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Urinary IncontinencePhase 3NCT02097121

OnabotulinumtoxinA for the Treatment of Urinary Incontinence Due to Overactive Bladder in Pediatric Patients (12 to 17)

A Phase 3 study testing BOTOX® in people with Urinary Incontinence and Urinary Bladder, run by Allergan at 39 sites in 13 countries.

Terminated

Stopped early. The study ended before it was planned to and will not resume.

Official record
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Trial summary

This was a multicenter, randomized, double-blind, parallel-group, multiple-dose study to evaluate the efficacy and safety of BOTOX in adolescents with urinary incontinence due to overactive bladder (OAB) with inadequate management with anticholinergic therapy. Read more about this study

Who is it for?
Ages 12 to 17 years
Conditions the study is for
Urinary Incontinence, Urinary Bladder, Overactive
What is being tested?
BOTOX®
Type of treatment
Injection or infusion
Could I receive a placebo?
No, everyone receives an active treatment
How many people
56 participants
Where
39 sitesin 13 countries
Study dates
23 May 2014to 10 Feb 2022
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 12 to 17 years
  • All sexes
  • No healthy volunteers
  • Child

Who may be able to join

  • Symptoms of overactive bladder (OAB) (frequency/urgency) with urinary incontinence for at least 6 months
  • OAB symptoms not adequately managed by 1 or more anticholinergic agents

Who cannot join

  • OAB caused by a neurological condition
  • Use of anticholinergics or other medications to treat OAB symptoms within 7 days
  • Current use of indwelling catheter or clean intermittent catheterization to empty the bladder
  • Previous or current use of botulinum toxin therapy of any serotype for any urological condition, or treatment with botulinum toxin of any serotype within 3 months for any other condition or use
  • Myasthenia gravis, Eaton-Lambert syndrome, or amyotrophic lateral sclerosis

Trial locations and contacts

39 sites in 13 countries.

39 sites in 13 countries

United States8 sites
  • Alaska Urological Institute /ID# 238189

    Anchorage, Alaska, 99503-3902

  • Children's Hospital Colorado /ID# 237621

    Aurora, Colorado, 80045

  • Cook Children's Med. Center /ID# 237539

    Fort Worth, Texas, 76104

  • Arkansas Children's Hospital /ID# 237787

    Little Rock, Arkansas, 72202

  • Children's Hospital Wisconsin - Milwaukee Campus /ID# 237544

    Milwaukee, Wisconsin, 53226

  • Yale New Haven Hospital - Yale School of Medicine /ID# 238222

    New Haven, Connecticut, 06510-3206

  • Orlando Health-Arnold Palmer Hospital for Children Pediatric Urology /ID# 235283

