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Male Urogenital DiseasesPhase 2PRETIPUVNCT04526353

Early Oxybutinin Treatment for Boys With Posterior Urethral Valves

A Phase 2 study testing Oxybutynin 1 mg/ml Syrup in people with Male Urogenital Diseases, run by University Hospital, Bordeaux at 1 site in France.

Recruiting

Looking for participants now. Contact the study team or a site below to ask about taking part.

Sites and contacts
Official record
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Trial summary

Boys with posterior urethral valves have bladder dysfunction of varying severity. Early treatment of these children with anticholinergics is recommended by some teams, although there have never been any clear studies on the subject. Read more about this study

Who is it for?
Ages 3 to 6 months, men only
Conditions the study is for
Male Urogenital Diseases
What is being tested?
Oxybutynin 1 mg/ml Syrup
Type of treatment
Pill or oral medicine
Could I receive a placebo?
No, everyone receives an active treatment
How many people
50 participants
Where
1 siteFrance
Study dates
10 Sep 2020to 10 Sep 2028
Phase
Phase 2
Are there results?
Not yet: the study is under way

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 3 to 6 months
  • Men only
  • No healthy volunteers
  • Child

Who may be able to join

  • Boys
  • Aged 3 to 6 months
  • Diagnosed with posterior urethral valves, and having undergone valve resection within the first 3 months of life
  • Children who have had their valve resection at least 3 months before inclusion
  • Having undergone urodynamic studies between 10 weeks and 6 months of age andshowing abnormal urodynamics, notably: high voiding pressure (>60cm H2O)/ small capacity bladder (<70% expected bladder volume)and for those without pop-off mechanisms, poor compliance (<10ml/cmH2O)/
  • Holders of parental authority affiliated to French national health insurance
  • With informed consent signed by holders of parental authority

Who cannot join

  • Boys with posterior urethral valves and normal urodynamics or no urodynamic assessment
  • Boys in whom urodynamic assessment is not possible for medical or anatomical reasons
  • Boys requiring dialysis before the age of 3 months
  • Contra-indication to oxybutynin such as hypersensitivity to oxybutynin or any of the excipients, digestive obstruction, occlusive or sub-occlusive syndrome, megacolon, digestive stasis, intestinal atony, paralytic ileus, ulcerative colitis, Hemorrhagic rectocolitis, Crohn's disease, Inflammatory bowel disease, Inflammatory organic colopathy, myasthenia, congenital glaucoma

Trial locations and contacts

1 site in 1 country. Contact the study team or a site near you to ask about taking part.

France1 site, 1 recruiting
  • CHU de Bordeaux

    Bordeaux

    Luke L HARPER, MD, +33 05 56 79 56 17, luke.harper@chu-bordeaux.fr

    Recruiting

Other trials in France

About this study

Official title: Prospective Randomized Clinical Trial of Early Oxybutinin Treatment for Boys With Posterior Urethral Valves

Boys with posterior urethral valves have bladder dysfunction of varying severity. Early treatment of these children with anticholinergics is recommended by some teams, although there have never been any clear studies on the subject. To our knowledge, no comparative study of the evolution of valve bladders with or without treatment has been carried out to date.

Anticholinergic treatment, although it may be beneficial in patients with abnormal bladder function, such as the neurologic bladders ( in Spina Bifida) for example, may have side effects and may not be of benefit for this valve population. The evolution of the valves could be spontaneously favorable.

This study would be the first randomized clinical trial of early therapeutic drug intervention in the posterior urethral valve population.

Read the detailed description

Posterior urethral valves (VUPs) are the leading cause of subvesical obstruction in children with an incidence between 1 / 3,000 to 1 / 8,000 births. 25-45% of patients will have chronic renal failure and 10-20% will require a transplant. The association between long-term prognosis and bladder dysfunction is well known, leading many teams to suggest early initiation of treatment with anticholinergics.

However, this treatment has never been properly evaluated. In fact, a single study carried out in boys with valves taking oxybutynin from the age of 3 months to 2 years without a control group concluded that "the early use of anticholinergics in boys with VUP presenting high voiding pressures and low bladder capacity has a beneficial effect on bladder function. It is true that in children with neurologic bladders as in Spina Bifida, early treatment with anticholinergics seems to provide a benefit, but VUPs are not strictly speaking neurologic bladders. In addition, treatment with anticholinergics can have side effects and could even be harmful to the bladder, leading to myogenic bankruptcy. The only way to properly assess oxybutynin in this population is to conduct a prospective randomized study.

