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| ID | Type | Description | Link |
|---|---|---|---|
| 2015-003471-30 | EudraCT Number |
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Low recruitment of patients
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The purpose of this study is to provide confirmatory evidence of the safety and efficacy of two Dysport® (AbobotulinumtoxinA) doses (600 units [U] and 800 U), compared to placebo in reducing urinary incontinence (UI) in adult subjects treated for neurogenic detrusor overactivity (NDO) due to spinal cord injury (SCI) or multiple sclerosis (MS).
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| 600 U Dysport® Group | Experimental |
| |
| 600 U Dysport® Placebo Group | Placebo Comparator |
| |
| 800 U Dysport® Group | Experimental |
| |
| 800 U Dysport® Placebo Group | Placebo Comparator |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Botulinum toxin type A | Biological | 600 U intra detrusor injection in two treatment periods (Initial and Retreatment phase) delivered at 30 injection points |
|
| Measure | Description | Time Frame |
|---|---|---|
| Mean Change From Baseline in Weekly Number of UI Episodes at Week 6 of DBPC Cycle | The weekly number of UI episodes was measured using a 7-day bladder diary. Bladder diaries that contained data recorded on at least 5 days were included in the analysis. The least square (LS) mean of the change in weekly number of UI episodes at 6 weeks after the first study treatment was calculated using a mixed model repeated measures (MMRM) analysis. | Baseline and Week 6 of DBPC Cycle |
| Measure | Description | Time Frame |
|---|---|---|
| Mean Change From Baseline in Maximum Cystometric Capacity (MCC) at Week 6 of DBPC Cycle | All subjects had a standardised urodynamic (filling cystometry) assessment at baseline (screening) and again at Week 6 to determine the MCC. The LS mean of the change in MCC at 6 weeks after the first study treatment was calculated using an analysis of covariance (ANCOVA). | Baseline and Week 6 of DBPC Cycle |
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Key Inclusion Criteria:
Key Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Ipsen Medical Director | Ipsen | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| UAB School of Medicine Spain Rehabilitation Center (SRC) | Birmingham | Alabama | 35249 | United States | ||
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 35400537 | Derived | Kennelly M, Cruz F, Herschorn S, Abrams P, Onem K, Solomonov VK, Del Rosario Figueroa Coz E, Manu-Marin A, Giannantoni A, Thompson C, Vilain C, Volteau M, Denys P; Dysport CONTENT Program Group. Efficacy and Safety of AbobotulinumtoxinA in Patients with Neurogenic Detrusor Overactivity Incontinence Performing Regular Clean Intermittent Catheterization: Pooled Results from Two Phase 3 Randomized Studies (CONTENT1 and CONTENT2). Eur Urol. 2022 Aug;82(2):223-232. doi: 10.1016/j.eururo.2022.03.010. Epub 2022 Apr 7. |
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Qualified researchers may request access to patient level data and related study documents including the clinical study report, study protocol with any amendments, annotated case report form, statistical analysis plan, and dataset specifications. Patient level data will be anonymized, and study documents will be redacted to protect the privacy of study participants.
Any requests should be submitted to www.vivli.org for assessment by an independent scientific review board.
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Where applicable, data from eligible studies are available 6 months after the studied medicine and indication have been approved in the US and EU or after the primary manuscript describing the results has been accepted for publication, whichever is later.
Further details on Ipsen's sharing criteria, eligible studies and process for sharing are available here (https://vivli.org/members/ourmembers/).
Subjects were randomised to 1 of 4 sequences: A) placebo in a double blind placebo controlled (DBPC) cycle then Dysport® 600 Units (U) in subsequent double blind cycles: B) placebo in DBPC cycle then Dysport® 800 U in subsequent cycles: C) Dysport® 600 U in all cycles: D) Dysport® 800 U in all cycles. The minimum re-treatment interval was 12 weeks.
A total of 227 subjects with urinary incontinence (UI) caused by neurogenic detrusor overactivity (NDO) due to spinal cord injury (SCI) or multiple sclerosis (MS) were randomised at 64 study sites worldwide. One randomised subject was not eligible for entry and did not receive treatment. Hence, 226 subjects were randomised and treated during the study. The study was terminated early by the sponsor due to lack of recruitment.
