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This study will investigate the safety and efficacy of Sanctura XR (trospium chloride) daily in reducing urgency, urinary frequency and urinary urge incontinence in female patients with incontinence refractory to Detrol LA (tolterodine tartrate extended release) 4 mg therapy.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Sanctura XR® | Experimental | Sanctura XR® (trospium chloride) 60 mg once daily on an empty stomach for 14 weeks. |
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| Placebo | Placebo Comparator | Placebo once daily on an empty stomach for 14 weeks. |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| trospium chloride | Drug | Sanctura XR® (trospium chloride) 60 mg once daily on an empty stomach for 14 weeks |
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| Measure | Description | Time Frame |
|---|---|---|
| Percentage of Patients Continent (PPC) | PPC is the percentage of patients with complete continence (without any urgency urinary incontinence episodes) during the 3-day bladder diary period associated with the Week 14 visit. | Week 14 |
| Measure | Description | Time Frame |
|---|---|---|
| Change From Baseline in Continent Days Per Week (CDW) | Continent Days per Week is the average of the number of times an individual has no incontinence episodes in a day within the 3-day collection period calculated as 7 x (number of dry days within the 3-day diary period) divided by the number of valid diary days with at least one valid bladder diary entry during the 3-day period. A positive change from Baseline (more continent/fewer incontinent days per week ) indicated improvement. |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Medical Director | Allergan | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| La Mesa | California | United States |
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| ID | Title | Description |
|---|---|---|
| FG000 | Sanctura XR® | Sanctura XR® (trospium chloride) 60 mg once daily on an empty stomach for 14 weeks. |
| FG001 | Placebo | Placebo once daily on an empty stomach for 14 weeks. |
| Title | Milestones | Reasons Not Completed | |||||
|---|---|---|---|---|---|---|---|
| Overall Study |
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| placebo | Drug | Placebo once daily on an empty stomach for 14 weeks. |
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| Baseline, Week 14 |
| Change From Baseline in Nocturic Toilet Voids | A nocturic (nighttime) toilet void is identified if the patient marks "Yes" for both Toilet Voiding and Sleep Interruption in the 3-day bladder diary. The daily average number of nocturic toilet voids is obtained as the sum of all nighttime toilet voids over the 3-day bladder diary period divided by number of valid diary days with at least one valid bladder diary entry during the 3-day period. A negative change from Baseline (fewer nocturic toilet voids) indicated improvement. | Baseline, Week 14 |
| Change From Baseline in Urgency-Related Toilet Voids | Urgency-related toilet void (or urinary urgency) is identified if the patient marks "Yes" for both Urgency Association Void and Toilet Voiding in the 3-day bladder diary. The daily average number of urgency-related voids is calculated as the sum of all urgency episodes over the 3-day bladder diary period divided by the number of valid diary days with at least one valid bladder diary entry during the 3-day period. A negative change from Baseline (fewer urgency related toilet voids) indicated improvement. | Baseline, Week 14 |
| Change From Baseline in Daily Average Overactive Bladder-Symptom Composite Score (OAB-SCS) | The OAB-SCS is derived from the 3-day bladder diary which includes: 1) 24-hour voiding frequency; 2) the Indevus Urgency Severity Scale (IUSS) Score (0=no urgency, 1=aware of urgency but is tolerable, 2=urgency discomfort interferes with activities/tasks, 3=extreme urgency discomfort that abruptly stops activities/tasks associated with each toilet void); and 3) the frequency of Urgency Urinary Incontinence episodes. Each toilet void is then assigned a point value from 1 (IUSS Score=0) to 5 (UUI episode not associated with a toilet void). The daily average OAB-SCS is then calculated based on the diary entries and assigned point values. The lowest possible daily average OAB-SCS is 0 (corresponding to no urgency in every void). There is no upper limit since the score is based on the number of voids per day. Scores <= 30 indicate mild OAB, scores > 30 to 39 indicate moderate OAB, and scores >= 40 indicate severe OAB. A negative change from Baseline indicated improvement. | Baseline, Week 14 |
| Change From Baseline in Voided Volume | Average volume of urine voided per toilet void is calculated by total volume collected in a 24-hour diary period divided by the number of individual entries of volume voided in that period. A positive change from Baseline (greater volume voided) indicated improvement. A negative change from Baseline (less volume voided) indicated a worsening. | Baseline, Week 14 |
