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Overactive BladderPhase 3NCT00876447

A Long-term Follow-up Study of Botulinum Toxin Type A in Patients With Overactive Bladder as a Result of Spinal Injury or Multiple Sclerosis

A Phase 3 study testing Botulinum Toxin Type A 300U and Botulinum Toxin Type A 200U in people with Overactive Bladder, run by Allergan at 22 sites in 22 countries.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

The purpose of this study is to assess the long-term safety and effectiveness of botulinum toxin type A on patients with overactive bladder as a result of spinal cord injury or multiple sclerosis. This is a follow-up study to two Allergan sponsored studies (NCT00311376 and NCT00461292). Read more about this study

Who is it for?
Ages 18 years and older
Conditions the study is for
Overactive Bladder
What is being tested?
Botulinum Toxin Type A 300U and Botulinum Toxin Type A 200U
Type of treatment
Injection or infusion
Could I receive a placebo?
No, everyone receives an active treatment
How many people
397 participants
Where
22 sitesin 22 countries
Study dates
1 Jan 2009to 4 Sep 2013
Phase
Phase 3
Are there results?
Yes, posted in the registrySummary in the doctors' view

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 years and older
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Patient has participated in study 191622-515 or 191622-516 and the following criteria fulfilled:
  • Patient completed at least 52 weeks in the preceding study.
  • No longer than 6 months has elapsed since completion of the preceding study
  • Patient has not received any prohibited medications during any intervening period between the preceding study and this long-term study.

Who cannot join

  • History or evidence of pelvic or urologic abnormality.
  • Previous or current diagnosis of bladder or prostate cancer.

Trial locations and contacts

22 sites in 22 countries.

22 sites in 22 countries

United States1 site
  • Study site

    Middlebury, Connecticut

Other trials in United States

Australia1 site
  • Study site

    Randwick

Other trials in Australia

Austria1 site
  • Study site

    Innsbruck

Other trials in Austria

Belgium1 site
  • Study site

    Ghent

Other trials in Belgium

Brazil1 site
  • Study site

    Rio de Janeiro

Other trials in Brazil

Canada1 site
  • Study site

    Victoria, British Columbia

Other trials in Canada

Czechia1 site
  • Study site

    Ostrava

Other trials in Czechia

France1 site
  • Study site

    Salouël

Other trials in France

Germany1 site
  • Study site

    Kiel

Other trials in Germany

Italy1 site
  • Study site

    Florence

Other trials in Italy

Netherlands1 site
  • Study site

    Amsterdam

Other trials in Netherlands

New Zealand1 site
  • Study site

    Epsom

Other trials in New Zealand

Poland1 site
  • Study site

    Poznan

Other trials in Poland

Portugal1 site
  • Study site

    Porto

Other trials in Portugal

Russia1 site
  • Study site

    Moscow

Other trials in Russia

Singapore1 site
  • Study site

    Singapore

Other trials in Singapore

Slovakia1 site
  • Study site

    Prešov

Other trials in Slovakia

South Africa1 site
  • Study site

    Pretoria

Other trials in South Africa

Spain1 site
  • Study site

    Santa Cruz de Tenerife

Other trials in Spain

Taiwan1 site
  • Study site

    Hualien City

Other trials in Taiwan

Ukraine1 site
  • Study site

    Kiev

Other trials in Ukraine

United Kingdom1 site
  • Study site

    London

Other trials in United Kingdom

About this study

The purpose of this study is to assess the long-term safety and effectiveness of botulinum toxin type A on patients with overactive bladder as a result of spinal cord injury or multiple sclerosis. This is a follow-up study to two Allergan sponsored studies (NCT00311376 and NCT00461292).

Read the detailed description

Botulinum toxin Type A 300U has been discontinued from the study. Patients remaining in the arm containing botulinum toxin Type A 300U will receive botulinum toxin Type A 200U moving forward. Also, the masking of the study is now open-label.

Being tested
Botulinum Toxin Type A 300U, Botulinum Toxin Type A 200U
Medical subject headings
Urinary Bladder, Overactive

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Botulinum Toxin Type A 300UBiological

    Also called BOTOX®

    Botulinum toxin Type A 300U injections into the detrusor > 12 weeks as needed for up to 3 years.

