A Trial To Evaluate The Efficacy And Safety Of Fesoterodine In Patients With Symptoms Of Overactive Bladder Including Nocturnal Urinary Urgency

Sponsor
Pfizer (Industry)
Overall Status
Completed
CT.gov ID
NCT00911937
Collaborator
(none)
963
112
2
25
8.6
0.3

Study Details

Study Description

Brief Summary

This study is designed to assess the efficacy of a flexible dose regimen of fesoterodine on micturition related nocturnal urgency episodes.

Condition or Disease Intervention/Treatment Phase
Phase 4

Study Design

Study Type:
Interventional
Actual Enrollment :
963 participants
Allocation:
Randomized
Intervention Model:
Parallel Assignment
Masking:
Triple (Participant, Investigator, Outcomes Assessor)
Primary Purpose:
Treatment
Official Title:
A Randomized, Double Blind, Placebo Controlled, Parallel Group, Multicenter Trial To Evaluate The Efficacy And Safety Of A Fesoterodine Flexible Dose Regimen In Patients With Symptoms Of Overactive Bladder Including Nocturnal Urinary Urgency.
Study Start Date :
Aug 1, 2009
Actual Primary Completion Date :
Sep 1, 2011
Actual Study Completion Date :
Sep 1, 2011

Arms and Interventions

Arm Intervention/Treatment
Experimental: Fesoterodine

Drug: Fesoterodine
Fesoterodine 4mg and 8 mg tablets taken daily.

Placebo Comparator: Placebo

Drug: Placebo
Placebo sham 4mg and 8 mg tables taken daily.

Outcome Measures

Primary Outcome Measures

  1. Mean Number of Micturition-related Nocturnal Urgency Episodes Per 24 Hours [Baseline]

    Micturition-related nocturnal urgency episodes had urinary sensation scale (USS) rating of 3 or more that occurred between time participant went to bed and time he or she arose to start next day. Number of nocturnal micturition-related urgency episodes per 24 hours was calculated as sum of all nocturnal micturition-related urgency episodes divided by total number of diary days collected at that visit.

  2. Change From Baseline in Mean Number of Micturition-related Nocturnal Urgency Episodes Per 24 Hours at Week 12 [Baseline and Week 12]

    Micturition-related nocturnal urgency episodes had USS rating of 3 or more that occurred between time participant went to bed and time he or she arose to start next day. Number of nocturnal micturition-related urgency episodes per 24 hours was calculated as sum of all nocturnal micturition-related urgency episodes divided by total number of diary days collected at that visit.

Secondary Outcome Measures

  1. Change From Baseline in Mean Number of Micturition-related Nocturnal Urgency Episodes Per 24 Hours at Week 4 [Baseline and Week 4]

    Micturition-related nocturnal urgency episodes had USS rating of 3 or more that occurred between time participant went to bed and time he or she arose to start next day. Number of micturition-related nocturnal urgency episodes per 24 hours was calculated as sum of all nocturnal micturition-related urgency episodes divided by total number of diary days collected at that visit.

  2. Percent Change From Baseline in Micturition-related Nocturnal Urgency Episodes Per 24 Hours at Week 4 and 12 [Baseline, Week 4 and 12]

    Percent change of micturition-related nocturnal urgency episodes per 24 hours was calculated as change in 24-hour mean at that visit divided by the baseline 24-hour mean multiplied by 100 (100*(Week 4 or 12 - baseline)/baseline).

  3. Number of Nocturnal Micturitions Per 24 Hours [Baseline]

    Nocturnal micturitions were defined as micturitions with USS rating 1-5 that occurred between the time the participant went to bed and the time he or she arose to start the next day. USS rating: 1. No feeling of urgency, 2. Mild feeling of urgency, 3. Moderate feeling of urgency, 4. Severe feeling of urgency, 5. Unable to hold; leak urine. The mean number of nocturnal micturitions per 24 hours was calculated as the total number of nocturnal micturitions divided by the total number of diary days collected at that visit.

  4. Change From Baseline in Number of Nocturnal Micturitions Per 24 Hours at Week 4 and 12 [Baseline, Week 4 and 12]

    Nocturnal micturitions were defined as micturitions with USS rating 1-5 that occurred between the time the participant went to bed and the time he or she arose to start the next day. USS rating: 1. No feeling of urgency, 2. Mild feeling of urgency, 3. Moderate feeling of urgency, 4. Severe feeling of urgency, 5. Unable to hold; leak urine. The mean number of nocturnal micturitions per 24 hours was calculated as the total number of nocturnal micturitions divided by the total number of diary days collected at that visit.

  5. Percent Change From Baseline in Nocturnal Micturitions Per 24 Hours at Week 4 and 12 [Baseline, Week 4 and 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 (100*(Week 4 or 12 - baseline)/baseline).

  6. Mean Number of Micturitions Per 24 Hours [Baseline]

    Micturitions include episodes of voluntary micturition and episodes of Urgency Urinary Incontinence [UUI]. UUI episodes were defined as those micturitions with USS rating of 5 in the diary in participants with UUI at baseline. USS rating 5: Unable to hold; leak urine.

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

    Micturitions include episodes of voluntary micturition and episodes of UUI. UUI episodes were defined as those micturitions with USS rating of 5 in the diary in participants with UUI at baseline. USS rating 5: Unable to hold; leak urine.

  8. Percent Change From Baseline in Micturitions Per 24 Hours at Week 4 and 12 [Baseline, Week 4 and 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 (100*(Week 4 or 12 - baseline)/baseline).

  9. Number of Micturition-related Urgency Episodes Per 24 Hours [Baseline]

    The mean number of micturition-related urgency episodes per 24 hours was calculated as the total number of micturitions with USS rating of greater than or equal to 3 divided by the total number of days that diary data was collected at that visit. USS total range 1 to 5: 1. No feeling of urgency, 2. Mild feeling of urgency, 3. Moderate feeling of urgency, 4. Severe feeling of urgency, 5. Unable to hold; leak urine.

  10. Change From Baseline in Number of Micturition-related Urgency Episodes Per 24 Hours at Week 4 and 12 [Baseline, Week 4 and 12]

    The mean number of micturition-related urgency episodes per 24 hours was calculated as the total number of micturitions with USS rating of greater than or equal to 3 divided by the total number of days that diary data was collected at that visit. USS total range 1 to 5: 1. No feeling of urgency, 2. Mild feeling of urgency, 3. Moderate feeling of urgency, 4. Severe feeling of urgency, 5. Unable to hold; leak urine.

  11. Percent Change From Baseline in Micturition-related Urgency Episodes Per 24 Hours at Week 4 and 12 [Baseline, Week 4 and 12]

    Percent change of micturition-related urgency episodes per 24 hours was calculated as change in 24-hour mean at that visit divided by the baseline 24-hour mean multiplied by 100 (100*(Week 4 or 12 - baseline)/baseline).

  12. Number of Urgency Urinary Incontinence (UUI) Episodes Per 24 Hours [Baseline]

    UUI episodes were defined as those with the USS rating of 5 in the diary. USS total range 1 to 5: 1. No feeling of urgency, 2. Mild feeling of urgency, 3. Moderate feeling of urgency, 4. Severe feeling of urgency, 5. Unable to hold; leak urine.

  13. Change From Baseline in Number of Urgency Urinary Incontinence (UUI) Episodes Per 24 Hours at Week 4 and 12 [Baseline, Week 4 and 12]

    UUI episodes were defined as those with the USS rating of 5 in the diary. USS total range 1 to 5: 1. No feeling of urgency, 2. Mild feeling of urgency, 3. Moderate feeling of urgency, 4. Severe feeling of urgency, 5. Unable to hold; leak urine.

  14. Percent Change From Baseline in of Urgency Urinary Incontinence (UUI) Episodes Per 24 Hours at Week 4 and 12 [Baseline, Week 4 and 12]

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

  15. Nocturnal Frequency-urgency Sum Rating Per 24 Hours [Baseline]

    Frequency-urgency sum is total USS ratings recorded for all nocturnal micturitions in 24-hour day. Number of USS ratings per 24 hours is sum of all USS ratings divided by the total diary days collected at that visit. USS scale: 1=No feeling of urgency to 5=Unable to hold: leak urine. Numerical decrease indicates improvement.

  16. Change From Baseline in Nocturnal Frequency-urgency Sum Rating Per 24 Hours at Week 4 and 12 [Baseline, Week 4 and 12]

    Frequency-urgency sum is total USS ratings recorded for all nocturnal micturitions in 24-hour day. Number of USS ratings per 24 hours is sum of all USS ratings divided by the total diary days collected at that visit. USS scale: 1=No feeling of urgency to 5=Unable to hold: leak urine. Numerical decrease indicates improvement.

  17. Frequency-urgency Sum Rating Per 24 Hours [Baseline]

    Frequency-urgency sum is total USS ratings recorded for all micturitions in 24-hour day. Number of USS ratings per 24 hours is sum of all USS ratings divided by the total diary days collected at that visit. USS scale: 1=No feeling of urgency to 5=Unable to hold: leak urine.

  18. Change From Baseline in Frequency-urgency Sum Rating Per 24 Hours at Week 4 and 12 [Baseline, Week 4 and 12]

    Frequency-urgency sum is total USS ratings recorded for all micturitions in 24-hour day. Number of USS ratings per 24 hours is sum of all USS ratings divided by the total diary days collected at that visit. USS scale: 1=No feeling of urgency to 5=Unable to hold: leak urine. Numerical decrease indicates improvement.

  19. Mean Voided Volume Per Nocturnal Micturition [Baseline]

    Mean voided volume per nocturnal micturition was calculated as sum of voided volume during bedtime divided by the total number of bedtime micturition episodes with a recorded voided volume greater than 0 at that visit.

  20. Change From Baseline in Mean Voided Volume Per Nocturnal Micturition at Week 12 [Baseline and Week 12]

    Mean voided volume per nocturnal micturition was calculated as sum of voided volume during bedtime divided by the total number of bedtime micturition episodes with a recorded voided volume greater than 0 at that visit.

  21. Mean Voided Volume Per Micturition [Baseline]

    Mean voided volume per micturition was calculated as sum of voided volume divided by the total number of total micturition episodes with a recorded voided volume greater than 0 at that visit.

  22. Change From Baseline in Mean Voided Volume Per Micturition at Week 12 [Baseline and Week 12]

    Mean voided volume per micturition was calculated as sum of voided volume divided by the total number of total micturition episodes with a recorded voided volume greater than 0 at that visit.

  23. Overactive Bladder Questionnaire (OAB-q) Symptom Bother Score [Baseline]

    OAB-q: a self-administered, 33-item, questionnaire that assesses how much the participant has been bothered by selected bladder symptoms. Each item rated by participant on Likert scale 1 (least symptom bother) to 6 (most symptom bother). 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)/range]*100. Higher scores values indicative of greater symptom bother.

  24. Change From Baseline in Overactive Bladder Questionnaire (OAB-q) Symptom Bother Score at Week 4 and 12 [Baseline, Week 4 and 12]

    OAB-q: a self-administered, 33-item, questionnaire that assesses how much the participant has been bothered by selected bladder symptoms. Each item rated by participant on Likert scale 1 (least symptom bother) to 6 (most symptom bother). 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)/range]*100. Higher scores values indicative of greater symptom bother.

