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The purpose of this study was to evaluate the safety and efficacy of mirabegron as add-on therapy in patients with OAB treated with solifenacin.
The total duration of the study was 18 weeks, comprising a 2-week screening period and a 16-week treatment period. Patients meeting the eligibility criteria for provisional enrollment received the study drug for the screening period (solifenacin) at the same dose as that before the start of the study (2.5 or 5 mg), once daily after breakfast orally for 2 weeks. After the screening period, patients meeting the eligibility criteria for formal enrollment received the study drugs for the treatment period (solifenacin 2.5 or 5 mg and mirabegron 25 mg), once daily after breakfast orally for 16 weeks. Mirabegron dose could be increased to 50 mg at week 8 visit if the patients met all of the following criteria: (1) had an inadequate response to mirabegron at the dose of 25 mg; (2) was judged by the investigator or coinvestigator to have no safety concerns; and (3) agreed to increase the dose.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Concomitant Group | Experimental | concomitant administration of mirabegron to solifenacin treated patients |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| mirabegron | Drug | oral |
|
|
| Measure | Description | Time Frame |
|---|---|---|
| Number of Participants With Treatment-Emergent Adverse Events (TEAEs) | TEAEs were defined as AEs observed after the first administration of the study drugs for the treatment period. 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: Affected normal daily activities; Severe: Inability to perform daily activities. A drug-related TEAE was a TEAE with at least a possible relationship to the study drug as assessed by the investigator. | From first dose of study drug up to weeks 16 |
| Measure | Description | Time Frame |
|---|---|---|
| Change From Baseline in OABSS Total Score | The OABSS questionnaire was a questionnaire completed by participants with 4 questions regarding their OAB symptoms. For each participant, the OABSS total score was calculated from the sum total of the score of each question. The total score ranges from 0 to 15 with higher score indicating more symptoms. The OABSS data obtained at week 0 were used as baseline. |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Medical Director | Astellas Pharma Inc | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Chūbu | Japan | |||||
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| Label | URL |
|---|---|
| Link to results on Astellas Clinical Study Results website | View source |
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Participants with overactive bladder (OAB) were enrolled in 29 sites in Japan.
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| ID | Title | Description |
|---|---|---|
| FG000 | Solifenacin 2.5 mg + Mirabegron 25 mg | Participants received solifenacin 2.5 mg and mirabegron 25 mg once daily after breakfast orally for 16 weeks. |
| FG001 | Solifenacin 2.5 mg + Mirabegron 50 mg | Participants received solifenacin 2.5 mg and mirabegron 25 mg once daily after breakfast orally for 8 weeks. In the next 8 weeks, participants continued to receive solifenacin 2.5 mg, but received an increased dose of mirabegron 50 mg. |
| FG002 | Solifenacin 5 mg + Mirabegron 25 mg | Participants received solifenacin 5 mg and mirabegron 25 mg once daily after breakfast orally for 16 weeks. |
| FG003 | Solifenacin 5 mg + Mirabegron 50 mg | Participants received solifenacin 5 mg and mirabegron 25 mg once daily after breakfast orally for 8 weeks. In the next 8 weeks, participants continued to receive solifenacin 5 mg, but received an increased dose of mirabegron 50 mg. |
| Title | Milestones | Reasons Not Completed | ||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Overall Study |
|
|
Safety Analysis Set (SAF). The SAF consisted of participants who received at least 1 dose of the study drug for the treatment period.
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| ID | Title | Description |
|---|---|---|
| BG000 | Solifenacin 2.5 mg + Mirabegron 25 mg | Participants received solifenacin 2.5 mg and mirabegron 25 mg once daily after breakfast orally for 16 weeks. |
| BG001 | Solifenacin 2.5 mg + Mirabegron 50 mg |
| Units | Counts |
|---|---|
| Participants |
|
| Title | Description | Population Description | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Denominator Units Selected | Denominators | Classes |
|---|---|---|---|---|---|---|---|---|---|
| Age, Continuous | Mean |
| 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 | |||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Primary | Number of Participants With Treatment-Emergent Adverse Events (TEAEs) | TEAEs were defined as AEs observed after the first administration of the study drugs for the treatment period. 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: Affected normal daily activities; Severe: Inability to perform daily activities. A drug-related TEAE was a TEAE with at least a possible relationship to the study drug as assessed by the investigator. | SAF | Posted | Count of Participants | Participants | From first dose of study drug up to weeks 16 |
|
From first dose of study drug up to week 16
Safety Analysis Set (SAF). The SAF consisted of participants who received at least 1 dose of the study drug for the treatment period.