  • Botulinum Toxin Type A 200UBiological

    Also called BOTOX®

    Botulinum toxin Type A 200U injections into the detrusor > 12 weeks as needed for up to 3 years.

Study groups in NCT00876447
Study groupRoleWhat they receive
Botulinum Toxin Type A 300UExperimentalBotulinum toxin Type A 300U injections into the detrusor > 12 weeks as needed for up to 3 years.
Receives: Biological: Botulinum Toxin Type A 300U
Botulinum Toxin Type A 200UExperimentalBotulinum toxin Type A 200U injections into the detrusor > 12 weeks as needed for up to 3 years.
Receives: Biological: Botulinum Toxin Type A 200U

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Change From Study Baseline in the Daily Average Number of Urinary Incontinence Episodes

    Urinary incontinence is defined as involuntary loss of urine as recorded in a patient bladder diary in the 3 consecutive days prior to each study visit for study 191622-094 (or 7 days prior to each visit in study 191622-515 or 191622-516). The number of incontinence episodes are averaged daily during this period. The initial study baseline is obtained from the patient bladder diary in the 7 consecutive days prior to the first treatment in either study 191622-515 or 191622-516. A negative number change from baseline indicates a reduction in incontinence episodes (improvement).

    Measured: Study Baseline, Week 6 Treatment Cycle 1

  2. Change From Study Baseline in the Daily Average Number of Urinary Incontinence Episodes

    Urinary incontinence is defined as involuntary loss of urine as recorded in a patient bladder diary in the 3 consecutive days prior to each study visit for study 191622-094 (or 7 days prior to each visit in study 191622-515 or 191622-516). The number of incontinence episodes are averaged daily during this period. The initial study baseline is obtained from the patient bladder diary in the 7 consecutive days prior to the first treatment in either study 191622-515 or 191622-516. A negative number change from baseline indicates a reduction in incontinence episodes (improvement).

    Measured: Study Baseline, Week 6 Treatment Cycle 2

  3. Change From Study Baseline in the Daily Average Number of Urinary Incontinence Episodes

    Urinary incontinence is defined as involuntary loss of urine as recorded in a patient bladder diary in the 3 consecutive days prior to each study visit for study 191622-094 (or 7 days prior to each visit in study 191622-515 or 191622-516). The number of incontinence episodes are averaged daily during this period. The initial study baseline is obtained from the patient bladder diary in the 7 consecutive days prior to the first treatment in either study 191622-515 or 191622-516. A negative number change from baseline indicates a reduction in incontinence episodes (improvement).

    Measured: Study Baseline, Week 6 Treatment Cycle 3

  4. Change From Study Baseline in the Daily Average Number of Urinary Incontinence Episodes

    Urinary incontinence is defined as involuntary loss of urine as recorded in a patient bladder diary in the 3 consecutive days prior to each study visit for study 191622-094 (or 7 days prior to each visit in study 191622-515 or 191622-516). The number of incontinence episodes are averaged daily during this period. The initial study baseline is obtained from the patient bladder diary in the 7 consecutive days prior to the first treatment in either study 191622-515 or 191622-516. A negative number change from baseline indicates a reduction in incontinence episodes (improvement).

    Measured: Study Baseline, Week 6 Treatment Cycle 4

  5. Change From Study Baseline in the Daily Average Number of Urinary Incontinence Episodes

    Urinary incontinence is defined as involuntary loss of urine as recorded in a patient bladder diary in the 3 consecutive days prior to each study visit for study 191622-094 (or 7 days prior to each visit in study 191622-515 or 191622-516). The number of incontinence episodes are averaged daily during this period. The initial study baseline is obtained from the patient bladder diary in the 7 consecutive days prior to the first treatment in either study 191622-515 or 191622-516. A negative number change from baseline indicates a reduction in incontinence episodes (improvement).

