonia Pfizer Investigational Site Tallinn
Estonia Pfizer Investigational Site Tallinn
Estonia Pfizer Investigational Site Tartu
Germany Pfizer Investigational Site Berlin
Germany Pfizer Investigational Site Berlin
Germany Pfizer Investigational Site Gruenstadt
Germany Pfizer Investigational Site Hamburg
Germany Pfizer Investigational Site Krumbach
Germany Pfizer Investigational Site Leipzig
Germany Pfizer Investigational Site Marburg
Germany Pfizer Investigational Site Muelheim a.d. Ruhr
Germany Pfizer Investigational Site Muenchen
Germany Pfizer Investigational Site Muenchen
Greece Pfizer Investigational Site Alexandroupolis
Greece Pfizer Investigational Site Athens, Maroussi
Greece Pfizer Investigational Site Heraklion/Voutes Crete
Greece Pfizer Investigational Site Larisa
Greece Pfizer Investigational Site Thessaloniki
Hungary Pfizer Investigational Site Debrecen
Hungary Pfizer Investigational Site Gyor
Hungary Pfizer Investigational Site Nyiregyhaza
Hungary Pfizer Investigational Site Salgotarjan
Hungary Pfizer Investigational Site Szentes
India Pfizer Investigational Site Ahmedabad Gujarat
India Pfizer Investigational Site Bengaluru Karnataka
India Pfizer Investigational Site Hyderabad Andhra Pradesh
India Pfizer Investigational Site Nadiad Gujarat
India Pfizer Investigational Site New Delhi
India Pfizer Investigational Site Pune Maharashtra
Ireland Pfizer Investigational Site Beaumont Dublin
Ireland Pfizer Investigational Site Dublin
Korea, Republic of Pfizer Investigational Site Busan
Korea, Republic of Pfizer Investigational Site Chonju Chonbuk
Korea, Republic of Pfizer Investigational Site Daegu
Korea, Republic of Pfizer Investigational Site Incheon
Korea, Republic of Pfizer Investigational Site Seoul
Korea, Republic of Pfizer Investigational Site Suwon
Latvia Pfizer Investigational Site Riga
Lithuania Pfizer Investigational Site Kaunas
Lithuania Pfizer Investigational Site Kaunas
Lithuania Pfizer Investigational Site Klaipeda
Lithuania Pfizer Investigational Site Vilnius
Lithuania Pfizer Investigational Site Vilnius
Malaysia Pfizer Investigational Site Kuala Lumpur
Malaysia Pfizer Investigational Site Kuala Lumpur
Poland Pfizer Investigational Site Bialystok
Poland Pfizer Investigational Site Bydgoszcz
Poland Pfizer Investigational Site Gdynia
Poland Pfizer Investigational Site Krakow
Poland Pfizer Investigational Site Lublin
Poland Pfizer Investigational Site Poznan
Poland Pfizer Investigational Site Slupsk
Romania Pfizer Investigational Site Arad
Romania Pfizer Investigational Site Bucuresti
Romania Pfizer Investigational Site Bucuresti Sector 5,
Romania Pfizer Investigational Site Sibiu
Russian Federation Pfizer Investigational Site Moscow
Russian Federation Pfizer Investigational Site Moscow
Russian Federation Pfizer Investigational Site Moscow
Russian Federation Pfizer Investigational Site Moscow
Russian Federation Pfizer Investigational Site Moscow
Russian Federation Pfizer Investigational Site Moscow
Russian Federation Pfizer Investigational Site Rostov-on-Don
Russian Federation Pfizer Investigational Site Saint-Petersburg
Russian Federation Pfizer Investigational Site Saint-Petersburg
Russian Federation Pfizer Investigational Site Saint-Petersburg
Russian Federation Pfizer Investigational Site St. Petersburg
Singapore Pfizer Investigational Site Singapore
Slovakia Pfizer Investigational Site Nitra
Slovakia Pfizer Investigational Site Povazska Bystrica
Slovakia Pfizer Investigational Site Presov
Slovakia Pfizer Investigational Site Trencin
Slovakia Pfizer Investigational Site Zvolen
South Africa Pfizer Investigational Site Bloemfontein Free State
South Africa Pfizer Investigational Site Claremont Cape Town
