A Study To Find Out How Fesoterodine Works In Children Aged 6 To 17 Years With Bladder Overactivity Caused By A Neurological Condition

Sponsor
Pfizer (Industry)
Overall Status
Completed
CT.gov ID
NCT01557244
Collaborator
(none)
181
84
5
91.4
2.2
0

Study Details

Study Description

Brief Summary

The objective of the study is to find out if the medicine fesoterodine is a useful treatment in children with bladder muscle overactivity caused by a neurological condition. Children will be aged 6 to 17 years old. This is done by finding out how well it works, what the body does to fesoterodine, what side effects are experienced and the safety of fesoterodine. It will be compared with the medicine oxybutynin, which is already available for treating the condition.

Condition or Disease Intervention/Treatment Phase
  • Drug: Fesoterodine PR 4 mg
  • Drug: Fesoterodine PR 8 mg
  • Drug: Fesoterodine PR 8 mg
  • Drug: Oxybutynin
  • Drug: Fesoterodine PR
  • Drug: Fesoterodine BIC 2 mg
  • Drug: Fesoterodine BIC 4 mg
Phase 3

Study Design

Study Type:
Interventional
Actual Enrollment :
181 participants
Allocation:
Randomized
Intervention Model:
Parallel Assignment
Masking:
None (Open Label)
Primary Purpose:
Treatment
Official Title:
A 24-WEEK RANDOMIZED, OPEN-LABEL, STUDY TO EVALUATE THE SAFETY AND EFFICACY OF FESOTERODINE IN SUBJECTS AGED 6 TO 17 YEARS WITH SYMPTOMS OF DETRUSOR OVERACTIVITY ASSOCIATED WITH A NEUROLOGICAL CONDITION (NEUROGENIC DETRUSOR OVERACTIVITY)
Actual Study Start Date :
Jul 2, 2012
Actual Primary Completion Date :
Nov 7, 2019
Actual Study Completion Date :
Feb 13, 2020

Arms and Interventions

Arm Intervention/Treatment
Experimental: Fesoterodine PR 4 mg

Fesoterodine PR 4 mg for 12 weeks in active comparator period, followed by 12 weeks in safety extension period

Drug: Fesoterodine PR 4 mg
Fesoterodine 4 mg tablet once daily for 24 weeks

Experimental: Fesoterodine PR 8 mg

Fesoterodine 8 mg for first week followed by 11 weeks at 8 mg in active control period, followed by 12 weeks in safety extension period.

Drug: Fesoterodine PR 8 mg
Fesoterodine PR 8 mg tablet once daily for 24 weeks, the first week being 4 mg.

Drug: Fesoterodine PR 8 mg
Fesoterodine 8 mg tablet once daily for 24 weeks, the first week being 4 mg.

Active Comparator: Oxybutynin

Oxybutynin

Drug: Oxybutynin
Oxybutynin extended release tablets according to approved pediatric labeling for 12 weeks with dose titration phase for first 4 weeks to achieve dose optimisation.

Drug: Fesoterodine PR
Fesoterodine 4 mg or 8 mg tablets once daily for 12 weeks after 12 weeks of oxybutinin. Those assigned to 8 mg will take 4 mg for the first week.
Other Names:
  • Safety extension phase
  • Experimental: Fesoterodine BIC 2 mg

    Fesoterodine BIC 2 mg for 12 weeks in efficicay period, followed by 12 weeks in safety extension period.

    Drug: Fesoterodine BIC 2 mg
    Fesoterodine BIC 2 mg tablet once daily for 24 weeks.

    Experimental: Fesoterodine BIC 4 mg

    Fesoterodine BIC 4 mg for first week followed by 11 weeks at 8 mg in the efficacy period, followed by 12 weeks in safety extension period.

    Drug: Fesoterodine BIC 4 mg
    Fesoterodine BIC 4 mg tablet once daily for 24 weeks, with the first week being 2 mg.

    Outcome Measures

    Primary Outcome Measures

    1. Change From Baseline in Maximum Cystometric Bladder Capacity at Week 12: Active Comparator Phase/Efficacy Phase [Baseline, Week 12]

      Maximum cystometric bladder capacity (in milliliter) was defined as maximal tolerable cystometric capacity, until voiding or leaking begins or at a pressure of >=40 centimeter (cm) water (H2O).

    Secondary Outcome Measures

    1. Change From Baseline in Detrusor Pressure at Maximum Bladder Capacity at Week 12: Active Comparator Phase/Efficacy Phase [Baseline, Week 12]

      Detrusor pressure (in cm H2O) at maximum urinary bladder capacity was measured using urodynamic testing.

    2. Number of Participants With Shift From Baseline at Week 12 in Involuntary Detrusor Contractions (IDC): Active Comparator Phase/Efficacy Phase [Baseline, Week 12]

      In this outcome measure, shift data have been reported using 4 categories: (1) number of participants who did not have IDC at Baseline and at Week 12, (2) number of participants who did not have IDC at Baseline but had IDC at Week 12, (3) number of participants who had IDC at Baseline but no IDC at Week 12, and (4) number of participants who had IDC at Baseline and at Week 12.

    3. Change From Baseline in Bladder Volume at First Involuntary Detrusor Contraction (IDC) at Week 12: Active Comparator Phase/Efficacy Phase [Baseline, Week 12]

      Bladder volume (in milliliter) at first IDC was measured using urodynamic testing.

    4. Change From Baseline in Bladder Compliance at Week 12: Active Comparator Phase/Efficacy Phase [Baseline, Week 12]

      Bladder compliance was defined as change in bladder volume in milliliter (mL) divided by change in bladder pressure in cm H2O (during the same time when change in bladder volume was estimated).

    5. Change From Baseline in Mean Number of Micturitions Per 24 Hours at Week 12: Active Comparator Phase/Efficacy Phase [Baseline, Week 12]

      The mean number of micturitions per 24 hours were calculated as the total number of micturitions divided by the total number of diary days collected at the assessment time point. Number of diary days collected at the assessment time point = number of calendar days when the diary was completed on, even if it was not a full 24 hour period. This outcome measure was only calculated for participants with >0 micturitions at Baseline.

    6. Change From Baseline in Mean Number of Catheterizations Per 24 Hours at Week 12: Active Comparator Phase/Efficacy Phase [Baseline, Week 12]

      The mean number of catheterizations per 24 hours were calculated as the total number of catheterizations divided by the total number of diary days collected at the assessment time point. Number of diary days collected at the assessment time point = number of calendar days when the diary was completed on; even if it was not a full 24 hours period. This outcome measure was only calculated for participants with >0 catheterizations at Baseline.

    7. Change From Baseline in Mean Number of Micturitions or Catheterizations Per 24 Hours at Week 12: Active Comparator Phase/Efficacy Phase [Baseline, Week 12]

      The mean number of micturitions or catheterizations combined per 24 hours were calculated as the total number of micturitions and catheterizations combined divided by the total number of diary days collected at the assessment point. Number of diary days collected at the assessment time point = number of calendar days when the diary was completed; even if it was not a full 24 hour (hrs) period. This outcome was evaluated in those participants who had micturitions or catheterizations >0 at Baseline.

    8. Change From Baseline in Mean Number of Incontinence Episodes Per 24 Hours at Week 12: Active Comparator Phase/Efficacy Phase [Baseline, Week 12]

      The mean number of incontinence episodes per 24 hours were calculated as the total number of incontinence episodes divided by the total number of diary days collected at the assessment time point. Number of diary days collected at the assessment time point = number of calendar days when the diary was completed; even if it was not a full 24 hours period. This outcome measure was only calculated for participants with >0 incontinence episodes at Baseline.

    9. Change From Baseline in Mean Number of Urgency Episodes Per 24 Hours at Week 12: Active Comparator Phase/Efficacy Phase [Baseline, Week 12]

      The mean number of urgency episodes per 24 hours were calculated as the total number of urgency episodes divided by the total number of diary days collected at the assessment time point. Number of diary days collected at the assessment time point = number of calendar days when the diary was completed; even if it was not a full 24 hours period. Urgency episodes were defined as urgency marked as 'yes' in the diary. This outcome measure was only calculated for participants with >0 urgency episodes at Baseline.

    10. Change From Baseline in Mean Volume Voided Per Micturition at Week 12: Active Comparator Phase/Efficacy Phase [Baseline, Week 12]

      The mean voided volume per micturition was calculated as sum of voided volume divided by the total number of micturition episodes with a recorded voided volume greater than 0.

    11. Change From Baseline in Mean Volume Voided Per Catheterization at Week 12: Active Comparator Phase/Efficacy Phase [Baseline, Week 12]

      The mean volume per catheterization was calculated as sum of voided volume divided by the total number of catheterization, with a recorded voided volume greater than 0.

    12. Change From Baseline in Mean Volume Voided Per Micturition or Catheterization at Week 12: Active Comparator Phase/Efficacy Phase [Baseline, Week 12]

      The mean voided volume per micturition or catheterization was calculated as sum of voided volume divided by the total number of micturition or catheterization episodes with a recorded voided volume greater than 0. This outcome was evaluated in those participants who had micturitions or catheterizations >0 at Baseline.

    13. Number of Participants With Treatment Emergent Adverse Events (AEs) and Serious Adverse Events (SAEs): Active Comparator Phase/Efficacy Phase [Baseline up to Week 12]

      An AE was any untoward medical occurrence in a participant who received investigational product without regard to possibility of causal relationship. SAE was an AE resulting in any of the following outcomes or deemed significant for any other reason: death; initial or prolonged inpatient hospitalization; life-threatening experience (immediate risk of dying); persistent or significant disability/incapacity; congenital anomaly; medically important events. A treatment emergent AE was defined as an event that emerged during the treatment period that was absent before treatment, or worsened during the treatment period relative to the pretreatment state. AEs included both all serious and non-serious adverse events.

    14. Number of Participants With Treatment Emergent Adverse Events (AEs) and Serious Adverse Events (SAEs): Safety Extension Phase [Week 12 up to Week 26 (including 2 weeks of follow up after last dose)]

      An AE was any untoward medical occurrence in a participant who received investigational product without regard to possibility of causal relationship. SAE was an AE resulting in any of the following outcomes or deemed significant for any other reason: death; initial or prolonged inpatient hospitalization; life-threatening experience (immediate risk of dying); persistent or significant disability/incapacity; congenital anomaly; medically important events. A treatment emergent AE was defined as an event that emerged during the treatment period that was absent before treatment, or worsened during the treatment period relative to the pretreatment state. AEs included both all serious and non-serious adverse events.

    15. Change From Baseline in Visual Acuity at Week 12: Active Comparator Phase/Efficacy Phase [Baseline, Week 12]

      Visual acuity (VA) was assessed using the Snellen method, where logarithm of minimum angle of resolution (logMAR) units were derived from the Snellen ratios. Participants had to read letters from the chart at a distance of 20 feet/6 meter or 4 meter. VA/Snellen ratio = distance between the chart and participant, divided by the distance at which participant was able to see or read chart without impairment; expressed as decimal. logMAR = log10 (1/decimal VA). In this outcome measure data have been reported for right and left eye separately.

    16. Change From Baseline in Visual Acuity at Week 24: Safety Extension Phase [Baseline, Week 24]

      VA was assessed using the Snellen method, where logMAR units were derived from the Snellen ratios. Participants had to read letters from the chart at a distance of 20 feet/6 meter or 4 meter. VA/Snellen ratio = distance between the chart and participant, divided by the distance at which participant was able to see or read chart without impairment; expressed as decimal. logMAR = log10 (1/decimal VA). In this outcome measure data have been reported for right and left eye separately.

    17. Change From Baseline in Visual Accommodation at Week 12: Active Comparator Phase/Efficacy Phase [Baseline, Week 12]

      The visual accommodation was the distance for each eye at which vision became blurred and was calculated as the mean of triplicate measurements. The participants focused on a single letter of the 20/40 line of an eye chart and chart was moved slowly towards the participant until letter was blurred. At this point, the distance from eye to letter was measured for each eye. In this outcome measure data have been reported for right and left eye separately.

    18. Change From Baseline in Visual Accommodation at Week 24: Safety Extension Phase [Baseline, Week 24]

      The visual accommodation is the distance for each eye at which vision became blurred and was calculated as the mean of triplicate measurements. The participants focused on a single letter of the 20/40 line of an eye chart and chart was moved slowly towards the participant until letter was blurred. At this point, the distance from eye to letter was measured for each eye. In this outcome measure data have been reported for right and left eye separately.

    19. Change From Baseline in Child Behavior Checklist (CBCL) T Score (Derived Score) at Week 12: Active Comparator Phase/Efficacy Phase [Baseline, Week 12]

      CBCL: 120 items questionnaire answered by parent/caregiver of child to assess a child's behavioral, emotional problems. Scale for each item: 0= not true, 1= somewhat/sometimes true, 2= very true/often true. Out of 120 items, 103 were categorized into 8 domains; aggressive behavior, anxious/depressed, attention problems, rule-breaking behavior, social problems, somatic complaints, thought problems, withdrawn. Summary scores: Internalizing problems=anxious/depressed + withdrawn + somatic complaints; Externalizing problems=rule-breaking + aggressive behavior. Total problems=8 domains + other 17 items. Raw scores for each domain, summary and total problems=sum of scores of related items. Using Assessment Data Manager (ADM) tool raw scores transformed/derived into standard T-scores, range: each domain=50 to 100, internalizing problems=34 to 100, externalizing problems=33 to 100, total problems=24 to 100. Lower T-score for each 8 domains, 2 summary and total problems scores=better outcomes.

    20. Change From Baseline in Child Behavior Checklist (CBCL) T Score (Derived Score) at Week 24: Safety Extension Phase [Baseline, Week 24]

      CBCL: 120 items questionnaire answered by parent/caregiver of child to assess a child's behavioral, emotional problems. Scale for each item: 0= not true, 1= somewhat/sometimes true, 2= very true/often true. Out of 120 items, 103 were categorized into 8 domains; aggressive behavior, anxious/depressed, attention problems, rule-breaking behavior, social problems, somatic complaints, thought problems, withdrawn. Summary scores: Internalizing problems=anxious/depressed + withdrawn + somatic complaints; Externalizing problems=rule-breaking + aggressive behavior. Total problems=8 domains + other 17 items. Raw scores for each domain, summary and total problems=sum of scores of related items. Using Assessment Data Manager (ADM) tool raw scores transformed/derived into standard T-scores, range: each domain=50 to 100, internalizing problems=34 to 100, externalizing problems=33 to 100, total problems=24 to 100. Lower T-score for each 8 domains, 2 summary and total problems scores=better outcomes.

    21. Change From Baseline in Child Behavior Checklist Total Score (Raw Score) at Week 12: Active Comparator Phase/Efficacy Phase [Baseline, Week 12]

      CBCL: It consisted of 120 items on behavior and emotional problems. Parent/caregiver of child answered 120 items, each on scale: 0= not true, 1= somewhat/sometimes true, 2= very/often true. 103 items were classified in 8 domains: aggressive behavior: total score range (TSR)= 0 to 36, anxious/depressed: TSR= 0 to 26, attention problems: TSR= 0 to 20, rule-breaking behavior: TSR= 0 to 34, social problems: TSR= 0 to 22, somatic complaints: TSR= 0 to 22, thought problems: TSR= 0 to 30, withdrawn (TSR)= 0 to 16. Rule-breaking and aggressive behavior summarized to externalizing problems with a TSR= 0 to 70. Anxious/depressed, withdrawn, somatic complaints summarized to internalizing problems with a TSR= 0 to 64. All 103 items of 8 domains and other 17 remaining items were combined to give total problems TSR = 0 to 240. TSR for each domain, summary and total problems was sum of scores of related items respectively. Lower scores for each domain, summary and total problems= better outcomes.

    22. Change From Baseline in Child Behavior Checklist Total Score (Raw Score) at Week 24: Safety Extension Phase [Baseline, Week 24]

      CBCL: It consisted of 120 items on behavior and emotional problems. Parent/caregiver of child answered 120 items, each on scale: 0= not true, 1= somewhat/sometimes true, 2= very/often true. 103 items were classified in 8 domains: aggressive behavior: total score range (TSR)= 0 to 36, anxious/depressed: TSR= 0 to 26, attention problems: TSR= 0 to 20, rule-breaking behavior: TSR= 0 to 34, social problems: TSR= 0 to 22, somatic complaints: TSR= 0 to 22, thought problems: TSR= 0 to 30, withdrawn (TSR)= 0 to 16. Rule-breaking and aggressive behavior summarized to externalizing problems with a TSR= 0 to 70. Anxious/depressed, withdrawn, somatic complaints summarized to internalizing problems with a TSR= 0 to 64. All 103 items of 8 domains and other 17 remaining items were combined to give total problems TSR = 0 to 240. TSR for each domain, summary and total problems was sum of scores of related items respectively. Lower scores for each domain, summary and total problems= better outcomes.

    23. Change From Baseline in Time to Completion Assessment of Grooved Pegboard Test, 10 Pegs Group at Week 12: Active Comparator Phase/Efficacy Phase [Baseline, Week 12]

      The grooved pegboard test was a manipulative dexterity test that assessed psychomotor speed, fine motor control, and rapid-visual motor coordination. It consisted of a small board of 25 holes with randomly positioned slots. Pegs with a key along one side must be rotated to match the hole before they can be inserted. In this outcome measure participants were asked to insert 10 grooved pegs into the holes within the given time limit (up to 300 seconds). The task needs to be completed once for each hand; firstly, using the dominant hand followed by the non-dominant hand. Time taken to complete the test was inversely correlated to the cognitive ability.

    24. Change From Baseline in Time to Completion Assessment of Grooved Pegboard Test, 10 Pegs Group at Week 24: Safety Extension Phase [Baseline, Week 24]

      The grooved pegboard test was a manipulative dexterity test that assessed psychomotor speed, fine motor control, and rapid-visual motor coordination. It consisted of a small board of 25 holes with randomly positioned slots. Pegs with a key along one side must be rotated to match the hole before they can be inserted. In this outcome measure participants were asked to insert 10 grooved pegs into the holes within the given time limit (up to 300 seconds). The task needs to be completed once for each hand; firstly, using the dominant hand followed by the non-dominant hand. Time taken to complete the test was inversely correlated to the cognitive ability.

    25. Change From Baseline in Time to Completion Assessment of Grooved Pegboard Test, 25 Pegs Group at Week 12: Active Comparator Phase/Efficacy Phase [Baseline, Week 12]

      The grooved pegboard test was a manipulative dexterity test that assessed psychomotor speed, fine motor control, and rapid-visual motor coordination. It consisted of a small board of 25 holes with randomly positioned slots. Pegs with a key along one side must be rotated to match the hole before they can be inserted. In this outcome measure participants were asked to insert 25 grooved pegs into the holes within the given time limit (up to 300 seconds). The task needs to be completed once for each hand; firstly, using the dominant hand followed by the non-dominant hand. Time taken to complete the test was inversely correlated to the cognitive ability.

    26. Change From Baseline in Time to Completion Assessment of Grooved Pegboard Test, 25 Pegs Group at Week 24: Safety Extension Phase [Baseline, Week 24]

      The grooved pegboard test was a manipulative dexterity test that assessed psychomotor speed, fine motor control, and rapid-visual motor coordination. It consisted of a small board of 25 holes with randomly positioned slots. Pegs with a key along one side must be rotated to match the hole before they can be inserted. In this outcome measure participants were asked to insert 25 grooved pegs into the holes within the given time limit (up to 300 seconds). The task needs to be completed once for each hand; firstly, using the dominant hand followed by the non-dominant hand. Time taken to complete the test was inversely correlated to the cognitive ability.

    27. Change From Baseline in Number of Pegs Dropped Assessment of Grooved Pegboard Test, 10 Pegs Group at Week 12: Active Comparator Phase/Efficacy Phase [Baseline, Week 12]

      The grooved pegboard test was a manipulative dexterity test that assessed psychomotor speed, fine motor control, and rapid-visual motor coordination. It consisted of a small board of 25 holes with randomly positioned slots. Pegs with a key along one side must be rotated to match the hole before they can be inserted. Participants were asked to insert 10 grooved pegs into the holes within the given time limit (up to 300 seconds). In this outcome measure number of pegs dropped while putting in the holes were measured. The task needs to be completed once for each hand; firstly, using the dominant hand followed by the non-dominant hand.

    28. Change From Baseline in Number of Pegs Dropped Assessment of Grooved Pegboard Test, 10 Pegs Group at Week 24: Safety Extension Phase [Baseline, Week 24]

      The grooved pegboard test was a manipulative dexterity test that assessed psychomotor speed, fine motor control, and rapid-visual motor coordination. It consisted of a small board of 25 holes with randomly positioned slots. Pegs with a key along one side must be rotated to match the hole before they can be inserted. Participants were asked to insert 10 grooved pegs into the holes within the given time limit (up to 300 seconds). In this outcome measure number of pegs dropped while putting in the holes were measured. The task needs to be completed once for each hand; firstly, using the dominant hand followed by the non-dominant hand.

    29. Change From Baseline in Number of Pegs Dropped Assessment of Grooved Pegboard Test, 25 Pegs Group at Week 12: Active Comparator Phase/Efficacy Phase [Baseline, Week 12]

      The grooved pegboard test was a manipulative dexterity test that assessed psychomotor speed, fine motor control, and rapid-visual motor coordination. It consisted of a small board of 25 holes with randomly positioned slots. Pegs with a key along one side must be rotated to match the hole before they can be inserted. Participants were asked to insert 25 grooved pegs into the holes within the given time limit (up to 300 seconds). In this outcome measure number of pegs dropped while putting in the holes were measured. The task needs to be completed once for each hand; firstly, using the dominant hand followed by the non-dominant hand.

    30. Change From Baseline in Number of Pegs Dropped Assessment of Grooved Pegboard Test, 25 Pegs Group at Week 24: Safety Extension Phase [Baseline, Week 24]

      The grooved pegboard test was a manipulative dexterity test that assessed psychomotor speed, fine motor control, and rapid-visual motor coordination. It consisted of a small board of 25 holes with randomly positioned slots. Pegs with a key along one side must be rotated to match the hole before they can be inserted. Participants were asked to insert 25 grooved pegs into the holes within the given time limit (up to 300 seconds). In this outcome measure number of pegs dropped while putting in the holes were measured. The task needs to be completed once for each hand; firstly, using the dominant hand followed by the non-dominant hand.

    31. Change From Baseline in Number of Pegs Placed Correctly Assessment of Grooved Pegboard Test, 10 Pegs Group at Week 12: Active Comparator Phase/Efficacy Phase [Baseline, Week 12]

      The grooved pegboard test was a manipulative dexterity test that assessed psychomotor speed, fine motor control, and rapid-visual motor coordination. It consisted of a small board of 25 holes with randomly positioned slots. Pegs with a key along one side must be rotated to match the hole before they can be inserted. Participants were asked to insert 10 grooved pegs into the holes within the given time limit (up to 300 seconds). In this outcome measure number of pegs placed correctly while putting in the holes were measured. The task needs to be completed once for each hand; firstly, using the dominant hand followed by the non-dominant hand.