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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 | Solifenacin 2.5 mg + Mirabegron 25 mg | Participants received solifenacin 2.5 mg and mirabegron 25 mg once daily after breakfast orally for 16 weeks. |
| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Atrial fibrillation | Cardiac disorders | MedDRA v15.0 | Systematic Assessment |
| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Conjunctival haemorrhage | Eye disorders | MedDRA v15.0 | Systematic Assessment |
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| Title | Organization | Phone | Extension | |
|---|---|---|---|---|
| Medical Director | Astellas Pharma Inc. | +81-3-3244-0512 Ext: | motoko.ida@astellas.com |
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| 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 |
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| ID | Term |
|---|---|
| C520025 | mirabegron |
| D000069464 | Solifenacin Succinate |
| ID | Term |
|---|---|
| D011812 | Quinuclidines |
| D006572 | Heterocyclic Compounds, Bridged-Ring |
| D006571 | Heterocyclic Compounds |
| D044005 | Tetrahydroisoquinolines |
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| solifenacin | Drug | oral |
|
|
| Baseline and week 8, 16 |
| Number of Participants Who Achieved Normalization for OABSS Total Score | Normalization for OABSS Total Score was defined as OABSS total score ≤ 2 or OABSS Question 3 score ≤ 1. | Week 8 and 16 |
| Change From Baseline in Overactive Bladder Questionnaire Short Form (OAB-q SF) Severity Score | The OAB-q SF questionnaire was a questionnaire completed by participants composed of 2 sections: Severity Symptom and the Health-related Quality of Life (HRQL). The Severity Symptom section included 6 questions. For each participant, the symptom severity score was derived as a sum of scores for Questions 1 to 6. The total score ranges from 6 to 36 with higher symptom severity score indicating greater symptom bother. OAB-q SF data obtained at week 0 visit were used as baseline. | Baseline and week 8, 16 |
| Change From Baseline in OAB-q SF Total HRQL Score | The OAB-q SF questionnaire was a questionnaire completed by participants composed of 2 sections: Severity Symptom and the HRQL. The HRQL section included 13 questions. For each participant, the total HRQL score was derived as a sum of scores for Questions 7 to 19. The total score ranges from 13 to 78 with higher total HRQL score indicating greater HRQL. OAB-q SF data obtained at week 0 visit were used as baseline. | Baseline and week 8, 16 |
| Change From Baseline in the Number of Micturitions Per 24 Hours | Participants completed the patient diary (paper document) for 3 days immediately before each visit. The mean number of micturitions per 24 hours was calculated by taking the sum of all marked episodes in the patient diary where the variable "urinated" was indicated, divided by the number of days on which episodes were recorded. | Baseline and week 4, 8, 12, 16 |
| Number for Participants Who Achieved Normalization of the Number of Micturitions Per 24 Hours | Normalization for the mean number of micturitions per 24 hours was defined as < 8 micturitions per 24 hours. | Week 16 |
| Change From Baseline in the Number of Urgency Episodes Per 24 Hours | Participants completed the patient diary (paper document) for 3 days immediately before each visit. An urgency episode was defined as a complaint of a sudden, compelling desire to pass urine, which is difficult to defer. The mean number of urgency episodes per 24 hours was calculated by taking the sum of all marked episodes in the patient diary where the variable "urgency" was indicated, divided by the number of days on which episodes were recorded. Only participants who had an urgency episode at baseline was included in the analysis. | Baseline and week 4, 8, 12, 16 |
