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Trial details imported from ClinicalTrials.gov

For full trial details, please see the original record at https://clinicaltrials.gov/study/NCT00689104




Registration number
NCT00689104
Ethics application status
Date submitted
29/05/2008
Date registered
3/06/2008
Date last updated
11/12/2017

Titles & IDs
Public title
Study to Assess the Efficacy and Safety of the Beta-3 Agonist Mirabegron (YM178) in Patients With Symptoms of Overactive Bladder
Scientific title
A Randomized, Double-Blind, Parallel Group, Placebo and Active Controlled, Multicenter Study to Assess the Efficacy and Safety of Mirabegron in Subjects With Symptoms of Overactive Bladder
Secondary ID [1] 0 0
2007-001451-19
Secondary ID [2] 0 0
178-CL-046
Universal Trial Number (UTN)
Trial acronym
SCORPIO
Linked study record

Health condition
Health condition(s) or problem(s) studied:
Urinary Bladder, Overactive 0 0
Condition category
Condition code
Renal and Urogenital 0 0 0 0
Other renal and urogenital disorders

Intervention/exposure
Study type
Interventional
Description of intervention(s) / exposure
Treatment: Drugs - Mirabegron
Treatment: Drugs - Tolterodine
Treatment: Drugs - Placebo to Mirabegron
Treatment: Drugs - Placebo to Tolterodine

Placebo comparator: Placebo - Participants received matching mirabegron placebo tablets and matching tolterodine slow release (SR) placebo capsules orally once a day for 12 weeks.

Experimental: Mirabegron 50 mg - Participants received mirabegron 50 mg tablets and matching tolterodine SR placebo capsules orally once a day for 12 weeks.

Experimental: Mirabegron 100 mg - Participants received mirabegron 100 mg tablets and matching tolterodine SR placebo capsules orally once a day for 12 weeks.

Active comparator: Tolterodine SR 4 mg - Participants received tolterodine SR 4 mg capsules and matching mirabegron placebo tablets orally once a day for 12 weeks.


Treatment: Drugs: Mirabegron
Tablets

Treatment: Drugs: Tolterodine
Capsules

Treatment: Drugs: Placebo to Mirabegron
Matching mirabegron placebo tablets.

Treatment: Drugs: Placebo to Tolterodine
Matching tolterodine placebo capsules.
Intervention code [1] 0 0
Treatment: Drugs
Comparator / control treatment
Control group