    32. Change From Baseline in Number of Pegs Placed Correctly Assessment of Grooved Pegboard Test, 10 Pegs Group at Week 24: Safety Extension Phase [Baseline, Week 24]

      The grooved pegboard test was a manipulative dexterity test that assessed psychomotor speed, fine motor control, and rapid-visual motor coordination. It consisted of a small board of 25 holes with randomly positioned slots. Pegs with a key along one side must be rotated to match the hole before they can be inserted. Participants were asked to insert 10 grooved pegs into the holes within the given time limit (up to 300 seconds). In this outcome measure number of pegs placed correctly while putting in the holes were measured. The task needs to be completed once for each hand; firstly, using the dominant hand followed by the non-dominant hand.

    33. Change From Baseline in Number of Pegs Placed Correctly Assessment of Grooved Pegboard Test, 25 Pegs Group at Week 12: Active Comparator Phase/Efficacy Phase [Baseline, Week 12]

      The grooved pegboard test was a manipulative dexterity test that assessed psychomotor speed, fine motor control, and rapid-visual motor coordination. It consisted of a small board of 25 holes with randomly positioned slots. Pegs with a key along one side must be rotated to match the hole before they can be inserted. Participants were asked to insert 25 grooved pegs into the holes within the given time limit (up to 300 seconds). In this outcome measure number of pegs placed correctly while putting in the holes were measured. The task needs to be completed once for each hand; firstly, using the dominant hand followed by the non-dominant hand.

    34. Change From Baseline in Number of Pegs Placed Correctly Assessment of Grooved Pegboard Test, 25 Pegs Group at Week 24: Safety Extension Phase [Baseline, Week 24]

      The grooved pegboard test was a manipulative dexterity test that assessed psychomotor speed, fine motor control, and rapid-visual motor coordination. It consisted of a small board of 25 holes with randomly positioned slots. Pegs with a key along one side must be rotated to match the hole before they can be inserted. Participants were asked to insert 25 grooved pegs into the holes within the given time limit (up to 300 seconds). In this outcome measure number of pegs placed correctly while putting in the holes were measured. The task needs to be completed once for each hand; firstly, using the dominant hand followed by the non-dominant hand.

    35. Number of Participants Meeting Pre-defined Criteria for Vital Signs Values From Baseline Through Week 12: Active Comparator/Efficacy Phase [Baseline up to Week 12]

      Pre-defined criteria for vital signs: 1) a) systolic blood pressure (SBP) of <90 millimeter of mercury (mmHg), b) change >=30 mmHg increase, c) change >=30 mmHg decrease; 2) a) diastolic blood pressure (DBP) of <50 mmHg, b) change >=20 mmHg increase, c) change >=20 mmHg decrease; 3) a) pulse rate value of <40 beats per minute (bpm), b) pulse rate value >120 bpm.

    36. Number of Participants Meeting Pre-defined Criteria for Vital Signs Values From Baseline Through Week 24: Safety Extension Phase [Baseline up to Week 24]

      Pre-defined criteria for vital signs: 1) a) systolic blood pressure (SBP) of <90 millimeter of mercury (mmHg), b) change >=30 mmHg increase, c) change >=30 mmHg decrease; 2) a) diastolic blood pressure (DBP) of <50 mmHg, b) change >=20 mmHg increase, c) change >=20 mmHg decrease; 3) a) pulse rate value of <40 beats per minute (bpm), b) pulse rate value >120 bpm.

    37. Number of Participants With Clinically Significant Urinary Tract Infections (UTI): Active Comparator/Efficacy Phase [Week 1 up to Week 12]

      Clinically significant UTI, counted as an adverse event was defined as: positive urine culture with a uropathogen (defined as >=10^5 colony forming unit per milliliter [CFU/mL]) and the presence of symptoms, or pyuria (defined as >50 white blood cells [WBC] per high-pass filter [hpf]) and the presence of symptoms, or positive urine culture with a uropathogen (defined as >=10^5 CFU/mL) with or without symptoms in a participant with a documented history of vesicoureteral reflux (VUR).

    38. Number of Participants With Clinically Significant Urinary Tract Infections (UTI): Safety Extension Phase [Week 12 up to Week 26]

      Clinically significant UTI, counted as an adverse event was defined as: positive urine culture with a uropathogen (defined as >=10^5 CFU/mL) and the presence of symptoms, or pyuria (defined as >50 WBC per hpf and the presence of symptoms, or positive urine culture with a uropathogen (defined as >=10^5 CFU/mL) with or without symptoms in a participants with a documented history of VUR.

    39. Number of Participants With Clinical Laboratory Abnormalities: Active Comparator/Efficacy Phase [Week 1 up to Week 12]

      Hematology: hemoglobin, hematocrit, erythrocytes <0.8*lower limit of normal (LLN), platelets<0.5*LLN>1.75*upper limit of normal (ULN), leukocytes <0.6*LLN>1.5*ULN, lymphocytes, neutrophils, <0.8*LLN >1.2*ULN, basophils, eosinophils, monocytes monocytes/leukocytes >1.2*ULN. Clinical chemistry: bilirubin, direct, bilirubin >1.5*ULN, aspartate aminotransferase (AT), alanine AT, gamma glutamyl transferase, lactate dehydrogenase, alkaline phosphatase>3.0*ULN, protein, albumin, phosphate <0.8*LLN >1.2*ULN, blood urea nitrogen, creatinine >1.3*ULN, urate >1.2*ULN, sodium<0.95*LLN>1.05*ULN, potassium, chloride, calcium bicarbonate<0.9*LLN>1.1*ULN, glucose<0.6*LLN>1.5*ULN, creatine kinase >2.0*ULN. Urinalysis: specific gravity <1.003>1.030, pH <4.5>8, urine glucose, ketones, urine protein, urine hemoglobin, urine bilirubin, nitrite, >=1, urine erythrocytes, urine leukocytes >=20, epithelial cells >=6, bacteria >20.

    40. Number of Participants With Clinical Laboratory Abnormalities: Safety Extension Phase [Week 12 up to Week 26]

      Hematology: hemoglobin, hematocrit, erythrocytes <0.8*lower limit of normal (LLN), platelets<0.5*LLN>1.75*upper limit of normal (ULN), leukocytes <0.6*LLN>1.5*ULN, lymphocytes, neutrophils, <0.8*LLN >1.2*ULN, basophils, eosinophils, monocytes monocytes/leukocytes >1.2*ULN. Clinical chemistry: bilirubin, direct, bilirubin >1.5*ULN, aspartate aminotransferase (AT), alanine AT, gamma glutamyl transferase, lactate dehydrogenase, alkaline phosphatase>3.0*ULN, protein, albumin, phosphate <0.8*LLN >1.2*ULN, blood urea nitrogen, creatinine >1.3*ULN, urate >1.2*ULN, sodium<0.95*LLN>1.05*ULN, potassium, chloride, calcium bicarbonate<0.9*LLN>1.1*ULN, glucose<0.6*LLN>1.5*ULN, creatine kinase >2.0*ULN. Urinalysis: specific gravity <1.003>1.030, pH <4.5>8, urine glucose, ketones, urine protein, urine hemoglobin, urine bilirubin, nitrite, >=1, urine erythrocytes, urine leukocytes >=20, epithelial cells >=6, bacteria >20.

    41. Change From Baseline in Post-Void Residual (PVR) Volume at Weeks 4, 12: Active Comparator Phase/Efficacy Phase [Baseline, Week 4, 12]

      Post-void residual volume measurement was measured by an ultrasound. PVR volume was only assessed for participants who did not perform clean intermittent catheterization or in any participants who had >1 UTI during the study.

    42. Change From Baseline in Post-Void Residual Volume at Week 24: Safety Extension Phase [Baseline, Week 24]

      Post-void residual volume measurement was measured by an ultrasound. PVR volume was only assessed for participants who did not perform clean intermittent catheterization or in any participants who had >1 UTI during the study.

    43. Number of Participants With Clinically Relevant Changes in Physical Examination Findings From Baseline to Week 12: Active Comparator/Efficacy Phase [Baseline up to Week 12]

      Physical examination included assessment of the general appearance and the skin, head, ears, eyes, nose, mouth, throat, respiratory, cardiovascular, gastrointestinal, musculoskeletal and neurological systems. Clinically relevant changes in physical findings were assessed by the investigator.

    44. Number of Participants With Clinically Relevant Changes in Physical Examination Findings From Baseline to Week 24: Safety Extension Phase [Baseline up to Week 24]

      Physical examination included assessment of the general appearance and the skin, head, ears, eyes, nose, mouth, throat, respiratory, cardiovascular, gastrointestinal, musculoskeletal and neurological systems. Clinically relevant changes in physical findings were assessed by the investigator.

    45. Absorption Rate Constant (Ka) of Fesoterodine [Week 4, Day 1: pre-dose (when dose administered at clinic) or if dose taken at home up to 3 hours before coming to the clinic, sampling just after arrival at clinic, 5 hours post-dose, 8-10 hours post-dose (if participants remained at clinic)]

      Absorption rate constant is used to determine rate at which drug is entering into body. Pharmacokinetic (PK) analysis was not done separately for each dose of fesoterodine in respective cohorts and were combined for PK analysis using PK modelling approach.

    46. Apparent Oral Clearance (CL/F) of Fesoterodine [Week 4, Day 1: pre-dose (when dose administered at clinic) or if dose taken at home up to 3 hours before coming to the clinic, sampling just after arrival at clinic, 5 hours post-dose, 8-10 hours post-dose (if participants remained at clinic)]

      Clearance determines the rate at which a drug is metabolized or eliminated by normal biological processes. PK analysis was not done separately for each dose of fesoterodine in respective cohorts and were combined for PK analysis using PK modelling approach.

    47. Volume of Distribution (Vd) of Fesoterodine [Week 4, Day 1: pre-dose (when dose administered at clinic) or if dose taken at home up to 3 hours before coming to the clinic, sampling just after arrival at clinic, 5 hours post-dose, 8-10 hours post-dose (if participants remained at clinic)]

      Volume of distribution is defined as the theoretical volume in which the total amount of drug would need to be uniformly distributed to produce the desired plasma concentration of a drug. PK analysis was not done separately for each dose of fesoterodine in respective cohorts and were combined for PK analysis using PK modelling approach.

    Eligibility Criteria

    Criteria

    Ages Eligible for Study:
    6 Years to 17 Years
    Sexes Eligible for Study:
    All
    Accepts Healthy Volunteers:
    No
    Inclusion Criteria:
    • Subjects aged 6 to 17 years old

    • Subjects with stable neurological disease and neurogenic detrusor overactivity

    • Subjects using clean intermittent catheterization may participate

    Exclusion Criteria:
    • Concomitant medications which may increase the risk to subjects or confound study results

    • Other medical conditions which may increase the risk to subjects or confound study results

    • Contraindications to the use of fesoterodine or oxybutynin

    Contacts and Locations

    Locations

    Site City State Country Postal Code
    1 Urological Associates of Southern Arizona Tucson Arizona United States 85715
    2 Childrens Hospital of Orange County Orange California United States 92868
    3 CHOC Children's Urology Center Orange California United States 92868
    4 Children's Healthcare of Atlanta Atlanta Georgia United States 30342
    5 Georgia Urology, P.A. Atlanta Georgia United States 30342
    6 Judson L. Hawk Jr. M.D. Atlanta Georgia United States 30342
    7 Loyola University Medical Center Maywood Illinois United States 60153
    8 Loyola University Outpatient Center Maywood Illinois United States 60153
    9 The Iowa Clinic West Des Moines Iowa United States 50266
    10 UNC Chapel Hill Memorial Hospital Chapel Hill North Carolina United States 27514
    11 UNC Memorial Hospital Pediatric Clinic Chapel Hill North Carolina United States 27514
    12 Cincinnati Children's Hospital Medical Center Cincinnati Ohio United States 45229
    13 Cincinnati Children's Hospital Medical Center Liberty Township Ohio United States 45044
    14 Advanced Radiology East Providence Rhode Island United States 02914
    15 Pharma Resource East Providence Rhode Island United States 02915
    16 University Urological Associates, Inc Providence Rhode Island United States 02904
    17 University Urological Associates, Inc. Providence Rhode Island United States 02905
    18 Children's Hospital of Wisconsin Milwaukee Wisconsin United States 53226
    19 Universitair Ziekenhuis Antwerpen, Urologie Edegem Antwerpen Belgium 2650
    20 Hôpital Universitaire des Enfants Reine Fabiola Bruxelles Bruxelles-capitale Belgium 1020
    21 Centre hospitalier universitaire (CHU) Sainte-Justine Montreal Quebec Canada H3T 1C5
    22 Tallinn Children's Hospital Tallinn Estonia 13419
    23 Tampere University Hospital Tampere Finland 33520
    24 Centre d'Investigation Clinique Bron Cedex France 69677
    25 Groupement Hospitalier Est - Hopital Femme Mere Enfant Bron Cedex France 69677
    26 Hôpitaux Pédiatriques de Nice CHU-Lenval Nice France 06200
    27 Kliniken Maria Hilf GmbH Mönchengladbach Nordrhein-westfalen Germany 41063
    28 University General Hospital of Larisa/ Urology Department Larissa Greece 41110
    29 Aristotle University of Thessaloniki Thessaloniki Greece 56429
    30 Department of Pediatrics, Christian Medical College and Hospital Ludhiana Punjab India 141 008
    31 I.R.C.C.S. - Ospedale "Casa Sollievo della Sofferenza" - Dipartimento Scienze Chirurgiche San Giovanni Rotondo Foggia Italy 71013
    32 Azienda Ospedaliera G. Brotzu, Dipartimento di Medicina interna- Cagliari Italy 09134
    33 Azienda Ospedaliera Universitaria Careggi Firenze Italy 50139
    34 IRCCS Ospedale Pediatrico Bambino Gesù Roma Italy 00165
    35 ULSS 6 VICENZA - Ospedale San Bortolo di Vicenza Vicenza Italy 36100
    36 Aichi Children's Health and Medical Center Obu Aichi Japan 474 8710
    37 Chiba Children's Hospital Chiba-shi Chiba, Japan Japan 266-0007
    38 Fukuoka Children's Hospital Fukuoka-shi Fukuoka Japan 813-0017
    39 Hokkaido University Hospital Sapporo Hokkaido Japan 060-8648
    40 Hyogo prefectural Kobe Children's Hospital Kobe Hyogo Japan 650-0047
    41 Kanagawa Children's Medical Center Yokohama Kanagawa Japan 232-8555
    42 Shinshu University Hospital Matsumoto Nagano Japan 3908621
    43 Osaka Medical Center and Research Institute for Maternal and Child Health Izumi-shi Osaka Japan 594-1101
    44 Dokkyo Medical University Koshigaya Hospital Koshigaya Saitama Japan 343-8555
    45 Shizuoka Children's Hospital Shizuoka-shi Shizuoka Japan 420 8660
    46 Dokkyo Medical University Hospital / Urology Shimotsuga-gun Tochigi Japan 321 0293
    47 Jichi Medical University Hospital Shimotsuke Tochigi Japan 329 0498
    48 The University of Tokyo Hospital / Urology Bunkyo-ku Tokyo Japan 113-8655
    49 Pusan National University Yangsan Hospital Yangsan-si Gyeongsangnam-do Korea, Republic of 50612
    50 Korea University Guro Hospital Seoul Korea Korea, Republic of 08308
    51 Seoul National University Hospital Seoul Korea, Republic of 03080
    52 Severance Hospital, Yonsei University Health System Seoul Korea, Republic of 03722
    53 ASAN Medical Center Seoul Korea, Republic of 05505
    54 Samsung Medical Center Seoul Korea, Republic of 06351
    55 Hospital of Lithuanian University of Health Sciences Kaunas klinikos Kaunas Lithuania LT-50161
    56 Children's Hospital, Affiliate of Vilnius University Hospital Santaros Klinikos Vilnius Lithuania LT-08406
    57 Hospital Selayang Batu Caves Selangor Malaysia 68100
    58 Hospital Kuala Lumpur Kuala Lumpur Malaysia 50586
    59 Philippine Children's Medical Center Quezon City NCR Philippines 1100
    60 Klinika Chorob Nerek i Nadcisnienia Dzieci i Mlodziezy Gdansk Poland 80-952
    61 Specjalistyczny Gabinet Lekarski Paweł Kroll Poznan Poland 61-512
    62 Kazan State Medical University Kazan Republic OF Tatarstan Russian Federation 420012
    63 Children's Republican Clinical Hospital, Department of Pediatric Surgery Kazan Russian Federation 420138
    64 Scientific Research Institute of Urology named after N.A.Lopatkin of the Hertsen Federal Medical Moscow Russian Federation 105425
    65 FGBNU Scientific center of children health Moscow Russian Federation 119991
    66 SSS - Research Clinical Institute of Pediatrics n.a. Academician Y.E.Veltishchev GBOU VPO Moscow Russian Federation 125412
    67 J. BREZA MEDICAL s.r.o. Bratislava Slovakia 831 01
    68 Narodny ustav detskych chorob Bratislava Slovakia 833 40
    69 Red Cross Children's Hospital Cape Town Western CAPE South Africa 7700
    70 Hospital Sant Joan de Deu Esplugues de Llobregat Barcelona Spain 08950
    71 Hospital General Universitario Gregorio Marañon Madrid Spain 28007
    72 Hospital Infantil Universitario Niño Jesus Madrid Spain 28009
    73 Hospital Regional Universitario Carlos Haya Malaga Spain 29011
    74 Hospital Universitari i Politecnic La Fe Valencia Spain 46026
    75 Akademiska barnsjukhuset Uppsala Sweden 751 85
    76 Universitäts-Kinderspital beider Basel Basel Switzerland 4031
    77 National Cheng Kung University Hospital Tainan Taiwan 704
    78 Necmettin Erbakan Universitesi Meram Tip Fakultesi Konya Konya / Turkey Turkey 42080
    79 Ankara Universitesi Tip Fakultesi Ibni Sina Hastanesi Ankara Turkey 06100
    80 Hacettepe Universitesi Tip Fakultesi Uroloji Anabilim Dali Ankara Turkey 06100
    81 Istanbul Universitesi Istanbul Tip Fakultesi Istanbul Turkey 34390
    82 Leicester Royal Infirmary Leicester United Kingdom LE1 5WW
    83 Alder Hey Children's Hospital Liverpool United Kingdom L12 2AP
    84 Sheffield Children's NHS Foundation Trust Sheffield United Kingdom S10 2TH

    Sponsors and Collaborators

    • Pfizer

    Investigators

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

    Study Documents (Full-Text)

    More Information

    Additional Information:

    Publications

    None provided.
    Responsible Party:
    Pfizer
    ClinicalTrials.gov Identifier:
    NCT01557244
    Other Study ID Numbers:
    • A0221047
    • 2010-022475-55
    First Posted:
    Mar 19, 2012
    Last Update Posted:
    Feb 2, 2021
    Last Verified:
    Dec 1, 2020
    Individual Participant Data (IPD) Sharing Statement:
    Yes
    Plan to Share IPD:
    Yes
    Studies a U.S. FDA-regulated Drug Product:
    Yes
    Studies a U.S. FDA-regulated Device Product:
    No
    Keywords provided by Pfizer
    Additional relevant MeSH terms:

    Study Results

    Participant Flow

    Recruitment Details Study had 2 cohorts: cohort 1 had participants with body weight greater than (>) 25 kilogram (kg) and cohort 2 had participants with body weight less than or equal to (<=) 25 kg. There were 2 phases in each cohort: cohort 1- active comparator phase followed by safety extension phase; cohort 2- efficacy phase followed by safety extension phase.
    Pre-assignment Detail
    Arm/Group Title Cohort 1: Fesoterodine 4 mg Cohort 1: Fesoterodine 4 mg Then 8 mg Cohort 1: Oxybutynin Cohort 1: Oxybutynin Then Fesoterodine 4 mg Cohort 1: Oxybutynin Then Fesoterodine 4 mg Then 8 mg Cohort 2: Fesoterodine 2 mg Cohort 2: Fesoterodine 2 mg Then 4 mg
    Arm/Group Description Participants with body weight >25 kg were randomized to receive fesoterodine 4 milligram (mg) prolonged release (PR) tablet orally once daily for 12 weeks in active comparator phase. Active comparator phase was followed by safety extension phase, where participants continued to receive fesoterodine 4 mg PR tablet orally once daily for another 12 weeks. Participants with body weight >25 kg were randomized to receive fesoterodine 4 mg PR tablet orally once daily for first 1 week and if this dose was tolerated well, participants received fesoterodine 8 mg PR tablet orally once daily for next 11 weeks in active comparator phase and if dose was not tolerated then participants were withdrawn from the study. Active comparator phase was followed by safety extension phase, where participants continued to receive fesoterodine 8 mg PR tablet orally once daily for another 12 weeks. Participants with body weight >25 kg were randomized to receive oxybutynin extended release (ER) tablet, at a daily dose in accordance with approved pediatric labeling and accepted practice. Dose titration was done for first 4 weeks. After Week 4, participants remained on the optimized daily dose for next 8 weeks, in active comparator phase. Participants with body weight >25 kg who were randomized to receive oxybutynin ER tablet, at a daily dose in accordance with approved pediatric labeling and accepted practice, in active comparator phase; were allocated by investigator to receive fesoterodine 4 mg PR tablet orally once daily for 12 weeks in the safety extension phase. Participants with body weight >25 kg who were randomized to receive oxybutynin ER tablet, at a daily dose in accordance with approved pediatric labeling and accepted practice, in active comparator phase; were allocated by investigator to receive fesoterodine 4 mg PR tablet orally once daily for first 1 week followed by fesoterodine 8 mg PR tablet orally once daily for another 11 weeks (if the fesoterodine 4 mg dose was well tolerated) in the safety extension phase and if dose was not tolerated then participants were withdrawn from the study. Participants with body weight <=25 kg were randomized to receive fesoterodine 2 mg beads-in-capsule (BIC) capsule orally once daily for 12 weeks in efficacy phase. Efficacy phase was followed by safety extension phase, where participants continued to receive fesoterodine 2 mg BIC capsules orally once daily for another 12 weeks. Participants with body weight <=25 kg were randomized to receive fesoterodine 2 mg BIC capsule orally once daily for first 1 week and if this dose was tolerated well, participants received fesoterodine 4 mg BIC capsule orally once daily for next 11 weeks in efficacy phase and if dose was not tolerated then participants were withdrawn from the study. Efficacy phase was followed by safety extension phase, where participants continued to receive fesoterodine 4 mg BIC capsule orally once daily for another 12 weeks.
    Period Title: Active Comparator/Efficacy Phase:12Weeks
    STARTED 42 42 40 0 0 28 29
    Treated 42 42 40 0 0 28 29
    COMPLETED 33 40 36 0 0 21 28
    NOT COMPLETED 9 2 4 0 0 7 1
    Period Title: Active Comparator/Efficacy Phase:12Weeks
    STARTED 33 40 0 16 20 21 28
    Treated 30 37 0 16 20 20 28
    COMPLETED 30 36 0 15 20 20 28
    NOT COMPLETED 3 4 0 1 0 1 0

