Urinary Bladder, OveractivePhase 4NCT01302054
A Clinical Study in Patients With Overactive Bladder With Leakage of Urine, to Find Out if the Medicine, Fesoterodine, Works in Those Patients Who Did Not Have Enough Response to the Medicine, Tolterodine.
A Phase 4 study testing Fesoterodine 8 mg in people with Urinary Bladder, Overactive, run by Pfizer at 176 sites in 15 countries.
Trial summary
Patients with overactive bladder are often treated with tolterodine, a medication that helps relax the bladder, helping symptoms of urinary incontinence and urinary frequency. Sometimes patients do not have a satisfactory response, and may benefit from trying an alternative oral medicine. Read more about this study
- Who is it for?
- Ages 18 years and older
- Conditions the study is for
- Urinary Bladder, Overactive
- What is being tested?
- Fesoterodine 8 mg
- Type of treatment
- Pill or oral medicine
- Could I receive a placebo?
- Yes, some participants may receive a placebo
- How many people
- 990 participants
- Where
- 176 sitesin 15 countries
- Study dates
- May 2011to May 2012
- Phase
- Phase 4
- 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
- Diagnosis of overactive bladder with symptoms for at least 6 months.
- Moderate to severe incontinence episode frequency and subsequent sub-optimal response to tolterodine
- Women of child-bearing potential must not intend to become pregnant, be pregnant or producing breast milk at the time of study entry, and must use contraception
Who cannot join
- Conditions or prior treatment that may also affect bladder function
- Clinically significant urinary tract infection (UTI)
- Ongoing treatment with overactive bladder medications (these can be stopped at the first visit to allow entry into the study).
Trial locations and contacts
176 sites in 15 countries.
176 sites in 15 countries
United States109 sites
Radiant Research, Inc.
Akron, Ohio, 44311
Northeast Urogynecology
Albany, New York, 12205
The Urologic Institute of Northeastern New York - Community Care Physicians, PC
Albany, New York, 12208
Atlanta Medical Research Institute, LLC
Alpharetta, Georgia, 30005
Radiant Research, Inc.
Anderson, South Carolina, 29621
Integra Trials, LLC
Arlington, Virginia, 22205
Washington Urology
Arlington, Virginia, 22205
Radiant Research, Inc.
Atlanta, Georgia, 30342
Fox Valley Clinical Research Center, LLC
Aurora, Illinois, 60504
Adult Care of Austin
Austin, Texas, 78745
Senior Adults Specialty Research
Austin, Texas, 78757
Urologic Consultants of Southeastern Pennsylvania
Bala-Cynwyd, Pennsylvania, 19004
DiscoveResearch, Inc.
Beaumont, Texas, 77701
Beaumont Internal Medicine & Geriatric Associates
Beaumont, Texas, 77702
Radiant Research, Inc.
Birmingham, Alabama, 35209
Alabama Internal Medicine, PC
Birmingham, Alabama, 35235
Manatee Medical Research Institute, LLC
Bradenton, Florida, 34205
DiscoveResearch, Inc.
Bryan, Texas, 77802
DiscoveResearch, Incorporated
Bryan, Texas, 77802
PMG Research of Raleigh, LLC d/b/a PMG Research of Cary
Cary, North Carolina, 27518
Radiant Research, Inc.
Chandler, Arizona, 85225
PMG Research of Charlotte
Charlotte, North Carolina, 28209
Urology Specialists of the Carolinas
Charlotte, North Carolina, 28210
Chattanooga Medical Research, LLC
Chattanooga, Tennessee, 37404
OB-GYN Centre of Excellence
Chattanooga, Tennessee, 37404
Radiant Research, Inc.
Chicago, Illinois, 60654
Radiant Research, Inc.
Cincinnati, Ohio, 45249
Columbia Women's Healthcare, LLC
Columbia, South Carolina, 29201
SC Clinical Research Center, LLC
Columbia, South Carolina, 29201
Radiant Research, Inc.
