UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000038194
Receipt number R000030364
Scientific Title The efficacy of Mirabegron for the treatment of neurogenic detrusor overactivity and/or low-compliance bladder
Date of disclosure of the study information 2020/03/01
Last modified on 2021/10/03 10:43:39

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Basic information

Public title

The efficacy of Mirabegron for the treatment of neurogenic detrusor overactivity and/or low-compliance bladder

Acronym

The efficacy of Mirabegron for the treatment of neurogenic detrusor overactivity and/or low-compliance bladder

Scientific Title

The efficacy of Mirabegron for the treatment of neurogenic detrusor overactivity and/or low-compliance bladder

Scientific Title:Acronym

The efficacy of Mirabegron for the treatment of neurogenic detrusor overactivity and/or low-compliance bladder

Region

Japan


Condition

Condition

Neurogenic detrusor overactivity, Low compliance bladder

Classification by specialty

Urology

Classification by malignancy

Others

Genomic information

NO


Objectives

Narrative objectives1

The evaluation of the efficacy of Mirabegron in neurogenic detrusor overactivity and/or low compliance bladder.

Basic objectives2

Efficacy

Basic objectives -Others


Trial characteristics_1


Trial characteristics_2


Developmental phase



Assessment

Primary outcomes

The change from baseline of the maximum cystmetric capacity in Urodynamic tests between before and after treatment.

Key secondary outcomes



Base

Study type

Interventional


Study design

Basic design

Single arm

Randomization

Non-randomized

Randomization unit


Blinding

Open -no one is blinded

Control

Uncontrolled

Stratification


Dynamic allocation


Institution consideration


Blocking


Concealment



Intervention

No. of arms

1

Purpose of intervention

Treatment

Type of intervention

Medicine

Interventions/Control_1

Mirabegron should be taken orally once a day 25-50mg with 3-month intervention.

Interventions/Control_2


Interventions/Control_3


Interventions/Control_4


Interventions/Control_5


Interventions/Control_6


Interventions/Control_7


Interventions/Control_8


Interventions/Control_9


Interventions/Control_10



Eligibility

Age-lower limit

20 years-old <=

Age-upper limit

100 years-old >=

Gender

Male and Female

Key inclusion criteria

Patients with a known neurogenic disorder in a stable condition for more than 6 months and with storage dysfunction due to neurogenic detrusor overactivity or low compliance bladder

Key exclusion criteria

Genitourinary tract anomalies, acute infection of the genitourinary tract or clinical relevant diseases of the kidneys; and any condition that in the opinion of the investigator made the patient unsuitable for the study.

Target sample size

70


Research contact person

Name of lead principal investigator

1st name Tomonori
Middle name
Last name Yamanishi

Organization

Dokkyo Medical University

Division name

Department of Urology, Continence Center

Zip code

3210293

Address

880, Kitakobayashi, Mibu, Shimotsuga, Tochigi

TEL

0282-86-1111

Email

yamanish@dokkyomed.ac.jp


Public contact

Name of contact person

1st name Kanya
Middle name
Last name Kaga

Organization

Dokkyo Medical University

Division name

Department of Urology, Continence Center

Zip code

3210293

Address

880, Kitakobayashi, Mibu, Shimotsuga, Tochigi

TEL

0282-86-1111

Homepage URL


Email

k-kaga@dokkyomed.ac.jp


Sponsor or person

Institute

Dokkyo Medical University

Institute

Department

Personal name



Funding Source

Organization

Self funding

Organization

Division

Category of Funding Organization

Self funding

Nationality of Funding Organization



Other related organizations

Co-sponsor


Name of secondary funder(s)



IRB Contact (For public release)

Organization

Dokkyo Medical University Hospital

Address

880, Kitakobayashi, Mibu, Shimotsuga, Tochigi

Tel

0282-86-1111

Email

k-kaga@dokkyomed.ac.jp


Secondary IDs

Secondary IDs

NO

Study ID_1


Org. issuing International ID_1


Study ID_2


Org. issuing International ID_2


IND to MHLW



Institutions

Institutions



Other administrative information

Date of disclosure of the study information

2020 Year 03 Month 01 Day


Related information

URL releasing protocol

http://jcs2020.umin.jp/

Publication of results

Unpublished


Result

URL related to results and publications

http://jcs2020.umin.jp/

Number of participants that the trial has enrolled

45

Results

Maximum cystometric capacity, the primary endpoint, showed a slight increase from 271.9 ml before treatment to 289.7 ml at week 12, but the difference was not statistically significant (P = 0.4107).

Results date posted

2021 Year 10 Month 03 Day

Results Delayed


Results Delay Reason


Date of the first journal publication of results


Baseline Characteristics

The age of the patients was 65.4 years, and 10 patients with self-catheterization were included. 40 patients had detrusor overactivity, and 5 patients had only low compliance bladder. The causative diseases of neurogenic bladder were brain lesions (e.g., cerebral hemorrhage) in 15 cases, spinal cord lesions (e.g., spinal cord injury) in 24 cases, and peripheral neuropathy (e.g., diabetes mellitus) in 6 cases.

Participant flow

Finally, 30 patients completed the study.

Adverse events

Adverse events were observed in three patients: dysuria, worsening of nocturnal urinary incontinence, and urinary tract infection. Of these, the first two patients dropped out due to adverse events. In addition, 13 patients dropped out for reasons such as discontinuation of hospital visits.

Outcome measures

Maximum cystometric capacity
Loss rate of detrusor overactivity
Bladder capacity at first desire
Bladder compliance
Bladder capacity at first involuntary contraction
Maximum involuntary pressure

Plan to share IPD


IPD sharing Plan description



Progress

Recruitment status

Completed

Date of protocol fixation

2017 Year 04 Month 01 Day

Date of IRB

2019 Year 12 Month 20 Day

Anticipated trial start date

2020 Year 03 Month 01 Day

Last follow-up date

2020 Year 05 Month 01 Day

Date of closure to data entry


Date trial data considered complete


Date analysis concluded



Other

Other related information



Management information

Registered date

2019 Year 10 Month 03 Day

Last modified on

2021 Year 10 Month 03 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000030364


Research Plan
Registered date File name

Research case data specifications
Registered date File name

Research case data
Registered date File name