  25. Health Related Quality of Life (HRQL) Domain and Total Score of Overactive Bladder Questionnaire (OAB-q) [Baseline]

    OAB-q: self-administered, 33-item, questionnaire, assesses how much participant has been bothered by selected bladder symptoms. Each item rated on Likert scale 1 (least symptom bother) to 6 (most symptom bother). Questions 9 to 33 constitute HRQL, includes domains: concern, coping, sleep, and social function. HRQL domain and total raw score derived as sum of scores. Transformed score range 0 to 100 (Total HRQL or domain) = [(Highest possible raw score-Actual total raw score)/Raw score range]*100. Higher transformed scores indicative of better HRQL.

  26. Change From Baseline in Health Related Quality of Life (HRQL) Domain and Total Score of Overactive Bladder Questionnaire (OAB-q) at Week 4 and 12 [Baseline, Week 4 and 12]

    OAB-q: self-administered, 33-item, questionnaire, assesses how much participant has been bothered by selected bladder symptoms. Each item rated on Likert scale 1 (least symptom bother) to 6 (most symptom bother). Questions 9 to 33 constitute HRQL, includes domains: concern, coping, sleep, and social function. HRQL domain and total raw score derived as sum of scores. Transformed score range 0 to 100 (Total HRQL or domain) = [(Highest possible raw score-Actual total raw score)/Raw score range]*100. Higher transformed scores indicative of better HRQL.

Eligibility Criteria

Criteria

Ages Eligible for Study:
18 Years and Older
Sexes Eligible for Study:
All
Accepts Healthy Volunteers:
No
Inclusion Criteria:
  • Mean urinary frequency of >=8 micturitions per 24 hours as verified by the screening bladder diary prior to Start of Placebo run in visit (Visit 2)

  • Mean number of micturition related urgency episodes >=3 per 24 hours as verified by the screening bladder diary prior to Start of Placebo run in /Visit 2 (Urgency episodes are defined as those with Urinary Sensation Scale rating >=3)

  • Mean number of micturition related nocturnal urgency episodes >=2 but no more than 8 episodes per 24 hours as verified by the bladder diary at Visit 2 (nocturnal urgency episodes are defined as those with Urinary Sensation Scale rating of >3 recorded in the bed time section of the bladder diary)

Exclusion Criteria:
  • A known recent history or previous diagnosis of any sleep disorder such as obstructive sleep apnea, primary insomnia, periodic limb movement, parasomnia

  • Nocturia due to other underlying uncontrolled conditions, such as congestive heart failure, diabetes mellitus, diabetes insipidus, polyuria of any cause, etc.

Contacts and Locations

Locations

Site City State Country Postal Code
1 Pfizer Investigational Site Mobile Alabama United States 36608
2 Pfizer Investigational Site Goodyear Arizona United States 85395
3 Pfizer Investigational Site Litchfield Park Arizona United States 85340
4 Pfizer Investigational Site Phoenix Arizona United States 85020
5 Pfizer Investigational Site Tucson Arizona United States 85741
6 Pfizer Investigational Site Little Rock Arkansas United States 72205
7 Pfizer Investigational Site Fresno California United States 93720
8 Pfizer Investigational Site La Mesa California United States 91942
9 Pfizer Investigational Site Newport Beach California United States 92660
10 Pfizer Investigational Site Roseville California United States 95661
11 Pfizer Investigational Site Sacramento California United States 95825
12 Pfizer Investigational Site San Diego California United States 92103-6204
13 Pfizer Investigational Site San Diego California United States 92103
14 Pfizer Investigational Site San Diego California United States 92108
15 Pfizer Investigational Site Tarzana California United States 91356
16 Pfizer Investigational Site Denver Colorado United States 80218
17 Pfizer Investigational Site Denver Colorado United States 80220
18 Pfizer Investigational Site Farmington Connecticut United States 06032
19 Pfizer Investigational Site New Britain Connecticut United States 06052
20 Pfizer Investigational Site Norwalk Connecticut United States 06850
21 Pfizer Investigational Site Dover Delaware United States 19904
22 Pfizer Investigational Site Bonita Springs Florida United States 34134
23 Pfizer Investigational Site Brooksville Florida United States 34601
24 Pfizer Investigational Site DeFuniak Springs Florida United States 32435
25 Pfizer Investigational Site Destin Florida United States 32541
26 Pfizer Investigational Site Leesburg Florida United States 34748
27 Pfizer Investigational Site Naples Florida United States 34102
28 Pfizer Investigational Site Ocala Florida United States 34471
29 Pfizer Investigational Site Ocala Florida United States 34474
30 Pfizer Investigational Site Pembroke Pines Florida United States 33024
31 Pfizer Investigational Site Saint Petersburg Florida United States 33709
32 Pfizer Investigational Site South Miami Florida United States 33143
33 Pfizer Investigational Site Tallahassee Florida United States 32308
34 Pfizer Investigational Site Tampa Florida United States 33606
35 Pfizer Investigational Site Atlanta Georgia United States 30329-5102
36 Pfizer Investigational Site Coeur d'Alene Idaho United States 83814
37 Pfizer Investigational Site Chicago Illinois United States 60634
38 Pfizer Investigational Site Chicago Illinois United States 60654
39 Pfizer Investigational Site Fort Wayne Indiana United States 46825
40 Pfizer Investigational Site Jeffersonville Indiana United States 47130
41 Pfizer Investigational Site Iowa City Iowa United States 52242
42 Pfizer Investigational Site West Des Moines Iowa United States 50266
43 Pfizer Investigational Site Newton Kansas United States 67114
44 Pfizer Investigational Site Overland Park Kansas United States 66202
45 Pfizer Investigational Site Overland Park Kansas United States 66210
46 Pfizer Investigational Site Overland Park Kansas United States 66211
47 Pfizer Investigational Site Pratt Kansas United States 67124
48 Pfizer Investigational Site Madisonville Kentucky United States 42431
49 Pfizer Investigational Site Mount Sterling Kentucky United States 40353
50 Pfizer Investigational Site Shreveport Louisiana United States 71106
51 Pfizer Investigational Site Annapolis Maryland United States 21401
52 Pfizer Investigational Site Fall River Massachusetts United States 02720
53 Pfizer Investigational Site Hyannis Massachusetts United States 02601
54 Pfizer Investigational Site Milford Massachusetts United States 01757
55 Pfizer Investigational Site New Bedford Massachusetts United States 02740
56 Pfizer Investigational Site Watertown Massachusetts United States 02472
57 Pfizer Investigational Site Troy Michigan United States 48098
58 Pfizer Investigational Site Chaska Minnesota United States 55318
59 Pfizer Investigational Site Olive Branch Mississippi United States 38654
60 Pfizer Investigational Site Saint Louis Missouri United States 63110
61 Pfizer Investigational Site Lincoln Nebraska United States 68510
62 Pfizer Investigational Site Omaha Nebraska United States 68114
63 Pfizer Investigational Site Hamilton New Jersey United States 08690
64 Pfizer Investigational Site Brooklyn New York United States 11215
65 Pfizer Investigational Site Garden City New York United States 11530
66 Pfizer Investigational Site Kingston New York United States 12401
67 Pfizer Investigational Site Manlius New York United States 13104
68 Pfizer Investigational Site New York New York United States 10016
69 Pfizer Investigational Site Poughkeepsie New York United States 12601
70 Pfizer Investigational Site Burlington North Carolina United States 27215
71 Pfizer Investigational Site Cary North Carolina United States 27518
72 Pfizer Investigational Site Charlotte North Carolina United States 28207
73 Pfizer Investigational Site Concord North Carolina United States 28025
74 Pfizer Investigational Site Huntersville North Carolina United States 28078
75 Pfizer Investigational Site Salisbury North Carolina United States 28144
76 Pfizer Investigational Site Fargo North Dakota United States 58103
77 Pfizer Investigational Site Akron Ohio United States 44311
78 Pfizer Investigational Site Cincinnati Ohio United States 45249
79 Pfizer Investigational Site Columbus Ohio United States 43214
80 Pfizer Investigational Site Columbus Ohio United States 43221
81 Pfizer Investigational Site Dayton Ohio United States 45439
82 Pfizer Investigational Site Westerville Ohio United States 43081
83 Pfizer Investigational Site Portland Oregon United States 97225
84 Pfizer Investigational Site Bala-Cynwyd Pennsylvania United States 19004
85 Pfizer Investigational Site Bridgeville Pennsylvania United States 15017
86 Pfizer Investigational Site Lansdale Pennsylvania United States 19446
87 Pfizer Investigational Site Philadelphia Pennsylvania United States 19114
88 Pfizer Investigational Site Pittsburgh Pennsylvania United States 15236
89 Pfizer Investigational Site Sellersville Pennsylvania United States 18960
90 Pfizer Investigational Site East Greenwich Rhode Island United States 02818
91 Pfizer Investigational Site Pawtucket Rhode Island United States 02860
92 Pfizer Investigational Site Warwick Rhode Island United States 02886
93 Pfizer Investigational Site Anderson South Carolina United States 29621
94 Pfizer Investigational Site Mount Pleasant South Carolina United States 29464
95 Pfizer Investigational Site Bristol Tennessee United States 37620
96 Pfizer Investigational Site Kingsport Tennessee United States 37660
97 Pfizer Investigational Site Knoxville Tennessee United States 37920
98 Pfizer Investigational Site Milan Tennessee United States 38358
99 Pfizer Investigational Site Nashville Tennessee United States 37203
100 Pfizer Investigational Site New Tazewell Tennessee United States 37825
101 Pfizer Investigational Site Bryan Texas United States 77802
102 Pfizer Investigational Site Dallas Texas United States 75231
103 Pfizer Investigational Site Houston Texas United States 77024
104 Pfizer Investigational Site Houston Texas United States 77030
105 Pfizer Investigational Site Houston Texas United States 77079
106 Pfizer Investigational Site Plano Texas United States 75024
107 Pfizer Investigational Site Norfolk Virginia United States 23502
108 Pfizer Investigational Site Richmond Virginia United States 23294
109 Pfizer Investigational Site Mountlake Terrace Washington United States 98043
110 Pfizer Investigational Site Seattle Washington United States 98104
111 Pfizer Investigational Site Spokane Washington United States 99207
112 Pfizer Investigational Site Menomonee Falls Wisconsin United States 53051

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:
NCT00911937
Other Study ID Numbers:
  • A0221048
First Posted:
Jun 3, 2009
Last Update Posted:
Dec 4, 2018
Last Verified:
Nov 1, 2018
Keywords provided by Pfizer
Additional relevant MeSH terms:

Study Results

Participant Flow

Recruitment Details
Pre-assignment Detail
Arm/Group Title Placebo Fesoterodine
Arm/Group Description Placebo matched to fesoterodine 4 milligram (mg) oral tablet once daily for 4 weeks followed by placebo matched to fesoterodine 8 mg once daily depending on dose escalation as per investigator's discretion for remaining 8 weeks. Fesoterodine 4 mg oral tablet once daily for 4 weeks followed by dose-escalation to 8 mg once daily depending on investigator's discretion for remaining 8 weeks.
Period Title: Overall Study
STARTED 487 476
Treated 474 463
COMPLETED 400 381
NOT COMPLETED 87 95

Baseline Characteristics

Arm/Group Title Placebo Fesoterodine Total
Arm/Group Description Placebo matched to fesoterodine 4 milligram (mg) oral tablet once daily for 4 weeks followed by placebo matched to fesoterodine 8 mg once daily depending on dose escalation as per investigator's discretion for remaining 8 weeks. Fesoterodine 4 mg oral tablet once daily for 4 weeks followed by dose-escalation to 8 mg once daily depending on investigator's discretion for remaining 8 weeks. Total of all reporting groups
Overall Participants 474 463 937
Age, Customized (participants) [Number]
18 to 44 years
74
15.6%
84
18.1%
158
16.9%
45 to 64 years
257
54.2%
214
46.2%
471
50.3%
At least 65 years
143
30.2%
165
35.6%
308
32.9%
Sex: Female, Male (Count of Participants)
Female
312
65.8%
313
67.6%
625
66.7%
Male
162
34.2%
150
32.4%
312
33.3%