Columbus, Ohio, 43212
Radiant Research, Inc.
Dallas, Texas, 75231
Providence Health Partners - Center for Clinical Research
Dayton, Ohio, 45439
Atlantic Institute of Clinical Research
Daytona Beach, Florida, 32114
SJS Clinical Research
Destin, Florida, 32541
In-Quest Medical Research, LLC
Duluth, Georgia, 30096
Gilbert Teixeira, DO
East Providence, Rhode Island, 02914
Pharma Resource
East Providence, Rhode Island, 02915
Radiant Research, Inc.
Edina, Minnesota, 55435
OB/GYN Associates of Erie
Erie, Pennsylvania, 16507
Pacific Women's Center, LLC
Eugene, Oregon, 97401
Brown and McCool Gynecology
Fairhope, Alabama, 36532
New England Center for Clinical Research Fall River, LLC
Fall River, Massachusetts, 02720
Lillestol Research LLC
Fargo, North Dakota, 58103
Eclipse Clinical Research
Green Valley, Arizona, 85614
Radiant Research, Inc.
Greer, South Carolina, 29651
Thameside Obstetrics/Gynecological Center
Groton, Connecticut, 06340
S.H.E. Medical Associates
Hartford, Connecticut, 06105
Advances In Health, Inc.
Houston, Texas, 77030
Centex Research, Inc. - Pineloch Medical Clinic
Houston, Texas, 77062
The Office of Dr. Steven Maislos, MD
Houston, Texas, 77074
CRC of Jackson
Jackson, Mississippi, 39202
Women's Specialty Center
Jackson, Mississippi, 39202
Advanced Therapeutics, Inc.
Johnson City, Tennessee, 37601
Johnson City Internal Medicine
Johnson City, Tennessee, 37604
Beyer Research
Kalamazoo, Michigan, 49009
Francis Jimenez, MD
Las Vegas, Nevada, 89102
Impact Clinical Trials
Las Vegas, Nevada, 89106
Richard M. Groom, MD
Las Vegas, Nevada, 89106
American Institute of Research
Los Angeles, California, 90017
Moaz Khorsandi, DO
Los Angeles, California, 90017
Urology Group of Southern California
Los Angeles, California, 90017
Institute for Advanced Urology
Los Angeles, California, 90048
Integrity Medical Research, LLC
Mountlake Terrace, Washington, 98043
Urology Northwest, PA
Mountlake Terrace, Washington, 98043
PMG Research of Charleston, LLC
Mt. Pleasant, South Carolina, 29464
Radiant Research, Inc.
Murray, Utah, 84123
New England Center for Clinical Research of Massachusetts, LLC
New Bedford, Massachusetts, 02740
University Urology Associates
New York, New York, 10016
Urology of Indiana, LLC
Noblesville, Indiana, 46062
Central Sooner Research
Norman, Oklahoma, 73071
Ocala Urology Specialists
Ocala, Florida, 34471
Renstar Medical Research, Inc.
Ocala, Florida, 34471
Quality Clinical Research, Inc.
Omaha, Nebraska, 68114
Associated Medical Professionals of New York, PLLC
Oneida, New York, 13421
Radiant Research, Inc.
Overland Park, Kansas, 66202
Center for Clinical Trials, LLC
Paramount, California, 90723
Advanced Urology, PC
Parker, Colorado, 80134
Memorial Hospital of Rhode Island - Clinical Studies Center
Pawtucket, Rhode Island, 02860
Research Protocol Management Specialists
Pittsburgh, Pennsylvania, 15243
Village Health Partners
Plano, Texas, 75024
Accord Clinical Research, LLC
Port Orange, Florida, 32129
PMG Research of Raleigh, LLC
Raleigh, North Carolina, 27609
Prism Research Group
Rome, Georgia, 30165
Valley Health Care
Rome, Georgia, 30165
Sierra Clinical Research
Roseville, California, 95661
Superior Research LLC
Sacramento, California, 95825
PMG Research of Salisbury, LLC
Salisbury, North Carolina, 28144
Salibury Urological Clinic
Salisbury, North Carolina, 28144
Paragon Research Center, LLC
San Antonio, Texas, 78205
California Research Foundation
San Diego, California, 92103
Medical Center for Clinical Research
San Diego, California, 92108
Adult and Pediatric Urology
Sartell, Minnesota, 56377
Regional Urology, LLC
Shreveport, Louisiana, 71106
The Urology Group
Southaven, Mississippi, 38671
North Spokane Women's Clinic
Spokane, Washington, 99207
Radiant Research, Inc.
