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A Study To Assess If 10 mg Vardenafil (BAY38-9456) Taken Twice Daily For 6 Weeks Has An Effect On Bladder Function

Primary Purpose

Overactive Bladder, Detrusor Overactivity

Status
Completed
Phase
Phase 2
Locations
International
Study Type
Interventional
Intervention
Vardenafil HCl (Levitra, BAY38-9456)
Placebo
Sponsored by
Bayer
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Overactive Bladder

Eligibility Criteria

18 Years - undefined (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  • Male and female patients aged > 18 years (females either postmenopausal or using adequate birth control)
  • Urodynamic criteria:

    • Entire bladder capacity (= maximum cystometric bladder capacity) < 300 mL OR
    • In accordance with International Continence Society (ICS)-guidelines: Detrusor overactivity as defined as spontaneous involuntary detrusor contraction during filling phase OR
    • Detrusor contraction during filling phase leading to involuntarily initiated micturition before a normal bladder capacity is reached
  • Patient micturition diary criteria: at least 8 micturitions per day AND at least 1 urgency episode per day
  • Signed and dated written Patient Informed Consent Form

Exclusion Criteria:

  • Treatment with drugs known to affect urinary bladder function
  • Known other reasons for micturition problems than detrusor overactivity
  • Recent intervention in urogenital tract
  • Abnormal liver or renal lab values
  • Treatment with nitrates or nitric oxide donors, alpha-blockers, potent inhibitors of CYP-450 3A4, acenocoumarol, heparin, drugs known to prolong QT-interval
  • NAION, hereditary regenerative retinal disorders, severe cardiovascular conditions, recent history of myocardial infarction/stroke/life-threatening arrhythmia
  • congenital QT-prolongation, left ventricular outflow obstruction, severe hypo- or hypertension, symptomatic postural hypotension
  • History of positive test for Hepatitis B surface antigen (HBsAg) or Hepatitis C
  • Significant active peptic ulceration
  • Severe chronic or acute liver disease, history of moderate (Child-Pugh B) or severe (Child-Pugh C) hepatic impairment
  • In men: Clinically significant chronic haematological disease which may lead to priapism
  • History of malignancy of any organ system within the past 5 years
  • Bleeding disorder

Sites / Locations

Arms of the Study

Arm 1

Arm 2

Arm Type

Experimental

Placebo Comparator

Arm Label

Vardenafil HCl (Levitra, BAY38-9456)

Placebo

Arm Description

vardenafil hydrochloride 10 mg film-coated tablets twice daily (BID) for oral (by mouth) intake for 6 weeks

vardenafil hydrochloride-matching film-coated tablets BID for oral intake for 6 weeks

Outcomes

Primary Outcome Measures

Change From Baseline in Bladder Volume at First Detrusor Contraction at 6 Weeks
Bladder volume was measure by means of urodynamic assessments (cystometry) for up to 6 weeks. Missing data were imputed with last observation carried forward (LOCF).
Change From Baseline in Average Number of Daily Micturitions at 6 Weeks
Change from baseline in the number of daily micturitions (bladder voidings), as reported in the participant diaries for up to 6 weeks. Missing data were imputed with last observation carried forward (LOCF).

Secondary Outcome Measures

Change From Baseline in H2O Detrusor Pressure at First Contraction at 6 Weeks
Detrusor pressure was measured by means of urodynamic assessment (cystometry) for up to 6 weeks. Missing data were imputed by last observation carried forward (LOCF).
Change From Baseline in Volume at First Detectable Leakage at 6 Weeks
First detectable leakage was determined by means of cystometry as an obligatory urodynamic measure. Missing data was imputed by last observation carried forward (LOCF).
Change From Baseline in Maximum Cystometric Bladder Capacity at 6 Weeks
Maximum cystometric bladder capacity was defined as the volume at which either significant leakage or discomfort/pain occurred. Missing data were imputed by last observation carried forward (LOCF).
Change From Baseline in Volume at First Desire to Void at 6 Weeks
Volume at first desire to void was recorded during urodynamic assessments. Missing data were imputed by last observation carried forward (LOCF).
Change From Baseline in Average Number of Urgencies Per Day at 6 Weeks
The average number of urgencies was derived from the number of urgencies reported by the participants in a 7 day micturition diary. Missing data were imputed by last observation carried forward.
Change From Baseline in Average Number of Daily Involuntary Discharges of Urine at 6 Weeks
The average number of daily involuntary discharges of urine was derived from the number of discharges reported by the participants in a 7 day micturition diary. Missing data were imputed by last observation carried forward.
Change From Baseline in Peak Urinary Flow at 6 Weeks in Men Aged 50 Years and Older
Peak urinary flow (Qmax) was measured using urodynamic assessments (voiding / flow cystometry) for up to 6 weeks. Missing data were imputed by last observation carried forward (LOCF).
Change From Baseline in the Total Score of the Overactive Bladder Questionnaire (OAB-q) at 6 Weeks
The OAB-q is a validated, self-administered questionnaire that quantifies bladder symptoms and quality of life. It comprises 33 items (6-point scale for each item). The total score ranges from 33 (minimum symptoms) to 198 (maximum symptoms). On each item, participants provide their rating over the past 4 weeks. Missing data were imputed by LOCF.