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| ID | Title | Description |
|---|---|---|
| FG000 | Placebo | Subjects were administered placebo on Day 1 of the DBPC cycle. All study treatments were injected into the detrusor muscle via cystoscopy in a total volume of 15 millilitres (mL) divided into 30 injection points of 0.5 mL each. Subjects were followed-up by telephone at Week 1 and Week 4; and attended clinic visits at Week 2, Week 6 (primary study timepoint), and Week 12. Thereafter telephone visits were scheduled every 12 weeks until end of study, or until retreatment was required. |
| Title | Milestones | Reasons Not Completed | ||||
|---|---|---|---|---|---|---|
| Overall Study |
|
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| Type | Includes Protocol | Includes SAP | Includes ICF | Document Label | Document Date | Document Uploaded Date | Document File Name |
|---|---|---|---|---|---|---|---|
| Prot | Yes | No | No | Study Protocol | Apr 16, 2018 | Apr 7, 2021 |
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|
| Botulinum toxin type A | Biological | 800 U intra detrusor injection in two treatment periods (Initial and Retreatment phase) delivered at 30 injection points |
|
|
| Placebo | Drug | AbobotulinumtoxinA Placebo 600 U intra detrusor injection in two treatment periods (Initial and Retreatment phase) delivered at 30 injection points |
|
| Placebo | Drug | AbobotulinumtoxinA Placebo 800 U intra detrusor injection in two treatment periods (Initial and Retreatment phase) delivered at 30 injection points |
|
| Mean Change From Baseline in Maximum Detrusor Pressure (MDP) at Week 6 of DBPC Cycle | All subjects had a standardised urodynamic filling cystometry assessment at baseline (screening) and again at Week 6 to determine the MDP. The LS mean of the change in MDP at 6 weeks after the first study treatment was calculated using an ANCOVA. | Baseline and Week 6 of DBPC Cycle |
| Mean Change From Baseline in Volume at First Involuntary Detrusor Contraction (Vol@1stIDC) at Week 6 of DBPC Cycle | All subjects had a standardised urodynamic (filling cystometry) assessment at baseline (screening) and again at Week 6 to determine the Vol@1stIDC which is the instilled volume when first IDC commences. Subjects who did not exhibit a post-treatment IDC at Week 6 had Vol@1stIDC imputed using the recorded corrected MCC volume at Week 6. The LS mean of the change in Vol@1stIDC at 6 weeks after the first study treatment was calculated using an ANCOVA. | Baseline and Week 6 of DBPC Cycle |
| Number of Subjects With No Episodes of UI at Week 6 of DBPC Cycle | The weekly number of UI episodes was measured using a 7-day bladder diary. Bladder diaries that contained data recorded on at least 5 days were included in the analysis. The number of subjects with no UI episodes at 6 weeks after the first study treatment was recorded and the percentage of subjects was also calculated from the total number of subjects with any number of UI events at Week 6. | Baseline and Week 6 of DBPC Cycle |
| Number of Subjects With No IDCs During Storage at Week 6 of DBPC Cycle | All subjects had a standardised urodynamic filling cystometry assessment at baseline (screening) and again at Week 6 to determine the occurrence of IDCs. The number of subjects without IDCs at 6 weeks after the first study treatment was recorded and the percentage of subjects was also calculated from the total number of subjects with data available for analysis at Week 6. | Baseline and Week 6 of DBPC Cycle |
| Mean Change From Baseline in Incontinence Quality of Life (I-QoL) Questionnaire Total Summary Score at Week 6 of DBPC Cycle | The I-QoL questionnaire is a validated, disease-specific questionnaire designed to measure the effect of UI on subjects' QoL. It consists of 22 items in 3 domains (avoidance and limiting behaviour, psychosocial impact and social embarrassment). Subjects used a 5-point response scale for each of the 22 items with values ranging from 1 (extremely) to 5 (not at all). The total summary score was transformed to a 100 point scale ranging from 0 to 100, with higher scores indicating a better QoL. The LS mean of the change in the I-QoL total summary score at 6 weeks after the first study treatment was calculated using a MMRM analysis. | Baseline and Week 6 of DBPC Cycle |
| Number of Subjects With a UI Response at Improvement Levels ≥30%, ≥50%, and ≥75% at Week 6 of the DBPC Cycle | The weekly number of UI episodes was measured using a 7-day bladder diary. Bladder diaries that contained data recorded on at least 5 days were included in the analysis. The number of baseline UI episodes was compared with the number of UI episodes at Week 6 to determine the level of response each subject reached, i.e. a decrease of ≥30%, ≥50% or ≥75% . The number of subjects showing an improvement of ≥30%, ≥50% and ≥75% were recorded and the percentage of subjects was also calculated from the total number of subjects with any number of UI events at Week 6. | Baseline and Week 6 of DBPC Cycle |
| Mean Change From Baseline in Volume Per Void at Week 6 of DBPC Cycle | The volume per void was measured during one 24-hour period of the 7-day bladder diary. The LS mean of the change in volume per void at 6 weeks after the first study treatment was calculated using a MMRM analysis. | Baseline and Week 6 of DBPC Cycle |