    Orlando, Florida, 32806

  • Associated Urologist of North Carolina /ID# 235437

    Raleigh, North Carolina, 27612

Other trials in United States

United Kingdom7 sites
  • NHS Grampian /ID# 237379

    Aberdeen, AB15 6RE

  • NHS Greater Glasgow and Clyde /ID# 237430

    Glasgow, Scotland, G12 0XH

  • Alder Hey Children's NHS Foundation Trust /ID# 237279

    Liverpool, L12 2AP

  • Manchester University NHS Foundation Trust /ID# 234380

    Manchester, Lancashire, M13 9WL

  • Norfolk and Norwich University Hospitals NHS Foundation Trust /ID# 234819

    Norwich, Norfolk, NR4 7UY

  • Royal Berkshire NHS Foundation Trust /ID# 236915

    Reading, RG1 5AN

  • Sheffield Children's NHS Foundation Trust /ID# 237854

    Sheffield, S10 2TH

Other trials in United Kingdom

Australia3 sites
  • Monash Children's Hospital /ID# 234388

    Clayton, Victoria, 3168

  • Sydney Children's Hospital /ID# 237191

    Randwick, New South Wales, 2031

  • The Children's Hospital at Westmead /ID# 234337

    Sydney, New South Wales, 2145

Other trials in Australia

Belgium3 sites
  • Universitair Ziekenhuis Antwerpen /ID# 237997

    Edegem, Antwerpen, 2650

  • UZ Gent /ID# 237588

    Ghent, Oost-Vlaanderen, 9000

  • Universitair Ziekenhuis Leuven /ID# 237218

    Leuven, Vlaams-Brabant, 3000

Other trials in Belgium

Canada3 sites
  • Alberta Children's Hospital /ID# 237510

    Calgary, Alberta, T3B 6A8

  • London Health Sciences Center /ID# 234304

    London, Ontario, N6A 5W9

  • CHUS - Hopital Fleurimont /ID# 237668

    Sherbrooke, Quebec, J1H 5N4

Other trials in Canada

France3 sites
  • Duplicate_CHU Bordeaux-Hopital Pellegrin /ID# 237392

    Bordeaux, 33076

  • Hôpital de la Mère et de l'Enfant /ID# 235227

    Limoges, 87042

  • Hôpitaux Pédiatriques de Nice CHU-LENVAL /ID# 235278

    Nice, 06200

Other trials in France

Germany3 sites
  • Evangelisches Krankenhaus Bielefeld /ID# 235234

    Bielefeld, 33617

  • Urologische Gemeinschaftspraxis /ID# 234978

    Emmendingen, 79312

  • Universitaetsklinikum Schleswig-Holstein Campus Luebeck /ID# 234288

    Lübeck, 23538

Other trials in Germany

Poland3 sites
  • Specjalistyczny Gabinet Lekarski /ID# 235257

    Poznan, 61-512

  • Medical Concierge Centrum Medyczne /ID# 235200

    Warsaw, 02-798

  • Uniwersytecki Szpital Kliniczny im. Jana Mikulicza-Radeckiego we Wrocławiu /ID# 238166

    Wroclaw, Lower Silesian Voivodeship, 50-556

Other trials in Poland

Netherlands2 sites
  • Maastricht Universitair Medisch Centrum /ID# 237678

    Maastricht, 6229 HX

  • Radboud Universitair Medisch Centrum /ID# 237043

    Nijmegen, Gelderland, 6525 GA

Other trials in Netherlands

Czechia1 site
  • Fakultni nemocnice Olomouc /ID# 237577

    Olomouc, 779 00

Other trials in Czechia

Italy1 site
  • AOU Universita degli Studi della Campania Luigi Vanvitelli /ID# 237308

    Naples, 80138

Other trials in Italy

Norway1 site
  • Oslo University Hospital /ID# 234434

    Oslo, 0372

Other trials in Norway

South Africa1 site
  • St Georges Hospital /ID# 235316

    Port Elizabeth, 6001

Other trials in South Africa

About this study

Official title: BOTOX® in the Treatment of Urinary Incontinence Due to Overactive Bladder in Patients 12 to 17 Years of Age

This was a multicenter, randomized, double-blind, parallel-group, multiple-dose study to evaluate the efficacy and safety of BOTOX in adolescents with urinary incontinence due to overactive bladder (OAB) with inadequate management with anticholinergic therapy. Participants were randomized in a 1:1:1 ratio to receive a single Tx of 25 U, 50 U, or 100 U BOTOX (not to exceed 6 U/kg) on Day 1, were seen after each treatment at Weeks 2, 6, and 12 post-treatment, and thereafter at alternating telephone and clinic visits every 6 weeks until they qualified for further retreatment/exited the study. Participants could receive multiple treatments dependent upon the number and timing of patient requests/qualification for retreatment. At each retreatment the investigator could keep the dose the same or increase it one dose level in a blinded fashion. Participants exited the study once 96 weeks have elapsed since entry on Day 1 and at least 12 weeks follow-up since their last study treatment had occurred.

Being tested
BOTOX®
Medical subject headings
Urinary Incontinence

What participants receive

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

  • BOTOX®Biological

    Also called Botulinum Toxin Type A

    Each vial of BOTOX (Botulinum Toxin Type A) purified neurotoxin complex, formulation No. 9060X contains 100 U of Clostridium botulinum toxin Type A, 0.5 mg albumin (human), and 0.9 mg sodium chloride in a sterile, vacuum-dried form without a preservative. The study medication was to be reconstituted with 0.9% sodium chloride (preservative-free). The 10 mL of study drug was to be administered as 20 injections each of 0.5 mL. Under direct cystoscopic visualization, injections were to be distributed evenly across the detrusor wall and spaced approximately 1 cm apart. To avoid injecting the trigone, the injections were to be at least 1 cm above the trigone. The injection needle was to be inserted approximately 2 mm into the detrusor for each injection.