| Change From Baseline in Urgency Severity | The urgency severity per toilet void is based on the Indevus Urgency Severity Scale (IUSS). The patient recorded urinary urgency severity in a 3-day bladder diary using a 4-point scale: 0=None-no urgency (best), 1=Slight-aware of urgency but is tolerable, 2=Moderate-urgency discomfort interferes with activities/tasks, 3=Severe-extreme urgency discomfort that abruptly stops activities/tasks (worst). Urgency Severity is calculated as the sum of all IUSS scores during the 3-day diary period divided by the number of toilet voids recorded during that period. A negative change from Baseline indicated improvement. | Baseline, Week 14 |
| Change From Baseline in Urgency Urinary Incontinence (UUI) | Urgency urinary incontinence is identified if the patient marks "Yes" for both Accidental Leakage and Urgency Associated Void in the 3-day bladder diary, and the Urgency Severity score is ≥ 1. Average daily episodes of UUI is calculated as the sum of all UUI episodes over 3-day diary period divided by the number of valid diary days with at least one valid bladder diary entry during the 3-day period. A negative change from Baseline indicated improvement. | Baseline, Week 14 |
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| NOT COMPLETED |
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| ID | Title | Description |
|---|---|---|
| BG000 | Sanctura XR® | Sanctura XR® (trospium chloride) 60 mg once daily on an empty stomach for 14 weeks. |
| BG001 | Placebo | Placebo once daily on an empty stomach for 14 weeks. |
| BG002 | Total | Total of all reporting groups |
| Units | Counts |
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| Participants |
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| Title | Description | Population Description | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Denominator Units Selected | Denominators | Classes | ||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Age Continuous | Mean | Full Range | Years |
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| Sex: Female, Male | Count of Participants | Participants |
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| Type | Title | Description | Population Description | Reporting Status | Anticipated Posting Date | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Time Frame | Units Analyzed | Denominator Units Selected | Arm/Group Information | Denominators | Classes | Analyses | |||||||||||||||||||||||
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| Primary | Percentage of Patients Continent (PPC) | PPC is the percentage of patients with complete continence (without any urgency urinary incontinence episodes) during the 3-day bladder diary period associated with the Week 14 visit. | Modified intent-to-treat population included all randomized participants who were incontinent at Baseline with at least one urinary episode marked "Yes" for both Accidental leakage and Urgency associated void, and an Urgency severity rating ≥ 1 in the bladder diary. | Posted | Number | Percentage of participants | Week 14 |
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| Secondary | Change From Baseline in Continent Days Per Week (CDW) | Continent Days per Week is the average of the number of times an individual has no incontinence episodes in a day within the 3-day collection period calculated as 7 x (number of dry days within the 3-day diary period) divided by the number of valid diary days with at least one valid bladder diary entry during the 3-day period. A positive change from Baseline (more continent/fewer incontinent days per week ) indicated improvement. | Modified intent-to-treat population included all randomized participants who were incontinent at Baseline with at least one urinary episode marked "Yes" for both Accidental leakage and Urgency associated void, and an Urgency severity rating ≥ 1 in the bladder diary. | Posted | Mean | Standard Deviation | Continent days per week | Baseline, Week 14 |
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| Secondary | Change From Baseline in Nocturic Toilet Voids | A nocturic (nighttime) toilet void is identified if the patient marks "Yes" for both Toilet Voiding and Sleep Interruption in the 3-day bladder diary. The daily average number of nocturic toilet voids is obtained as the sum of all nighttime toilet voids over the 3-day bladder diary period divided by number of valid diary days with at least one valid bladder diary entry during the 3-day period. A negative change from Baseline (fewer nocturic toilet voids) indicated improvement. | Modified intent-to-treat population included all randomized participants who were incontinent at Baseline with at least one urinary episode marked "Yes" for both Accidental leakage and Urgency associated void, and an Urgency severity rating ≥ 1 in the bladder diary. | Posted | Mean | Standard Deviation | Nocturic toilet void | Baseline, Week 14 |