| Number for Participants Who Achieved Normalization of the Number of Urgency Episodes Per 24 Hours | Normalization for the mean number of urgency episodes per 24 hours was defined as no urgency episode per 24 hours. | Week 16 |
| Change From Baseline in the Number of Incontinence Episodes Per 24 Hours | Participants completed the patient diary (paper document) for 3 days immediately before each visit. An incontinence episode was defined as the complaint of any involuntary leakage of urine. The mean number of incontinence episodes per 24 hours was calculated by taking the sum of all marked episodes in the patient diary where the variable "urinary incontinence'" was indicated, divided by the number of days on which episodes were recorded. Only participants who had an incontinence episode at baseline was included in the analysis. | Baseline and week 4, 8, 12, 16 |
| Number for Participants Who Achieved Normalization of the Number of Incontinence Episodes Per 24 Hours | Normalization for the mean number of incontinence episodes per 24 hours was defined as no incontinence episode per 24 hours. | Week 16 |
| Change From Baseline in the Number of Urge Incontinence Episodes Per 24 Hours | Participants completed the patient diary (paper document) for 3 days immediately before each visit. An urge incontinence episode was defined as any episode when both urgency and incontinence occurred concurrently. The mean number of incontinence episodes per 24 hours was calculated by taking the sum of all marked episodes in the patient diary where the variable "urgency" and "urinary incontinence'" were indicated, divided by the number of days on which episodes were recorded. Only participants who had an urge incontinence episode at baseline was included in the analysis. | Baseline and week 4, 8, 12, 16 |
| Change From Baseline in the Volume Voided Per Micturition | Participants completed the patient diary (paper document) for 3 days immediately before each visit. The mean volume per micturition was calculated by taking the sum of the urinary volumes where the volume voided was > 0 and where "urinary incontinence" was not indicated in the patient diary, divided by the number of micturitions where the volume voided was > 0 and where "urinary incontinence" was not indicated. Only participants who had volume voided was > 0 at baseline was included in the analysis. | Baseline and week 8, 16 |
| Change From Baseline in the Number of Nocturia Episodes Per Night | Participants completed the patient diary (paper document) for 3 days immediately before each visit. A nocturia episode was defined as waking at night 1 or more times to void. Night time was defined as the period between bedtime and the wake-up time the following day (micturitions at the same time as the wake-up time were excluded). The mean number of nocturia episodes per night was calculated by taking the sum of nocturia episodes in the patient diary where the variable "urinated" was indicated during the night time, divided by the number of nights. Only participants who had a nocturia episode at baseline was included in the analysis. | Baseline and week 4, 8, 12, 16 |
| Change From Baseline in Postvoid Residual (PVR) Volume | Measurement of PVR volume was made using either ultrasonography or urethral catheterization, provided that the same method was used for the same participant throughout the study. | Baseline and week 4, 8, 12, 16 |
| Hokkaido |
| Japan |
| Kansai | Japan |
| Kantou | Japan |
| Kyushu | Japan |
| Adverse Event |
|
| Withdrawal by Subject |
|
| Protocol Violation |
|
| Need Further Examinations Due to Biopsy |
|
| Show no Stable Solifenacin Intake |
|
| Untenable Due to Recurrent Cystitis |
|
Participants received solifenacin 2.5 mg and mirabegron 25 mg once daily after breakfast orally for 8 weeks. In the next 8 weeks, participants continued to receive solifenacin 2.5 mg, but received an increased dose of mirabegron 50 mg.
