Phase 2
Completed N=1,307
A Study to Evaluate the Efficacy, Safety and Tolerability of Mirabegron and Solifenacin Succinate Alone and in Combination for the Treatment of Overactive Bladder
Urologic Diseases · Urinary Bladder Diseases · Urological Manifestations · Signs and Symptoms
Source: ClinicalTrials.gov NCT01340027 ↗
Enrolled (actual)
1,307
Serious AEs
1.2%
Results posted
Jul 2015
Primary outcomePrimary: Change From Baseline to End of Treatment (EOT) in Mean Volume Voided Per Micturition — 14.0; 24.9; 34.5; 36.4 mL — p=0.97
Summary
The purpose of this study is to examine how well two medicines in combination (solifenacin succinate and mirabegron) work in the treatment of bladder problems over a 12-week period.
Outcome Measures
| Outcome | Result | p-value |
|---|---|---|
| PRIMARY Change From Baseline to End of Treatment (EOT) in Mean Volume Voided Per Micturition |
14.0; 24.9; 34.5; 36.4; 36.0; 36.2 | 0.97 |
| SECONDARY Change From Baseline to End of Treatment in Mean Number of Micturitions Per 24 Hours |
-2.43; -2.48; -2.56; -2.44; -2.54; -3.22 | 0.062 |
| SECONDARY Change From Baseline to End of Treatment in Mean Number of Incontinence Episodes Per 24 Hours |
-0.95; -0.74; -0.90; -1.26; -0.88; -0.97 | 0.51 |
| SECONDARY Change From Baseline to Each Visit in Mean Volume Voided Per Micturition |
8.7; 14.3; 26.0; 22.7; 23.1; 16.1 | — |
| SECONDARY Change From Baseline to Each Visit in Mean Number of Micturitions Per 24 Hours |
-1.18; -1.69; -1.60; -1.49; -1.16; -1.32 | — |
| SECONDARY Percentage of Participants With a Micturition Response |
27.8; 25.7; 37.3; 29.6; 26.4; 34.7 | 0.42 |
| SECONDARY Change From Baseline to Each Visit in Mean Number of Incontinence Episodes Per 24 Hours |
-0.83; -0.43; -0.85; -0.98; -0.67; -0.71 | — |
| SECONDARY Percentage of Participants With Zero Incontinence Episodes Post-baseline |
47.1; 23.1; 44.4; 40.0; 45.5; 50.0 | 0.52 |
| SECONDARY Percentage of Participants With 50% Reduction in Incontinence Episodes |
64.7; 30.8; 66.7; 73.3; 57.6; 57.1 | 0.48 |
| SECONDARY Change From Baseline to Each Visit in Mean Number of Urgency Incontinence Episodes Per 24 Hours |
-0.80; -0.59; -0.83; -0.96; -0.66; -0.77 | 0.25 |
| SECONDARY Change From Baseline to Each Visit in Mean Number of Urgency Episodes (Grade 3 and/or 4) Per 24 Hours |
-2.07; -2.06; -1.91; -2.49; -1.63; -1.97 | 0.002 sig |
| SECONDARY Change From Baseline to Each Visit in Mean Level of Urgency |
-0.24; -0.19; -0.15; -0.25; -0.14; -0.21 | 0.062 |
| SECONDARY Change From Baseline to Each Visit in Mean Number of Pads Used Per 24 Hours |
-0.81; -0.87; -0.88; -1.31; -0.92; -0.91 | 0.29 |
| SECONDARY Change From Baseline to Each Visit in Mean Number of Nocturia Episodes Per 24-Hours |
-0.33; -0.37; -0.60; -0.38; -0.30; -0.45 | 0.15 |
| SECONDARY Change From Baseline to End of Treatment in Patient Perception of Bladder Condition (PPBC) |
-1.4; -1.4; -1.5; -1.5; -1.3; -1.5 | 0.38 |
| SECONDARY Percentage of Participants With Improvement in PPBC |
69.2; 76.7; 78.9; 68.0; 72.8; 84.9 | 0.040 sig |
| SECONDARY Percentage of Participants With Major Improvement in PPBC |
39.7; 42.5; 38.2; 44.0; 42.2; 46.6 | 0.62 |
| SECONDARY Percentage of Participants With Deterioration in PPBC |
6.4; 4.1; 5.3; 4.0; 4.8; 2.7 | 0.32 |
| SECONDARY Change From Baseline to End of Treatment in Symptom Bother Score as Assessed by the Overactive Bladder Questionnaire (OAB-q) |
-25.5; -27.1; -27.5; -29.8; -26.8; -29.9 | 0.21 |
| SECONDARY Percentage of Participants With a Symptom Bother Response |
73.4; 84.0; 78.9; 85.7; 81.3; 85.3 | 0.40 |
| SECONDARY Change From Baseline to End of Treatment in Health-related Quality of Life (HRQL) Total Score |
24.5; 22.5; 25.8; 27.7; 23.7; 26.6 | 0.26 |
| SECONDARY Percentage of Participants With a Health-related Quality of Life Total Score Response |
67.1; 57.3; 71.1; 74.0; 72.7; 74.7 | 0.92 |
| SECONDARY Change From Baseline in European Quality of Life-5 Dimensions (EQ-5D) Mobility Score |
60; 58; 63; 59; 118; 54 | — |
| SECONDARY Change From Baseline in European Quality of Life-5 Dimensions (EQ-5D) Self-care Score |
76; 69; 73; 72; 138; 68 | — |
| SECONDARY Change From Baseline in European Quality of Life-5 Dimensions (EQ-5D) Usual Activities Score |
62; 52; 58; 60; 115; 57 | — |
| SECONDARY Change From Baseline in European Quality of Life-5 Dimensions (EQ-5D) Pain/Discomfort Score |
38; 33; 40; 38; 70; 35 | — |
| SECONDARY Change From Baseline in European Quality of Life-5 Dimensions (EQ-5D) Anxiety/Depression Score |
41; 38; 39; 42; 76; 36 | — |