Outcome Measures

1. Primary Outcome
Title Mean Number of Micturition-related Nocturnal Urgency Episodes Per 24 Hours
Description Micturition-related nocturnal urgency episodes had urinary sensation scale (USS) rating of 3 or more that occurred between time participant went to bed and time he or she arose to start next day. Number of nocturnal micturition-related urgency episodes per 24 hours was calculated as sum of all nocturnal micturition-related urgency episodes divided by total number of diary days collected at that visit.
Time Frame Baseline

Outcome Measure Data

Analysis Population Description
Full analysis set (FAS): all participants who received at least 1 dose of study drug and had at least baseline or a post-baseline efficacy assessment. Here, 'N'(number of participants analyzed) signifies those participants who had baseline nocturnal urgency episodes greater than 0 per 24 hours and non-missing change from baseline value at Week 12.
Arm/Group Title Placebo Fesoterodine
Arm/Group Description Placebo matched to fesoterodine 4 milligram (mg) oral tablet once daily for 4 weeks followed by placebo matched to fesoterodine 8 mg once daily depending on dose escalation as per investigator's discretion for remaining 8 weeks. Fesoterodine 4 mg oral tablet once daily for 4 weeks followed by dose-escalation to 8 mg once daily depending on investigator's discretion for remaining 8 weeks.
Measure Participants 445 421
Mean (Standard Deviation) [episodes per 24 hours]
2.93
(0.98)
2.91
(0.90)
2. Primary Outcome
Title Change From Baseline in Mean Number of Micturition-related Nocturnal Urgency Episodes Per 24 Hours at Week 12
Description Micturition-related nocturnal urgency episodes had USS rating of 3 or more that occurred between time participant went to bed and time he or she arose to start next day. Number of nocturnal micturition-related urgency episodes per 24 hours was calculated as sum of all nocturnal micturition-related urgency episodes divided by total number of diary days collected at that visit.
Time Frame Baseline and Week 12

Outcome Measure Data

Analysis Population Description
FAS population. Last observation carried forward (LOCF) method was used to impute missing data. Here, 'N' (number of participants analyzed) signifies those participants who had baseline nocturnal urgency episodes greater than 0 per 24 hours and non-missing change from baseline value at Week 12.
Arm/Group Title Placebo Fesoterodine
Arm/Group Description Placebo matched to fesoterodine 4 milligram (mg) oral tablet once daily for 4 weeks followed by placebo matched to fesoterodine 8 mg once daily depending on dose escalation as per investigator's discretion for remaining 8 weeks. Fesoterodine 4 mg oral tablet once daily for 4 weeks followed by dose-escalation to 8 mg once daily depending on investigator's discretion for remaining 8 weeks.
Measure Participants 445 421
Least Squares Mean (Standard Error) [episodes per 24 hours]
-1.06
(0.06)
-1.29
(0.06)
Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection Placebo, Fesoterodine
Comments Analysis of covariance (ANCOVA) model with terms for treatment and center with centered baseline value as a covariate was used to calculate p-value.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.0030
Comments Statistical testing, two-sided, was done at alpha = 0.05 level.
Method ANCOVA
Comments
Method of Estimation Estimation Parameter Least squares mean difference
Estimated Value -0.22
Confidence Interval (2-Sided) 95%
-0.37 to -0.08
Parameter Dispersion Type: Standard Error of the Mean
Value: 0.08
Estimation Comments
3. Secondary Outcome
Title Change From Baseline in Mean Number of Micturition-related Nocturnal Urgency Episodes Per 24 Hours at Week 4
Description Micturition-related nocturnal urgency episodes had USS rating of 3 or more that occurred between time participant went to bed and time he or she arose to start next day. Number of micturition-related nocturnal urgency episodes per 24 hours was calculated as sum of all nocturnal micturition-related urgency episodes divided by total number of diary days collected at that visit.
Time Frame Baseline and Week 4

Outcome Measure Data

Analysis Population Description
FAS population included all participants who received at least 1 dose of study drug and had at least baseline or a post-baseline efficacy assessment. Here, 'N' (number of participants analyzed) signifies those participants who had baseline nocturnal urgency episodes greater than 0 per 24 hours and non-missing change from baseline value at Week 4.
Arm/Group Title Placebo Fesoterodine
Arm/Group Description Placebo matched to fesoterodine 4 milligram (mg) oral tablet once daily for 4 weeks followed by placebo matched to fesoterodine 8 mg once daily depending on dose escalation as per investigator's discretion for remaining 8 weeks. Fesoterodine 4 mg oral tablet once daily for 4 weeks followed by dose-escalation to 8 mg once daily depending on investigator's discretion for remaining 8 weeks.
Measure Participants 443 415
Least Squares Mean (Standard Error) [episodes per 24 hours]
-0.70
(0.05)
-0.83
(0.06)
Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection Placebo, Fesoterodine
Comments ANCOVA model with terms for treatment and center with centered baseline value as a covariate was used to calculate p-value.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.0772
Comments Statistical testing, two-sided, was done at alpha = 0.05 level.
Method ANCOVA
Comments
Method of Estimation Estimation Parameter Least squares mean difference
Estimated Value -0.13
Confidence Interval (2-Sided) 95%
-0.27 to 0.01
Parameter Dispersion Type: Standard Error of the Mean
Value: 0.07
Estimation Comments
4. Secondary Outcome
Title Percent Change From Baseline in Micturition-related Nocturnal Urgency Episodes Per 24 Hours at Week 4 and 12
Description Percent change of micturition-related nocturnal urgency episodes per 24 hours was calculated as change in 24-hour mean at that visit divided by the baseline 24-hour mean multiplied by 100 (100*(Week 4 or 12 - baseline)/baseline).
Time Frame Baseline, Week 4 and 12

Outcome Measure Data

Analysis Population Description
FAS population. LOCF method was used to impute only Week 12 missing data but not Week 4 missing data. Here, 'N' (number of participants analyzed) signifies those participants who had baseline nocturnal urgency episodes greater than 0 per 24 hours and non-missing change from baseline value at Week 12.
Arm/Group Title Placebo Fesoterodine
Arm/Group Description Placebo matched to fesoterodine 4 milligram (mg) oral tablet once daily for 4 weeks followed by placebo matched to fesoterodine 8 mg once daily depending on dose escalation as per investigator's discretion for remaining 8 weeks. Fesoterodine 4 mg oral tablet once daily for 4 weeks followed by dose-escalation to 8 mg once daily depending on investigator's discretion for remaining 8 weeks.
Measure Participants 445 421
Change at Week 4
-24.1
(38.1)
-28.4
(38.7)
Change at Week 12
-36.2
(37.8)
-44.5
(39.7)
Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection Placebo, Fesoterodine
Comments Change at Week 12: Ranked ANCOVA model with terms for treatment and center with ranked baseline value as a covariate was used to calculate p-value.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.0001
Comments Statistical testing, two-sided, was done at alpha = 0.05 level.
Method Ranked ANCOVA
Comments Testing for percent change from baseline was only carried out for given endpoint if corresponding numeric change result was statistically significant.
5. Secondary Outcome
Title Number of Nocturnal Micturitions Per 24 Hours
Description Nocturnal micturitions were defined as micturitions with USS rating 1-5 that occurred between the time the participant went to bed and the time he or she arose to start the next day. USS rating: 1. No feeling of urgency, 2. Mild feeling of urgency, 3. Moderate feeling of urgency, 4. Severe feeling of urgency, 5. Unable to hold; leak urine. The mean number of nocturnal micturitions per 24 hours was calculated as the total number of nocturnal micturitions divided by the total number of diary days collected at that visit.
Time Frame Baseline

Outcome Measure Data

Analysis Population Description
FAS population. Here, 'N' (number of participants analyzed) signifies those participants who had baseline nocturnal micturition frequency greater than 0 per 24 hours and non-missing change from baseline value at Week 12.
Arm/Group Title Placebo Fesoterodine
Arm/Group Description Placebo matched to fesoterodine 4 milligram (mg) oral tablet once daily for 4 weeks followed by placebo matched to fesoterodine 8 mg once daily depending on dose escalation as per investigator's discretion for remaining 8 weeks. Fesoterodine 4 mg oral tablet once daily for 4 weeks followed by dose-escalation to 8 mg once daily depending on investigator's discretion for remaining 8 weeks.
Measure Participants 445 421
Mean (Standard Deviation) [micturitions per 24 hours]
3.19
(1.05)
3.15
(0.99)
6. Secondary Outcome
Title Change From Baseline in Number of Nocturnal Micturitions Per 24 Hours at Week 4 and 12
Description Nocturnal micturitions were defined as micturitions with USS rating 1-5 that occurred between the time the participant went to bed and the time he or she arose to start the next day. USS rating: 1. No feeling of urgency, 2. Mild feeling of urgency, 3. Moderate feeling of urgency, 4. Severe feeling of urgency, 5. Unable to hold; leak urine. The mean number of nocturnal micturitions per 24 hours was calculated as the total number of nocturnal micturitions divided by the total number of diary days collected at that visit.
Time Frame Baseline, Week 4 and 12

Outcome Measure Data

Analysis Population Description
FAS population. LOCF method was used to impute only Week 12 missing data but not Week 4 missing data. Here, 'N' (number of participants analyzed) signifies those participants who had baseline nocturnal micturition frequency greater than 0 per 24 hours and non-missing change from baseline value at Week 12.
Arm/Group Title Placebo Fesoterodine
Arm/Group Description Placebo matched to fesoterodine 4 milligram (mg) oral tablet once daily for 4 weeks followed by placebo matched to fesoterodine 8 mg once daily depending on dose escalation as per investigator's discretion for remaining 8 weeks. Fesoterodine 4 mg oral tablet once daily for 4 weeks followed by dose-escalation to 8 mg once daily depending on investigator's discretion for remaining 8 weeks.
Measure Participants 445 421
Change at Week 4
-0.48
(0.05)
-0.59
(0.05)
Change at Week 12
-0.84
(0.05)
-1.02
(0.06)
Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection Placebo, Fesoterodine
Comments Change at Week 4: ANCOVA model with terms for treatment and center with centered baseline value as a covariate was used to calculate p-value.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.0827
Comments Statistical testing, two-sided, was done at alpha = 0.05 level.
Method ANCOVA
Comments
Method of Estimation Estimation Parameter Least squares mean difference
Estimated Value -0.12
Confidence Interval (2-Sided) 95%
-0.25 to 0.01
Parameter Dispersion Type: Standard Error of the Mean
Value: 0.07
Estimation Comments
Statistical Analysis 2
Statistical Analysis Overview Comparison Group Selection Placebo, Fesoterodine
Comments Change at Week 12: ANCOVA model with terms for treatment and center with centered baseline value as a covariate was used to calculate p-value.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.0112
Comments Statistical testing, two-sided, was done at alpha = 0.05 level.
Method ANCOVA
Comments
Method of Estimation Estimation Parameter Least Squares mean difference
Estimated Value -0.19
Confidence Interval (2-Sided) 95%
-0.33 to -0.04
Parameter Dispersion Type: Standard Error of the Mean
Value: 0.07
Estimation Comments
7. Secondary Outcome
Title Percent Change From Baseline in Nocturnal Micturitions Per 24 Hours at Week 4 and 12
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 (100*(Week 4 or 12 - baseline)/baseline).
Time Frame Baseline, Week 4 and 12