| BG002 | Solifenacin 5 mg + Mirabegron 25 mg | Participants received solifenacin 5 mg and mirabegron 25 mg once daily after breakfast orally for 16 weeks. |
| BG003 | Solifenacin 5 mg + Mirabegron 50 mg | Participants received solifenacin 5 mg and mirabegron 25 mg once daily after breakfast orally for 8 weeks. In the next 8 weeks, participants continued to receive solifenacin 5 mg, but received an increased dose of mirabegron 50 mg. |
| BG004 | Total | Total of all reporting groups |
| Years |
|
| Sex: Female, Male | Count of Participants | Participants |
|
| Overactive Bladder Symptom Score (OABSS) | The OABSS questionnaire was a questionnaire completed by participants with 4 questions regarding their OAB symptoms. For each participant, the OABSS total score was calculated from the sum total of the score of each question. The total score ranges from 0 to 15 with higher score indicating more symptoms. The OABSS data obtained at week 0 were used as baseline. | Full Analysis Set (FAS). The FAS consisted of participants who received at least 1 dose of the study drug for the treatment period, and who provided evaluable patient diary data for at least 1 efficacy variable, before and after the start of the treatment period. Participants with available data are included in the analysis. | Mean | Standard Deviation | Units on a Scale |
|
| Overactive Bladder questionnaire Short Form (OAB-q SF) Score: Symptom Severity | The OAB-q SF questionnaire was a questionnaire completed by participants composed of 2 sections: Severity Symptom and the Health-related Quality of Life (HRQL). The Severity Symptom section included 6 questions. For each participant, the symptom severity score was derived as a sum of scores for Questions 1 to 6. The total score ranges from 6 to 36 with higher symptom severity score indicating greater symptom bother. OAB-q SF data obtained at week 0 visit were used as baseline. | FAS participants with available data are included in the analysis. | Mean | Standard Deviation | Units on a Scale |
|
| OAB-q SF Score: Total Health-Related Quality of Life (HRQOL) | The OAB-q SF questionnaire was a questionnaire completed by participants composed of 2 sections: Severity Symptom and the HRQL. The HRQL section included 13 questions. For each participant, the total HRQL score was derived as a sum of scores for Questions 7 to 19. The total score ranges from 13 to 78 with higher total HRQL score indicating greater HRQL. OAB-q SF data obtained at week 0 visit were used as baseline. | FAS participants with available data are included in the analysis. | Mean | Standard Deviation | Units on a Scale |
|
| Number of Micturitions per 24 Hours | The mean number of micturitions per 24 hours was calculated by taking the sum of all marked episodes in the patient diary where the variable "urinated" was indicated, divided by the number of days on which episodes were recorded. | FAS participants with available data are included in the analysis. | Mean | Standard Deviation | micturitions |
|
| Number of Urgency Episodes per 24 Hours | An urgency episode was defined as a complaint of a sudden, compelling desire to pass urine, which is difficult to defer. The mean number of urgency episodes per 24 hours was calculated by taking the sum of all marked episodes in the patient diary where the variable "urgency" was indicated, divided by the number of days on which episodes were recorded. Only participants who had an urgency episode at baseline was included in the analysis. | FAS participants with available data are included in the analysis. | Mean | Standard Deviation | urgency episodes |
|
| Number of Incontinence Episodes per 24 Hours | An incontinence episode was defined as the complaint of any involuntary leakage of urine. The mean number of incontinence episodes per 24 hours was calculated by taking the sum of all marked episodes in the patient diary where the variable "urinary incontinence'" was indicated, divided by the number of days on which episodes were recorded. Only participants who had an incontinence episode at baseline was included in the analysis. | FAS participants with available data are included in the analysis. | Mean | Standard Deviation | incontinence episodes |
|
| Number of Urge Incontinence Episodes per 24 Hours | An urge incontinence episode was defined as any episode when both urgency and incontinence occurred concurrently. The mean number of incontinence episodes per 24 hours was calculated by taking the sum of all marked episodes in the patient diary where the variable "urgency" and "urinary incontinence'" were indicated, divided by the number of days on which episodes were recorded. Only participants who had an urge incontinence episode at baseline was included in the analysis. | FAS participants with available data are included in the analysis. | Mean | Standard Deviation | urge incontinence episodes |