| SECONDARY Change From Baseline to End of Treatment in European Quality of Life-5 Dimensions (EQ-5D) Visual Analog Scale (VAS) |
13.1; 5.8; 14.3; 11.1; 11.9; 13.3 | — |
| SECONDARY Change From Baseline to End of Treatment in Work Productivity and Activity Impairment (WPAI) |
-2.44; 0.53; -0.24; -2.85; -1.29; -0.28 | — |
| SECONDARY Change From Baseline to End of Treatment in Treatment Satisfaction on Visual Analog Scale (TS-VAS) |
2.44; 2.61; 3.17; 3.10; 2.78; 2.96 | 0.63 |
Eligibility Criteria
Inclusion Criteria
- Inclusion Criteria at Visit 1/Screening:
- Subject has a Body Mass Index (BMI) of between 18 and 35 kg/m^2 and a total body weight between 50 and 95 kg;
- Subject is willing and able to complete the micturition diary and questionnaires correctly and is willing and able to measure his/her vital signs at home at stipulated time points, using the device provided by the study personnel, and to adequately record the readings;
- Subject has symptoms of overactive bladder (OAB; urinary frequency, urgency and/or urgency incontinence) for at least 3 months.
- Inclusion Criteria at Visit 3/Baseline:
- Subject has experienced frequency of micturition on average ≥ 8 times per 24-hour period during the 3-day micturition diary period (incontinence episode should not be counted as a micturition);
- Subject must experience at least 1 episode of urgency (grade 3 or 4) per 24-hour period (with or without urgency incontinence) during the 3 day micturition diary period.
Exclusion Criteria
- Exclusion Criteria at Visit 1/Screening:
- Subject is breastfeeding, pregnant or intends to become pregnant during the study. The pregnancy test (Beta Human Chorionic Gonadotropin in serum) at Screening must be negative in women of childbearing potential;
- Female subjects of childbearing potential and not using a highly effective method of birth control during the study and for 30 days after final study drug administration.
- Male subjects (unless surgically sterile) with female spouses/partners who are of childbearing potential, and not using a barrier method of contraception during the study and for 30 days after final study drug administration. In addition, female spouses/partners of male subjects and who are of childbearing potential should also use a highly effective method of birth control during the study and for 30 days after final study drug administration. Highly effective methods of birth control are defined as those, alone or in combination, that result in a low failure rate (i.e. less than 1% per year) when used consistently and correctly.
- Subject has significant post-void residual (PVR) volume (> 150 mL);
- Subject has significant stress incontinence or mixed stress/urgency incontinence where stress is the predominant factor as determined by the Investigator (for female subjects confirmed by the cough provocation test);
- Subject has a neurological cause for detrusor overactivity;
- Subject has an indwelling catheter or practices intermittent self-catheterization;
- Subject has diabetic neuropathy;
- Subject has chronic inflammation such as interstitial cystitis, bladder stones, previous pelvic radiation therapy or previous or current malignant disease of the pelvic organs;
- Subject has had previous lower urinary tract or pelvic floor surgery (except cystoscopy);
- Subject has had intravesical treatment in the past 12 months with e.g., botulinum toxin, resiniferatoxin, capsaicin;
- Subject has uncontrolled narrow angle glaucoma, urinary or gastric retention, severe ulcerative colitis or Crohn's Disease, toxic megacolon, myasthenia gravis or any other condition which makes the use of anticholinergics contraindicated;
- Subject has clinically significant cardiovascular or cerebrovascular diseases within 6 months prior to Screening, such as myocardial infarction, uncontrolled angina, significant ventricular arrhythmias, heart failure and stroke;
- Subject is receiving current non-drug treatment including electro-stimulation therapy (with the exception of a bladder training program or pelvic floor exercises which started more than 30 days prior to Screening);
- Subject is using medications intended to treat OAB or prohibited medications.
- Subject has known or suspected hypersensitivity to solifenacin succinate, mirabegron or any of their excipients;
- Subject has any significant neurological disease or defect affecting bladder function (e.g., neurogenic bladder, systemic or central neurological disease such as multip
Data sourced from ClinicalTrials.gov (NCT01340027). 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. Informational only — not medical advice.