The proposed study includes a group treated with oxybutynin and a group without. Boys who have had valve resection for VUP within the first three months of life and who present an abnormal urodynamic assessment 3 months after valve resection will be included. Oxybutynin will be given at a dose of 0.1 mg / kg 2x / day, as syrup, in the treatment group. The control group will not have any treatment affecting bladder function. The pharmacokinetics of oxybutynin will be studied. Several urodynamic parameters including capacity or volume, voiding pressure and compliance will be studied. The objective is to perform a composite analysis that can reflect the complex functioning of the bladder. The children included will have urodynamics at the end of the study, after 9 months of treatment. The performance of urodynamic examinations will be standardized and there will be an external centralized analysis to validate the urodynamic results.

Being tested
Oxybutynin 1 mg/ml Syrup
Keywords
posterior urethral valves, urodynamic, anticholinergic
Medical subject headings
Male Urogenital Diseases

What participants receive

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

  • Oxybutynin 1 mg/ml SyrupDrug

    The Investigational Medicinal Product of this study is Oxybutynin 1 mg/ml Syrup (see Annex 1 for the Monograph of PMS-Oxybutynin provided by ANSM under the ATU.). It will be administered at the dose of 0.1 mg/kg/twice a day to patients randomized to the study treatment group. The dose will be adapted to the child's weight to the nearest kilogram.

    The recommended dosage for older children with neurologic bladder is 0.3 to 0.4mg/kg/day, whilst the dosage we will be using is effectively 0.2mg/kg/day. This is because we are taking into account the absence or pharmacological studies of oxybutynin use in children <1 year of age, as well as their specific liver metabolism. Furthermore, the dose of 0.1mg/kg twice daily is the dose used in children within the same age group in the study by Casey et al, 2012

Study groups in NCT04526353
Study groupRoleWhat they receive
Oxybutynin during 9 months.Experimental0.1mg / kg 2x / day from inclusion and for 9 months.
Receives: Drug: Oxybutynin 1 mg/ml Syrup
No oxybutyninNo interventionNo treatment affecting bladder function

What is being measured

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

  1. success of treatment defined by the association of the three events

    composite endpoints where the success of treatment at 9 months after inclusion is defined by the association of the three following events:

    • Voiding pressure <60 cmH2O AND
    • Bladder Volume ≥70% of theoretical value AND
    • for those without pop-off mechanisms, Bladder compliance >10mL/cmH2O A failure of treatment will be defined as the absence of at least one of these events.

    In presence of a pressure pop-off mechanism, only voiding pressure and bladder volume will be analyzed.

    Measured: 9 months after inclusion

Secondary outcomes (14)
  1. Proportion of adverse events in each group

    Measured: through study completion, an average of 9 months

  2. Type of adverse events in each group

    adverse event or serious adverse event

    Measured: through study completion, an average of 9 months

  3. Incidence of urinary tract infections in each group

    Measured: through study completion, an average of 9 months

  4. Compliance with treatment

    Compliance with treatment will be evaluated through the proportion of oxybutynin treatment interruption

    Measured: 9 months after inclusion

  5. Sonographic changes

    Sonographic changes will be expressed as a degree of hydronephrosis at 12-15 months of life (9 months after inclusion)

    Measured: 9 months after inclusion

  6. Area under the plasma concentration versus time curve (AUC) of oxybutynin in treated boys over treatment

    Area under the plasma concentration versus time curve (AUC) of oxybutinin in treated boys over treatment. Pharmacokinetic samples (6 points from Cmin to H+3h) at 2 weeks, 3 and 9 months after inclusion will be used to study and determine the pharmacokinetic parameters. In order to avoid having to take blood sample from the child several times, it is proposed to use a small venous catheter during the time of the pharmacokinetic samples

    Measured: through study completion, an average of 9 months

  7. Peak Plasma Concentration (Cmax) of oxybutynin in treated boys over treatment

    Peak Plasma Concentration (Cmax) of oxybutynin in treated boys over treatment. Pharmacokinetic samples (6 points from Cmin to H+3h) at 2 weeks, 3 and 9 months after inclusion will be used to study and determine the pharmacokinetic parameters. In order to avoid having to take blood sample from the child several times, it is proposed to use a small venous catheter during the time of the pharmacokinetic samples

    Measured: through study completion, an average of 9 months

  8. Minimum plasma concentration (Cmin) of oxybutynin in treated boys over treatment

    Minimum plasma concentration (Cmin) of oxybutynin in treated boys over treatment. Pharmacokinetic samples (6 points from Cmin to H+3h) at 2 weeks, 3 and 9 months after inclusion will be used to study and determine the pharmacokinetic parameters. In order to avoid having to take blood sample from the child several times, it is proposed to use a small venous catheter during the time of the pharmacokinetic samples

    Measured: through study completion, an average of 9 months

  9. Half-life of oxybutynin in treated boys over treatment

    Half-life of oxybutynin in treated boys over treatment. Pharmacokinetic samples (6 points from Cmin to H+3h) at 2 weeks, 3 and 9 months after inclusion will be used to study and determine the pharmacokinetic parameters. In order to avoid having to take blood sample from the child several times, it is proposed to use a small venous catheter during the time of the pharmacokinetic samples