| Median Time Between Treatments | Duration of effect for time between treatments was calculated by: (the date of the first retreatment visit - date of first treatment administration in the DBPC cycle). The median number of days between treatments was determined based on the Kaplan-Meier method. Subjects with no retreatment were censored at the last visit. | Day of first treatment (baseline) and day of retreatment, up to 2 years |
| Urological Associates of Southern Arizona, P.C. |
| Tucson |
| Arizona |
| 85715-3808 |
| United States |
| Atlantic Urology Medical Group | Long Beach | California | 90806 | United States |
| USC Norris Comprehensive Cancer Center | Los Angeles | California | 90089 | United States |
| UC Davis Medical Center | Sacramento | California | 95817-2307 | United States |
| University of Colorado Denver | Aurora | Colorado | 80045-2527 | United States |
| Women's Health Specialty Care | Farmington | Connecticut | 06032-1933 | United States |
| Gousse Urology - The Bladder Heath and Reconstructive Urology Institute | Miramar | Florida | 33029-5593 | United States |
| The Iowa Clinic, PC | West Des Moines | Iowa | 50266 | United States |
| Chesapeake Urology Associates, PA | Owings Mills | Maryland | 21117 | United States |
| University of Michigan Hospital | Ann Arbor | Michigan | 48109 | United States |
| Weill Cornell Medical College | Denville | New Jersey | 07834 | United States |
| Delaware Valley Urology,IIC | Voorhees Township | New Jersey | 08043 | United States |
| Urology Group of New Mexico, PC | Albuquerque | New Mexico | 87109 | United States |
| New York University Langone Medical Center and School of Medicine | New York | New York | 10016 | United States |
| New York-Presbyterian Hospital/Weill Cornell Medical Center | New York | New York | 10065 | United States |
| Advanced Urology Centers of New York | Plainview | New York | 11783 | United States |
| Montefiore Medical Center | The Bronx | New York | 10461 | United States |
| University of North Carolina School of Medicine | Chapel Hill | North Carolina | 27599 | United States |
| Levine Cancer Institute | Charlotte | North Carolina | 28207 | United States |
| Louis Stokes Cleveland Veterans Affairs Medical Center | Cleveland | Ohio | 44106 | United States |
| Cleveland Clinic | Cleveland | Ohio | 44195 | United States |
| Lancaster Urology | Lancaster | Pennsylvania | 17601 | United States |
| Thomas Jefferson University Hospital | Philadelphia | Pennsylvania | 19107 | United States |
| Medical University of South Carolina (MUSC) | Charleston | South Carolina | 29425 | United States |
| Vanderbilt University Medical Center | Nashville | Tennessee | 37232 | United States |
| Urology Clinics of North Texas | Dallas | Texas | 75231 | United States |
| Houston Methodist Hospital | Houston | Texas | 77030 | United States |
| Lahey Hospital & Medical Center | Burlington | Vermont | 01805-0001 | United States |
| Urology of Virginia, PLLC | Virginia Beach | Virginia | 23462-1815 | United States |
| Integrity Medical Research | Mountlake Terrace | Washington | 98043 | United States |
| Medical College of Wisconsin - Freodert Hospital | Milwaukee | Wisconsin | 53226 | United States |
| CHUS - Hôpital Fleurimont | Sherbrooke | 02114-2621 | Canada |
| Sunnybrook Health Sciences Centre | Toronto | 02115-6110 | Canada |
| UBC Hospital - Koerner Pavilion | Vancouver | V6T 2B5 | Canada |
| Spinal Cord Research Centre, University of Manitoba | Winnipeg | R3A 1M4 | Canada |
| Fakultní Nemocnice Brno | Brno | 62500 | Czechia |
| Karlovarska krajska nemocnice, a.s. | Karlovy Vary | 360 01 | Czechia |
| Krajská Nemocnice Liberec, a.s. | Liberec | 46063 | Czechia |
| Uromedical Center s.r.o. | Olomouc | 77900 | Czechia |
| Fakultní nemocnice Královské Vinohrady | Prague | 100 34 | Czechia |
| Všeobecná fakultní nemocnice v Praze | Prague | 12808 | Czechia |
| Thomayerova nemocnice | Prague | 14059 | Czechia |
| Fakultní Nemocnice v Motole | Prague | 15006 | Czechia |
| Urologicka Ordinace s.r.o. | Sternberk | 785 01 | Czechia |
| Azienda Ospedaliero-Universitaria Careggi - Dipartimento Di Neuro-Urologia | Florence | 50134 | Italy |
| Farmacia Istituto Ospedaliero ICOT "Marco Pasquali" | Latina | 04100 | Italy |
| Azienda Ospedaliera di Perugia - Ospedale Santa Maria della Misericordia | Perugia | 06132 | Italy |
| Viale Oxford, 81 | Roma | 00133 | Italy |
| Ospedale "Bolognini" di Seriate | Seriate | 24068 | Italy |
| Azienda Ospedaliera di Perugia - Ospedale Santa Maria della Misericordia | Udine | 33100 | Italy |
| VU University Medical Center | Amsterdam | 1081 HV | Netherlands |
| Radboud UMC | Nijmegen | 6525 GA | Netherlands |
| Erasmus MC | Rotterdam | 3015 CE | Netherlands |
| Wojewódzki Szpital Zespolony w Elblągu | Elblag | 82-300 | Poland |
| Nzoz Neuro-Medic Poradnia Wielospecjalistyczna | Katowice | 40-752 | Poland |
| NZOZ Heureka | Piaseczno | 05-500 | Poland |
| Szpital Kliniczny Dzieciątka Jezus w Warszawie | Warsaw | 02-005 | Poland |
| EuroMediCare Szpital Specjalistyczny z Przychodnią we Wrocławiu | Wroclaw | 54-144 | Poland |
| Hospital de Braga | Braga | 4700-001 | Portugal |
| Centro Hospitalar do Alto Ave, EPE | Guimarães | 4835-044 | Portugal |
| British Hospital | Lisbon | 1600-209 | Portugal |
| Centro Hospitalar do Porto, EPE - Hospital Geral de Santo António | Porto | 4099-001 | Portugal |
| Centro Hospitalar de São João, EPE - Hospital de São João | Porto | 4200-319 | Portugal |
| Gnosis Evomed | Bucharest | 031864 | Romania |
| Spitalul Clinic Colentina | Bucharest | 20125 | Romania |
| Spitalul Clinic Fundeni Bucureşti | Bucharest | 22328 | Romania |
| Hifu Terramed Conformal S.R.L | Bucharest | 31864 | Romania |
