Urinary Incontinence Clinical Trial
Official title:
A Parallel, Double-blind Comparison of Tolterodine vs. Placebo Treatments for Nocturia in Postmenopausal Women.
This study is being done to compare frequency of urination during the night when women take
tolterodine tablets vs. when they take placebo tablets.
We will also measure whether between these two treatment conditions there are any differences
in women's sleep, mood and performance on cognitive tests.
From midlife onwards, about half of women complain of poor sleep quality. One possible reason
might be an increased frequency of need to urinate during the night. Women feel more frequent
urges to urinate when structures that support the bladder become more lax. Tolterodine is a
drug that can raise the threshold for volume of urine that accumulates in the bladder before
the urge to urinate arises.
Many factors determine how people say they sleep, such as their sleep as recorded by
sleep-measuring instruments, how closely they notice their night's sleep, whether they are
generally prone to make positive or negative judgments or to have a lot or a few body
symptoms.
In this study, women between ages 45 to 65 who are past the menopause and who are frequently
bothered by the need to urinate during the night will take either tolterodine or placebo
tablets for 8 weeks. During the last week they will record the hours they slept and the
quality of their sleep each morning. They will wear a device on their wrist through the week
that continuously records whether they are asleep or awake. During three nights of the week
they will record the volume of urine whenever they urinate. At the end of the week they will
complete questionnaires about their mood and take some computerized tests that measure their
alertness. Thereafter they will repeat these procedures, taking the kind of tablets they did
not take during the first 8-week treatment period.
We will compare the frequency of urination, sleep, mood as adjusted for the tendency to make
positive or negative judgments and daytime attention level to find if any of these differ
between the two treatment periods, and to explain differences between any differences that
may be found.
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