    Baseline Characteristics

    Arm/Group Title Cohort 1: Fesoterodine 4 mg Cohort 1: Fesoterodine 4 mg Then 8 mg Cohort 1: Oxybutynin Cohort 2: Fesoterodine 2 mg Cohort 2: Fesoterodine 2 mg Then 4 mg Total
    Arm/Group Description Participants with body weight >25 kg were randomized to receive fesoterodine 4 mg PR tablet orally once daily for 12 weeks in active comparator phase. Active comparator phase was followed by safety extension phase, where participants continued to receive fesoterodine 4 mg PR tablet orally once daily for another 12 weeks. Participants with body weight >25 kg were randomized to receive fesoterodine 4 mg PR tablet orally once daily for first 1 week and if this dose was tolerated well, participants received fesoterodine 8 mg PR tablet orally once daily for next 11 weeks in active comparator phase and if dose was not tolerated then participants were withdrawn from the study. Active comparator phase was followed by safety extension phase, where participants continued to receive fesoterodine 8 mg PR tablet orally once daily for another 12 weeks. Participants with body weight >25 kg were randomized to receive oxybutynin ER tablet, at a daily dose in accordance with approved pediatric labeling and accepted practice. Dose titration was done for first 4 weeks. After Week 4, participants remained on the optimized daily dose for next 8 weeks, in active comparator phase. Participants with body weight <=25 kg were randomized to receive fesoterodine 2 mg beads-in-capsule (BIC) capsule orally once daily for 12 weeks in efficacy phase. Efficacy phase was followed by safety extension phase, where participants continued to receive fesoterodine 2 mg BIC capsules orally once daily for another 12 weeks. Participants with body weight <=25 kg were randomized to receive fesoterodine 2 mg BIC capsule orally once daily for first 1 week and if this dose was tolerated well, participants received fesoterodine 4 mg BIC capsule orally once daily for next 11 weeks in efficacy phase and if dose was not tolerated then participants were withdrawn from the study. Efficacy phase was followed by safety extension phase, where participants continued to receive fesoterodine 4 mg BIC capsule orally once daily for another 12 weeks. Total of all reporting groups
    Overall Participants 42 42 40 28 29 181
    Age, Customized (Count of Participants)
    >=6-9 Years
    15
    35.7%
    15
    35.7%
    15
    37.5%
    24
    85.7%
    23
    79.3%
    92
    50.8%
    >=10-12 Years
    15
    35.7%
    14
    33.3%
    13
    32.5%
    3
    10.7%
    5
    17.2%
    50
    27.6%
    >=13-17 Years
    12
    28.6%
    13
    31%
    12
    30%
    1
    3.6%
    1
    3.4%
    39
    21.5%
    Sex: Female, Male (Count of Participants)
    Female
    16
    38.1%
    22
    52.4%
    17
    42.5%
    12
    42.9%
    19
    65.5%
    86
    47.5%
    Male
    26
    61.9%
    20
    47.6%
    23
    57.5%
    16
    57.1%
    10
    34.5%
    95
    52.5%
    Ethnicity (NIH/OMB) (Count of Participants)
    Hispanic or Latino
    3
    7.1%
    2
    4.8%
    1
    2.5%
    0
    0%
    2
    6.9%
    8
    4.4%
    Not Hispanic or Latino
    39
    92.9%
    40
    95.2%
    39
    97.5%
    28
    100%
    27
    93.1%
    173
    95.6%
    Unknown or Not Reported
    0
    0%
    0
    0%
    0
    0%
    0
    0%
    0
    0%
    0
    0%
    Race (NIH/OMB) (Count of Participants)
    American Indian or Alaska Native
    0
    0%
    0
    0%
    0
    0%
    0
    0%
    0
    0%
    0
    0%
    Asian
    14
    33.3%
    18
    42.9%
    22
    55%
    16
    57.1%
    16
    55.2%
    86
    47.5%
    Native Hawaiian or Other Pacific Islander
    0
    0%
    0
    0%
    0
    0%
    0
    0%
    0
    0%
    0
    0%
    Black or African American
    2
    4.8%
    0
    0%
    1
    2.5%
    0
    0%
    0
    0%
    3
    1.7%
    White
    24
    57.1%
    24
    57.1%
    17
    42.5%
    12
    42.9%
    11
    37.9%
    88
    48.6%
    More than one race
    0
    0%
    0
    0%
    0
    0%
    0
    0%
    0
    0%
    0
    0%
    Unknown or Not Reported
    2
    4.8%
    0
    0%
    0
    0%
    0
    0%
    2
    6.9%
    4
    2.2%

    Outcome Measures

    1. Primary Outcome
    Title Change From Baseline in Maximum Cystometric Bladder Capacity at Week 12: Active Comparator Phase/Efficacy Phase
    Description Maximum cystometric bladder capacity (in milliliter) was defined as maximal tolerable cystometric capacity, until voiding or leaking begins or at a pressure of >=40 centimeter (cm) water (H2O).
    Time Frame Baseline, Week 12

    Outcome Measure Data

    Analysis Population Description
    Full analysis set included all participants who were randomized in the study and received at least 1 dose of study medication and had provided baseline primary endpoint data.
    Arm/Group Title Cohort 1, Active Comparator Phase: Fesoterodine 4 mg Cohort 1, Active Comparator Phase: Fesoterodine 4 mg Then 8 mg Cohort 1, Active Comparator Phase: Oxybutynin Cohort 2, Efficacy Phase: Fesoterodine 2 mg Cohort 2, Efficacy Phase: Fesoterodine 2 mg Then 4 mg
    Arm/Group Description Participants with body weight >25 kg were randomized to receive fesoterodine 4 mg PR tablet orally once daily for 12 weeks in active comparator phase. Participants with body weight >25 kg were randomized to receive fesoterodine 4 mg PR tablets orally once daily for first 1 week and if dose was tolerated well, participants received 8 mg PR tablet orally once daily for next 11 weeks in active comparator phase and if dose was not tolerated then participants were withdrawn from the study. Participants with body weight >25 kg were randomized to receive oxybutynin ER tablet, at a daily dose in accordance with approved pediatric labeling and accepted practice. Dose titration was done for first 4 weeks. After Week 4, participants remained on the optimized daily dose for next 8 weeks, in active comparator phase. Participants with body weight <=25 kg were randomized to receive fesoterodine 2 mg BIC capsule orally once daily for 12 weeks in efficacy phase. Participants with body weight <=25 kg were randomized to receive fesoterodine 2 mg BIC capsule orally once daily for first 1 week and if dose was tolerated well, participants received 4 mg BIC capsule orally once daily for next 11 weeks in efficacy phase and if dose was not tolerated then participants were withdrawn from the study.
    Measure Participants 41 41 38 25 28
    Least Squares Mean (95% Confidence Interval) [milliliter]
    58.12
    83.36
    87.17
    23.49
    40.17
    Statistical Analysis 1
    Statistical Analysis Overview Comparison Group Selection Cohort 1, Active Comparator Phase: Fesoterodine 4 mg
    Comments P-value was calculated for change from Baseline at Week 12, based on an analysis of covariance (ANCOVA) model with terms for treatment group, baseline maximum cystometric bladder capacity and baseline weight.
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.0001
    Comments
    Method ANCOVA
    Comments
    Statistical Analysis 2
    Statistical Analysis Overview Comparison Group Selection Cohort 1, Active Comparator Phase: Fesoterodine 4 mg Then 8 mg
    Comments P-value was calculated for change from Baseline at Week 12, based on ANCOVA model with terms for treatment group, baseline maximum cystometric bladder capacity and baseline weight.
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value <.0001
    Comments
    Method ANCOVA
    Comments
    Statistical Analysis 3
    Statistical Analysis Overview Comparison Group Selection Cohort 1, Active Comparator Phase: Oxybutynin
    Comments P-value was calculated for change from Baseline at Week 12, based on an ANCOVA model with terms for treatment group, baseline maximum cystometric bladder capacity and baseline weight.
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value <.0001
    Comments
    Method ANCOVA
    Comments
    Statistical Analysis 4
    Statistical Analysis Overview Comparison Group Selection Cohort 1, Active Comparator Phase: Fesoterodine 4 mg, Cohort 1, Active Comparator Phase: Oxybutynin
    Comments
    Type of Statistical Test Other
    Comments
    Statistical Test of Hypothesis p-Value
    Comments
    Method
    Comments
    Method of Estimation Estimation Parameter Difference in Least square (LS) Mean
    Estimated Value -29.06
    Confidence Interval (2-Sided) 95%
    -71.42 to 13.31
    Parameter Dispersion Type:
    Value:
    Estimation Comments
    Statistical Analysis 5
    Statistical Analysis Overview Comparison Group Selection Cohort 1, Active Comparator Phase: Fesoterodine 4 mg Then 8 mg, Cohort 1, Active Comparator Phase: Oxybutynin
    Comments
    Type of Statistical Test Other
    Comments
    Statistical Test of Hypothesis p-Value
    Comments
    Method
    Comments
    Method of Estimation Estimation Parameter Difference in LS Mean
    Estimated Value -3.82
    Confidence Interval (2-Sided) 95%
    -45.87 to 38.23
    Parameter Dispersion Type:
    Value:
    Estimation Comments
    2. Secondary Outcome
    Title Change From Baseline in Detrusor Pressure at Maximum Bladder Capacity at Week 12: Active Comparator Phase/Efficacy Phase
    Description Detrusor pressure (in cm H2O) at maximum urinary bladder capacity was measured using urodynamic testing.
    Time Frame Baseline, Week 12

    Outcome Measure Data

    Analysis Population Description
    Full analysis set included all participants who were randomized in the study and received at least 1 dose of study medication and had provided baseline primary endpoint data. Here, 'Overall Number of Participants Analyzed' signifies participants evaluable for this outcome measure.
    Arm/Group Title Cohort 1, Active Comparator Phase: Fesoterodine 4 mg Cohort 1, Active Comparator Phase: Fesoterodine 4 mg Then 8 mg Cohort 1, Active Comparator Phase: Oxybutynin Cohort 2, Efficacy Phase: Fesoterodine 2 mg Cohort 2, Efficacy Phase: Fesoterodine 2 mg Then 4 mg
    Arm/Group Description Participants with body weight >25 kg were randomized to receive fesoterodine 4 mg PR tablet orally once daily for 12 weeks in active comparator phase. Participants with body weight >25 kg were randomized to receive fesoterodine 4 mg PR tablets orally once daily for first 1 week and if dose was tolerated well, participants received 8 mg PR tablet orally once daily for next 11 weeks in active comparator phase and if dose was not tolerated then participants were withdrawn from the study. Participants with body weight >25 kg were randomized to receive oxybutynin ER tablet, at a daily dose in accordance with approved pediatric labeling and accepted practice. Dose titration was done for first 4 weeks. After Week 4, participants remained on the optimized daily dose for next 8 weeks, in active comparator phase. Participants with body weight <=25 kg were randomized to receive fesoterodine 2 mg BIC capsule orally once daily for 12 weeks in efficacy phase. Participants with body weight <=25 kg were randomized to receive fesoterodine 2 mg BIC capsule orally once daily for first 1 week and if dose was tolerated well, participants received 4 mg BIC capsule orally once daily for next 11 weeks in efficacy phase and if dose was not tolerated then participants were withdrawn from the study.
    Measure Participants 40 41 38 25 28
    Least Squares Mean (95% Confidence Interval) [cm H2O]
    -2.86
    -1.57
    -2.39
    -2.74
    -9.73
    Statistical Analysis 1
    Statistical Analysis Overview Comparison Group Selection Cohort 1, Active Comparator Phase: Fesoterodine 4 mg
    Comments P-value was calculated for change from Baseline at Week 12, based on an ANCOVA model with terms for treatment group, baseline detrusor pressure at maximum bladder capacity and baseline weight.
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.2334
    Comments
    Method ANCOVA
    Comments
    Statistical Analysis 2
    Statistical Analysis Overview Comparison Group Selection Cohort 1, Active Comparator Phase: Fesoterodine 4 mg Then 8 mg
    Comments P-value was calculated for change from Baseline at Week 12, based on an ANCOVA model with terms for treatment group, baseline detrusor pressure at maximum bladder capacity and baseline weight.
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.5087
    Comments
    Method ANCOVA
    Comments
    Statistical Analysis 3
    Statistical Analysis Overview Comparison Group Selection Cohort 1, Active Comparator Phase: Oxybutynin
    Comments P-value was calculated for change from Baseline at Week 12, based on an ANCOVA model with terms for treatment group, baseline detrusor pressure at maximum bladder capacity and baseline weight.
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.3333
    Comments
    Method ANCOVA
    Comments
    Statistical Analysis 4
    Statistical Analysis Overview Comparison Group Selection Cohort 1, Active Comparator Phase: Fesoterodine 4 mg, Cohort 1, Active Comparator Phase: Oxybutynin
    Comments
    Type of Statistical Test Other
    Comments
    Statistical Test of Hypothesis p-Value
    Comments
    Method
    Comments
    Method of Estimation Estimation Parameter Difference in LS Mean
    Estimated Value -0.47
    Confidence Interval (2-Sided) 95%
    -7.28 to 6.33
    Parameter Dispersion Type:
    Value:
    Estimation Comments
    Statistical Analysis 5
    Statistical Analysis Overview Comparison Group Selection Cohort 1, Active Comparator Phase: Fesoterodine 4 mg Then 8 mg, Cohort 1, Active Comparator Phase: Oxybutynin
    Comments
    Type of Statistical Test Other
    Comments
    Statistical Test of Hypothesis p-Value
    Comments
    Method
    Comments
    Method of Estimation Estimation Parameter Difference in LS Mean
    Estimated Value 0.82
    Confidence Interval (2-Sided) 95%
    -5.96 to 7.60
    Parameter Dispersion Type:
    Value:
    Estimation Comments
    3. Secondary Outcome
    Title Number of Participants With Shift From Baseline at Week 12 in Involuntary Detrusor Contractions (IDC): Active Comparator Phase/Efficacy Phase
    Description In this outcome measure, shift data have been reported using 4 categories: (1) number of participants who did not have IDC at Baseline and at Week 12, (2) number of participants who did not have IDC at Baseline but had IDC at Week 12, (3) number of participants who had IDC at Baseline but no IDC at Week 12, and (4) number of participants who had IDC at Baseline and at Week 12.
    Time Frame Baseline, Week 12

    Outcome Measure Data

    Analysis Population Description
    Full analysis set included all participants who were randomized in the study and received at least 1 dose of study medication and had provided baseline primary endpoint data.
    Arm/Group Title Cohort 1, Active Comparator Phase: Fesoterodine 4 mg Cohort 1, Active Comparator Phase: Fesoterodine 4 mg Then 8 mg Cohort 1, Active Comparator Phase: Oxybutynin Cohort 2, Efficacy Phase: Fesoterodine 2 mg Cohort 2, Efficacy Phase: Fesoterodine 2 mg Then 4 mg
    Arm/Group Description Participants with body weight >25 kg were randomized to receive fesoterodine 4 mg PR tablet orally once daily for 12 weeks in active comparator phase. Participants with body weight >25 kg were randomized to receive fesoterodine 4 mg PR tablets orally once daily for first 1 week and if dose was tolerated well, participants received 8 mg PR tablet orally once daily for next 11 weeks in active comparator phase and if dose was not tolerated then participants were withdrawn from the study. Participants with body weight >25 kg were randomized to receive oxybutynin ER tablet, at a daily dose in accordance with approved pediatric labeling and accepted practice. Dose titration was done for first 4 weeks. After Week 4, participants remained on the optimized daily dose for next 8 weeks, in active comparator phase. Participants with body weight <=25 kg were randomized to receive fesoterodine 2 mg BIC capsule orally once daily for 12 weeks in efficacy phase. Participants with body weight <=25 kg were randomized to receive fesoterodine 2 mg BIC capsule orally once daily for first 1 week and if dose was tolerated well, participants received 4 mg BIC capsule orally once daily for next 11 weeks in efficacy phase and if dose was not tolerated then participants were withdrawn from the study.
    Measure Participants 41 41 38 25 28
    Baseline IDC = No; Week 12 IDC = No
    12
    28.6%
    4
    9.5%
    6
    15%
    0
    0%
    1
    3.4%
    Baseline IDC = No; Week 12 IDC = Yes
    2
    4.8%
    1
    2.4%
    0
    0%
    0
    0%
    0
    0%
    Baseline IDC = Yes; Week 12 IDC = No
    9
    21.4%
    18
    42.9%
    14
    35%
    6
    21.4%
    11
    37.9%
    Baseline IDC = Yes; Week 12 IDC = Yes
    18
    42.9%
    18
    42.9%
    18
    45%
    19
    67.9%
    16
    55.2%
    4. Secondary Outcome
    Title Change From Baseline in Bladder Volume at First Involuntary Detrusor Contraction (IDC) at Week 12: Active Comparator Phase/Efficacy Phase
    Description Bladder volume (in milliliter) at first IDC was measured using urodynamic testing.
    Time Frame Baseline, Week 12

    Outcome Measure Data

    Analysis Population Description
    Full analysis set included all participants who were randomized in the study and received at least 1 dose of study medication and had provided baseline primary endpoint data. Here, 'Overall Number of Participants Analyzed' signifies participants evaluable for this outcome measure.
    Arm/Group Title Cohort 1, Active Comparator Phase: Fesoterodine 4 mg Cohort 1, Active Comparator Phase: Fesoterodine 4 mg Then 8 mg Cohort 1, Active Comparator Phase: Oxybutynin Cohort 2, Efficacy Phase: Fesoterodine 2 mg Cohort 2, Efficacy Phase: Fesoterodine 2 mg Then 4 mg
    Arm/Group Description Participants with body weight >25 kg were randomized to receive fesoterodine 4 mg PR tablet orally once daily for 12 weeks in active comparator phase. Participants with body weight >25 kg were randomized to receive fesoterodine 4 mg PR tablets orally once daily for first 1 week and if dose was tolerated well, participants received 8 mg PR tablet orally once daily for next 11 weeks in active comparator phase and if dose was not tolerated then participants were withdrawn from the study. Participants with body weight >25 kg were randomized to receive oxybutynin ER tablet, at a daily dose in accordance with approved pediatric labeling and accepted practice. Dose titration was done for first 4 weeks. After Week 4, participants remained on the optimized daily dose for next 8 weeks, in active comparator phase. Participants with body weight <=25 kg were randomized to receive fesoterodine 2 mg BIC capsule orally once daily for 12 weeks in efficacy phase. Participants with body weight <=25 kg were randomized to receive fesoterodine 2 mg BIC capsule orally once daily for first 1 week and if dose was tolerated well, participants received 4 mg BIC capsule orally once daily for next 11 weeks in efficacy phase and if dose was not tolerated then participants were withdrawn from the study.
    Measure Participants 26 36 32 25 27
    Least Squares Mean (95% Confidence Interval) [milliliter]
    30.53
    26.06
    41.31
    23.80
    31.26
    Statistical Analysis 1
    Statistical Analysis Overview Comparison Group Selection Cohort 1, Active Comparator Phase: Fesoterodine 4 mg
    Comments P-value was calculated for change from Baseline at Week 12, based on an ANCOVA model with terms for treatment group, baseline bladder volume at first IDC and baseline weight.
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.0336
    Comments
    Method ANCOVA
    Comments
    Statistical Analysis 2
    Statistical Analysis Overview Comparison Group Selection Cohort 1, Active Comparator Phase: Fesoterodine 4 mg Then 8 mg
    Comments P-value was calculated for change from Baseline at Week 12, based on an ANCOVA model with terms for treatment group, baseline bladder volume at first IDC and baseline weight.
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.0327
    Comments
    Method ANCOVA
    Comments
    Statistical Analysis 3
    Statistical Analysis Overview Comparison Group Selection Cohort 1, Active Comparator Phase: Oxybutynin
    Comments P-value was calculated for change from Baseline at Week 12, based on an ANCOVA model with terms for treatment group, baseline bladder volume at first IDC and baseline weight.
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.0017
    Comments
    Method ANCOVA
    Comments
    Statistical Analysis 4
    Statistical Analysis Overview Comparison Group Selection Cohort 1, Active Comparator Phase: Fesoterodine 4 mg, Cohort 1, Active Comparator Phase: Oxybutynin
    Comments
    Type of Statistical Test Other
    Comments
    Statistical Test of Hypothesis p-Value
    Comments
    Method
    Comments
    Method of Estimation Estimation Parameter Difference in LS Mean
    Estimated Value -10.78
    Confidence Interval (2-Sided) 95%
    -48.75 to 27.19
    Parameter Dispersion Type:
    Value:
    Estimation Comments
    Statistical Analysis 5
    Statistical Analysis Overview Comparison Group Selection Cohort 1, Active Comparator Phase: Fesoterodine 4 mg Then 8 mg, Cohort 1, Active Comparator Phase: Oxybutynin
    Comments
    Type of Statistical Test Other
    Comments
    Statistical Test of Hypothesis p-Value
    Comments
    Method
    Comments
    Method of Estimation Estimation Parameter Difference in LS Mean
    Estimated Value -15.25
    Confidence Interval (2-Sided) 95%
    -50.15 to 19.64
    Parameter Dispersion Type:
    Value:
    Estimation Comments
    5. Secondary Outcome
    Title Change From Baseline in Bladder Compliance at Week 12: Active Comparator Phase/Efficacy Phase
    Description Bladder compliance was defined as change in bladder volume in milliliter (mL) divided by change in bladder pressure in cm H2O (during the same time when change in bladder volume was estimated).
    Time Frame Baseline, Week 12