| Spitalul Clinic Judeţean Mureş | Târgu Mureş | 540103 | Romania |
| 88 Olympic-ro 43-gil, Songpa-gu | Seoul | 05505 | South Korea |
| Samsung Medical Center | Seoul | 6351 | South Korea |
| Ulsan University Hospital (UUH) | Ulsan | 44033 | South Korea |
| Ankara Üniversitesi Tıp Fakültesi | Ankara | 6100 | Turkey (Türkiye) |
| Medipol Mega University Hospital | Bağcılar | 34200 | Turkey (Türkiye) |
| Uludag Universitesi Tip Fakultesi, Uroloji Anabilim Dali, Gorukle | Bursa | 16059 | Turkey (Türkiye) |
| Marmara Üniversitesi Eğitim ve Araştırma Hastanesi | Istanbul | 34670 | Turkey (Türkiye) |
| Istanbul Medeniyet Universitesi Goztepe Egitim ve Arastirma Hastanesi Merdivenköy Mah | Istanbul | 34732 | Turkey (Türkiye) |
| Erciyes Üniversitesi Tıp Fakültesi | Kayseri | 38039 | Turkey (Türkiye) |
| Kocaeli Üniversitesi Tıp Fakültesi | Kocaeli | 41380 | Turkey (Türkiye) |
| Celal Bayar Universitesi Hafsa Sultan Hastanesi | Manisa | 45040 | Turkey (Türkiye) |
| Ondokuz Mayıs Üniversitesi Tıp Fakültesi | Samsun | 55139 | Turkey (Türkiye) |
| FG001 | Dysport® 600 U | Subjects were administered Dysport® 600 U on Day 1 of the DBPC cycle. All study treatments were injected into the detrusor muscle via cystoscopy in a total volume of 15 mL divided into 30 injection points of 0.5 mL each. Subjects were followed-up by telephone at Week 1 and Week 4; and attended clinic visits at Week 2, Week 6 (primary study timepoint), and Week 12. Thereafter telephone visits were scheduled every 12 weeks until end of study, or until retreatment was required. |
| FG002 | Dysport® 800 U | Subjects were administered Dysport® 800 U on Day 1 of the DBPC cycle. All study treatments were injected into the detrusor muscle via cystoscopy in a total volume of 15 mL divided into 30 injection points of 0.5 mL each. Subjects were followed-up by telephone at Week 1 and Week 4; and attended clinic visits at Week 2, Week 6 (primary study timepoint), and Week 12. Thereafter telephone visits were scheduled every 12 weeks until end of study, or until retreatment was required. |
|
| Subjects Treated in DBPC Cycle |
|
| Subjects Entered in the Dysport Cycles |
|
| COMPLETED | Subjects completed the study in the Dysport cycles |
|
| NOT COMPLETED |
|
|
Modified intention to treat (mITT) population: All randomised subjects who received at least 1 administration of study treatment. Subjects were analysed as randomised (planned treatment).
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| ID | Title | Description |
|---|---|---|
| BG000 | Placebo | Subjects were administered placebo on Day 1 of the DBPC cycle. All study treatments were injected into the detrusor muscle via cystoscopy in a total volume of 15 mL divided into 30 injection points of 0.5 mL each. Subjects were followed-up by telephone at Week 1 and Week 4; and attended clinic visits at Week 2, Week 6 (primary study timepoint), and Week 12. Thereafter telephone visits were scheduled every 12 weeks until end of study, or until retreatment was required. |
| BG001 | Dysport® 600 U | Subjects were administered Dysport® 600 U for the first study treatment administration on Day 1 of the DBPC cycle. All study treatments were injected into the detrusor muscle via cystoscopy in a total volume of 15 mL divided into 30 injection points of 0.5 mL each. Subjects were followed-up by telephone at Week 1 and Week 4; and attended clinic visits at Week 2, Week 6 (primary study timepoint), and Week 12. Thereafter telephone visits were scheduled every 12 weeks until end of study, or until retreatment was required. |
| BG002 | Dysport® 800 U | Subjects were administered Dysport® 800 U for the first study treatment administration on Day 1 of the DBPC cycle. All study treatments were injected into the detrusor muscle via cystoscopy in a total volume of 15 mL divided into 30 injection points of 0.5 mL each. Subjects were followed-up by telephone at Week 1 and Week 4; and attended clinic visits at Week 2, Week 6 (primary study timepoint), and Week 12. Thereafter telephone visits were scheduled every 12 weeks until end of study, or until retreatment was required. |
| BG003 | Total | Total of all reporting groups |
| Units | Counts |
|---|---|
| Participants |
|
| Title | Description | Population Description | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Denominator Units Selected | Denominators | Classes | ||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Age, Categorical | Count of Participants | Participants |
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| Age, Continuous | Mean | Standard Deviation | years |
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| Sex: Female, Male | Count of Participants | Participants |
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| Race (NIH/OMB) | Count of Participants | Participants |
| ||||||||||||||||
| Aetiology of NDO | Count of Participants | Participants |
|
| 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 | Mean Change From Baseline in Weekly Number of UI Episodes at Week 6 of DBPC Cycle | The weekly number of UI episodes was measured using a 7-day bladder diary. Bladder diaries that contained data recorded on at least 5 days were included in the analysis. The least square (LS) mean of the change in weekly number of UI episodes at 6 weeks after the first study treatment was calculated using a mixed model repeated measures (MMRM) analysis. | mITT population: All randomised subjects who received at least 1 administration of study treatment. Subjects were analysed as randomised (planned treatment). Only subjects with data available for analysis at Week 6 of DBPC cycle are presented. | Posted | Least Squares Mean | Standard Error | Weekly UI episodes | Baseline and Week 6 of DBPC Cycle |
