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A Study to Investigate How Safe and Effective Solifenacin Solution is in Treating Children/Adolescents With Symptoms of Overactive Bladder (OAB) Who Completed Study 905-CL-076 (LEOPARD)

Primary Purpose

Urinary Bladder, Overactive

Status
Completed
Phase
Phase 3
Locations
International
Study Type
Interventional
Intervention
Solifenacin succinate suspension
Sponsored by
Astellas Pharma Europe B.V.
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Urinary Bladder, Overactive focused on measuring Overactive bladder (OAB), Solifenacin succinate suspension, Phase 3, Pediatric

Eligibility Criteria

5 Years - 17 Years (Child)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  • Subject has met the inclusion criteria of study 905-CL-076 and completed study 905-CL-076

Exclusion Criteria:

  • Subject has failed the exclusion criteria of study 905-CL-076

Sites / Locations

  • Site: 1006
  • Site: 3202
  • Site: 3209
  • Site: 3208
  • Site: 3201
  • Site: 3203
  • Site: 3204
  • Site: 3205
  • Site: 5507
  • Site: 5506
  • Site: 1001
  • Site: 4503
  • Site: 4501
  • Site: 4504
  • Site: 4502
  • Site: 3810
  • Site: 3812
  • Site: 8203
  • Site: 8206
  • Site: 8207
  • Site: 8202
  • Site: 5202
  • Site: 5205
  • Site: 4701
  • Site: 6301
  • Site: 4805
  • Site: 4803
  • Site: 4804
  • Site: 4801
  • Site: 2703
  • Site: 4606
  • Site: 4603
  • Site: 4602
  • Site: 4605
  • Site: 9001
  • Site: 9002
  • Site: 3854
  • Site: 4403
  • Site: 4401

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm 4

Arm Type

Experimental

Experimental

Experimental

Experimental

Arm Label

Children Treated with Placebo in 905-CL-076

Children Treated with Solifenacin in 905-CL-076

Adolescents Treated with Placebo in 905-CL-076

Adolescents Treated with Solifenacin in 905-CL-076

Arm Description

Male and female children aged 5 to less than 12 years old who received placebo in Study 905-CL-076 and received open-label solifenacin once daily in this study. The mean time on study drug in this study was 247.9 days in children.

Male and female children aged 5 to less than 12 years old who received solifenacin in Study 905-CL-076 and received open-label solifenacin once daily in this study. The mean time on study drug in this study was 247.9 days in children.

Male and female adolescents aged 12 to less than 18 years old who received placebo in Study 905-CL-076 and received open-label solifenacin once daily in this study. The mean time on study drug in this study was 240.1 days in adolescents.

Male and female adolescents aged 12 to less than 18 years old who received solifenacin in Study 905- CL-076 and received open-label solifenacin once daily in this study. The mean time on study drug in this study was 240.1 days in adolescents.

Outcomes

Primary Outcome Measures

Number of Participants With and Severity of Treatment-Emergent Adverse Events (TEAEs)
The investigator assessed the severity of AEs, including abnormal clinical laboratory values, electrocardiogram (ECG), vital signs, as follows: Mild: No disruption of normal daily activities; Moderate: Affect normal daily activities; Severe: Inability to perform daily activities. In participants treated with placebo in Study 905-CL-076, a TEAE was defined as an AE that started/worsened after the first dose of open-label solifenacin in Study 905-CL-077 up to 7 days after the last dose of solifenacin. In participants treated with solifenacin in Study 905-CL-076, a TEAE was defined as an AE that started/worsened after the first dose of double-blind solifenacin in Study 905-CL-076 up to 7 days after last dose of open-label solifenacin in Study 905-CL-077.