St Louis, Missouri, 63141
Pinellas Urology, Inc.
St. Petersburg, Florida, 33710
Associated Medical Professionals of NY
Syracuse, New York, 13210
Florida Urology Partners
Tampa, Florida, 33607
Medical Research Associates, Inc.
Traverse City, Michigan, 49684
Radiant Research, Inc.
Tucson, Arizona, 85710
Urological Associates of Southern Arizona, PC
Tucson, Arizona, 85715
Chase Medical Research, LLC
Waterbury, Connecticut, 06708
Bay State Clinical Trials, Inc.
Watertown, Massachusetts, 02472
The Office of Georgis Patsias, MD, PA
Wellington, Florida, 33449
Advanced Clinical Research
West Jordan, Utah, 84088
Palm Beach Research Center
West Palm Beach, Florida, 33409
Carolina Urological Associates
Winston-Salem, North Carolina, 27103
PMG Research of Winston-Salem, LLC
Winston-Salem, North Carolina, 27103
Canada11 sites
The Male/Female Health and Research Centre, Royal Court Medical Centre
Barrie, Ontario, L4M 7G1
Maritime Research Center
Bathurst, New Brunswick, E2A 4X7
Maritime Research Center
Bathurst, New Brunswick, E2A 4Z9
The Prostate Cancer Centre
Calgary, Alberta, T2V 1P9
Lois Hole Hospital for Women, Royal Alexandra Hospital
Edmonton, Alberta, T5H 3V9
Kingston General Hospital
Kingston, Ontario, K7L 2V7
Centre for Applied Urological Research, Queen's University, Kingston General Hospital
Kingston, Ontario, K7L 3J7
Diex Research Montreal Inc.
Montreal, Quebec, H4N 3C5
URLX Corporation
Ottawa, Ontario, K1H 1A2
Diex Research Sherbrooke Inc.
Sherbrooke, Quebec, J1H 1Z1
Sunnybrook Health Sciences Centre
Toronto, Ontario, M4N 3M5
Germany11 sites
Klinische Forschung Berlin-Mitte GmbH
Berlin, 10117
Klinische Forschung Berlin
Berlin, 10787
Praxis fuer Urologie
Berlin, 14052
Duisburger Fachaerztegemeinschaft
Duisburg, 47179
ZKS Suedbrandenburg GmbH
Elsterwerda, 04910
Facharzt für Frauenheilkunde und Geburtshilfe
Frankfurt am Main, 60322
Urologische Praxis
Hagenow, 19230
Klinische Forschung Hamburg GmbH
Hamburg, 20253
Arztpraxis Dr. von Keitz
Marburg, 35039
Pharmakologisches Studienzentrum Chemnitz GmbH
Mittweida, 09648
Frauenarzt Praxis
München, 81241
Ukraine8 sites
Regional Clinical Hospital, Department of Urology of Dnipropetrovsk State Medical Academy
Dnipropetrovsk, 49005
Regional Clinical Center of Urology and Nephrology
Kharkiv, 61037
Institute of Urology of AMS of Ukraine
Kyiv, 04053
Lugansk City Multi-Discipline Hospital #2, department of Urology
Luhansk
5Th City Clinical Hospital, Urology Department
Lviv, 79059
LTD Out-patient clinic of General practice and Family medicine
Odesa, 65009
Poltava Regional Clinical Hospital, Department of Urology
Poltava
Municipal Institution of Ternopil Regional Council, Ternopil University Hospital
Ternopil, 46002
Russia7 sites
Kemerovо Regional Perinatal Center
Kemerovo, 650066
Moscow State Healthcare Institution City Clinical Hospital #12
Moscow, 115516