Outcome Measure Data

Analysis Population Description
FAS population. LOCF method was used to impute only Week 12 missing data but not Week 4 missing data. Here, 'N' (number of participants analyzed) signifies those participants who had baseline nocturnal micturition frequency greater than 0 per 24 hours and non-missing change from baseline value at Week 12.
Arm/Group Title Placebo Fesoterodine
Arm/Group Description Placebo matched to fesoterodine 4 milligram (mg) oral tablet once daily for 4 weeks followed by placebo matched to fesoterodine 8 mg once daily depending on dose escalation as per investigator's discretion for remaining 8 weeks. Fesoterodine 4 mg oral tablet once daily for 4 weeks followed by dose-escalation to 8 mg once daily depending on investigator's discretion for remaining 8 weeks.
Measure Participants 445 421
Change at Week 4
-15.1
(33.1)
-18.9
(31.8)
Change at Week 12
-26.2
(35.7)
-32.2
(35.6)
Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection Placebo, Fesoterodine
Comments Change at Week 12: Ranked ANCOVA model with terms for treatment and center with ranked baseline value as a covariate was used to calculate p-value.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.0023
Comments Statistical testing, two-sided, was done at alpha = 0.05 level.
Method Ranked ANCOVA
Comments Testing for percent change from baseline was only carried out for given endpoint if corresponding numeric change result was statistically significant.
8. Secondary Outcome
Title Mean Number of Micturitions Per 24 Hours
Description Micturitions include episodes of voluntary micturition and episodes of Urgency Urinary Incontinence [UUI]. UUI episodes were defined as those micturitions with USS rating of 5 in the diary in participants with UUI at baseline. USS rating 5: Unable to hold; leak urine.
Time Frame Baseline

Outcome Measure Data

Analysis Population Description
FAS population included all participants who received at least 1 dose of study drug and had at least baseline or a post-baseline efficacy assessment. Here, 'N' (number of participants analyzed) signifies those participants who had baseline micturition frequency greater than 0 per 24 hours and non-missing change from baseline value at Week 12.
Arm/Group Title Placebo Fesoterodine
Arm/Group Description Placebo matched to fesoterodine 4 milligram (mg) oral tablet once daily for 4 weeks followed by placebo matched to fesoterodine 8 mg once daily depending on dose escalation as per investigator's discretion for remaining 8 weeks. Fesoterodine 4 mg oral tablet once daily for 4 weeks followed by dose-escalation to 8 mg once daily depending on investigator's discretion for remaining 8 weeks.
Measure Participants 445 421
Mean (Standard Deviation) [micturitions per 24 hours]
12.33
(3.58)
12.30
(3.26)
9. Secondary Outcome
Title Change From Baseline in Mean Number of Micturitions Per 24 Hours at Week 4 and 12
Description Micturitions include episodes of voluntary micturition and episodes of UUI. UUI episodes were defined as those micturitions with USS rating of 5 in the diary in participants with UUI at baseline. USS rating 5: Unable to hold; leak urine.
Time Frame Baseline, Week 4 and 12

Outcome Measure Data

Analysis Population Description
FAS population. LOCF method was used to impute only Week 12 missing data but not Week 4 missing data. Here, 'N' (number of participants analyzed) signifies those participants who had baseline micturition frequency greater than 0 per 24 hours and non-missing change from baseline value at Week 12.
Arm/Group Title Placebo Fesoterodine
Arm/Group Description Placebo matched to fesoterodine 4 milligram (mg) oral tablet once daily for 4 weeks followed by placebo matched to fesoterodine 8 mg once daily depending on dose escalation as per investigator's discretion for remaining 8 weeks. Fesoterodine 4 mg oral tablet once daily for 4 weeks followed by dose-escalation to 8 mg once daily depending on investigator's discretion for remaining 8 weeks.
Measure Participants 445 421
Change at Week 4
-0.90
(0.11)
-1.35
(0.11)
Change at Week 12
-1.86
(0.13)
-2.42
(0.13)
Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection Placebo, Fesoterodine
Comments Change at Week 4: ANCOVA model with terms for treatment and center with centered baseline value as a covariate was used to calculate p-value.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.0026
Comments Statistical testing, two-sided, was done at alpha = 0.05 level.
Method ANCOVA
Comments
Method of Estimation Estimation Parameter Least squares mean difference
Estimated Value -0.45
Confidence Interval (2-Sided) 95%
-0.74 to -0.16
Parameter Dispersion Type: Standard Error of the Mean
Value: 0.15
Estimation Comments
Statistical Analysis 2
Statistical Analysis Overview Comparison Group Selection Placebo, Fesoterodine
Comments Change at Week 12: ANCOVA model with terms for treatment and center with centered baseline value as a covariate was used to calculate p-value.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.0014
Comments Statistical testing, two-sided, was done at alpha = 0.05 level.
Method ANCOVA
Comments
Method of Estimation Estimation Parameter Least squares mean difference
Estimated Value -0.56
Confidence Interval (2-Sided) 95%
-0.90 to -0.22
Parameter Dispersion Type: Standard Error of the Mean
Value: 0.17
Estimation Comments
10. Secondary Outcome
Title Percent Change From Baseline in Micturitions Per 24 Hours at Week 4 and 12
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 (100*(Week 4 or 12 - baseline)/baseline).
Time Frame Baseline, Week 4 and 12

Outcome Measure Data

Analysis Population Description
FAS population. LOCF method was used to impute only Week 12 missing data but not Week 4 missing data. Here, 'N' (number of participants analyzed) signifies those participants who had baseline micturition frequency greater than 0 per 24 hours and non-missing change from baseline value at Week 12.
Arm/Group Title Placebo Fesoterodine
Arm/Group Description Placebo matched to fesoterodine 4 milligram (mg) oral tablet once daily for 4 weeks followed by placebo matched to fesoterodine 8 mg once daily depending on dose escalation as per investigator's discretion for remaining 8 weeks. Fesoterodine 4 mg oral tablet once daily for 4 weeks followed by dose-escalation to 8 mg once daily depending on investigator's discretion for remaining 8 weeks.
Measure Participants 445 421
Change at Week 4
-6.7
(17.8)
-10.3
(17.7)
Change at Week 12
-14.2
(21.3)
-18.7
(20.0)
Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection Placebo, Fesoterodine
Comments Change at Week 4: Ranked ANCOVA model with terms for treatment and center with ranked baseline value as a covariate was used to calculate p-value.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.0016
Comments Statistical testing, two-sided, was done at alpha = 0.05 level.
Method Ranked ANCOVA
Comments Testing for percent change from baseline was only carried out for given endpoint if corresponding numeric change result was statistically significant.
Statistical Analysis 2
Statistical Analysis Overview Comparison Group Selection Placebo, Fesoterodine
Comments Change at Week 12: Ranked ANCOVA model with terms for treatment and center with ranked baseline value as a covariate was used to calculate p-value.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.0004
Comments Statistical testing, two-sided, was done at alpha = 0.05 level.
Method Ranked ANCOVA
Comments Testing for percent change from baseline was only carried out for given endpoint if corresponding numeric change result was statistically significant.
11. Secondary Outcome
Title Number of Micturition-related Urgency Episodes Per 24 Hours
Description The mean number of micturition-related urgency episodes per 24 hours was calculated as the total number of micturitions with USS rating of greater than or equal to 3 divided by the total number of days that diary data was collected at that visit. USS total range 1 to 5: 1. No feeling of urgency, 2. Mild feeling of urgency, 3. Moderate feeling of urgency, 4. Severe feeling of urgency, 5. Unable to hold; leak urine.
Time Frame Baseline

Outcome Measure Data

Analysis Population Description
FAS population included all participants who received at least 1 dose of study drug and had at least baseline or a post-baseline efficacy assessment. Here, 'N' (number of participants analyzed) signifies those participants who had baseline urgency episodes greater than 0 per 24 hours and non-missing change from baseline value at Week 12.
Arm/Group Title Placebo Fesoterodine
Arm/Group Description Placebo matched to fesoterodine 4 milligram (mg) oral tablet once daily for 4 weeks followed by placebo matched to fesoterodine 8 mg once daily depending on dose escalation as per investigator's discretion for remaining 8 weeks. Fesoterodine 4 mg oral tablet once daily for 4 weeks followed by dose-escalation to 8 mg once daily depending on investigator's discretion for remaining 8 weeks.
Measure Participants 445 421
Mean (Standard Deviation) [episodes per 24 hours]
10.04
(4.01)
9.84
(3.62)
12. Secondary Outcome
Title Change From Baseline in Number of Micturition-related Urgency Episodes Per 24 Hours at Week 4 and 12
Description The mean number of micturition-related urgency episodes per 24 hours was calculated as the total number of micturitions with USS rating of greater than or equal to 3 divided by the total number of days that diary data was collected at that visit. USS total range 1 to 5: 1. No feeling of urgency, 2. Mild feeling of urgency, 3. Moderate feeling of urgency, 4. Severe feeling of urgency, 5. Unable to hold; leak urine.
Time Frame Baseline, Week 4 and 12

Outcome Measure Data

Analysis Population Description
FAS population. LOCF method was used to impute only Week 12 missing data but not Week 4 missing data. Here, 'N' (number of participants analyzed) signifies those participants who had baseline urgency episodes greater than 0 per 24 hours and non-missing change from baseline value at Week 12.
Arm/Group Title Placebo Fesoterodine
Arm/Group Description Placebo matched to fesoterodine 4 milligram (mg) oral tablet once daily for 4 weeks followed by placebo matched to fesoterodine 8 mg once daily depending on dose escalation as per investigator's discretion for remaining 8 weeks. Fesoterodine 4 mg oral tablet once daily for 4 weeks followed by dose-escalation to 8 mg once daily depending on investigator's discretion for remaining 8 weeks.
Measure Participants 445 421
Change at Week 4
-1.59
(0.16)
-2.18
(0.17)
Change at Week 12
-2.72
(0.18)
-3.50
(0.18)
Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection Placebo, Fesoterodine
Comments Change at Week 4: ANCOVA model with terms for treatment and center with centered baseline value as a covariate was used to calculate p-value.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.0072
Comments Statistical testing, two-sided, was done at alpha = 0.05 level.
Method ANCOVA
Comments
Method of Estimation Estimation Parameter Least squares mean difference
Estimated Value -0.59
Confidence Interval (2-Sided) 95%
-1.03 to -0.16
Parameter Dispersion Type: Standard Error of the Mean
Value: 0.22
Estimation Comments
Statistical Analysis 2
Statistical Analysis Overview Comparison Group Selection Placebo, Fesoterodine
Comments Change at Week 12: ANCOVA model with terms for treatment and center with centered baseline value as a covariate was used to calculate p-value.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.0009
Comments Statistical testing, two-sided, was done at alpha = 0.05 level.
Method ANCOVA
Comments
Method of Estimation Estimation Parameter Least squares mean difference
Estimated Value -0.79
Confidence Interval (2-Sided) 95%
-1.25 to -0.32
Parameter Dispersion Type: Standard Error of the Mean
Value: 0.24
Estimation Comments
13. Secondary Outcome
Title Percent Change From Baseline in Micturition-related Urgency Episodes Per 24 Hours at Week 4 and 12
Description Percent change of micturition-related urgency episodes per 24 hours was calculated as change in 24-hour mean at that visit divided by the baseline 24-hour mean multiplied by 100 (100*(Week 4 or 12 - baseline)/baseline).
Time Frame Baseline, Week 4 and 12

