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Solifenacin as Add-on Therapy for Overactive Bladder Symptoms in Men Treated for Benign Prostatic Hyperplasia

Primary Purpose

Benign Prostatic Hyperplasia, Benign Prostatic Hypertrophy, Overactive Bladder

Status
Completed
Phase
Phase 4
Locations
Japan
Study Type
Interventional
Intervention
Tamsulosin hydrochloride
Solifenacin succinate
Sponsored by
Astellas Pharma Inc
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Benign Prostatic Hyperplasia focused on measuring Vesicare, Solifenacin succinate, Tamsulosin, Overactive Bladder, BPH

Eligibility Criteria

50 Years - undefined (Adult, Older Adult)MaleDoes not accept healthy volunteers

Inclusion Criteria:

  • Patients with benign prostatic hypertrophy who have been treated with tamsulosin for at least 6 weeks
  • Patients with urgency episodes and frequent micturitions
  • Written informed consent has been obtained
  • Uroflowmetry-Q max ≥ 5 mL/sec, and Post Void Residual Volume < 50 mL

Exclusion Criteria:

  • Patients with suspected symptoms of OAB whose onset is only transient (drug-induced, psychogenic, etc.)
  • Patients with obvious stress urinary incontinence
  • Patients with complications or who have a past history of a bladder tumor
  • Patients with urethral stricture or bladder neck stenosis
  • Patients with a history of surgery causing damage to the pelvic plexus
  • Patients with history of hypersensitivity to α receptor blockers, a/b receptor blockers, or anticholinergic drugs
  • Patients with orthostatic hypotension, ulcerative colitis, hyperthyroidism, dementia or cognitive dysfunction, Parkinson's disease, or cerebrovascular disorder

Sites / Locations

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm Type

Placebo Comparator

Experimental

Active Comparator

Arm Label

1. Tamsulosin alone

2. Tamsulosin + solifenacin (low dose)

3. Tamsulosin + solifenacin (high dose)

Arm Description

Outcomes

Primary Outcome Measures

Change from baseline in mean number of urgency episodes per 24 hours

Secondary Outcome Measures

Mean number of micturitions per 24 hrs
Mean number of incontinence episodes per 24 hours
Mean number of micturitions per night
Adverse Events, Laboratory Tests

Full Information

First Posted
October 9, 2008
Last Updated
February 13, 2013
Sponsor
Astellas Pharma Inc
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1. Study Identification

Unique Protocol Identification Number
NCT00771394
Brief Title
Solifenacin as Add-on Therapy for Overactive Bladder Symptoms in Men Treated for Benign Prostatic Hyperplasia
Official Title
A Randomized, Double-Blind, Placebo-Controlled, Parallel Group, Multicenter Study of Solifenacin Succinate as Add-on Therapy for Overactive Bladder (OAB) Symptoms in Men Treated for Benign Prostatic Hyperplasia (BPH) With Tamsulosin Hydrochloride
Study Type
Interventional

2. Study Status

Record Verification Date
February 2013
Overall Recruitment Status
Completed
Study Start Date
October 2008 (undefined)
Primary Completion Date
January 2010 (Actual)
Study Completion Date
January 2010 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Astellas Pharma Inc

4. Oversight

Data Monitoring Committee
No

5. Study Description

Brief Summary
To evaluate the efficacy and safety of solifenacin succinate as add-on therapy for overactive bladder (OAB) symptoms in men who have been treated for benign prostatic hyperplasia (BPH) with tamsulosin hydrochloride for at least 6 weeks
Detailed Description
Study drugs are administered for 14 weeks in total, including a 2-week run-in period (single blind) and a 12-week treatment period (double blind). After written informed consent, study drugs for the run-in period are orally administered once daily after breakfast for two weeks to subjects who fulfill the inclusion and exclusion criteria. Then, subjects are randomized and orally treated with study drugs for the treatment period once daily after breakfast for 12 weeks

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Benign Prostatic Hyperplasia, Benign Prostatic Hypertrophy, Overactive Bladder
Keywords
Vesicare, Solifenacin succinate, Tamsulosin, Overactive Bladder, BPH

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 4
Interventional Study Model
Parallel Assignment
Masking
ParticipantCare ProviderInvestigatorOutcomes Assessor
Allocation
Randomized
Enrollment
638 (Actual)

8. Arms, Groups, and Interventions

Arm Title
1. Tamsulosin alone
Arm Type
Placebo Comparator
Arm Title
2. Tamsulosin + solifenacin (low dose)
Arm Type
Experimental
Arm Title
3. Tamsulosin + solifenacin (high dose)
Arm Type
Active Comparator
Intervention Type
Drug
Intervention Name(s)
Tamsulosin hydrochloride
Other Intervention Name(s)
Harnal, YM617
Intervention Description
oral
Intervention Type
Drug
Intervention Name(s)
Solifenacin succinate
Other Intervention Name(s)
Vesicare, YM905
Intervention Description
oral
Primary Outcome Measure Information:
Title
Change from baseline in mean number of urgency episodes per 24 hours
Time Frame
at 4, 8, 12 week
Secondary Outcome Measure Information:
Title
Mean number of micturitions per 24 hrs
Time Frame
at 4, 8, 12 week
Title
Mean number of incontinence episodes per 24 hours
Time Frame
at 4, 8, 12 week
Title
Mean number of micturitions per night
Time Frame
at 4, 8, 12 week
Title
Adverse Events, Laboratory Tests
Time Frame
end of study

10. Eligibility

Sex
Male
Minimum Age & Unit of Time
50 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Patients with benign prostatic hypertrophy who have been treated with tamsulosin for at least 6 weeks Patients with urgency episodes and frequent micturitions Written informed consent has been obtained Uroflowmetry-Q max ≥ 5 mL/sec, and Post Void Residual Volume < 50 mL Exclusion Criteria: Patients with suspected symptoms of OAB whose onset is only transient (drug-induced, psychogenic, etc.) Patients with obvious stress urinary incontinence Patients with complications or who have a past history of a bladder tumor Patients with urethral stricture or bladder neck stenosis Patients with a history of surgery causing damage to the pelvic plexus Patients with history of hypersensitivity to α receptor blockers, a/b receptor blockers, or anticholinergic drugs Patients with orthostatic hypotension, ulcerative colitis, hyperthyroidism, dementia or cognitive dysfunction, Parkinson's disease, or cerebrovascular disorder
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Central Contact
Organizational Affiliation
Astellas Pharma Inc
Official's Role
Study Chair
Facility Information:
City
Chubu
Country
Japan
City
Chugoku
Country
Japan
City
Hokkaido
Country
Japan
City
Kansai
Country
Japan
City
Kantou
Country
Japan
City
Kyushu
Country
Japan
City
Shikoku
Country
Japan
City
Touhoku
Country
Japan

12. IPD Sharing Statement

Links:
URL
http://www.clinicaltrials.jp/user/ctrSearch_e.jsp
Description
Link to results on JAPIC - enter JapicCTI-R120267 in the JapicCTI-RNo. field

Learn more about this trial

Solifenacin as Add-on Therapy for Overactive Bladder Symptoms in Men Treated for Benign Prostatic Hyperplasia

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