Secondary Outcome Measures

Change From Baseline in Mean Number of Incontinence Episodes Per 24 Hours
The mean number of incontinence episodes was based on 7-day diary data completed by participants prior to each visit from the start of 905-CL-076 to the end of 905-CL-077. An Incontinence episode is defined as an episode with any involuntary loss of urine. Data are reported by duration of solifenacin treatment based on the number of days from the date of first dose of solifenacin in either study 905-CL-076 or 905-CL-077 up to and including the study visit. Using equivalent treatment duration periods, data were combined for participants who received placebo and solifenacin in study 905-CL-076 within each age group.
Change From Baseline in Number of Dry (Incontinence-Free) Days Per 7 Days
The number of dry (incontinence-free) days was based on 7-day diary data completed by participants prior to each visit from start of 905-C L-076 to end of 905-C L-077. An incontinence-free day is a day without any incontinence episodes. Data are reported by duration of solifenacin treatment based on the number of days from the date of first dose of solifenacin in either study 905-CL-076 or 905-CL-077 up to and including the study visit. Using equivalent treatment duration periods, data were combined for participants who received placebo and solifenacin in study 905-CL-076 within each age group.
Change From Baseline in Mean Number of Micturitions Per 24 Hours
The mean number of micturitions (urinations) was based on 7-day diary data completed by participants prior to each visit from start of 905-CL-076 to end of 905-CL-077. Data are reported by duration of solifenacin treatment based on the number of days from the date of first dose of solifenacin in either study 905-CL-076 or 905-CL-077 up to and including the study visit. Using equivalent treatment duration periods, data were combined for participants who received placebo and solifenacin in study 905-CL-076 within each age group.
Change From Baseline in Mean Number of Grade 3 or 4 Urgency Episodes Per 24 Hours in Adolescents
Adolescent participants were also asked to record urgencies for at least 2 of the 7 diary days using the Perception of Intensity of Urgency Scale (PPIUS): (0 - no urgency, 1 - mild urgency, 2 - moderate urgency, 3 - severe urgency, 4 - urge incontinence). This data is based on 7-day diary data completed by participants prior to each visit from the start of 905-CL-076 to the end of 905-CL-077. Data are reported by duration of solifenacin treatment based on the number of days from the date of first dose of solifenacin in either study 905-CL-076 or 905-CL-077 up to and including the study visit. Using equivalent treatment duration periods, data were combined for participants who received placebo and solifenacin in study 905-CL-076 within each age group.
Change From Baseline to Final Visit in Postvoid Residual (PVR) Volume
PVR volume was assessed by ultrasonography or bladder scan during 905-CL-076 and 905-CL-077. The value reported is the last PVR volume value after first dose of solifenacin up to 52 weeks.

Full Information

First Posted
July 30, 2012
Last Updated
October 19, 2018
Sponsor
Astellas Pharma Europe B.V.
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1. Study Identification

Unique Protocol Identification Number
NCT01655069
Brief Title
A Study to Investigate How Safe and Effective Solifenacin Solution is in Treating Children/Adolescents With Symptoms of Overactive Bladder (OAB) Who Completed Study 905-CL-076
Acronym
LEOPARD
Official Title
An Open-Label, Long-Term Extension, Multi-center, Sequential Dose Titration Study to Assess Safety and Efficacy of Solifenacin Succinate Suspension in Pediatric Subjects With Overactive Bladder (OAB)
Study Type
Interventional

2. Study Status

Record Verification Date
October 2018
Overall Recruitment Status
Completed
Study Start Date
October 4, 2012 (Actual)
Primary Completion Date
October 8, 2014 (Actual)
Study Completion Date
October 8, 2014 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Astellas Pharma Europe B.V.

4. Oversight

Studies a U.S. FDA-regulated Drug Product
Yes
Studies a U.S. FDA-regulated Device Product
No
Data Monitoring Committee
No

5. Study Description

Brief Summary
This was a 40-week study to investigate how safe and effective solifenacin solution was in treating children or adolescents with symptoms of overactive bladder (OAB), who completed study 905-CL-076 (NCT01565707).
Detailed Description
There was a titration period of up to 12 weeks during which the participants would be up or down-titrated based on a combination of efficacy and safety parameters followed by a fixed dose period during which no dose adjustments were allowed. Participants completed a 7-day patient diary prior to every visit (start of 905-CL-076 to end of 905-CL-077, 14 visits). The first visit of this study (905-CL-077) was combined with the last visit of the 4-month study 905-CL-076. At each visit, the participant was required to undertake a number of assessments or examinations to determine whether it is safe for him/her to take part or to continue to take part in the study.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Urinary Bladder, Overactive
Keywords
Overactive bladder (OAB), Solifenacin succinate suspension, Phase 3, Pediatric