Outcome Measure Data

Analysis Population Description
FAS population. LOCF method was used to impute only Week 12 missing data but not Week 4 missing data. Here, 'N' (number of participants analyzed) signifies those participants who had baseline urgency episodes greater than 0 per 24 hours and non-missing change from baseline value at Week 12.
Arm/Group Title Placebo Fesoterodine
Arm/Group Description Placebo matched to fesoterodine 4 milligram (mg) oral tablet once daily for 4 weeks followed by placebo matched to fesoterodine 8 mg once daily depending on dose escalation as per investigator's discretion for remaining 8 weeks. Fesoterodine 4 mg oral tablet once daily for 4 weeks followed by dose-escalation to 8 mg once daily depending on investigator's discretion for remaining 8 weeks.
Measure Participants 445 421
Change at Week 4
-14.9
(33.9)
-20.0
(37.2)
Change at Week 12
-25.7
(35.8)
-34.2
(42.3)
Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection Placebo, Fesoterodine
Comments Change at Week 4: Ranked ANCOVA model with terms for treatment and center with ranked baseline value as a covariate was used to calculate p-value.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.0041
Comments Statistical testing, two-sided, was done at alpha = 0.05 level.
Method Ranked ANCOVA
Comments Testing for percent change from baseline was only carried out for given endpoint if corresponding numeric change result was statistically significant.
Statistical Analysis 2
Statistical Analysis Overview Comparison Group Selection Placebo, Fesoterodine
Comments Change at Week 4: Ranked ANCOVA model with terms for treatment and center with ranked baseline value as a covariate was used to calculate p-value.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value <0.0001
Comments Statistical testing, two-sided, was done at alpha = 0.05 level.
Method Ranked ANCOVA
Comments Testing for percent change from baseline was only carried out for given endpoint if corresponding numeric change result was statistically significant.
14. Secondary Outcome
Title Number of Urgency Urinary Incontinence (UUI) Episodes Per 24 Hours
Description UUI episodes were defined as those with the USS rating of 5 in the diary. USS total range 1 to 5: 1. No feeling of urgency, 2. Mild feeling of urgency, 3. Moderate feeling of urgency, 4. Severe feeling of urgency, 5. Unable to hold; leak urine.
Time Frame Baseline

Outcome Measure Data

Analysis Population Description
FAS population included all participants who received at least 1 dose of study drug and had at least baseline or a post-baseline efficacy assessment. Here, 'N' (number of participants analyzed) signifies those participants who had baseline UUI episodes greater than 0 per 24 hours and non-missing change from baseline value at Week 12.
Arm/Group Title Placebo Fesoterodine
Arm/Group Description Placebo matched to fesoterodine 4 milligram (mg) oral tablet once daily for 4 weeks followed by placebo matched to fesoterodine 8 mg once daily depending on dose escalation as per investigator's discretion for remaining 8 weeks. Fesoterodine 4 mg oral tablet once daily for 4 weeks followed by dose-escalation to 8 mg once daily depending on investigator's discretion for remaining 8 weeks.
Measure Participants 184 157
Mean (Standard Deviation) [episodes per 24 hours]
2.23
(2.49)
2.20
(2.55)
15. Secondary Outcome
Title Change From Baseline in Number of Urgency Urinary Incontinence (UUI) Episodes Per 24 Hours at Week 4 and 12
Description UUI episodes were defined as those with the USS rating of 5 in the diary. USS total range 1 to 5: 1. No feeling of urgency, 2. Mild feeling of urgency, 3. Moderate feeling of urgency, 4. Severe feeling of urgency, 5. Unable to hold; leak urine.
Time Frame Baseline, Week 4 and 12

Outcome Measure Data

Analysis Population Description
FAS population. LOCF method was used to impute only Week 12 missing data but not Week 4 missing data. Here, 'N' (number of participants analyzed) signifies those participants who had baseline UUI episodes greater than 0 per 24 hours and non-missing change from baseline value at Week 12.
Arm/Group Title Placebo Fesoterodine
Arm/Group Description Placebo matched to fesoterodine 4 milligram (mg) oral tablet once daily for 4 weeks followed by placebo matched to fesoterodine 8 mg once daily depending on dose escalation as per investigator's discretion for remaining 8 weeks. Fesoterodine 4 mg oral tablet once daily for 4 weeks followed by dose-escalation to 8 mg once daily depending on investigator's discretion for remaining 8 weeks.
Measure Participants 184 157
Change at Week 4
-0.76
(0.12)
-0.90
(0.13)
Change at Week 12
-1.08
(0.11)
-1.26
(0.12)
Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection Placebo, Fesoterodine
Comments Change at Week 4: ANCOVA model with terms for treatment and center with centered baseline value as a covariate was used to calculate p-value.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.3954
Comments Statistical testing, two-sided, was done at alpha = 0.05 level.
Method ANCOVA
Comments
Method of Estimation Estimation Parameter Least squares mean difference
Estimated Value -0.14
Confidence Interval (2-Sided) 95%
-0.47 to 0.19
Parameter Dispersion Type: Standard Error of the Mean
Value: 0.17
Estimation Comments
Statistical Analysis 2
Statistical Analysis Overview Comparison Group Selection Placebo, Fesoterodine
Comments Change at Week 12: ANCOVA model with terms for treatment and center with centered baseline value as a covariate was used to calculate p-value.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.2166
Comments Statistical testing, two-sided, was done at alpha = 0.05 level.
Method ANCOVA
Comments
Method of Estimation Estimation Parameter Least squares mean difference
Estimated Value -0.19
Confidence Interval (2-Sided) 95%
-0.48 to 0.11
Parameter Dispersion Type: Standard Error of the Mean
Value: 0.15
Estimation Comments
16. Secondary Outcome
Title Percent Change From Baseline in of Urgency Urinary Incontinence (UUI) Episodes Per 24 Hours at Week 4 and 12
Description Percent change of UUI episodes per 24 hours was calculated as change in 24-hour mean at that visit divided by the baseline 24-hour mean multiplied by 100 (100*(Week 4 or 12 - baseline)/baseline).
Time Frame Baseline, Week 4 and 12

Outcome Measure Data

Analysis Population Description
FAS population. LOCF method was used to impute only Week 12 missing data but not Week 4 missing data. Here, 'N' (number of participants analyzed) signifies those participants who had baseline UUI episodes greater than 0 per 24 hours and non-missing change from baseline value at Week 12.
Arm/Group Title Placebo Fesoterodine
Arm/Group Description Placebo matched to fesoterodine 4 milligram (mg) oral tablet once daily for 4 weeks followed by placebo matched to fesoterodine 8 mg once daily depending on dose escalation as per investigator's discretion for remaining 8 weeks. Fesoterodine 4 mg oral tablet once daily for 4 weeks followed by dose-escalation to 8 mg once daily depending on investigator's discretion for remaining 8 weeks.
Measure Participants 184 157
Change at Week 4
-34.2
(90.0)
-34.8
(102.6)
Change at Week 12
-58.2
(103.9)
-59.2
(71.3)
17. Secondary Outcome
Title Nocturnal Frequency-urgency Sum Rating Per 24 Hours
Description Frequency-urgency sum is total USS ratings recorded for all nocturnal micturitions in 24-hour day. Number of USS ratings per 24 hours is sum of all USS ratings divided by the total diary days collected at that visit. USS scale: 1=No feeling of urgency to 5=Unable to hold: leak urine. Numerical decrease indicates improvement.
Time Frame Baseline

Outcome Measure Data

Analysis Population Description
FAS population. Here, 'N' (number of participants analyzed) signifies those participants who had baseline nocturnal frequency-urgency sum rating greater than 0 per 24 hours and non-missing change from baseline value at Week 12.
Arm/Group Title Placebo Fesoterodine
Arm/Group Description Placebo matched to fesoterodine 4 milligram (mg) oral tablet once daily for 4 weeks followed by placebo matched to fesoterodine 8 mg once daily depending on dose escalation as per investigator's discretion for remaining 8 weeks. Fesoterodine 4 mg oral tablet once daily for 4 weeks followed by dose-escalation to 8 mg once daily depending on investigator's discretion for remaining 8 weeks.
Measure Participants 441 420
Mean (Standard Deviation) [units on a scale]
10.91
(4.14)
10.60
(3.74)
18. Secondary Outcome
Title Change From Baseline in Nocturnal Frequency-urgency Sum Rating Per 24 Hours at Week 4 and 12
Description Frequency-urgency sum is total USS ratings recorded for all nocturnal micturitions in 24-hour day. Number of USS ratings per 24 hours is sum of all USS ratings divided by the total diary days collected at that visit. USS scale: 1=No feeling of urgency to 5=Unable to hold: leak urine. Numerical decrease indicates improvement.
Time Frame Baseline, Week 4 and 12

Outcome Measure Data

Analysis Population Description
FAS population. LOCF method was used to impute only Week 12 missing data but not Week 4 missing data. Here, 'N' (number of participants analyzed) signifies those participants who had baseline nocturnal frequency-urgency sum rating greater than 0 per 24 hours and non-missing change from baseline value at Week 12.
Arm/Group Title Placebo Fesoterodine
Arm/Group Description Placebo matched to fesoterodine 4 milligram (mg) oral tablet once daily for 4 weeks followed by placebo matched to fesoterodine 8 mg once daily depending on dose escalation as per investigator's discretion for remaining 8 weeks. Fesoterodine 4 mg oral tablet once daily for 4 weeks followed by dose-escalation to 8 mg once daily depending on investigator's discretion for remaining 8 weeks.
Measure Participants 441 420
Change at Week 4
-2.07
(0.17)
-2.46
(0.18)
Change at Week 12
-3.36
(0.18)
-4.08
(0.19)
Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection Placebo, Fesoterodine
Comments Change at Week 4: ANCOVA model with terms for treatment and center with centered baseline value as a covariate was used to calculate p-value.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.1018
Comments Statistical testing, two-sided, was done at alpha = 0.05 level.
Method ANCOVA
Comments
Method of Estimation Estimation Parameter Least squares mean difference
Estimated Value -0.39
Confidence Interval (2-Sided) 95%
-0.85 to 0.08
Parameter Dispersion Type: Standard Error of the Mean
Value: 0.24
Estimation Comments
Statistical Analysis 2
Statistical Analysis Overview Comparison Group Selection Placebo, Fesoterodine
Comments Change at Week 12: ANCOVA model with terms for treatment and center with centered baseline value as a covariate was used to calculate p-value.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.0027
Comments Statistical testing, two-sided, was done at alpha = 0.05 level.
Method ANCOVA
Comments
Method of Estimation Estimation Parameter Least squares mean difference
Estimated Value -0.73
Confidence Interval (2-Sided) 95%
-1.20 to -0.25
Parameter Dispersion Type: Standard Error of the Mean
Value: 0.24
Estimation Comments
19. Secondary Outcome
Title Frequency-urgency Sum Rating Per 24 Hours
Description Frequency-urgency sum is total USS ratings recorded for all micturitions in 24-hour day. Number of USS ratings per 24 hours is sum of all USS ratings divided by the total diary days collected at that visit. USS scale: 1=No feeling of urgency to 5=Unable to hold: leak urine.
Time Frame Baseline

