Clinical Trial to Evaluate the Efficacy and Safety of Fesoterodine in Comparison to Tolterodine for Overactive Bladder (OAB)

Sponsor
Pfizer (Industry)
Overall Status
Completed
CT.gov ID
NCT00444925
Collaborator
(none)
1,712
178
3
15
9.6
0.6

Study Details

Study Description

Brief Summary

To evaluate the efficacy and safety of fesoterodine in comparison to tolterodine and placebo for overactive bladder

Condition or Disease Intervention/Treatment Phase
  • Drug: fesoterodine fumarate
  • Drug: placebo
  • Drug: tolterodine tartrate
Phase 3

Study Design

Study Type:
Interventional
Actual Enrollment :
1712 participants
Allocation:
Randomized
Intervention Model:
Parallel Assignment
Masking:
Triple (Participant, Care Provider, Investigator)
Primary Purpose:
Treatment
Official Title:
12-Week, Randomized, Double-Blind, Double-Dummy,Placebo-Controlled, Parallel-Group, Multicenter Trial To Evaluate The Efficacy And Safety Of Fesoterodine In Comparison To Tolterodine ER In Patients With Overactive Bladder (OAB)
Study Start Date :
Apr 1, 2007
Actual Primary Completion Date :
Jul 1, 2008
Actual Study Completion Date :
Jul 1, 2008

Arms and Interventions

Arm Intervention/Treatment
Experimental: Fesoterodine

Tablets

Drug: fesoterodine fumarate
4 mg once daily (OD) for 1 week followed by a forced dose-escalation to 8 mg once daily (OD) for 11 weeks

Placebo Comparator: Placebo

Tablets and capsules

Drug: placebo
once daily (OD)for 12 weeks

Active Comparator: Tolterodine

Capsules

Drug: tolterodine tartrate
4 mg once daily (OD) for 12 weeks

Outcome Measures

Primary Outcome Measures

  1. Change From Baseline in Mean Number of Urgency Urinary Incontinence (UUI) Episodes Per 24 Hours at Week 12 (End of Treatment). [Baseline, Week 12]

    UUI per 24 hours: total number of micturitions with Urinary Sensation Scale (USS) of 5 divided by total number of diary days collected at visit. USS: 5-item scale to measure urinary urgency; range: 1 (no feeling of urgency) to 5 (unable to hold; leak urine). Change: mean at observation minus mean at baseline.

Secondary Outcome Measures

  1. Change From Baseline in Mean Number of UUI Episodes Per 24 Hours at Week 1 and Week 4. [Baseline, Week 1, Week 4]

    UUI episodes per 24 hours calculated as total number of micturitions with Urinary Sensation Scale (USS) of 5 divided by total number of diary days collected at visit. USS is 5-item scale measuring urinary urgency; range is 1 (no feeling of urgency) to 5 (unable to hold; leak urine). Change calculated as mean at observation minus mean at baseline.

  2. Percent Change From Baseline of UUI Episodes Per 24 Hours. [Baseline, Week 1, Week 4, Week 12]

    UUI episodes per 24 hours calculated as total number of micturitions with USS of 5 in diary. USS is 5-item scale measuring urinary urgency; range is 1 (no feeling of urgency) to 5 (unable to hold; leak urine). Change calculated as UUI episodes per 24 hours at observation divided by baseline number of UUI episodes per 24 hours, multiplied by 100.

  3. Change From Baseline in Mean Voided Volume Per Micturition. [Baseline, Week 1, Week 4, Week 12]

    Mean voided volume calculated as sum of voided volume divided by the total number of micturition episodes with a recorded voided volume greater than 0 in the 3-day diary at that visit.

  4. Change From Baseline in Mean Number of Micturitions Per 24 Hours. [Baseline, Week 1, Week 4, Week 12]

    The mean number of micturitions was calculated as the sum of all micturitions divided by the total number of diary days collected at that visit. Change calculated as mean at observation minus mean at baseline.

  5. Percent Change From Baseline of Micturitions Per 24 Hours. [Baseline, Week 1, Week 4, Week 12]

    Percent change of micturitions per 24 hours was calculated as change in 24-hour mean at that visit divided by the baseline 24-hour mean multiplied by 100 (ie, 100% *(Week 12 or 4 - baseline)/baseline).

  6. Change From Baseline in Mean Number of Nocturnal Micturitions Per 24 Hours. [Baseline, Week 1, Week 4, Week 12]

    Mean number of nocturnal micturitions per 24 hours was calculated as the sum of all micturitions divided by the total number of diary days collected at that visit. Nocturnal (Bedtime) was defined as the time the subject went to bed until he/she arose to start the next day.

  7. Percent Change From Baseline of Nocturnal Micturitions Per 24 Hours. [Baseline, Week 1, Week 4, Week 12]

    Percent change of nocturnal micturitions per 24 hours was calculated as change in 24-hour mean at that visit divided by the baseline 24-hour mean multiplied by 100 (ie, 100% *(Week 12 or 4 - baseline)/baseline). Nocturnal (Bedtime) was defined as the time the subject went to bed until he/she arose to start the next day.

  8. Change From Baseline in Mean Number of Urgency Episodes Per 24 Hours. [Baseline, Week 1, Week 4, Week 12]

    Mean number urgency episodes (USS rating >= to 3 in diary) per 24 hours calculated as sum of all micturitions divided by total number of diary days collected at visit. USS: 5-item scale measuring urinary urgency; range is 1 (no feeling of urgency) to 5 (unable to hold; leak urine). Change calculated as mean at observation minus mean at baseline.

  9. Percent Change From Baseline of Urgency Episodes Per 24 Hours. [Baseline, Week 1, Week 4, Week 12]

    Percent change of urgency episodes (USS rating >= to 3 in diary) per 24 hours calculated as change in 24-hour mean at that visit divided by the baseline 24-hour mean multiplied by 100. USS: 5-item scale measuring urinary urgency; range is 1 (no feeling of urgency) to 5 (unable to hold; leak urine).

  10. Change From Baseline in Mean Number of Severe Urgency Episodes Per 24 Hours. [Baseline, Week 1, Week 4, Week 12]

    Mean number of severe urgency episodes (USS rating >= to 4 in diary ) per 24 hours: sum of all micturitions divided by total number of diary days collected at that visit. USS: 5-item scale to measure urinary urgency; range: 1 (no feeling of urgency) to 5 (unable to hold; leak urine). Change calculated as mean at observation minus mean at baseline.

  11. Percent Change From Baseline of Severe Urgency Episodes Per 24 Hours. [Baseline, Week 1, Week 4, Week 12]

    Percent change calculated as change in severe urgency episodes (USS rating >= to 4 in diary ) per 24 hours at that visit divided by the baseline number of severe urgency episodes per 24 hours, multiplied by 100. USS is 5-item scale measuring urinary urgency; range is 1 (no feeling of urgency) to 5 (unable to hold; leak urine).

  12. Change From Baseline in Mean USS Rating Per Micturition Per 24 Hours. [Baseline, Week 1, Week 4, Week 12]

    Mean USS rating calculated as the sum of rating scores on USS per 24 hours divided by the mean number of micturitions per 24 hours at that visit. USS is 5-item scale measuring urinary urgency; range is 1 (no feeling of urgency) to 5 (unable to hold; leak urine). Change calculated as mean at observation minus mean at baseline.

  13. Change From Baseline in Frequency-Urgency Sum (Formerly Known as Urinary Sensations Scale Sum in Protocol) Per 24 Hours. [Baseline, Week 1, Week 4, Week 12]

    Frequency-Urgency Sum rating per 24 hours calculated as mean rating scores on the USS multiplied by the mean number of micturitions per 24 hours at that visit. USS is 5-item scale measuring urinary urgency; range is 1 (no feeling of urgency) to 5 (unable to hold; leak urine). Change calculated as mean at observation minus mean at baseline.

  14. Change From Baseline in Patient Perception of Bladder Condition (PPBC). [Baseline, Week 1, Week, 4, Week 12]

    Number of subjects in 4-point category: >= to 2 points improvement [major improvement]; 1 point improvement [minor improvement]; no change; deterioration, based on PPBC score (rated on 6-point scale: 1=no problems at all; 6=many severe problems). Score change: score at observation minus score at baseline; re-scaled to 4-point categorical variables.

  15. Change From Baseline in Urgency Perception Scale (UPS). UPS Equals Patient Perception of Urgency Scale (PPUS) in Protocol. [Baseline, Week 1, Week 4, Week 12]

    Number of subjects in 3-point category: improvement [>=1-point improvement]; no change; deterioration [>=1-point decrease], based on UPS score (rated on 3-point scale: 1=not able to hold urine; 3=able to finish what I am doing). Score change calculated as score at observation minus score at baseline; re-scaled to 3-point categorical variables.

  16. Change From Baseline in Overactive Bladder Questionnaire (OAB-q): Symptom Bother Score at Week 12 (End of Treatment). [Baseline, Week 12]

    Symptom bother score derived as sum of scores for questions 1-8; lowest possible raw score: 8; highest possible score: 48. Data analyzed based on transformation of the score to a 0 to 100 scale [(Actual total raw score - lowest possible value of raw score)/by raw score range * 100]. Higher transformed scores indicative of greater symptom bother. Negative change in Symptom Bother score indicates improvement. Change calculated as score at observation minus score at baseline.

  17. Change From Baseline in OAB-q: Health Related Quality of Life (HRQL) at Week 12 (End of Treatment). [Baseline, Week 12]

    HRQL domain and total raw score derived as sum of scores (6-point scale: 1=not at all/none of the time; 6=a very great deal/all of the time). Transformed score (Total HRQL or domain)=[(Highest possible raw score-Actual total raw score)/Raw score range]x100. Higher transformed scores indicative of better HRQL. Positive change in HRQL scores indicates improvement. Change: score at observation minus score at baseline.

Eligibility Criteria

Criteria

Ages Eligible for Study:
18 Years and Older
Sexes Eligible for Study:
All
Accepts Healthy Volunteers:
No
Inclusion Criteria:
  • Adult overactive bladder (OAB) patients who present with OAB symptoms, including urinary frequency >= 8 per day and urgency urinary incontinence >=1 per day
Exclusion Criteria:
  • Patients with conditions that would contraindicate for fesoterodine use, e.g, hypersensitivity to the active substance (fesoterodine) or to peanut or soya or any of the excipients, urinary retention, and gastric retention.

  • Patients with significant hepatic and renal disease or other significant unstable diseases.

  • OAB symptoms caused by neurological conditions, known pathologies of urinary tract, etc.

Contacts and Locations

Locations

Site City State Country Postal Code
1 Pfizer Investigational Site Homewood Alabama United States 35209
2 Pfizer Investigational Site Huntsville Alabama United States 35801
3 Pfizer Investigational Site Mobile Alabama United States 36608
4 Pfizer Investigational Site Carmichael California United States 95608
5 Pfizer Investigational Site Orangevale California United States 95662
6 Pfizer Investigational Site San Diego California United States 92103-6204
7 Pfizer Investigational Site Aurora Colorado United States 80012
8 Pfizer Investigational Site Waterbury Connecticut United States 06708
9 Pfizer Investigational Site Miami Florida United States 33186
10 Pfizer Investigational Site Wellington Florida United States 33414
11 Pfizer Investigational Site Atlanta Georgia United States 30342
12 Pfizer Investigational Site Coeur D Alene Idaho United States 83814
13 Pfizer Investigational Site Sandpoint Idaho United States 83864
14 Pfizer Investigational Site Aurora Illinois United States 60504
15 Pfizer Investigational Site West Des Moines Iowa United States 50266
16 Pfizer Investigational Site Newton Kansas United States 67114
17 Pfizer Investigational Site Shrevport Louisiana United States 71106
18 Pfizer Investigational Site Watertown Massachusetts United States 02472
19 Pfizer Investigational Site Chaska Minnesota United States 55318
20 Pfizer Investigational Site Lawrenceville New Jersey United States 08648
21 Pfizer Investigational Site Albuquerque New Mexico United States 87109
22 Pfizer Investigational Site Garden City New York United States 11530
23 Pfizer Investigational Site Mineola New York United States 11501
24 Pfizer Investigational Site Burlington North Carolina United States 27215
25 Pfizer Investigational Site Concord North Carolina United States 28025
26 Pfizer Investigational Site Huntersville North Carolina United States 28078
27 Pfizer Investigational Site Dayton Ohio United States 45439
28 Pfizer Investigational Site Allentown Pennsylvania United States 18103
29 Pfizer Investigational Site Allentown Pennsylvania United States 18106
30 Pfizer Investigational Site Pittsburgh Pennsylvania United States 15212
31 Pfizer Investigational Site Pittsburgh Pennsylvania United States 15213-3180
32 Pfizer Investigational Site East Providence Rhode Island United States 02914
33 Pfizer Investigational Site Charleston South Carolina United States 29425
34 Pfizer Investigational Site Columbia South Carolina United States 29201
35 Pfizer Investigational Site Kingsport Tennessee United States 37660
36 Pfizer Investigational Site Milan Tennessee United States 38358
37 Pfizer Investigational Site Houston Texas United States 77024
38 Pfizer Investigational Site Provo Utah United States 84604
39 Pfizer Investigational Site Chesapeake Virginia United States 23320
40 Pfizer Investigational Site Seattle Washington United States 98104
41 Pfizer Investigational Site Menomonee Falls Wisconsin United States 53051
42 Pfizer Investigational Site Antwerpen Belgium 2020
43 Pfizer Investigational Site Bruxelles Belgium 1070
44 Pfizer Investigational Site Kortrijk Belgium 8500
45 Pfizer Investigational Site Tessenderlo Belgium 3980
46 Pfizer Investigational Site Salvador BA Brazil 40420-000
47 Pfizer Investigational Site Rio de Janeiro RJ Brazil CEP 20551-030
48 Pfizer Investigational Site Porto Alegre RS Brazil 90020-090
49 Pfizer Investigational Site Porto Alegre RS Brazil 90470-340
50 Pfizer Investigational Site Campinas SP Brazil 13084-882
51 Pfizer Investigational Site São Paulo SP Brazil 04039-901
52 Pfizer Investigational Site São Paulo SP Brazil 04262-000
53 Pfizer Investigational Site Calgary Alberta Canada T2V 4R6
54 Pfizer Investigational Site Edmonton Alberta Canada T5H 3V9
55 Pfizer Investigational Site Victoria British Columbia Canada V8V 3N1
56 Pfizer Investigational Site Saint John New Brunswick Canada E2L 3J8
57 Pfizer Investigational Site Kitchener Ontario Canada N2N 2B9
58 Pfizer Investigational Site Toronto Ontario Canada M4N 3M5
59 Pfizer Investigational Site Toronto Ontario Canada M6A 3B5
60 Pfizer Investigational Site Montreal Quebec Canada H2X 1N8
61 Pfizer Investigational Site Montreal Quebec Canada H3S 1Z1
62 Pfizer Investigational Site Montréal Quebec Canada H2X 3J4
63 Pfizer Investigational Site Sherbrooke Quebec Canada J1H 5N4
64 Pfizer Investigational Site Rancagua VI Región Chile 2820945
65 Pfizer Investigational Site Puerto Montt Chile 5480000
66 Pfizer Investigational Site Santiago Chile
67 Pfizer Investigational Site Bogota Cundinamarca Colombia 0
68 Pfizer Investigational Site Bogota Cundinamarca Colombia
69 Pfizer Investigational Site Alajuela Costa Rica
70 Pfizer Investigational Site Cartago Costa Rica
71 Pfizer Investigational Site San Jose Costa Rica
72 Pfizer Investigational Site Hradec Kralove Czech Republic 500 02
73 Pfizer Investigational Site Jablonec nad Nisou Czech Republic 466 60
74 Pfizer Investigational Site Jindrichuv Hradec Czech Republic 377 38
75 Pfizer Investigational Site Ostrava Czech Republic 708 52
76 Pfizer Investigational Site Praha 8 Czech Republic 180 00
77 Pfizer Investigational Site Aalborg Denmark 9100
78 Pfizer Investigational Site Aarhus N Denmark 8200
79 Pfizer Investigational Site Glostrup Denmark 2600
80 Pfizer Investigational Site Herlev Denmark 2730
81 Pfizer Investigational Site Kolding Denmark 6000
82 Pfizer Investigational Site Nykoebing Falster Denmark 4800
83 Pfizer Investigational Site Roskilde Denmark 4000
84 Pfizer Investigational Site Ahaus Germany 41683
85 Pfizer Investigational Site Alzey Germany 55232
86 Pfizer Investigational Site Berlin Germany 10787
87 Pfizer Investigational Site Berlin Germany 13125
88 Pfizer Investigational Site Berlin Germany 13347
89 Pfizer Investigational Site Karlsruhe Germany 76199
90 Pfizer Investigational Site Krumbach Germany 86381
91 Pfizer Investigational Site Leipzig Germany 04105
92 Pfizer Investigational Site Leipzig Germany 04109
93 Pfizer Investigational Site Marburg Germany 35039
94 Pfizer Investigational Site Muelheim a.d. Ruhr Germany 45468
95 Pfizer Investigational Site Muenchen Germany 81241
96 Pfizer Investigational Site Muenchen Germany 81925
97 Pfizer Investigational Site Rosenheim Germany 83022
98 Pfizer Investigational Site Athens Attiki Greece 10552
99 Pfizer Investigational Site Ioannina Ipiros Greece 45001
100 Pfizer Investigational Site Rio, Patras Greece 26500
101 Pfizer Investigational Site Thessaloniki Greece 56403
102 Pfizer Investigational Site Hong Kong Hong Kong
103 Pfizer Investigational Site Shatin Hong Kong
104 Pfizer Investigational Site Debrecen Hungary 4026
105 Pfizer Investigational Site Nyiregyhaza Hungary 4400
106 Pfizer Investigational Site Szeged Hungary 6725
107 Pfizer Investigational Site Szentes Hungary 6600
108 Pfizer Investigational Site Hyderabad Andhra Pradesh India 500 001
109 Pfizer Investigational Site Hyderabad Andhra Pradesh India 500 082
110 Pfizer Investigational Site Bangalore Karnataka India 560 034
111 Pfizer Investigational Site Jaipur Rajasthan India 302 004
112 Pfizer Investigational Site Vellore Tamil Nadu India 632 004
113 Pfizer Investigational Site Lucknow Uttar Pradesh India 226003
114 Pfizer Investigational Site Latina Italy 04100
115 Pfizer Investigational Site Padova Italy 35128
116 Pfizer Investigational Site Siena Italy 53100
117 Pfizer Investigational Site Seoul Korea Korea, Republic of 110-744
118 Pfizer Investigational Site Daegu Korea, Republic of 705-718
119 Pfizer Investigational Site Seoul Korea, Republic of 100-380
120 Pfizer Investigational Site Seoul Korea, Republic of 120-752
121 Pfizer Investigational Site Seoul Korea, Republic of 136-705
122 Pfizer Investigational Site Seoul Korea, Republic of 137-040
123 Pfizer Investigational Site Batu Caves Selangor Malaysia 68100
124 Pfizer Investigational Site Kuala Lumpur Malaysia 59100
125 Pfizer Investigational Site Bergen Norway 5005
126 Pfizer Investigational Site Hamar Norway 2317
127 Pfizer Investigational Site Lysaker Norway 1366
128 Pfizer Investigational Site Oslo Norway 0264
129 Pfizer Investigational Site Oslo Norway NO-0257
130 Pfizer Investigational Site Sandnes Norway 4313
131 Pfizer Investigational Site Surco Lima Peru L33
132 Pfizer Investigational Site Lima Peru L27
133 Pfizer Investigational Site Bialystok Poland 15-950
134 Pfizer Investigational Site Bydgoszcz Poland 85-168
135 Pfizer Investigational Site Lodz Poland 91-463
136 Pfizer Investigational Site Szczecin Poland 70-11
137 Pfizer Investigational Site Warszawa Poland 02-507
138 Pfizer Investigational Site Arad Romania 310175
139 Pfizer Investigational Site Bucuresti Romania 041345
140 Pfizer Investigational Site Bucuresti Romania 050653
141 Pfizer Investigational Site Sibiu Romania 550245
142 Pfizer Investigational Site Timisoara Romania 300736
143 Pfizer Investigational Site Moscow Russia Russian Federation 105425
144 Pfizer Investigational Site St. Petersburg Russia Russian Federation
145 Pfizer Investigational Site Moscow Russian Federation 101000
146 Pfizer Investigational Site Moscow Russian Federation 115516
147 Pfizer Investigational Site Moscow Russian Federation 117815
148 Pfizer Investigational Site Rostov-on-Don Russian Federation 344022
149 Pfizer Investigational Site Singapore Singapore 119074
150 Pfizer Investigational Site Singapore Singapore 229899
151 Pfizer Investigational Site Bloemfontein Free State South Africa 9300
152 Pfizer Investigational Site Parktown Gauteng Province South Africa 2193
153 Pfizer Investigational Site Vosloorus Gauteng South Africa 1475
154 Pfizer Investigational Site Durban Kwa Zulu Natal South Africa 4001
155 Pfizer Investigational Site Pietermaritzburg Kwa Zulu Natal South Africa 3201
156 Pfizer Investigational Site Cape Town South Africa 8001
157 Pfizer Investigational Site Pretoria South Africa 0083
158 Pfizer Investigational Site Getafe Madrid Spain 28905
159 Pfizer Investigational Site Bilbao Vizcaya Spain 48013
160 Pfizer Investigational Site Madrid Spain 28046
161 Pfizer Investigational Site Valencia Spain 46010
162 Pfizer Investigational Site Huskvarna Sweden 561 36
163 Pfizer Investigational Site Lulea Sweden 97180
164 Pfizer Investigational Site Malmo Sweden 205 02
165 Pfizer Investigational Site Skovde Sweden 541 30
166 Pfizer Investigational Site Stockholm Sweden
167 Pfizer Investigational Site Frauenfeld Switzerland CH-8500
168 Pfizer Investigational Site Luzern 16 Switzerland CH-6000
169 Pfizer Investigational Site Niao-Sung Hsiang Kaohsiung Taiwan 833
170 Pfizer Investigational Site Hualien Taiwan 970
171 Pfizer Investigational Site Taichung City Taiwan 40705
172 Pfizer Investigational Site Taipei Taiwan 100
173 Pfizer Investigational Site Taipei Taiwan
174 Pfizer Investigational Site Chernivtsi Ukraine 58002
175 Pfizer Investigational Site Kharkiv Ukraine 61037
176 Pfizer Investigational Site Kyiv Ukraine 04053
177 Pfizer Investigational Site Odessa Ukraine 65000
178 Pfizer Investigational Site Zaporizhzhia Ukraine 69000