    Outcome Measure Data

    Analysis Population Description
    Full analysis set included all participants who were randomized in the study and received at least 1 dose of study medication and had provided baseline primary endpoint data. Here, 'Overall Number of Participants Analyzed' signifies participants evaluable for this outcome measure.
    Arm/Group Title Cohort 1, Active Comparator Phase: Fesoterodine 4 mg Cohort 1, Active Comparator Phase: Fesoterodine 4 mg Then 8 mg Cohort 1, Active Comparator Phase: Oxybutynin Cohort 2, Efficacy Phase: Fesoterodine 2 mg Cohort 2, Efficacy Phase: Fesoterodine 2 mg Then 4 mg
    Arm/Group Description Participants with body weight >25 kg were randomized to receive fesoterodine 4 mg PR tablet orally once daily for 12 weeks in active comparator phase. Participants with body weight >25 kg were randomized to receive fesoterodine 4 mg PR tablets orally once daily for first 1 week and if dose was tolerated well, participants received 8 mg PR tablet orally once daily for next 11 weeks in active comparator phase and if dose was not tolerated then participants were withdrawn from the study. Participants with body weight >25 kg were randomized to receive oxybutynin ER tablet, at a daily dose in accordance with approved pediatric labeling and accepted practice. Dose titration was done for first 4 weeks. After Week 4, participants remained on the optimized daily dose for next 8 weeks, in active comparator phase. Participants with body weight <=25 kg were randomized to receive fesoterodine 2 mg BIC capsule orally once daily for 12 weeks in efficacy phase. Participants with body weight <=25 kg were randomized to receive fesoterodine 2 mg BIC capsule orally once daily for first 1 week and if dose was tolerated well, participants received 4 mg BIC capsule orally once daily for next 11 weeks in efficacy phase and if dose was not tolerated then participants were withdrawn from the study.
    Measure Participants 40 40 38 25 28
    Least Squares Mean (95% Confidence Interval) [mL per cm H2O]
    6.40
    5.41
    11.36
    12.44
    16.44
    Statistical Analysis 1
    Statistical Analysis Overview Comparison Group Selection Cohort 1, Active Comparator Phase: Fesoterodine 4 mg
    Comments P-value was calculated for change from Baseline at Week 12, based on an ANCOVA model with terms for treatment group, baseline bladder compliance and baseline weight.
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.0679
    Comments
    Method ANCOVA
    Comments
    Statistical Analysis 2
    Statistical Analysis Overview Comparison Group Selection Cohort 1, Active Comparator Phase: Fesoterodine 4 mg Then 8 mg
    Comments P-value was calculated for change from Baseline at Week 12, based on an ANCOVA model with terms for treatment group, baseline bladder compliance and baseline weight.
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.1233
    Comments
    Method ANCOVA
    Comments
    Statistical Analysis 3
    Statistical Analysis Overview Comparison Group Selection Cohort 1, Active Comparator Phase: Oxybutynin
    Comments P-value was calculated for change from Baseline at Week 12, based on an ANCOVA model with terms for treatment group, baseline bladder compliance and baseline weight.
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.0019
    Comments
    Method ANCOVA
    Comments
    Statistical Analysis 4
    Statistical Analysis Overview Comparison Group Selection Cohort 1, Active Comparator Phase: Fesoterodine 4 mg, Cohort 1, Active Comparator Phase: Oxybutynin
    Comments
    Type of Statistical Test Other
    Comments
    Statistical Test of Hypothesis p-Value
    Comments
    Method
    Comments
    Method of Estimation Estimation Parameter Difference in LS Mean
    Estimated Value -4.96
    Confidence Interval (2-Sided) 95%
    -14.81 to 4.89
    Parameter Dispersion Type:
    Value:
    Estimation Comments
    Statistical Analysis 5
    Statistical Analysis Overview Comparison Group Selection Cohort 1, Active Comparator Phase: Fesoterodine 4 mg Then 8 mg, Cohort 1, Active Comparator Phase: Oxybutynin
    Comments
    Type of Statistical Test Other
    Comments
    Statistical Test of Hypothesis p-Value
    Comments
    Method
    Comments
    Method of Estimation Estimation Parameter Difference in LS Mean
    Estimated Value -5.95
    Confidence Interval (2-Sided) 95%
    -15.85 to 3.95
    Parameter Dispersion Type:
    Value:
    Estimation Comments
    6. Secondary Outcome
    Title Change From Baseline in Mean Number of Micturitions Per 24 Hours at Week 12: Active Comparator Phase/Efficacy Phase
    Description The mean number of micturitions per 24 hours were calculated as the total number of micturitions divided by the total number of diary days collected at the assessment time point. Number of diary days collected at the assessment time point = number of calendar days when the diary was completed on, even if it was not a full 24 hour period. This outcome measure was only calculated for participants with >0 micturitions at Baseline.
    Time Frame Baseline, Week 12

    Outcome Measure Data

    Analysis Population Description
    Full analysis set included all participants who were randomized in the study and received at least 1 dose of study medication and had provided baseline primary endpoint data. Here, 'Overall Number of Participants Analyzed' signifies participants evaluable for this outcome measure.
    Arm/Group Title Cohort 1, Active Comparator Phase: Fesoterodine 4 mg Cohort 1, Active Comparator Phase: Fesoterodine 4 mg Then 8 mg Cohort 1, Active Comparator Phase: Oxybutynin Cohort 2, Efficacy Phase: Fesoterodine 2 mg Cohort 2, Efficacy Phase: Fesoterodine 2 mg Then 4 mg
    Arm/Group Description Participants with body weight >25 kg were randomized to receive fesoterodine 4 mg PR tablet orally once daily for 12 weeks in active comparator phase. Participants with body weight >25 kg were randomized to receive fesoterodine 4 mg PR tablets orally once daily for first 1 week and if dose was tolerated well, participants received 8 mg PR tablet orally once daily for next 11 weeks in active comparator phase and if dose was not tolerated then participants were withdrawn from the study. Participants with body weight >25 kg were randomized to receive oxybutynin ER tablet, at a daily dose in accordance with approved pediatric labeling and accepted practice. Dose titration was done for first 4 weeks. After Week 4, participants remained on the optimized daily dose for next 8 weeks, in active comparator phase. Participants with body weight <=25 kg were randomized to receive fesoterodine 2 mg BIC capsule orally once daily for 12 weeks in efficacy phase. Participants with body weight <=25 kg were randomized to receive fesoterodine 2 mg BIC capsule orally once daily for first 1 week and if dose was tolerated well, participants received 4 mg BIC capsule orally once daily for next 11 weeks in efficacy phase and if dose was not tolerated then participants were withdrawn from the study.
    Measure Participants 18 21 26 14 17
    Least Squares Mean (95% Confidence Interval) [micturitions per 24 hours]
    -1.07
    -0.68
    -0.97
    -0.37
    -0.70
    Statistical Analysis 1
    Statistical Analysis Overview Comparison Group Selection Cohort 1, Active Comparator Phase: Fesoterodine 4 mg
    Comments P-value was calculated for change from Baseline at Week 12, based on an ANCOVA model with terms for treatment group, baseline number of micturitions per 24 hours and baseline weight.
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.0116
    Comments
    Method ANCOVA
    Comments
    Statistical Analysis 2
    Statistical Analysis Overview Comparison Group Selection Cohort 1, Active Comparator Phase: Fesoterodine 4 mg Then 8 mg
    Comments P-value was calculated for change from Baseline at Week 12, based on an ANCOVA model with terms for treatment group, baseline number of micturitions per 24 hours and baseline weight.
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.0765
    Comments
    Method ANCOVA
    Comments
    Statistical Analysis 3
    Statistical Analysis Overview Comparison Group Selection Cohort 1, Active Comparator Phase: Oxybutynin
    Comments P-value was calculated for change from Baseline at Week 12, based on an ANCOVA model with terms for treatment group, baseline number of micturitions per 24 hours and baseline weight.
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.0061
    Comments
    Method ANCOVA
    Comments
    Statistical Analysis 4
    Statistical Analysis Overview Comparison Group Selection Cohort 1, Active Comparator Phase: Fesoterodine 4 mg, Cohort 1, Active Comparator Phase: Oxybutynin
    Comments
    Type of Statistical Test Other
    Comments
    Statistical Test of Hypothesis p-Value
    Comments
    Method
    Comments
    Method of Estimation Estimation Parameter Difference in LS Mean
    Estimated Value -0.10
    Confidence Interval (2-Sided) 95%
    -1.16 to 0.97
    Parameter Dispersion Type:
    Value:
    Estimation Comments
    Statistical Analysis 5
    Statistical Analysis Overview Comparison Group Selection Cohort 1, Active Comparator Phase: Fesoterodine 4 mg Then 8 mg, Cohort 1, Active Comparator Phase: Oxybutynin
    Comments
    Type of Statistical Test Other
    Comments
    Statistical Test of Hypothesis p-Value
    Comments
    Method
    Comments
    Method of Estimation Estimation Parameter Difference in LS Mean
    Estimated Value 0.28
    Confidence Interval (2-Sided) 95%
    -0.74 to 1.31
    Parameter Dispersion Type:
    Value:
    Estimation Comments
    7. Secondary Outcome
    Title Change From Baseline in Mean Number of Catheterizations Per 24 Hours at Week 12: Active Comparator Phase/Efficacy Phase
    Description The mean number of catheterizations per 24 hours were calculated as the total number of catheterizations divided by the total number of diary days collected at the assessment time point. Number of diary days collected at the assessment time point = number of calendar days when the diary was completed on; even if it was not a full 24 hours period. This outcome measure was only calculated for participants with >0 catheterizations at Baseline.
    Time Frame Baseline, Week 12

    Outcome Measure Data

    Analysis Population Description
    Full analysis set included all participants who were randomized in the study and received at least 1 dose of study medication and had provided baseline primary endpoint data. Here, 'Overall Number of Participants Analyzed' signifies participants evaluable for this outcome measure.
    Arm/Group Title Cohort 1, Active Comparator Phase: Fesoterodine 4 mg Cohort 1, Active Comparator Phase: Fesoterodine 4 mg Then 8 mg Cohort 1, Active Comparator Phase: Oxybutynin Cohort 2, Efficacy Phase: Fesoterodine 2 mg Cohort 2, Efficacy Phase: Fesoterodine 2 mg Then 4 mg
    Arm/Group Description Participants with body weight >25 kg were randomized to receive fesoterodine 4 mg PR tablet orally once daily for 12 weeks in active comparator phase. Participants with body weight >25 kg were randomized to receive fesoterodine 4 mg PR tablets orally once daily for first 1 week and if dose was tolerated well, participants received 8 mg PR tablet orally once daily for next 11 weeks in active comparator phase and if dose was not tolerated then participants were withdrawn from the study. Participants with body weight >25 kg were randomized to receive oxybutynin ER tablet, at a daily dose in accordance with approved pediatric labeling and accepted practice. Dose titration was done for first 4 weeks. After Week 4, participants remained on the optimized daily dose for next 8 weeks, in active comparator phase. Participants with body weight <=25 kg were randomized to receive fesoterodine 2 mg BIC capsule orally once daily for 12 weeks in efficacy phase. Participants with body weight <=25 kg were randomized to receive fesoterodine 2 mg BIC capsule orally once daily for first 1 week and if dose was tolerated well, participants received 4 mg BIC capsule orally once daily for next 11 weeks in efficacy phase and if dose was not tolerated then participants were withdrawn from the study.
    Measure Participants 37 33 31 22 24
    Least Squares Mean (95% Confidence Interval) [catheterizations per 24 hours]
    -0.30
    -0.32
    -0.34
    -0.10
    -0.22
    Statistical Analysis 1
    Statistical Analysis Overview Comparison Group Selection Cohort 1, Active Comparator Phase: Fesoterodine 4 mg
    Comments P-value was calculated for change from Baseline at Week 12, based on an ANCOVA model with terms for treatment group, baseline number of catheterizations per 24 hours and baseline weight.
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.0787
    Comments
    Method ANCOVA
    Comments
    Statistical Analysis 2
    Statistical Analysis Overview Comparison Group Selection Cohort 1, Active Comparator Phase: Fesoterodine 4 mg Then 8 mg
    Comments P-value was calculated for change from Baseline at Week 12, based on an ANCOVA model with terms for treatment group, baseline number of catheterizations per 24 hours and baseline weight.
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.0727
    Comments
    Method ANCOVA
    Comments
    Statistical Analysis 3
    Statistical Analysis Overview Comparison Group Selection Cohort 1, Active Comparator Phase: Oxybutynin
    Comments P-value was calculated for change from Baseline at Week 12, based on an ANCOVA model with terms for treatment group, baseline number of catheterizations per 24 hours and baseline weight.
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.0666
    Comments
    Method ANCOVA
    Comments
    Statistical Analysis 4
    Statistical Analysis Overview Comparison Group Selection Cohort 1, Active Comparator Phase: Fesoterodine 4 mg, Cohort 1, Active Comparator Phase: Oxybutynin
    Comments
    Type of Statistical Test Other
    Comments
    Statistical Test of Hypothesis p-Value
    Comments
    Method
    Comments
    Method of Estimation Estimation Parameter Difference in LS Mean
    Estimated Value 0.04
    Confidence Interval (2-Sided) 95%
    -0.45 to 0.54
    Parameter Dispersion Type:
    Value:
    Estimation Comments
    Statistical Analysis 5
    Statistical Analysis Overview Comparison Group Selection Cohort 1, Active Comparator Phase: Fesoterodine 4 mg Then 8 mg, Cohort 1, Active Comparator Phase: Oxybutynin
    Comments
    Type of Statistical Test Other
    Comments
    Statistical Test of Hypothesis p-Value
    Comments
    Method
    Comments
    Method of Estimation Estimation Parameter Difference in LS Mean
    Estimated Value 0.02
    Confidence Interval (2-Sided) 95%
    -0.49 to 0.52
    Parameter Dispersion Type:
    Value:
    Estimation Comments
    8. Secondary Outcome
    Title Change From Baseline in Mean Number of Micturitions or Catheterizations Per 24 Hours at Week 12: Active Comparator Phase/Efficacy Phase
    Description The mean number of micturitions or catheterizations combined per 24 hours were calculated as the total number of micturitions and catheterizations combined divided by the total number of diary days collected at the assessment point. Number of diary days collected at the assessment time point = number of calendar days when the diary was completed; even if it was not a full 24 hour (hrs) period. This outcome was evaluated in those participants who had micturitions or catheterizations >0 at Baseline.
    Time Frame Baseline, Week 12

    Outcome Measure Data

    Analysis Population Description
    Full analysis set included all participants who were randomized in the study and received at least 1 dose of study medication and had provided baseline primary endpoint data. Here, 'Overall Number of Participants Analyzed' signifies participants evaluable for this outcome measure.
    Arm/Group Title Cohort 1, Active Comparator Phase: Fesoterodine 4 mg Cohort 1, Active Comparator Phase: Fesoterodine 4 mg Then 8 mg Cohort 1, Active Comparator Phase: Oxybutynin Cohort 2, Efficacy Phase: Fesoterodine 2 mg Cohort 2, Efficacy Phase: Fesoterodine 2 mg Then 4 mg
    Arm/Group Description Participants with body weight >25 kg were randomized to receive fesoterodine 4 mg PR tablet orally once daily for 12 weeks in active comparator phase. Participants with body weight >25 kg were randomized to receive fesoterodine 4 mg PR tablets orally once daily for first 1 week and if dose was tolerated well, participants received 8 mg PR tablet orally once daily for next 11 weeks in active comparator phase and if dose was not tolerated then participants were withdrawn from the study. Participants with body weight >25 kg were randomized to receive oxybutynin ER tablet, at a daily dose in accordance with approved pediatric labeling and accepted practice. Dose titration was done for first 4 weeks. After Week 4, participants remained on the optimized daily dose for next 8 weeks, in active comparator phase. Participants with body weight <=25 kg were randomized to receive fesoterodine 2 mg BIC capsule orally once daily for 12 weeks in efficacy phase. Participants with body weight <=25 kg were randomized to receive fesoterodine 2 mg BIC capsule orally once daily for first 1 week and if dose was tolerated well, participants received 4 mg BIC capsule orally once daily for next 11 weeks in efficacy phase and if dose was not tolerated then participants were withdrawn from the study.
    Measure Participants 41 37 38 23 26
    Least Squares Mean (95% Confidence Interval) [micturitions and catheterizations/24 hrs]
    -0.61
    -0.60
    -0.75
    -0.24
    -0.28
    Statistical Analysis 1
    Statistical Analysis Overview Comparison Group Selection Cohort 1, Active Comparator Phase: Fesoterodine 4 mg
    Comments P-value was calculated for change from Baseline at Week 12, based on an ANCOVA model with terms for treatment group, baseline number of micturitions and catheterizations combined per 24 hours and baseline weight.
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.0111
    Comments
    Method ANCOVA
    Comments
    Statistical Analysis 2
    Statistical Analysis Overview Comparison Group Selection Cohort 1, Active Comparator Phase: Fesoterodine 4 mg Then 8 mg
    Comments P-value was calculated for change from Baseline at Week 12, based on an ANCOVA model with terms for treatment group, baseline number of micturitions and catheterizations combined per 24 hours and baseline weight.
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.0171
    Comments
    Method ANCOVA
    Comments
    Statistical Analysis 3
    Statistical Analysis Overview Comparison Group Selection Cohort 1, Active Comparator Phase: Oxybutynin
    Comments P-value was calculated for change from Baseline at Week 12, based on an ANCOVA model with terms for treatment group, baseline number of micturitions and catheterizations combined per 24 hours and baseline weight.
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.0028
    Comments
    Method ANCOVA
    Comments
    Statistical Analysis 4
    Statistical Analysis Overview Comparison Group Selection Cohort 1, Active Comparator Phase: Fesoterodine 4 mg, Cohort 1, Active Comparator Phase: Oxybutynin
    Comments
    Type of Statistical Test Other
    Comments
    Statistical Test of Hypothesis p-Value
    Comments
    Method
    Comments
    Method of Estimation Estimation Parameter Difference in LS Mean
    Estimated Value 0.14
    Confidence Interval (2-Sided) 95%
    -0.53 to 0.82
    Parameter Dispersion Type:
    Value:
    Estimation Comments
    Statistical Analysis 5
    Statistical Analysis Overview Comparison Group Selection Cohort 1, Active Comparator Phase: Fesoterodine 4 mg Then 8 mg, Cohort 1, Active Comparator Phase: Oxybutynin
    Comments
    Type of Statistical Test Other
    Comments
    Statistical Test of Hypothesis p-Value
    Comments
    Method
    Comments
    Method of Estimation Estimation Parameter Difference in LS Mean
    Estimated Value 0.15
    Confidence Interval (2-Sided) 95%
    -0.54 to 0.84
    Parameter Dispersion Type:
    Value:
    Estimation Comments
    9. Secondary Outcome
    Title Change From Baseline in Mean Number of Incontinence Episodes Per 24 Hours at Week 12: Active Comparator Phase/Efficacy Phase
    Description The mean number of incontinence episodes per 24 hours were calculated as the total number of incontinence episodes divided by the total number of diary days collected at the assessment time point. Number of diary days collected at the assessment time point = number of calendar days when the diary was completed; even if it was not a full 24 hours period. This outcome measure was only calculated for participants with >0 incontinence episodes at Baseline.
    Time Frame Baseline, Week 12

    Outcome Measure Data

    Analysis Population Description
    Full analysis set included all participants who were randomized in the study and received at least 1 dose of study medication and had provided baseline primary endpoint data. Here, 'Overall Number of Participants Analyzed' signifies participants evaluable for this outcome measure.
    Arm/Group Title Cohort 1, Active Comparator Phase: Fesoterodine 4 mg Cohort 1, Active Comparator Phase: Fesoterodine 4 mg Then 8 mg Cohort 1, Active Comparator Phase: Oxybutynin Cohort 2, Efficacy Phase: Fesoterodine 2 mg Cohort 2, Efficacy Phase: Fesoterodine 2 mg Then 4 mg
    Arm/Group Description Participants with body weight >25 kg were randomized to receive fesoterodine 4 mg PR tablet orally once daily for 12 weeks in active comparator phase. Participants with body weight >25 kg were randomized to receive fesoterodine 4 mg PR tablets orally once daily for first 1 week and if dose was tolerated well, participants received 8 mg PR tablet orally once daily for next 11 weeks in active comparator phase and if dose was not tolerated then participants were withdrawn from the study. Participants with body weight >25 kg were randomized to receive oxybutynin ER tablet, at a daily dose in accordance with approved pediatric labeling and accepted practice. Dose titration was done for first 4 weeks. After Week 4, participants remained on the optimized daily dose for next 8 weeks, in active comparator phase. Participants with body weight <=25 kg were randomized to receive fesoterodine 2 mg BIC capsule orally once daily for 12 weeks in efficacy phase. Participants with body weight <=25 kg were randomized to receive fesoterodine 2 mg BIC capsule orally once daily for first 1 week and if dose was tolerated well, participants received 4 mg BIC capsule orally once daily for next 11 weeks in efficacy phase and if dose was not tolerated then participants were withdrawn from the study.
    Measure Participants 33 33 35 22 20
    Least Squares Mean (95% Confidence Interval) [incontinence episodes per 24 hours]
    -0.46
    -0.89
    -1.01
    -0.38
    -0.69
    Statistical Analysis 1
    Statistical Analysis Overview Comparison Group Selection Cohort 1, Active Comparator Phase: Fesoterodine 4 mg
    Comments P-value was calculated for change from Baseline at Week 12, based on an ANCOVA model with terms for treatment group, baseline number of incontinence episodes per 24 hours and baseline weight.
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.0496
    Comments
    Method ANCOVA
    Comments
    Statistical Analysis 2
    Statistical Analysis Overview Comparison Group Selection Cohort 1, Active Comparator Phase: Fesoterodine 4 mg Then 8 mg
    Comments P-value was calculated for change from Baseline at Week 12, based on an ANCOVA model with terms for treatment group, baseline number of incontinence episodes per 24 hours and baseline weight.
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.0002
    Comments
    Method ANCOVA
    Comments
    Statistical Analysis 3
    Statistical Analysis Overview Comparison Group Selection Cohort 1, Active Comparator Phase: Oxybutynin
    Comments P-value was calculated for change from Baseline at Week 12, based on an ANCOVA model with terms for treatment group, baseline number of incontinence episodes per 24 hours and baseline weight.
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value <.0001
    Comments
    Method ANCOVA
    Comments
    Statistical Analysis 4
    Statistical Analysis Overview Comparison Group Selection Cohort 1, Active Comparator Phase: Fesoterodine 4 mg, Cohort 1, Active Comparator Phase: Oxybutynin
    Comments
    Type of Statistical Test Other
    Comments
    Statistical Test of Hypothesis p-Value
    Comments
    Method
    Comments
    Method of Estimation Estimation Parameter Difference in LS Mean
    Estimated Value 0.55
    Confidence Interval (2-Sided) 95%
    -0.09 to 1.19
    Parameter Dispersion Type:
    Value:
    Estimation Comments
    Statistical Analysis 5
    Statistical Analysis Overview Comparison Group Selection Cohort 1, Active Comparator Phase: Fesoterodine 4 mg Then 8 mg, Cohort 1, Active Comparator Phase: Oxybutynin
    Comments
    Type of Statistical Test Other
    Comments
    Statistical Test of Hypothesis p-Value
    Comments
    Method
    Comments
    Method of Estimation Estimation Parameter Difference in LS Mean
    Estimated Value 0.12
    Confidence Interval (2-Sided) 95%
    -0.52 to 0.77
    Parameter Dispersion Type:
    Value:
    Estimation Comments
    10. Secondary Outcome
    Title Change From Baseline in Mean Number of Urgency Episodes Per 24 Hours at Week 12: Active Comparator Phase/Efficacy Phase
    Description The mean number of urgency episodes per 24 hours were calculated as the total number of urgency episodes divided by the total number of diary days collected at the assessment time point. Number of diary days collected at the assessment time point = number of calendar days when the diary was completed; even if it was not a full 24 hours period. Urgency episodes were defined as urgency marked as 'yes' in the diary. This outcome measure was only calculated for participants with >0 urgency episodes at Baseline.
    Time Frame Baseline, Week 12