South Africa Pfizer Investigational Site Durban Kwa Zulu Natal
South Africa Pfizer Investigational Site Durban Kwa Zulu Natal
South Africa Pfizer Investigational Site Pietermaritzburg Kwa Zulu Natal
South Africa Pfizer Investigational Site Pretoria
South Africa Pfizer Investigational Site Roodepoort
South Africa Pfizer Investigational Site Vosloorus Gauteng
Spain Pfizer Investigational Site La Laguna Santa Cruz de Tenerife
Spain Pfizer Investigational Site Las Palmas de Gran Canaria
Spain Pfizer Investigational Site Madrid
Spain Pfizer Investigational Site Santander Cantabria
Spain Pfizer Investigational Site Valencia
Spain Pfizer Investigational Site Valencia
Sweden Pfizer Investigational Site Karlskoga
Sweden Pfizer Investigational Site Malmo
Sweden Pfizer Investigational Site Norrkoping
Sweden Pfizer Investigational Site Orebro
Sweden Pfizer Investigational Site Skovde
Sweden Pfizer Investigational Site Stockholm
Ukraine Pfizer Investigational Site Chernivtsi
Ukraine Pfizer Investigational Site Dnipropetrovsk
Ukraine Pfizer Investigational Site Kyiv
Ukraine Pfizer Investigational Site Uzhorod
Ukraine Pfizer Investigational Site Zaporizhzhia
United States Pfizer Investigational Site Anaheim California
United States Pfizer Investigational Site Anderson South Carolina
United States Pfizer Investigational Site Ann Arbor Michigan
United States Pfizer Investigational Site Arlington Virginia
United States Pfizer Investigational Site Atlanta Georgia
United States Pfizer Investigational Site Atlanta Georgia
United States Pfizer Investigational Site Avon Indiana
United States Pfizer Investigational Site Baltimore Maryland
United States Pfizer Investigational Site Beaumont Texas
United States Pfizer Investigational Site Beaumont Texas
United States Pfizer Investigational Site Bel Air Maryland
United States Pfizer Investigational Site Bensalem Pennsylvania
United States Pfizer Investigational Site Bonita Spring Florida
United States Pfizer Investigational Site Bryan Texas
United States Pfizer Investigational Site Cary North Carolina
United States Pfizer Investigational Site Chandler Arizona
United States Pfizer Investigational Site Charlottesville Virginia
United States Pfizer Investigational Site Chicago Illinois
United States Pfizer Investigational Site Cincinnati Ohio
United States Pfizer Investigational Site Cincinnati Ohio
United States Pfizer Investigational Site Clovis California
United States Pfizer Investigational Site Cumberland Rhode Island
United States Pfizer Investigational Site Edina Minnesota
United States Pfizer Investigational Site Englewood Colorado
United States Pfizer Investigational Site Enterprise Alabama
United States Pfizer Investigational Site Evansville Indiana
United States Pfizer Investigational Site Fresno California
United States Pfizer Investigational Site Fresno California
United States Pfizer Investigational Site Greer South Carolina
United States Pfizer Investigational Site Hamilton New Jersey
United States Pfizer Investigational Site Hollywood Florida
United States Pfizer Investigational Site Jacksonville Florida
United States Pfizer Investigational Site Jacksonville Florida
United States Pfizer Investigational Site Johnson City Tennessee
United States Pfizer Investigational Site Kansas City Missouri
United States Pfizer Investigational Site Lake Worth Florida
United States Pfizer Investigational Site Las Vegas Nevada
United States Pfizer Investigational Site Leesburg Florida
United States Pfizer Investigational Site Lexington Kentucky
United States Pfizer Investigational Site Lexington Kentucky
United States Pfizer Investigational Site Lincoln Nebraska