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| Secondary | Mean Change From Baseline in Maximum Cystometric Capacity (MCC) at Week 6 of DBPC Cycle | All subjects had a standardised urodynamic (filling cystometry) assessment at baseline (screening) and again at Week 6 to determine the MCC. The LS mean of the change in MCC at 6 weeks after the first study treatment was calculated using an analysis of covariance (ANCOVA). | mITT population: All randomised subjects who received at least 1 administration of study treatment. Subjects were analysed as randomised (planned treatment). Only subjects with data available for analysis at Week 6 of DBPC cycle are presented. | Posted | Least Squares Mean | Standard Error | mL | Baseline and Week 6 of DBPC Cycle |
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| Secondary | Mean Change From Baseline in Maximum Detrusor Pressure (MDP) at Week 6 of DBPC Cycle | All subjects had a standardised urodynamic filling cystometry assessment at baseline (screening) and again at Week 6 to determine the MDP. The LS mean of the change in MDP at 6 weeks after the first study treatment was calculated using an ANCOVA. | mITT population: All randomised subjects who received at least 1 administration of study treatment. Subjects were analysed as randomised (planned treatment). Only subjects with data available for analysis at Week 6 of DBPC cycle are presented. | Posted | Least Squares Mean | Standard Error | centimetres of water | Baseline and Week 6 of DBPC Cycle |
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| Secondary | Mean Change From Baseline in Volume at First Involuntary Detrusor Contraction (Vol@1stIDC) at Week 6 of DBPC Cycle | All subjects had a standardised urodynamic (filling cystometry) assessment at baseline (screening) and again at Week 6 to determine the Vol@1stIDC which is the instilled volume when first IDC commences. Subjects who did not exhibit a post-treatment IDC at Week 6 had Vol@1stIDC imputed using the recorded corrected MCC volume at Week 6. The LS mean of the change in Vol@1stIDC at 6 weeks after the first study treatment was calculated using an ANCOVA. | mITT population: All randomised subjects who received at least 1 administration of study treatment. Subjects were analysed as randomised (planned treatment). Only subjects with data available for analysis at Week 6 of DBPC cycle are presented. | Posted | Least Squares Mean | Standard Error | mL | Baseline and Week 6 of DBPC Cycle |
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| Secondary | Number of Subjects With No Episodes of UI at Week 6 of DBPC Cycle | The weekly number of UI episodes was measured using a 7-day bladder diary. Bladder diaries that contained data recorded on at least 5 days were included in the analysis. The number of subjects with no UI episodes at 6 weeks after the first study treatment was recorded and the percentage of subjects was also calculated from the total number of subjects with any number of UI events at Week 6. | mITT population: All randomised subjects who received at least 1 administration of study treatment . Subjects were analysed as randomised (planned treatment). Only subjects with data available for analysis at Week 6 of DBPC cycle are presented. | Posted | Count of Participants | Participants | Baseline and Week 6 of DBPC Cycle |
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| Secondary | Number of Subjects With No IDCs During Storage at Week 6 of DBPC Cycle | All subjects had a standardised urodynamic filling cystometry assessment at baseline (screening) and again at Week 6 to determine the occurrence of IDCs. The number of subjects without IDCs at 6 weeks after the first study treatment was recorded and the percentage of subjects was also calculated from the total number of subjects with data available for analysis at Week 6. | mITT population: All randomised subjects who received at least 1 administration of study treatment. Subjects were analysed as randomised (planned treatment). Only subjects with data available for analysis at Week 6 of DBPC cycle are presented. | Posted | Count of Participants | Participants | Baseline and Week 6 of DBPC Cycle |
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| Secondary | Mean Change From Baseline in Incontinence Quality of Life (I-QoL) Questionnaire Total Summary Score at Week 6 of DBPC Cycle | The I-QoL questionnaire is a validated, disease-specific questionnaire designed to measure the effect of UI on subjects' QoL. It consists of 22 items in 3 domains (avoidance and limiting behaviour, psychosocial impact and social embarrassment). Subjects used a 5-point response scale for each of the 22 items with values ranging from 1 (extremely) to 5 (not at all). The total summary score was transformed to a 100 point scale ranging from 0 to 100, with higher scores indicating a better QoL. The LS mean of the change in the I-QoL total summary score at 6 weeks after the first study treatment was calculated using a MMRM analysis. | mITT population: All randomised subjects who received at least 1 administration of study treatment. Subjects were analysed as randomised (planned treatment). Only subjects with data available for analysis at Week 6 of DBPC cycle are presented. | Posted | Least Squares Mean | Standard Error | score on a scale | Baseline and Week 6 of DBPC Cycle |