    Outcome Measure Data

    Analysis Population Description
    Full analysis set included all participants who were randomized in the study and received at least 1 dose of study medication and had provided baseline primary endpoint data. Here, 'Overall Number of Participants Analyzed' signifies participants evaluable for this outcome measure.
    Arm/Group Title Cohort 1, Active Comparator Phase: Fesoterodine 4 mg Cohort 1, Active Comparator Phase: Fesoterodine 4 mg Then 8 mg Cohort 1, Active Comparator Phase: Oxybutynin Cohort 2, Efficacy Phase: Fesoterodine 2 mg Cohort 2, Efficacy Phase: Fesoterodine 2 mg Then 4 mg
    Arm/Group Description Participants with body weight >25 kg were randomized to receive fesoterodine 4 mg PR tablet orally once daily for 12 weeks in active comparator phase. Participants with body weight >25 kg were randomized to receive fesoterodine 4 mg PR tablets orally once daily for first 1 week and if dose was tolerated well, participants received 8 mg PR tablet orally once daily for next 11 weeks in active comparator phase and if dose was not tolerated then participants were withdrawn from the study. Participants with body weight >25 kg were randomized to receive oxybutynin ER tablet, at a daily dose in accordance with approved pediatric labeling and accepted practice. Dose titration was done for first 4 weeks. After Week 4, participants remained on the optimized daily dose for next 8 weeks, in active comparator phase. Participants with body weight <=25 kg were randomized to receive fesoterodine 2 mg BIC capsule orally once daily for 12 weeks in efficacy phase. Participants with body weight <=25 kg were randomized to receive fesoterodine 2 mg BIC capsule orally once daily for first 1 week and if dose was tolerated well, participants received 4 mg BIC capsule orally once daily for next 11 weeks in efficacy phase and if dose was not tolerated then participants were withdrawn from the study.
    Measure Participants 26 18 26 13 9
    Least Squares Mean (95% Confidence Interval) [urgency episodes per 24 hours]
    -0.62
    -0.50
    -0.14
    -0.23
    -0.62
    Statistical Analysis 1
    Statistical Analysis Overview Comparison Group Selection Cohort 1, Active Comparator Phase: Fesoterodine 4 mg
    Comments P-value was calculated for change from Baseline at Week 12, based on an ANCOVA model with terms for treatment group, baseline number of urgency episodes per 24 hours and baseline weight.
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.0298
    Comments
    Method ANCOVA
    Comments
    Statistical Analysis 2
    Statistical Analysis Overview Comparison Group Selection Cohort 1, Active Comparator Phase: Fesoterodine 4 mg Then 8 mg
    Comments P-value was calculated for change from Baseline at Week 12, based on an ANCOVA model with terms for treatment group, baseline number of urgency episodes per 24 hours and baseline weight.
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.1417
    Comments
    Method ANCOVA
    Comments
    Statistical Analysis 3
    Statistical Analysis Overview Comparison Group Selection Cohort 1, Active Comparator Phase: Oxybutynin
    Comments P-value was calculated for change from Baseline at Week 12, based on an ANCOVA model with terms for treatment group, baseline number of urgency episodes per 24 hours and baseline weight.
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.6219
    Comments
    Method ANCOVA
    Comments
    Statistical Analysis 4
    Statistical Analysis Overview Comparison Group Selection Cohort 1, Active Comparator Phase: Fesoterodine 4 mg, Cohort 1, Active Comparator Phase: Oxybutynin
    Comments
    Type of Statistical Test Other
    Comments
    Statistical Test of Hypothesis p-Value
    Comments
    Method
    Comments
    Method of Estimation Estimation Parameter Difference in LS Mean
    Estimated Value -0.48
    Confidence Interval (2-Sided) 95%
    -1.28 to 0.32
    Parameter Dispersion Type:
    Value:
    Estimation Comments
    Statistical Analysis 5
    Statistical Analysis Overview Comparison Group Selection Cohort 1, Active Comparator Phase: Fesoterodine 4 mg Then 8 mg, Cohort 1, Active Comparator Phase: Oxybutynin
    Comments
    Type of Statistical Test Other
    Comments
    Statistical Test of Hypothesis p-Value
    Comments
    Method
    Comments
    Method of Estimation Estimation Parameter Difference in LS Mean
    Estimated Value -0.36
    Confidence Interval (2-Sided) 95%
    -1.24 to 0.52
    Parameter Dispersion Type:
    Value:
    Estimation Comments
    11. Secondary Outcome
    Title Change From Baseline in Mean Volume Voided Per Micturition at Week 12: Active Comparator Phase/Efficacy Phase
    Description The mean voided volume per micturition was calculated as sum of voided volume divided by the total number of micturition episodes with a recorded voided volume greater than 0.
    Time Frame Baseline, Week 12

    Outcome Measure Data

    Analysis Population Description
    Full analysis set included all participants who were randomized in the study and received at least 1 dose of study medication and had provided baseline primary endpoint data. Here, 'Overall Number of Participants Analyzed' signifies participants evaluable for this outcome measure.
    Arm/Group Title Cohort 1, Active Comparator Phase: Fesoterodine 4 mg Cohort 1, Active Comparator Phase: Fesoterodine 4 mg Then 8 mg Cohort 1, Active Comparator Phase: Oxybutynin Cohort 2, Efficacy Phase: Fesoterodine 2 mg Cohort 2, Efficacy Phase: Fesoterodine 2 mg Then 4 mg
    Arm/Group Description Participants with body weight >25 kg were randomized to receive fesoterodine 4 mg PR tablet orally once daily for 12 weeks in active comparator phase. Participants with body weight >25 kg were randomized to receive fesoterodine 4 mg PR tablets orally once daily for first 1 week and if dose was tolerated well, participants received 8 mg PR tablet orally once daily for next 11 weeks in active comparator phase and if dose was not tolerated then participants were withdrawn from the study. Participants with body weight >25 kg were randomized to receive oxybutynin ER tablet, at a daily dose in accordance with approved pediatric labeling and accepted practice. Dose titration was done for first 4 weeks. After Week 4, participants remained on the optimized daily dose for next 8 weeks, in active comparator phase. Participants with body weight <=25 kg were randomized to receive fesoterodine 2 mg BIC capsule orally once daily for 12 weeks in efficacy phase. Participants with body weight <=25 kg were randomized to receive fesoterodine 2 mg BIC capsule orally once daily for first 1 week and if dose was tolerated well, participants received 4 mg BIC capsule orally once daily for next 11 weeks in efficacy phase and if dose was not tolerated then participants were withdrawn from the study.
    Measure Participants 15 15 20 8 10
    Least Squares Mean (95% Confidence Interval) [milliliter per micturition]
    4.10
    19.21
    4.15
    -12.72
    -8.41
    Statistical Analysis 1
    Statistical Analysis Overview Comparison Group Selection Cohort 1, Active Comparator Phase: Fesoterodine 4 mg
    Comments P-value was calculated for change from Baseline at Week 12, based on an ANCOVA model with terms for treatment group, baseline mean volume voided per micturition and baseline weight.
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.7986
    Comments
    Method ANCOVA
    Comments
    Statistical Analysis 2
    Statistical Analysis Overview Comparison Group Selection Cohort 1, Active Comparator Phase: Fesoterodine 4 mg Then 8 mg
    Comments P-value was calculated for change from Baseline at Week 12, based on an ANCOVA model with terms for treatment group, baseline mean volume voided per micturition and baseline weight.
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.2313
    Comments
    Method ANCOVA
    Comments
    Statistical Analysis 3
    Statistical Analysis Overview Comparison Group Selection Cohort 1, Active Comparator Phase: Oxybutynin
    Comments P-value was calculated for change from Baseline at Week 12, based on an ANCOVA model with terms for treatment group, baseline mean volume voided per micturition and baseline weight.
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.7571
    Comments
    Method ANCOVA
    Comments
    Statistical Analysis 4
    Statistical Analysis Overview Comparison Group Selection Cohort 1, Active Comparator Phase: Fesoterodine 4 mg, Cohort 1, Active Comparator Phase: Oxybutynin
    Comments
    Type of Statistical Test Other
    Comments
    Statistical Test of Hypothesis p-Value
    Comments
    Method
    Comments
    Method of Estimation Estimation Parameter Difference in LS Mean
    Estimated Value -0.05
    Confidence Interval (2-Sided) 95%
    -42.11 to 42.00
    Parameter Dispersion Type:
    Value:
    Estimation Comments
    Statistical Analysis 5
    Statistical Analysis Overview Comparison Group Selection Cohort 1, Active Comparator Phase: Fesoterodine 4 mg Then 8 mg, Cohort 1, Active Comparator Phase: Oxybutynin
    Comments
    Type of Statistical Test Other
    Comments
    Statistical Test of Hypothesis p-Value
    Comments
    Method
    Comments
    Method of Estimation Estimation Parameter Difference in LS Mean
    Estimated Value 15.07
    Confidence Interval (2-Sided) 95%
    -26.50 to 56.63
    Parameter Dispersion Type:
    Value:
    Estimation Comments
    12. Secondary Outcome
    Title Change From Baseline in Mean Volume Voided Per Catheterization at Week 12: Active Comparator Phase/Efficacy Phase
    Description The mean volume per catheterization was calculated as sum of voided volume divided by the total number of catheterization, with a recorded voided volume greater than 0.
    Time Frame Baseline, Week 12

    Outcome Measure Data

    Analysis Population Description
    Full analysis set included all participants who were randomized in the study and received at least 1 dose of study medication and had provided baseline primary endpoint data. Here, 'Overall Number of Participants Analyzed' signifies participants evaluable for this outcome measure.
    Arm/Group Title Cohort 1, Active Comparator Phase: Fesoterodine 4 mg Cohort 1, Active Comparator Phase: Fesoterodine 4 mg Then 8 mg Cohort 1, Active Comparator Phase: Oxybutynin Cohort 2, Efficacy Phase: Fesoterodine 2 mg Cohort 2, Efficacy Phase: Fesoterodine 2 mg Then 4 mg
    Arm/Group Description Participants with body weight >25 kg were randomized to receive fesoterodine 4 mg PR tablet orally once daily for 12 weeks in active comparator phase. Participants with body weight >25 kg were randomized to receive fesoterodine 4 mg PR tablets orally once daily for first 1 week and if dose was tolerated well, participants received 8 mg PR tablet orally once daily for next 11 weeks in active comparator phase and if dose was not tolerated then participants were withdrawn from the study. Participants with body weight >25 kg were randomized to receive oxybutynin ER tablet, at a daily dose in accordance with approved pediatric labeling and accepted practice. Dose titration was done for first 4 weeks. After Week 4, participants remained on the optimized daily dose for next 8 weeks, in active comparator phase. Participants with body weight <=25 kg were randomized to receive fesoterodine 2 mg BIC capsule orally once daily for 12 weeks in efficacy phase. Participants with body weight <=25 kg were randomized to receive fesoterodine 2 mg BIC capsule orally once daily for first 1 week and if dose was tolerated well, participants received 4 mg BIC capsule orally once daily for next 11 weeks in efficacy phase and if dose was not tolerated then participants were withdrawn from the study.
    Measure Participants 36 32 28 23 25
    Least Squares Mean (95% Confidence Interval) [milliliter per catheterization]
    29.47
    47.18
    45.90
    11.50
    1.74
    Statistical Analysis 1
    Statistical Analysis Overview Comparison Group Selection Cohort 1, Active Comparator Phase: Fesoterodine 4 mg
    Comments P-value was calculated for change from Baseline at Week 12, based on an ANCOVA model with terms for treatment group, baseline mean volume voided per catheterization and baseline weight.
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.0610
    Comments
    Method ANCOVA
    Comments
    Statistical Analysis 2
    Statistical Analysis Overview Comparison Group Selection Cohort 1, Active Comparator Phase: Fesoterodine 4 mg Then 8 mg
    Comments P-value was calculated for change from Baseline at Week 12, based on an ANCOVA model with terms for treatment group, baseline mean volume voided per catheterization and baseline weight.
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.0048
    Comments
    Method ANCOVA
    Comments
    Statistical Analysis 3
    Statistical Analysis Overview Comparison Group Selection Cohort 1, Active Comparator Phase: Oxybutynin
    Comments P-value was calculated for change from Baseline at Week 12, based on an ANCOVA model with terms for treatment group, baseline mean volume voided per catheterization and baseline weight.
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.0100
    Comments
    Method ANCOVA
    Comments
    Statistical Analysis 4
    Statistical Analysis Overview Comparison Group Selection Cohort 1, Active Comparator Phase: Fesoterodine 4 mg, Cohort 1, Active Comparator Phase: Oxybutynin
    Comments
    Type of Statistical Test Other
    Comments
    Statistical Test of Hypothesis p-Value
    Comments
    Method
    Comments
    Method of Estimation Estimation Parameter Difference in LS Mean
    Estimated Value -16.43
    Confidence Interval (2-Sided) 95%
    -63.14 to 30.29
    Parameter Dispersion Type:
    Value:
    Estimation Comments
    Statistical Analysis 5
    Statistical Analysis Overview Comparison Group Selection Cohort 1, Active Comparator Phase: Fesoterodine 4 mg Then 8 mg, Cohort 1, Active Comparator Phase: Oxybutynin
    Comments
    Type of Statistical Test Other
    Comments
    Statistical Test of Hypothesis p-Value
    Comments
    Method
    Comments
    Method of Estimation Estimation Parameter Difference in LS Mean
    Estimated Value 1.28
    Confidence Interval (2-Sided) 95%
    -46.00 to 48.57
    Parameter Dispersion Type:
    Value:
    Estimation Comments
    13. Secondary Outcome
    Title Change From Baseline in Mean Volume Voided Per Micturition or Catheterization at Week 12: Active Comparator Phase/Efficacy Phase
    Description The mean voided volume per micturition or catheterization was calculated as sum of voided volume divided by the total number of micturition or catheterization episodes with a recorded voided volume greater than 0. This outcome was evaluated in those participants who had micturitions or catheterizations >0 at Baseline.
    Time Frame Baseline, Week 12

    Outcome Measure Data

    Analysis Population Description
    Full analysis set included all participants who were randomized in the study and received at least 1 dose of study medication and had provided baseline primary endpoint data. Here, 'Overall Number of Participants Analyzed' signifies participants evaluable for this outcome measure.
    Arm/Group Title Cohort 1, Active Comparator Phase: Fesoterodine 4 mg Cohort 1, Active Comparator Phase: Fesoterodine 4 mg Then 8 mg Cohort 1, Active Comparator Phase: Oxybutynin Cohort 2, Efficacy Phase: Fesoterodine 2 mg Cohort 2, Efficacy Phase: Fesoterodine 2 mg Then 4 mg
    Arm/Group Description Participants with body weight >25 kg were randomized to receive fesoterodine 4 mg PR tablet orally once daily for 12 weeks in active comparator phase. Participants with body weight >25 kg were randomized to receive fesoterodine 4 mg PR tablets orally once daily for first 1 week and if dose was tolerated well, participants received 8 mg PR tablet orally once daily for next 11 weeks in active comparator phase and if dose was not tolerated then participants were withdrawn from the study. Participants with body weight >25 kg were randomized to receive oxybutynin ER tablet, at a daily dose in accordance with approved pediatric labeling and accepted practice. Dose titration was done for first 4 weeks. After Week 4, participants remained on the optimized daily dose for next 8 weeks, in active comparator phase. Participants with body weight <=25 kg were randomized to receive fesoterodine 2 mg BIC capsule orally once daily for 12 weeks in efficacy phase. Participants with body weight <=25 kg were randomized to receive fesoterodine 2 mg BIC capsule orally once daily for first 1 week and if dose was tolerated well, participants received 4 mg BIC capsule orally once daily for next 11 weeks in efficacy phase and if dose was not tolerated then participants were withdrawn from the study.
    Measure Participants 39 38 38 24 28
    Least Squares Mean (95% Confidence Interval) [mL per micturition or catheterization]
    18.45
    55.55
    36.69
    7.12
    -2.65
    Statistical Analysis 1
    Statistical Analysis Overview Comparison Group Selection Cohort 1, Active Comparator Phase: Fesoterodine 4 mg
    Comments P-value was calculated for change from Baseline at Week 12, based on an ANCOVA model with terms for treatment group, baseline mean volume voided per micturition or catheterization and baseline weight.
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.2246
    Comments
    Method ANCOVA
    Comments
    Statistical Analysis 2
    Statistical Analysis Overview Comparison Group Selection Cohort 1, Active Comparator Phase: Fesoterodine 4 mg Then 8 mg
    Comments P-value was calculated for change from Baseline at Week 12, based on an ANCOVA model with terms for treatment group, baseline mean volume voided per micturition or catheterization and baseline weight.
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.0003
    Comments
    Method ANCOVA
    Comments
    Statistical Analysis 3
    Statistical Analysis Overview Comparison Group Selection Cohort 1, Active Comparator Phase: Oxybutynin
    Comments P-value was calculated for change from Baseline at Week 12, based on an ANCOVA model with terms for treatment group, baseline mean volume voided per micturition or catheterization and baseline weight.
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.0161
    Comments
    Method ANCOVA
    Comments
    Statistical Analysis 4
    Statistical Analysis Overview Comparison Group Selection Cohort 1, Active Comparator Phase: Fesoterodine 4 mg, Cohort 1, Active Comparator Phase: Oxybutynin
    Comments
    Type of Statistical Test Other
    Comments
    Statistical Test of Hypothesis p-Value
    Comments
    Method
    Comments
    Method of Estimation Estimation Parameter Difference in LS Mean
    Estimated Value -18.24
    Confidence Interval (2-Sided) 95%
    -61.00 to 24.53
    Parameter Dispersion Type:
    Value:
    Estimation Comments
    Statistical Analysis 5
    Statistical Analysis Overview Comparison Group Selection Cohort 1, Active Comparator Phase: Fesoterodine 4 mg Then 8 mg, Cohort 1, Active Comparator Phase: Oxybutynin
    Comments
    Type of Statistical Test Other
    Comments
    Statistical Test of Hypothesis p-Value
    Comments
    Method
    Comments
    Method of Estimation Estimation Parameter Difference in LS Mean
    Estimated Value 18.86
    Confidence Interval (2-Sided) 95%
    -22.93 to 60.65
    Parameter Dispersion Type:
    Value:
    Estimation Comments
    14. Secondary Outcome
    Title Number of Participants With Treatment Emergent Adverse Events (AEs) and Serious Adverse Events (SAEs): Active Comparator Phase/Efficacy Phase
    Description An AE was any untoward medical occurrence in a participant who received investigational product without regard to possibility of causal relationship. SAE was an AE resulting in any of the following outcomes or deemed significant for any other reason: death; initial or prolonged inpatient hospitalization; life-threatening experience (immediate risk of dying); persistent or significant disability/incapacity; congenital anomaly; medically important events. A treatment emergent AE was defined as an event that emerged during the treatment period that was absent before treatment, or worsened during the treatment period relative to the pretreatment state. AEs included both all serious and non-serious adverse events.
    Time Frame Baseline up to Week 12

    Outcome Measure Data

    Analysis Population Description
    Safety analysis set population for active comparator phase and efficacy phase included all participants of respective cohorts who received at least 1 dose of study medication in the relevant phase.
    Arm/Group Title Cohort 1, Active Comparator Phase: Fesoterodine 4 mg Cohort 1, Active Comparator Phase: Fesoterodine 4 mg Then 8 mg Cohort 1, Active Comparator Phase: Oxybutynin Cohort 2, Efficacy Phase: Fesoterodine 2 mg Cohort 2, Efficacy Phase: Fesoterodine 2 mg Then 4 mg
    Arm/Group Description Participants with body weight >25 kg were randomized to receive fesoterodine 4 mg PR tablet orally once daily for 12 weeks in active comparator phase. Participants with body weight >25 kg were randomized to receive fesoterodine 4 mg PR tablets orally once daily for first 1 week and if dose was tolerated well, participants received 8 mg PR tablet orally once daily for next 11 weeks in active comparator phase and if dose was not tolerated then participants were withdrawn from the study. Participants with body weight >25 kg were randomized to receive oxybutynin ER tablet, at a daily dose in accordance with approved pediatric labeling and accepted practice. Dose titration was done for first 4 weeks. After Week 4, participants remained on the optimized daily dose for next 8 weeks, in active comparator phase. Participants with body weight <=25 kg were randomized to receive fesoterodine 2 mg BIC capsule orally once daily for 12 weeks in efficacy phase. Participants with body weight <=25 kg were randomized to receive fesoterodine 2 mg BIC capsule orally once daily for first 1 week and if dose was tolerated well, participants received 4 mg BIC capsule orally once daily for next 11 weeks in efficacy phase and if dose was not tolerated then participants were withdrawn from the study.
    Measure Participants 42 42 40 28 29
    Treatment Emergent AEs
    26
    61.9%
    20
    47.6%
    30
    75%
    19
    67.9%
    18
    62.1%
    Treatment Emergent SAEs
    3
    7.1%
    2
    4.8%
    1
    2.5%
    2
    7.1%
    2
    6.9%
    15. Secondary Outcome
    Title Number of Participants With Treatment Emergent Adverse Events (AEs) and Serious Adverse Events (SAEs): Safety Extension Phase
    Description An AE was any untoward medical occurrence in a participant who received investigational product without regard to possibility of causal relationship. SAE was an AE resulting in any of the following outcomes or deemed significant for any other reason: death; initial or prolonged inpatient hospitalization; life-threatening experience (immediate risk of dying); persistent or significant disability/incapacity; congenital anomaly; medically important events. A treatment emergent AE was defined as an event that emerged during the treatment period that was absent before treatment, or worsened during the treatment period relative to the pretreatment state. AEs included both all serious and non-serious adverse events.
    Time Frame Week 12 up to Week 26 (including 2 weeks of follow up after last dose)

    Outcome Measure Data

    Analysis Population Description
    Safety analysis set population for safety extension phase included all participants of respective cohorts who received at least 1 dose of study medication in the relevant phase of the study.
    Arm/Group Title Cohort 1, Safety Extension Phase: Fesoterodine 4 mg Cohort 1, Safety Extension Phase (SEP): Fesoterodine 8 mg Cohort 1, SEP: Oxybutynin Then Fesoterodine 4 mg Cohort 1, SEP: Oxybutynin Then Fesoterodine 4 mg Then 8 mg Cohort 2, Safety Extension Phase: Fesoterodine 2 mg Cohort 2, Safety Extension Phase: Fesoterodine 4 mg
    Arm/Group Description Participants with body weight >25 kg received fesoterodine 4 mg PR tablet orally once daily for 12 weeks in safety extension phase. Participants with body weight >25 kg received fesoterodine 8 mg PR tablet orally once daily for 12 weeks in safety extension phase. Participants with body weight >25 kg who were randomized to receive oxybutynin ER tablet, at a daily dose in accordance with approved pediatric labeling and accepted practice, in active comparator phase; were allocated by investigator to receive fesoterodine 4 mg PR tablet orally once daily for 12 weeks in the safety extension phase. Participants with body weight >25 kg who were randomized to receive oxybutynin ER tablet, at a daily dose in accordance with approved pediatric labeling and accepted practice, in active comparator phase; were allocated by investigator to receive fesoterodine 4 mg PR tablet orally once daily for first 1 week followed by fesoterodine 8 mg PR tablet orally once daily for another 11 weeks (if the fesoterodine 4 mg dose was well tolerated) in the safety extension phase and if dose was not tolerated participants were withdrawn from the study. Participants with body weight <=25 kg received fesoterodine 2 mg BIC capsules orally once daily for 12 weeks in safety extension phase. Participants with body weight <=25 kg received fesoterodine 4 mg BIC capsules orally once daily for 12 weeks in safety extension phase.
    Measure Participants 30 37 16 20 20 28
    Treatment emergent AEs
    14
    33.3%
    13
    31%
    9
    22.5%
    11
    39.3%
    11
    37.9%
    16
    8.8%
    Treatment emergent SAEs
    0
    0%
    2
    4.8%
    0
    0%
    0
    0%
    0
    0%
    2
    1.1%
    16. Secondary Outcome
    Title Change From Baseline in Visual Acuity at Week 12: Active Comparator Phase/Efficacy Phase
    Description Visual acuity (VA) was assessed using the Snellen method, where logarithm of minimum angle of resolution (logMAR) units were derived from the Snellen ratios. Participants had to read letters from the chart at a distance of 20 feet/6 meter or 4 meter. VA/Snellen ratio = distance between the chart and participant, divided by the distance at which participant was able to see or read chart without impairment; expressed as decimal. logMAR = log10 (1/decimal VA). In this outcome measure data have been reported for right and left eye separately.
    Time Frame Baseline, Week 12