Sponsors and Collaborators

  • Pfizer

Investigators

  • Study Director: Pfizer CT.gov Call Center, Pfizer

Study Documents (Full-Text)

None provided.

More Information

Additional Information:

Publications

None provided.
Responsible Party:
Pfizer
ClinicalTrials.gov Identifier:
NCT00444925
Other Study ID Numbers:
  • A0221008
First Posted:
Mar 8, 2007
Last Update Posted:
Mar 24, 2015
Last Verified:
Mar 1, 2015

Study Results

Participant Flow

Recruitment Details Participants with urgency incontinence Overactive Bladder (OAB) symptoms who met all entrance criteria were randomized to the double-blind treatment period.
Pre-assignment Detail
Arm/Group Title Placebo Tolterodine ER Fesoterodine
Arm/Group Description Tablets (4 milligrams [mg] orally (PO) once daily (QD) for 1 week followed by a forced dose escalation to 8 mg PO QD for 11 weeks) or capsules (4 mg) PO QD for 12 weeks Capsules (4 mg) PO QD for 12 weeks. Tolterodine Extended Release (ER) Tablets (4 mg PO QD for 1 week followed by a forced dose escalation to 8 mg PO QD for 11 weeks)
Period Title: Single-blind Placebo Run-In Period
STARTED 2446 0 0
COMPLETED 1712 0 0
NOT COMPLETED 734 0 0
Period Title: Single-blind Placebo Run-In Period
STARTED 337 690 685
COMPLETED 334 684 679
NOT COMPLETED 3 6 6
Period Title: Single-blind Placebo Run-In Period
STARTED 334 684 679
COMPLETED 304 628 598
NOT COMPLETED 30 56 81

Baseline Characteristics

Arm/Group Title Placebo Tolterodine ER Fesoterodine Total
Arm/Group Description Tablets (4 milligrams [mg] orally (PO) once daily (QD) for 1 week followed by a forced dose escalation to 8 mg PO QD for 11 weeks) or capsules (4 mg) PO QD for 12 weeks Capsules (4 mg) PO QD for 12 weeks. Tolterodine Extended Release (ER) Tablets (4 mg PO QD for 1 week followed by a forced dose escalation to 8 mg PO QD for 11 weeks) Total of all reporting groups
Overall Participants 334 684 679 1697
Age, Customized (participants) [Number]
18 - 44 years
55
16.5%
103
15.1%
96
14.1%
254
15%
45 - 64 years
167
50%
349
51%
367
54.1%
883
52%
>= 65 years
112
33.5%
232
33.9%
216
31.8%
560
33%
Sex: Female, Male (Count of Participants)
Female
269
80.5%
564
82.5%
558
82.2%
1391
82%
Male
65
19.5%
120
17.5%
121
17.8%
306
18%

Outcome Measures

1. Primary Outcome
Title Change From Baseline in Mean Number of Urgency Urinary Incontinence (UUI) Episodes Per 24 Hours at Week 12 (End of Treatment).
Description UUI per 24 hours: total number of micturitions with Urinary Sensation Scale (USS) of 5 divided by total number of diary days collected at visit. USS: 5-item scale to measure urinary urgency; range: 1 (no feeling of urgency) to 5 (unable to hold; leak urine). Change: mean at observation minus mean at baseline.
Time Frame Baseline, Week 12

Outcome Measure Data

Analysis Population Description
Full analysis set (FAS): took at least 1 dose of assigned treatment, contributed data to at least 1 baseline or post-baseline efficacy assessment, and excluded 107 subjects from two study sites with significant Good Clinical Practices (GCP) deviations. The decision to exclude that data was made while the study was still blinded.
Arm/Group Title Placebo Tolterodine ER Fesoterodine
Arm/Group Description Tablets (4 milligrams [mg] orally (PO) once daily (QD) for 1 week followed by a forced dose escalation to 8 mg PO QD for 11 weeks) or capsules (4 mg) PO QD for 12 weeks Capsules (4 mg) PO QD for 12 weeks. Tolterodine Extended Release (ER) Tablets (4 mg PO QD for 1 week followed by a forced dose escalation to 8 mg PO QD for 11 weeks)
Measure Participants 307 626 619
Mean (Standard Error) [number of episodes per 24 hours]
-1.46
(0.10)
-1.61
(0.06)
-1.72
(0.06)
Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection Placebo, Fesoterodine
Comments Treatment Difference Fesoterodine versus (vs) placebo at Week 12. Treatment effects estimated by Winsorized means (5% of the tails were censored, ie, replaced with the value at the fifth (5th) and ninety-fifth (95th) percentile, respectively).
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value <0.0001
Comments Comparison fesoterodine vs tolterodine ER performed only if statistical significance favoring fesoterodine achieved for fesoterodine vs placebo to preserve overall alpha level at 5%; pairwise comparison also performed for tolterodine ER vs placebo.
Method Van Elteren's Test
Comments P-value based on Van Elteren's Test (a stratified Wilcoxon-Mann Whitney test) adjusted by baseline UUI quartile.
Statistical Analysis 2
Statistical Analysis Overview Comparison Group Selection Placebo, Tolterodine ER
Comments Treatment Difference Tolterodine ER vs placebo at Week 12. Treatment effects estimated by Winsorized means (5% of the tails were censored, ie, replaced with the value at the 5th and 95th percentile, respectively).
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.0107
Comments Comparison fesoterodine vs tolterodine ER performed only if statistical significance favoring fesoterodine achieved for fesoterodine vs placebo to preserve overall alpha level at 5%; pairwise comparison also performed for tolterodine ER vs placebo.
Method Van Elteren's Test
Comments P-value based on Van Elteren's Test (a stratified Wilcoxon-Mann Whitney test) adjusted by baseline UUI quartile.
Statistical Analysis 3
Statistical Analysis Overview Comparison Group Selection Tolterodine ER, Fesoterodine
Comments Treatment Difference Fesoterodine vs Tolterodine ER at Week 12. Treatment effects estimated by Winsorized means (5% of the tails were censored, ie, replaced with the value at the 5th and 95th percentile, respectively).
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.0172
Comments Comparison fesoterodine vs tolterodine ER performed only if statistical significance favoring fesoterodine achieved for fesoterodine vs placebo to preserve overall alpha level at 5%; pairwise comparison also performed for tolterodine ER vs placebo.
Method Van Elteren's Test
Comments P-value based on Van Elteren's Test (a stratified Wilcoxon-Mann Whitney test) adjusted by baseline UUI quartile.
2. Secondary Outcome
Title Change From Baseline in Mean Number of UUI Episodes Per 24 Hours at Week 1 and Week 4.
Description UUI episodes per 24 hours calculated as total number of micturitions with Urinary Sensation Scale (USS) of 5 divided by total number of diary days collected at visit. USS is 5-item scale measuring urinary urgency; range is 1 (no feeling of urgency) to 5 (unable to hold; leak urine). Change calculated as mean at observation minus mean at baseline.
Time Frame Baseline, Week 1, Week 4

Outcome Measure Data

Analysis Population Description
FAS; Subjects reporting this symptom at baseline; (n)=number of subjects with baseline UUI>0 per 24 hours, non-missing change from baseline to respective post-baseline value (Week 1 or Week 4 [Last Observation Carried Forward (LOCF)]) for placebo, Tolterodine ER, and Fesoterodine, respectively.
Arm/Group Title Placebo Tolterodine ER Fesoterodine
Arm/Group Description Tablets (4 milligrams [mg] orally (PO) once daily (QD) for 1 week followed by a forced dose escalation to 8 mg PO QD for 11 weeks) or capsules (4 mg) PO QD for 12 weeks Capsules (4 mg) PO QD for 12 weeks. Tolterodine Extended Release (ER) Tablets (4 mg PO QD for 1 week followed by a forced dose escalation to 8 mg PO QD for 11 weeks)
Measure Participants 334 684 679
Week 1 (n=302, 614, 612)
-0.54
(0.09)
-0.92
(0.06)
-0.95
(0.06)
Week 4 [LOCF] (n=307, 626, 618)
-1.06
(0.10)
-1.40
(0.06)
-1.52
(0.06)
Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection Placebo, Fesoterodine
Comments Treatment Difference Fesoterodine vs placebo at Week 1. Winsorized means (5% of the tails were censored, ie, replaced with the value at the 5th and 95th percentile, respectively).
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value <0.0001
Comments
Method Van Elteren's Test
Comments P-value based on Van Elteren's Test adjusted by baseline UUI quartile.
Statistical Analysis 2
Statistical Analysis Overview Comparison Group Selection Placebo, Tolterodine ER
Comments Treatment Difference Tolterodine ER vs placebo at Week 1. Winsorized means (5% of the tails were censored, ie, replaced with the value at the 5th and 95th percentile, respectively).
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value <0.0001
Comments
Method Van Elteren's Test
Comments P-value based on Van Elteren's Test adjusted by baseline UUI quartile.
Statistical Analysis 3
Statistical Analysis Overview Comparison Group Selection Tolterodine ER, Fesoterodine
Comments Treatment Difference Fesoterodine vs Tolterodine ER at Week 1. Winsorized means (5% of the tails were censored, ie, replaced with the value at the 5th and 95th percentile, respectively).
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.8460
Comments
Method Van Elteren's Test
Comments P-value based on Van Elteren's Test adjusted by baseline UUI quartile.
Statistical Analysis 4
Statistical Analysis Overview Comparison Group Selection Placebo, Fesoterodine
Comments Treatment Difference Fesoterodine vs placebo at Week 4. Winsorized means (5% of the tails were censored, ie, replaced with the value at the 5th and 95th percentile, respectively).
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value <0.0001
Comments
Method Van Elteren's Test
Comments P-value based on Van Elteren's Test adjusted by baseline UUI quartile.
Statistical Analysis 5
Statistical Analysis Overview Comparison Group Selection Placebo, Tolterodine ER
Comments Treatment Difference Tolterodine ER vs placebo at Week 4. Winsorized means (5% of the tails were censored, ie, replaced with the value at the 5th and 95th percentile, respectively).
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value <0.0001
Comments
Method Van Elteren's Test
Comments P-value based on Van Elteren's Test adjusted by baseline UUI quartile.
Statistical Analysis 6
Statistical Analysis Overview Comparison Group Selection Tolterodine ER, Fesoterodine
Comments Treatment Difference Fesoterodine vs Tolterodine ER at Week 4. Winsorized means (5% of the tails were censored, ie, replaced with the value at the 5th and 95th percentile, respectively).
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.1937
Comments
Method Van Elteren's Test
Comments P-value based on Van Elteren's Test adjusted by baseline UUI quartile.
3. Secondary Outcome
Title Percent Change From Baseline of UUI Episodes Per 24 Hours.
Description UUI episodes per 24 hours calculated as total number of micturitions with USS of 5 in diary. USS is 5-item scale measuring urinary urgency; range is 1 (no feeling of urgency) to 5 (unable to hold; leak urine). Change calculated as UUI episodes per 24 hours at observation divided by baseline number of UUI episodes per 24 hours, multiplied by 100.
Time Frame Baseline, Week 1, Week 4, Week 12