Full Information

First Posted
May 24, 2007
Last Updated
November 24, 2014
Sponsor
Bayer
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1. Study Identification

Unique Protocol Identification Number
NCT00478881
Brief Title
A Study To Assess If 10 mg Vardenafil (BAY38-9456) Taken Twice Daily For 6 Weeks Has An Effect On Bladder Function
Official Title
Randomized, Double-blind, Placebo-controlled, Parallel Group Study of Vardenafil 10 mg Twice Daily to Assess the Effect on Urodynamics in Patients With Overactive Bladder (Detrusor Overactivity)
Study Type
Interventional

2. Study Status

Record Verification Date
November 2014
Overall Recruitment Status
Completed
Study Start Date
August 2007 (undefined)
Primary Completion Date
November 2008 (Actual)
Study Completion Date
November 2008 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Bayer

4. Oversight

Data Monitoring Committee
No

5. Study Description

Brief Summary
The purpose of this study is to assess if the study drug, Vardenafil (approved by Health Authorities is available on the market for treatment of erectile dysfunction) has an effect on bladder function and micturition frequency. The study drug is to be taken in the form of tablets twice a day, one tablet in the morning and one tablet in the evening. A non-active treatment (placebo), a sugar pill, will be used as a comparator to see if the new study drug works better than no drug. The timing of visits for the study is as follows: the 1st visit (screening visit) at beginning of run-in-assessment with qualifying tests for patients: electrocardiogram (ECG), safety laboratory and residual urine (by ultrasonography: a non-invasive examination using ultrasound for the assessment of the bladder). 2nd visit (randomization visit). During visit this should be performed: urodynamic measurements (filling cystometry and pressure flow investigations), ECG and safety laboratory. 3rd visit (safety visit) takes place at two up to three weeks of randomized treatment. 4th visit (final visit)-following test should be done: urodynamic measurements (filling cystometry and pressure flow investigations), ECG, safety laboratory and residual urine (by ultrasonography); A phone call 24 hours after visit 4 to assess any SAEs.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Overactive Bladder, Detrusor Overactivity

