Stress Urinary Incontinence Clinical Trial
Official title:
A Prospective, Open Label, Single Arm, Multicenter Study to Estimate the Efficacy and Safety of Solifenacin in Female With Clinically Significant Stress Urinary Incontinence and Urgency Urinary Incontinence
Verified date | June 2016 |
Source | Korea University Anam Hospital |
Contact | n/a |
Is FDA regulated | No |
Health authority | Korea: Food and Drug Administration |
Study type | Interventional |
This study is to investigate the effects of solifenacin on urgency urinary incontinence symptoms and incontinence quality-of-life (I-QoL) in female patients with clinically significant stress urinary incontinence accompanied by urgency urinary incontinence.
Status | Completed |
Enrollment | 311 |
Est. completion date | June 2014 |
Est. primary completion date | June 2014 |
Accepts healthy volunteers | No |
Gender | Female |
Age group | 18 Years and older |
Eligibility |
Inclusion Criteria: - Patients are selected from those who meets one of criteria - Patients with a positive cough provocation test - Based on 3-day voiding diary, patients with: - Urinary frequency (eight or more micturitions per day or 24 hours) - Urinary urgency (two or more episodes per day or 24 hours) - Urge incontinence (three or more episodes for 3 days) Exclusion Criteria: - Breast-feeding women or females of childbearing potential with the intention to become pregnant during the study - Post-void residual urine volume (PRV) of 150 cc or more - Patients who experienced acute ureteral obstruction requiring an indwelling catheter - Patients who experienced clinically significant pelvic organ prolapse or lower urinary tract surgery within 6 months prior to the initiation of the present study - Patients who underwent a urinary incontinence operation within 1 year - Any condition that, in the opinion of the investigator, is a contraindication for anticholinergic treatment, including severe narrow-angled glaucoma, urinary retention, gastric retention, severe myasthenia, severe hepatic insufficiency or severe ulcerative colitis - Significant hepatic or renal disease, defined as having greater than twice the upper limit of the reference ranges for serum concentrations of aspartate aminotransferase (AST [SGOT]), alanine aminotransferase (ALT [SGPT]), alkaline phosphatase or creatinine - Patients who have any of neurological disorders such as stroke, multiple sclerosis, spinal cord injury, and Parkinson's disease - Patients who use an indwelling catheter or practice intermittent self-catheterization - Recurrent UTIs defined as having been treated for symptomatic UTIs 3 times or more in the last year - Symptomatic acute urinary tract infection (UTI) during the run-in period - Patients who received any of the following prohibited concomitant drugs within 14 days prior to randomization: Treatment performed within the 14 days preceding randomization, or expected to initiate treatment during the study with: - Any anticholinergics other than the trial drug - Any drug treatment for overactive bladder. Estrogen treatment started more than 2 months prior to inclusion is allowed - Patients taking an unstable dosage of any drug with anticholinergic side effects, or expected to start such treatment during the study - Patients with chronic constipation or history of severe constipation - Treatment with any of potent CYP3A4 inhibitors, such as cyclosporine, vinblastine, macrolide antibiotics (e.g. erythromycin, clarithromycin, azithromycin) or antifungal agents (e.g. ketoconazole, itraconazole, micronazole) - Sexually active females of childbearing potential not using reliable contraception for at least 1 month prior to study initiation and not agreeing to use such methods during the entire study period and for at least 1 month thereafter. Reliable contraceptive methods are defined as intrauterine devices (IUDs), combination type contraceptive pills, hormonal implants, double barrier method, injectable contraceptives, surgical procedures (tubal ligation or vasectomy), or continence - Any other condition which, in the opinion of the investigator, makes the patient unsuitable for inclusion |
Endpoint Classification: Safety/Efficacy Study, Intervention Model: Single Group Assignment, Masking: Open Label, Primary Purpose: Treatment
Country | Name | City | State |
---|---|---|---|
Korea, Republic of | Site KR00001 | Chonam | |
Korea, Republic of | Site KR00002 | Chungnam | |
Korea, Republic of | Site KR00003 | Daegu | |
Korea, Republic of | SIte KR00004 | Incheon | |
Korea, Republic of | Site KR00005 | Pusan | |
Korea, Republic of | Site KR00006 | Seoul |
Lead Sponsor | Collaborator |
---|---|
Jeong Gu Lee | Astellas Pharma Korea, Inc. |
Korea, Republic of,
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Primary | Changes in the number of urge urinary incontinence episodes per 24 hours between baseline and week 12 | Baseline and week 12 | No | |
Secondary | Percent change in the mean number of urge urinary incontinence episodes per 24 hours | Baseline, week 4 and week 12 | No | |
Secondary | Change in the mean number of urge urinary incontinence episodes per 24 hours | urgency episodes: defined as those with a Bladder Sensation Scale rating of = 3 in the voiding diary | Baseline, week 4 and week 12 | No |
Secondary | Change in the mean frequency of urination per 24 hours | Baseline, week 4 and week 12 | No | |
Secondary | Percent change in the mean frequency of urination | Baseline, week 4 and week 12 | No | |
Secondary | Changes in the mean and sum rating on the Bladder Sensation Scale per 24 hours | Baseline, week 4 and week 12 | No | |
Secondary | Change in the mean number of severe urgency episodes per 24 hours | severe urgency episodes: defined as those with a Bladder Sensation Scale rating of = 4 in the voiding diary | Baseline, week 4 and week 12 | No |
Secondary | Changes in overactive bladder symptom score (OABSS) questionnaire | Change in total and each of OABSS items | Baseline, week 4 and week 12 | No |
Secondary | Changes in short urogenital distress inventory (UDI-6) | Change in total and each UDI-6 items | Baseline, week 4 and week 12 | No |
Secondary | Changes in short incontinence impact questionnaire (IIQ-7) | Change in total and each of IIQ-7 items | Baseline, week 4 and week 12 | No |
Secondary | Safety assessed by the incidence and severity of side effects | For 12 weeks | No |
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