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The Efficacy of Solifenacin With or Without Tamsulosin in Adult Women With Overactive Bladder (OAB)

Primary Purpose

Overactive Bladder

Status
Completed
Phase
Phase 4
Locations
Korea, Republic of
Study Type
Interventional
Intervention
Solifenacin
Solifenacin plus Tamsulosin
Sponsored by
Soonchunhyang University Hospital
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Overactive Bladder focused on measuring Overactive bladder, Solifenacin succinate, Tamsulosin

Eligibility Criteria

20 Years - 70 Years (Adult, Older Adult)FemaleDoes not accept healthy volunteers

Inclusion Criteria:

  • Female aged 20 ≤ and < 70 years
  • History of OAB symptoms for ≥ 3 months
  • International Prostate Symptom Score (IPSS) ≥ 8 points at Screening and more than 3 in total score and 2 in Q 3 index from OABSS questionnaire
  • An average of ≥ 8 micturitions per 24 hours and ≥ 1 urgency (defined as a level of 3 to 5 in a 5 point Urinary Sensation Scale) episode (with or without incontinence) per 24 hours as documented in a 3-day micturition diary

Exclusion Criteria:

  • Uroflowmetry - Q max ≤ 10 mL/sec, or Post Void Residual Volume ≥ 15% of voided urine
  • Any condition that would contraindicate their usage of anticholinergics or alpha blockers
  • History of lower urinary tract surgery (e.g. incontinence surgery or electrostimulation)
  • History of stress urinary incontinence or urinary retention
  • History of interstitial cystitis, bladder outlet obstruction or other significant genitourinary disorder
  • Pregnant or nursing women
  • Current urinary tract infection
  • Neurological bladder dysfunction
  • Treatment with drugs that may interfere with CYP3A4 metabolic function
  • Significant hepatic or renal disease
  • Any other condition which, in the opinion of the investigator, makes the patient unsuitable for inclusion

Sites / Locations

  • Soonchunhyang University Bucheon Hospital

Arms of the Study

Arm 1

Arm 2

Arm Type

Active Comparator

Experimental

Arm Label

Solifenacin

Solifenacin plus Tamsulosin

Arm Description

Outcomes

Primary Outcome Measures

Change in Mean Number of Micturition Episodes Per 24 Hours

Secondary Outcome Measures

Numeric Change of Urgency Episodes Per 24 Hours
Change in Total Score of OABSS
Total Score of OABSS(Overactive Bladder Symptom Score) is the sum of 4 questions, ranging from 0 (best possible outcome) to 15 (worst possible outcome)
Change in Score of IPSS
Total Score of IPSS(International Prostate Symptom Score) is the sum of 7 questions, ranging from 0 (best possible outcome) to 35 (worst possible outcome). The 7 symptom questions include feeling of incomplete bladder emptying, frequency, intermittency, urgency, weak stream, straining and nocturia, each referring to during the last month, and each involving assignment of a score from 0 to 5 for a total of maximum 35 points.
Change of PVR
Change from baseline in Post-Void Residual (PVR) volume
Change of Qmax
maximal urinary flow rate (Qmax) assessed by uroflowmetry

Full Information

First Posted
February 2, 2012
Last Updated
January 24, 2015
Sponsor
Soonchunhyang University Hospital
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1. Study Identification

Unique Protocol Identification Number
NCT01533597
Brief Title
The Efficacy of Solifenacin With or Without Tamsulosin in Adult Women With Overactive Bladder (OAB)
Official Title
Comparison of the Efficacy of Solifenacin With or Without Tamsulosin in Adult Women With OAB: A Prospective Randomized Multicenter Study
Study Type
Interventional

2. Study Status

Record Verification Date
January 2015
Overall Recruitment Status
Completed
Study Start Date
December 2010 (undefined)
Primary Completion Date
December 2013 (Actual)
Study Completion Date
February 2014 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Principal Investigator
Name of the Sponsor
Soonchunhyang University Hospital