|
| Volume Voided per Micturition | The mean volume per micturition was calculated by taking the sum of the urinary volumes where the volume voided was > 0 and where "urinary incontinence" was not indicated in the patient diary, divided by the number of micturitions where the volume voided was > 0 and where "urinary incontinence" was not indicated. Only participants who had volume voided was > 0 at baseline was included in the analysis. | FAS participants with available data are included in the analysis. | Mean | Standard Deviation | mL |
|
| Number of Nocturia Episodes per Night | A nocturia episode was defined as waking at night 1 or more times to void. Night time was defined as the period between bedtime and the wake-up time the following day (micturitions at the same time as the wake-up time were excluded). The mean number of nocturia episodes per night was calculated by taking the sum of nocturia episodes in the patient diary where the variable "urinated" was indicated during the night time, divided by the number of nights. Only participants who had a nocturia episode at baseline was included in the analysis. | FAS participants with available data are included in the analysis. | Mean | Standard Deviation | nocturia episodes |
|
| Postvoid Residual (PVR) Volume | Measurement of PVR volume was made using either ultrasonography or urethral catheterization, provided that the same method was used for the same participant throughout the study. | Mean | Standard Deviation | mL |
|
| OG001 | Solifenacin 2.5 mg + Mirabegron 50 mg | Participants received solifenacin 2.5 mg and mirabegron 25 mg once daily after breakfast orally for 8 weeks. In the next 8 weeks, participants continued to receive solifenacin 2.5 mg, but received an increased dose of mirabegron 50 mg. |
| OG002 | Solifenacin 5 mg + Mirabegron 25 mg | Participants received solifenacin 5 mg and mirabegron 25 mg once daily after breakfast orally for 16 weeks. |
| OG003 | Solifenacin 5 mg + Mirabegron 50 mg | Participants received solifenacin 5 mg and mirabegron 25 mg once daily after breakfast orally for 8 weeks. In the next 8 weeks, participants continued to receive solifenacin 5 mg, but received an increased dose of mirabegron 50 mg. |
|
|
| Secondary | Change From Baseline in OABSS Total Score | The OABSS questionnaire was a questionnaire completed by participants with 4 questions regarding their OAB symptoms. For each participant, the OABSS total score was calculated from the sum total of the score of each question. The total score ranges from 0 to 15 with higher score indicating more symptoms. The OABSS data obtained at week 0 were used as baseline. | FAS participants with available data at each time point are included in the analysis. A last visit analysis (at the end of study) was performed to ensure all patients with postbaseline data were included in the analyses. Last observation carried forward (LOCF) imputation was used for the end of study analysis. | Posted | Mean | Standard Deviation | units on a scale | Baseline and week 8, 16 |
|
|
|
| Secondary | Number of Participants Who Achieved Normalization for OABSS Total Score | Normalization for OABSS Total Score was defined as OABSS total score ≤ 2 or OABSS Question 3 score ≤ 1. | FAS participants with available data at each time point are included in the analysis. A last visit analysis (at the end of study) was performed to ensure all patients with postbaseline data were included in the analyses. Last observation carried forward (LOCF) imputation was used for the end of study analysis. | Posted | Count of Participants | Participants | Week 8 and 16 |
|
|
|
| Secondary | Change From Baseline in Overactive Bladder Questionnaire Short Form (OAB-q SF) Severity Score | The OAB-q SF questionnaire was a questionnaire completed by participants composed of 2 sections: Severity Symptom and the Health-related Quality of Life (HRQL). The Severity Symptom section included 6 questions. For each participant, the symptom severity score was derived as a sum of scores for Questions 1 to 6. The total score ranges from 6 to 36 with higher symptom severity score indicating greater symptom bother. OAB-q SF data obtained at week 0 visit were used as baseline. | FAS participants with available data at each time point are included in the analysis. A last visit analysis (at the end of study) was performed to ensure all patients with postbaseline data were included in the analyses. Last observation carried forward (LOCF) imputation was used for the end of study analysis. | Posted | Mean | Standard Deviation | units on a scale | Baseline and week 8, 16 |
|
|
|