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| Secondary | Number of Subjects With a UI Response at Improvement Levels ≥30%, ≥50%, and ≥75% at Week 6 of the DBPC Cycle | The weekly number of UI episodes was measured using a 7-day bladder diary. Bladder diaries that contained data recorded on at least 5 days were included in the analysis. The number of baseline UI episodes was compared with the number of UI episodes at Week 6 to determine the level of response each subject reached, i.e. a decrease of ≥30%, ≥50% or ≥75% . The number of subjects showing an improvement of ≥30%, ≥50% and ≥75% were recorded and the percentage of subjects was also calculated from the total number of subjects with any number of UI events at Week 6. | mITT population: All randomised subjects who received at least 1 administration of study treatment . Subjects were analysed as randomised (planned treatment). Only subjects with data available for analysis at Week 6 of DBPC cycle are presented. | Posted | Count of Participants | Participants | Baseline and Week 6 of DBPC Cycle |
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| Secondary | Mean Change From Baseline in Volume Per Void at Week 6 of DBPC Cycle | The volume per void was measured during one 24-hour period of the 7-day bladder diary. The LS mean of the change in volume per void at 6 weeks after the first study treatment was calculated using a MMRM analysis. | mITT population: All randomised subjects who received at least 1 administration of study treatment. Subjects were analysed as randomised (planned treatment). Only subjects with data available for analysis at Week 6 of DBPC cycle are presented. | Posted | Least Squares Mean | Standard Error | mL | Baseline and Week 6 of DBPC Cycle |
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| Secondary | Median Time Between Treatments | Duration of effect for time between treatments was calculated by: (the date of the first retreatment visit - date of first treatment administration in the DBPC cycle). The median number of days between treatments was determined based on the Kaplan-Meier method. Subjects with no retreatment were censored at the last visit. | mITT population: All randomised subjects who received at least 1 administration of study treatment. Subjects were analysed as randomised (planned treatment). | Posted | Median | Full Range | days | Day of first treatment (baseline) and day of retreatment, up to 2 years |
|
Treatment emergent adverse events are presented for the full DBPC cycle (i.e. approximately 35 weeks for both Dysport® groups and approximately 25 weeks for the Placebo group). All cause mortality is presented for the duration of the study (up to a maximum of 113 weeks).
The safety population included all subjects who received at least 1 administration of study treatment (including only partial administration). Safety subjects were analysed according to their actual treatment received. Two subjects randomised to the Dysport 600 U group in the DBPC cycle received Dysport 800 U and are therefore included in the Dysport 800 U group for the safety population.
Not provided
| ID | Title | Description | Deaths (Affected) | Deaths (At Risk) | Serious Events (Affected) | Serious Events (At Risk) | Other Events (Affected) | Other Events (At Risk) |
|---|---|---|---|---|---|---|---|---|
| EG000 | Placebo | Subjects were administered placebo on Day 1 of the DBPC cycle. All study treatments were injected into the detrusor muscle via cystoscopy in a total volume of 15 mL divided into 30 injection points of 0.5 mL each. Subjects were followed-up by telephone at Week 1 and Week 4; and attended clinic visits at Week 2, Week 6 (primary study timepoint), and Week 12. Thereafter telephone visits were scheduled every 12 weeks until end of study, or until retreatment was required. | 0 | 76 | 8 | 76 | 23 | 76 |
| EG001 | Dysport® 600 U | Subjects were administered Dysport® 600 U on Day 1 of the DBPC cycle. All study treatments were injected into the detrusor muscle via cystoscopy in a total volume of 15 mL divided into 30 injection points of 0.5 mL each. Subjects were followed-up by telephone at Week 1 and Week 4; and attended clinic visits at Week 2, Week 6 (primary study timepoint), and Week 12. Thereafter telephone visits were scheduled every 12 weeks until end of study, or until retreatment was required. | 0 | 73 | 9 | 73 | 20 | 73 |
| EG002 | Dysport® 800 U | Subjects were administered Dysport® 800 U for on Day 1 of the DBPC cycle. All study treatments were injected into the detrusor muscle via cystoscopy in a total volume of 15 mL divided into 30 injection points of 0.5 mL each. Subjects were followed-up by telephone at Week 1 and Week 4; and attended clinic visits at Week 2, Week 6 (primary study timepoint), and Week 12. Thereafter telephone visits were scheduled every 12 weeks until end of study, or until retreatment was required. | 0 | 77 | 6 | 77 | 23 | 77 |
| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Ileus | Gastrointestinal disorders | MedDRA 21.1 | Systematic Assessment |
| |
| Systemic inflammatory response syndrome | General disorders | MedDRA 21.1 | Systematic Assessment |
| |
| Urinary tract infection | Infections and infestations | MedDRA 21.1 | Systematic Assessment |
| |
| Appendicitis | Infections and infestations | MedDRA 21.1 | Systematic Assessment |
| |
| Clostridium difficile infection | Infections and infestations | MedDRA 21.1 | Systematic Assessment |
| |