4. Oversight

Data Monitoring Committee
No

5. Study Description

Brief Summary
The aim of the study is to investigate if the combination therapy consisting of anticholinergics plus alpha-blockers could be beneficial for women suffering from Overactive Bladder (OAB).
Detailed Description
Overactive bladder (OAB) describes the symptom complex of urgency, with or without urge incontinence, usually with frequency and nocturia. The lower urinary tract is innervated by both the parasympathetic and the sympathetic nervous system, that act via muscarinic and adrenergic receptors, respectively. Antimuscarinics are mainly used for the treatment of patients with OAB, especially women. Other than antimuscarinics, a1-blockers have been shown in several clinical reports to be useful in treating DO caused by neurological diseases.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Overactive Bladder
Keywords
Overactive bladder, Solifenacin succinate, Tamsulosin

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 4
Interventional Study Model
Parallel Assignment
Masking
None (Open Label)
Allocation
Randomized
Enrollment
70 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Solifenacin
Arm Type
Active Comparator
Arm Title
Solifenacin plus Tamsulosin
Arm Type
Experimental
Intervention Type
Drug
Intervention Name(s)
Solifenacin
Other Intervention Name(s)
Vesicare
Intervention Description
Solifenacin (5mg, qd, oral)
Intervention Type
Drug
Intervention Name(s)
Solifenacin plus Tamsulosin
Other Intervention Name(s)
Vesicare, Harnal
Intervention Description
Solifenacin (5mg, qd, oral) plus Tamsulosin (0.2mg, qd, oral)
Primary Outcome Measure Information:
Title
Change in Mean Number of Micturition Episodes Per 24 Hours
Time Frame
at week 24 relative to baseline
Secondary Outcome Measure Information:
Title
Numeric Change of Urgency Episodes Per 24 Hours
Time Frame
at week 24 relative to baseline
Title
Change in Total Score of OABSS
Description
Total Score of OABSS(Overactive Bladder Symptom Score) is the sum of 4 questions, ranging from 0 (best possible outcome) to 15 (worst possible outcome)
Time Frame
at week 24 relative to baseline
Title
Change in Score of IPSS
Description
Total Score of IPSS(International Prostate Symptom Score) is the sum of 7 questions, ranging from 0 (best possible outcome) to 35 (worst possible outcome). The 7 symptom questions include feeling of incomplete bladder emptying, frequency, intermittency, urgency, weak stream, straining and nocturia, each referring to during the last month, and each involving assignment of a score from 0 to 5 for a total of maximum 35 points.
Time Frame
at week 24 relative to baseline
Title
Change of PVR
Description
Change from baseline in Post-Void Residual (PVR) volume
Time Frame
at week 24 relative to baseline
Title
Change of Qmax
Description
maximal urinary flow rate (Qmax) assessed by uroflowmetry
Time Frame
at week 24 relative to baseline

10. Eligibility

Sex
Female
Minimum Age & Unit of Time
20 Years
Maximum Age & Unit of Time
70 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Female aged 20 ≤ and < 70 years History of OAB symptoms for ≥ 3 months International Prostate Symptom Score (IPSS) ≥ 8 points at Screening and more than 3 in total score and 2 in Q 3 index from OABSS questionnaire An average of ≥ 8 micturitions per 24 hours and ≥ 1 urgency (defined as a level of 3 to 5 in a 5 point Urinary Sensation Scale) episode (with or without incontinence) per 24 hours as documented in a 3-day micturition diary Exclusion Criteria: Uroflowmetry - Q max ≤ 10 mL/sec, or Post Void Residual Volume ≥ 15% of voided urine Any condition that would contraindicate their usage of anticholinergics or alpha blockers History of lower urinary tract surgery (e.g. incontinence surgery or electrostimulation) History of stress urinary incontinence or urinary retention History of interstitial cystitis, bladder outlet obstruction or other significant genitourinary disorder Pregnant or nursing women Current urinary tract infection Neurological bladder dysfunction Treatment with drugs that may interfere with CYP3A4 metabolic function Significant hepatic or renal disease Any other condition which, in the opinion of the investigator, makes the patient unsuitable for inclusion
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Kwang Woo Lee, Ph.D
Organizational Affiliation
Soonchunhyang University Hospital
Official's Role
Principal Investigator
Facility Information:
Facility Name
Soonchunhyang University Bucheon Hospital
City
Bucheon
State/Province
Gyeonggi-do
ZIP/Postal Code
420-767
Country
Korea, Republic of

12. IPD Sharing Statement

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The Efficacy of Solifenacin With or Without Tamsulosin in Adult Women With Overactive Bladder (OAB)

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