| Secondary | Change From Baseline in OAB-q SF Total HRQL Score | The OAB-q SF questionnaire was a questionnaire completed by participants composed of 2 sections: Severity Symptom and the HRQL. The HRQL section included 13 questions. For each participant, the total HRQL score was derived as a sum of scores for Questions 7 to 19. The total score ranges from 13 to 78 with higher total HRQL score indicating greater HRQL. OAB-q SF data obtained at week 0 visit were used as baseline. | FAS participants with available data at each time point are included in the analysis. A last visit analysis (at the end of study) was performed to ensure all patients with postbaseline data were included in the analyses. Last observation carried forward (LOCF) imputation was used for the end of study analysis. | Posted | Mean | Standard Deviation | units on a scale | Baseline and week 8, 16 |
|
|
|
| Secondary | Change From Baseline in the Number of Micturitions Per 24 Hours | Participants completed the patient diary (paper document) for 3 days immediately before each visit. The mean number of micturitions per 24 hours was calculated by taking the sum of all marked episodes in the patient diary where the variable "urinated" was indicated, divided by the number of days on which episodes were recorded. | FAS participants with available data at each time point are included in the analysis. A last visit analysis (at the end of study) was performed to ensure all patients with postbaseline data were included in the analyses. Last observation carried forward (LOCF) imputation was used for the end of study analysis. | Posted | Mean | Standard Deviation | micturitions | Baseline and week 4, 8, 12, 16 |
|
|
|
| Secondary | Number for Participants Who Achieved Normalization of the Number of Micturitions Per 24 Hours | Normalization for the mean number of micturitions per 24 hours was defined as < 8 micturitions per 24 hours. | FAS participants with available data at each time point are included in the analysis. A last visit analysis (at the end of study) was performed to ensure all patients with postbaseline data were included in the analyses. Last observation carried forward (LOCF) imputation was used for the end of study analysis. | Posted | Count of Participants | Participants | Week 16 |
|
|
|
| Secondary | Change From Baseline in the Number of Urgency Episodes Per 24 Hours | Participants completed the patient diary (paper document) for 3 days immediately before each visit. An urgency episode was defined as a complaint of a sudden, compelling desire to pass urine, which is difficult to defer. The mean number of urgency episodes per 24 hours was calculated by taking the sum of all marked episodes in the patient diary where the variable "urgency" was indicated, divided by the number of days on which episodes were recorded. Only participants who had an urgency episode at baseline was included in the analysis. | FAS participants with available data at each time point are included in the analysis. A last visit analysis (at the end of study) was performed to ensure all patients with postbaseline data were included in the analyses. Last observation carried forward (LOCF) imputation was used for the end of study analysis. | Posted | Mean | Standard Deviation | urgency episodes | Baseline and week 4, 8, 12, 16 |
|
|
|
| Secondary | Number for Participants Who Achieved Normalization of the Number of Urgency Episodes Per 24 Hours | Normalization for the mean number of urgency episodes per 24 hours was defined as no urgency episode per 24 hours. | FAS participants with available data at each time point are included in the analysis. A last visit analysis (at the end of study) was performed to ensure all patients with postbaseline data were included in the analyses. Last observation carried forward (LOCF) imputation was used for the end of study analysis. | Posted | Count of Participants | Participants | Week 16 |
|
|
|
| Secondary | Change From Baseline in the Number of Incontinence Episodes Per 24 Hours | Participants completed the patient diary (paper document) for 3 days immediately before each visit. An incontinence episode was defined as the complaint of any involuntary leakage of urine. The mean number of incontinence episodes per 24 hours was calculated by taking the sum of all marked episodes in the patient diary where the variable "urinary incontinence'" was indicated, divided by the number of days on which episodes were recorded. Only participants who had an incontinence episode at baseline was included in the analysis. | FAS participants with available data at each time point are included in the analysis. A last visit analysis (at the end of study) was performed to ensure all patients with postbaseline data were included in the analyses. Last observation carried forward (LOCF) imputation was used for the end of study analysis. | Posted | Mean | Standard Deviation | incontinence episodes | Baseline and week 4, 8, 12, 16 |
|
|
|