Study groups in NCT02097121
Study groupRoleWhat they receive
Botox 25 UExperimentalParticipants randomized to receive 25 Units (U) BOTOX (not to exceed 6 U/kg), administered via cystoscopy as 20 intradetrusor injections of 0.5 mL each, sparing the trigone. Posttreatment follow-up clinic visits occurred at Weeks 2, 6, and 12. Participants could request retreatment from Week 12 and 12 weeks after each subsequent treatment for up to 4 cycles. The retreatment dose was determined by the Investigator and could be at the same dose or at the next higher dose compared with the preceding treatment.
Receives: Biological: BOTOX®
Botox 50 UExperimentalParticipants randomized to receive 50 Units (U) BOTOX (not to exceed 6 U/kg), administered via cystoscopy as 20 intradetrusor injections of 0.5 mL each, sparing the trigone. Posttreatment follow-up clinic visits occurred at Weeks 2, 6, and 12. Participants could request retreatment from Week 12 and 12 weeks after each subsequent treatment for up to 4 cycles. The retreatment dose was determined by the Investigator and could be at the same dose or at the next higher dose compared with the preceding treatment.
Receives: Biological: BOTOX®
Botox 100 UExperimentalParticipants randomized to receive 100 Units (U) BOTOX (not to exceed 6 U/kg), administered via cystoscopy as 20 intradetrusor injections of 0.5 mL each, sparing the trigone. Posttreatment follow-up clinic visits occurred at Weeks 2, 6, and 12. Participants could request retreatment from Week 12 and 12 weeks after each subsequent treatment for up to 4 cycles. The retreatment dose was determined by the Investigator and could be at the same dose or at the next higher dose compared with the preceding treatment.
Receives: Biological: BOTOX®

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 Normalized Daytime Average Number of Urinary Incontinence Episodes in Treatment Cycle 1

    Urinary incontinence was defined as involuntary loss of urine as recorded by the participant in a bladder diary during 2 consecutive days in the week prior to the study visit (normalized to a 12 hour daytime period). Daytime is defined as the time between waking up to start the day and going to bed to sleep for the night. The number of daily daytime incontinence episodes were averaged during the 2-day period. A negative change from Baseline indicates improvement. Data are summarized per the respective treatments that participants received in the corresponding treatment cycle.

    Measured: From Baseline to 2 consecutive days in the week prior to Week 12 in Treatment Cycle 1

Secondary outcomes (11)
  1. Change From Study Baseline in the Daily Average Frequency of Normalized Daytime Micturition Episodes

    Micturition was defined as toilet voids recorded by the participant in a bladder diary during 2 consecutive days in the week prior to the study visit (normalized to a 12 hour daytime period). Daytime is defined as the time between waking up to start the day and going to bed to sleep for the night. The number of daily daytime micturition episodes were averaged during the 2-day period. A negative change from Baseline indicates improvement. Data are summarized per the respective treatments that participants received in the corresponding treatment cycle.

    Measured: From Baseline to 2 consecutive days in the week prior to Week 12 in Treatment Cycle 1

  2. Change From Study Baseline in the Daily Average Frequency of Normalized Daytime Urgency Episodes

    Participants recorded daytime urgency episodes in a bladder diary during 2 consecutive days in the week prior to the study visit (normalized to a 12 hour daytime period). Daytime is defined as the time between waking up to start the day and going to bed to sleep for the night. The number of daily daytime urgency episodes were averaged during the 2-day period. A negative change from Baseline indicates improvement. Data are summarized per the respective treatments that participants received in the corresponding treatment cycle.

    Measured: From Baseline to 2 consecutive days in the week prior to Week 12 in Treatment Cycle 1

  3. Percentage of Participants With Night Time Urinary Incontinence

    Urinary incontinence was defined as involuntary loss of urine. Participants recorded night time urinary incontinence episodes in a bladder diary during 2 consecutive days in the week prior to the study visit. Night time is defined as the time between going to bed to sleep for the night and waking up to start the next day. The number of daily night time urinary incontinence episodes were averaged during the 2-day period. Data are summarized per the respective treatments that participants received in the corresponding treatment cycle.

    Measured: From Baseline to 2 consecutive days in the week prior to Week 12 in Treatment Cycle 1

  4. Change From Study Baseline in the Daily Average Volume Voided Per Micturition (mL)

    The volume per micturition was derived from the total urine volume voided over 1 daytime period during the 2-day bladder diary collection period divided by the number of voids in the same daytime period. Daytime is defined as the time between waking up to start the day and going to bed to sleep for the night. A negative change from Baseline indicates improvement. Data are summarized per the respective treatments that participants received in the corresponding treatment cycle.

    Measured: From Baseline to 2 consecutive days in the week prior to Week 12 in Treatment Cycle 1

  5. Change From Study Baseline in Pediatric Urinary Incontinence Quality of Life Total Score (PinQ)

    The PinQ is a 20-item questionnaire that asks about the participant's incontinence and its consequences in daily life and relationships. Items are answered on a Likert-type scale of 0 (no) to 4 (all of the time) and a total sum score is calculated (from 0 to 80), with higher scores indicating lower health-related quality of life. A negative change from Baseline indicates improvement.