Outcome Measure Data

Analysis Population Description
FAS; Subjects reporting this symptom at baseline; (n)=number of subjects with baseline UUI>0 per 24 hours, non-missing change from baseline to respective post-baseline value (Week 1, Week 4 [LOCF], or Week 12 [LOCF]) for placebo, Tolterodine ER, and Fesoterodine, respectively.
Arm/Group Title Placebo Tolterodine ER Fesoterodine
Arm/Group Description Tablets (4 milligrams [mg] orally (PO) once daily (QD) for 1 week followed by a forced dose escalation to 8 mg PO QD for 11 weeks) or capsules (4 mg) PO QD for 12 weeks Capsules (4 mg) PO QD for 12 weeks. Tolterodine Extended Release (ER) Tablets (4 mg PO QD for 1 week followed by a forced dose escalation to 8 mg PO QD for 11 weeks)
Measure Participants 334 684 679
Week 1 (n=302, 614, 612)
-28.6
-55.1
-53.6
Week 4 [LOCF] (n=307, 626, 618)
-60.0
-85.7
-93.2
Week 12 [LOCF] (n=307, 626, 619)
-82.1
-100.0
-100.0
Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection Placebo, Fesoterodine
Comments Treatment Difference Fesoterodine vs placebo at Week 1. Per closed testing procedure, statistical testing for percent change not performed for Fesoterodine vs Tolterodine ER Week 1: corresponding numerical change result not statistically significant.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value <0.0001
Comments Inferential testing: percent change from baseline only carried out for given end/time point if corresponding numeric change result statistically significant (to preserve alpha level at 5% within each type of diary endpoint for a given comparison).
Method ANCOVA
Comments Based on a ranked analysis of covariance model with country and treatment as factors, and ranked baseline value as a covariate.
Statistical Analysis 2
Statistical Analysis Overview Comparison Group Selection Placebo, Tolterodine ER
Comments Treatment Difference Tolterodine ER vs placebo at Week 1. Per closed testing procedure, statistical testing for percent change not performed for Fesoterodine vs Tolterodine ER Week 1: corresponding numerical change result not statistically significant.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value <0.0001
Comments Inferential testing: percent change from baseline only carried out for given end/time point if corresponding numeric change result statistically significant (to preserve alpha level at 5% within each type of diary endpoint for a given comparison).
Method ANCOVA
Comments Based on a ranked analysis of covariance model with country and treatment as factors, and ranked baseline value as a covariate.
Statistical Analysis 3
Statistical Analysis Overview Comparison Group Selection Placebo, Fesoterodine
Comments Treatment Difference Fesoterodine vs placebo at Week 4. Per closed testing procedure, statistical testing for percent change not performed for Fesoterodine vs Tolterodine ER Week 4: corresponding numerical change result not statistically significant.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value <0.0001
Comments Inferential testing: percent change from baseline only carried out for given end/time point if corresponding numeric change result statistically significant (to preserve alpha level at 5% within each type of diary endpoint for a given comparison).
Method ANCOVA
Comments Based on a ranked analysis of covariance model with country and treatment as factors, and ranked baseline value as a covariate.
Statistical Analysis 4
Statistical Analysis Overview Comparison Group Selection Placebo, Tolterodine ER
Comments Treatment Difference Tolterodine ER vs placebo at Week 4. Per closed testing procedure, statistical testing for percent change not performed for Fesoterodine vs Tolterodine ER Week 4: corresponding numerical change result not statistically significant.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value <0.0001
Comments Inferential testing: percent change from baseline only carried out for given end/time point if corresponding numeric change result statistically significant (to preserve alpha level at 5% within each type of diary endpoint for a given comparison).
Method ANCOVA
Comments Based on a ranked analysis of covariance model with country and treatment as factors, and ranked baseline value as a covariate.
Statistical Analysis 5
Statistical Analysis Overview Comparison Group Selection Placebo, Fesoterodine
Comments Treatment Difference Fesoterodine vs placebo at Week 12.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value <0.0001
Comments Inferential testing: percent change from baseline only carried out for given end/time point if corresponding numeric change result statistically significant (to preserve alpha level at 5% within each type of diary endpoint for a given comparison).
Method ANCOVA
Comments Based on a ranked analysis of covariance model with country and treatment as factors, and ranked baseline value as a covariate.
Statistical Analysis 6
Statistical Analysis Overview Comparison Group Selection Placebo, Tolterodine ER
Comments Treatment Difference Tolterodine ER vs placebo at Week 12.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value <0.0001
Comments Inferential testing: percent change from baseline only carried out for given end/time point if corresponding numeric change result statistically significant (to preserve alpha level at 5% within each type of diary endpoint for a given comparison).
Method ANCOVA
Comments Based on a ranked analysis of covariance model with country and treatment as factors, and ranked baseline value as a covariate.
Statistical Analysis 7
Statistical Analysis Overview Comparison Group Selection Tolterodine ER, Fesoterodine
Comments Treatment Difference Fesoterodine vs Tolterodine ER at Week 12.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.0220
Comments Inferential testing: percent change from baseline only carried out for given end/time point if corresponding numeric change result statistically significant (to preserve alpha level at 5% within each type of diary endpoint for a given comparison).
Method ANCOVA
Comments Based on a ranked analysis of covariance model with country and treatment as factors, and ranked baseline value as a covariate.
4. Secondary Outcome
Title Change From Baseline in Mean Voided Volume Per Micturition.
Description Mean voided volume calculated as sum of voided volume divided by the total number of micturition episodes with a recorded voided volume greater than 0 in the 3-day diary at that visit.
Time Frame Baseline, Week 1, Week 4, Week 12

Outcome Measure Data

Analysis Population Description
FAS; (n)=number of subjects with non-missing numerical change from baseline to the respective post-baseline value (Week 1, Week 4 [LOCF], or Week 12 [LOCF]) for placebo, Tolterodine ER, and Fesoterodine, respectively.
Arm/Group Title Placebo Tolterodine ER Fesoterodine
Arm/Group Description Tablets (4 milligrams [mg] orally (PO) once daily (QD) for 1 week followed by a forced dose escalation to 8 mg PO QD for 11 weeks) or capsules (4 mg) PO QD for 12 weeks Capsules (4 mg) PO QD for 12 weeks. Tolterodine Extended Release (ER) Tablets (4 mg PO QD for 1 week followed by a forced dose escalation to 8 mg PO QD for 11 weeks)
Measure Participants 334 684 679
Week 1 (n=306, 622, 623)
11.0
(3.2)
19.2
(2.5)
18.7
(2.5)
Week 4 [LOCF] (n=313, 633, 625)
14.0
(3.8)
25.7
(3.0)
30.5
(3.0)
Week 12 [LOCF] (n=313, 633, 626)
16.8
(3.9)
23.5
(3.0)
32.9
(3.1)
Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection Placebo, Fesoterodine
Comments Treatment Difference Fesoterodine vs placebo at Week 1.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.0214
Comments
Method ANCOVA
Comments Based on an analysis of covariance model with country and treatment as factors, and centered baseline value as a covariate.
Method of Estimation Estimation Parameter Mean Difference (Final Values)
Estimated Value 7.8
Confidence Interval () %
to
Parameter Dispersion Type: Standard Error of the Mean
Value: 3.4
Estimation Comments Treatment Difference Least Squares Mean (LSMean) Difference Standard Error (SE), SE is recorded as Parameter Dispersion Type: Standard Error of the mean.
Statistical Analysis 2
Statistical Analysis Overview Comparison Group Selection Placebo, Tolterodine ER
Comments Treatment Difference Tolterodine ER vs placebo at Week 1.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.0149
Comments
Method ANCOVA
Comments Based on an analysis of covariance model with country and treatment as factors, and centered baseline value as a covariate.
Method of Estimation Estimation Parameter Mean Difference (Final Values)
Estimated Value 8.2
Confidence Interval () %
to
Parameter Dispersion Type: Standard Error of the Mean
Value: 3.4
Estimation Comments Treatment Difference LSMean Difference(SE), SE is recorded as Parameter Dispersion Type: Standard Error of the mean.
Statistical Analysis 3
Statistical Analysis Overview Comparison Group Selection Tolterodine ER, Fesoterodine
Comments Treatment Difference Fesoterodine vs Tolterodine ER at Week 1.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.8659
Comments
Method ANCOVA
Comments Based on an analysis of covariance model with country and treatment as factors, and centered baseline value as a covariate.
Method of Estimation Estimation Parameter Mean Difference (Final Values)
Estimated Value -0.5
Confidence Interval () %
to
Parameter Dispersion Type: Standard Error of the Mean
Value: 2.7
Estimation Comments Treatment Difference LSMean Difference(SE), SE is recorded as Parameter Dispersion Type: Standard Error of the mean.
Statistical Analysis 4
Statistical Analysis Overview Comparison Group Selection Placebo, Fesoterodine
Comments Treatment Difference Fesoterodine vs placebo at Week 4.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value <0.0001
Comments
Method ANCOVA
Comments Based on an analysis of covariance model with country and treatment as factors, and centered baseline value as a covariate.
Method of Estimation Estimation Parameter Mean Difference (Final Values)
Estimated Value 16.5
Confidence Interval () %
to
Parameter Dispersion Type: Standard Error of the Mean
Value: 4.0
Estimation Comments Treatment Difference LSMean Difference(SE), SE is recorded as Parameter Dispersion Type: Standard Error of the mean.
Statistical Analysis 5
Statistical Analysis Overview Comparison Group Selection Placebo, Tolterodine ER
Comments Treatment Difference Tolterodine ER vs placebo at Week 4.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.0036
Comments
Method ANCOVA
Comments Based on an analysis of covariance model with country and treatment as factors, and centered baseline value as a covariate.
Method of Estimation Estimation Parameter Mean Difference (Final Values)
Estimated Value 11.7
Confidence Interval () %
to
Parameter Dispersion Type: Standard Error of the Mean
Value: 4.0
Estimation Comments Treatment Difference LSMean Difference(SE), SE is recorded as Parameter Dispersion Type: Standard Error of the mean.
Statistical Analysis 6
Statistical Analysis Overview Comparison Group Selection Tolterodine ER, Fesoterodine
Comments Treatment Difference Fesoterodine vs Tolterodine ER at Week 4.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.1484
Comments
Method ANCOVA
Comments Based on an analysis of covariance model with country and treatment as factors, and centered baseline value as a covariate.
Method of Estimation Estimation Parameter Mean Difference (Final Values)
Estimated Value 4.7
Confidence Interval () %
to
Parameter Dispersion Type: Standard Error of the Mean
Value: 3.3
Estimation Comments Treatment Difference LSMean Difference(SE), SE is recorded as Parameter Dispersion Type: Standard Error of the mean.
Statistical Analysis 7
Statistical Analysis Overview Comparison Group Selection Placebo, Fesoterodine
Comments Treatment Difference Fesoterodine vs placebo at Week 12.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value <0.0001
Comments
Method ANCOVA
Comments Based on an analysis of covariance model with country and treatment as factors, and centered baseline value as a covariate.
Method of Estimation Estimation Parameter Mean Difference (Final Values)
Estimated Value 16.1
Confidence Interval () %
to
Parameter Dispersion Type: Standard Error of the Mean
Value: 4.1
Estimation Comments Treatment Difference LSMean Difference(SE), SE is recorded as Parameter Dispersion Type: Standard Error of the mean.
Statistical Analysis 8
Statistical Analysis Overview Comparison Group Selection Placebo, Tolterodine ER
Comments Treatment Difference Tolterodine ER vs placebo at Week 12.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.1029
Comments
Method ANCOVA
Comments Based on an analysis of covariance model with country and treatment as factors, and centered baseline value as a covariate.
Method of Estimation Estimation Parameter Mean Difference (Final Values)
Estimated Value 6.7
Confidence Interval () %
to
Parameter Dispersion Type: Standard Error of the Mean
Value: 4.1
Estimation Comments Treatment Difference LSMean Difference(SE), SE is recorded as Parameter Dispersion Type: Standard Error of the mean.
Statistical Analysis 9
Statistical Analysis Overview Comparison Group Selection Tolterodine ER, Fesoterodine
Comments Treatment Difference Fesoterodine vs Tolterodine ER at Week 12.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.0048
Comments
Method ANCOVA
Comments Based on an analysis of covariance model with country and treatment as factors, and centered baseline value as a covariate.
Method of Estimation Estimation Parameter Mean Difference (Final Values)
Estimated Value 9.4
Confidence Interval () %
to
Parameter Dispersion Type: Standard Error of the Mean
Value: 3.3
Estimation Comments Treatment Difference LSMean Difference(SE), SE is recorded as Parameter Dispersion Type: Standard Error of the mean.
5. Secondary Outcome
Title Change From Baseline in Mean Number of Micturitions Per 24 Hours.
Description The mean number of micturitions was calculated as the sum of all micturitions divided by the total number of diary days collected at that visit. Change calculated as mean at observation minus mean at baseline.
Time Frame Baseline, Week 1, Week 4, Week 12

Outcome Measure Data

Analysis Population Description
FAS; (n)=number of subjects with non-missing numerical change from baseline to the respective post-baseline value (Week 1, Week 4 [LOCF], or Week 12 [LOCF]) for placebo, Tolterodine ER, and Fesoterodine, respectively.
Arm/Group Title Placebo Tolterodine ER Fesoterodine
Arm/Group Description Tablets (4 milligrams [mg] orally (PO) once daily (QD) for 1 week followed by a forced dose escalation to 8 mg PO QD for 11 weeks) or capsules (4 mg) PO QD for 12 weeks Capsules (4 mg) PO QD for 12 weeks. Tolterodine Extended Release (ER) Tablets (4 mg PO QD for 1 week followed by a forced dose escalation to 8 mg PO QD for 11 weeks)
Measure Participants 334 684 679
Week 1 (n=307, 622, 623)
-0.5
(0.1)
-1.0
(0.1)
-1.0
(0.1)
Week 4 [LOCF] (n= 313, 634, 627)
-1.2
(0.2)
-1.8
(0.1)
-1.9
(0.1)
Week 12 [LOCF] (n= 313, 634, 628)
-1.5
(0.2)
-2.1
(0.1)
-2.2
(0.1)
Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection Placebo, Fesoterodine
Comments Treatment Difference Fesoterodine vs placebo at Week 1.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.0002
Comments
Method ANCOVA
Comments Based on an analysis of covariance model with country and treatment as factors, and centered baseline value as a covariate.
Method of Estimation Estimation Parameter Mean Difference (Final Values)
Estimated Value -0.6
Confidence Interval () %
to
Parameter Dispersion Type: Standard Error of the Mean
Value: 0.2
Estimation Comments Treatment Difference LSMean Difference(SE), SE is recorded as Parameter Dispersion Type: Standard Error of the mean.
Statistical Analysis 2
Statistical Analysis Overview Comparison Group Selection Placebo, Tolterodine ER
Comments Treatment Difference Tolterodine ER vs placebo at Week 1.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.0006
Comments
Method ANCOVA
Comments Based on an analysis of covariance model with country and treatment as factors, and centered baseline value as a covariate.
Method of Estimation Estimation Parameter Mean Difference (Final Values)
Estimated Value -0.5
Confidence Interval () %
to
Parameter Dispersion Type: Standard Error of the Mean
Value: 0.2
Estimation Comments Treatment Difference LSMean Difference(SE), SE is recorded as Parameter Dispersion Type: Standard Error of the mean.
Statistical Analysis 3
Statistical Analysis Overview Comparison Group Selection Tolterodine ER, Fesoterodine
Comments Treatment Difference Fesoterodine vs Tolterodine ER at Week 1.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.7395
Comments
Method ANCOVA
Comments Based on an analysis of covariance model with country and treatment as factors, and centered baseline value as a covariate.
Method of Estimation Estimation Parameter Mean Difference (Final Values)
Estimated Value -0.0
Confidence Interval () %
to
Parameter Dispersion Type: Standard Error of the Mean
Value: 0.1
Estimation Comments Treatment Difference LSMean Difference(SE), SE is recorded as Parameter Dispersion Type: Standard Error of the mean.
Statistical Analysis 4
Statistical Analysis Overview Comparison Group Selection Placebo, Fesoterodine
Comments Treatment Difference Fesoterodine vs placebo at Week 4.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value <0.0001
Comments
Method ANCOVA
Comments Based on an analysis of covariance model with country and treatment as factors, and centered baseline value as a covariate.
Method of Estimation Estimation Parameter Mean Difference (Final Values)
Estimated Value -0.7
Confidence Interval () %
to
Parameter Dispersion Type: Standard Error of the Mean
Value: 0.2
Estimation Comments Treatment Difference LSMean Difference(SE), SE is recorded as Parameter Dispersion Type: Standard Error of the mean.
Statistical Analysis 5
Statistical Analysis Overview Comparison Group Selection Placebo, Tolterodine ER
Comments Treatment Difference Tolterodine ER vs placebo at Week 4.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.0007
Comments
Method ANCOVA
Comments Based on an analysis of covariance model with country and treatment as factors, and centered baseline value as a covariate.
Method of Estimation Estimation Parameter Mean Difference (Final Values)
Estimated Value -0.6
Confidence Interval () %
to
Parameter Dispersion Type: Standard Error of the Mean
Value: 0.2
Estimation Comments Treatment Difference LSMean Difference(SE), SE is recorded as Parameter Dispersion Type: Standard Error of the mean.
Statistical Analysis 6
Statistical Analysis Overview Comparison Group Selection Tolterodine ER, Fesoterodine
Comments Treatment Difference Fesoterodine vs Tolterodine ER at Week 4.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.4185
Comments
Method ANCOVA
Comments Based on an analysis of covariance model with country and treatment as factors, and centered baseline value as a covariate.
Method of Estimation Estimation Parameter Mean Difference (Final Values)
Estimated Value -0.1
Confidence Interval () %
to
Parameter Dispersion Type: Standard Error of the Mean
Value: 0.1
Estimation Comments Treatment Difference LSMean Difference(SE), SE is recorded as Parameter Dispersion Type: Standard Error of the mean.
Statistical Analysis 7
Statistical Analysis Overview Comparison Group Selection Placebo, Fesoterodine
Comments Treatment Difference Fesoterodine vs placebo at Week 12.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value <0.0001
Comments
Method ANCOVA
Comments Based on an analysis of covariance model with country and treatment as factors, and centered baseline value as a covariate.
Method of Estimation Estimation Parameter Mean Difference (Final Values)
Estimated Value -0.7
Confidence Interval () %
to
Parameter Dispersion Type: Standard Error of the Mean
Value: 0.2
Estimation Comments Treatment Difference LSMean Difference(SE), SE is recorded as Parameter Dispersion Type: Standard Error of the mean.
Statistical Analysis 8
Statistical Analysis Overview Comparison Group Selection Placebo, Tolterodine ER
Comments Treatment Difference Tolterodine ER vs placebo at Week 12.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.0005
Comments
Method ANCOVA
Comments Based on an analysis of covariance model with country and treatment as factors, and centered baseline value as a covariate.
Method of Estimation Estimation Parameter Mean Difference (Final Values)
Estimated Value -0.6
Confidence Interval () %
to
Parameter Dispersion Type: Standard Error of the Mean
Value: 0.2
Estimation Comments Treatment Difference LSMean Difference(SE), SE is recorded as Parameter Dispersion Type: Standard Error of the mean.
Statistical Analysis 9
Statistical Analysis Overview Comparison Group Selection Tolterodine ER, Fesoterodine
Comments Treatment Difference Fesoterodine vs Tolterodine ER at Week 12.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.3798
Comments
Method ANCOVA
Comments Based on an analysis of covariance model with country and treatment as factors, and centered baseline value as a covariate.
Method of Estimation Estimation Parameter Mean Difference (Final Values)
Estimated Value -0.1
Confidence Interval () %
to
Parameter Dispersion Type: Standard Error of the Mean
Value: 0.1
Estimation Comments Treatment Difference LSMean Difference(SE), SE is recorded as Parameter Dispersion Type: Standard Error of the mean.
6. Secondary Outcome
Title Percent Change From Baseline of Micturitions Per 24 Hours.
Description Percent change of micturitions per 24 hours was calculated as change in 24-hour mean at that visit divided by the baseline 24-hour mean multiplied by 100 (ie, 100% *(Week 12 or 4 - baseline)/baseline).
Time Frame Baseline, Week 1, Week 4, Week 12