Outcomes
Primary outcome [1] 0 0
Change From Baseline to End of Treatment (Final Visit) in Mean Number of Incontinence Episodes Per 24 Hours
Timepoint [1] 0 0
Baseline and Week 12 (final visit)
Primary outcome [2] 0 0
Change From Baseline to End of Treatment (Final Visit) in Mean Number of Micturitions Per 24 Hours
Timepoint [2] 0 0
Baseline and Week 12
Secondary outcome [1] 0 0
Change From Baseline to Final Visit in Mean Volume Voided Per Micturition
Timepoint [1] 0 0
Baseline and Week 12
Secondary outcome [2] 0 0
Change From Baseline to Week 4 in Mean Number of Incontinence Episodes Per 24 Hours
Timepoint [2] 0 0
Baseline and Week 4
Secondary outcome [3] 0 0
Change From Baseline to Week 4 in Mean Number of Micturitions Per 24 Hours
Timepoint [3] 0 0
Baseline and Week 4
Secondary outcome [4] 0 0
Change From Baseline to Week 8 and Week 12 in Mean Number of Incontinence Episodes Per 24 Hours
Timepoint [4] 0 0
Baseline and Weeks 8 and 12
Secondary outcome [5] 0 0
Change From Baseline to Week 8 and Week 12 in Mean Number of Micturitions Per 24 Hours
Timepoint [5] 0 0
Baseline and Weeks 8 and 12
Secondary outcome [6] 0 0
Change From Baseline to Week 4, Week 8 and Week 12 in Mean Volume Voided Per Micturition
Timepoint [6] 0 0
Baseline and Weeks 4, 8 and 12
Secondary outcome [7] 0 0
Change From Baseline to Week 4, Week 8, Week 12 and Final Visit in Mean Number of Urgency Incontinence Episodes Per 24 Hours
Timepoint [7] 0 0
Baseline and Weeks 4, 8 and 12
Secondary outcome [8] 0 0
Change From Baseline to Week 4, Week 8, Week 12 and Final Visit in Mean Number of Urgency Episodes (Grades 3 or 4) Per 24 Hours
Timepoint [8] 0 0
Baseline and Weeks 4, 8 and 12
Secondary outcome [9] 0 0
Change From Baseline to Week 4, Week 8, Week 12 and Final Visit in Mean Level of Urgency
Timepoint [9] 0 0
Baseline and Weeks 4, 8 and 12
Secondary outcome [10] 0 0
Change From Baseline to Week 4, Week 8, Week 12 and Final Visit in Mean Number of Nocturia Episodes Per 24 Hours
Timepoint [10] 0 0
Baseline and Weeks 4, 8 and 12
Secondary outcome [11] 0 0
Change From Baseline to Week 4, Week 8, Week 12 and Final Visit in Mean Number of Pads Used Per 24 Hours
Timepoint [11] 0 0
Baseline and Weeks 4, 8 and 12
Secondary outcome [12] 0 0
Percentage of Participants With Zero Incontinence Episodes at Week 4, Week 8, Week 12 and the Final Visit
Timepoint [12] 0 0
Weeks 4, 8 and 12
Secondary outcome [13] 0 0
Percentage of Participants With = 50% Reduction in Incontinence Episodes at Weeks 4, 8, 12 and the Final Visit
Timepoint [13] 0 0
Baseline and Weeks 4, 8 and 12
Secondary outcome [14] 0 0
Change From Baseline to Week 4, Week 8, Week 12 and Final Visit in Symptom Bother Score
Timepoint [14] 0 0
Baseline and Weeks 4, 8 and 12
Secondary outcome [15] 0 0
Change From Baseline to Week 4, Week 8, Week 12 and Final Visit in Health-related Quality of Life (HRQL) Total Score
Timepoint [15] 0 0
Baseline and Weeks 4, 8 and 12
Secondary outcome [16] 0 0
Change From Baseline to Week 12 and Final Visit in Work Productivity and Activity Impairment (WPAI): Percent Work Time Missed
Timepoint [16] 0 0
Baseline and Week 12
Secondary outcome [17] 0 0
Change From Baseline to Week 12 and Final Visit in Work Productivity and Activity Impairment (WPAI): Percent Impairment While Working
Timepoint [17] 0 0
Baseline and Week 12
Secondary outcome [18] 0 0
Change From Baseline to Week 12 and Final Visit in Work Productivity and Activity Impairment (WPAI): Percent Overall Work Impairment
Timepoint [18] 0 0
Baseline and Week 12
Secondary outcome [19] 0 0
Change From Baseline to Week 12 and Final Visit in Work Productivity and Activity Impairment (WPAI): Percent Activity Impairment
Timepoint [19] 0 0
Baseline and Week 12
Secondary outcome [20] 0 0
Change From Baseline to Final Visit in European Quality of Life-5 Dimensions (EQ-5D) Mobility Score
Timepoint [20] 0 0
Baseline and Week 12
Secondary outcome [21] 0 0
Change From Baseline to Final Visit in European Quality of Life-5 Dimensions (EQ-5D) Self-care Score
Timepoint [21] 0 0
Baseline and Week 12
Secondary outcome [22] 0 0
Change From Baseline to Final Visit in European Quality of Life-5 Dimensions (EQ-5D) Usual Activities Score
Timepoint [22] 0 0
Baseline and Week 12
Secondary outcome [23] 0 0
Change From Baseline to Final Visit in European Quality of Life-5 Dimensions (EQ-5D) Pain/Discomfort Score
Timepoint [23] 0 0
Baseline and Week 12
Secondary outcome [24] 0 0
Change From Baseline to Final Visit in European Quality of Life-5 Dimensions (EQ-5D)Anxiety/Depression Score
Timepoint [24] 0 0
Baseline and Week 12
Secondary outcome [25] 0 0
Change From Baseline to Week 4, Week 8, Week 12 and Final Visit in the European Quality of Life-5 Dimensions (EQ-5D) Visual Analog Scale (VAS)
Timepoint [25] 0 0
Baseline and Weeks 4, 8 and 12
Secondary outcome [26] 0 0
Change From Baseline to Week 12 and Final Visit in Patient Perception of Bladder Condition (PPBC)
Timepoint [26] 0 0
Baseline and Week 12
Secondary outcome [27] 0 0
Change From Baseline to Week 12 and Final Visit in Treatment Satisfaction on Visual Analog Scale (TS-VAS)
Timepoint [27] 0 0
Baseline and Week 12
Secondary outcome [28] 0 0
Change From Baseline to Week 4, Week 8, Week 12 and Final Visit in Number of Non-study Related Visits to Physician
Timepoint [28] 0 0
Baseline and Weeks 4, 8 and 12
Secondary outcome [29] 0 0
Percentage of Participants With Improvement in Patient Perception of Bladder Condition (PPBC) at Week 12 and Final Visit
Timepoint [29] 0 0
Baseline and Week 12