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 2
Interventional Study Model
Parallel Assignment
Masking
ParticipantCare ProviderInvestigator
Allocation
Randomized
Enrollment
397 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Vardenafil HCl (Levitra, BAY38-9456)
Arm Type
Experimental
Arm Description
vardenafil hydrochloride 10 mg film-coated tablets twice daily (BID) for oral (by mouth) intake for 6 weeks
Arm Title
Placebo
Arm Type
Placebo Comparator
Arm Description
vardenafil hydrochloride-matching film-coated tablets BID for oral intake for 6 weeks
Intervention Type
Drug
Intervention Name(s)
Vardenafil HCl (Levitra, BAY38-9456)
Intervention Description
vardenafil hydrochloride 10 mg film-coated tablets twice daily (BID) for oral (by mouth) intake for 6 weeks
Intervention Type
Drug
Intervention Name(s)
Placebo
Intervention Description
vardenafil hydrochloride-matching film-coated tablets BID for oral intake for 6 weeks
Primary Outcome Measure Information:
Title
Change From Baseline in Bladder Volume at First Detrusor Contraction at 6 Weeks
Description
Bladder volume was measure by means of urodynamic assessments (cystometry) for up to 6 weeks. Missing data were imputed with last observation carried forward (LOCF).
Time Frame
baseline and up to 6 weeks of treatment Last Observation Carried Forward (LOCF)
Title
Change From Baseline in Average Number of Daily Micturitions at 6 Weeks
Description
Change from baseline in the number of daily micturitions (bladder voidings), as reported in the participant diaries for up to 6 weeks. Missing data were imputed with last observation carried forward (LOCF).
Time Frame
baseline and up to 6 weeks of treatment LOCF
Secondary Outcome Measure Information:
Title
Change From Baseline in H2O Detrusor Pressure at First Contraction at 6 Weeks
Description
Detrusor pressure was measured by means of urodynamic assessment (cystometry) for up to 6 weeks. Missing data were imputed by last observation carried forward (LOCF).
Time Frame
baseline and up to 6 weeks of treatment LOCF
Title
Change From Baseline in Volume at First Detectable Leakage at 6 Weeks
Description
First detectable leakage was determined by means of cystometry as an obligatory urodynamic measure. Missing data was imputed by last observation carried forward (LOCF).
Time Frame
baseline and up to 6 weeks of treatment LOCF
Title
Change From Baseline in Maximum Cystometric Bladder Capacity at 6 Weeks
Description
Maximum cystometric bladder capacity was defined as the volume at which either significant leakage or discomfort/pain occurred. Missing data were imputed by last observation carried forward (LOCF).
Time Frame
baseline and up to 6 weeks of treatment LOCF
Title
Change From Baseline in Volume at First Desire to Void at 6 Weeks
Description
Volume at first desire to void was recorded during urodynamic assessments. Missing data were imputed by last observation carried forward (LOCF).
Time Frame
baseline and up to 6 weeks of treatment LOCF
Title
Change From Baseline in Average Number of Urgencies Per Day at 6 Weeks
Description
The average number of urgencies was derived from the number of urgencies reported by the participants in a 7 day micturition diary. Missing data were imputed by last observation carried forward.
Time Frame
baseline and up to 6 weeks of treatment LOCF
Title
Change From Baseline in Average Number of Daily Involuntary Discharges of Urine at 6 Weeks
Description
The average number of daily involuntary discharges of urine was derived from the number of discharges reported by the participants in a 7 day micturition diary. Missing data were imputed by last observation carried forward.
Time Frame
baseline and up to 6 weeks of treatment LOCF
Title
Change From Baseline in Peak Urinary Flow at 6 Weeks in Men Aged 50 Years and Older
Description
Peak urinary flow (Qmax) was measured using urodynamic assessments (voiding / flow cystometry) for up to 6 weeks. Missing data were imputed by last observation carried forward (LOCF).
Time Frame
baseline and up to 6 weeks of treatment LOCF
Title
Change From Baseline in the Total Score of the Overactive Bladder Questionnaire (OAB-q) at 6 Weeks
Description
The OAB-q is a validated, self-administered questionnaire that quantifies bladder symptoms and quality of life. It comprises 33 items (6-point scale for each item). The total score ranges from 33 (minimum symptoms) to 198 (maximum symptoms). On each item, participants provide their rating over the past 4 weeks. Missing data were imputed by LOCF.
Time Frame
baseline and up to 6 weeks of treatment LOCF