Saint-Petersburg State Budgetary Healthcare Institution City Hospital #26
Saint Petersburg, 196247
Saint-Petersburg State Medical University I.P.Pavlov
Saint Petersburg, 197022
Saint-Petersburg State Healthcare Institution City Hospital # 15
Saint Petersburg, 198205
St. Petersburg State Healthcare Institution
Saint Petersburg, 199106
Siberian State Medical University
Tomsk, 634050
Sweden6 sites
Kvinnohalsan Soder
Bandhagen, 124 54
Specialistmottagningen i urologi
Gothenburg, 405 45
Partus Kvinnohalsa
Gothenburg, 412 54
Me3plus Clinical Trials
Gothenburg, 41263
Tudorkliniken, Specialistmottagningen i Urologi
Halmstad, 302 46
Vrinnevisjukhuset
Norrköping, 601 82
Bulgaria5 sites
MBAL Trimontsium OOD
Plovdiv, 4000
MBAL Ruse AD, Urologichno otdelenie,
Rousse, 7002
UMBAL Aleksandrovska EAD
Sofia, 1431
MBALSM N.I.Pirogov EAD
Sofia, 1606
MBAL Doverie AD, Otdelenie po urologia
Sofia, 1632
Czechia4 sites
Prvni privatni chirurgicke centrum spol. s .r.o. - SANUS
Hradec Králové, 500 02
Nemocnice Jindrichuv Hradec
Jindřichův Hradec, 377 38
Oblastni nemocnice Kolin, a.s.
Kolin III, 28000
Krajska zdravotni, a.s. - Masarykova nemocnice v Usti nad Labem, o.z.
Ústí nad Labem, 401 13
Hungary4 sites
Semmelweis Egyetem Altalanos Orvostudomanyi Kar Urologiai Klinika
Budapest, 1082
Soproni Erzsebet Oktato Korhaz, Urologiai Osztaly
Sopron, 9400
Donatella 99 Bt.
Szentes, 6600
MAV Korhaz es Rendelointezet, Urologia
Szolnok, 5000
Poland3 sites
NZOZ VIP - MED, Poradnia Urologiczna
Gdynia, 81-366
SP ZOZ Wojewodzki Szpital Specjalistyczny im. J. Koraczaka
Słupsk, 76-200
Specjalistyczny Gabinet Lekarski
Warsaw, 02-926
South Korea3 sites
Department of Urology, Pusan National University Hospital
Pusan, 602-739
Department of Urology, Konkuk University Medical Center
Seoul, 143-729
Department of Urology, Ajou University Hospital
Suwon, 443-721
Mexico2 sites
Unidad de Diagnostico Integral
Colima, 28000
Phylasis Clinicas Research S de RL de CV
Cuautitlán Izcalli, State of Mexico, 54740
About this study
Official title: A 14 Week Randomized Parallel Group Placebo-Controlled Double-Blind Multicentre Study Of Fesoterodine 8 Mg In Overactive Bladder Patients With Sub-Optimal Response To Tolterodine 4 Mg Extended Release (ER).
Patients with overactive bladder are often treated with tolterodine, a medication that helps relax the bladder, helping symptoms of urinary incontinence and urinary frequency. Sometimes patients do not have a satisfactory response, and may benefit from trying an alternative oral medicine. Fesoterodine is related to tolterodine by producing the same active substance that acts on the bladder, but potentially at higher and more effective levels. So, a patient who has a poor response to tolterodine may still obtain a good response to fesoterodine. This study will help find out if this is what happens.