| Secondary | Number for Participants Who Achieved Normalization of the Number of Incontinence Episodes Per 24 Hours | Normalization for the mean number of incontinence episodes per 24 hours was defined as no incontinence episode per 24 hours. | FAS participants with available data at each time point are included in the analysis. A last visit analysis (at the end of study) was performed to ensure all patients with postbaseline data were included in the analyses. Last observation carried forward (LOCF) imputation was used for the end of study analysis. | Posted | Count of Participants | Participants | Week 16 |
|
|
|
| Secondary | Change From Baseline in the Number of Urge Incontinence Episodes Per 24 Hours | Participants completed the patient diary (paper document) for 3 days immediately before each visit. An urge incontinence episode was defined as any episode when both urgency and incontinence occurred concurrently. The mean number of incontinence episodes per 24 hours was calculated by taking the sum of all marked episodes in the patient diary where the variable "urgency" and "urinary incontinence'" were indicated, divided by the number of days on which episodes were recorded. Only participants who had an urge incontinence episode at baseline was included in the analysis. | FAS participants with available data at each time point are included in the analysis. A last visit analysis (at the end of study) was performed to ensure all patients with postbaseline data were included in the analyses. Last observation carried forward (LOCF) imputation was used for the end of study analysis. | Posted | Mean | Standard Deviation | urge incontinence episodes | Baseline and week 4, 8, 12, 16 |
|
|
|
| Secondary | Change From Baseline in the Volume Voided Per Micturition | Participants completed the patient diary (paper document) for 3 days immediately before each visit. The mean volume per micturition was calculated by taking the sum of the urinary volumes where the volume voided was > 0 and where "urinary incontinence" was not indicated in the patient diary, divided by the number of micturitions where the volume voided was > 0 and where "urinary incontinence" was not indicated. Only participants who had volume voided was > 0 at baseline was included in the analysis. | FAS participants with available data at each time point are included in the analysis. A last visit analysis (at the end of study) was performed to ensure all patients with postbaseline data were included in the analyses. Last observation carried forward (LOCF) imputation was used for the end of study analysis. | Posted | Mean | Standard Deviation | mL | Baseline and week 8, 16 |
|
|
|
| Secondary | Change From Baseline in the Number of Nocturia Episodes Per Night | Participants completed the patient diary (paper document) for 3 days immediately before each visit. A nocturia episode was defined as waking at night 1 or more times to void. Night time was defined as the period between bedtime and the wake-up time the following day (micturitions at the same time as the wake-up time were excluded). The mean number of nocturia episodes per night was calculated by taking the sum of nocturia episodes in the patient diary where the variable "urinated" was indicated during the night time, divided by the number of nights. Only participants who had a nocturia episode at baseline was included in the analysis. | FAS participants with available data at each time point are included in the analysis. A last visit analysis (at the end of study) was performed to ensure all patients with postbaseline data were included in the analyses. Last observation carried forward (LOCF) imputation was used for the end of study analysis. | Posted | Mean | Standard Deviation | nocturia episodes | Baseline and week 4, 8, 12, 16 |
|
|
|
| Secondary | Change From Baseline in Postvoid Residual (PVR) Volume | Measurement of PVR volume was made using either ultrasonography or urethral catheterization, provided that the same method was used for the same participant throughout the study. | SAF | Posted | Mean | Standard Deviation | mL | Baseline and week 4, 8, 12, 16 |
|
|
|
| 0 |
| 35 |
| 1 |
| 35 |
| 23 |
| 35 |
| EG001 | Solifenacin 2.5 mg + Mirabegron 50 mg | Participants received solifenacin 2.5 mg and mirabegron 25 mg once daily after breakfast orally for 8 weeks. In the next 8 weeks, participants continued to receive solifenacin 2.5 mg, but received an increased dose of mirabegron 50 mg. | 0 | 37 | 1 | 37 | 21 | 37 |
| EG002 | Solifenacin 5 mg + Mirabegron 25 mg | Participants received solifenacin 5 mg and mirabegron 25 mg once daily after breakfast orally for 16 weeks. | 0 | 58 | 5 | 58 | 39 | 58 |
| EG003 | Solifenacin 5 mg + Mirabegron 50 mg | Participants received solifenacin 5 mg and mirabegron 25 mg once daily after breakfast orally for 8 weeks. In the next 8 weeks, participants continued to receive solifenacin 5 mg, but received an increased dose of mirabegron 50 mg. | 0 | 93 | 4 | 93 | 67 | 93 |
| Foot fracture | Injury, poisoning and procedural complications | MedDRA v15.0 | Systematic Assessment |