Eligibility
Key inclusion criteria
* Subject is willing and able to complete the micturition diary and questionnaires correctly
* Subject has symptoms of overactive bladder (urinary frequency and urgency with or without urge incontinence) for = 3 months
* Subject experiences frequency of micturition on average = 8 times per 24-hour period during the 3-day micturition diary period
* Subject must experience at least 3 episodes of urgency (grade 3 or 4) with or without incontinence, during the 3-day micturition diary period
Minimum age
18 Years
Maximum age
No limit
Sex
Both males and females
Can healthy volunteers participate?
No
Key exclusion criteria
* Subject is breastfeeding, pregnant, intends to become pregnant during the study, or of childbearing potential, sexually active and not practicing a highly reliable method of birth control
* Subject has significant stress incontinence or mixed stress/urge incontinence where stress is the predominant factor
* Subject has an indwelling catheter or practices intermittent self-catheterization
* Subject has diabetic neuropathy
* Subject has evidence of a symptomatic urinary tract infection, chronic inflammation such as interstitial cystitis, bladder stones, previous pelvic radiation therapy or previous or current malignant disease of the pelvic organs
* Subject receives non-drug treatment including electro-stimulation therapy
* Subject has severe hypertension
* Subject has a known or suspected hypersensitivity to tolterodine, other anticholinergics, YM178, other beta-adrenoreceptor (ß-AR) agonists, or lactose or any of the other inactive ingredients
* Subject has been treated with any investigational drug or device within 30 days (90 days in the UK)
* Subject had an average total daily urine volume > 3000 mL as recorded in the 3-day micturition diary period
* Subject has serum creatinine >150 umol/L, aspartate aminotransferase (AST) and/or alanine aminotransferase (ALT) > 2x upper limit of normal range (ULN), or gamma glutamyl transferase (?-GT) > 3x ULN
* Subject has a clinically significant abnormal electrocardiogram (ECG)

Study design
Purpose of the study
Treatment
Allocation to intervention
Randomised controlled trial
Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
Methods used to generate the sequence in which subjects will be randomised (sequence generation)
Masking / blinding
Blinded (masking used)
Who is / are masked / blinded?
The people receiving the treatment/s


The people analysing the results/data
Intervention assignment
Parallel
Other design features
Phase
Phase 3
Type of endpoint/s
Statistical methods / analysis

