Unique ID issued by UMIN | UMIN000038269 |
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Receipt number | R000043622 |
Scientific Title | The efficacy of Fesoterodine for the treatment of neurogenic detrusor overactivity and/or low-compliance bladder |
Date of disclosure of the study information | 2020/03/31 |
Last modified on | 2020/09/02 20:52:55 |
The efficacy of Fesoterodine for the treatment of neurogenic detrusor overactivity and/or low-compliance bladder
The efficacy of Fesoterodine for the treatment of neurogenic detrusor overactivity and/or low-compliance bladder
The efficacy of Fesoterodine for the treatment of neurogenic detrusor overactivity and/or low-compliance bladder
The efficacy of Fesoterodine for the treatment of neurogenic detrusor overactivity and/or low-compliance bladder
Japan |
Neurogenic detrusor overactivity, Low compliance bladder
Urology |
Others
NO
The evaluation of the efficacy of Fesoterodine in neurogenic detrusor overactivity and/or low compliance bladder.
Efficacy
The change from baseline of the maximum cystmetric capacity in Urodynamic tests between before and after treatment.
Interventional
Single arm
Non-randomized
Open -no one is blinded
Uncontrolled
1
Treatment
Medicine |
Fesoterodine should be taken orally once a day 4-8mg with 3-month intervention.
18 | years-old | <= |
100 | years-old | >= |
Male and Female
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.
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.
80
1st name | Tomonori |
Middle name | |
Last name | Yamanishi |
Dokkyo Medical University
Department of Urology, Continence Center
3210293
880, Kitakobayashi, Mibu, Shimotsuga, Tochigi
0282-86-1111
yamanish@dokkyomed.ac.jp
1st name | Kanya |
Middle name | |
Last name | Kaga |
Dokkyo Medical University
Department of Urology, Continence Center
3210293
880, Kitakobayashi, Mibu, Shimotsuga, Tochigi
0282-86-1111
k-kaga@dokkyomed.ac.jp
Dokkyo Medical University
Pfizer Inc.
Outside Japan
Dokkyo Medical University Hospital
880, Kitakobayashi, Mibu, Shimotsuga, Tochigi
0282-86-1111
k-kaga@dokkyomed.ac.jp
NO
2020 | Year | 03 | Month | 31 | Day |
https://onlinelibrary.wiley.com/doi/full/10.1111/iju.14319
Published
https://onlinelibrary.wiley.com/doi/full/10.1111/iju.14319
77
A total of 17 patients withdrew because of adverse events and so on. 60 patients completed the study. Bladder capacity at first desire to void, maximum cystometric capacity and bladder compliance increased significantly. Neurogenic detrusor overactivity disappeared in 23.5%, and a significant increase was observed in bladder capacity at first involuntary contraction, and a significant decrease was observed in maximum detrusor contraction.
2020 | Year | 09 | Month | 02 | Day |
Patients with NDO or LCB in a stable condition for >6 months were included.
Various assessments were performed before and after treatment, including urodynamic testing.
Adverse events were observed in 40 patients (51.9%): dry mouth (n = 20), constipation (n = 7), blurred vision (n = 3) and others in 10 patients (voiding difficulty, urinary retention, headache, sleepiness, urethral discomfort, urgency, nausea, shivering and reflux esophagitis.
The primary end-point was change from baseline to the end of treatment in the MCC in V-UDS. The secondary end-points were the number of patients whose NDO disappeared, and changes in the following parameters from baseline to the post-treatment: bladder capacity at FDV, bladder capacity at FIC, maximum detrusor pressure and bladder compliance. If patients could void, Qmax, maximum detrusor pressure and PdetQmax were evaluated. Changes in OABSS, IPSS, ICIQ-SF and KHQ,18-20 and the changes in the number and the amount of voids, and the number of daily incontinence episodes in a 3-day FVC were evaluated from baseline to 4 and 12 weeks of treatment. In the SF-36, domains of physical functioning, physical role, body pain, general health, vitality, social functioning, role emotional and mental health were evaluated, with a minimum score of 0 (worst health), and the maximum score of 100 (best health).
Completed
2013 | Year | 02 | Month | 01 | Day |
2013 | Year | 03 | Month | 01 | Day |
2013 | Year | 04 | Month | 01 | Day |
2019 | Year | 03 | Month | 31 | Day |
2019 | Year | 10 | Month | 10 | Day |
2020 | Year | 09 | Month | 02 | Day |
Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000043622
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