| Cystitis | Infections and infestations | MedDRA 21.1 | Systematic Assessment |
| |
| Epididymitis | Infections and infestations | MedDRA 21.1 | Systematic Assessment |
| |
| Erysipelas | Infections and infestations | MedDRA 21.1 | Systematic Assessment |
| |
| Osteomyelitis | Infections and infestations | MedDRA 21.1 | Systematic Assessment |
| |
| Pneumonia | Infections and infestations | MedDRA 21.1 | Systematic Assessment |
| |
| Bacteraemia | Infections and infestations | MedDRA 21.1 | Systematic Assessment |
| |
| Fournier's gangrene | Infections and infestations | MedDRA 21.1 | Systematic Assessment |
| |
| Multiple injuries | Injury, poisoning and procedural complications | MedDRA 21.1 | Systematic Assessment |
| |
| Road traffic accident | Injury, poisoning and procedural complications | MedDRA 21.1 | Systematic Assessment |
| |
| Fibula fracture | Injury, poisoning and procedural complications | MedDRA 21.1 | Systematic Assessment |
| |
| Ligament sprain | Injury, poisoning and procedural complications | MedDRA 21.1 | Systematic Assessment |
| |
| Tibia fracture | Injury, poisoning and procedural complications | MedDRA 21.1 | Systematic Assessment |
| |
| Hypokalaemia | Metabolism and nutrition disorders | MedDRA 21.1 | Systematic Assessment |
| |
| Muscular weakness | Musculoskeletal and connective tissue disorders | MedDRA 21.1 | Systematic Assessment |
| |
| Metastases to abdominal cavity | Neoplasms benign, malignant and unspecified (incl cysts and polyps) | MedDRA 21.1 | Systematic Assessment |
| |
| Haematuria | Renal and urinary disorders | MedDRA 21.1 | Systematic Assessment |
| |
| Urethral stenosis | Renal and urinary disorders | MedDRA 21.1 | Systematic Assessment |
| |
| Uterine polyp | Reproductive system and breast disorders | MedDRA 21.1 | Systematic Assessment |
| |
| Deep vein thrombosis | Vascular disorders | MedDRA 21.1 | Systematic Assessment |
| |
| Hypertension | Vascular disorders | MedDRA 21.1 | Systematic Assessment |
| |
| Arthralgia | Musculoskeletal and connective tissue disorders | MedDRA 21.1 | Systematic Assessment |
|
| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Constipation | Gastrointestinal disorders | MedDRA 21.1 | Systematic Assessment |
| |
| Abdominal pain | Gastrointestinal disorders | MedDRA 21.1 | Systematic Assessment |
| |
| Pyrexia | General disorders | MedDRA 21.1 | Systematic Assessment |
| |
| Urinary tract infection | Infections and infestations | MedDRA 21.1 | Systematic Assessment |
| |
| Influenza | Infections and infestations | MedDRA 21.1 | Systematic Assessment |
| |
| Pharyngitis | Infections and infestations | MedDRA 21.1 | Systematic Assessment |
| |
| Nasopharyngitis | Infections and infestations | MedDRA 21.1 | Systematic Assessment |
| |
| Paraesthesia | Nervous system disorders | MedDRA 21.1 | Systematic Assessment |
| |
| Dizziness | Nervous system disorders | MedDRA 21.1 | Systematic Assessment |
| |
| Haematuria | Renal and urinary disorders | MedDRA 21.1 | Systematic Assessment |
| |
| Dysuria | Renal and urinary disorders | MedDRA 21.1 | Systematic Assessment |
| |
| Erectile dysfunction | Reproductive system and breast disorders | MedDRA 21.1 | Systematic Assessment |
|
This study was terminated early by the sponsor on 01 October 2018, due to low subject recruitment.
Not provided
Not provided
| Title | Organization | Phone | Extension | |
|---|---|---|---|---|
| Medical Director | Ipsen | See email | clinical.trials@ipsen.com |
| Prot_000.pdf |
| SAP | No | Yes | No | Statistical Analysis Plan | Sep 21, 2018 | Apr 7, 2021 | SAP_001.pdf |
| ID | Term |
|---|---|
| D014549 | Urinary Incontinence |
| D053201 | Urinary Bladder, Overactive |
| ID | Term |
|---|---|
| D014555 | Urination Disorders |
| 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 |
| D001745 | Urinary Bladder Diseases |
Not provided
Not provided
| ID | Term |
|---|---|
| D019274 | Botulinum Toxins, Type A |
| C542869 | abobotulinumtoxinA |
| ID | Term |
|---|---|
| D001905 | Botulinum Toxins |
| D008666 | Metalloendopeptidases |
| D010450 | Endopeptidases |
| D010447 | Peptide Hydrolases |
| D006867 | Hydrolases |
| D004798 | Enzymes |
| D045762 | Enzymes and Coenzymes |
| D045726 | Metalloproteases |
| D001426 | Bacterial Proteins |
| D011506 | Proteins |
| D000602 | Amino Acids, Peptides, and Proteins |
| D001427 | Bacterial Toxins |
| D014118 | Toxins, Biological |
| D001685 | Biological Factors |
Not provided
Not provided
| Between 18 and 65 years |
|
| >=65 years |
|
| Male |
|
| Asian |
|
| Native Hawaiian or Other Pacific Islander |
|
| Black or African American |
|
| White |
|
| More than one race |
|
| Unknown or Not Reported |
|
| MS |
|
| Treatment group, visit (Week 2, Week 6 and Week 12), treatment-by-visit interaction, recorded stratification factors (aetiology of NDO [SCI or MS], prior intradetrusor [BTX-naïve or BTX-non-naïve]) and study baseline value (weekly number of UI episodes) as fixed effect variables, and subject as a random effect. | MMRM | <0.0001 | LS Mean Difference | -12.19 | 2-Sided | 95 | -17.65 | -6.73 | Superiority | If both p-values for the 2 primary tests (the test of Dysport® 800 U vs. placebo and the test of Dysport® 600 U vs. placebo) were lower than 0.05, both were declared statistically significant. If 1 of the primary tests had a p-value greater than or equal to 0.05, then the other test was declared statistically significant if its p-value was lower than 0.025. |
