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Phase 3 N=883 Randomized Quadruple-blind Treatment

Fesoterodine Flexible Dose Study

Overactive Bladder

Enrolled (actual)
883
Serious AEs
Results posted
Sep 2009
Primary outcome: Primary: Change in Mean Number of Micturition Episodes Per 24 Hours at Week 12 Relative to Baseline. — -2.1; -2.9 number of episodes per 24 hours — p=0.0002

Study Design & Population

Study type
Interventional
Phase
Phase 3
Interventions
Fesoterodine (Drug); Placebo (Drug)
Age
Adult, Older Adult · 18+ yrs
Sex
All
Sponsor
Pfizer
Primary completion
Mar 2008

Outcome Measures

OutcomeResultp-value
PRIMARY
Change in Mean Number of Micturition Episodes Per 24 Hours at Week 12 Relative to Baseline.
-2.1; -2.9 0.0002 sig
SECONDARY
Change in Mean Number of Micturition Episodes Per 24 Hours Relative to Baseline
-1.3; -1.8; -2.0; -2.7 0.0136 sig
SECONDARY
Change in Number of Urgency Episodes Per 24 Hours Relative to Baseline
-1.9; -2.3; -2.9; -3.5; -3.0; -4.0 0.1057
SECONDARY
Change in Number of Severe Urgency Episodes Per 24 Hours Relative to Baseline
-1.6; -1.8; -2.2; -2.6; -2.2; -2.9 0.1666
SECONDARY
Change in Number of Urgency Urinary Incontinence (UUI) Episodes Per 24 Hours Relative to Baseline
-0.9; -1.1; -1.2; -1.5; -1.2; -1.5 0.2054
SECONDARY
Change in Nocturnal Micturition Episodes Per 24 Hours Relative to Baseline
-0.5; -0.5; -0.7; -0.7; -0.7; -0.8 0.8019
SECONDARY
Change in Number of Nocturnal Urgency Episodes Per 24 Hours Relative to Baseline
-0.6; -0.6; -0.8; -0.9; -0.9; -1.0 0.8279
SECONDARY
Change in Frequency-urgency Sum Per 24 Hours Relative to Baseline
-6.5; -8.3; -9.8; -12.5; -10.3; -13.6 0.0203 sig
SECONDARY
Change in Overactive Bladder Questionnaire (OAB-q) at Week 12 Relative to Baseline - Symptom Bother Scale
-20.0; -27.8 <0.0001 sig
SECONDARY
Change in Overactive Bladder Questionnaire (OAB-q) at Week 12 Relative to Baseline - Health Related Quality of Life (HRQL) Subscales
20.9; 29.3; 20.2; 27.2; 21.2; 25.9 <0.0001 sig
SECONDARY
Categorical Change in Patient Perception of Bladder Condition (PPBC) Score Relative to Baseline
13.2; 16.6; 34.8; 39.4; 45.2; 39.4 0.0087 sig
SECONDARY
Categorical Change in Urgency Perception Scale (UPS) Relative to Baseline
22.9; 29.3; 69.2; 64.5; 7.9; 6.2 0.0129 sig
SECONDARY
Change in Urgency Severity Visual Analog Scale (VAS) Relative to Baseline
-0.8; -1.4; -1.4; -2.2; -1.4; -2.4 <0.0001 sig

Summary

This Phase 3B study is designed to test if a fesoterodine flexible dose regimen is more effective than placebo in reducing micturition frequency and other overactive bladder (OAB) symptoms, e.g., urgency, urgency incontinence episodes in patients with overactive bladder and if the fesoterodine regimen is safe and well tolerated.

Eligibility Criteria

Inclusion Criteria

  • Overactive bladder symptoms for greater than or equal to 3 months.
  • Mean urinary frequency of greater than or equal to 8 micturitions per 24 hours in bladder diary.
  • Mean number of Urgency episodes greater than or equal to 3 per 24 hours in bladder diary.

Exclusion Criteria

  • Contraindication to fesoterodine (antimuscarinics).
  • Known etiology of OAB (e.g., neurogenic, local urinary tract pathology).
  • Previous history of acute urinary retention requiring catheterization or severe voiding difficulties in the judgment of the investigator, prior to baseline.
  • Unable to follow the study procedures, including completion of self-administered bladder diary and patient reported outcome questionnaires.
View full record on ClinicalTrials.gov →

Data sourced from ClinicalTrials.gov (NCT00536484). Outcome figures and adverse-event rates are extracted automatically from the registry's posted results and are provided for clinician reference, not as a substitute for the primary publication.

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