Outcome Measure Data

Analysis Population Description
FAS population. Here, 'N' (number of participants analyzed) signifies those participants who had baseline frequency-urgency sum rating greater than 0 per 24 hours and non-missing change from baseline value at Week 12.
Arm/Group Title Placebo Fesoterodine
Arm/Group Description Placebo matched to fesoterodine 4 milligram (mg) oral tablet once daily for 4 weeks followed by placebo matched to fesoterodine 8 mg once daily depending on dose escalation as per investigator's discretion for remaining 8 weeks. Fesoterodine 4 mg oral tablet once daily for 4 weeks followed by dose-escalation to 8 mg once daily depending on investigator's discretion for remaining 8 weeks.
Measure Participants 445 421
Mean (Standard Deviation) [units on a scale]
39.54
(13.83)
38.73
(12.32)
20. Secondary Outcome
Title Change From Baseline in Frequency-urgency Sum Rating Per 24 Hours at Week 4 and 12
Description Frequency-urgency sum is total USS ratings recorded for all micturitions in 24-hour day. Number of USS ratings per 24 hours is sum of all USS ratings divided by the total diary days collected at that visit. USS scale: 1=No feeling of urgency to 5=Unable to hold: leak urine. Numerical decrease indicates improvement.
Time Frame Baseline, Week 4 and 12

Outcome Measure Data

Analysis Population Description
FAS population. LOCF method was used to impute only Week 12 missing data but not Week 4 missing data. Here, 'N' (number of participants analyzed) signifies those participants who had baseline frequency-urgency sum rating greater than 0 per 24 hours and non-missing change from baseline value at Week 12.
Arm/Group Title Placebo Fesoterodine
Arm/Group Description Placebo matched to fesoterodine 4 milligram (mg) oral tablet once daily for 4 weeks followed by placebo matched to fesoterodine 8 mg once daily depending on dose escalation as per investigator's discretion for remaining 8 weeks. Fesoterodine 4 mg oral tablet once daily for 4 weeks followed by dose-escalation to 8 mg once daily depending on investigator's discretion for remaining 8 weeks.
Measure Participants 445 421
Change at Week 4
-4.88
(0.46)
-6.44
(0.48)
Change at Week 12
-8.69
(0.51)
-11.12
(0.53)
Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection Placebo, Fesoterodine
Comments Change at Week 4: ANCOVA model with terms for treatment and center with centered baseline value as a covariate was used to calculate p-value.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.0131
Comments Statistical testing, two-sided, was done at alpha = 0.05 level.
Method ANCOVA
Comments
Method of Estimation Estimation Parameter Least squares mean difference
Estimated Value -1.56
Confidence Interval (2-Sided) 95%
-2.79 to -0.33
Parameter Dispersion Type: Standard Error of the Mean
Value: 0.63
Estimation Comments
Statistical Analysis 2
Statistical Analysis Overview Comparison Group Selection Placebo, Fesoterodine
Comments Change at Week 12: ANCOVA model with terms for treatment and center with centered baseline value as a covariate was used to calculate p-value.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.0004
Comments Statistical testing, two-sided, was done at alpha = 0.05 level.
Method ANCOVA
Comments
Method of Estimation Estimation Parameter Least squares mean difference
Estimated Value -2.43
Confidence Interval (2-Sided) 95%
-3.78 to -1.08
Parameter Dispersion Type: Standard Error of the Mean
Value: 0.69
Estimation Comments
21. Secondary Outcome
Title Mean Voided Volume Per Nocturnal Micturition
Description Mean voided volume per nocturnal micturition was calculated as sum of voided volume during bedtime divided by the total number of bedtime micturition episodes with a recorded voided volume greater than 0 at that visit.
Time Frame Baseline

Outcome Measure Data

Analysis Population Description
FAS population. Here, 'N' (number of participants analyzed) signifies those participants who had baseline voided volume per nocturnal micturition greater than 0 per 24 hours and non-missing change from baseline value at Week 12.
Arm/Group Title Placebo Fesoterodine
Arm/Group Description Placebo matched to fesoterodine 4 milligram (mg) oral tablet once daily for 4 weeks followed by placebo matched to fesoterodine 8 mg once daily depending on dose escalation as per investigator's discretion for remaining 8 weeks. Fesoterodine 4 mg oral tablet once daily for 4 weeks followed by dose-escalation to 8 mg once daily depending on investigator's discretion for remaining 8 weeks.
Measure Participants 369 345
Mean (Standard Deviation) [milliliter (mL)]
172.53
(95.47)
173.14
(95.50)
22. Secondary Outcome
Title Change From Baseline in Mean Voided Volume Per Nocturnal Micturition at Week 12
Description Mean voided volume per nocturnal micturition was calculated as sum of voided volume during bedtime divided by the total number of bedtime micturition episodes with a recorded voided volume greater than 0 at that visit.
Time Frame Baseline and Week 12

Outcome Measure Data

Analysis Population Description
FAS population. Here, 'N' (number of participants analyzed) signifies those participants who had baseline voided volume per nocturnal micturition greater than 0 per 24 hours and non-missing change from baseline value at Week 12.
Arm/Group Title Placebo Fesoterodine
Arm/Group Description Placebo matched to fesoterodine 4 milligram (mg) oral tablet once daily for 4 weeks followed by placebo matched to fesoterodine 8 mg once daily depending on dose escalation as per investigator's discretion for remaining 8 weeks. Fesoterodine 4 mg oral tablet once daily for 4 weeks followed by dose-escalation to 8 mg once daily depending on investigator's discretion for remaining 8 weeks.
Measure Participants 369 345
Least Squares Mean (Standard Error) [mL]
15.49
(5.43)
16.81
(5.65)
Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection Placebo, Fesoterodine
Comments ANCOVA model with terms for treatment and center with centered baseline value as a covariate was used to calculate p-value.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.8547
Comments Statistical testing, two-sided, was done at alpha = 0.05 level.
Method ANCOVA
Comments
Method of Estimation Estimation Parameter Least squares mean difference
Estimated Value 1.32
Confidence Interval (2-Sided) 95%
-12.82 to 15.46
Parameter Dispersion Type: Standard Error of the Mean
Value: 7.20
Estimation Comments
23. Secondary Outcome
Title Mean Voided Volume Per Micturition
Description Mean voided volume per micturition was calculated as sum of voided volume divided by the total number of total micturition episodes with a recorded voided volume greater than 0 at that visit.
Time Frame Baseline

Outcome Measure Data

Analysis Population Description
FAS population. Here, 'N' (number of participants analyzed) signifies those participants who had baseline voided volume per micturition greater than 0 per 24 hours and non-missing change from baseline value at Week 12.
Arm/Group Title Placebo Fesoterodine
Arm/Group Description Placebo matched to fesoterodine 4 milligram (mg) oral tablet once daily for 4 weeks followed by placebo matched to fesoterodine 8 mg once daily depending on dose escalation as per investigator's discretion for remaining 8 weeks. Fesoterodine 4 mg oral tablet once daily for 4 weeks followed by dose-escalation to 8 mg once daily depending on investigator's discretion for remaining 8 weeks.
Measure Participants 396 372
Mean (Standard Deviation) [mL]
154.56
(65.87)
158.38
(67.40)
24. Secondary Outcome
Title Change From Baseline in Mean Voided Volume Per Micturition at Week 12
Description Mean voided volume per micturition was calculated as sum of voided volume divided by the total number of total micturition episodes with a recorded voided volume greater than 0 at that visit.
Time Frame Baseline and Week 12

Outcome Measure Data

Analysis Population Description
FAS population. Here, 'N' (number of participants analyzed) signifies those participants who had baseline voided volume per micturition greater than 0 per 24 hours and non-missing change from baseline value at Week 12.
Arm/Group Title Placebo Fesoterodine
Arm/Group Description Placebo matched to fesoterodine 4 milligram (mg) oral tablet once daily for 4 weeks followed by placebo matched to fesoterodine 8 mg once daily depending on dose escalation as per investigator's discretion for remaining 8 weeks. Fesoterodine 4 mg oral tablet once daily for 4 weeks followed by dose-escalation to 8 mg once daily depending on investigator's discretion for remaining 8 weeks.
Measure Participants 396 372
Least Squares Mean (Standard Error) [mL]
5.51
(3.17)
4.65
(3.32)
Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection Placebo, Fesoterodine
Comments ANCOVA model with terms for treatment and center with centered baseline value as a covariate was used to calculate p-value.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.8396
Comments Statistical testing, two-sided, was done at alpha = 0.05 level.
Method ANCOVA
Comments
Method of Estimation Estimation Parameter Least squares mean difference
Estimated Value -0.85
Confidence Interval (2-Sided) 95%
-9.14 to 7.44
Parameter Dispersion Type: Standard Error of the Mean
Value: 4.22
Estimation Comments
25. Secondary Outcome
Title Overactive Bladder Questionnaire (OAB-q) Symptom Bother Score
Description OAB-q: a self-administered, 33-item, questionnaire that assesses how much the participant has been bothered by selected bladder symptoms. Each item rated by participant on Likert scale 1 (least symptom bother) to 6 (most symptom bother). 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)/range]*100. Higher scores values indicative of greater symptom bother.
Time Frame Baseline

Outcome Measure Data

Analysis Population Description
FAS population included all participants who received at least 1 dose of study drug and had at least baseline or a post-baseline efficacy assessment. Here, 'N' (number of participants analyzed) signifies those participants who had non-missing change from baseline value at Week 12.
Arm/Group Title Placebo Fesoterodine
Arm/Group Description Placebo matched to fesoterodine 4 milligram (mg) oral tablet once daily for 4 weeks followed by placebo matched to fesoterodine 8 mg once daily depending on dose escalation as per investigator's discretion for remaining 8 weeks. Fesoterodine 4 mg oral tablet once daily for 4 weeks followed by dose-escalation to 8 mg once daily depending on investigator's discretion for remaining 8 weeks.
Measure Participants 416 395
Mean (Standard Deviation) [units on a scale]
50.46
(19.54)
48.84
(19.33)
26. Secondary Outcome
Title Change From Baseline in Overactive Bladder Questionnaire (OAB-q) Symptom Bother Score at Week 4 and 12
Description OAB-q: a self-administered, 33-item, questionnaire that assesses how much the participant has been bothered by selected bladder symptoms. Each item rated by participant on Likert scale 1 (least symptom bother) to 6 (most symptom bother). 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)/range]*100. Higher scores values indicative of greater symptom bother.
Time Frame Baseline, Week 4 and 12

Outcome Measure Data

Analysis Population Description
FAS population included all participants who received at least 1 dose of study drug and had at least baseline or a post-baseline efficacy assessment. Here, 'N' (number of participants analyzed) signifies those participants who had non-missing change from baseline value at Week 12.
Arm/Group Title Placebo Fesoterodine
Arm/Group Description Placebo matched to fesoterodine 4 milligram (mg) oral tablet once daily for 4 weeks followed by placebo matched to fesoterodine 8 mg once daily depending on dose escalation as per investigator's discretion for remaining 8 weeks. Fesoterodine 4 mg oral tablet once daily for 4 weeks followed by dose-escalation to 8 mg once daily depending on investigator's discretion for remaining 8 weeks.
Measure Participants 416 395
Change at Week 4
NA
(NA)
NA
(NA)
Change at Week 12
-15.91
(0.94)
-20.28
(0.97)
Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection Placebo, Fesoterodine
Comments Change at Week 12: ANCOVA model with terms for treatment and center with centered baseline value as a covariate was used to calculate p-value.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.0006
Comments Statistical testing, two-sided, was done at alpha = 0.05 level.
Method ANCOVA
Comments
Method of Estimation Estimation Parameter Least squares mean difference
Estimated Value -4.37
Confidence Interval (2-Sided) 95%
-6.84 to -1.89
Parameter Dispersion Type: Standard Error of the Mean
Value: 1.26
Estimation Comments
27. Secondary Outcome
Title Health Related Quality of Life (HRQL) Domain and Total Score of Overactive Bladder Questionnaire (OAB-q)
Description OAB-q: self-administered, 33-item, questionnaire, assesses how much participant has been bothered by selected bladder symptoms. Each item rated on Likert scale 1 (least symptom bother) to 6 (most symptom bother). Questions 9 to 33 constitute HRQL, includes domains: concern, coping, sleep, and social function. HRQL domain and total raw score derived as sum of scores. Transformed score range 0 to 100 (Total HRQL or domain) = [(Highest possible raw score-Actual total raw score)/Raw score range]*100. Higher transformed scores indicative of better HRQL.
Time Frame Baseline