| OG002 | Dysport® 800 U | Subjects were administered Dysport® 800 U on Day 1 of the DBPC cycle. All study treatments were injected into the detrusor muscle via cystoscopy in a total volume of 15 mL divided into 30 injection points of 0.5 mL each. Subjects were followed-up by telephone at Week 1 and Week 4; and attended clinic visits at Week 2, Week 6 (primary study timepoint), and Week 12. Thereafter telephone visits were scheduled every 12 weeks until end of study, or until retreatment was required. |
|
|
|
| OG002 | Dysport® 800 U | Subjects were administered Dysport® 800 U for the first study treatment administration on Day 1 of the DBPC cycle. All study treatments were injected into the detrusor muscle via cystoscopy in a total volume of 15 mL divided into 30 injection points of 0.5 mL each. Subjects were followed-up by telephone at Week 1 and Week 4; and attended clinic visits at Week 2, Week 6 (primary study timepoint), and Week 12. Thereafter telephone visits were scheduled every 12 weeks until end of study, or until retreatment was required. |
|
|
|
| OG002 | Dysport® 800 U | Subjects were administered Dysport® 800 U on Day 1 of the DBPC cycle. All study treatments were injected into the detrusor muscle via cystoscopy in a total volume of 15 mL divided into 30 injection points of 0.5 mL each. Subjects were followed-up by telephone at Week 1 and Week 4; and attended clinic visits at Week 2, Week 6 (primary study timepoint), and Week 12. Thereafter telephone visits were scheduled every 12 weeks until end of study, or until retreatment was required. |
|
|
|
| OG002 | Dysport® 800 U | Subjects were administered Dysport® 800 U for on Day 1 of the DBPC cycle. All study treatments were injected into the detrusor muscle via cystoscopy in a total volume of 15 mL divided into 30 injection points of 0.5 mL each. Subjects were followed-up by telephone at Week 1 and Week 4; and attended clinic visits at Week 2, Week 6 (primary study timepoint), and Week 12. Thereafter telephone visits were scheduled every 12 weeks until end of study, or until retreatment was required. |
|
|
|
| OG002 | Dysport® 800 U | Subjects were administered Dysport® 800 U on Day 1 of the DBPC cycle. All study treatments were injected into the detrusor muscle via cystoscopy in a total volume of 15 mL divided into 30 injection points of 0.5 mL each. Subjects were followed-up by telephone at Week 1 and Week 4; and attended clinic visits at Week 2, Week 6 (primary study timepoint), and Week 12. Thereafter telephone visits were scheduled every 12 weeks until end of study, or until retreatment was required. |
|
|
|
| Dysport® 600 U |
Subjects were administered Dysport® 600 U on Day 1 of the DBPC cycle. All study treatments were injected into the detrusor muscle via cystoscopy in a total volume of 15 mL divided into 30 injection points of 0.5 mL each. Subjects were followed-up by telephone at Week 1 and Week 4; and attended clinic visits at Week 2, Week 6 (primary study timepoint), and Week 12. Thereafter telephone visits were scheduled every 12 weeks until end of study, or until retreatment was required. |
| OG002 | Dysport® 800 U | Subjects were administered Dysport® 800 U on Day 1 of the DBPC cycle. All study treatments were injected into the detrusor muscle via cystoscopy in a total volume of 15 mL divided into 30 injection points of 0.5 mL each. Subjects were followed-up by telephone at Week 1 and Week 4; and attended clinic visits at Week 2, Week 6 (primary study timepoint), and Week 12. Thereafter telephone visits were scheduled every 12 weeks until end of study, or until retreatment was required. |
|
|
|
Subjects were administered Dysport® 600 U on Day 1 of the DBPC cycle. All study treatments were injected into the detrusor muscle via cystoscopy in a total volume of 15 mL divided into 30 injection points of 0.5 mL each. Subjects were followed-up by telephone at Week 1 and Week 4; and attended clinic visits at Week 2, Week 6 (primary study timepoint), and Week 12. Thereafter telephone visits were scheduled every 12 weeks until end of study, or until retreatment was required. |
| OG002 | Dysport® 800 U | Subjects were administered Dysport® 800 U on Day 1 of the DBPC cycle. All study treatments were injected into the detrusor muscle via cystoscopy in a total volume of 15 mL divided into 30 injection points of 0.5 mL each. Subjects were followed-up by telephone at Week 1 and Week 4; and attended clinic visits at Week 2, Week 6 (primary study timepoint), and Week 12. Thereafter telephone visits were scheduled every 12 weeks until end of study, or until retreatment was required. |
|
|
|
| OG002 | Dysport® 800 U | Subjects were administered Dysport® 800 U on Day 1 of the DBPC cycle. All study treatments were injected into the detrusor muscle via cystoscopy in a total volume of 15 mL divided into 30 injection points of 0.5 mL each. Subjects were followed-up by telephone at Week 1 and Week 4; and attended clinic visits at Week 2, Week 6 (primary study timepoint), and Week 12. Thereafter telephone visits were scheduled every 12 weeks until end of study, or until retreatment was required. |
|
|
|
| OG002 | Dysport® 800 U | Subjects were administered Dysport® 800 U on Day 1 of the DBPC cycle. All study treatments were injected into the detrusor muscle via cystoscopy in a total volume of 15 mL divided into 30 injection points of 0.5 mL each. Subjects were followed-up by telephone at Week 1 and Week 4; and attended clinic visits at Week 2, Week 6 (primary study timepoint), and Week 12. Thereafter telephone visits were scheduled every 12 weeks until end of study, or until retreatment was required. |
|
|