|
| Laceration | Injury, poisoning and procedural complications | MedDRA v15.0 | Systematic Assessment |
|
| Patella fracture | Injury, poisoning and procedural complications | MedDRA v15.0 | Systematic Assessment |
|
| Rib fracture | Injury, poisoning and procedural complications | MedDRA v15.0 | Systematic Assessment |
|
| Blood pressure increased | Investigations | MedDRA v15.0 | Systematic Assessment |
|
| Blood urea increased | Investigations | MedDRA v15.0 | Systematic Assessment |
|
| ECG ST segment depression | Investigations | MedDRA v15.0 | Systematic Assessment |
|
| Polymyalgia rheumatica | Musculoskeletal and connective tissue disorders | MedDRA v15.0 | Systematic Assessment |
|
| Urticaria | Skin and subcutaneous tissue disorders | MedDRA v15.0 | Systematic Assessment |
|
| Dry eye | Eye disorders | MedDRA v15.0 | Systematic Assessment |
|
| Abdominal discomfort | Gastrointestinal disorders | MedDRA v15.0 | Systematic Assessment |
|
| Abdominal distension | Gastrointestinal disorders | MedDRA v15.0 | Systematic Assessment |
|
| Constipation | Gastrointestinal disorders | MedDRA v15.0 | Systematic Assessment |
|
| Diarrhoea | Gastrointestinal disorders | MedDRA v15.0 | Systematic Assessment |
|
| Gastrooesophageal reflux disease | Gastrointestinal disorders | MedDRA v15.0 | Systematic Assessment |
|
| Thirst | General disorders | MedDRA v15.0 | Systematic Assessment |
|
| Cystitis | Infections and infestations | MedDRA v15.0 | Systematic Assessment |
|
| Gastroenteritis | Infections and infestations | MedDRA v15.0 | Systematic Assessment |
|
| Pharyngitis | Infections and infestations | MedDRA v15.0 | Systematic Assessment |
|
| Urinary tract infection | Infections and infestations | MedDRA v15.0 | Systematic Assessment |
|
| Thermal burn | Injury, poisoning and procedural complications | MedDRA v15.0 | Systematic Assessment |
|
| Alanine aminotransferase increased | Investigations | MedDRA v15.0 | Systematic Assessment |
|
| Aspartate aminotransferase increased | Investigations | MedDRA v15.0 | Systematic Assessment |
|
| Blood alkaline phosphatase increased | Investigations | MedDRA v15.0 | Systematic Assessment |
|
| Blood bilirubin increased | Investigations | MedDRA v15.0 | Systematic Assessment |
|
| Blood cholesterol increased | Investigations | MedDRA v15.0 | Systematic Assessment |
|
| Blood creatine phosphokinase increased | Investigations | MedDRA v15.0 | Systematic Assessment |
|
| Blood creatinine increased | Investigations | MedDRA v15.0 | Systematic Assessment |
|
| Blood potassium increased | Investigations | MedDRA v15.0 | Systematic Assessment |
|
| Blood pressure increased | Investigations | MedDRA v15.0 | Systematic Assessment |
|
| Blood urea increased | Investigations | MedDRA v15.0 | Systematic Assessment |
|
| Blood uric acid decreased | Investigations | MedDRA v15.0 | Systematic Assessment |
|
| Gamma-glutamyltransferase increased | Investigations | MedDRA v15.0 | Systematic Assessment |
|
| Glucose urine present | Investigations | MedDRA v15.0 | Systematic Assessment |
|
| Platelet count increased | Investigations | MedDRA v15.0 | Systematic Assessment |
|
| Protein urine present | Investigations | MedDRA v15.0 | Systematic Assessment |
|
| Urinary sediment abnormal | Investigations | MedDRA v15.0 | Systematic Assessment |
|
| White blood cell count decreased | Investigations | MedDRA v15.0 | Systematic Assessment |
|
| White blood cell count increased | Investigations | MedDRA v15.0 | Systematic Assessment |
|
| White blood cells urine positive | Investigations | MedDRA v15.0 | Systematic Assessment |
|
| Musculoskeletal stiffness | Musculoskeletal and connective tissue disorders | MedDRA v15.0 | Systematic Assessment |
|
| Dizziness | Nervous system disorders | MedDRA v15.0 | Systematic Assessment |
|
| Headache | Nervous system disorders | MedDRA v15.0 | Systematic Assessment |
|
| Upper respiratory tract inflammation | Respiratory, thoracic and mediastinal disorders | MedDRA v15.0 | Systematic Assessment |
|
| Hypertension | Vascular disorders | MedDRA v15.0 | Systematic Assessment |
|
| Dry Mouth | Gastrointestinal disorders | MedDRA v15.0 | Systematic Assessment |
|
| Nasopharyngitis | Infections and infestations | MedDRA v15.0 | Systematic Assessment |
|
| Somnolence | Nervous system disorders | MedDRA v15.0 | Systematic Assessment |
|
Institute and/or Principal Investigator may publish trial data generated at their specific study site after Sponsor publication of the multi center data. Sponsor must receive a site's manuscript prior to publication for review and comment.
| 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 |
| D007546 | Isoquinolines |
| D006574 | Heterocyclic Compounds, 2-Ring |
| D000072471 | Heterocyclic Compounds, Fused-Ring |
| Male |
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