Outcome Measure Data

Analysis Population Description
FAS; (n)=number of subjects with non-missing percent change from baseline to the respective post-baseline value (Week 1, Week 4 [LOCF], or Week 12 [LOCF]) for placebo, Tolterodine ER, and Fesoterodine, respectively.
Arm/Group Title Placebo Tolterodine ER Fesoterodine
Arm/Group Description Tablets (4 milligrams [mg] orally (PO) once daily (QD) for 1 week followed by a forced dose escalation to 8 mg PO QD for 11 weeks) or capsules (4 mg) PO QD for 12 weeks Capsules (4 mg) PO QD for 12 weeks. Tolterodine Extended Release (ER) Tablets (4 mg PO QD for 1 week followed by a forced dose escalation to 8 mg PO QD for 11 weeks)
Measure Participants 334 684 679
Week 1 (n=307, 622, 623)
-2.7
-7.7
-7.9
Week 4 [LOCF] (n=313, 634, 627)
-10.3
-15.0
-14.8
Week 12 [LOCF] (n=313, 634, 628)
-12.1
-16.2
-18.9
Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection Placebo, Fesoterodine
Comments Treatment Difference Fesoterodine vs placebo at Week 1. Per closed testing procedure, statistical testing for percent change not performed for Fesoterodine vs Tolterodine ER Week 1: corresponding numerical change result not statistically significant.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.0001
Comments Inferential testing: percent change from baseline only carried out for given end/time point if corresponding numeric change result statistically significant (to preserve alpha level at 5% within each type of diary endpoint for a given comparison).
Method ANCOVA
Comments Based on a ranked analysis of covariance model with country and treatment as factors, and ranked baseline value as a covariate.
Statistical Analysis 2
Statistical Analysis Overview Comparison Group Selection Placebo, Tolterodine ER
Comments Treatment Difference Tolterodine ER vs placebo at Week 1. Per closed testing procedure, statistical testing for percent change not performed for Fesoterodine vs Tolterodine ER Week 1: corresponding numerical change result not statistically significant.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.0002
Comments Inferential testing: percent change from baseline only carried out for given end/time point if corresponding numeric change result statistically significant (to preserve alpha level at 5% within each type of diary endpoint for a given comparison).
Method ANCOVA
Comments Based on a ranked analysis of covariance model with country and treatment as factors, and ranked baseline value as a covariate.
Statistical Analysis 3
Statistical Analysis Overview Comparison Group Selection Placebo, Fesoterodine
Comments Treatment Difference Fesoterodine vs placebo at Week 4. Per closed testing procedure, statistical testing for percent change not performed for Fesoterodine vs Tolterodine ER Week 4: corresponding numerical change result not statistically significant.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value <0.0001
Comments Inferential testing: percent change from baseline only carried out for given end/time point if corresponding numeric change result statistically significant (to preserve alpha level at 5% within each type of diary endpoint for a given comparison).
Method ANCOVA
Comments Based on a ranked analysis of covariance model with country and treatment as factors, and ranked baseline value as a covariate.
Statistical Analysis 4
Statistical Analysis Overview Comparison Group Selection Placebo, Tolterodine ER
Comments Treatment Difference Tolterodine ER vs placebo at Week 4. Per closed testing procedure, statistical testing for percent change not performed for Fesoterodine vs Tolterodine ER Week 4: corresponding numerical change result not statistically significant.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value <0.0001
Comments Inferential testing: percent change from baseline only carried out for given end/time point if corresponding numeric change result statistically significant (to preserve alpha level at 5% within each type of diary endpoint for a given comparison).
Method ANCOVA
Comments Based on a ranked analysis of covariance model with country and treatment as factors, and ranked baseline value as a covariate.
Statistical Analysis 5
Statistical Analysis Overview Comparison Group Selection Placebo, Fesoterodine
Comments Treatment Difference Fesoterodine vs placebo at Week 12. Per closed testing procedure, statistical testing for percent change not performed for Fesoterodine vs Tolterodine ER Week 12: corresponding numerical change result not statistically significant.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value <0.0001
Comments Inferential testing: percent change from baseline only carried out for given end/time point if corresponding numeric change result statistically significant (to preserve alpha level at 5% within each type of diary endpoint for a given comparison).
Method ANCOVA
Comments Based on a ranked analysis of covariance model with country and treatment as factors, and ranked baseline value as a covariate.
Statistical Analysis 6
Statistical Analysis Overview Comparison Group Selection Placebo, Tolterodine ER
Comments Treatment Difference Tolterodine ER vs placebo at Week 12. Per closed testing procedure, statistical testing for percent change not performed for Fesoterodine vs Tolterodine ER Week 12: corresponding numerical change result not statistically significant.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.0003
Comments Inferential testing: percent change from baseline only carried out for given end/time point if corresponding numeric change result statistically significant (to preserve alpha level at 5% within each type of diary endpoint for a given comparison).
Method ANCOVA
Comments Based on a ranked analysis of covariance model with country and treatment as factors, and ranked baseline value as a covariate.
7. Secondary Outcome
Title Change From Baseline in Mean Number of Nocturnal Micturitions Per 24 Hours.
Description Mean number of nocturnal micturitions per 24 hours was calculated as the sum of all micturitions divided by the total number of diary days collected at that visit. Nocturnal (Bedtime) was defined as the time the subject went to bed until he/she arose to start the next day.
Time Frame Baseline, Week 1, Week 4, Week 12

Outcome Measure Data

Analysis Population Description
FAS; Subjects reporting this symptom at baseline; (n)=number of subjects with baseline nocturnal micturitions >0 per 24 hours, non-missing change from baseline to the respective post-baseline value (Week 1, Week 4 [LOCF], or Week 12 [LOCF]) for placebo, Tolterodine ER, and Fesoterodine, respectively.
Arm/Group Title Placebo Tolterodine ER Fesoterodine
Arm/Group Description Tablets (4 milligrams [mg] orally (PO) once daily (QD) for 1 week followed by a forced dose escalation to 8 mg PO QD for 11 weeks) or capsules (4 mg) PO QD for 12 weeks Capsules (4 mg) PO QD for 12 weeks. Tolterodine Extended Release (ER) Tablets (4 mg PO QD for 1 week followed by a forced dose escalation to 8 mg PO QD for 11 weeks)
Measure Participants 334 684 679
Week 1 (n=288, 584, 596)
-0.1
(0.1)
-0.3
(0.0)
-0.2
(0.0)
Week 4 [LOCF] (n=293, 596, 600)
-0.4
(0.1)
-0.5
(0.0)
-0.5
(0.1)
Week 12 [LOCF] (n=293, 596, 601)
-0.5
(0.1)
-0.6
(0.1)
-0.6
(0.1)
Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection Placebo, Fesoterodine
Comments Treatment Difference Fesoterodine vs placebo at Week 1.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.2730
Comments
Method ANCOVA
Comments Based on an analysis of covariance model with country and treatment as factors, and centered baseline value as a covariate.
Method of Estimation Estimation Parameter Mean Difference (Final Values)
Estimated Value -0.1
Confidence Interval () %
to
Parameter Dispersion Type: Standard Error of the Mean
Value: 0.1
Estimation Comments Treatment Difference LSMean Difference(SE), SE is recorded as Parameter Dispersion Type: Standard Error of the mean.
Statistical Analysis 2
Statistical Analysis Overview Comparison Group Selection Placebo, Tolterodine ER
Comments Treatment Difference Tolterodine ER vs placebo at Week 1.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.0652
Comments
Method ANCOVA
Comments Based on an analysis of covariance model with country and treatment as factors, and centered baseline value as a covariate.
Method of Estimation Estimation Parameter Mean Difference (Final Values)
Estimated Value -0.1
Confidence Interval () %
to
Parameter Dispersion Type: Standard Error of the Mean
Value: 0.1
Estimation Comments Treatment Difference LSMean Difference(SE), SE is recorded as Parameter Dispersion Type: Standard Error of the mean.
Statistical Analysis 3
Statistical Analysis Overview Comparison Group Selection Tolterodine ER, Fesoterodine
Comments Treatment Difference Fesoterodine vs Tolterodine ER at Week 1.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.3503
Comments
Method ANCOVA
Comments Based on an analysis of covariance model with country and treatment as factors, and centered baseline value as a covariate.
Method of Estimation Estimation Parameter Mean Difference (Final Values)
Estimated Value 0.0
Confidence Interval () %
to
Parameter Dispersion Type: Standard Error of the Mean
Value: 0.1
Estimation Comments Treatment Difference LSMean Difference(SE), SE is recorded as Parameter Dispersion Type: Standard Error of the mean.
Statistical Analysis 4
Statistical Analysis Overview Comparison Group Selection Placebo, Fesoterodine
Comments Treatment Difference Fesoterodine vs placebo at Week 4.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.2667
Comments
Method ANCOVA
Comments Based on an analysis of covariance model with country and treatment as factors, and centered baseline value as a covariate.
Method of Estimation Estimation Parameter Mean Difference (Final Values)
Estimated Value -0.1
Confidence Interval () %
to
Parameter Dispersion Type: Standard Error of the Mean
Value: 0.1
Estimation Comments Treatment Difference LSMean Difference(SE), SE is recorded as Parameter Dispersion Type: Standard Error of the mean.
Statistical Analysis 5
Statistical Analysis Overview Comparison Group Selection Placebo, Tolterodine ER
Comments Treatment Difference Tolterodine ER vs placebo at Week 4.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.1643
Comments
Method ANCOVA
Comments Based on an analysis of covariance model with country and treatment as factors, and centered baseline value as a covariate.
Method of Estimation Estimation Parameter Mean Difference (Final Values)
Estimated Value -0.1
Confidence Interval () %
to
Parameter Dispersion Type: Standard Error of the Mean
Value: 0.1
Estimation Comments Treatment Difference LSMean Difference(SE), SE is recorded as Parameter Dispersion Type: Standard Error of the mean.
Statistical Analysis 6
Statistical Analysis Overview Comparison Group Selection Tolterodine ER, Fesoterodine
Comments Treatment Difference Fesoterodine vs Tolterodine ER at Week 4.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.7264
Comments
Method ANCOVA
Comments Based on an analysis of covariance model with country and treatment as factors, and centered baseline value as a covariate.
Method of Estimation Estimation Parameter Mean Difference (Final Values)
Estimated Value 0.0
Confidence Interval () %
to
Parameter Dispersion Type: Standard Error of the Mean
Value: 0.1
Estimation Comments Treatment Difference LSMean Difference(SE), SE is recorded as Parameter Dispersion Type: Standard Error of the mean.
Statistical Analysis 7
Statistical Analysis Overview Comparison Group Selection Placebo, Fesoterodine
Comments Treatment Difference Fesoterodine vs placebo at Week 12.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.3269
Comments
Method ANCOVA
Comments Based on an analysis of covariance model with country and treatment as factors, and centered baseline value as a covariate.
Method of Estimation Estimation Parameter Mean Difference (Final Values)
Estimated Value -0.1
Confidence Interval () %
to
Parameter Dispersion Type: Standard Error of the Mean
Value: 0.1
Estimation Comments Treatment Difference LSMean Difference(SE), SE is recorded as Parameter Dispersion Type: Standard Error of the mean.
Statistical Analysis 8
Statistical Analysis Overview Comparison Group Selection Placebo, Tolterodine ER
Comments Treatment Difference Tolterodine ER vs placebo at Week 12.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.5059
Comments
Method ANCOVA
Comments Based on an analysis of covariance model with country and treatment as factors, and centered baseline value as a covariate.
Method of Estimation Estimation Parameter Mean Difference (Final Values)
Estimated Value -0.0
Confidence Interval () %
to
Parameter Dispersion Type: Standard Error of the Mean
Value: 0.1
Estimation Comments Treatment Difference LSMean Difference(SE), SE is recorded as Parameter Dispersion Type: Standard Error of the mean.
Statistical Analysis 9
Statistical Analysis Overview Comparison Group Selection Tolterodine ER, Fesoterodine
Comments Treatment Difference Fesoterodine vs Tolterodine ER at Week 12.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.6990
Comments
Method ANCOVA
Comments Based on an analysis of covariance model with country and treatment as factors, and centered baseline value as a covariate.
Method of Estimation Estimation Parameter Mean Difference (Final Values)
Estimated Value -0.0
Confidence Interval () %
to
Parameter Dispersion Type: Standard Error of the Mean
Value: 0.1
Estimation Comments Treatment Difference LSMean Difference(SE), SE is recorded as Parameter Dispersion Type: Standard Error of the mean.
8. Secondary Outcome
Title Percent Change From Baseline of Nocturnal Micturitions Per 24 Hours.
Description Percent change of nocturnal micturitions per 24 hours was calculated as change in 24-hour mean at that visit divided by the baseline 24-hour mean multiplied by 100 (ie, 100% *(Week 12 or 4 - baseline)/baseline). Nocturnal (Bedtime) was defined as the time the subject went to bed until he/she arose to start the next day.
Time Frame Baseline, Week 1, Week 4, Week 12