    Outcome Measure Data

    Analysis Population Description
    Safety analysis set population for active comparator phase and efficacy phase included all participants of respective cohorts who received at least 1 dose of study medication in the relevant phase. Here, 'Number Analyzed' = participants evaluable for this outcome measure for specified rows.
    Arm/Group Title Cohort 1, Active Comparator Phase: Fesoterodine 4 mg Cohort 1, Active Comparator Phase: Fesoterodine 4 mg Then 8 mg Cohort 1, Active Comparator Phase: Oxybutynin Cohort 2, Efficacy Phase: Fesoterodine 2 mg Cohort 2, Efficacy Phase: Fesoterodine 2 mg Then 4 mg
    Arm/Group Description Participants with body weight >25 kg were randomized to receive fesoterodine 4 mg PR tablet orally once daily for 12 weeks in active comparator phase. Participants with body weight >25 kg were randomized to receive fesoterodine 4 mg PR tablets orally once daily for first 1 week and if dose was tolerated well, participants received 8 mg PR tablet orally once daily for next 11 weeks in active comparator phase and if dose was not tolerated then participants were withdrawn from the study. Participants with body weight >25 kg were randomized to receive oxybutynin ER tablet, at a daily dose in accordance with approved pediatric labeling and accepted practice. Dose titration was done for first 4 weeks. After Week 4, participants remained on the optimized daily dose for next 8 weeks, in active comparator phase. Participants with body weight <=25 kg were randomized to receive fesoterodine 2 mg BIC capsule orally once daily for 12 weeks in efficacy phase. Participants with body weight <=25 kg were randomized to receive fesoterodine 2 mg BIC capsule orally once daily for first 1 week and if dose was tolerated well, participants received 4 mg BIC capsule orally once daily for next 11 weeks in efficacy phase and if dose was not tolerated then participants were withdrawn from the study.
    Measure Participants 42 42 40 28 29
    Right Eye: Baseline
    0.09
    (0.16)
    0.11
    (0.19)
    0.03
    (0.11)
    0.15
    (0.21)
    0.10
    (0.18)
    Right Eye: Change at Week 12
    0.01
    (0.11)
    -0.01
    (0.10)
    0.02
    (0.18)
    0.03
    (0.12)
    -0.00
    (0.09)
    Left Eye: Baseline
    0.08
    (0.16)
    0.10
    (0.17)
    0.02
    (0.13)
    0.16
    (0.21)
    0.14
    (0.30)
    Left Eye: Change at Week 12
    0.00
    (0.13)
    -0.01
    (0.10)
    0.00
    (0.13)
    -0.02
    (0.08)
    0.00
    (0.08)
    17. Secondary Outcome
    Title Change From Baseline in Visual Acuity at Week 24: Safety Extension Phase
    Description VA was assessed using the Snellen method, where logMAR units were derived from the Snellen ratios. Participants had to read letters from the chart at a distance of 20 feet/6 meter or 4 meter. VA/Snellen ratio = distance between the chart and participant, divided by the distance at which participant was able to see or read chart without impairment; expressed as decimal. logMAR = log10 (1/decimal VA). In this outcome measure data have been reported for right and left eye separately.
    Time Frame Baseline, Week 24

    Outcome Measure Data

    Analysis Population Description
    Safety analysis set population for safety extension phase included all participants of respective cohorts who received at least 1 dose of study medication in the relevant phase. Here, 'Number Analyzed' = participants evaluable for this outcome measure for specified rows.
    Arm/Group Title Cohort 1, Safety Extension Phase: Fesoterodine 4 mg Cohort 1, Safety Extension Phase: Fesoterodine 8 mg Cohort 1, SEP: Oxybutynin Then Fesoterodine 4 mg Cohort 1, SEP: Oxybutynin Then Fesoterodine 4 mg Then 8 mg Cohort 2, Safety Extension Phase: Fesoterodine 2 mg Cohort 2, Safety Extension Phase: Fesoterodine 4 mg
    Arm/Group Description Participants with body weight >25 kg received fesoterodine 4 mg PR tablet orally once daily for 12 weeks in safety extension phase. Participants with body weight >25 kg received fesoterodine 8 mg PR tablet orally once daily for 12 weeks in safety extension phase. Participants with body weight >25 kg who were randomized to receive oxybutynin ER tablet, at a daily dose in accordance with approved pediatric labeling and accepted practice, in active comparator phase; were allocated by investigator to receive fesoterodine 4 mg PR tablet orally once daily for 12 weeks in the safety extension phase. Participants with body weight >25 kg who were randomized to receive oxybutynin ER tablet, at a daily dose in accordance with approved pediatric labeling and accepted practice, in active comparator phase; were allocated by investigator to receive fesoterodine 4 mg PR tablet orally once daily for first 1 week followed by fesoterodine 8 mg PR tablet orally once daily for another 11 weeks (if the fesoterodine 4 mg dose was well tolerated) in the safety extension phase and if dose was not tolerated participants were withdrawn from the study. Participants with body weight <=25 kg received fesoterodine 2 mg BIC capsules orally once daily for 12 weeks in safety extension phase. Participants with body weight <=25 kg received fesoterodine 4 mg BIC capsules orally once daily for 12 weeks in safety extension phase.
    Measure Participants 30 37 16 20 20 28
    Right Eye: Change at Week 24
    0.04
    (0.17)
    -0.02
    (0.11)
    -0.01
    (0.05)
    0.02
    (0.13)
    0.00
    (0.07)
    0.01
    (0.11)
    Left Eye: Change at Week 24
    0.01
    (0.19)
    -0.01
    (0.11)
    0.00
    (0.08)
    -0.04
    (0.09)
    -0.02
    (0.07)
    0.03
    (0.13)
    18. Secondary Outcome
    Title Change From Baseline in Visual Accommodation at Week 12: Active Comparator Phase/Efficacy Phase
    Description The visual accommodation was the distance for each eye at which vision became blurred and was calculated as the mean of triplicate measurements. The participants focused on a single letter of the 20/40 line of an eye chart and chart was moved slowly towards the participant until letter was blurred. At this point, the distance from eye to letter was measured for each eye. In this outcome measure data have been reported for right and left eye separately.
    Time Frame Baseline, Week 12

    Outcome Measure Data

    Analysis Population Description
    Safety analysis set population for active comparator phase and efficacy phase included all participants of respective cohorts who received at least 1 dose of study medication in the relevant phase. Here, 'Number Analyzed' = participants evaluable for this outcome measure for specified rows.
    Arm/Group Title Cohort 1, Active Comparator Phase: Fesoterodine 4 mg Cohort 1, Active Comparator Phase: Fesoterodine 4 mg Then 8 mg Cohort 1, Active Comparator Phase: Oxybutynin Cohort 2, Efficacy Phase: Fesoterodine 2 mg Cohort 2, Efficacy Phase: Fesoterodine 2 mg Then 4 mg
    Arm/Group Description Participants with body weight >25 kg were randomized to receive fesoterodine 4 mg PR tablet orally once daily for 12 weeks in active comparator phase. Participants with body weight >25 kg were randomized to receive fesoterodine 4 mg PR tablets orally once daily for first 1 week and if dose was tolerated well, participants received 8 mg PR tablet orally once daily for next 11 weeks in active comparator phase and if dose was not tolerated then participants were withdrawn from the study. Participants with body weight >25 kg were randomized to receive oxybutynin ER tablet, at a daily dose in accordance with approved pediatric labeling and accepted practice. Dose titration was done for first 4 weeks. After Week 4, participants remained on the optimized daily dose for next 8 weeks, in active comparator phase. Participants with body weight <=25 kg were randomized to receive fesoterodine 2 mg BIC capsule orally once daily for 12 weeks in efficacy phase. Participants with body weight <=25 kg were randomized to receive fesoterodine 2 mg BIC capsule orally once daily for first 1 week and if dose was tolerated well, participants received 4 mg BIC capsule orally once daily for next 11 weeks in efficacy phase and if dose was not tolerated then participants were withdrawn from the study.
    Measure Participants 42 42 40 28 29
    Right Eye: Baseline
    11.88
    (7.39)
    15.94
    (18.64)
    9.59
    (5.05)
    9.67
    (16.71)
    8.17
    (6.89)
    Right Eye: Change at Week 12
    1.74
    (7.45)
    7.77
    (45.53)
    0.50
    (4.64)
    -1.04
    (6.79)
    1.02
    (3.89)
    Left Eye: Baseline
    12.31
    (8.67)
    15.83
    (17.85)
    9.69
    (5.13)
    8.81
    (14.89)
    8.04
    (7.17)
    Left Eye: Change at Week 12
    0.27
    (4.29)
    5.79
    (36.75)
    0.81
    (4.78)
    -1.45
    (9.60)
    0.90
    (3.38)
    19. Secondary Outcome
    Title Change From Baseline in Visual Accommodation at Week 24: Safety Extension Phase
    Description The visual accommodation is the distance for each eye at which vision became blurred and was calculated as the mean of triplicate measurements. The participants focused on a single letter of the 20/40 line of an eye chart and chart was moved slowly towards the participant until letter was blurred. At this point, the distance from eye to letter was measured for each eye. In this outcome measure data have been reported for right and left eye separately.
    Time Frame Baseline, Week 24

    Outcome Measure Data

    Analysis Population Description
    Safety analysis set population for safety extension phase included all participants of respective cohorts who received at least 1 dose of study medication in the relevant phase. Here, 'Number Analyzed' = participants evaluable for this outcome measure for specified rows.
    Arm/Group Title Cohort 1, Safety Extension Phase: Fesoterodine 4 mg Cohort 1, Safety Extension Phase: Fesoterodine 8 mg Cohort 1, SEP: Oxybutynin Then Fesoterodine 4 mg Cohort 1, SEP: Oxybutynin Then Fesoterodine 4 mg Then 8 mg Cohort 2, Safety Extension Phase: Fesoterodine 2 mg Cohort 2, Safety Extension Phase: Fesoterodine 4 mg
    Arm/Group Description Participants with body weight >25 kg received fesoterodine 4 mg PR tablet orally once daily for 12 weeks in safety extension phase. Participants with body weight >25 kg received fesoterodine 8 mg PR tablet orally once daily for 12 weeks in safety extension phase. Participants with body weight >25 kg who were randomized to receive oxybutynin ER tablet, at a daily dose in accordance with approved pediatric labeling and accepted practice, in active comparator phase; were allocated by investigator to receive fesoterodine 4 mg PR tablet orally once daily for 12 weeks in the safety extension phase. Participants with body weight >25 kg who were randomized to receive oxybutynin ER tablet, at a daily dose in accordance with approved pediatric labeling and accepted practice, in active comparator phase; were allocated by investigator to receive fesoterodine 4 mg PR tablet orally once daily for first 1 week followed by fesoterodine 8 mg PR tablet orally once daily for another 11 weeks (if the fesoterodine 4 mg dose was well tolerated) in the safety extension phase and if dose was not tolerated participants were withdrawn from the study. Participants with body weight <=25 kg received fesoterodine 2 mg BIC capsules orally once daily for 12 weeks in safety extension phase. Participants with body weight <=25 kg received fesoterodine 4 mg BIC capsules orally once daily for 12 weeks in safety extension phase.
    Measure Participants 30 37 16 20 20 28
    Right Eye: Change at Week 24
    0.73
    (5.47)
    4.33
    (28.89)
    1.50
    (4.80)
    0.50
    (4.30)
    -1.35
    (13.03)
    0.96
    (4.38)
    Left Eye: Change at Week 24
    0.90
    (5.85)
    3.79
    (29.81)
    1.66
    (6.25)
    0.58
    (4.53)
    0.43
    (11.53)
    1.12
    (4.20)
    20. Secondary Outcome
    Title Change From Baseline in Child Behavior Checklist (CBCL) T Score (Derived Score) at Week 12: Active Comparator Phase/Efficacy Phase
    Description CBCL: 120 items questionnaire answered by parent/caregiver of child to assess a child's behavioral, emotional problems. Scale for each item: 0= not true, 1= somewhat/sometimes true, 2= very true/often true. Out of 120 items, 103 were categorized into 8 domains; aggressive behavior, anxious/depressed, attention problems, rule-breaking behavior, social problems, somatic complaints, thought problems, withdrawn. Summary scores: Internalizing problems=anxious/depressed + withdrawn + somatic complaints; Externalizing problems=rule-breaking + aggressive behavior. Total problems=8 domains + other 17 items. Raw scores for each domain, summary and total problems=sum of scores of related items. Using Assessment Data Manager (ADM) tool raw scores transformed/derived into standard T-scores, range: each domain=50 to 100, internalizing problems=34 to 100, externalizing problems=33 to 100, total problems=24 to 100. Lower T-score for each 8 domains, 2 summary and total problems scores=better outcomes.
    Time Frame Baseline, Week 12

    Outcome Measure Data

    Analysis Population Description
    Safety analysis set population for active comparator phase and efficacy phase included all participants of respective cohorts who received at least 1 dose of study medication in the relevant phase. Here, 'Number Analyzed' = participants evaluable for this outcome measure for specified rows.
    Arm/Group Title Cohort 1, Active Comparator Phase: Fesoterodine 4 mg Cohort 1, Active Comparator Phase: Fesoterodine 4 mg Then 8 mg Cohort 1, Active Comparator Phase: Oxybutynin Cohort 2, Efficacy Phase: Fesoterodine 2 mg Cohort 2, Efficacy Phase: Fesoterodine 2 mg Then 4 mg
    Arm/Group Description Participants with body weight >25 kg were randomized to receive fesoterodine 4 mg PR tablet orally once daily for 12 weeks in active comparator phase. Participants with body weight >25 kg were randomized to receive fesoterodine 4 mg PR tablets orally once daily for first 1 week and if dose was tolerated well, participants received 8 mg PR tablet orally once daily for next 11 weeks in active comparator phase and if dose was not tolerated then participants were withdrawn from the study. Participants with body weight >25 kg were randomized to receive oxybutynin ER tablet, at a daily dose in accordance with approved pediatric labeling and accepted practice. Dose titration was done for first 4 weeks. After Week 4, participants remained on the optimized daily dose for next 8 weeks, in active comparator phase. Participants with body weight <=25 kg were randomized to receive fesoterodine 2 mg BIC capsule orally once daily for 12 weeks in efficacy phase. Participants with body weight <=25 kg were randomized to receive fesoterodine 2 mg BIC capsule orally once daily for first 1 week and if dose was tolerated well, participants received 4 mg BIC capsule orally once daily for next 11 weeks in efficacy phase and if dose was not tolerated then participants were withdrawn from the study.
    Measure Participants 42 42 40 28 29
    Aggressive behavior: Baseline
    53.86
    (5.67)
    54.32
    (5.88)
    54.58
    (5.75)
    54.9
    (5.25)
    52.8
    (4.48)
    Aggressive behavior: Change at Week 12
    -1.03
    (3.17)
    -0.95
    (3.71)
    -1.28
    (2.77)
    -1.29
    (3.58)
    -0.03
    (2.96)
    Anxious/depressed: Baseline
    56.07
    (6.99)
    57.00
    (8.26)
    56.75
    (7.32)
    55.5
    (6.58)
    56.3
    (6.55)
    Anxious/depressed: Change at Week 12
    -1.73
    (3.05)
    -1.38
    (5.25)
    -1.92
    (4.66)
    -0.79
    (4.55)
    -3.21
    (5.27)
    Attention problems: Baseline
    56.29
    (5.32)
    56.66
    (7.47)
    56.30
    (5.68)
    55.4
    (5.06)
    55.3
    (5.74)
    Attention problems: Change at week 12
    -1.97
    (3.79)
    -1.40
    (4.30)
    -1.28
    (3.69)
    -1.29
    (3.61)
    -1.45
    (3.41)
    Rule-breaking behavior: Baseline
    53.26
    (3.52)
    53.80
    (5.53)
    53.43
    (4.96)
    54.5
    (4.96)
    52.3
    (3.74)
    Rule-breaking behavior: Change at Week 12
    -0.92
    (2.99)
    -0.88
    (3.91)
    -0.72
    (2.76)
    -1.71
    (4.84)
    -0.10
    (2.19)
    Social problems : Baseline
    57.52
    (5.42)
    58.54
    (9.43)
    57.95
    (7.90)
    57.9
    (6.66)
    55.8
    (5.90)
    Social problems : Change at Week 12
    -1.35
    (3.90)
    -2.55
    (4.74)
    -0.67
    (3.73)
    -2.21
    (4.38)
    -1.10
    (3.41)
    Somatic complaints: Baseline
    61.14
    (6.24)
    60.46
    (8.73)
    60.58
    (8.44)
    57.1
    (6.47)
    58.4
    (6.55)
    Somatic complaints: Change at Week 12
    -0.46
    (5.99)
    -1.28
    (6.35)
    -0.87
    (7.16)
    -0.38
    (3.97)
    -1.69
    (5.90)
    Thought problems: Baseline
    55.00
    (6.19)
    53.54
    (5.93)
    56.73
    (7.64)
    51.9
    (2.81)
    54.9
    (5.60)
    Thought problems: Change at Week 12
    -0.92
    (4.69)
    -0.48
    (4.25)
    -1.59
    (3.65)
    -0.42
    (1.67)
    -1.38
    (5.42)
    Withdrawn: Baseline
    54.60
    (5.17)
    57.54
    (8.34)
    58.25
    (7.93)
    55.7
    (5.96)
    55.0
    (7.11)
    Withdrawn: Change at Week 12
    0.35
    (4.70)
    -1.25
    (5.13)
    -1.92
    (5.08)
    -1.75
    (3.97)
    -0.59
    (4.48)
    Externalizing: Baseline
    49.48
    (8.68)
    49.46
    (10.00)
    50.10
    (9.73)
    51.1
    (9.83)
    48.0
    (7.84)
    Externalizing: Change at Week 12
    -2.08
    (5.26)
    -2.33
    (5.28)
    -1.95
    (4.62)
    -2.63
    (4.72)
    -1.45
    (4.56)
    Internalizing: Baseline
    56.45
    (8.06)
    55.93
    (12.84)
    57.25
    (11.00)
    53.9
    (10.34)
    54.6
    (10.14)
    Internalizing: Change at Week 12
    -2.14
    (6.46)
    -2.35
    (6.98)
    -3.05
    (7.12)
    -1.96
    (6.53)
    -3.52
    (6.38)
    Total Problems: Baseline
    55.05
    (8.20)
    53.61
    (11.98)
    55.45
    (10.28)
    53.4
    (10.70)
    52.7
    (9.37)
    Total Problems: Change at Week 12
    -2.51
    (4.63)
    -3.23
    (5.45)
    -2.36
    (4.68)
    -2.17
    (5.05)
    -3.38
    (4.55)
    21. Secondary Outcome
    Title Change From Baseline in Child Behavior Checklist (CBCL) T Score (Derived Score) at Week 24: Safety Extension Phase
    Description CBCL: 120 items questionnaire answered by parent/caregiver of child to assess a child's behavioral, emotional problems. Scale for each item: 0= not true, 1= somewhat/sometimes true, 2= very true/often true. Out of 120 items, 103 were categorized into 8 domains; aggressive behavior, anxious/depressed, attention problems, rule-breaking behavior, social problems, somatic complaints, thought problems, withdrawn. Summary scores: Internalizing problems=anxious/depressed + withdrawn + somatic complaints; Externalizing problems=rule-breaking + aggressive behavior. Total problems=8 domains + other 17 items. Raw scores for each domain, summary and total problems=sum of scores of related items. Using Assessment Data Manager (ADM) tool raw scores transformed/derived into standard T-scores, range: each domain=50 to 100, internalizing problems=34 to 100, externalizing problems=33 to 100, total problems=24 to 100. Lower T-score for each 8 domains, 2 summary and total problems scores=better outcomes.
    Time Frame Baseline, Week 24

    Outcome Measure Data

    Analysis Population Description
    Safety analysis set population for safety extension phase included all participants of respective cohorts who received at least 1 dose of study medication in the relevant phase. Here, 'Number Analyzed' = participants evaluable for this outcome measure for specified rows.
    Arm/Group Title Cohort 1, Safety Extension Phase: Fesoterodine 4 mg Cohort 1, Safety Extension Phase: Fesoterodine 8 mg Cohort 1, SEP: Oxybutynin Then Fesoterodine 4 mg Cohort 1, SEP: Oxybutynin Then Fesoterodine 4 mg Then 8 mg Cohort 2, Safety Extension Phase: Fesoterodine 2 mg Cohort 2, Safety Extension Phase: Fesoterodine 4 mg
    Arm/Group Description Participants with body weight >25 kg received fesoterodine 4 mg PR tablet orally once daily for 12 weeks in safety extension phase. Participants with body weight >25 kg received fesoterodine 8 mg PR tablet orally once daily for 12 weeks in safety extension phase. Participants with body weight >25 kg who were randomized to receive oxybutynin ER tablet, at a daily dose in accordance with approved pediatric labeling and accepted practice, in active comparator phase; were allocated by investigator to receive fesoterodine 4 mg PR tablet orally once daily for 12 weeks in the safety extension phase. Participants with body weight >25 kg who were randomized to receive oxybutynin ER tablet, at a daily dose in accordance with approved pediatric labeling and accepted practice, in active comparator phase; were allocated by investigator to receive fesoterodine 4 mg PR tablet orally once daily for first 1 week followed by fesoterodine 8 mg PR tablet orally once daily for another 11 weeks (if the fesoterodine 4 mg dose was well tolerated) in the safety extension phase and if dose was not tolerated participants were withdrawn from the study. Participants with body weight <=25 kg received fesoterodine 2 mg BIC capsules orally once daily for 12 weeks in safety extension phase Participants with body weight <=25 kg received fesoterodine 4 mg BIC capsules orally once daily for 12 weeks in safety extension phase.
    Measure Participants 30 37 16 20 20 28
    Aggressive behavior: Change at Week 24
    -1.59
    (3.85)
    -1.31
    (4.57)
    -1.25
    (3.40)
    -2.40
    (4.89)
    -1.70
    (3.40)
    -1.86
    (3.63)
    Anxious/depressed: Change at Week 24
    -3.45
    (4.86)
    -2.31
    (5.64)
    -1.50
    (3.76)
    -3.25
    (5.66)
    -2.60
    (5.24)
    -3.89
    (4.95)
    Attention problems: Change at Week 24
    -2.21
    (3.99)
    -2.64
    (5.72)
    -3.38
    (4.65)
    -1.70
    (3.01)
    -1.50
    (3.15)
    -1.71
    (3.29)
    Rule-breaking behavior: Change at Week 24
    -1.59
    (3.62)
    -1.47
    (5.12)
    -1.31
    (4.01)
    -0.90
    (2.36)
    -2.15
    (3.17)
    -0.36
    (2.63)
    Social problems : Change at Week 24
    -2.83
    (4.12)
    -2.56
    (4.15)
    -3.19
    (5.79)
    -2.65
    (3.28)
    -3.90
    (4.35)
    -2.36
    (4.17)
    Somatic complaints: Change at Week 24
    -4.38
    (6.59)
    -2.64
    (6.58)
    -1.69
    (9.20)
    -1.50
    (5.82)
    -0.60
    (3.12)
    -1.96
    (6.77)
    Thought problems: Change at Week 24
    -3.10
    (5.45)
    -1.03
    (4.52)
    -3.25
    (6.62)
    -2.30
    (3.50)
    -1.40
    (3.00)
    -1.75
    (3.99)
    Withdrawn: Change at Week 24
    -0.69
    (4.33)
    -1.50
    (5.98)
    -2.19
    (3.90)
    -4.35
    (5.24)
    -1.80
    (5.43)
    -0.43
    (3.75)
    Externalizing: Change at Week 24
    -5.21
    (8.20)
    -2.89
    (7.06)
    -1.81
    (5.42)
    -4.15
    (7.44)
    -4.20
    (5.15)
    -4.21
    (6.86)
    Internalizing: Change at Week 24
    -7.69
    (7.46)
    -4.14
    (7.62)
    -3.25
    (8.10)
    -5.35
    (7.21)
    -4.40
    (6.21)
    -4.32
    (6.70)
    Total Problems: Change at Week 24
    -7.03
    (7.77)
    -4.44
    (6.57)
    -3.69
    (6.74)
    -4.90
    (4.78)
    -5.20
    (4.32)
    -5.25
    (6.22)
    22. Secondary Outcome
    Title Change From Baseline in Child Behavior Checklist Total Score (Raw Score) at Week 12: Active Comparator Phase/Efficacy Phase
    Description CBCL: It consisted of 120 items on behavior and emotional problems. Parent/caregiver of child answered 120 items, each on scale: 0= not true, 1= somewhat/sometimes true, 2= very/often true. 103 items were classified in 8 domains: aggressive behavior: total score range (TSR)= 0 to 36, anxious/depressed: TSR= 0 to 26, attention problems: TSR= 0 to 20, rule-breaking behavior: TSR= 0 to 34, social problems: TSR= 0 to 22, somatic complaints: TSR= 0 to 22, thought problems: TSR= 0 to 30, withdrawn (TSR)= 0 to 16. Rule-breaking and aggressive behavior summarized to externalizing problems with a TSR= 0 to 70. Anxious/depressed, withdrawn, somatic complaints summarized to internalizing problems with a TSR= 0 to 64. All 103 items of 8 domains and other 17 remaining items were combined to give total problems TSR = 0 to 240. TSR for each domain, summary and total problems was sum of scores of related items respectively. Lower scores for each domain, summary and total problems= better outcomes.
    Time Frame Baseline, Week 12