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 3
Interventional Study Model
Single Group Assignment
Masking
None (Open Label)
Allocation
Non-Randomized
Enrollment
148 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Children Treated with Placebo in 905-CL-076
Arm Type
Experimental
Arm Description
Male and female children aged 5 to less than 12 years old who received placebo in Study 905-CL-076 and received open-label solifenacin once daily in this study. The mean time on study drug in this study was 247.9 days in children.
Arm Title
Children Treated with Solifenacin in 905-CL-076
Arm Type
Experimental
Arm Description
Male and female children aged 5 to less than 12 years old who received solifenacin in Study 905-CL-076 and received open-label solifenacin once daily in this study. The mean time on study drug in this study was 247.9 days in children.
Arm Title
Adolescents Treated with Placebo in 905-CL-076
Arm Type
Experimental
Arm Description
Male and female adolescents aged 12 to less than 18 years old who received placebo in Study 905-CL-076 and received open-label solifenacin once daily in this study. The mean time on study drug in this study was 240.1 days in adolescents.
Arm Title
Adolescents Treated with Solifenacin in 905-CL-076
Arm Type
Experimental
Arm Description
Male and female adolescents aged 12 to less than 18 years old who received solifenacin in Study 905- CL-076 and received open-label solifenacin once daily in this study. The mean time on study drug in this study was 240.1 days in adolescents.
Intervention Type
Drug
Intervention Name(s)
Solifenacin succinate suspension
Other Intervention Name(s)
YM905, solifenacin succinate
Intervention Description
Oral suspension
Primary Outcome Measure Information:
Title
Number of Participants With and Severity of Treatment-Emergent Adverse Events (TEAEs)
Description
The investigator assessed the severity of AEs, including abnormal clinical laboratory values, electrocardiogram (ECG), vital signs, as follows: Mild: No disruption of normal daily activities; Moderate: Affect normal daily activities; Severe: Inability to perform daily activities. In participants treated with placebo in Study 905-CL-076, a TEAE was defined as an AE that started/worsened after the first dose of open-label solifenacin in Study 905-CL-077 up to 7 days after the last dose of solifenacin. In participants treated with solifenacin in Study 905-CL-076, a TEAE was defined as an AE that started/worsened after the first dose of double-blind solifenacin in Study 905-CL-076 up to 7 days after last dose of open-label solifenacin in Study 905-CL-077.
Time Frame
From first dose of solifenacin (in Study 905-CL-076 or in current study) up to 7 days after last dose of open-label solifenacin (41 weeks for participants who received placebo in 076 and 53 weeks for those who received solifenacin in 076).
Secondary Outcome Measure Information:
Title
Change From Baseline in Mean Number of Incontinence Episodes Per 24 Hours
Description
The mean number of incontinence episodes was based on 7-day diary data completed by participants prior to each visit from the start of 905-CL-076 to the end of 905-CL-077. An Incontinence episode is defined as an episode with any involuntary loss of urine. Data are reported by duration of solifenacin treatment based on the number of days from the date of first dose of solifenacin in either study 905-CL-076 or 905-CL-077 up to and including the study visit. Using equivalent treatment duration periods, data were combined for participants who received placebo and solifenacin in study 905-CL-076 within each age group.