Outcome Measure Data

Analysis Population Description
FAS; Subjects reporting this symptom at baseline; (n)=number of subjects with baseline nocturnal micturitions >0 per 24 hours, non-missing change from baseline to the respective post-baseline value (Week 1, Week 4 [LOCF], or Week 12 [LOCF]) for placebo, Tolterodine ER, and Fesoterodine, respectively.
Arm/Group Title Placebo Tolterodine ER Fesoterodine
Arm/Group Description Tablets (4 milligrams [mg] orally (PO) once daily (QD) for 1 week followed by a forced dose escalation to 8 mg PO QD for 11 weeks) or capsules (4 mg) PO QD for 12 weeks Capsules (4 mg) PO QD for 12 weeks. Tolterodine Extended Release (ER) Tablets (4 mg PO QD for 1 week followed by a forced dose escalation to 8 mg PO QD for 11 weeks)
Measure Participants 334 684 679
Week 1 (n=288, 584, 596)
-10.0
-12.5
0.0
Week 4 [LOCF] (n=293, 596, 600)
-22.2
-25.0
-20.0
Week 12 [LOCF] (n=293, 596, 601)
-25.0
-27.9
-28.6
9. Secondary Outcome
Title Change From Baseline in Mean Number of Urgency Episodes Per 24 Hours.
Description Mean number urgency episodes (USS rating >= to 3 in diary) per 24 hours calculated as sum of all micturitions divided by total number of diary days collected at visit. USS: 5-item scale measuring urinary urgency; range is 1 (no feeling of urgency) to 5 (unable to hold; leak urine). Change calculated as mean at observation minus mean at baseline.
Time Frame Baseline, Week 1, Week 4, Week 12

Outcome Measure Data

Analysis Population Description
FAS; Subjects reporting this symptom at baseline; (n)=number of subjects with baseline urgency episodes >0 per 24 hours, non-missing change from baseline to the respective post-baseline value (Week 1, Week 4 [LOCF], or Week 12 [LOCF]) for placebo, Tolterodine ER, and Fesoterodine, respectively.
Arm/Group Title Placebo Tolterodine ER Fesoterodine
Arm/Group Description Tablets (4 milligrams [mg] orally (PO) once daily (QD) for 1 week followed by a forced dose escalation to 8 mg PO QD for 11 weeks) or capsules (4 mg) PO QD for 12 weeks Capsules (4 mg) PO QD for 12 weeks. Tolterodine Extended Release (ER) Tablets (4 mg PO QD for 1 week followed by a forced dose escalation to 8 mg PO QD for 11 weeks)
Measure Participants 334 684 679
Week 1 (n=306, 619, 621)
-0.4
(0.2)
-1.3
(0.2)
-1.1
(0.2)
Week 4 [LOCF] (n=311, 631, 627)
-1.2
(0.2)
-2.4
(0.2)
-2.6
(0.2)
Week 12 [LOCF] (n=311, 631, 628)
-2.0
(0.3)
-3.1
(0.2)
-3.5
(0.2)
Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection Placebo, Fesoterodine
Comments Treatment Difference Fesoterodine vs placebo at Week 1.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.0008
Comments
Method ANCOVA
Comments Based on an analysis of covariance model with country and treatment as factors, and centered baseline value as a covariate.
Method of Estimation Estimation Parameter Mean Difference (Final Values)
Estimated Value -0.7
Confidence Interval () %
to
Parameter Dispersion Type: Standard Error of the Mean
Value: 0.2
Estimation Comments Treatment Difference LSMean Difference(SE), SE is recorded as Parameter Dispersion Type: Standard Error of the mean.
Statistical Analysis 2
Statistical Analysis Overview Comparison Group Selection Placebo, Tolterodine ER
Comments Treatment Difference Tolterodine ER vs placebo at Week 1.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value <0.0001
Comments
Method ANCOVA
Comments Based on an analysis of covariance model with country and treatment as factors, and centered baseline value as a covariate.
Method of Estimation Estimation Parameter Mean Difference (Final Values)
Estimated Value -0.9
Confidence Interval () %
to
Parameter Dispersion Type: Standard Error of the Mean
Value: 0.2
Estimation Comments Treatment Difference LSMean Difference(SE), SE is recorded as Parameter Dispersion Type: Standard Error of the mean.
Statistical Analysis 3
Statistical Analysis Overview Comparison Group Selection Tolterodine ER, Fesoterodine
Comments Treatment Difference Fesoterodine vs Tolterodine ER at Week 1.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.3820
Comments
Method ANCOVA
Comments Based on an analysis of covariance model with country and treatment as factors, and centered baseline value as a covariate.
Method of Estimation Estimation Parameter Mean Difference (Final Values)
Estimated Value 0.2
Confidence Interval () %
to
Parameter Dispersion Type: Standard Error of the Mean
Value: 0.2
Estimation Comments Treatment Difference LSMean Difference(SE), SE is recorded as Parameter Dispersion Type: Standard Error of the mean.
Statistical Analysis 4
Statistical Analysis Overview Comparison Group Selection Placebo, Fesoterodine
Comments Treatment Difference Fesoterodine vs placebo at Week 4.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value <0.0001
Comments
Method ANCOVA
Comments Based on an analysis of covariance model with country and treatment as factors, and centered baseline value as a covariate.
Method of Estimation Estimation Parameter Mean Difference (Final Values)
Estimated Value -1.4
Confidence Interval () %
to
Parameter Dispersion Type: Standard Error of the Mean
Value: 0.2
Estimation Comments Treatment Difference LSMean Difference(SE), SE is recorded as Parameter Dispersion Type: Standard Error of the mean.
Statistical Analysis 5
Statistical Analysis Overview Comparison Group Selection Placebo, Tolterodine ER
Comments Treatment Difference Tolterodine ER vs placebo at Week 4.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value <0.0001
Comments
Method ANCOVA
Comments Based on an analysis of covariance model with country and treatment as factors, and centered baseline value as a covariate.
Method of Estimation Estimation Parameter Mean Difference (Final Values)
Estimated Value -1.2
Confidence Interval () %
to
Parameter Dispersion Type: Standard Error of the Mean
Value: 0.2
Estimation Comments Treatment Difference LSMean Difference(SE), SE is recorded as Parameter Dispersion Type: Standard Error of the mean.
Statistical Analysis 6
Statistical Analysis Overview Comparison Group Selection Tolterodine ER, Fesoterodine
Comments Treatment Difference Fesoterodine vs Tolterodine ER at Week 4.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.3498
Comments
Method ANCOVA
Comments Based on an analysis of covariance model with country and treatment as factors, and centered baseline value as a covariate.
Method of Estimation Estimation Parameter Mean Difference (Final Values)
Estimated Value -0.2
Confidence Interval () %
to
Parameter Dispersion Type: Standard Error of the Mean
Value: 0.2
Estimation Comments Treatment Difference LSMean Difference(SE), SE is recorded as Parameter Dispersion Type: Standard Error of the mean.
Statistical Analysis 7
Statistical Analysis Overview Comparison Group Selection Placebo, Fesoterodine
Comments Treatment Difference Fesoterodine vs placebo at Week 12.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value <0.0001
Comments
Method ANCOVA
Comments Based on an analysis of covariance model with country and treatment as factors, and centered baseline value as a covariate.
Method of Estimation Estimation Parameter Mean Difference (Final Values)
Estimated Value -1.5
Confidence Interval () %
to
Parameter Dispersion Type: Standard Error of the Mean
Value: 0.3
Estimation Comments Treatment Difference LSMean Difference(SE), SE is recorded as Parameter Dispersion Type: Standard Error of the mean.
Statistical Analysis 8
Statistical Analysis Overview Comparison Group Selection Placebo, Tolterodine ER
Comments Treatment Difference Tolterodine ER vs placebo at Week 12.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value <0.0001
Comments
Method ANCOVA
Comments Based on an analysis of covariance model with country and treatment as factors, and centered baseline value as a covariate.
Method of Estimation Estimation Parameter Mean Difference (Final Values)
Estimated Value -1.1
Confidence Interval () %
to
Parameter Dispersion Type: Standard Error of the Mean
Value: 0.3
Estimation Comments Treatment Difference LSMean Difference(SE), SE is recorded as Parameter Dispersion Type: Standard Error of the mean.
Statistical Analysis 9
Statistical Analysis Overview Comparison Group Selection Tolterodine ER, Fesoterodine
Comments Treatment Difference Fesoterodine vs Tolterodine ER at Week 12.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.0542
Comments
Method ANCOVA
Comments Based on an analysis of covariance model with country and treatment as factors, and centered baseline value as a covariate.
Method of Estimation Estimation Parameter Mean Difference (Final Values)
Estimated Value -0.4
Confidence Interval () %
to
Parameter Dispersion Type: Standard Error of the Mean
Value: 0.2
Estimation Comments Treatment Difference LSMean Difference(SE), SE is recorded as Parameter Dispersion Type: Standard Error of the mean.
10. Secondary Outcome
Title Percent Change From Baseline of Urgency Episodes Per 24 Hours.
Description Percent change of urgency episodes (USS rating >= to 3 in diary) per 24 hours calculated as change in 24-hour mean at that visit divided by the baseline 24-hour mean multiplied by 100. USS: 5-item scale measuring urinary urgency; range is 1 (no feeling of urgency) to 5 (unable to hold; leak urine).
Time Frame Baseline, Week 1, Week 4, Week 12

Outcome Measure Data

Analysis Population Description
FAS; Subjects reporting this symptom at baseline; (n)=number of subjects with baseline urgency episodes >0 per 24 hours, non-missing change from baseline to the respective post-baseline value (Week 1, Week 4 [LOCF], or Week 12 [LOCF]) for placebo, Tolterodine ER, and Fesoterodine, respectively.
Arm/Group Title Placebo Tolterodine ER Fesoterodine
Arm/Group Description Tablets (4 milligrams [mg] orally (PO) once daily (QD) for 1 week followed by a forced dose escalation to 8 mg PO QD for 11 weeks) or capsules (4 mg) PO QD for 12 weeks Capsules (4 mg) PO QD for 12 weeks. Tolterodine Extended Release (ER) Tablets (4 mg PO QD for 1 week followed by a forced dose escalation to 8 mg PO QD for 11 weeks)
Measure Participants 334 684 679
Week 1 (n=306, 619, 621)
-5.6
-12.5
-9.7
Week 4 [LOCF] (n=311,631, 627)
-11.4
-23.1
-26.9
Week 12 [LOCF] (n=311, 631, 628)
-17.6
-30.8
-37.9
Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection Placebo, Fesoterodine
Comments Treatment Difference Fesoterodine vs placebo at Week 1. Per closed testing procedure, statistical testing for percent change not performed for Fesoterodine vs Tolterodine ER Week 1: corresponding numerical change result not statistically significant.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.0004
Comments Inferential testing: percent change from baseline only carried out for given end/time point if corresponding numeric change result statistically significant (to preserve alpha level at 5% within each type of diary endpoint for a given comparison).
Method ANCOVA
Comments Based on a ranked analysis of covariance model with country and treatment as factors, and ranked baseline value as a covariate.
Statistical Analysis 2
Statistical Analysis Overview Comparison Group Selection Placebo, Tolterodine ER
Comments Treatment Difference Tolterodine ER vs placebo at Week 1. Per closed testing procedure, statistical testing for percent change not performed for Fesoterodine vs Tolterodine ER Week 1: corresponding numerical change result not statistically significant.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.0001
Comments Inferential testing: percent change from baseline only carried out for given end/time point if corresponding numeric change result statistically significant (to preserve alpha level at 5% within each type of diary endpoint for a given comparison).
Method ANCOVA
Comments Based on a ranked analysis of covariance model with country and treatment as factors, and ranked baseline value as a covariate.
Statistical Analysis 3
Statistical Analysis Overview Comparison Group Selection Placebo, Fesoterodine
Comments Treatment Difference Fesoterodine vs placebo at Week 4. Per closed testing procedure, statistical testing for percent change not performed for Fesoterodine vs Tolterodine ER Week 4: corresponding numerical change result not statistically significant.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value <0.0001
Comments Inferential testing: percent change from baseline only carried out for given end/time point if corresponding numeric change result statistically significant (to preserve alpha level at 5% within each type of diary endpoint for a given comparison).
Method ANCOVA
Comments Based on a ranked analysis of covariance model with country and treatment as factors, and ranked baseline value as a covariate.
Statistical Analysis 4
Statistical Analysis Overview Comparison Group Selection Placebo, Tolterodine ER
Comments Treatment Difference Tolterodine ER vs placebo at Week 4. Per closed testing procedure, statistical testing for percent change not performed for Fesoterodine vs Tolterodine ER Week 4: corresponding numerical change result not statistically significant.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value <0.0001
Comments Inferential testing: percent change from baseline only carried out for given end/time point if corresponding numeric change result statistically significant (to preserve alpha level at 5% within each type of diary endpoint for a given comparison).
Method ANCOVA
Comments Based on a ranked analysis of covariance model with country and treatment as factors, and ranked baseline value as a covariate.
Statistical Analysis 5
Statistical Analysis Overview Comparison Group Selection Placebo, Fesoterodine
Comments Treatment Difference Fesoterodine vs placebo at Week 12. Per closed testing procedure, statistical testing for percent change not performed for Fesoterodine vs Tolterodine ER Week 12: corresponding numerical change result not statistically significant.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value <0.0001
Comments Inferential testing: percent change from baseline only carried out for given end/time point if corresponding numeric change result statistically significant (to preserve alpha level at 5% within each type of diary endpoint for a given comparison).
Method ANCOVA
Comments Based on a ranked analysis of covariance model with country and treatment as factors, and ranked baseline value as a covariate.
Statistical Analysis 6
Statistical Analysis Overview Comparison Group Selection Placebo, Tolterodine ER
Comments Treatment Difference Tolterodine ER vs placebo at Week 12. Per closed testing procedure, statistical testing for percent change not performed for Fesoterodine vs Tolterodine ER Week 12: corresponding numerical change result not statistically significant.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.0001
Comments Inferential testing: percent change from baseline only carried out for given end/time point if corresponding numeric change result statistically significant (to preserve alpha level at 5% within each type of diary endpoint for a given comparison).
Method ANCOVA
Comments Based on a ranked analysis of covariance model with country and treatment as factors, and ranked baseline value as a covariate.
11. Secondary Outcome
Title Change From Baseline in Mean Number of Severe Urgency Episodes Per 24 Hours.
Description Mean number of severe urgency episodes (USS rating >= to 4 in diary ) per 24 hours: sum of all micturitions divided by total number of diary days collected at that visit. USS: 5-item scale to measure urinary urgency; range: 1 (no feeling of urgency) to 5 (unable to hold; leak urine). Change calculated as mean at observation minus mean at baseline.
Time Frame Baseline, Week 1, Week 4, Week 12