- Conditions
- Urinary Bladder, Overactive
- Being tested
- Fesoterodine 8 mg, Placebo
- Keywords
- Bladder Overactive, Overactive urinary bladder, Overactive Bladder
- 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.
Fesoterodine 8 mgDrug
Also called Toviaz
Fesoterodine sustained release tablets once every morning at 4 mg dose for first week, followed by 11 weeks at 8 mg strength.
PlaceboDrug
Matching placebo for fesoterodine 4 and 8 mg for a total of 12 weeks.
| Study group | Role | What they receive |
|---|---|---|
| Fesoterodine | Experimental | Not described Receives: Drug: Fesoterodine 8 mg |
| Placebo | Placebo comparator | Not described Receives: Drug: Placebo |
What is being measured
The primary outcome is the main question the study is designed to answer.
Mean Number of Urgency Urinary Incontinence (UUI) Episodes Per 24 Hours
UUI episodes were defined as those with the urinary sensation scale (USS) rating of 5 in the diary. USS range from 1 to 5: 1. No feeling of urgency, 2. Mild feeling of urgency, 3. Moderate feeling of urgency, 4. Severe feeling of urgency, 5. Unable to hold; leak urine.
Measured: Baseline, Week 12
Change From Baseline in Mean Number of Urgency Urinary Incontinence (UUI) Episodes Per 24 Hours at Week 12
UUI episodes were defined as those with the urinary sensation scale (USS) rating of 5 in the diary. USS range from 1 to 5: 1. No feeling of urgency, 2. Mild feeling of urgency, 3. Moderate feeling of urgency, 4. Severe feeling of urgency, 5. Unable to hold; leak urine.
Measured: Baseline, Week 12
Secondary outcomes (9)
Change From Baseline in Mean Number of Micturitions Per 24 Hours at Week 12
Micturitions include episodes of voluntary micturition and episodes of Urgency Urinary Incontinence (UUI). UUI episodes were defined as those micturitions with USS rating of 5 in the diary in participants with UUI at baseline. USS rating 5: Unable to hold; leak urine.
Measured: Baseline, Week 12
Change From Baseline in Mean Number of Micturition-Related Urgency Episodes Per 24 Hours at Week 12
The mean number of micturition-related urgency episodes per 24 hours was calculated as the total number of micturitions with USS rating of greater than or equal to 3 divided by the total number of days that diary data was collected at that visit. USS range from 1 to 5: 1. No feeling of urgency, 2. Mild feeling of urgency, 3. Moderate feeling of urgency, 4. Severe feeling of urgency, 5. Unable to hold; leak urine.
Measured: Baseline, Week 12
Number of Participants With Change From Baseline in Patient Perception of Bladder Condition (PPBC) at Week 12
PPBC: single-item, self-administered validated questionnaire. Participant answered: "Which of the following statements describes your bladder condition best at the moment?" on a 6-point scale, 1=no problems at all; 2=some very minor problems; 3=some minor problems; 4=some moderate problems; 5=severe problems; 6=many severe problems. Change=observation minus baseline. Results categorized as Deterioration (Positive change from baseline); No Change (scores change=0); Minor Improvement (negative score change in magnitude of 1); Major Improvement (negative score change in magnitude of >=2).
Measured: Baseline, Week 12
Number of Participants With Change From Baseline in Urgency Perception Scale (UPS) at Week 12
UPS: single-item, self-administered validated questionnaire. Participant answered: "Which of the following would typically describe your experience when you have a desire to urinate?" on a 3-point scale, 1=usually not able to hold urine; 2=usually able to hold urine (without leaking) until I reach a toilet if I go to the toilet immediately; 3= usually able to finish what I am doing before going to the toilet (without leaking). Change = observation minus baseline. Results categorized as Deterioration (Negative change); no change (Score change=0); improvement (Positive change).