    Measured: Study Baseline, Week 6 Treatment Cycle 5

Secondary outcomes (10)
  1. Change From Study Baseline in the Incontinence Quality of Life Instrument (I-QOL) Total Summary Score

    The I-QOL questionnaire is a validated, disease-specific quality of life (QOL) questionnaire containing 22 questions designed to measure the impact of urinary incontinence on patients' lives. Each question is answered on a 5-point scale (1 = worst QOL and 5 = best QOL). The scores are totaled over the 22 questions and normalized to a score of 0-100 (0 = worst QOL and 100= best QOL). The I-QOL total score is calculated by combining the 22-item subscores from the 3 I-QOL domains: Avoidance Limiting Behavior, Psychological Impact, and Social Embarrassment. The initial study baseline is obtained from data collected prior to the first treatment in Study 191622-515 or 191622-516. Positive number changes from baseline indicate improved QOL.

    Measured: Study Baseline, Week 6 Treatment Cycle 1

  2. Change From Study Baseline in the Incontinence Quality of Life Instrument (I-QOL) Total Summary Score

    The I-QOL questionnaire is a validated, disease-specific quality of life (QOL) questionnaire containing 22 questions designed to measure the impact of urinary incontinence on patients' lives. Each question is answered on a 5-point scale (1 = worst QOL and 5 = best QOL). The scores are totaled over the 22 questions and normalized to a score of 0-100 (0 = worst QOL and 100= best QOL). The I-QOL total score is calculated by combining the 22-item subscores from the 3 I-QOL domains: Avoidance Limiting Behavior, Psychological Impact, and Social Embarrassment. The initial study baseline is obtained from data collected prior to the first treatment in Study 191622-515 or 191622-516. Positive number changes from baseline indicate improved QOL.

    Measured: Study Baseline, Week 6 Treatment Cycle 2

  3. Change From Study Baseline in the Incontinence Quality of Life Instrument (I-QOL) Total Summary Score

    The I-QOL questionnaire is a validated, disease-specific quality of life (QOL) questionnaire containing 22 questions designed to measure the impact of urinary incontinence on patients' lives. Each question is answered on a 5-point scale (1 = worst QOL and 5 = best QOL). The scores are totaled over the 22 questions and normalized to a score of 0-100 (0 = worst QOL and 100= best QOL). The I-QOL total score is calculated by combining the 22-item subscores from the 3 I-QOL domains: Avoidance Limiting Behavior, Psychological Impact, and Social Embarrassment. The initial study baseline is obtained from data collected prior to the first treatment in Study 191622-515 or 191622-516. Positive number changes from baseline indicate improved QOL.

    Measured: Study Baseline, Week 6 Treatment Cycle 3

  4. Change From Study Baseline in the Incontinence Quality of Life Instrument (I-QOL) Total Summary Score

    The I-QOL questionnaire is a validated, disease-specific quality of life (QOL) questionnaire containing 22 questions designed to measure the impact of urinary incontinence on patients' lives. Each question is answered on a 5-point scale (1 = worst QOL and 5 = best QOL). The scores are totaled over the 22 questions and normalized to a score of 0-100 (0 = worst QOL and 100= best QOL). The I-QOL total score is calculated by combining the 22-item subscores from the 3 I-QOL domains: Avoidance Limiting Behavior, Psychological Impact, and Social Embarrassment. The initial study baseline is obtained from data collected prior to the first treatment in Study 191622-515 or 191622-516. Positive number changes from baseline indicate improved QOL.

    Measured: Study Baseline, Week 6 Treatment Cycle 4

  5. Change From Study Baseline in the Incontinence Quality of Life Instrument (I-QOL) Total Summary Score

    The I-QOL questionnaire is a validated, disease-specific quality of life (QOL) questionnaire containing 22 questions designed to measure the impact of urinary incontinence on patients' lives. Each question is answered on a 5-point scale (1 = worst QOL and 5 = best QOL). The scores are totaled over the 22 questions and normalized to a score of 0-100 (0 = worst QOL and 100= best QOL). The I-QOL total score is calculated by combining the 22-item subscores from the 3 I-QOL domains: Avoidance Limiting Behavior, Psychological Impact, and Social Embarrassment. The initial study baseline is obtained from data collected prior to the first treatment in Study 191622-515 or 191622-516. Positive number changes from baseline indicate improved QOL.

    Measured: Study Baseline, Week 6 Treatment Cycle 5

  6. Change From Study Baseline in Volume Per Void

    The total volume voided (voluntary or by catheterization) is recorded by the patient over a 24-hour period preceding the study visit. The average volume per voiding episode is derived by dividing the total volume collected in a 24-hour period by the total number of urinary episodes with volume recorded in the same 24-hour period. The initial study baseline is obtained from data collected prior to the first treatment in Study 191622-515 or 191622-516. Positive number changes from baseline indicate improvement.