Outcome Measure Data

Analysis Population Description
FAS; Subjects reporting this symptom at baseline; (n)=number of subjects with baseline severe urgency episodes >0 per 24 hours, non-missing change from baseline to the respective post-baseline value (Week 1, Week 4 [LOCF], or Week 12 [LOCF]) for placebo, Tolterodine ER, and Fesoterodine, respectively.
Arm/Group Title Placebo Tolterodine ER Fesoterodine
Arm/Group Description Tablets (4 milligrams [mg] orally (PO) once daily (QD) for 1 week followed by a forced dose escalation to 8 mg PO QD for 11 weeks) or capsules (4 mg) PO QD for 12 weeks Capsules (4 mg) PO QD for 12 weeks. Tolterodine Extended Release (ER) Tablets (4 mg PO QD for 1 week followed by a forced dose escalation to 8 mg PO QD for 11 weeks)
Measure Participants 334 684 679
Week 1 (n=306, 618, 618)
-0.4
(0.2)
-1.3
(0.2)
-1.2
(0.2)
Week 4 [LOCF] (n=311, 630, 624)
-1.2
(0.2)
-2.2
(0.2)
-2.4
(0.2)
Week 12 [LOCF] (n=311, 630, 625)
-1.9
(0.2)
-2.8
(0.2)
-3.0
(0.2)
Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection Placebo, Fesoterodine
Comments Treatment Difference Fesoterodine vs placebo at Week 1.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value <0.0001
Comments
Method ANCOVA
Comments Based on an analysis of covariance model with country and treatment as factors, and centered baseline value as a covariate.
Method of Estimation Estimation Parameter Mean Difference (Final Values)
Estimated Value -0.9
Confidence Interval () %
to
Parameter Dispersion Type: Standard Error of the Mean
Value: 0.2
Estimation Comments Treatment Difference LSMean Difference(SE), SE is recorded as Parameter Dispersion Type: Standard Error of the mean.
Statistical Analysis 2
Statistical Analysis Overview Comparison Group Selection Placebo, Tolterodine ER
Comments Treatment Difference Tolterodine ER vs placebo at Week 1.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value <0.0001
Comments
Method ANCOVA
Comments Based on an analysis of covariance model with country and treatment as factors, and centered baseline value as a covariate.
Method of Estimation Estimation Parameter Mean Difference (Final Values)
Estimated Value -1.0
Confidence Interval () %
to
Parameter Dispersion Type: Standard Error of the Mean
Value: 0.2
Estimation Comments Treatment Difference LSMean Difference(SE), SE is recorded as Parameter Dispersion Type: Standard Error of the mean.
Statistical Analysis 3
Statistical Analysis Overview Comparison Group Selection Tolterodine ER, Fesoterodine
Comments Treatment Difference Fesoterodine vs Tolterodine ER at Week 1.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.5581
Comments
Method ANCOVA
Comments Based on an analysis of covariance model with country and treatment as factors, and centered baseline value as a covariate.
Method of Estimation Estimation Parameter Mean Difference (Final Values)
Estimated Value 0.1
Confidence Interval () %
to
Parameter Dispersion Type: Standard Error of the Mean
Value: 0.2
Estimation Comments Treatment Difference LSMean Difference(SE), SE is recorded as Parameter Dispersion Type: Standard Error of the mean.
Statistical Analysis 4
Statistical Analysis Overview Comparison Group Selection Placebo, Fesoterodine
Comments Treatment Difference Fesoterodine vs placebo at Week 4.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value <0.0001
Comments
Method ANCOVA
Comments Based on an analysis of covariance model with country and treatment as factors, and centered baseline value as a covariate.
Method of Estimation Estimation Parameter Mean Difference (Final Values)
Estimated Value -1.2
Confidence Interval () %
to
Parameter Dispersion Type: Standard Error of the Mean
Value: 0.2
Estimation Comments Treatment Difference LSMean Difference(SE), SE is recorded as Parameter Dispersion Type: Standard Error of the mean.
Statistical Analysis 5
Statistical Analysis Overview Comparison Group Selection Placebo, Tolterodine ER
Comments Treatment Difference Tolterodine ER vs placebo at Week 4.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value <0.0001
Comments
Method ANCOVA
Comments Based on an analysis of covariance model with country and treatment as factors, and centered baseline value as a covariate.
Method of Estimation Estimation Parameter Mean Difference (Final Values)
Estimated Value -1.0
Confidence Interval () %
to
Parameter Dispersion Type: Standard Error of the Mean
Value: 0.2
Estimation Comments Treatment Difference LSMean Difference(SE), SE is recorded as Parameter Dispersion Type: Standard Error of the mean.
Statistical Analysis 6
Statistical Analysis Overview Comparison Group Selection Tolterodine ER, Fesoterodine
Comments Treatment Difference Fesoterodine vs Tolterodine ER at Week 4.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.1510
Comments
Method ANCOVA
Comments Based on an analysis of covariance model with country and treatment as factors, and centered baseline value as a covariate.
Method of Estimation Estimation Parameter Mean Difference (Final Values)
Estimated Value -0.3
Confidence Interval () %
to
Parameter Dispersion Type: Standard Error of the Mean
Value: 0.2
Estimation Comments Treatment Difference LSMean Difference(SE), SE is recorded as Parameter Dispersion Type: Standard Error of the mean.
Statistical Analysis 7
Statistical Analysis Overview Comparison Group Selection Placebo, Fesoterodine
Comments Treatment Difference Fesoterodine vs placebo at Week 12.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value <0.0001
Comments
Method ANCOVA
Comments Based on an analysis of covariance model with country and treatment as factors, and centered baseline value as a covariate.
Method of Estimation Estimation Parameter Mean Difference (Final Values)
Estimated Value -1.1
Confidence Interval () %
to
Parameter Dispersion Type: Standard Error of the Mean
Value: 0.2
Estimation Comments Treatment Difference LSMean Difference(SE), SE is recorded as Parameter Dispersion Type: Standard Error of the mean.
Statistical Analysis 8
Statistical Analysis Overview Comparison Group Selection Placebo, Tolterodine ER
Comments Treatment Difference Tolterodine ER vs placebo at Week 12.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.0001
Comments
Method ANCOVA
Comments Based on an analysis of covariance model with country and treatment as factors, and centered baseline value as a covariate.
Method of Estimation Estimation Parameter Mean Difference (Final Values)
Estimated Value -0.9
Confidence Interval () %
to
Parameter Dispersion Type: Standard Error of the Mean
Value: 0.2
Estimation Comments Treatment Difference LSMean Difference(SE), SE is recorded as Parameter Dispersion Type: Standard Error of the mean.
Statistical Analysis 9
Statistical Analysis Overview Comparison Group Selection Tolterodine ER, Fesoterodine
Comments Treatment Difference Fesoterodine vs Tolterodine ER at Week 12.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.1391
Comments
Method ANCOVA
Comments Based on an analysis of covariance model with country and treatment as factors, and centered baseline value as a covariate.
Method of Estimation Estimation Parameter Mean Difference (Final Values)
Estimated Value -0.3
Confidence Interval () %
to
Parameter Dispersion Type: Standard Error of the Mean
Value: 0.2
Estimation Comments Treatment Difference LSMean Difference(SE), SE is recorded as Parameter Dispersion Type: Standard Error of the mean.
12. Secondary Outcome
Title Percent Change From Baseline of Severe Urgency Episodes Per 24 Hours.
Description Percent change calculated as change in severe urgency episodes (USS rating >= to 4 in diary ) per 24 hours at that visit divided by the baseline number of severe urgency episodes per 24 hours, multiplied by 100. USS is 5-item scale measuring urinary urgency; range is 1 (no feeling of urgency) to 5 (unable to hold; leak urine).
Time Frame Baseline, Week 1, Week 4, Week 12

Outcome Measure Data

Analysis Population Description
FAS; Subjects reporting this symptom at baseline; (n)=number of subjects with baseline severe urgency episodes >0 per 24 hours, non-missing change from baseline to the respective post-baseline value (Week 1, Week 4 [LOCF], or Week 12 [LOCF]) for placebo, Tolterodine ER, and Fesoterodine, respectively.
Arm/Group Title Placebo Tolterodine ER Fesoterodine
Arm/Group Description Tablets (4 milligrams [mg] orally (PO) once daily (QD) for 1 week followed by a forced dose escalation to 8 mg PO QD for 11 weeks) or capsules (4 mg) PO QD for 12 weeks Capsules (4 mg) PO QD for 12 weeks. Tolterodine Extended Release (ER) Tablets (4 mg PO QD for 1 week followed by a forced dose escalation to 8 mg PO QD for 11 weeks)
Measure Participants 334 684 679
Week 1 (n=306, 618, 618)
-9.4
-25.0
-25.0
Week 4 [LOCF] (n=311, 630, 624)
-25.0
-45.8
-54.5
Week 12 [LOCF] (n=311, 630, 625)
-48.0
-63.4
-71.4
Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection Placebo, Fesoterodine
Comments Treatment Difference Fesoterodine vs placebo at Week 1. Per closed testing procedure, statistical testing for percent change not performed for Fesoterodine vs Tolterodine ER Week 1: corresponding numerical change result not statistically significant.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value <0.0001
Comments Inferential testing: percent change from baseline only carried out for given end/time point if corresponding numeric change result statistically significant (to preserve alpha level at 5% within each type of diary endpoint for a given comparison).
Method ANCOVA
Comments Based on a ranked analysis of covariance model with country and treatment as factors, and ranked baseline value as a covariate.
Statistical Analysis 2
Statistical Analysis Overview Comparison Group Selection Placebo, Tolterodine ER
Comments Treatment Difference Tolterodine ER vs placebo at Week 1. Per closed testing procedure, statistical testing for percent change not performed for Fesoterodine vs Tolterodine ER Week 1: corresponding numerical change result not statistically significant.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value <0.0001
Comments Inferential testing: percent change from baseline only carried out for given end/time point if corresponding numeric change result statistically significant (to preserve alpha level at 5% within each type of diary endpoint for a given comparison).
Method ANCOVA
Comments Based on a ranked analysis of covariance model with country and treatment as factors, and ranked baseline value as a covariate.
Statistical Analysis 3
Statistical Analysis Overview Comparison Group Selection Placebo, Fesoterodine
Comments Treatment Difference Fesoterodine vs placebo at Week 4. Per closed testing procedure, statistical testing for percent change not performed for Fesoterodine vs Tolterodine ER Week 4: corresponding numerical change result not statistically significant.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value <0.0001
Comments Inferential testing: percent change from baseline only carried out for given end/time point if corresponding numeric change result statistically significant (to preserve alpha level at 5% within each type of diary endpoint for a given comparison).
Method ANCOVA
Comments Based on a ranked analysis of covariance model with country and treatment as factors, and ranked baseline value as a covariate.
Statistical Analysis 4
Statistical Analysis Overview Comparison Group Selection Placebo, Tolterodine ER
Comments Treatment Difference Tolterodine ER vs placebo at Week 4. Per closed testing procedure, statistical testing for percent change not performed for Fesoterodine vs Tolterodine ER Week 4: corresponding numerical change result not statistically significant.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value <0.0001
Comments Inferential testing: percent change from baseline only carried out for given end/time point if corresponding numeric change result statistically significant (to preserve alpha level at 5% within each type of diary endpoint for a given comparison).
Method ANCOVA
Comments Based on a ranked analysis of covariance model with country and treatment as factors, and ranked baseline value as a covariate.
Statistical Analysis 5
Statistical Analysis Overview Comparison Group Selection Placebo, Fesoterodine
Comments Treatment Difference Fesoterodine vs placebo at Week 12. Per closed testing procedure, statistical testing for percent change not performed for Fesoterodine vs Tolterodine ER Week 12: corresponding numerical change result not statistically significant.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value <0.0001
Comments Inferential testing: percent change from baseline only carried out for given end/time point if corresponding numeric change result statistically significant (to preserve alpha level at 5% within each type of diary endpoint for a given comparison).
Method ANCOVA
Comments Based on a ranked analysis of covariance model with country and treatment as factors, and ranked baseline value as a covariate.
Statistical Analysis 6
Statistical Analysis Overview Comparison Group Selection Placebo, Tolterodine ER
Comments Treatment Difference Tolterodine ER vs placebo at Week 12. Per closed testing procedure, statistical testing for percent change not performed for Fesoterodine vs Tolterodine ER Week 12: corresponding numerical change result not statistically significant.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.0001
Comments Inferential testing: percent change from baseline only carried out for given end/time point if corresponding numeric change result statistically significant (to preserve alpha level at 5% within each type of diary endpoint for a given comparison).
Method ANCOVA
Comments Based on a ranked analysis of covariance model with country and treatment as factors, and ranked baseline value as a covariate.
13. Secondary Outcome
Title Change From Baseline in Mean USS Rating Per Micturition Per 24 Hours.
Description Mean USS rating calculated as the sum of rating scores on USS per 24 hours divided by the mean number of micturitions per 24 hours at that visit. USS is 5-item scale measuring urinary urgency; range is 1 (no feeling of urgency) to 5 (unable to hold; leak urine). Change calculated as mean at observation minus mean at baseline.
Time Frame Baseline, Week 1, Week 4, Week 12

Outcome Measure Data

Analysis Population Description
FAS; (n)=number of subjects with non-missing numerical change from baseline to the respective post-baseline value (Week 1, Week 4 [LOCF], or Week 12 [LOCF]) for placebo, Tolterodine ER, and Fesoterodine, respectively.
Arm/Group Title Placebo Tolterodine ER Fesoterodine
Arm/Group Description Tablets (4 milligrams [mg] orally (PO) once daily (QD) for 1 week followed by a forced dose escalation to 8 mg PO QD for 11 weeks) or capsules (4 mg) PO QD for 12 weeks Capsules (4 mg) PO QD for 12 weeks. Tolterodine Extended Release (ER) Tablets (4 mg PO QD for 1 week followed by a forced dose escalation to 8 mg PO QD for 11 weeks)
Measure Participants 334 684 679
Week 1 (n=306, 619, 621)
-0.1
(0.0)
-0.2
(0.0)
-0.2
(0.0)
Week 4 [LOCF] (n=311, 631, 627)
-0.2
(0.0)
-0.4
(0.0)
-0.5
(0.0)
Week 12 [LOCF] (n=311, 631, 628)
-0.4
(0.0)
-0.6
(0.0)
-0.7
(0.0)
Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection Placebo, Fesoterodine
Comments Treatment Difference Fesoterodine vs placebo at Week 1.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value <0.0001
Comments
Method ANCOVA
Comments Based on an analysis of covariance model with country and treatment as factors, and centered baseline value as a covariate.
Method of Estimation Estimation Parameter Mean Difference (Final Values)
Estimated Value -0.2
Confidence Interval () %
to
Parameter Dispersion Type: Standard Error of the Mean
Value: 0.0
Estimation Comments Treatment Difference LSMean Difference(SE), SE is recorded as Parameter Dispersion Type: Standard Error of the mean.
Statistical Analysis 2
Statistical Analysis Overview Comparison Group Selection Placebo, Tolterodine ER
Comments Treatment Difference Tolterodine ER vs placebo at Week 1.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value <0.0001
Comments
Method ANCOVA
Comments Based on an analysis of covariance model with country and treatment as factors, and centered baseline value as a covariate.
Method of Estimation Estimation Parameter Mean Difference (Final Values)
Estimated Value -0.2
Confidence Interval () %
to
Parameter Dispersion Type: Standard Error of the Mean
Value: 0.0
Estimation Comments Treatment Difference LSMean Difference(SE), SE is recorded as Parameter Dispersion Type: Standard Error of the mean.
Statistical Analysis 3
Statistical Analysis Overview Comparison Group Selection Tolterodine ER, Fesoterodine
Comments Treatment Difference Fesoterodine vs Tolterodine ER at Week 1.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.5972
Comments
Method ANCOVA
Comments Based on an analysis of covariance model with country and treatment as factors, and centered baseline value as a covariate.
Method of Estimation Estimation Parameter Mean Difference (Final Values)
Estimated Value 0.0
Confidence Interval () %
to
Parameter Dispersion Type: Standard Error of the Mean
Value: 0.0
Estimation Comments Treatment Difference LSMean Difference(SE), SE is recorded as Parameter Dispersion Type: Standard Error of the mean.
Statistical Analysis 4
Statistical Analysis Overview Comparison Group Selection Placebo, Fesoterodine
Comments Treatment Difference Fesoterodine vs placebo at Week 4.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value <0.0001
Comments
Method ANCOVA
Comments Based on an analysis of covariance model with country and treatment as factors, and centered baseline value as a covariate.
Method of Estimation Estimation Parameter Mean Difference (Final Values)
Estimated Value -0.3
Confidence Interval () %
to
Parameter Dispersion Type: Standard Error of the Mean
Value: 0.0
Estimation Comments Treatment Difference LSMean Difference(SE), SE is recorded as Parameter Dispersion Type: Standard Error of the mean.
Statistical Analysis 5
Statistical Analysis Overview Comparison Group Selection Placebo, Tolterodine ER
Comments Treatment Difference Tolterodine ER vs placebo at Week 4.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value <0.0001
Comments
Method ANCOVA
Comments Based on an analysis of covariance model with country and treatment as factors, and centered baseline value as a covariate.
Method of Estimation Estimation Parameter Mean Difference (Final Values)
Estimated Value -0.2
Confidence Interval () %
to
Parameter Dispersion Type: Standard Error of the Mean
Value: 0.0
Estimation Comments Treatment Difference LSMean Difference(SE), SE is recorded as Parameter Dispersion Type: Standard Error of the mean.
Statistical Analysis 6
Statistical Analysis Overview Comparison Group Selection Tolterodine ER, Fesoterodine
Comments Treatment Difference Fesoterodine vs Tolterodine ER at Week 4.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.1267
Comments
Method ANCOVA
Comments Based on an analysis of covariance model with country and treatment as factors, and centered baseline value as a covariate.
Method of Estimation Estimation Parameter Mean Difference (Final Values)
Estimated Value -0.1
Confidence Interval () %
to
Parameter Dispersion Type: Standard Error of the Mean
Value: 0.0
Estimation Comments Treatment Difference LSMean Difference(SE), SE is recorded as Parameter Dispersion Type: Standard Error of the mean.
Statistical Analysis 7
Statistical Analysis Overview Comparison Group Selection Placebo, Fesoterodine
Comments Treatment Difference Fesoterodine vs placebo at Week 12.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value <0.0001
Comments
Method ANCOVA
Comments Based on an analysis of covariance model with country and treatment as factors, and centered baseline value as a covariate.
Method of Estimation Estimation Parameter Mean Difference (Final Values)
Estimated Value -0.3
Confidence Interval () %
to
Parameter Dispersion Type: Standard Error of the Mean
Value: 0.1
Estimation Comments Treatment Difference LSMean Difference(SE), SE is recorded as Parameter Dispersion Type: Standard Error of the mean.
Statistical Analysis 8
Statistical Analysis Overview Comparison Group Selection Placebo, Tolterodine ER
Comments Treatment Difference Tolterodine ER vs placebo at Week 12.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value <0.0001
Comments
Method ANCOVA
Comments Based on an analysis of covariance model with country and treatment as factors, and centered baseline value as a covariate.
Method of Estimation Estimation Parameter Mean Difference (Final Values)
Estimated Value -0.2
Confidence Interval () %
to
Parameter Dispersion Type: Standard Error of the Mean
Value: 0.1
Estimation Comments Treatment Difference LSMean Difference(SE), SE is recorded as Parameter Dispersion Type: Standard Error of the mean.
Statistical Analysis 9
Statistical Analysis Overview Comparison Group Selection Tolterodine ER, Fesoterodine
Comments Treatment Difference Fesoterodine vs Tolterodine ER at Week 12.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.0289
Comments
Method ANCOVA
Comments Based on an analysis of covariance model with country and treatment as factors, and centered baseline value as a covariate.
Method of Estimation Estimation Parameter Mean Difference (Final Values)
Estimated Value -0.1
Confidence Interval () %
to
Parameter Dispersion Type: Standard Error of the Mean
Value: 0.0
Estimation Comments Treatment Difference LSMean Difference(SE), SE is recorded as Parameter Dispersion Type: Standard Error of the mean.
14. Secondary Outcome
Title Change From Baseline in Frequency-Urgency Sum (Formerly Known as Urinary Sensations Scale Sum in Protocol) Per 24 Hours.
Description Frequency-Urgency Sum rating per 24 hours calculated as mean rating scores on the USS multiplied by the mean number of micturitions per 24 hours at that visit. USS is 5-item scale measuring urinary urgency; range is 1 (no feeling of urgency) to 5 (unable to hold; leak urine). Change calculated as mean at observation minus mean at baseline.
Time Frame Baseline, Week 1, Week 4, Week 12