Measured: Baseline, Week 12
Change From Baseline in Overactive Bladder Questionnaire (OAB-q) Symptom Bother Score at Week 12
OAB-q: a self-administered, 33-item, questionnaire that assesses how much the participant has been bothered by selected bladder symptoms. Each item rated by participant on Likert scale 1 (not at all) to 6 (a very great deal). Symptom bother score derived as sum of scores for questions 1-8; lowest possible raw score: 8; highest possible score: 48. Data analyzed based on transformation of the score to a 0 to 100 scale [(Actual total raw score - lowest possible value of raw score)/range]*100. Higher scores values indicative of greater symptom bother. Change=observation minus baseline.
Measured: Baseline, Week 12
Change From Baseline in Health Related Quality of Life (HRQL) Domains and Total HRQL Score of Overactive Bladder Questionnaire (OAB-q) at Week 12
OAB-q: self-administered, 33-item, questionnaire, assesses how much participant has been bothered by selected bladder symptoms. Each item rated on Likert scale 1 (not at all) to 6 (a very great deal). Questions 9 to 33 constitute HRQL, includes domains: concern, coping, sleep, and social function. HRQL domain and total raw score derived as sum of scores. Transformed score range 0 to 100 (Total HRQL or domain) = [(Highest possible raw score-Actual total raw score)/Raw score range]*100. Higher transformed scores indicative of better HRQL.
Measured: Baseline, Week 12
Percentage of Participants With More Than (>) 50 Percent (%) Reduction in UUI Episodes at Week 12 as Compared to Week -2
UUI episodes were defined as those with the urinary sensation scale (USS) rating of 5 in the diary. USS range from 1 to 5: 1. No feeling of urgency, 2. Mild feeling of urgency, 3. Moderate feeling of urgency, 4. Severe feeling of urgency, 5. Unable to hold; leak urine.
Measured: Week -2, Week 12
Percentage of Participants With More Than (>) 50 Percent (%) Reduction in UUI Episodes at Week 12 as Compared to Baseline
UUI episodes were defined as those with the urinary sensation scale (USS) rating of 5 in the diary. USS range from 1 to 5: 1. No feeling of urgency, 2. Mild feeling of urgency, 3. Moderate feeling of urgency, 4. Severe feeling of urgency, 5. Unable to hold; leak urine.
Measured: Baseline, Week 12
Percentage of Participants With No UUI Episodes (Diary Dry Rate)
UUI episodes were defined as those with the urinary sensation scale (USS) rating of 5 in the diary. USS range from 1 to 5: 1. No feeling of urgency, 2. Mild feeling of urgency, 3. Moderate feeling of urgency, 4. Severe feeling of urgency, 5. Unable to hold; leak urine.
Measured: Week 4, Week 12
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted23 Feb 2011 (estimated)
- Study startMay 2011
- Primary completionMay 2012
- Study completionMay 2012
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Posted resultsParticipant flow, outcome measures and adverse events reported by the sponsor.
- Publications (3)Papers the sponsor has linked to this study.
- Other trials for Urinary Bladder, OveractiveStudies of the same condition, open and under way.
- More trials run by PfizerThe sponsor's other registered studies.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
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 4
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Triple blind
- Who is masked
- Participant, Care provider, Investigator
- Enrolment
- 990 participants (actual)
Sponsor and investigators
- Lead sponsor
- Pfizer
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
- Investigators
- Pfizer CT.gov Call Center, Study director, Pfizer
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT01302054
- Sponsor's protocol ID
- A0221094
- Status last verified
- Nov 2018
- First submitted
- 18 Feb 2011
- Last updated
- 4 Dec 2018
- Results posted
- Yes, on ClinicalTrials.gov
- Data monitoring committee
- Yes
Publications
Stoniute A, Madhuvrata P, Still M, Barron-Millar E, Nabi G, Omar MI. Oral anticholinergic drugs versus placebo or no treatment for managing overactive bladder syndrome in adults. Cochrane Database Syst Rev. 2023 May 9;5(5):CD003781. doi: 10.1002/14651858.CD003781.pub3.