    Outcome Measure Data

    Analysis Population Description
    Safety analysis set population for active comparator phase and efficacy phase included all participants of respective cohorts who received at least 1 dose of study medication in the relevant phase. Here, 'Number Analyzed' = participants evaluable for this outcome measure for specified rows.
    Arm/Group Title Cohort 1, Active Comparator Phase: Fesoterodine 4 mg Cohort 1, Active Comparator Phase: Fesoterodine 4 mg Then 8 mg Cohort 1, Active Comparator Phase: Oxybutynin Cohort 2, Efficacy Phase: Fesoterodine 2 mg Cohort 2, Efficacy Phase: Fesoterodine 2 mg Then 4 mg
    Arm/Group Description Participants with body weight >25 kg were randomized to receive fesoterodine 4 mg PR tablet orally once daily for 12 weeks in active comparator phase. Participants with body weight >25 kg were randomized to receive fesoterodine 4 mg PR tablets orally once daily for first 1 week and if dose was tolerated well, participants received 8 mg PR tablet orally once daily for next 11 weeks in active comparator phase and if dose was not tolerated then participants were withdrawn from the study. Participants with body weight >25 kg were randomized to receive oxybutynin ER tablet, at a daily dose in accordance with approved pediatric labeling and accepted practice. Dose titration was done for first 4 weeks. After Week 4, participants remained on the optimized daily dose for next 8 weeks, in active comparator phase. Participants with body weight <=25 kg were randomized to receive fesoterodine 2 mg BIC capsule orally once daily for 12 weeks in efficacy phase. Participants with body weight <=25 kg were randomized to receive fesoterodine 2 mg BIC capsule orally once daily for first 1 week and if dose was tolerated well, participants received 4 mg BIC capsule orally once daily for next 11 weeks in efficacy phase and if dose was not tolerated then participants were withdrawn from the study.
    Measure Participants 42 42 40 28 29
    Aggressive behavior: Baseline
    4.19
    (4.39)
    4.66
    (4.46)
    4.88
    (4.35)
    5.1
    (3.95)
    3.5
    (3.37)
    Aggressive behavior: Change at Week 12
    -0.62
    (2.35)
    -0.90
    (2.56)
    -0.97
    (2.08)
    -0.92
    (2.39)
    -0.17
    (1.85)
    Anxious/depressed: Baseline
    3.83
    (3.33)
    4.20
    (4.06)
    4.10
    (3.53)
    3.8
    (3.15)
    4.0
    (3.35)
    Anxious/depressed: Change at Week 12
    -0.97
    (1.46)
    -0.73
    (2.43)
    -1.05
    (2.26)
    -0.58
    (2.28)
    -1.48
    (2.43)
    Attention problems: Baseline
    4.79
    (3.18)
    4.49
    (4.11)
    4.85
    (3.33)
    4.2
    (2.78)
    3.9
    (3.11)
    Attention problems: Change at Week 12
    -1.05
    (2.25)
    -0.73
    (2.16)
    -0.77
    (2.03)
    -0.71
    (1.90)
    -0.83
    (1.63)
    Rule-breaking behavior: Baseline
    1.64
    (1.48)
    1.66
    (1.98)
    1.70
    (1.87)
    1.9
    (1.63)
    1.0
    (1.30)
    Rule-breaking behavior: Change at Week 12
    -0.43
    (1.09)
    -0.30
    (1.36)
    -0.38
    (0.99)
    -0.63
    (1.56)
    0.52
    (3.45)
    Social problems: Baseline
    3.60
    (2.30)
    4.07
    (4.12)
    3.80
    (3.36)
    3.9
    (2.99)
    3.2
    (2.64)
    Social problems: Change at Week 12
    -0.54
    (1.54)
    -1.13
    (2.09)
    -0.26
    (1.57)
    -0.83
    (1.86)
    -0.62
    (1.52)
    Somatic complaints: Baseline
    3.40
    (2.18)
    3.46
    (3.26)
    3.40
    (3.23)
    2.1
    (1.93)
    2.6
    (2.16)
    Somatic complaints: Change at Week 12
    -0.05
    (2.26)
    -0.53
    (2.44)
    -0.51
    (2.64)
    -0.04
    (1.55)
    -0.55
    (2.03)
    Thought problems: Baseline
    2.05
    (2.23)
    1.46
    (2.34)
    2.58
    (2.92)
    1.0
    (1.04)
    2.0
    (1.79)
    Thought problems: Change at Week 12
    -0.46
    (1.69)
    -0.10
    (1.37)
    -0.51
    (1.30)
    -0.21
    (0.72)
    -0.45
    (1.64)
    Withdrawn: Baseline
    1.52
    (1.77)
    2.49
    (2.78)
    2.75
    (2.66)
    1.7
    (1.81)
    1.6
    (2.26)
    Withdrawn: Change at Week 12
    0.14
    (1.44)
    -0.35
    (1.59)
    -0.64
    (1.77)
    -0.50
    (1.10)
    -0.17
    (1.39)
    Externalizing: Baseline
    5.83
    (5.23)
    6.32
    (6.14)
    6.53
    (5.87)
    6.9
    (5.16)
    4.5
    (4.32)
    Externalizing: Change at Week 12
    -1.05
    (2.85)
    -1.20
    (3.42)
    -1.31
    (2.30)
    -1.54
    (3.50)
    -0.31
    (2.33)
    Internalizing: Baseline
    8.76
    (5.56)
    10.15
    (8.64)
    10.25
    (7.02)
    7.5
    (5.61)
    8.2
    (6.13)
    Internalizing: Change at Week 12
    -0.89
    (3.62)
    -1.70
    (5.16)
    -2.21
    (4.35)
    -1.13
    (3.85)
    -2.21
    (3.91)
    Total Problems: Baseline
    31.52
    (16.84)
    31.88
    (23.78)
    34.18
    (22.16)
    29.5
    (17.41)
    27.0
    (16.59)
    Total Problems: Change at Week 12
    -4.92
    (8.73)
    -5.83
    (12.16)
    -5.85
    (9.77)
    -5.33
    (8.29)
    -5.10
    (7.41)
    23. Secondary Outcome
    Title Change From Baseline in Child Behavior Checklist Total Score (Raw Score) at Week 24: Safety Extension Phase
    Description CBCL: It consisted of 120 items on behavior and emotional problems. Parent/caregiver of child answered 120 items, each on scale: 0= not true, 1= somewhat/sometimes true, 2= very/often true. 103 items were classified in 8 domains: aggressive behavior: total score range (TSR)= 0 to 36, anxious/depressed: TSR= 0 to 26, attention problems: TSR= 0 to 20, rule-breaking behavior: TSR= 0 to 34, social problems: TSR= 0 to 22, somatic complaints: TSR= 0 to 22, thought problems: TSR= 0 to 30, withdrawn (TSR)= 0 to 16. Rule-breaking and aggressive behavior summarized to externalizing problems with a TSR= 0 to 70. Anxious/depressed, withdrawn, somatic complaints summarized to internalizing problems with a TSR= 0 to 64. All 103 items of 8 domains and other 17 remaining items were combined to give total problems TSR = 0 to 240. TSR for each domain, summary and total problems was sum of scores of related items respectively. Lower scores for each domain, summary and total problems= better outcomes.
    Time Frame Baseline, Week 24

    Outcome Measure Data

    Analysis Population Description
    Safety analysis set population for safety extension phase: all participants of respective cohorts who received at least 1 dose of study medication in the relevant phase. Here, 'Overall Number of Participants Analyzed' signifies participants evaluable for this outcome measure.
    Arm/Group Title Cohort 1, Safety Extension Phase: Fesoterodine 4 mg Cohort 1, Safety Extension Phase: Fesoterodine 8 mg Cohort 1, SEP: Oxybutynin Then Fesoterodine 4 mg Cohort 1, SEP: Oxybutynin Then Fesoterodine 4 mg Then 8 mg Cohort 2, Safety Extension Phase: Fesoterodine 2 mg Cohort 2, Safety Extension Phase: Fesoterodine 4 mg
    Arm/Group Description Participants with body weight >25 kg received fesoterodine 4 mg PR tablet orally once daily for 12 weeks in safety extension phase. Participants with body weight >25 kg received fesoterodine 8 mg PR tablet orally once daily for 12 weeks in safety extension phase. Participants with body weight >25 kg who were randomized to receive oxybutynin ER tablet, at a daily dose in accordance with approved pediatric labeling and accepted practice, in active comparator phase; were allocated by investigator to receive fesoterodine 4 mg PR tablet orally once daily for 12 weeks in the safety extension phase. Participants with body weight >25 kg who were randomized to receive oxybutynin ER tablet, at a daily dose in accordance with approved pediatric labeling and accepted practice, in active comparator phase; were allocated by investigator to receive fesoterodine 4 mg PR tablet orally once daily for first 1 week followed by fesoterodine 8 mg PR tablet orally once daily for another 11 weeks (if the fesoterodine 4 mg dose was well tolerated) in the safety extension phase and if dose was not tolerated participants were withdrawn from the study. Participants with body weight <=25 kg received fesoterodine 2 mg BIC capsules orally once daily for 12 weeks in safety extension phase. Participants with body weight <=25 kg received fesoterodine 4 mg BIC capsules orally once daily for 12 weeks in safety extension phase.
    Measure Participants 29 36 16 20 20 28
    Aggressive behavior: Change at Week 24
    -1.34
    (2.92)
    -1.17
    (3.10)
    -0.81
    (2.43)
    -1.75
    (3.58)
    -1.40
    (2.41)
    -1.57
    (2.70)
    Anxious/depressed: Change at Week 24
    -1.93
    (2.22)
    -1.28
    (2.42)
    -1.06
    (1.88)
    -1.60
    (2.48)
    -1.70
    (2.36)
    -1.75
    (2.34)
    Attention problems: Change at Week 24
    -1.41
    (2.31)
    -1.36
    (2.77)
    -1.94
    (2.35)
    -1.25
    (1.77)
    -1.15
    (1.76)
    -0.89
    (1.69)
    Rule-breaking behavior: Change at Week 24
    -0.62
    (1.29)
    -0.50
    (1.65)
    -0.50
    (1.21)
    -0.55
    (0.94)
    -0.80
    (1.01)
    -0.18
    (0.94)
    Social problems: Change at Week 24
    -1.28
    (1.53)
    -1.19
    (1.97)
    -1.13
    (2.33)
    -1.20
    (1.36)
    -1.65
    (1.81)
    -1.14
    (1.74)
    Somatic complaints: Change at Week 24
    -1.34
    (2.22)
    -0.89
    (2.38)
    -0.88
    (3.32)
    -0.45
    (1.73)
    -0.15
    (0.88)
    -0.68
    (2.04)
    Thought problems: Change at Week 24
    -1.31
    (1.95)
    -0.36
    (1.40)
    -1.06
    (2.14)
    -0.90
    (1.21)
    -0.65
    (1.04)
    -0.64
    (1.28)
    Withdrawn: Change at Week 24
    -0.24
    (1.43)
    -0.44
    (2.01)
    -0.69
    (1.35)
    -1.35
    (1.66)
    -0.45
    (1.50)
    -0.14
    (1.04)
    Externalizing: Change at Week 24
    -1.97
    (3.50)
    -1.67
    (4.27)
    -1.19
    (3.23)
    -2.30
    (4.03)
    -2.20
    (2.84)
    -1.79
    (3.28)
    Internalizing: Change at Week 24
    -3.52
    (4.00)
    -2.61
    (4.95)
    -2.63
    (4.65)
    -3.40
    (4.68)
    -2.30
    (3.64)
    -2.57
    (3.63)
    Total Problems: Change at Week 24
    -10.90
    (11.98)
    -8.58
    (12.86)
    -9.00
    (13.45)
    -10.10
    (10.47)
    -9.45
    (7.93)
    -8.39
    (10.22)
    24. Secondary Outcome
    Title Change From Baseline in Time to Completion Assessment of Grooved Pegboard Test, 10 Pegs Group at Week 12: Active Comparator Phase/Efficacy Phase
    Description The grooved pegboard test was a manipulative dexterity test that assessed psychomotor speed, fine motor control, and rapid-visual motor coordination. It consisted of a small board of 25 holes with randomly positioned slots. Pegs with a key along one side must be rotated to match the hole before they can be inserted. In this outcome measure participants were asked to insert 10 grooved pegs into the holes within the given time limit (up to 300 seconds). The task needs to be completed once for each hand; firstly, using the dominant hand followed by the non-dominant hand. Time taken to complete the test was inversely correlated to the cognitive ability.
    Time Frame Baseline, Week 12

    Outcome Measure Data

    Analysis Population Description
    Safety analysis set population for active comparator phase and efficacy phase analyzed. 10-peg assessment was done only in participants below age of 9 years. "Overall Number of Participants Analyzed": participants evaluable for this outcome measure, "Number Analyzed": participants evaluable for specified rows. There was 1 participant who inadvertently did the 10-peg test with non-dominant hand and 25-peg test with dominant hand. This participant was counted in both 10 peg and 25 peg assessment.
    Arm/Group Title Cohort 1, Active Comparator Phase: Fesoterodine 4 mg Cohort 1, Active Comparator Phase: Fesoterodine 4 mg Then 8 mg Cohort 1, Active Comparator Phase: Oxybutynin Cohort 2, Efficacy Phase: Fesoterodine 2 mg Cohort 2, Efficacy Phase: Fesoterodine 2 mg Then 4 mg
    Arm/Group Description Participants with body weight >25 kg were randomized to receive fesoterodine 4 mg PR tablet orally once daily for 12 weeks in active comparator phase. Participants with body weight >25 kg were randomized to receive fesoterodine 4 mg PR tablets orally once daily for first 1 week and if dose was tolerated well, participants received 8 mg PR tablet orally once daily for next 11 weeks in active comparator phase and if dose was not tolerated then participants were withdrawn from the study. Participants with body weight >25 kg were randomized to receive oxybutynin ER tablet, at a daily dose in accordance with approved pediatric labeling and accepted practice. Dose titration was done for first 4 weeks. After Week 4, participants remained on the optimized daily dose for next 8 weeks, in active comparator phase. Participants with body weight <=25 kg were randomized to receive fesoterodine 2 mg BIC capsule orally once daily for 12 weeks in efficacy phase. Participants with body weight <=25 kg were randomized to receive fesoterodine 2 mg BIC capsule orally once daily for first 1 week and if dose was tolerated well, participants received 4 mg BIC capsule orally once daily for next 11 weeks in efficacy phase and if dose was not tolerated then participants were withdrawn from the study.
    Measure Participants 9 9 7 18 21
    Dominant hand: Baseline
    61.11
    (31.66)
    56.50
    (32.09)
    46.43
    (16.28)
    69.56
    (58.52)
    52.20
    (31.06)
    Dominant hand: Change at Week 12
    -7.71
    (11.06)
    10.14
    (37.18)
    -5.33
    (6.15)
    -11.20
    (41.11)
    -10.26
    (27.21)
    Non-dominant hand: Baseline
    80.44
    (41.45)
    114.00
    (89.43)
    48.00
    (15.14)
    91.29
    (110.76)
    76.29
    (76.71)
    Non-dominant hand: Change at Week 12
    -21.71
    (25.44)
    15.33
    (49.28)
    -2.00
    (12.25)
    -19.36
    (81.03)
    -3.25
    (22.53)
    25. Secondary Outcome
    Title Change From Baseline in Time to Completion Assessment of Grooved Pegboard Test, 10 Pegs Group at Week 24: Safety Extension Phase
    Description The grooved pegboard test was a manipulative dexterity test that assessed psychomotor speed, fine motor control, and rapid-visual motor coordination. It consisted of a small board of 25 holes with randomly positioned slots. Pegs with a key along one side must be rotated to match the hole before they can be inserted. In this outcome measure participants were asked to insert 10 grooved pegs into the holes within the given time limit (up to 300 seconds). The task needs to be completed once for each hand; firstly, using the dominant hand followed by the non-dominant hand. Time taken to complete the test was inversely correlated to the cognitive ability.
    Time Frame Baseline, Week 24

    Outcome Measure Data

    Analysis Population Description
    Safety analysis set population for active comparator phase and efficacy phase analyzed. 10-peg assessment was done only in participants below age of 9 years. Here, "Overall Number of Participants Analyzed": participants evaluable for this outcome measure and "Number Analyzed": participants evaluable for specified rows.
    Arm/Group Title Cohort 1, Safety Extension Phase: Fesoterodine 4 mg Cohort 1, Safety Extension Phase: Fesoterodine 8 mg Cohort 1, SEP: Oxybutynin Then Fesoterodine 4 mg Cohort 1, SEP: Oxybutynin Then Fesoterodine 4 mg Then 8 mg Cohort 2, Safety Extension Phase: Fesoterodine 2 mg Cohort 2, Safety Extension Phase: Fesoterodine 4 mg
    Arm/Group Description Participants with body weight >25 kg received fesoterodine 4 mg PR tablet orally once daily for 12 weeks in safety extension phase. Participants with body weight >25 kg received fesoterodine 8 mg PR tablet orally once daily for 12 weeks in safety extension phase. Participants with body weight >25 kg who were randomized to receive oxybutynin ER tablet, at a daily dose in accordance with approved pediatric labeling and accepted practice, in active comparator phase; were allocated by investigator to receive fesoterodine 4 mg PR tablet orally once daily for 12 weeks in the safety extension phase. Participants with body weight >25 kg who were randomized to receive oxybutynin ER tablet, at a daily dose in accordance with approved pediatric labeling and accepted practice, in active comparator phase; were allocated by investigator to receive fesoterodine 4 mg PR tablet orally once daily for first 1 week followed by fesoterodine 8 mg PR tablet orally once daily for another 11 weeks (if the fesoterodine 4 mg dose was well tolerated) in the safety extension phase and if dose was not tolerated participants were withdrawn from the study. Participants with body weight <=25 kg received fesoterodine 2 mg BIC capsules orally once daily for 12 weeks in safety extension phase. Participants with body weight <=25 kg received fesoterodine 4 mg BIC capsules orally once daily for 12 weeks in safety extension phase.
    Measure Participants 3 7 2 3 15 19
    Dominant hand: Change at Week 24
    -11.33
    (9.07)
    -3.71
    (22.94)
    -2.00
    (8.49)
    -6.33
    (3.06)
    -7.07
    (6.80)
    -15.00
    (28.54)
    Non-dominant hand: Change at Week 24
    -2.00
    (13.75)
    -4.00
    (29.09)
    1.50
    (10.61)
    -11.00
    (5.00)
    -9.14
    (14.33)
    -18.47
    (38.13)
    26. Secondary Outcome
    Title Change From Baseline in Time to Completion Assessment of Grooved Pegboard Test, 25 Pegs Group at Week 12: Active Comparator Phase/Efficacy Phase
    Description The grooved pegboard test was a manipulative dexterity test that assessed psychomotor speed, fine motor control, and rapid-visual motor coordination. It consisted of a small board of 25 holes with randomly positioned slots. Pegs with a key along one side must be rotated to match the hole before they can be inserted. In this outcome measure participants were asked to insert 25 grooved pegs into the holes within the given time limit (up to 300 seconds). The task needs to be completed once for each hand; firstly, using the dominant hand followed by the non-dominant hand. Time taken to complete the test was inversely correlated to the cognitive ability.
    Time Frame Baseline, Week 12

    Outcome Measure Data

    Analysis Population Description
    Safety analysis set population for active comparator phase and efficacy phase analyzed. 10-peg assessment was done only in participants below age of 9 years. "Overall Number of Participants Analyzed": participants evaluable for this outcome measure, "Number Analyzed": participants evaluable for specified rows. There was 1 participant who inadvertently did the 10-peg test with non-dominant hand and 25-peg test with dominant hand. This participant was counted in both 10 peg and 25 peg assessment.
    Arm/Group Title Cohort 1, Active Comparator Phase: Fesoterodine 4 mg Cohort 1, Active Comparator Phase: Fesoterodine 4 mg Then 8 mg Cohort 1, Active Comparator Phase: Oxybutynin Cohort 2, Efficacy Phase: Fesoterodine 2 mg Cohort 2, Efficacy Phase: Fesoterodine 2 mg Then 4 mg
    Arm/Group Description Participants with body weight >25 kg were randomized to receive fesoterodine 4 mg PR tablet orally once daily for 12 weeks in active comparator phase. Participants with body weight >25 kg were randomized to receive fesoterodine 4 mg PR tablets orally once daily for first 1 week and if dose was tolerated well, participants received 8 mg PR tablet orally once daily for next 11 weeks in active comparator phase and if dose was not tolerated then participants were withdrawn from the study. Participants with body weight >25 kg were randomized to receive oxybutynin ER tablet, at a daily dose in accordance with approved pediatric labeling and accepted practice. Dose titration was done for first 4 weeks. After Week 4, participants remained on the optimized daily dose for next 8 weeks, in active comparator phase. Participants with body weight <=25 kg were randomized to receive fesoterodine 2 mg BIC capsule orally once daily for 12 weeks in efficacy phase. Participants with body weight <=25 kg were randomized to receive fesoterodine 2 mg BIC capsule orally once daily for first 1 week and if dose was tolerated well, participants received 4 mg BIC capsule orally once daily for next 11 weeks in efficacy phase and if dose was not tolerated then participants were withdrawn from the study.
    Measure Participants 33 34 33 10 9
    Dominant hand: Baseline
    88.85
    (24.22)
    92.15
    (40.51)
    82.64
    (24.32)
    106.7
    (64.07)
    124.7
    (71.99)
    Dominant hand: Change at Week 12
    -5.40
    (10.43)
    -8.88
    (20.76)
    1.21
    (11.87)
    -14.38
    (25.90)
    -18.44
    (32.23)
    Non-dominant hand: Baseline
    110.61
    (59.63)
    109.00
    (49.75)
    92.94
    (25.05)
    130.30
    (83.58)
    126.1
    (48.93)
    Non-dominant hand: Change at Week 12
    -9.10
    (19.94)
    -4.10
    (10.79)
    -1.97
    (14.00)
    -13.50
    (18.81)
    -12.50
    (20.30)
    27. Secondary Outcome
    Title Change From Baseline in Time to Completion Assessment of Grooved Pegboard Test, 25 Pegs Group at Week 24: Safety Extension Phase
    Description The grooved pegboard test was a manipulative dexterity test that assessed psychomotor speed, fine motor control, and rapid-visual motor coordination. It consisted of a small board of 25 holes with randomly positioned slots. Pegs with a key along one side must be rotated to match the hole before they can be inserted. In this outcome measure participants were asked to insert 25 grooved pegs into the holes within the given time limit (up to 300 seconds). The task needs to be completed once for each hand; firstly, using the dominant hand followed by the non-dominant hand. Time taken to complete the test was inversely correlated to the cognitive ability.
    Time Frame Baseline, Week 24

