UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000038269
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

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Basic information

Public title

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

Acronym

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

Scientific Title

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

Scientific Title:Acronym

The efficacy of Fesoterodine 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 Fesoterodine 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

Fesoterodine should be taken orally once a day 4-8mg 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

18 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

80


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

Pfizer Inc.

Organization

Division

Category of Funding Organization

Outside Japan

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 31 Day


Related information

URL releasing protocol

https://onlinelibrary.wiley.com/doi/full/10.1111/iju.14319

Publication of results

Published


Result

URL related to results and publications

https://onlinelibrary.wiley.com/doi/full/10.1111/iju.14319

Number of participants that the trial has enrolled

77

Results

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.

Results date posted

2020 Year 09 Month 02 Day

Results Delayed


Results Delay Reason


Date of the first journal publication of results


Baseline Characteristics

Patients with NDO or LCB in a stable condition for >6 months were included.

Participant flow

Various assessments were performed before and after treatment, including urodynamic testing.

Adverse events

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.

Outcome measures

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).

Plan to share IPD


IPD sharing Plan description



Progress

Recruitment status

Completed

Date of protocol fixation

2013 Year 02 Month 01 Day

Date of IRB

2013 Year 03 Month 01 Day

Anticipated trial start date

2013 Year 04 Month 01 Day

Last follow-up date

2019 Year 03 Month 31 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 10 Day

Last modified on

2020 Year 09 Month 02 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000043622


Research Plan
Registered date File name

Research case data specifications
Registered date File name

Research case data
Registered date File name