Outcome Measure Data

Analysis Population Description
FAS; (n)=number of subjects with non-missing numerical change from baseline to the respective post-baseline value (Week 1, Week 4 [LOCF], or Week 12 [LOCF]) for placebo, Tolterodine ER, and Fesoterodine, respectively.
Arm/Group Title Placebo Tolterodine ER Fesoterodine
Arm/Group Description Tablets (4 milligrams [mg] orally (PO) once daily (QD) for 1 week followed by a forced dose escalation to 8 mg PO QD for 11 weeks) or capsules (4 mg) PO QD for 12 weeks Capsules (4 mg) PO QD for 12 weeks. Tolterodine Extended Release (ER) Tablets (4 mg PO QD for 1 week followed by a forced dose escalation to 8 mg PO QD for 11 weeks)
Measure Participants 334 684 679
Week 1 (n=306, 619, 621)
-2.4
(0.7)
-5.7
(0.5)
-5.5
(0.5)
Week 4 [LOCF] (n=311,631, 627)
-5.7
(0.8)
-9.7
(0.6)
-10.5
(0.6)
Week 12 [LOCF] (n=311, 631, 628)
-8.2
(0.8)
-12.1
(0.6)
-13.2
(0.6)
Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection Placebo, Fesoterodine
Comments Treatment Difference Fesoterodine vs placebo at Week 1.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value <0.0001
Comments
Method ANCOVA
Comments Based on an analysis of covariance model with country and treatment as factors, and centered baseline value as a covariate.
Method of Estimation Estimation Parameter Mean Difference (Final Values)
Estimated Value -3.1
Confidence Interval () %
to
Parameter Dispersion Type: Standard Error of the Mean
Value: 0.7
Estimation Comments Treatment Difference LSMean Difference(SE), SE is recorded as Parameter Dispersion Type: Standard Error of the mean.
Statistical Analysis 2
Statistical Analysis Overview Comparison Group Selection Placebo, Tolterodine ER
Comments Treatment Difference Tolterodine ER vs placebo at Week 1.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value <0.0001
Comments
Method ANCOVA
Comments Based on an analysis of covariance model with country and treatment as factors, and centered baseline value as a covariate.
Method of Estimation Estimation Parameter Mean Difference (Final Values)
Estimated Value -3.3
Confidence Interval () %
to
Parameter Dispersion Type: Standard Error of the Mean
Value: 0.7
Estimation Comments Treatment Difference LSMean Difference(SE), SE is recorded as Parameter Dispersion Type: Standard Error of the mean.
Statistical Analysis 3
Statistical Analysis Overview Comparison Group Selection Tolterodine ER, Fesoterodine
Comments Treatment Difference Fesoterodine vs Tolterodine ER at Week 1.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.7288
Comments
Method ANCOVA
Comments Based on an analysis of covariance model with country and treatment as factors, and centered baseline value as a covariate.
Method of Estimation Estimation Parameter Mean Difference (Final Values)
Estimated Value 0.2
Confidence Interval () %
to
Parameter Dispersion Type: Standard Error of the Mean
Value: 0.6
Estimation Comments Treatment Difference LSMean Difference(SE), SE is recorded as Parameter Dispersion Type: Standard Error of the mean.
Statistical Analysis 4
Statistical Analysis Overview Comparison Group Selection Placebo, Fesoterodine
Comments Treatment Difference Fesoterodine vs placebo at Week 4.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value <0.0001
Comments
Method ANCOVA
Comments Based on an analysis of covariance model with country and treatment as factors, and centered baseline value as a covariate.
Method of Estimation Estimation Parameter Mean Difference (Final Values)
Estimated Value -4.7
Confidence Interval () %
to
Parameter Dispersion Type: Standard Error of the Mean
Value: 0.8
Estimation Comments Treatment Difference LSMean Difference(SE), SE is recorded as Parameter Dispersion Type: Standard Error of the mean.
Statistical Analysis 5
Statistical Analysis Overview Comparison Group Selection Placebo, Tolterodine ER
Comments Treatment Difference Tolterodine ER vs placebo at Week 4.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value <0.0001
Comments
Method ANCOVA
Comments Based on an analysis of covariance model with country and treatment as factors, and centered baseline value as a covariate.
Method of Estimation Estimation Parameter Mean Difference (Final Values)
Estimated Value -4.0
Confidence Interval () %
to
Parameter Dispersion Type: Standard Error of the Mean
Value: 0.8
Estimation Comments Treatment Difference LSMean Difference(SE), SE is recorded as Parameter Dispersion Type: Standard Error of the mean.
Statistical Analysis 6
Statistical Analysis Overview Comparison Group Selection Tolterodine ER, Fesoterodine
Comments Treatment Difference Fesoterodine vs Tolterodine ER at Week 4.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.2473
Comments
Method ANCOVA
Comments Based on an analysis of covariance model with country and treatment as factors, and centered baseline value as a covariate.
Method of Estimation Estimation Parameter Mean Difference (Final Values)
Estimated Value -0.7
Confidence Interval () %
to
Parameter Dispersion Type: Standard Error of the Mean
Value: 0.6
Estimation Comments Treatment Difference LSMean Difference(SE), SE is recorded as Parameter Dispersion Type: Standard Error of the mean.
Statistical Analysis 7
Statistical Analysis Overview Comparison Group Selection Placebo, Fesoterodine
Comments Treatment Difference Fesoterodine vs placebo at Week 12.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value <0.0001
Comments
Method ANCOVA
Comments Based on an analysis of covariance model with country and treatment as factors, and centered baseline value as a covariate.
Method of Estimation Estimation Parameter Mean Difference (Final Values)
Estimated Value -4.9
Confidence Interval () %
to
Parameter Dispersion Type: Standard Error of the Mean
Value: 0.8
Estimation Comments Treatment Difference LSMean Difference(SE), SE is recorded as Parameter Dispersion Type: Standard Error of the mean.
Statistical Analysis 8
Statistical Analysis Overview Comparison Group Selection Placebo, Tolterodine ER
Comments Treatment Difference Tolterodine ER vs placebo at Week 12.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value <0.0001
Comments
Method ANCOVA
Comments Based on an analysis of covariance model with country and treatment as factors, and centered baseline value as a covariate.
Method of Estimation Estimation Parameter Mean Difference (Final Values)
Estimated Value -3.8
Confidence Interval () %
to
Parameter Dispersion Type: Standard Error of the Mean
Value: 0.8
Estimation Comments Treatment Difference LSMean Difference(SE), SE is recorded as Parameter Dispersion Type: Standard Error of the mean.
Statistical Analysis 9
Statistical Analysis Overview Comparison Group Selection Tolterodine ER, Fesoterodine
Comments Treatment Difference Fesoterodine vs Tolterodine ER at Week 12.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.1047
Comments
Method ANCOVA
Comments Based on an analysis of covariance model with country and treatment as factors, and centered baseline value as a covariate.
Method of Estimation Estimation Parameter Mean Difference (Final Values)
Estimated Value -1.1
Confidence Interval () %
to
Parameter Dispersion Type: Standard Error of the Mean
Value: 0.7
Estimation Comments Treatment Difference LSMean Difference(SE), SE is recorded as Parameter Dispersion Type: Standard Error of the mean.
15. Secondary Outcome
Title Change From Baseline in Patient Perception of Bladder Condition (PPBC).
Description Number of subjects in 4-point category: >= to 2 points improvement [major improvement]; 1 point improvement [minor improvement]; no change; deterioration, based on PPBC score (rated on 6-point scale: 1=no problems at all; 6=many severe problems). Score change: score at observation minus score at baseline; re-scaled to 4-point categorical variables.
Time Frame Baseline, Week 1, Week, 4, Week 12

Outcome Measure Data

Analysis Population Description
FAS; (n)=number of subjects with non-missing numerical change from baseline to the respective post-baseline value (Week 1, Week 4 [LOCF], or Week 12 [LOCF]) for placebo, Tolterodine ER, and Fesoterodine, respectively.
Arm/Group Title Placebo Tolterodine ER Fesoterodine
Arm/Group Description Tablets (4 milligrams [mg] orally (PO) once daily (QD) for 1 week followed by a forced dose escalation to 8 mg PO QD for 11 weeks) or capsules (4 mg) PO QD for 12 weeks Capsules (4 mg) PO QD for 12 weeks. Tolterodine Extended Release (ER) Tablets (4 mg PO QD for 1 week followed by a forced dose escalation to 8 mg PO QD for 11 weeks)
Measure Participants 334 684 679
Week 1 (n=309, 625, 623), >=2 points improvement
32
9.6%
79
11.5%
102
15%
Week 1, 1-point improvement
94
28.1%
181
26.5%
186
27.4%
Week 1, no change
147
44%
306
44.7%
286
42.1%
Week 1, deterioration
36
10.8%
59
8.6%
49
7.2%
Week 4 (n=313, 632, 629), >=2 points improvement
57
17.1%
169
24.7%
196
28.9%
Week 4, 1-point improvement
95
28.4%
201
29.4%
224
33%
Week 4, no change
127
38%
203
29.7%
176
25.9%
Week 4, deterioration
34
10.2%
59
8.6%
33
4.9%
Week 12 (n=313, 632, 630), >=2 points improvement
67
20.1%
210
30.7%
254
37.4%
Week 12, 1-point improvement
102
30.5%
189
27.6%
198
29.2%
Week 12, no change
111
33.2%
171
25%
148
21.8%
Week 12, deterioration
33
9.9%
62
9.1%
30
4.4%
Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection Placebo, Fesoterodine
Comments Fesoterodine vs placebo at Week 1
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.0143
Comments
Method Cochran-Mantel-Haenszel
Comments With modified ridit scoring and stratified by country.
Statistical Analysis 2
Statistical Analysis Overview Comparison Group Selection Placebo, Fesoterodine
Comments Fesoterodine vs placebo at Week 4
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value <0.0001
Comments
Method Cochran-Mantel-Haenszel
Comments With modified ridit scoring and stratified by country.
Statistical Analysis 3
Statistical Analysis Overview Comparison Group Selection Placebo, Fesoterodine
Comments Fesoterodine vs placebo at Week 12
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value <0.0001
Comments
Method Cochran-Mantel-Haenszel
Comments With modified ridit scoring and stratified by country.
16. Secondary Outcome
Title Change From Baseline in Urgency Perception Scale (UPS). UPS Equals Patient Perception of Urgency Scale (PPUS) in Protocol.
Description Number of subjects in 3-point category: improvement [>=1-point improvement]; no change; deterioration [>=1-point decrease], based on UPS score (rated on 3-point scale: 1=not able to hold urine; 3=able to finish what I am doing). Score change calculated as score at observation minus score at baseline; re-scaled to 3-point categorical variables.
Time Frame Baseline, Week 1, Week 4, Week 12

Outcome Measure Data

Analysis Population Description
FAS; (n)=number of subjects with non-missing numerical change from baseline to the respective post-baseline value (Week 1, Week 4 [LOCF], or Week 12 [LOCF]) for placebo, Tolterodine ER, and Fesoterodine, respectively.
Arm/Group Title Placebo Tolterodine ER Fesoterodine
Arm/Group Description Tablets (4 milligrams [mg] orally (PO) once daily (QD) for 1 week followed by a forced dose escalation to 8 mg PO QD for 11 weeks) or capsules (4 mg) PO QD for 12 weeks Capsules (4 mg) PO QD for 12 weeks. Tolterodine Extended Release (ER) Tablets (4 mg PO QD for 1 week followed by a forced dose escalation to 8 mg PO QD for 11 weeks)
Measure Participants 334 684 679
Week 1 (n=309, 627, 624), improvement
68
20.4%
162
23.7%
171
25.2%
Week 1, no change
218
65.3%
438
64%
413
60.8%
Week 1, deterioration
23
6.9%
27
3.9%
40
5.9%
Week 4 (n=313, 633, 629), improvement
98
29.3%
238
34.8%
256
37.7%
Week 4, no change
194
58.1%
362
52.9%
348
51.3%
Week 4, deterioration
21
6.3%
33
4.8%
25
3.7%
Week 12 (n=313, 633, 630), improvement
112
33.5%
254
37.1%
291
42.9%
Week 12, no change
181
54.2%
344
50.3%
314
46.2%
Week 12, deterioration
20
6%
35
5.1%
25
3.7%
Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection Placebo, Fesoterodine
Comments Fesoterodine vs placebo at Week 1
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.0773
Comments
Method Cochran-Mantel-Haenszel
Comments With modified ridit scoring and stratified by country.
Statistical Analysis 2
Statistical Analysis Overview Comparison Group Selection Placebo, Fesoterodine
Comments Fesoterodine vs placebo at Week 4
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.0017
Comments
Method Cochran-Mantel-Haenszel
Comments With modified ridit scoring and stratified by country.
Statistical Analysis 3
Statistical Analysis Overview Comparison Group Selection Placebo, Fesoterodine
Comments Fesoterodine vs placebo at Week 12
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.0008
Comments
Method Cochran-Mantel-Haenszel
Comments With modified ridit scoring and stratified by country.
17. Secondary Outcome
Title Change From Baseline in Overactive Bladder Questionnaire (OAB-q): Symptom Bother Score at Week 12 (End of Treatment).
Description Symptom bother score derived as sum of scores for questions 1-8; lowest possible raw score: 8; highest possible score: 48. Data analyzed based on transformation of the score to a 0 to 100 scale [(Actual total raw score - lowest possible value of raw score)/by raw score range * 100]. Higher transformed scores indicative of greater symptom bother. Negative change in Symptom Bother score indicates improvement. Change calculated as score at observation minus score at baseline.
Time Frame Baseline, Week 12

Outcome Measure Data

Analysis Population Description
FAS; (n)=number of subjects with non-missing numerical change from baseline to Week 12 for placebo n=289; Tolterodine ER n=589; Fesoterodine n=571.
Arm/Group Title Placebo Tolterodine ER Fesoterodine
Arm/Group Description Tablets (4 milligrams [mg] orally (PO) once daily (QD) for 1 week followed by a forced dose escalation to 8 mg PO QD for 11 weeks) or capsules (4 mg) PO QD for 12 weeks Capsules (4 mg) PO QD for 12 weeks. Tolterodine Extended Release (ER) Tablets (4 mg PO QD for 1 week followed by a forced dose escalation to 8 mg PO QD for 11 weeks)
Measure Participants 334 684 679
Least Squares Mean (Standard Error) [score on scale]
-16.3
(1.4)
-22.5
(1.1)
-27.1
(1.1)
Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection Placebo, Fesoterodine
Comments Treatment difference Fesoterodine vs placebo at Week 12
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value <0.0001
Comments
Method ANCOVA
Comments Based on an analysis of covariance model with country and treatment as factors, and centered baseline value as a covariate.
Method of Estimation Estimation Parameter Mean Difference (Final Values)
Estimated Value -10.8
Confidence Interval () %
to
Parameter Dispersion Type: Standard Error of the Mean
Value: 1.5
Estimation Comments Treatment Difference LSMean Difference(SE), SE is recorded as Parameter Dispersion Type: Standard Error of the mean.
18. Secondary Outcome
Title Change From Baseline in OAB-q: Health Related Quality of Life (HRQL) at Week 12 (End of Treatment).
Description HRQL domain and total raw score derived as sum of scores (6-point scale: 1=not at all/none of the time; 6=a very great deal/all of the time). Transformed score (Total HRQL or domain)=[(Highest possible raw score-Actual total raw score)/Raw score range]x100. Higher transformed scores indicative of better HRQL. Positive change in HRQL scores indicates improvement. Change: score at observation minus score at baseline.
Time Frame Baseline, Week 12