    Measured: through study completion, an average of 9 months

  10. Area under the plasma concentration versus time curve (AUC) of desethyloxybutynin (metabolite) in treated boys over treatment

    Area under the plasma concentration versus time curve (AUC) of desethyloxybutynin (active metabolite) in treated boys over treatment. Pharmacokinetic samples (6 points from Cmin to H+3h) at 2 weeks, 3 and 9 months after inclusion will be used to study and determine the pharmacokinetic parameters. In order to avoid having to take blood sample from the child several times, it is proposed to use a small venous catheter during the time of the pharmacokinetic samples

    Measured: through study completion, an average of 9 months

  11. Peak Plasma Concentration (Cmax) of desethyloxybutynin (metabolite) in treated boys over treatment

    Peak Plasma Concentration (Cmax) of desethyloxybutynin (active metabolite) in treated boys over treatment. Pharmacokinetic samples (6 points from Cmin to H+3h) at 2 weeks, 3 and 9 months after inclusion will be used to study and determine the pharmacokinetic parameters. In order to avoid having to take blood sample from the child several times, it is proposed to use a small venous catheter during the time of the pharmacokinetic samples

    Measured: through study completion, an average of 9 months

  12. Minimum plasma concentration (Cmin) of desethyloxybutynin (metabolite) in treated boys over treatment

    Minimum plasma concentration (Cmin) of desethyloxybutynin (active metabolite) in treated boys over treatment. Pharmacokinetic samples (6 points from Cmin to H+3h) at 2 weeks, 3 and 9 months after inclusion will be used to study and determine the pharmacokinetic parameters. In order to avoid having to take blood sample from the child several times, it is proposed to use a small venous catheter during the time of the pharmacokinetic samples

    Measured: through study completion, an average of 9 months

  13. Half-life of desethyloxybutynin (metabolite) in treated boys over treatment

    Half-life of desethyloxybutynin (active metabolite) in treated boys over treatment. Pharmacokinetic samples (6 points from Cmin to H+3h) at 2 weeks, 3 and 9 months after inclusion will be used to study and determine the pharmacokinetic parameters. In order to avoid having to take blood sample from the child several times, it is proposed to use a small venous catheter during the time of the pharmacokinetic samples

    Measured: through study completion, an average of 9 months

  14. creatinine clearance in each group

    Measured: through study completion, an average of 9 months

Timeline

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

  1. First posted25 Aug 2020
  2. Study start10 Sep 2020
  3. Primary completionFeb 2028 (estimated)
  4. Study completion10 Sep 2028 (estimated)

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 2
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Model description
Phase 2 non comparative randomized multicentre clinical trial with two parallel groups: * Oxybutynin (0.1 mg/kg twice daily) during 9 months. * No oxybutynin To determine whether the observed effects of oxybutynin are really due to the treatment we need to perform a randomized clinical trial. There is insufficient evidence in the literature about the natural evolution of the bladder in boys with PUV. Given the paucity of literature data, our objective is not to formally test the superiority of oxybutynin versus no drug but to detect and quantify the effect of oxybutynin. This is why our clinical is randomized but non-comparative.
Masking
None (open label)
Enrolment
50 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT04526353
Sponsor's protocol ID
CHUBX 2018/65
Other IDs
2024-515844-22-00
Acronym
PRETIPUV
Status last verified
Jun 2026
First submitted
29 Jul 2020
Last updated
10 Jun 2026
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No

Publications

  • Casey JT, Hagerty JA, Maizels M, Chaviano AH, Yerkes E, Lindgren BW, Kaplan WE, Meyer T, Cheng EY. Early administration of oxybutynin improves bladder function and clinical outcomes in newborns with posterior urethral valves. J Urol. 2012 Oct;188(4 Suppl):1516-20. doi: 10.1016/j.juro.2012.03.068. Epub 2012 Aug 19.

    PubMed 22910256

Questions about this trial

What is this clinical trial studying?

A Phase 2 study testing Oxybutynin 1 mg/ml Syrup in people with Male Urogenital Diseases, run by University Hospital, Bordeaux at 1 site in France.

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 7 inclusion and 4 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: looking for participants now, as of the sponsor's last update on 10 Jun 2026. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in France. 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 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.

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

Are results available for this study?

This study is still under way. Results are not available in the source record yet.

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

Contact Luke L HARPER, MD (05 56 79 56 17, luke.harper@chu-bordeaux.fr), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

success of treatment defined by the association of the three events (time frame: 9 months after inclusion). 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 NCT04526353, 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 10 Jun 2026.

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