Recruitment
Recruitment status
Completed
Data analysis
Reason for early stopping/withdrawal
Other reasons
Date of first participant enrolment
Anticipated
Actual
28/04/2008
Date of last participant enrolment
Anticipated
Actual
Date of last data collection
Anticipated
Actual
24/03/2009
Sample size
Target
Accrual to date
Final
2336
Recruitment in Australia
Recruitment state(s)
Recruitment hospital [1] 0 0
- Auchenflower
Recruitment hospital [2] 0 0
- Clayton
Recruitment hospital [3] 0 0
- Kogarah
Recruitment hospital [4] 0 0
- Randwick
Recruitment hospital [5] 0 0
- Woolloongabba
Recruitment postcode(s) [1] 0 0
- Auchenflower
Recruitment postcode(s) [2] 0 0
- Clayton
Recruitment postcode(s) [3] 0 0
- Kogarah
Recruitment postcode(s) [4] 0 0
- Randwick
Recruitment postcode(s) [5] 0 0
- Woolloongabba
Recruitment outside Australia
Country [1] 0 0
Austria
State/province [1] 0 0
Graz
Country [2] 0 0
Austria
State/province [2] 0 0
Innsbruck
Country [3] 0 0
Austria
State/province [3] 0 0
Linz
Country [4] 0 0
Belarus
State/province [4] 0 0
Minsk
Country [5] 0 0
Belgium
State/province [5] 0 0
Antwerp
Country [6] 0 0
Belgium
State/province [6] 0 0
Brussels
Country [7] 0 0
Belgium
State/province [7] 0 0
Edegem
Country [8] 0 0
Belgium
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Gent
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Belgium
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Kortrijk
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Belgium
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Leper
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Belgium
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Leuven
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Belgium
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Liege
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Belgium
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Sint Truiden
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Bulgaria
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Pleven
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Bulgaria
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Sofia
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Bulgaria
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Varna
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Czechia
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Brno
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Czechia
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Melnik
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Czechia
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Olomouc
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Plzen
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State/province [171] 0 0
Birmingham
Country [172] 0 0
United Kingdom
State/province [172] 0 0
Chorley
Country [173] 0 0
United Kingdom
State/province [173] 0 0
Croydon
Country [174] 0 0
United Kingdom
State/province [174] 0 0
Liverpool
Country [175] 0 0
United Kingdom
State/province [175] 0 0
London
Country [176] 0 0
United Kingdom
State/province [176] 0 0
Manchester
Country [177] 0 0
United Kingdom
State/province [177] 0 0
Newcastle Upon Tyne
Country [178] 0 0
United Kingdom
State/province [178] 0 0
Northwood
Country [179] 0 0
United Kingdom
State/province [179] 0 0
Reading
Country [180] 0 0
United Kingdom
State/province [180] 0 0
Sheffield
Country [181] 0 0
United Kingdom
State/province [181] 0 0
Swansea

Funding & Sponsors
Primary sponsor type
Commercial sector/industry
Name
Astellas Pharma Inc
Address
Country

Ethics approval
Ethics application status

Summary
Brief summary
The study is intended to test efficacy, safety and tolerability of two doses of Mirabegron against placebo and compare the efficacy and safety with active comparator in patients with symptoms of overactive bladder.
Trial website
https://clinicaltrials.gov/study/NCT00689104
Trial related presentations / publications
Khullar V, Amarenco G, Angulo JC, Cambronero J, Hoye K, Milsom I, Radziszewski P, Rechberger T, Boerrigter P, Drogendijk T, Wooning M, Chapple C. Efficacy and tolerability of mirabegron, a beta(3)-adrenoceptor agonist, in patients with overactive bladder: results from a randomised European-Australian phase 3 trial. Eur Urol. 2013 Feb;63(2):283-95. doi: 10.1016/j.eururo.2012.10.016. Epub 2012 Nov 6.
Desroziers K, Aballea S, Maman K, Nazir J, Odeyemi I, Hakimi Z. Estimating EQ-5D and OAB-5D health state utilities for patients with overactive bladder. Health Qual Life Outcomes. 2013 Nov 19;11:200. doi: 10.1186/1477-7525-11-200.
Public notes

Contacts
Principal investigator
Name 0 0
Central Contact
Address 0 0
Astellas Pharma Europe B.V.
Country 0 0
Phone 0 0
Fax 0 0
Email 0 0
Contact person for public queries
Name 0 0
Address 0 0
Country 0 0
Phone 0 0
Fax 0 0
Email 0 0
Contact person for scientific queries



Summary Results

For IPD and results data, please see https://clinicaltrials.gov/study/NCT00689104