    Measured: From Day 1 Prior to Treatment to Week 12 in Treatment Cycle 1

  6. Change From Study Baseline in PinQ Item 'I am Worried That People Might Think my Clothes Smell Like Pee"

    The Pediatric Urinary Incontinence Quality of (PinQ) is a 20-item questionnaire that asks about the participant's incontinence and its consequences in daily life and relationships. Items are answered on a Likert-type scale of 0 (no) to 4 (all of the time), with higher scores indicating lower health-related quality of life. A negative change from Baseline indicates improvement.

    Measured: From Day 1 Prior to Treatment to Week 12 in Treatment Cycle 1

  7. Change From Study Baseline in PinQ Item 'My Bladder Problem Makes me Feel Bad About Myself"

    The Pediatric Urinary Incontinence Quality of (PinQ) is a 20-item questionnaire that asks about the participant's incontinence and its consequences in daily life and relationships. Items are answered on a Likert-type scale of 0 (no) to 4 (all of the time), with higher scores indicating lower health-related quality of life. A negative change from Baseline indicates improvement.

    Measured: From Day 1 Prior to Treatment to Week 12 in Treatment Cycle 1

  8. Change From Study Baseline in PinQ Item 'I Miss Out on Being With Friends Because of my Bladder Problems"

    The Pediatric Urinary Incontinence Quality of (PinQ) is a 20-item questionnaire that asks about the participant's incontinence and its consequences in daily life and relationships. Items are answered on a Likert-type scale of 0 (no) to 4 (all of the time), with higher scores indicating lower health-related quality of life. A negative change from Baseline indicates improvement.

    Measured: From Day 1 Prior to Treatment to Week 12 in Treatment Cycle 1

  9. Percentage of Participants With a Positive Treatment Response in the Modified Treatment Benefit Scale

    The Modified Treatment Benefit Scale (Modified TBS) is a single-item scale designed to assess the change in the participant's overactive bladder (OAB) condition following treatment. The participant's current condition (urinary problems, urinary incontinence) is compared to their condition prior to receipt of any study treatment by selection of "greatly improved", "improved", "not changed" or "worsened". Participants who selected "greatly improved" or "improved" were considered to have a positive treatment response.

    Measured: At Week 12 in Treatment Cycle 1

  10. Time to Participant's First Request for Retreatment

    The time from the day of BOTOX treatment to the request for the subsequent treatment was estimated using a Kaplan-Meier survival method for each treatment group. Participants who did not request retreatment were treated as censored at the time of their last study visit or study exit.

    Measured: From the day of BOTOX treatment in Treatment Cycle 1 to the request for subsequent treatment

  11. Time to Participant's Qualification for Retreatment

    The time from the day of BOTOX treatment to the qualification for retreatment was estimated using a Kaplan-Meier survival method for each treatment group. Participants who did not qualify for retreatment were treated as censored at the time of their last study visit or study exit.

    Measured: From the day of BOTOX treatment in Treatment Cycle 1 to the qualification for retreatment

Timeline

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

  1. First posted26 Mar 2014 (estimated)
  2. Study start23 May 2014
  3. Primary completion10 Feb 2022
  4. Study completion10 Feb 2022

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
Triple blind
Who is masked
Participant, Care provider, Investigator
Enrolment
56 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT02097121
Sponsor's protocol ID
191622-137
Other IDs
2014-000464-17, 2014
Status last verified
Nov 2022
First submitted
24 Mar 2014
Last updated
28 Dec 2022
Data monitoring committee
No
FDA-regulated drug
Yes
FDA-regulated device
No
Individual data sharing
Yes: AbbVie is committed to responsible data sharing regarding the clinical trials we sponsor. This includes access to anonymized, individual and trial-level data (analysis data sets), as well as other information (e.g., protocols and clinical study reports), as long as the trials are not part of an ongoing or planned regulatory submission. This includes requests for clinical trial data for unlicensed products and indications.

Questions about this trial

What is this clinical trial studying?

A Phase 3 study testing BOTOX® in people with Urinary Incontinence and Urinary Bladder, run by Allergan at 39 sites in 13 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 2 inclusion and 5 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: stopped early, as of the sponsor's last update on 28 Dec 2022. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 39 sites in United States, United Kingdom, Australia, Belgium, Canada and 8 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 28 Dec 2022). 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 Normalized Daytime Average Number of Urinary Incontinence Episodes in Treatment Cycle 1 (time frame: From Baseline to 2 consecutive days in the week prior to Week 12 in Treatment Cycle 1). It is what the study was designed to measure, not a finding.

Where can I read the original study information?
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 28 Dec 2022.

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