Time Frame
Baseline (of 905-CL-076 study) and after 3, 6, 9, 12, 24, 40, and 52 weeks of solifenacin treatment
Title
Change From Baseline in Number of Dry (Incontinence-Free) Days Per 7 Days
Description
The number of dry (incontinence-free) days was based on 7-day diary data completed by participants prior to each visit from start of 905-C L-076 to end of 905-C L-077. An incontinence-free day is a day without any incontinence episodes. Data are reported by duration of solifenacin treatment based on the number of days from the date of first dose of solifenacin in either study 905-CL-076 or 905-CL-077 up to and including the study visit. Using equivalent treatment duration periods, data were combined for participants who received placebo and solifenacin in study 905-CL-076 within each age group.
Time Frame
Baseline (of 905-CL-076 study) and after 3, 6, 9, 12, 24, 40, and 52 weeks of solifenacin treatment
Title
Change From Baseline in Mean Number of Micturitions Per 24 Hours
Description
The mean number of micturitions (urinations) was based on 7-day diary data completed by participants prior to each visit from start of 905-CL-076 to end of 905-CL-077. Data are reported by duration of solifenacin treatment based on the number of days from the date of first dose of solifenacin in either study 905-CL-076 or 905-CL-077 up to and including the study visit. Using equivalent treatment duration periods, data were combined for participants who received placebo and solifenacin in study 905-CL-076 within each age group.
Time Frame
Baseline (of 905-CL-076 study) and after 3, 6, 9, 12, 24, 40, and 52 weeks of solifenacin treatment
Title
Change From Baseline in Mean Number of Grade 3 or 4 Urgency Episodes Per 24 Hours in Adolescents
Description
Adolescent participants were also asked to record urgencies for at least 2 of the 7 diary days using the Perception of Intensity of Urgency Scale (PPIUS): (0 - no urgency, 1 - mild urgency, 2 - moderate urgency, 3 - severe urgency, 4 - urge incontinence). This data is based on 7-day diary data completed by participants prior to each visit from the start of 905-CL-076 to the end of 905-CL-077. Data are reported by duration of solifenacin treatment based on the number of days from the date of first dose of solifenacin in either study 905-CL-076 or 905-CL-077 up to and including the study visit. Using equivalent treatment duration periods, data were combined for participants who received placebo and solifenacin in study 905-CL-076 within each age group.
Time Frame
Baseline (of 905-CL-076 study) and after 3, 6, 9, 12, 24, 40, and 52 weeks of solifenacin treatment
Title
Change From Baseline to Final Visit in Postvoid Residual (PVR) Volume
Description
PVR volume was assessed by ultrasonography or bladder scan during 905-CL-076 and 905-CL-077. The value reported is the last PVR volume value after first dose of solifenacin up to 52 weeks.
Time Frame
Baseline (of 905-CL-076 study) to final Visit (the most recent value after first dose of solifenacin up to 40 weeks for participants who received placebo in 076 and 52 weeks for those who received solifenacin in 076.)