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Male and female patients aged > 18 years (females either postmenopausal or using adequate birth control) Urodynamic criteria: Entire bladder capacity (= maximum cystometric bladder capacity) < 300 mL OR In accordance with International Continence Society (ICS)-guidelines: Detrusor overactivity as defined as spontaneous involuntary detrusor contraction during filling phase OR Detrusor contraction during filling phase leading to involuntarily initiated micturition before a normal bladder capacity is reached Patient micturition diary criteria: at least 8 micturitions per day AND at least 1 urgency episode per day Signed and dated written Patient Informed Consent Form Exclusion Criteria: Treatment with drugs known to affect urinary bladder function Known other reasons for micturition problems than detrusor overactivity Recent intervention in urogenital tract Abnormal liver or renal lab values Treatment with nitrates or nitric oxide donors, alpha-blockers, potent inhibitors of CYP-450 3A4, acenocoumarol, heparin, drugs known to prolong QT-interval NAION, hereditary regenerative retinal disorders, severe cardiovascular conditions, recent history of myocardial infarction/stroke/life-threatening arrhythmia congenital QT-prolongation, left ventricular outflow obstruction, severe hypo- or hypertension, symptomatic postural hypotension History of positive test for Hepatitis B surface antigen (HBsAg) or Hepatitis C Significant active peptic ulceration Severe chronic or acute liver disease, history of moderate (Child-Pugh B) or severe (Child-Pugh C) hepatic impairment In men: Clinically significant chronic haematological disease which may lead to priapism History of malignancy of any organ system within the past 5 years Bleeding disorder
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Bayer Study Director
Organizational Affiliation
Bayer
Official's Role
Study Director
Facility Information:
City
Bruxelles - Brussel
ZIP/Postal Code
1200
Country
Belgium
City
Victoria
State/Province
British Columbia
ZIP/Postal Code
V8V 3N1
Country
Canada
City
Brantford
State/Province
Ontario
ZIP/Postal Code
N3R 4N3
Country
Canada
City
Kitchener
State/Province
Ontario
ZIP/Postal Code
N2N 2B9
Country
Canada
City
Montreal
State/Province
Quebec
ZIP/Postal Code
H3T 1E2
Country
Canada
City
Olomouc
ZIP/Postal Code
775 20
Country
Czech Republic
City
Praha 4
ZIP/Postal Code
140 59
Country
Czech Republic
City
Praha 6
ZIP/Postal Code
160 00
Country
Czech Republic
City
Paris Cedex 20
ZIP/Postal Code
75970
Country
France
City
Paris
ZIP/Postal Code
75571
Country
France
City
Emmendingen
State/Province
Baden-Württemberg
ZIP/Postal Code
79312
Country
Germany
City
Bad Griesbach-Therme
State/Province
Bayern
ZIP/Postal Code
94086
Country
Germany
City
Weiden
State/Province
Bayern
ZIP/Postal Code
92637
Country
Germany
City
Schwedt
State/Province
Brandenburg
ZIP/Postal Code
16303
Country
Germany
City
Greifswald
State/Province
Mecklenburg-Vorpommern
ZIP/Postal Code
17475
Country
Germany
City
Düsseldorf
State/Province
Nordrhein-Westfalen
ZIP/Postal Code
40235
Country
Germany
City
Essen
State/Province
Nordrhein-Westfalen
ZIP/Postal Code
45147
Country
Germany
City
Mönchengladbach
State/Province
Nordrhein-Westfalen
ZIP/Postal Code
41063
Country
Germany
City
Wuppertal
State/Province
Nordrhein-Westfalen
ZIP/Postal Code
42103
Country
Germany
City
Neunkirchen
State/Province
Saarland
ZIP/Postal Code
66538
Country
Germany
City
Leipzig
State/Province
Sachsen
ZIP/Postal Code
04103
Country
Germany
City
Berlin
ZIP/Postal Code
10115
Country
Germany
City
Berlin
ZIP/Postal Code
13347
Country
Germany
City
Budapest
ZIP/Postal Code
1082
Country
Hungary
City
Budapest
ZIP/Postal Code
1126
Country
Hungary
City
Haifa
ZIP/Postal Code
31096
Country
Israel
City
Jerusalem
ZIP/Postal Code
91031
Country
Israel
City
Petach Tikva
Country
Israel
City
Eindhoven
State/Province
Noord-Brabant
ZIP/Postal Code
5623 EJ
Country
Netherlands
City
Amsterdam
ZIP/Postal Code
1081 HV
Country
Netherlands
City
Amsterdam
ZIP/Postal Code
1105 AZ
Country
Netherlands
City
Maastricht
ZIP/Postal Code
6229 HX
Country
Netherlands
City
Rotterdam
ZIP/Postal Code
3015 CE
Country
Netherlands
City
Utrecht
ZIP/Postal Code
3584 CX
Country
Netherlands
City
Bydgoszcz
ZIP/Postal Code
85-168
Country
Poland
City
Chorzow
ZIP/Postal Code
41-500
Country
Poland
City
Siedlce
ZIP/Postal Code
08-110
Country
Poland
City
Warszawa
ZIP/Postal Code
01-432
Country
Poland
City
Warszawa
ZIP/Postal Code
02-005
Country
Poland
City
Warszawa
ZIP/Postal Code
02-777
Country
Poland
City
Amadora
ZIP/Postal Code
2720-276
Country
Portugal
City
Lisboa
ZIP/Postal Code
1069-166
Country
Portugal
City
Porto
ZIP/Postal Code
4050-013
Country
Portugal
City
Porto
ZIP/Postal Code
4099-001
Country
Portugal
City
S. Martinho do Bispo
ZIP/Postal Code
3046-853
Country
Portugal
City
Moscow
ZIP/Postal Code
105425
Country
Russian Federation
City
Moscow
ZIP/Postal Code
125206
Country
Russian Federation
City
St. Petersburg
ZIP/Postal Code
198013
Country
Russian Federation
City
Santiago de Compostela
State/Province
A Coruña
ZIP/Postal Code
15706
Country
Spain
City
Barcelona
ZIP/Postal Code
08035
Country
Spain
City
Barcelona
ZIP/Postal Code
08036
Country
Spain
City
Granada
ZIP/Postal Code
18014
Country
Spain
City
Madrid
ZIP/Postal Code
28046
Country
Spain
City
Valencia
ZIP/Postal Code
46010
Country
Spain
City
Basel
State/Province
Basel-Stadt
ZIP/Postal Code
4031
Country
Switzerland

12. IPD Sharing Statement

Links:
URL
http://www.clinicaltrialsregister.eu/
Description
Click here to find information about studies related to Bayer Healthcare products conducted in Europe

Learn more about this trial

A Study To Assess If 10 mg Vardenafil (BAY38-9456) Taken Twice Daily For 6 Weeks Has An Effect On Bladder Function

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