United States Pfizer Investigational Site Lincoln Nebraska
United States Pfizer Investigational Site Little Rock Arkansas
United States Pfizer Investigational Site Longwood Florida
United States Pfizer Investigational Site Louisville Kentucky
United States Pfizer Investigational Site Louisville Kentucky
United States Pfizer Investigational Site Loxahatchee Florida
United States Pfizer Investigational Site Meridian Idaho
United States Pfizer Investigational Site Metairie Louisiana
United States Pfizer Investigational Site Miami Florida
United States Pfizer Investigational Site Miami Florida
United States Pfizer Investigational Site Midvale Utah
United States Pfizer Investigational Site Mobile Alabama
United States Pfizer Investigational Site Montgomery Alabama
United States Pfizer Investigational Site Naples Florida
United States Pfizer Investigational Site Nashville Tennessee
United States Pfizer Investigational Site New London Connecticut
United States Pfizer Investigational Site New Tazewell Tennessee
United States Pfizer Investigational Site Noblesville Indiana
United States Pfizer Investigational Site North Dartmouth Massachusetts
United States Pfizer Investigational Site Olive Branch Mississippi
United States Pfizer Investigational Site Omaha Nebraska
United States Pfizer Investigational Site Overland Park Kansas
United States Pfizer Investigational Site Overland Park Kansas
United States Pfizer Investigational Site Pawtucket Rhode Island
United States Pfizer Investigational Site Pembroke Pines Florida
United States Pfizer Investigational Site Peoria Arizona
United States Pfizer Investigational Site Peoria Illinois
United States Pfizer Investigational Site Philadelphia Pennsylvania
United States Pfizer Investigational Site Picayune Mississippi
United States Pfizer Investigational Site Pittsburgh Pennsylvania
United States Pfizer Investigational Site Plano Texas
United States Pfizer Investigational Site Plano Texas
United States Pfizer Investigational Site Raleigh North Carolina
United States Pfizer Investigational Site Raleigh North Carolina
United States Pfizer Investigational Site Richmond Virginia
United States Pfizer Investigational Site Royal Oak Michigan
United States Pfizer Investigational Site San Antonio Texas
United States Pfizer Investigational Site San Diego California
United States Pfizer Investigational Site Sartell Minnesota
United States Pfizer Investigational Site Seattle Washington
United States Pfizer Investigational Site Seattle Washington
United States Pfizer Investigational Site Spokane Washington
United States Pfizer Investigational Site St. Louis Missouri
United States Pfizer Investigational Site Stuart Florida
United States Pfizer Investigational Site Sugar Land Texas
United States Pfizer Investigational Site Summerville South Carolina
United States Pfizer Investigational Site Tallahassee Florida
United States Pfizer Investigational Site Torrance California
United States Pfizer Investigational Site Troy Michigan
United States Pfizer Investigational Site Tucson Arizona
United States Pfizer Investigational Site Uniontown Pennsylvania
United States Pfizer Investigational Site Upland California
United States Pfizer Investigational Site Virginia Beach Virginia
United States Pfizer Investigational Site Virginia Beach Virginia
United States Pfizer Investigational Site Vista California
United States Pfizer Investigational Site Weber City Virginia
United States Pfizer Investigational Site West Jordan Utah
United States Pfizer Investigational Site West Palm Beach Florida
United States Pfizer Investigational Site Westlake Village California
United States Pfizer Investigational Site Williamsville New York
