Status:

COMPLETED

Assessment of Patient-reported Goal Attainment in the Treatment of Female Overactive Bladder

Lead Sponsor:

Samsung Medical Center

Collaborating Sponsors:

Pfizer

Conditions:

Overactive Bladder

Eligibility:

FEMALE

18-80 years

Phase:

PHASE4

Brief Summary

For many years, antimuscarinics have been first-line pharmacological treatment for OAB. A recent meta-analysis of randomised, controlled trials on antimuscarinic treatment of OAB concluded that the dr...

Detailed Description

1. Objectives 1. Primary objective: To explore the "Patient-reported Goal Attainment (PGA)" after 12 weeks of treatment with tolterodine extended-release (ER) 4mg in female overactive bladder (OAB...

Eligibility Criteria

Inclusion

  • Female aged ≥ 18 and ≤ 80 years
  • Symptoms of OAB as verified by the screening 3 day micturition diary, defined by:
  • Mean urinary frequency ≥8 times/24 hours Mean number of urgency episodes ≥ 2 episode/24 hours
  • Symptoms of OAB for ≥ 3 months.
  • Ability and willingness to correctly complete the micturition diary and questionnaire
  • Capable of understanding and having signed the informed consent form after full discussion of the research nature of the treatment and its risks and benefits

Exclusion

  • Subjects with stress incontinence or mixed stress/urge incontinence where stress incontinence is the predominant component based on prior history.
  • Significant hepatic or renal disease, defined as having twice the upper limit of the reference range for serum concentrations of aspartate amino- transferase (AST \[SGOT\]), alanine aminotransferase (ALT \[SGPT\]), alkaline phosphatase or creatinine.
  • Any condition that is a contraindication for anticholinergic treatment, including uncontrolled narrow-angled glaucoma, urinary retention or gastric retention
  • Symptomatic acute urinary tract infection (UTI) during the run-in period
  • Recurrent UTI defined as having been treated for symptomatic UTI \> 4 times in the last year
  • Diagnosed or suspected interstitial cystitis
  • Clinically significant bladder outlet obstruction or poor detrusor function defined by clinical symptoms and investigator's opinion according to local standard of care
  • Previous history of major urethral and/or bladder surgery
  • History of radiation treatment (external or interstitial) to pelvic organs or external genitalia for any reason.
  • Subjects with neuropathology that could affect the lower urinary tract or nerve supply
  • Patients with marked cystocele or other clinically significant pelvic prolapse.
  • Subjects with current (within 2 years) urogenital neoplasms or malignancies including bladder, uterine or cervical cancer
  • Treatment within the 14 days preceding randomization, or expected to initiate treatment during the study with: Any anticholinergic drugs other than trial drug Any drug treatment for overactive bladder
  • On an unstable dosage of any drug with anticholinergic side effects, or expected to start such treatment during the study
  • Subjects currently taking tricyclic antidepressants, diuretics or alpha blockers who have not been on a stable dose of these medications for at least one month
  • Current administration of a selective serotonin reuptake inhibitor (SSRI) and has not been on a stable dose for at least three months
  • Receipt of any electrostimulation or bladder training within the 14 days before randomization, or expected to start such treatment during the study
  • An indwelling catheter or practicing intermittent self-catheterization
  • Use of any investigational drug within 1 months preceding the start of the study
  • Patients with chronic constipation or history of severe constipation
  • Pregnant or nursing women
  • Sexually active females of childbearing potential not using reliable contraception for at least 1 month prior to study start 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 and surgical procedures (tubal ligation or vasectomy).
  • Any other condition which makes the patient unsuitable for inclusion.

Key Trial Info

Start Date :

February 1 2009

Trial Type :

INTERVENTIONAL

Allocation :

ACTUAL

End Date :

January 1 2012

Estimated Enrollment :

56 Patients enrolled

Trial Details

Trial ID

NCT00836381

Start Date

February 1 2009

End Date

January 1 2012

Last Update

May 30 2013

Active Locations (1)

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Samsung Medical Center

Seoul, South Korea