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| Secondary | Change From Baseline in Urgency-Related Toilet Voids | Urgency-related toilet void (or urinary urgency) is identified if the patient marks "Yes" for both Urgency Association Void and Toilet Voiding in the 3-day bladder diary. The daily average number of urgency-related voids is calculated as the sum of all urgency episodes over the 3-day bladder diary period divided by the number of valid diary days with at least one valid bladder diary entry during the 3-day period. A negative change from Baseline (fewer urgency related toilet voids) indicated improvement. | Modified intent-to-treat population included all randomized participants who were incontinent at Baseline with at least one urinary episode marked "Yes" for both Accidental leakage and Urgency associated void, and an Urgency severity rating ≥ 1 in the bladder diary. | Posted | Mean | Standard Deviation | Toilet void | Baseline, Week 14 |
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| Secondary | Change From Baseline in Daily Average Overactive Bladder-Symptom Composite Score (OAB-SCS) | The OAB-SCS is derived from the 3-day bladder diary which includes: 1) 24-hour voiding frequency; 2) the Indevus Urgency Severity Scale (IUSS) Score (0=no urgency, 1=aware of urgency but is tolerable, 2=urgency discomfort interferes with activities/tasks, 3=extreme urgency discomfort that abruptly stops activities/tasks associated with each toilet void); and 3) the frequency of Urgency Urinary Incontinence episodes. Each toilet void is then assigned a point value from 1 (IUSS Score=0) to 5 (UUI episode not associated with a toilet void). The daily average OAB-SCS is then calculated based on the diary entries and assigned point values. The lowest possible daily average OAB-SCS is 0 (corresponding to no urgency in every void). There is no upper limit since the score is based on the number of voids per day. Scores <= 30 indicate mild OAB, scores > 30 to 39 indicate moderate OAB, and scores >= 40 indicate severe OAB. A negative change from Baseline indicated improvement. | Modified intent-to-treat population included all randomized participants who were incontinent at Baseline with at least one urinary episode marked "Yes" for both Accidental leakage and Urgency associated void, and an Urgency severity rating ≥ 1 in the bladder diary. | Posted | Mean | Standard Deviation | Score on a scale | Baseline, Week 14 |
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| Secondary | Change From Baseline in Voided Volume | Average volume of urine voided per toilet void is calculated by total volume collected in a 24-hour diary period divided by the number of individual entries of volume voided in that period. A positive change from Baseline (greater volume voided) indicated improvement. A negative change from Baseline (less volume voided) indicated a worsening. | Modified intent-to-treat population included all randomized participants who were incontinent at Baseline with at least one urinary episode marked "Yes" for both Accidental leakage and Urgency associated void, and an Urgency severity rating ≥ 1 in the bladder diary. | Posted | Mean | Standard Deviation | cubic centimeters (cc) | Baseline, Week 14 |
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| Secondary | Change From Baseline in Urgency Severity | The urgency severity per toilet void is based on the Indevus Urgency Severity Scale (IUSS). The patient recorded urinary urgency severity in a 3-day bladder diary using a 4-point scale: 0=None-no urgency (best), 1=Slight-aware of urgency but is tolerable, 2=Moderate-urgency discomfort interferes with activities/tasks, 3=Severe-extreme urgency discomfort that abruptly stops activities/tasks (worst). Urgency Severity is calculated as the sum of all IUSS scores during the 3-day diary period divided by the number of toilet voids recorded during that period. A negative change from Baseline indicated improvement. | Modified intent-to-treat population included all randomized participants who were incontinent at Baseline with at least one urinary episode marked "Yes" for both Accidental leakage and Urgency associated void, and an Urgency severity rating ≥ 1 in the bladder diary. | Posted | Mean | Standard Deviation | Score on a scale | Baseline, Week 14 |
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| Secondary | Change From Baseline in Urgency Urinary Incontinence (UUI) | Urgency urinary incontinence is identified if the patient marks "Yes" for both Accidental Leakage and Urgency Associated Void in the 3-day bladder diary, and the Urgency Severity score is ≥ 1. Average daily episodes of UUI is calculated as the sum of all UUI episodes over 3-day diary period divided by the number of valid diary days with at least one valid bladder diary entry during the 3-day period. A negative change from Baseline indicated improvement. | Modified intent-to-treat population included all randomized participants who were incontinent at Baseline with at least one urinary episode marked "Yes" for both Accidental leakage and Urgency associated void, and an Urgency severity rating ≥ 1 in the bladder diary. | Posted | Mean | Standard Deviation | UUI episodes | Baseline, Week 14 |
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The safety population (all participants who took at least 1 dose of study medication) was used to calculate the number of participants at risk for Serious Adverse Events and Adverse Events.