United States Pfizer Investigational Site Winston-Salem North Carolina

Sponsors (1)

Lead Sponsor Collaborator
Pfizer

Countries where clinical trial is conducted

United States,  Brazil,  Bulgaria,  Canada,  Colombia,  Costa Rica,  Estonia,  Germany,  Greece,  Hungary,  India,  Ireland,  Korea, Republic of,  Latvia,  Lithuania,  Malaysia,  Poland,  Romania,  Russian Federation,  Singapore,  Slovakia,  South Africa,  Spain,  Sweden,  Ukraine, 

Outcome

Type Measure Description Time frame Safety issue
Primary Change From Baseline in Mean Number of Urgency Urinary Incontinence (UUI) Episodes Per 24 Hours at Week 12 UUI per 24 hours: total number of micturitions with Urinary Sensation Scale (USS) of 5 divided by total number of diary days collected at visit. USS: 5-item scale to measure urinary urgency; range: 1 (no feeling of urgency) to 5 (unable to hold; leak urine). Baseline, Week 12 No
Secondary Change From Baseline in Mean Voided Volume Per Micturition Mean voided volume in milliliters (mL) calculated as sum of voided volume divided by the total number of micturition episodes with a recorded voided volume greater than 0 in the 3-day diary at that visit. Baseline, Week 1, Week 4, Week 12 No
Secondary Change From Baseline in Mean Number of Micturitions Per 24 Hours The mean number of micturitions was calculated as the total number of micturitions divided by the total number of diary days collected at that visit. Baseline, Week 1, Week 4, Week 12 No
Secondary Percent Change From Baseline of Micturitions Per 24 Hours Percent change of micturitions per 24 hours was calculated as change in 24-hour mean at that visit divided by the baseline 24-hour mean multiplied by 100 (ie, 100%*(Week 1 or 4 or 12 - baseline)/baseline). Baseline, Week 1, Week 4, Week 12 No
Secondary Change From Baseline in Mean Number of Nocturnal Micturitions Per 24 Hours Mean number of nocturnal micturitions per 24 hours was calculated as the total number of all micturitions divided by the total number of diary days collected at that visit. Nocturnal micturitions are those recorded in the Bedtime section of the diary. Nocturnal (Bedtime) was defined as the time the participant went to bed until he/she arose to start the next day. Baseline, Week 1, Week 4, Week 12 No
Secondary Percent Change From Baseline of Nocturnal Micturitions Per 24 Hours Percent change of nocturnal micturitions per 24 hours was calculated as change in 24-hour mean at that visit divided by the baseline 24-hour mean multiplied by 100 (ie, 100%*(Week 1 or 4 or 12 - baseline)/baseline). Nocturnal micturitions are those recorded in the Bedtime section of the diary. Nocturnal (Bedtime) was defined as the time the participant went to bed until he/she arose to start the next day. Baseline, Week 1, Week 4, Week 12 No
Secondary Change From Baseline in Mean Number of Urgency Urinary Incontinence (UUI) Episodes Per 24 Hours at Week 1 and Week 4 UUI episodes per 24 hours calculated as total number of micturitions with Urinary Sensation Scale (USS) of 5 divided by total number of diary days collected at visit. USS is 5-item scale measuring urinary urgency; range is 1 (no feeling of urgency) to 5 (unable to hold; leak urine). Baseline, Week 1, Week 4 No
Secondary Percent Change From Baseline of UUI Episodes Per 24 Hours UUI episodes per 24 hours calculated as total number of micturitions with USS of 5 in diary. USS is 5-item scale measuring urinary urgency; range is
1 (no feeling of urgency) to 5 (unable to hold; leak urine). Change calculated as UUI episodes per 24 hours at observation divided by baseline number of UUI episodes per 24 hours, multiplied by 100.