    Measured: Study Baseline, Week 6 Treatment Cycle 1

  7. Change From Study Baseline in Volume Per Void

    The total volume voided (voluntary or by catheterization) is recorded by the patient over a 24-hour period preceding the study visit. The average volume per voiding episode is derived by dividing the total volume collected in a 24-hour period by the total number of urinary episodes with volume recorded in the same 24-hour period. The initial study baseline is obtained from data collected prior to the first treatment in Study 191622-515 or 191622-516. Positive number changes from baseline indicate improvement.

    Measured: Study Baseline, Week 6 Treatment Cycle 2

  8. Change From Study Baseline in Volume Per Void

    The total volume voided (voluntary or by catheterization) is recorded by the patient over a 24-hour period preceding the study visit. The average volume per voiding episode is derived by dividing the total volume collected in a 24-hour period by the total number of urinary episodes with volume recorded in the same 24-hour period. The initial study baseline is obtained from data collected prior to the first treatment in Study 191622-515 or 191622-516. Positive number changes from baseline indicate improvement.

    Measured: Study Baseline, Week 6 Treatment Cycle 3

  9. Change From Study Baseline in Volume Per Void

    The total volume voided (voluntary or by catheterization) is recorded by the patient over a 24-hour period preceding the study visit. The average volume per voiding episode is derived by dividing the total volume collected in a 24-hour period by the total number of urinary episodes with volume recorded in the same 24-hour period. The initial study baseline is obtained from data collected prior to the first treatment in Study 191622-515 or 191622-516. Positive number changes from baseline indicate improvement.

    Measured: Study Baseline, Week 6 Treatment Cycle 4

  10. Change From Study Baseline in Volume Per Void

    The total volume voided (voluntary or by catheterization) is recorded by the patient over a 24-hour period preceding the study visit. The average volume per voiding episode is derived by dividing the total volume collected in a 24-hour period by the total number of urinary episodes with volume recorded in the same 24-hour period. The initial study baseline is obtained from data collected prior to the first treatment in Study 191622-515 or 191622-516. Positive number changes from baseline indicate improvement.

    Measured: Study Baseline, Week 6 Treatment Cycle 5

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted6 Apr 2009 (estimated)
  2. Study start1 Jan 2009
  3. Primary completion12 Jun 2013
  4. Study completion4 Sep 2013

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase 3
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
Quadruple blind
Who is masked
Participant, Care provider, Investigator, Outcomes assessor
Enrolment
397 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT00876447
Sponsor's protocol ID
191622-094
Status last verified
Apr 2019
First submitted
1 Apr 2009
Last updated
1 May 2019
Data monitoring committee
No

Publications

  • Kennelly M, Dmochowski R, Schulte-Baukloh H, Ethans K, Del Popolo G, Moore C, Jenkins B, Guard S, Zheng Y, Karsenty G; 191622-094 Investigators. Efficacy and safety of onabotulinumtoxinA therapy are sustained over 4 years of treatment in patients with neurogenic detrusor overactivity: Final results of a long-term extension study. Neurourol Urodyn. 2017 Feb;36(2):368-375. doi: 10.1002/nau.22934. Epub 2015 Nov 24.

    PubMed 26607743

Questions about this trial

What is this clinical trial studying?

A Phase 3 study testing Botulinum Toxin Type A 300U and Botulinum Toxin Type A 200U in people with Overactive Bladder, run by Allergan at 22 sites in 22 countries.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 4 inclusion and 2 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 1 May 2019. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 22 sites in United States, Australia, Austria, Belgium, Brazil and 17 more countries. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

What does this phase mean?

Phase 3 studies compare the treatment with the current standard treatment or a placebo in a large group, to confirm how well it works and watch for side effects.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

Yes. Results are posted in the registry (first posted 13 Jun 2014). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Change From Study Baseline in the Daily Average Number of Urinary Incontinence Episodes (time frame: Study Baseline, Week 6 Treatment Cycle 1). The study lists 5 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT00876447, which also lists 1 linked publication.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 1 May 2019.

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