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| ID | Title | Description | Deaths (Affected) | Deaths (At Risk) | Serious Events (Affected) | Serious Events (At Risk) | Other Events (Affected) | Other Events (At Risk) |
|---|---|---|---|---|---|---|---|---|
| EG000 | Sanctura XR® | Sanctura XR® (trospium chloride) 60 mg once daily on an empty stomach for 14 weeks. | 2 | 162 | 20 | 162 | ||
| EG001 | Placebo | Placebo once daily on an empty stomach for 14 weeks. | 3 | 158 | 8 | 158 |
| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Anaemia | Blood and lymphatic system disorders | MedDRA 15.1 | Systematic Assessment |
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| Pericardial effusion | Cardiac disorders | MedDRA 15.1 | Systematic Assessment |
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| Gastrooesophageal reflux disease | Gastrointestinal disorders | MedDRA 15.1 | Systematic Assessment |
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| Gastroenteritis | Infections and infestations | MedDRA 15.1 | Systematic Assessment |
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| Pyelonephritis acute | Infections and infestations | MedDRA 15.1 | Systematic Assessment |
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| Diabetes mellitus | Metabolism and nutrition disorders | MedDRA 15.1 | Systematic Assessment |
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| Chronic obstructive pulmonary disease | Respiratory, thoracic and mediastinal disorders | MedDRA 15.1 | Systematic Assessment |
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| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Dry mouth | Gastrointestinal disorders | MedDRA 15.1 | Non-systematic Assessment |
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| Constipation | Gastrointestinal disorders | MedDRA 15.1 | Non-systematic Assessment |
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A disclosure restriction on the PI is that the sponsor can review results communications prior to public release and can embargo communications regarding trial results for a period that is less than or equal to 90 days from the time submitted to the sponsor for review. The sponsor cannot require changes to the communication and cannot extend the embargo.
| Title | Organization | Phone | Extension | |
|---|---|---|---|---|
| Vice President Medical Affairs, | Allergan, Inc | 714-246-4500 | clinicaltrials@allergan.com |
| ID | Term |
|---|---|
| D053201 | Urinary Bladder, Overactive |
| ID | Term |
|---|---|
| D001745 | Urinary Bladder Diseases |
| D014570 | Urologic Diseases |
| D052776 | Female Urogenital Diseases |
| D005261 | Female Urogenital Diseases and Pregnancy Complications |
| D000091642 | Urogenital Diseases |
| D052801 | Male Urogenital Diseases |
| D059411 | Lower Urinary Tract Symptoms |
| D020924 | Urological Manifestations |
| D012816 | Signs and Symptoms |
| D013568 | Pathological Conditions, Signs and Symptoms |
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| ID | Term |
|---|---|
| C003330 | trospium chloride |
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Placebo once daily on an empty stomach for 14 weeks. |
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