Baseline, Week 1, Week 4, Week 12 No
Secondary Change From Baseline in Mean Number of Urgency Urinary Episodes Per 24 Hours (Urinary Sensation Scale =3 in the Diary) Urgency Urinary episodes per 24 hours: total number of micturitions with Urinary Sensation Scale (USS) of =3 divided by total number of diary days collected at visit. USS: 5-item scale to measure urinary urgency; range: 1 (no feeling of urgency) to 5 (unable to hold; leak urine). Baseline, Week 1, Week 4, Week 12 No
Secondary Percent Change From Baseline in Mean Number of Urgency Urinary Episodes Per 24 Hours (Urinary Sensation Scale =3 in the Diary) Percent change from baseline in mean number of Urgency Urinary episodes per 24 hours (Urinary Sensation Scale =3 in the diary). Change calculated as UUI episodes per 24 hours at observation divided by baseline number of UUI episodes per 24 hours, multiplied by 100. Baseline, Week 1, Week 4, Week 12 No
Secondary Change From Baseline in Mean Number of Severe Urgency Episodes Per 24 Hours Mean number of severe urgency episodes (USS rating =4 in diary ) per 24 hours calculated as the total number of micturitions with USS =4 divided by total number of diary days collected at that visit. USS: 5-item scale to measure urinary urgency; range: 1 (no feeling of urgency) to 5 (unable to hold; leak urine). Baseline, Week 1, Week 4, Week 12 No
Secondary Percent Change From Baseline of Severe Urgency Episodes Per 24 Hours Percent change calculated as change in severe urgency episodes (USS rating =4 in diary ) per 24 hours at that visit divided by the baseline number of severe urgency episodes per 24 hours, multiplied by 100. USS is 5-item scale measuring urinary urgency; range is 1 (no feeling of urgency) to 5 (unable to hold; leak urine). Baseline, Week 1, Week 4, Week 12 No
Secondary Change From Baseline in Mean Urinary Sensation Scale (USS) Rating Per Micturition Per 24 Hours. Mean USS rating calculated as the sum of rating scores on USS per 24 hours divided by the total number of micturitions per 24 hours with non-missing rating at that visit. USS is 5-item scale measuring urinary urgency; range is 1 (no feeling of urgency) to 5 (unable to hold; leak urine). Baseline, Week 1, Week 4, Week 12 No
Secondary Change From Baseline in Frequency-Urgency Sum (FUS) Per 24 Hours (Synonymous With USS Sum in the Study Protocol) Frequency-Urgency Sum per 24 hours calculated as mean rating scores on the USS multiplied by the mean number of micturitions per 24 hours at that visit. USS is 5-item scale measuring urinary urgency; range is 1 (no feeling of urgency) to 5 (unable to hold; leak urine). Baseline, Week 1, Week 4, Week 12 No
Secondary Diary Dry Rate: Percentage of Participants With no Urgency Urinary Incontinence (UUI) in the 3-day Bladder Diary Diary dry rate: percentage of participants with no urgency urinary incontinence episode reported in the 3 day diary at the respective time-point; based on USS: 5-item scale measuring urinary urgency; range is 1 (no feeling of urgency) to 5 (unable to hold; leak urine). Week 1, Week 4, Week 12 No
Secondary Change From Baseline in Patient Perception of Bladder Condition (PPBC) Number of participants in 4-point category: =2 points improvement (major improvement; negative change from baseline); 1 point improvement (minor improvement); no change; deterioration (positive change from baseline), based on PPBC score (rated on 6-point scale: 1=no problems at all; 6=many severe problems). Score change: score at observation minus score at baseline; re-scaled to 4-point categorical variables. Baseline, Week 1, Week, 4, Week 12 No
Secondary Change From Baseline in Urgency Perception Scale (UPS). UPS Formerly Known as Patient Perception of Urgency Scale (PPUS) in the Protocol. Number of participants in 3-point category: improvement [=1-point improvement]; no change; deterioration [=1-point decrease], based on UPS score (rated on 3-point scale: 1=not able to hold urine; 3=able to finish what I am doing). Score change calculated as score at observation minus score at baseline; re-scaled to 3-point categorical variables. Baseline, Week 1, Week, 4, Week 12 No
Secondary Change From Baseline in Overactive Bladder Questionnaire (OAB-q): Symptom Bother Score at Week 12 Symptom bother score derived as sum of scores for questions 1-8; lowest possible raw score: 8; highest possible score: 48. Data analyzed based on transformation of the score to a 0 to 100 scale [(Actual total raw score - lowest possible value of raw score)/range]*100. Higher scores values indicative of greater symptom bother. Negative change in Symptom Bother Score indicates improvement. Baseline, Week 12 No
Secondary Change From Baseline in Overactive Bladder Questionnaire (OAB-q): Health Related Quality of Life (HRQL) at Week 12 HRQL domain and total raw score derived as sum of scores (6-point scale:
1=not at all/none of the time; 6=a very great deal/all of the time). Transformed score (Total HRQL or domain)=[(Highest possible raw score- Actual total raw score)/Raw score range] * 100. Higher transformed scores indicative of better HRQL. Positive change in HRQL Score indicates improvement.
Baseline, Week 12 No
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