Outcome Measure Data

Analysis Population Description
FAS population included all participants who received at least 1 dose of study drug and had at least baseline or a post-baseline efficacy assessment. Here, 'N' (number of participants analyzed) signifies those participants who had non-missing change from baseline value at Week 12.
Arm/Group Title Placebo Fesoterodine
Arm/Group Description Placebo matched to fesoterodine 4 milligram (mg) oral tablet once daily for 4 weeks followed by placebo matched to fesoterodine 8 mg once daily depending on dose escalation as per investigator's discretion for remaining 8 weeks. Fesoterodine 4 mg oral tablet once daily for 4 weeks followed by dose-escalation to 8 mg once daily depending on investigator's discretion for remaining 8 weeks.
Measure Participants 416 393
Concern domain
63.29
(24.66)
64.30
(23.08)
Coping domain
62.19
(26.51)
62.26
(26.12)
Sleep domain
47.45
(23.25)
49.65
(23.04)
Social interaction domain
82.22
(21.36)
82.48
(20.09)
Total
63.56
(21.56)
64.37
(20.61)
28. Secondary Outcome
Title Change From Baseline in Health Related Quality of Life (HRQL) Domain and Total Score of Overactive Bladder Questionnaire (OAB-q) at Week 4 and 12
Description OAB-q: self-administered, 33-item, questionnaire, assesses how much participant has been bothered by selected bladder symptoms. Each item rated on Likert scale 1 (least symptom bother) to 6 (most symptom bother). Questions 9 to 33 constitute HRQL, includes domains: concern, coping, sleep, and social function. HRQL domain and total raw score derived as sum of scores. Transformed score range 0 to 100 (Total HRQL or domain) = [(Highest possible raw score-Actual total raw score)/Raw score range]*100. Higher transformed scores indicative of better HRQL.
Time Frame Baseline, Week 4 and 12

Outcome Measure Data

Analysis Population Description
FAS population included all participants who received at least 1 dose of study drug and had at least baseline or a post-baseline efficacy assessment. Here, 'N' (number of participants analyzed) signifies those participants who had non-missing change from baseline value at Week 12.
Arm/Group Title Placebo Fesoterodine
Arm/Group Description Placebo matched to fesoterodine 4 milligram (mg) oral tablet once daily for 4 weeks followed by placebo matched to fesoterodine 8 mg once daily depending on dose escalation as per investigator's discretion for remaining 8 weeks. Fesoterodine 4 mg oral tablet once daily for 4 weeks followed by dose-escalation to 8 mg once daily depending on investigator's discretion for remaining 8 weeks.
Measure Participants 416 393
Change at Week 4: concern domain
NA
(NA)
NA
(NA)
Change at Week 4: coping domain
NA
(NA)
NA
(NA)
Change at Week 4: sleep domain
NA
(NA)
NA
(NA)
Change at Week 4: social interaction domain
NA
(NA)
NA
(NA)
Change at Week 4: total
NA
(NA)
NA
(NA)
Change at Week 12: concern domain
14.63
(1.00)
18.05
(1.04)
Change at Week 12: coping domain
15.17
(1.01)
18.32
(1.04)
Change at Week 12: sleep domain
18.97
(1.13)
22.45
(1.17)
Change at Week 12: social interaction domain
8.27
(0.69)
10.13
(0.72)
Change at Week 12: total
14.39
(0.87)
17.42
(0.91)
Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection Placebo, Fesoterodine
Comments Change at Week 12: Concern domain- ANCOVA model with terms for treatment and center with centered baseline value as a covariate was used to calculate p-value.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.0110
Comments Statistical testing, two-sided, was done at alpha = 0.05 level.
Method ANCOVA
Comments
Method of Estimation Estimation Parameter Least squares mean difference
Estimated Value 3.42
Confidence Interval (2-Sided) 95%
0.79 to 6.05
Parameter Dispersion Type: Standard Error of the Mean
Value: 1.34
Estimation Comments
Statistical Analysis 2
Statistical Analysis Overview Comparison Group Selection Placebo, Fesoterodine
Comments Change at Week 12: Coping domain- ANCOVA model with terms for treatment and center with centered baseline value as a covariate was used to calculate p-value.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.0200
Comments Statistical testing, two-sided, was done at alpha = 0.05 level.
Method ANCOVA
Comments
Method of Estimation Estimation Parameter Least squares mean difference
Estimated Value 3.14
Confidence Interval (2-Sided) 95%
0.50 to 5.79
Parameter Dispersion Type: Standard Error of the Mean
Value: 1.35
Estimation Comments
Statistical Analysis 3
Statistical Analysis Overview Comparison Group Selection Placebo, Fesoterodine
Comments Change at Week 12: Sleep domain- ANCOVA model with terms for treatment and center with centered baseline value as a covariate was used to calculate p-value.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.0218
Comments Statistical testing, two-sided, was done at alpha = 0.05 level.
Method ANCOVA
Comments
Method of Estimation Estimation Parameter Least squares mean difference
Estimated Value 3.48
Confidence Interval (2-Sided) 95%
0.51 to 6.45
Parameter Dispersion Type: Standard Error of the Mean
Value: 1.51
Estimation Comments
Statistical Analysis 4
Statistical Analysis Overview Comparison Group Selection Placebo, Fesoterodine
Comments Change at Week 12: Social interaction domain- ANCOVA model with terms for treatment and center with centered baseline value as a covariate was used to calculate p-value.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.0458
Comments Statistical testing, two-sided, was done at alpha = 0.05 level.
Method ANCOVA
Comments
Method of Estimation Estimation Parameter Least squares mean difference
Estimated Value 1.86
Confidence Interval (2-Sided) 95%
0.03 to 3.68
Parameter Dispersion Type: Standard Error of the Mean
Value: 0.93
Estimation Comments
Statistical Analysis 5
Statistical Analysis Overview Comparison Group Selection Placebo, Fesoterodine
Comments Change at Week 12: Total- ANCOVA model with terms for treatment and center with centered baseline value as a covariate was used to calculate p-value.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value 0.0100
Comments Statistical testing, two-sided, was done at alpha = 0.05 level.
Method ANCOVA
Comments
Method of Estimation Estimation Parameter Least squares mean difference
Estimated Value 3.02
Confidence Interval (2-Sided) 95%
0.72 to 5.32
Parameter Dispersion Type: Standard Error of the Mean
Value: 1.17
Estimation Comments