10. Eligibility

Sex
All
Minimum Age & Unit of Time
5 Years
Maximum Age & Unit of Time
17 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Subject has met the inclusion criteria of study 905-CL-076 and completed study 905-CL-076 Exclusion Criteria: Subject has failed the exclusion criteria of study 905-CL-076
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Clinical Study Manager
Organizational Affiliation
Astellas Pharma Europe B.V.
Official's Role
Study Chair
Facility Information:
Facility Name
Site: 1006
City
Shreveport
State/Province
Louisiana
ZIP/Postal Code
71106
Country
United States
Facility Name
Site: 3202
City
Antwerp
ZIP/Postal Code
2020
Country
Belgium
Facility Name
Site: 3209
City
Antwerp
ZIP/Postal Code
2650
Country
Belgium
Facility Name
Site: 3208
City
Charleroi
ZIP/Postal Code
6000
Country
Belgium
Facility Name
Site: 3201
City
Gent
ZIP/Postal Code
9000
Country
Belgium
Facility Name
Site: 3203
City
Gent
ZIP/Postal Code
9000
Country
Belgium
Facility Name
Site: 3204
City
Kortrijk
ZIP/Postal Code
8500
Country
Belgium
Facility Name
Site: 3205
City
Leuven
ZIP/Postal Code
3000
Country
Belgium
Facility Name
Site: 5507
City
Campinas
ZIP/Postal Code
13087-567
Country
Brazil
Facility Name
Site: 5506
City
Curitiba
ZIP/Postal Code
80240-060
Country
Brazil
Facility Name
Site: 1001
City
Quebec
ZIP/Postal Code
G1V 4G2
Country
Canada
Facility Name
Site: 4503
City
Aalborg
ZIP/Postal Code
DK-9000
Country
Denmark
Facility Name
Site: 4501
City
Aarhus N
ZIP/Postal Code
8200
Country
Denmark
Facility Name
Site: 4504
City
Koge
ZIP/Postal Code
4600
Country
Denmark
Facility Name
Site: 4502
City
Kolding
ZIP/Postal Code
6000
Country
Denmark
Facility Name
Site: 3810
City
Belgrade
ZIP/Postal Code
11 000
Country
Former Serbia and Montenegro
Facility Name
Site: 3812
City
Novi Sad
ZIP/Postal Code
21000
Country
Former Serbia and Montenegro
Facility Name
Site: 8203
City
Daegu
ZIP/Postal Code
705717
Country
Korea, Republic of
Facility Name
Site: 8206
City
Incheon
ZIP/Postal Code
400-711
Country
Korea, Republic of
Facility Name
Site: 8207
City
Seoul
ZIP/Postal Code
110744
Country
Korea, Republic of
Facility Name
Site: 8202
City
Seoul
ZIP/Postal Code
156707
Country
Korea, Republic of
Facility Name
Site: 5202
City
Mexico City
ZIP/Postal Code
4530
Country
Mexico
Facility Name
Site: 5205
City
Mexico City
ZIP/Postal Code
C.P.06700
Country
Mexico
Facility Name
Site: 4701
City
Bergen
ZIP/Postal Code
5021
Country
Norway
Facility Name
Site: 6301
City
Quezon City
ZIP/Postal Code
1108
Country
Philippines
Facility Name
Site: 4805
City
Gdansk
ZIP/Postal Code
80-803
Country
Poland
Facility Name
Site: 4803
City
Gdansk
ZIP/Postal Code
80-952
Country
Poland
Facility Name
Site: 4804
City
Lubin
ZIP/Postal Code
20-093
Country
Poland
Facility Name
Site: 4801
City
Warsaw
ZIP/Postal Code
04-736
Country
Poland
Facility Name
Site: 2703
City
Cape Town
ZIP/Postal Code
7700
Country
South Africa
Facility Name
Site: 4606
City
Gothenburg
ZIP/Postal Code
41685
Country
Sweden
Facility Name
Site: 4603
City
Skovde
ZIP/Postal Code
54185
Country
Sweden
Facility Name
Site: 4602
City
Stockholm
ZIP/Postal Code
11883
Country
Sweden
Facility Name
Site: 4605
City
Umea
ZIP/Postal Code
90185
Country
Sweden
Facility Name
Site: 9001
City
Ankara
ZIP/Postal Code
6100
Country
Turkey
Facility Name
Site: 9002
City
Izmir
ZIP/Postal Code
35100
Country
Turkey
Facility Name
Site: 3854
City
Kharkiv
Country
Ukraine
Facility Name
Site: 4403
City
Leeds
ZIP/Postal Code
LS1 3EX
Country
United Kingdom
Facility Name
Site: 4401
City
Sheffield
ZIP/Postal Code
S10 2TH
Country
United Kingdom

12. IPD Sharing Statement

Plan to Share IPD
Yes
IPD Sharing Plan Description
Access to anonymized individual participant level data collected during the trial, in addition to study-related supporting documentation, is planned for trials conducted with approved product indications and formulations, as well as compounds terminated during development. Conditions and exceptions are described under the Sponsor Specific Details for Astellas on www.clinicalstudydatarequest.com.
IPD Sharing Time Frame
Access to participant level data is offered to researchers after publication of the primary manuscript (if applicable) and is available as long as Astellas has legal authority to provide the data.
IPD Sharing Access Criteria
Researchers must submit a proposal to conduct a scientifically relevant analysis of the study data. The research proposal is reviewed by an Independent Research Panel. If the proposal is approved, access to the study data is provided in a secure data sharing environment after receipt of a signed Data Sharing Agreement.
IPD Sharing URL
https://www.clinicalstudydatarequest.com/
Links:
URL
https://www.clinicaltrialsregister.eu/ctr-search/trial/2011-002047-10/results
Description
Link to results on EudraCT
URL
https://astellasclinicalstudyresults.com/study.aspx?ID=244
Description
Link to results on the Astellas Clinical Study Results website

Learn more about this trial

A Study to Investigate How Safe and Effective Solifenacin Solution is in Treating Children/Adolescents With Symptoms of Overactive Bladder (OAB) Who Completed Study 905-CL-076

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