PubMed 37160401Wagg AS, Herschorn S, Carlsson M, Fernet M, Oelke M. A plain language summary of the likelihood of symptom relief for patients taking fesoterodine for overactive bladder. J Comp Eff Res. 2022 Sep;11(13):919-925. doi: 10.2217/cer-2022-0041. Epub 2022 Jul 26.
PubMed 35881009Kaplan SA, Cardozo L, Herschorn S, Grenabo L, Carlsson M, Arumi D, Crook TJ, Whelan L, Scholfield D, Ntanios F; Assessment of Fesoterodine after Tolterodine ER (AFTER) Study Group. Efficacy and safety of fesoterodine 8 mg in subjects with overactive bladder after a suboptimal response to tolterodine ER. Int J Clin Pract. 2014 Sep;68(9):1065-73. doi: 10.1111/ijcp.12464. Epub 2014 Jun 4.
PubMed 24898471
Study at a glance
From the registry record, last updated by the sponsor on 4 Dec 2018. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A 14 Week Randomized Parallel Group Placebo-Controlled Double-Blind Multicentre Study Of Fesoterodine 8 Mg In Overactive Bladder Patients With Sub-Optimal Response To Tolterodine 4 Mg Extended Release (ER).
- ClinicalTrials.gov ID
- NCT01302054
- Acronym / sponsor ID
- A0221094
- Conditions
- Urinary Bladder, Overactive
- Keywords
- Bladder Overactive, Overactive urinary bladder, Overactive Bladder
- Phase
- Phase 4
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 990 participants (actual)
- Lead sponsor
- PfizerIndustry (pharma, biotech, devices)
- Study start
- May 2011
- Primary completion
- May 2012 (actual)
- Study completion
- May 2012 (actual)
- First posted
- 23 Feb 2011 (estimated)
- Results
- Posted 12 Mar 2013
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
Patients with overactive bladder are often treated with tolterodine, a medication that helps relax the bladder, helping symptoms of urinary incontinence and urinary frequency. Sometimes patients do not have a satisfactory response, and may benefit from trying an alternative oral medicine. Fesoterodine is related to tolterodine by producing the same active substance that acts on the bladder, but potentially at higher and more effective levels. So, a patient who has a poor response to tolterodine may still obtain a good response to fesoterodine. This study will help find out if this is what happens.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Triple blind (participant, care provider, investigator)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| Fesoterodine | Experimental | Drug: Fesoterodine 8 mg |
| Placebo | Placebo comparator | Drug: Placebo |
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (3 listed)
- Diagnosis of overactive bladder with symptoms for at least 6 months.
- Moderate to severe incontinence episode frequency and subsequent sub-optimal response to tolterodine
- Women of child-bearing potential must not intend to become pregnant, be pregnant or producing breast milk at the time of study entry, and must use contraception
Key exclusion criteria (3 listed)
- Conditions or prior treatment that may also affect bladder function
- Clinically significant urinary tract infection (UTI)
- Ongoing treatment with overactive bladder medications (these can be stopped at the first visit to allow entry into the study).
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| Fesoterodine 8 mgAlso: ToviazFesoterodine sustained release tablets once every morning at 4 mg dose for first week, followed by 11 weeks at 8 mg strength. | Drug | Fesoterodine |
| PlaceboMatching placebo for fesoterodine 4 and 8 mg for a total of 12 weeks. | Drug | Placebo |
Primary outcome
Mean Number of Urgency Urinary Incontinence (UUI) Episodes Per 24 Hours
Time frame: Baseline, Week 12
UUI episodes were defined as those with the urinary sensation scale (USS) rating of 5 in the diary. USS range from 1 to 5: 1. No feeling of urgency, 2. Mild feeling of urgency, 3. Moderate feeling of urgency, 4. Severe feeling of urgency, 5. Unable to hold; leak urine.