Adverse Events

Time Frame
Adverse Event Reporting Description The same event may appear as both an AE and a SAE. However, what is presented are distinct events. An event may be categorized as serious in one subject and as nonserious in another subject, or one subject may have experienced both a serious and nonserious event during the study.
Arm/Group Title Placebo Fesoterodine
Arm/Group Description Placebo matched to fesoterodine 4 milligram (mg) oral tablet once daily for 4 weeks followed by placebo matched to fesoterodine 8 mg once daily depending on dose escalation as per investigator's discretion for remaining 8 weeks. Fesoterodine 4 mg oral tablet once daily for 4 weeks followed by dose-escalation to 8 mg once daily depending on investigator's discretion for remaining 8 weeks.
All Cause Mortality
Placebo Fesoterodine
Affected / at Risk (%) # Events Affected / at Risk (%) # Events
Total / (NaN) / (NaN)
Serious Adverse Events
Placebo Fesoterodine
Affected / at Risk (%) # Events Affected / at Risk (%) # Events
Total 9/474 (1.9%) 5/463 (1.1%)
Eye disorders
Retinal detachment 1/474 (0.2%) 0/463 (0%)
General disorders
Chest pain 2/474 (0.4%) 0/463 (0%)
Non-cardiac chest pain 1/474 (0.2%) 0/463 (0%)
Infections and infestations
Diverticulitis 1/474 (0.2%) 0/463 (0%)
Pneumonia 1/474 (0.2%) 0/463 (0%)
Septic arthritis staphylococcal 0/474 (0%) 1/463 (0.2%)
Injury, poisoning and procedural complications
Ankle fracture 0/474 (0%) 1/463 (0.2%)
Fall 0/474 (0%) 1/463 (0.2%)
Hip fracture 0/474 (0%) 1/463 (0.2%)
Tibia fracture 0/474 (0%) 1/463 (0.2%)
Metabolism and nutrition disorders
Diabetic ketoacidosis 0/474 (0%) 1/463 (0.2%)
Musculoskeletal and connective tissue disorders
Back pain 1/474 (0.2%) 0/463 (0%)
Osteoarthritis 1/474 (0.2%) 0/463 (0%)
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Lymphoma 0/474 (0%) 1/463 (0.2%)
Nervous system disorders
Cerebral haemorrhage 1/474 (0.2%) 0/463 (0%)
Renal and urinary disorders
Renal failure acute 0/474 (0%) 1/463 (0.2%)
Other (Not Including Serious) Adverse Events
Placebo Fesoterodine
Affected / at Risk (%) # Events Affected / at Risk (%) # Events
Total 148/474 (31.2%) 187/463 (40.4%)
Blood and lymphatic system disorders
Iron deficiency anaemia 1/474 (0.2%) 0/463 (0%)
Cardiac disorders
Cardiomegaly 1/474 (0.2%) 0/463 (0%)
Mitral valve prolapse 1/474 (0.2%) 0/463 (0%)
Palpitations 1/474 (0.2%) 1/463 (0.2%)
Ear and labyrinth disorders
Otorrhoea 0/474 (0%) 1/463 (0.2%)
Endocrine disorders
Hypothyroidism 0/474 (0%) 1/463 (0.2%)
Eye disorders
Cataract 2/474 (0.4%) 1/463 (0.2%)
Dry eye 2/474 (0.4%) 9/463 (1.9%)
Vision blurred 1/474 (0.2%) 4/463 (0.9%)
Gastrointestinal disorders
Abdominal discomfort 2/474 (0.4%) 0/463 (0%)
Abdominal distension 2/474 (0.4%) 0/463 (0%)
Abdominal pain 1/474 (0.2%) 4/463 (0.9%)
Abdominal pain upper 1/474 (0.2%) 2/463 (0.4%)
Aphthous stomatitis 1/474 (0.2%) 0/463 (0%)
Bowel movement irregularity 1/474 (0.2%) 0/463 (0%)
Colitis 0/474 (0%) 1/463 (0.2%)
Constipation 7/474 (1.5%) 15/463 (3.2%)
Diarrhoea 5/474 (1.1%) 3/463 (0.6%)
Dry mouth 36/474 (7.6%) 98/463 (21.2%)
Dyspepsia 2/474 (0.4%) 5/463 (1.1%)
Dysphagia 0/474 (0%) 1/463 (0.2%)
Faeces hard 1/474 (0.2%) 0/463 (0%)
Flatulence 1/474 (0.2%) 1/463 (0.2%)
Gastritis 0/474 (0%) 1/463 (0.2%)
Gastrooesophageal reflux disease 0/474 (0%) 2/463 (0.4%)
Haemorrhoids 0/474 (0%) 1/463 (0.2%)
Large intestine perforation 1/474 (0.2%) 0/463 (0%)
Lip dry 0/474 (0%) 1/463 (0.2%)
Nausea 7/474 (1.5%) 6/463 (1.3%)
Rectal prolapse 0/474 (0%) 1/463 (0.2%)
Stomatitis 0/474 (0%) 1/463 (0.2%)
Vomiting 2/474 (0.4%) 2/463 (0.4%)
General disorders
Asthenia 1/474 (0.2%) 2/463 (0.4%)
Fatigue 2/474 (0.4%) 5/463 (1.1%)
Feeling abnormal 0/474 (0%) 1/463 (0.2%)
Gait disturbance 0/474 (0%) 1/463 (0.2%)
Oedema 0/474 (0%) 1/463 (0.2%)
Oedema peripheral 2/474 (0.4%) 2/463 (0.4%)
Infections and infestations
Acute sinusitis 0/474 (0%) 1/463 (0.2%)
Bronchitis 0/474 (0%) 1/463 (0.2%)
Candidiasis 1/474 (0.2%) 0/463 (0%)
Cellulitis 2/474 (0.4%) 1/463 (0.2%)
Cystitis 0/474 (0%) 2/463 (0.4%)
Diverticulitis 0/474 (0%) 1/463 (0.2%)
Gastroenteritis 1/474 (0.2%) 2/463 (0.4%)
Gastroenteritis viral 0/474 (0%) 1/463 (0.2%)
Herpes zoster 0/474 (0%) 2/463 (0.4%)
Infected bites 1/474 (0.2%) 0/463 (0%)
Influenza 3/474 (0.6%) 3/463 (0.6%)
Kidney infection 1/474 (0.2%) 0/463 (0%)
Lyme disease 1/474 (0.2%) 0/463 (0%)
Nasopharyngitis 6/474 (1.3%) 4/463 (0.9%)
Otitis media 1/474 (0.2%) 0/463 (0%)
Pharyngitis 2/474 (0.4%) 1/463 (0.2%)
Pharyngitis streptococcal 0/474 (0%) 1/463 (0.2%)
Pneumonia 1/474 (0.2%) 0/463 (0%)
Pneumonia primary atypical 0/474 (0%) 1/463 (0.2%)
Rhinitis 1/474 (0.2%) 0/463 (0%)
Sinusitis 8/474 (1.7%) 6/463 (1.3%)
Tonsillitis 1/474 (0.2%) 0/463 (0%)
Tooth infection 0/474 (0%) 1/463 (0.2%)
Upper respiratory tract infection 4/474 (0.8%) 5/463 (1.1%)
Urinary tract infection 8/474 (1.7%) 9/463 (1.9%)
Vaginitis bacterial 1/474 (0.2%) 0/463 (0%)
Viral infection 1/474 (0.2%) 0/463 (0%)
Vulvovaginal mycotic infection 1/474 (0.2%) 0/463 (0%)
Injury, poisoning and procedural complications
Arthropod bite 1/474 (0.2%) 0/463 (0%)
Bite 1/474 (0.2%) 0/463 (0%)
Contusion 1/474 (0.2%) 1/463 (0.2%)
Excoriation 1/474 (0.2%) 0/463 (0%)
Fall 2/474 (0.4%) 1/463 (0.2%)
Foot fracture 0/474 (0%) 1/463 (0.2%)
Hand fracture 1/474 (0.2%) 0/463 (0%)
Incision site pain 1/474 (0.2%) 0/463 (0%)
Joint injury 1/474 (0.2%) 0/463 (0%)
Joint sprain 2/474 (0.4%) 0/463 (0%)
Laceration 1/474 (0.2%) 0/463 (0%)
Ligament rupture 1/474 (0.2%) 0/463 (0%)
Limb injury 1/474 (0.2%) 0/463 (0%)
Muscle injury 0/474 (0%) 1/463 (0.2%)
Muscle strain 1/474 (0.2%) 2/463 (0.4%)
Periorbital haematoma 0/474 (0%) 1/463 (0.2%)
Procedural pain 0/474 (0%) 1/463 (0.2%)
Investigations
Blood cholesterol increased 1/474 (0.2%) 0/463 (0%)
Blood glucose decreased 0/474 (0%) 1/463 (0.2%)
Blood pressure increased 0/474 (0%) 2/463 (0.4%)
Body temperature increased 1/474 (0.2%) 0/463 (0%)
Urine output decreased 0/474 (0%) 1/463 (0.2%)
Weight decreased 1/474 (0.2%) 0/463 (0%)
Weight increased 2/474 (0.4%) 0/463 (0%)
Metabolism and nutrition disorders
Diabetes mellitus 2/474 (0.4%) 0/463 (0%)
Hyperlipidaemia 0/474 (0%) 1/463 (0.2%)
Hypertriglyceridaemia 0/474 (0%) 1/463 (0.2%)
Hypokalaemia 1/474 (0.2%) 0/463 (0%)
Hypomagnesaemia 1/474 (0.2%) 0/463 (0%)
Pica 0/474 (0%) 1/463 (0.2%)
Polydipsia 0/474 (0%) 1/463 (0.2%)
Type 2 diabetes mellitus 0/474 (0%) 2/463 (0.4%)
Musculoskeletal and connective tissue disorders
Arthralgia 2/474 (0.4%) 3/463 (0.6%)
Arthritis 0/474 (0%) 1/463 (0.2%)
Back pain 6/474 (1.3%) 2/463 (0.4%)
Bursitis 0/474 (0%) 1/463 (0.2%)
Exostosis 1/474 (0.2%) 0/463 (0%)
Flank pain 0/474 (0%) 3/463 (0.6%)
Joint swelling 1/474 (0.2%) 0/463 (0%)
Muscle spasms 1/474 (0.2%) 2/463 (0.4%)
Muscular weakness 0/474 (0%) 1/463 (0.2%)
Musculoskeletal pain 1/474 (0.2%) 0/463 (0%)
Myalgia 1/474 (0.2%) 2/463 (0.4%)
Myositis 0/474 (0%) 1/463 (0.2%)
Neck pain 0/474 (0%) 1/463 (0.2%)
Osteoarthritis 1/474 (0.2%) 1/463 (0.2%)
Pain in extremity 1/474 (0.2%) 2/463 (0.4%)
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Basal cell carcinoma 0/474 (0%) 1/463 (0.2%)
Uterine leiomyoma 1/474 (0.2%) 0/463 (0%)
Nervous system disorders
Amnesia 0/474 (0%) 1/463 (0.2%)
Dizziness 2/474 (0.4%) 6/463 (1.3%)
Dysarthria 1/474 (0.2%) 0/463 (0%)
Headache 5/474 (1.1%) 11/463 (2.4%)
Hypoaesthesia 1/474 (0.2%) 0/463 (0%)
Lethargy 0/474 (0%) 1/463 (0.2%)
Memory impairment 0/474 (0%) 1/463 (0.2%)
Migraine 1/474 (0.2%) 0/463 (0%)
Nerve compression 0/474 (0%) 1/463 (0.2%)
Paraesthesia 0/474 (0%) 1/463 (0.2%)
Sinus headache 1/474 (0.2%) 0/463 (0%)
Somnolence 4/474 (0.8%) 1/463 (0.2%)
Syncope 0/474 (0%) 1/463 (0.2%)
Tremor 0/474 (0%) 1/463 (0.2%)
Psychiatric disorders
Abnormal dreams 2/474 (0.4%) 0/463 (0%)
Anxiety 2/474 (0.4%) 0/463 (0%)
Depression 1/474 (0.2%) 2/463 (0.4%)
Initial insomnia 1/474 (0.2%) 0/463 (0%)
Insomnia 3/474 (0.6%) 5/463 (1.1%)
Renal and urinary disorders
Dysuria 1/474 (0.2%) 2/463 (0.4%)
Haematuria 0/474 (0%) 1/463 (0.2%)
Micturition urgency 1/474 (0.2%) 1/463 (0.2%)
Nephrolithiasis 0/474 (0%) 1/463 (0.2%)
Pollakiuria 1/474 (0.2%) 0/463 (0%)
Polyuria 0/474 (0%) 1/463 (0.2%)
Urinary hesitation 0/474 (0%) 2/463 (0.4%)
Urinary incontinence 0/474 (0%) 1/463 (0.2%)
Urinary retention 1/474 (0.2%) 3/463 (0.6%)
Urine flow decreased 0/474 (0%) 1/463 (0.2%)
Reproductive system and breast disorders
Breast pain 1/474 (0.2%) 0/463 (0%)
Prostatitis 1/474 (0.2%) 0/463 (0%)
Vaginal haemorrhage 1/474 (0.2%) 0/463 (0%)
Vulvovaginal pruritus 1/474 (0.2%) 0/463 (0%)
Respiratory, thoracic and mediastinal disorders
Asthma 1/474 (0.2%) 1/463 (0.2%)
Atelectasis 1/474 (0.2%) 0/463 (0%)
Chronic obstructive pulmonary disease 0/474 (0%) 1/463 (0.2%)
Cough 2/474 (0.4%) 1/463 (0.2%)
Dry throat 0/474 (0%) 3/463 (0.6%)
Dysphonia 0/474 (0%) 2/463 (0.4%)
Dyspnoea 0/474 (0%) 1/463 (0.2%)
Epistaxis 0/474 (0%) 1/463 (0.2%)
Nasal congestion 0/474 (0%) 3/463 (0.6%)
Nasal dryness 0/474 (0%) 3/463 (0.6%)
Oropharyngeal pain 1/474 (0.2%) 3/463 (0.6%)
Pleural effusion 1/474 (0.2%) 0/463 (0%)
Respiratory disorder 1/474 (0.2%) 0/463 (0%)
Respiratory tract congestion 1/474 (0.2%) 0/463 (0%)
Rhinorrhoea 0/474 (0%) 2/463 (0.4%)
Sinus congestion 2/474 (0.4%) 0/463 (0%)
Sleep apnoea syndrome 1/474 (0.2%) 1/463 (0.2%)
Throat irritation 0/474 (0%) 1/463 (0.2%)
Upper-airway cough syndrome 1/474 (0.2%) 1/463 (0.2%)
Skin and subcutaneous tissue disorders
Dermatitis 1/474 (0.2%) 0/463 (0%)
Dermatitis contact 0/474 (0%) 1/463 (0.2%)
Dry skin 1/474 (0.2%) 1/463 (0.2%)
Eczema 0/474 (0%) 1/463 (0.2%)
Increased tendency to bruise 1/474 (0.2%) 0/463 (0%)
Night sweats 1/474 (0.2%) 0/463 (0%)
Onychoclasis 1/474 (0.2%) 0/463 (0%)
Pruritus generalised 0/474 (0%) 1/463 (0.2%)
Rash 2/474 (0.4%) 2/463 (0.4%)
Urticaria 2/474 (0.4%) 1/463 (0.2%)
Surgical and medical procedures
Tooth extraction 1/474 (0.2%) 0/463 (0%)
Vascular disorders
Flushing 0/474 (0%) 1/463 (0.2%)
Haematoma 1/474 (0.2%) 0/463 (0%)
Hypertension 1/474 (0.2%) 3/463 (0.6%)
Hypotension 1/474 (0.2%) 1/463 (0.2%)

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 less than 60 days. Investigator will postpone single center publications until after disclosure of pooled data (all sites), less than 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.gov_Inquiries@pfizer.com
Responsible Party:
Pfizer
ClinicalTrials.gov Identifier:
NCT00911937
Other Study ID Numbers:
  • A0221048
First Posted:
Jun 3, 2009
Last Update Posted:
Dec 4, 2018
Last Verified:
Nov 1, 2018