Outcome Measure Data

Analysis Population Description
FAS; (n)=number of subjects with non-missing numerical change from baseline to Week 12 for placebo, Tolterodine ER, and Fesoterodine, respectively.
Arm/Group Title Placebo Tolterodine ER Fesoterodine
Arm/Group Description Tablets (4 milligrams [mg] orally (PO) once daily (QD) for 1 week followed by a forced dose escalation to 8 mg PO QD for 11 weeks) or capsules (4 mg) PO QD for 12 weeks Capsules (4 mg) PO QD for 12 weeks. Tolterodine Extended Release (ER) Tablets (4 mg PO QD for 1 week followed by a forced dose escalation to 8 mg PO QD for 11 weeks)
Measure Participants 334 684 679
HRQL concern domain (n=289, 589, 572)
13.4
(1.5)
19.3
(1.1)
22.6
(1.2)
HRQL coping domain (n=289, 589, 572)
14.0
(1.5)
18.5
(1.2)
22.6
(1.2)
HRQL sleep domain (n=289, 589, 572)
12.2
(1.4)
15.1
(1.1)
17.3
(1.1)
HRQL social interaction domain (n=289, 588, 572)
6.8
(1.1)
9.4
(0.9)
11.6
(0.9)
HRQL scale score total (n=289, 588, 572)
12.0
(1.3)
16.3
(1.0)
19.3
(1.0)
Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection Placebo, Fesoterodine
Comments Treatment Difference Fesoterodine vs placebo: HRQL concern domain.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value <0.0001
Comments
Method ANCOVA
Comments Based on an analysis of covariance model with country and treatment as factors, and centered baseline value as a covariate.
Method of Estimation Estimation Parameter Mean Difference (Final Values)
Estimated Value 9.2
Confidence Interval () %
to
Parameter Dispersion Type: Standard Error of the Mean
Value: 1.6
Estimation Comments Treatment Difference LSMean Difference(SE), SE is recorded as Parameter Dispersion Type: Standard Error of the mean.
Statistical Analysis 2
Statistical Analysis Overview Comparison Group Selection Placebo, Fesoterodine
Comments Treatment Difference Fesoterodine vs placebo: HRQL coping domain.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value <0.0001
Comments
Method ANCOVA
Comments Based on an analysis of covariance model with country and treatment as factors, and centered baseline value as a covariate.
Method of Estimation Estimation Parameter Mean Difference (Final Values)
Estimated Value 8.6
Confidence Interval () %
to
Parameter Dispersion Type: Standard Error of the Mean
Value: 1.6
Estimation Comments Treatment Difference LSMean Difference(SE), SE is recorded as Parameter Dispersion Type: Standard Error of the mean.
Statistical Analysis 3
Statistical Analysis Overview Comparison Group Selection Placebo, Fesoterodine
Comments Treatment Difference Fesoterodine vs placebo: HRQL sleep domain.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.0008
Comments
Method ANCOVA
Comments Based on an analysis of covariance model with country and treatment as factors, and centered baseline value as a covariate.
Method of Estimation Estimation Parameter Mean Difference (Final Values)
Estimated Value 5.0
Confidence Interval () %
to
Parameter Dispersion Type: Standard Deviation
Value: 1.5
Estimation Comments Treatment Difference LSMean Difference(SE), SE is recorded as Parameter Dispersion Type: Standard Error of the mean.
Statistical Analysis 4
Statistical Analysis Overview Comparison Group Selection Placebo, Fesoterodine
Comments Treatment Difference Fesoterodine vs placebo: HRQL social interaction domain.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value <0.0001
Comments
Method ANCOVA
Comments Based on an analysis of covariance model with country and treatment as factors, and centered baseline value as a covariate.
Method of Estimation Estimation Parameter Mean Difference (Final Values)
Estimated Value 4.8
Confidence Interval () %
to
Parameter Dispersion Type: Standard Error of the Mean
Value: 1.2
Estimation Comments Treatment Difference LSMean Difference(SE), SE is recorded as Parameter Dispersion Type: Standard Error of the mean.
Statistical Analysis 5
Statistical Analysis Overview Comparison Group Selection Placebo, Fesoterodine
Comments Treatment Difference Fesoterodine vs placebo: HRQL scale score total.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value <0.0001
Comments
Method ANCOVA
Comments Based on an analysis of covariance model with country and treatment as factors, and centered baseline value as a covariate.
Method of Estimation Estimation Parameter Mean Difference (Final Values)
Estimated Value 7.3
Confidence Interval () %
to
Parameter Dispersion Type: Standard Error of the Mean
Value: 1.3
Estimation Comments Treatment Difference LSMean Difference(SE), SE is recorded as Parameter Dispersion Type: Standard Error of the mean.
19. Post-Hoc Outcome
Title Diary Dry Rates
Description Diary dry rate: number of subjects with no urgency urinary incontinence episode reported in the 3 day diary at the respective time-point; based on USS: 5-item scale measuring urinary urgency; range is 1 (no feeling of urgency) to 5 (unable to hold; leak urine).
Time Frame Week 1, Week 4, Week 12

Outcome Measure Data

Analysis Population Description
FAS; only subjects with baseline urgency urinary incontinence >0 per 24 hours are included; n=number of subjects in the respective category at observation (Week 1, Week 4, Week 12).
Arm/Group Title Placebo Tolterodine ER Fesoterodine
Arm/Group Description Tablets (4 milligrams [mg] orally (PO) once daily (QD) for 1 week followed by a forced dose escalation to 8 mg PO QD for 11 weeks) or capsules (4 mg) PO QD for 12 weeks Capsules (4 mg) PO QD for 12 weeks. Tolterodine Extended Release (ER) Tablets (4 mg PO QD for 1 week followed by a forced dose escalation to 8 mg PO QD for 11 weeks)
Measure Participants 334 684 679
Week 1
54
16.2%
153
22.4%
159
23.4%
Week 4
97
29%
290
42.4%
306
45.1%
Week 12
138
41.3%
358
52.3%
396
58.3%
Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection Placebo, Fesoterodine
Comments Treatment Difference Fesoterodine vs placebo at Week 1.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.0072
Comments
Method Cochran-Mantel-Haenszel
Comments Stratified by baseline urgency urinary incontinence quartile.
Statistical Analysis 2
Statistical Analysis Overview Comparison Group Selection Placebo, Tolterodine ER
Comments Treatment Difference Tolterodine ER vs placebo at Week 1.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.0116
Comments
Method Cochran-Mantel-Haenszel
Comments Stratified by baseline urgency urinary incontinence quartile.
Statistical Analysis 3
Statistical Analysis Overview Comparison Group Selection Tolterodine ER, Fesoterodine
Comments Treatment Difference Fesoterodine vs Tolterodine ER at Week 1.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.7828
Comments
Method Cochran-Mantel-Haenszel
Comments Stratified by baseline urgency urinary incontinence quartile.
Statistical Analysis 4
Statistical Analysis Overview Comparison Group Selection Placebo, Fesoterodine
Comments Treatment Difference Fesoterodine vs placebo at Week 4.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value <0.0001
Comments
Method Cochran-Mantel-Haenszel
Comments Stratified by baseline urgency urinary incontinence quartile.
Statistical Analysis 5
Statistical Analysis Overview Comparison Group Selection Placebo, Tolterodine ER
Comments Treatment Difference Tolterodine ER vs placebo at Week 4.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value <0.0001
Comments
Method Cochran-Mantel-Haenszel
Comments Stratified by baseline urgency urinary incontinence quartile.
Statistical Analysis 6
Statistical Analysis Overview Comparison Group Selection Tolterodine ER, Fesoterodine
Comments Treatment Difference Fesoterodine vs Tolterodine ER at Week 4.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.3104
Comments
Method Cochran-Mantel-Haenszel
Comments Stratified by baseline urgency urinary incontinence quartile.
Statistical Analysis 7
Statistical Analysis Overview Comparison Group Selection Placebo, Fesoterodine
Comments Treatment Difference Fesoterodine vs placebo at Week 12.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value <0.0001
Comments
Method Cochran-Mantel-Haenszel
Comments Stratified by baseline urgency urinary incontinence quartile.
Statistical Analysis 8
Statistical Analysis Overview Comparison Group Selection Placebo, Tolterodine ER
Comments Treatment Difference Tolterodine ER vs placebo at Week 12.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.0004
Comments
Method Cochran-Mantel-Haenszel
Comments Stratified by baseline urgency urinary incontinence quartile.
Statistical Analysis 9
Statistical Analysis Overview Comparison Group Selection Tolterodine ER, Fesoterodine
Comments Treatment Difference Fesoterodine vs Tolterodine ER at Week 12.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.0153
Comments
Method Cochran-Mantel-Haenszel
Comments Stratified by baseline urgency urinary incontinence quartile.

Adverse Events

Time Frame
Adverse Event Reporting Description
Arm/Group Title Placebo Tolterodine ER Fesoterodine
Arm/Group Description Tablets (4 milligrams [mg] orally (PO) once daily (QD) for 1 week followed by a forced dose escalation to 8 mg PO QD for 11 weeks) or capsules (4 mg) PO QD for 12 weeks Capsules (4 mg) PO QD for 12 weeks. Tolterodine Extended Release (ER) Tablets (4 mg PO QD for 1 week followed by a forced dose escalation to 8 mg PO QD for 11 weeks)
All Cause Mortality
Placebo Tolterodine ER Fesoterodine
Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events
Total / (NaN) / (NaN) / (NaN)
Serious Adverse Events
Placebo Tolterodine ER Fesoterodine
Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events
Total 8/ (NaN) 9/ (NaN) 15/ (NaN)
Blood and lymphatic system disorders
Iron deficiency anaemia 0/334 (0%) 0/684 (0%) 1/679 (0.1%)
Cardiac disorders
Hypertensive heart disease 0/334 (0%) 0/684 (0%) 1/679 (0.1%)
Myocardial ischaemia 0/334 (0%) 0/684 (0%) 1/679 (0.1%)
Gastrointestinal disorders
Abdominal pain 0/334 (0%) 0/684 (0%) 1/679 (0.1%)
Appendicitis perforated 0/334 (0%) 0/684 (0%) 1/679 (0.1%)
Nausea 1/334 (0.3%) 0/684 (0%) 0/679 (0%)
Rectal haemorrhage 0/334 (0%) 0/684 (0%) 1/679 (0.1%)
Vomiting 1/334 (0.3%) 0/684 (0%) 0/679 (0%)
General disorders
Chest pain 0/334 (0%) 1/684 (0.1%) 0/679 (0%)
Hepatobiliary disorders
Biliary colic 0/334 (0%) 1/684 (0.1%) 0/679 (0%)
Infections and infestations
Abdominal wall abscess 1/334 (0.3%) 0/684 (0%) 0/679 (0%)
Bronchiectasis 0/334 (0%) 0/684 (0%) 1/679 (0.1%)
Cystitis 0/334 (0%) 1/684 (0.1%) 0/679 (0%)
Herpes zoster 0/334 (0%) 1/684 (0.1%) 0/679 (0%)
Injury, poisoning and procedural complications
Hand fracture 1/334 (0.3%) 0/684 (0%) 0/679 (0%)
Head injury 0/334 (0%) 1/684 (0.1%) 0/679 (0%)
Seroma 1/334 (0.3%) 0/684 (0%) 0/679 (0%)
Traumatic brain injury 0/334 (0%) 0/684 (0%) 1/679 (0.1%)
Upper limb fracture 0/334 (0%) 0/684 (0%) 1/679 (0.1%)
Musculoskeletal and connective tissue disorders
Cervical spinal stenosis 1/334 (0.3%) 0/684 (0%) 0/679 (0%)
Intervertebral disc protrusion 0/334 (0%) 1/684 (0.1%) 1/679 (0.1%)
Musculoskeletal pain 1/334 (0.3%) 0/684 (0%) 0/679 (0%)
Pain in extremity 1/334 (0.3%) 0/684 (0%) 0/679 (0%)
Spinal column stenosis 1/334 (0.3%) 0/684 (0%) 0/679 (0%)
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Breast cancer 0/334 (0%) 1/684 (0.1%) 0/679 (0%)
Hepatic neoplasm malignant 0/334 (0%) 0/684 (0%) 1/679 (0.1%)
Lung cancer metastatic 1/334 (0.3%) 0/684 (0%) 0/679 (0%)
Lymphoma 0/334 (0%) 1/684 (0.1%) 0/679 (0%)
Neoplasm malignant 1/334 (0.3%) 0/684 (0%) 0/679 (0%)
Prostate cancer 0/334 (0%) 0/684 (0%) 1/679 (0.1%)
Skin cancer 1/334 (0.3%) 0/684 (0%) 0/679 (0%)
Nervous system disorders
Dizziness 1/334 (0.3%) 0/684 (0%) 0/679 (0%)
Haemorrhage intracranial 0/334 (0%) 0/684 (0%) 1/679 (0.1%)
Vertebrobasilar insufficiency 1/334 (0.3%) 0/684 (0%) 0/679 (0%)
Psychiatric disorders
Mental status changes 1/334 (0.3%) 0/684 (0%) 0/679 (0%)
Suicidal behaviour 0/334 (0%) 0/684 (0%) 1/679 (0.1%)
Renal and urinary disorders
Urinary incontinence 0/334 (0%) 0/684 (0%) 1/679 (0.1%)
Reproductive system and breast disorders
Breast mass 0/334 (0%) 1/684 (0.1%) 0/679 (0%)
Uterine haemorrhage 0/334 (0%) 0/684 (0%) 1/679 (0.1%)
Respiratory, thoracic and mediastinal disorders
Asthma 1/334 (0.3%) 0/684 (0%) 0/679 (0%)
Dyspnoea exertional 0/334 (0%) 1/684 (0.1%) 0/679 (0%)
Vascular disorders
Arteriosclerosis 1/334 (0.3%) 0/684 (0%) 0/679 (0%)
Other (Not Including Serious) Adverse Events
Placebo Tolterodine ER Fesoterodine
Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events
Total 76/ (NaN) 213/ (NaN) 290/ (NaN)
Eye disorders
Dry eye 6/334 (1.8%) 8/684 (1.2%) 9/679 (1.3%)
Vision blurred 1/334 (0.3%) 8/684 (1.2%) 12/679 (1.8%)
Gastrointestinal disorders
Abdominal pain 4/334 (1.2%) 4/684 (0.6%) 10/679 (1.5%)
Abdominal pain upper 3/334 (0.9%) 6/684 (0.9%) 9/679 (1.3%)
Constipation 10/334 (3%) 28/684 (4.1%) 37/679 (5.4%)
Diarrhoea 4/334 (1.2%) 15/684 (2.2%) 14/679 (2.1%)
Dry mouth 20/334 (6%) 112/684 (16.4%) 189/679 (27.8%)
Dyspepsia 1/334 (0.3%) 8/684 (1.2%) 12/679 (1.8%)
Nausea 6/334 (1.8%) 7/684 (1%) 12/679 (1.8%)
Vomiting 2/334 (0.6%) 2/684 (0.3%) 7/679 (1%)
General disorders
Fatigue 0/334 (0%) 4/684 (0.6%) 12/679 (1.8%)
Infections and infestations
Influenza 4/334 (1.2%) 8/684 (1.2%) 7/679 (1%)
Nasopharyngitis 10/334 (3%) 13/684 (1.9%) 13/679 (1.9%)
Sinusitis 3/334 (0.9%) 8/684 (1.2%) 3/679 (0.4%)
Upper respiratory tract infection 4/334 (1.2%) 9/684 (1.3%) 2/679 (0.3%)
Urinary tract infection 2/334 (0.6%) 10/684 (1.5%) 15/679 (2.2%)
Musculoskeletal and connective tissue disorders
Back pain 10/334 (3%) 7/684 (1%) 10/679 (1.5%)
Nervous system disorders
Dizziness 3/334 (0.9%) 10/684 (1.5%) 8/679 (1.2%)
Headache 8/334 (2.4%) 23/684 (3.4%) 38/679 (5.6%)
Renal and urinary disorders
Dysuria 1/334 (0.3%) 7/684 (1%) 4/679 (0.6%)
Respiratory, thoracic and mediastinal disorders
Cough 1/334 (0.3%) 4/684 (0.6%) 8/679 (1.2%)
Vascular disorders
Hypertension 3/334 (0.9%) 3/684 (0.4%) 8/679 (1.2%)

Limitations/Caveats

[Not Specified]

More Information

Certain Agreements

Principal Investigators are NOT employed by the organization sponsoring the study.

Pfizer has the right to review disclosures, requesting a delay of < 60 days. Investigator will postpone single center publications until after disclosure of pooled data (all sites), < 12 months from study completion/termination at all participating sites. Investigator may not disclose previously undisclosed confidential information other than study results.

Results Point of Contact

Name/Title Pfizer ClinicalTrials.gov Call Center
Organization Pfizer, Inc.
Phone 1-800-718-1021
Email ClinicalTrials.govCallCenter@pfizer.com
Responsible Party:
Pfizer
ClinicalTrials.gov Identifier:
NCT00444925
Other Study ID Numbers:
  • A0221008
First Posted:
Mar 8, 2007
Last Update Posted:
Mar 24, 2015
Last Verified:
Mar 1, 2015