Change From Baseline in Mean Number of Urgency Urinary Incontinence (UUI) Episodes Per 24 Hours at Week 12
Time frame: Baseline, Week 12
UUI episodes were defined as those with the urinary sensation scale (USS) rating of 5 in the diary. USS range from 1 to 5: 1. No feeling of urgency, 2. Mild feeling of urgency, 3. Moderate feeling of urgency, 4. Severe feeling of urgency, 5. Unable to hold; leak urine.
9 secondary outcomes
Change From Baseline in Mean Number of Micturitions Per 24 Hours at Week 12
Time frame: Baseline, Week 12
Change From Baseline in Mean Number of Micturition-Related Urgency Episodes Per 24 Hours at Week 12
Time frame: Baseline, Week 12
Number of Participants With Change From Baseline in Patient Perception of Bladder Condition (PPBC) at Week 12
Time frame: Baseline, Week 12
Number of Participants With Change From Baseline in Urgency Perception Scale (UPS) at Week 12
Time frame: Baseline, Week 12
Change From Baseline in Overactive Bladder Questionnaire (OAB-q) Symptom Bother Score at Week 12
Time frame: Baseline, Week 12
Change From Baseline in Health Related Quality of Life (HRQL) Domains and Total HRQL Score of Overactive Bladder Questionnaire (OAB-q) at Week 12
Time frame: Baseline, Week 12
Percentage of Participants With More Than (>) 50 Percent (%) Reduction in UUI Episodes at Week 12 as Compared to Week -2
Time frame: Week -2, Week 12
Percentage of Participants With More Than (>) 50 Percent (%) Reduction in UUI Episodes at Week 12 as Compared to Baseline
Time frame: Baseline, Week 12
Percentage of Participants With No UUI Episodes (Diary Dry Rate)
Time frame: Week 4, Week 12
Results and safety
Loading the posted results from ClinicalTrials.gov…
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 4 Dec 2018.
- Posted resultsParticipant flow, baseline, all outcome measures and adverse events.
- Derived from this study: PubMed 37160401Stoniute A, Madhuvrata P, Still M, Barron-Millar E, Nabi G, Omar MI. Oral anticholinergic drugs versus placebo or no treatment for managing overactive bladder syndrome in adults. Cochrane Database Syst Rev. 2023 May 9;5(5):CD003781. doi: 10.1002/14651858.CD003781.pub3.
- Derived from this study: PubMed 35881009Wagg AS, Herschorn S, Carlsson M, Fernet M, Oelke M. A plain language summary of the likelihood of symptom relief for patients taking fesoterodine for overactive bladder. J Comp Eff Res. 2022 Sep;11(13):919-925. doi: 10.2217/cer-2022-0041. Epub 2022 Jul 26.
- Derived from this study: PubMed 24898471Kaplan SA, Cardozo L, Herschorn S, Grenabo L, Carlsson M, Arumi D, Crook TJ, Whelan L, Scholfield D, Ntanios F; Assessment of Fesoterodine after Tolterodine ER (AFTER) Study Group. Efficacy and safety of fesoterodine 8 mg in subjects with overactive bladder after a suboptimal response to tolterodine ER. Int J Clin Pract. 2014 Sep;68(9):1065-73. doi: 10.1111/ijcp.12464. Epub 2014 Jun 4.
- To obtain contact information for a study center near you, click here.Link provided by the sponsor.
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Pfizer CT.gov Call Center study director
Pfizer
176 sites in 15 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 4 study testing Fesoterodine 8 mg in people with Urinary Bladder, Overactive, run by Pfizer at 176 sites in 15 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 3 inclusion and 3 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 4 Dec 2018. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 176 sites in United States, Canada, Germany, Ukraine, Russia and 10 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. Some participants in this study may receive a placebo. 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 4 studies take place after a treatment is approved, to learn more about its long-term benefits and risks in everyday use.
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 12 Mar 2013). 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?
Mean Number of Urgency Urinary Incontinence (UUI) Episodes Per 24 Hours (time frame: Baseline, Week 12). The study lists 2 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 NCT01302054, which also lists 3 linked publications.
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 4 Dec 2018.