    Outcome Measure Data

    Analysis Population Description
    Safety analysis set population for active comparator phase and efficacy phase analyzed. 25-peg assessment was done only in participants of age 9 years and above. Here, "Overall Number of Participants Analyzed": participants evaluable for this outcome measure and "Number Analyzed": participants evaluable for specified rows.
    Arm/Group Title Cohort 1, Safety Extension Phase: Fesoterodine 4 mg Cohort 1, Safety Extension Phase: Fesoterodine 8 mg Cohort 1, SEP: Oxybutynin Then Fesoterodine 4 mg Cohort 1, SEP: Oxybutynin Then Fesoterodine 4 mg Then 8 mg Cohort 2, Safety Extension Phase: Fesoterodine 2 mg Cohort 2, Safety Extension Phase: Fesoterodine 4 mg
    Arm/Group Description Participants with body weight >25 kg received fesoterodine 4 mg PR tablet orally once daily for 12 weeks in safety extension phase. Participants with body weight >25 kg received fesoterodine 8 mg PR tablet orally once daily for 12 weeks in safety extension phase. Participants with body weight >25 kg who were randomized to receive oxybutynin ER tablet, at a daily dose in accordance with approved pediatric labeling and accepted practice, in active comparator phase; were allocated by investigator to receive fesoterodine 4 mg PR tablet orally once daily for 12 weeks in the safety extension phase. Participants with body weight >25 kg who were randomized to receive oxybutynin ER tablet, at a daily dose in accordance with approved pediatric labeling and accepted practice, in active comparator phase; were allocated by investigator to receive fesoterodine 4 mg PR tablet orally once daily for first 1 week followed by fesoterodine 8 mg PR tablet orally once daily for another 11 weeks (if the fesoterodine 4 mg dose was well tolerated) in the safety extension phase and if dose was not tolerated participants were withdrawn from the study. Participants with body weight <=25 kg received fesoterodine 2 mg BIC capsules orally once daily for 12 weeks in safety extension phase. Participants with body weight <=25 kg received fesoterodine 4 mg BIC capsules orally once daily for 12 weeks in safety extension phase.
    Measure Participants 25 30 14 16 5 9
    Dominant hand: Change at Week 24
    -8.20
    (11.67)
    -12.27
    (18.28)
    -5.71
    (9.55)
    -7.00
    (13.25)
    -38.20
    (31.67)
    -17.00
    (33.16)
    Non-dominant hand: Change at Week 24
    -9.24
    (15.79)
    -8.46
    (10.42)
    -3.79
    (11.89)
    -11.87
    (14.15)
    -38.00
    (29.35)
    -15.50
    (29.11)
    28. Secondary Outcome
    Title Change From Baseline in Number of Pegs Dropped Assessment of Grooved Pegboard Test, 10 Pegs Group at Week 12: Active Comparator Phase/Efficacy Phase
    Description The grooved pegboard test was a manipulative dexterity test that assessed psychomotor speed, fine motor control, and rapid-visual motor coordination. It consisted of a small board of 25 holes with randomly positioned slots. Pegs with a key along one side must be rotated to match the hole before they can be inserted. Participants were asked to insert 10 grooved pegs into the holes within the given time limit (up to 300 seconds). In this outcome measure number of pegs dropped while putting in the holes were measured. The task needs to be completed once for each hand; firstly, using the dominant hand followed by the non-dominant hand.
    Time Frame Baseline, Week 12

    Outcome Measure Data

    Analysis Population Description
    Safety analysis set population for active comparator phase and efficacy phase analyzed. 10-peg assessment was done only in participants below age of 9 years. "Overall Number of Participants Analyzed": participants evaluable for this outcome measure, "Number Analyzed": participants evaluable for specified rows. There was 1 participant who inadvertently did the 10-peg test with non-dominant hand and 25-peg test with dominant hand. This participant was counted in both 10 peg and 25 peg assessment.
    Arm/Group Title Cohort 1, Active Comparator Phase: Fesoterodine 4 mg Cohort 1, Active Comparator Phase: Fesoterodine 4 mg Then 8 mg Cohort 1, Active Comparator Phase: Oxybutynin Cohort 2, Efficacy Phase: Fesoterodine 2 mg Cohort 2, Efficacy Phase: Fesoterodine 2 mg Then 4 mg
    Arm/Group Description Participants with body weight >25 kg were randomized to receive fesoterodine 4 mg PR tablet orally once daily for 12 weeks in active comparator phase. Participants with body weight >25 kg were randomized to receive fesoterodine 4 mg PR tablets orally once daily for first 1 week and if dose was tolerated well, participants received 8 mg PR tablet orally once daily for next 11 weeks in active comparator phase and if dose was not tolerated then participants were withdrawn from the study. Participants with body weight >25 kg were randomized to receive oxybutynin ER tablet, at a daily dose in accordance with approved pediatric labeling and accepted practice. Dose titration was done for first 4 weeks. After Week 4, participants remained on the optimized daily dose for next 8 weeks, in active comparator phase. Participants with body weight <=25 kg were randomized to receive fesoterodine 2 mg BIC capsule orally once daily for 12 weeks in efficacy phase. Participants with body weight <=25 kg were randomized to receive fesoterodine 2 mg BIC capsule orally once daily for first 1 week and if dose was tolerated well, participants received 4 mg BIC capsule orally once daily for next 11 weeks in efficacy phase and if dose was not tolerated then participants were withdrawn from the study.
    Measure Participants 9 9 7 18 21
    Dominant hand: Baseline
    0.11
    (0.33)
    0.75
    (1.75)
    0.29
    (0.49)
    0.39
    (1.24)
    0.10
    (0.45)
    Dominant hand: Change at Week 12
    0.29
    (0.76)
    0.57
    (1.13)
    -0.17
    (0.75)
    0.00
    (1.77)
    0.05
    (0.52)
    Non-dominant hand: Baseline
    0.44
    (0.53)
    1.22
    (2.28)
    0.00
    (0.00)
    0.35
    (0.86)
    0.76
    (2.26)
    Non-dominant hand: Change at Week 12
    0.43
    (1.27)
    1.00
    (2.00)
    0.17
    (0.41)
    0.00
    (0.68)
    0.60
    (3.45)
    29. Secondary Outcome
    Title Change From Baseline in Number of Pegs Dropped Assessment of Grooved Pegboard Test, 10 Pegs Group at Week 24: Safety Extension Phase
    Description The grooved pegboard test was a manipulative dexterity test that assessed psychomotor speed, fine motor control, and rapid-visual motor coordination. It consisted of a small board of 25 holes with randomly positioned slots. Pegs with a key along one side must be rotated to match the hole before they can be inserted. Participants were asked to insert 10 grooved pegs into the holes within the given time limit (up to 300 seconds). In this outcome measure number of pegs dropped while putting in the holes were measured. The task needs to be completed once for each hand; firstly, using the dominant hand followed by the non-dominant hand.
    Time Frame Baseline, Week 24

    Outcome Measure Data

    Analysis Population Description
    Safety analysis set population for active comparator phase and efficacy phase analyzed. 10-peg assessment was done only in participants below age of 9 years. Here, "Overall Number of Participants Analyzed": participants evaluable for this outcome measure and "Number Analyzed": participants evaluable for specified rows.
    Arm/Group Title Cohort 1, Safety Extension Phase: Fesoterodine 4 mg Cohort 1, Safety Extension Phase: Fesoterodine 8 mg Cohort 1, SEP: Oxybutynin Then Fesoterodine 4 mg Cohort 1,SEP: Oxybutynin Then Fesoterodine 8 mg Cohort 2, Safety Extension Phase: Fesoterodine 2 mg Cohort 2, Safety Extension Phase: Fesoterodine 4 mg
    Arm/Group Description Participants with body weight >25 kg received fesoterodine 4 mg PR tablet orally once daily for 12 weeks in safety extension phase. Participants with body weight >25 kg received fesoterodine 8 mg PR tablet orally once daily for 12 weeks in safety extension phase. Participants with body weight >25 kg who were randomized to receive oxybutynin ER tablet, at a daily dose in accordance with approved pediatric labeling and accepted practice, in active comparator phase; were allocated by investigator to receive fesoterodine 4 mg PR tablet orally once daily for 12 weeks in the safety extension phase. Participants with body weight >25 kg who were randomized to receive oxybutynin 5 mg ER tablets orally once daily in active comparator phase, were allocated by investigator to receive fesoterodine 8 mg for 12 weeks in safety extension phase. Participants with body weight <=25 kg received fesoterodine 2 mg BIC capsules orally once daily for 12 weeks in safety extension phase. Participants with body weight <=25 kg received fesoterodine 4 mg BIC capsules orally once daily for 12 weeks in safety extension phase.
    Measure Participants 3 7 2 3 15 19
    Dominant hand: Change at week 24
    0.33
    (0.58)
    0.43
    (0.79)
    0.00
    (0.00)
    -0.33
    (0.58)
    -0.27
    (1.39)
    -0.06
    (0.54)
    Non-dominant hand: Change at week 24
    1.33
    (2.31)
    0.00
    (1.10)
    0.50
    (0.71)
    0.00
    (0.00)
    -0.36
    (0.74)
    0.11
    (3.45)
    30. Secondary Outcome
    Title Change From Baseline in Number of Pegs Dropped Assessment of Grooved Pegboard Test, 25 Pegs Group at Week 12: Active Comparator Phase/Efficacy Phase
    Description The grooved pegboard test was a manipulative dexterity test that assessed psychomotor speed, fine motor control, and rapid-visual motor coordination. It consisted of a small board of 25 holes with randomly positioned slots. Pegs with a key along one side must be rotated to match the hole before they can be inserted. Participants were asked to insert 25 grooved pegs into the holes within the given time limit (up to 300 seconds). In this outcome measure number of pegs dropped while putting in the holes were measured. The task needs to be completed once for each hand; firstly, using the dominant hand followed by the non-dominant hand.
    Time Frame Baseline, Week 12

    Outcome Measure Data

    Analysis Population Description
    Safety analysis set population for active comparator phase and efficacy phase analyzed. 10-peg assessment was done only in participants below age of 9 years. "Overall Number of Participants Analyzed": participants evaluable for this outcome measure, "Number Analyzed": participants evaluable for specified rows. There was 1 participant who inadvertently did the 10-peg test with non-dominant hand and 25-peg test with dominant hand. This participant was counted in both 10 peg and 25 peg assessment.
    Arm/Group Title Cohort 1, Active Comparator Phase: Fesoterodine 4 mg Cohort 1, Active Comparator Phase: Fesoterodine 4 mg Then 8 mg Cohort 1, Active Comparator Phase: Oxybutynin Cohort 2, Efficacy Phase: Fesoterodine 2 mg Cohort 2, Efficacy Phase: Fesoterodine 2 mg Then 4 mg
    Arm/Group Description Participants with body weight >25 kg were randomized to receive fesoterodine 4 mg PR tablet orally once daily for 12 weeks in active comparator phase. Participants with body weight >25 kg were randomized to receive fesoterodine 4 mg PR tablets orally once daily for first 1 week and if dose was tolerated well, participants received 8 mg PR tablet orally once daily for next 11 weeks in active comparator phase and if dose was not tolerated then participants were withdrawn from the study. Participants with body weight >25 kg were randomized to receive oxybutynin ER tablet, at a daily dose in accordance with approved pediatric labeling and accepted practice. Dose titration was done for first 4 weeks. After Week 4, participants remained on the optimized daily dose for next 8 weeks, in active comparator phase. Participants with body weight <=25 kg were randomized to receive fesoterodine 2 mg BIC capsule orally once daily for 12 weeks in efficacy phase. Participants with body weight <=25 kg were randomized to receive fesoterodine 2 mg BIC capsule orally once daily for first 1 week and if dose was tolerated well, participants received 4 mg BIC capsule orally once daily for next 11 weeks in efficacy phase and if dose was not tolerated then participants were withdrawn from the study.
    Measure Participants 33 34 33 10 9
    Dominant hand: Baseline
    0.45
    (1.20)
    0.24
    (0.50)
    0.24
    (0.66)
    0.10
    (0.32)
    0.11
    (0.33)
    Dominant hand: Change at Week 12
    0.00
    (1.05)
    -0.18
    (0.58)
    0.09
    (0.77)
    0.00
    (0.53)
    0.44
    (1.33)
    Non-dominant hand: Baseline
    0.91
    (2.36)
    0.28
    (0.46)
    0.36
    (0.78)
    0.40
    (0.97)
    0.13
    (0.35)
    Non-dominant hand: Change at Week 12
    -0.33
    (1.60)
    0.06
    (1.03)
    0.21
    (1.78)
    0.13
    (0.35)
    0.00
    (0.00)
    31. Secondary Outcome
    Title Change From Baseline in Number of Pegs Dropped Assessment of Grooved Pegboard Test, 25 Pegs Group at Week 24: Safety Extension Phase
    Description The grooved pegboard test was a manipulative dexterity test that assessed psychomotor speed, fine motor control, and rapid-visual motor coordination. It consisted of a small board of 25 holes with randomly positioned slots. Pegs with a key along one side must be rotated to match the hole before they can be inserted. Participants were asked to insert 25 grooved pegs into the holes within the given time limit (up to 300 seconds). In this outcome measure number of pegs dropped while putting in the holes were measured. The task needs to be completed once for each hand; firstly, using the dominant hand followed by the non-dominant hand.
    Time Frame Baseline, Week 24

    Outcome Measure Data

    Analysis Population Description
    Safety analysis set population for active comparator phase and efficacy phase analyzed. 25-peg assessment was done only in participants of age 9 years and above. Here, "Overall Number of Participants Analyzed": participants evaluable for this outcome measure and "Number Analyzed": participants evaluable for specified rows.
    Arm/Group Title Cohort 1, Safety Extension Phase: Fesoterodine 4 mg Cohort 1, Safety Extension Phase: Fesoterodine 8 mg Cohort 1, SEP: Oxybutynin Then Fesoterodine 4 mg Cohort 1, SEP: Oxybutynin Then Fesoterodine 4 mg Then 8 mg Cohort 2, Safety Extension Phase: Fesoterodine 2 mg Cohort 2, Safety Extension Phase: Fesoterodine 4 mg
    Arm/Group Description Participants with body weight >25 kg received fesoterodine 4 mg PR tablet orally once daily for 12 weeks in safety extension phase. Participants with body weight >25 kg received fesoterodine 8 mg PR tablet orally once daily for 12 weeks in safety extension phase. Participants with body weight >25 kg who were randomized to receive oxybutynin ER tablet, at a daily dose in accordance with approved pediatric labeling and accepted practice, in active comparator phase; were allocated by investigator to receive fesoterodine 4 mg PR tablet orally once daily for 12 weeks in the safety extension phase. Participants with body weight >25 kg who were randomized to receive oxybutynin ER tablet, at a daily dose in accordance with approved pediatric labeling and accepted practice, in active comparator phase; were allocated by investigator to receive fesoterodine 4 mg PR tablet orally once daily for first 1 week followed by fesoterodine 8 mg PR tablet orally once daily for another 11 weeks (if the fesoterodine 4 mg dose was well tolerated) in the safety extension phase and if dose was not tolerated participants were withdrawn from the study. Participants with body weight <=25 kg received fesoterodine 2 mg BIC capsules orally once daily for 12 weeks in safety extension phase. Participants with body weight <=25 kg received fesoterodine 4 mg BIC capsules orally once daily for 12 weeks in safety extension phase.
    Measure Participants 25 30 14 16 5 9
    Dominant hand: Change at Week 24
    0.00
    (0.87)
    0.63
    (4.63)
    0.14
    (0.36)
    0.25
    (1.24)
    0.00
    (0.00)
    0.44
    (1.33)
    Non-dominant hand: Change at Week 24
    -0.28
    (2.17)
    0.68
    (4.79)
    0.00
    (0.39)
    0.27
    (1.67)
    0.60
    (0.89)
    -0.13
    (0.35)
    32. Secondary Outcome
    Title Change From Baseline in Number of Pegs Placed Correctly Assessment of Grooved Pegboard Test, 10 Pegs Group at Week 12: Active Comparator Phase/Efficacy Phase
    Description The grooved pegboard test was a manipulative dexterity test that assessed psychomotor speed, fine motor control, and rapid-visual motor coordination. It consisted of a small board of 25 holes with randomly positioned slots. Pegs with a key along one side must be rotated to match the hole before they can be inserted. Participants were asked to insert 10 grooved pegs into the holes within the given time limit (up to 300 seconds). In this outcome measure number of pegs placed correctly while putting in the holes were measured. The task needs to be completed once for each hand; firstly, using the dominant hand followed by the non-dominant hand.
    Time Frame Baseline, Week 12

    Outcome Measure Data

    Analysis Population Description
    Safety analysis set population for active comparator phase and efficacy phase analyzed. 10-peg assessment was done only in participants below age of 9 years. "Overall Number of Participants Analyzed": participants evaluable for this outcome measure, "Number Analyzed": participants evaluable for specified rows. There was 1 participant who inadvertently did the 10-peg test with non-dominant hand and 25-peg test with dominant hand. This participant was counted in both 10 peg and 25 peg assessment.
    Arm/Group Title Cohort 1, Active Comparator Phase: Fesoterodine 4 mg Cohort 1, Active Comparator Phase: Fesoterodine 4 mg Then 8 mg Cohort 1, Active Comparator Phase: Oxybutynin Cohort 2, Efficacy Phase: Fesoterodine 2 mg Cohort 2, Efficacy Phase: Fesoterodine 2 mg Then 4 mg
    Arm/Group Description Participants with body weight >25 kg were randomized to receive fesoterodine 4 mg PR tablet orally once daily for 12 weeks in active comparator phase. Participants with body weight >25 kg were randomized to receive fesoterodine 4 mg PR tablets orally once daily for first 1 week and if dose was tolerated well, participants received 8 mg PR tablet orally once daily for next 11 weeks in active comparator phase and if dose was not tolerated then participants were withdrawn from the study. Participants with body weight >25 kg were randomized to receive oxybutynin ER tablet, at a daily dose in accordance with approved pediatric labeling and accepted practice. Dose titration was done for first 4 weeks. After Week 4, participants remained on the optimized daily dose for next 8 weeks, in active comparator phase. Participants with body weight <=25 kg were randomized to receive fesoterodine 2 mg BIC capsule orally once daily for 12 weeks in efficacy phase. Participants with body weight <=25 kg were randomized to receive fesoterodine 2 mg BIC capsule orally once daily for first 1 week and if dose was tolerated well, participants received 4 mg BIC capsule orally once daily for next 11 weeks in efficacy phase and if dose was not tolerated then participants were withdrawn from the study.
    Measure Participants 9 9 7 18 21
    Dominant hand: Baseline
    9.56
    (1.01)
    9.38
    (1.77)
    10.00
    (0.00)
    9.89
    (0.47)
    10.0
    (0.00)
    Dominant hand: Change at Week 12
    -0.29
    (0.76)
    0.00
    (0.00)
    0.00
    (0.00)
    0.00
    (0.38)
    -0.11
    (0.46)
    Non-dominant hand: Baseline
    9.56
    (1.01)
    9.00
    (2.35)
    10.00
    (0.00)
    9.82
    (0.73)
    9.62
    (1.20)
    Non-dominant hand: Change at Week 12
    -0.57
    (1.13)
    0.00
    (0.00)
    0.00
    (0.00)
    -0.07
    (0.62)
    0.00
    (0.32)
    33. Secondary Outcome
    Title Change From Baseline in Number of Pegs Placed Correctly Assessment of Grooved Pegboard Test, 10 Pegs Group at Week 24: Safety Extension Phase
    Description The grooved pegboard test was a manipulative dexterity test that assessed psychomotor speed, fine motor control, and rapid-visual motor coordination. It consisted of a small board of 25 holes with randomly positioned slots. Pegs with a key along one side must be rotated to match the hole before they can be inserted. Participants were asked to insert 10 grooved pegs into the holes within the given time limit (up to 300 seconds). In this outcome measure number of pegs placed correctly while putting in the holes were measured. The task needs to be completed once for each hand; firstly, using the dominant hand followed by the non-dominant hand.
    Time Frame Baseline, Week 24

    Outcome Measure Data

    Analysis Population Description
    Safety analysis set population for active comparator phase and efficacy phase analyzed. 10-peg assessment was done only in participants below age of 9 years. Here, "Overall Number of Participants Analyzed": participants evaluable for this outcome measure and "Number Analyzed": participants evaluable for specified rows.
    Arm/Group Title Cohort 1, Safety Extension Phase: Fesoterodine 4 mg Cohort 1, Safety Extension Phase: Fesoterodine 8 mg Cohort 1, SEP: Oxybutynin Then Fesoterodine 4 mg Cohort 1, SEP: Oxybutynin Then Fesoterodine 4 mg Then 8 mg Cohort 2, Safety Extension Phase: Fesoterodine 2 mg Cohort 2, Safety Extension Phase: Fesoterodine 4 mg
    Arm/Group Description Participants with body weight >25 kg received fesoterodine 4 mg PR tablet orally once daily for 12 weeks in safety extension phase. Participants with body weight >25 kg received fesoterodine 8 mg PR tablet orally once daily for 12 weeks in safety extension phase. Participants with body weight >25 kg who were randomized to receive oxybutynin ER tablet, at a daily dose in accordance with approved pediatric labeling and accepted practice, in active comparator phase; were allocated by investigator to receive fesoterodine 4 mg PR tablet orally once daily for 12 weeks in the safety extension phase. Participants with body weight >25 kg who were randomized to receive oxybutynin ER tablet, at a daily dose in accordance with approved pediatric labeling and accepted practice, in active comparator phase; were allocated by investigator to receive fesoterodine 4 mg PR tablet orally once daily for first 1 week followed by fesoterodine 8 mg PR tablet orally once daily for another 11 weeks (if the fesoterodine 4 mg dose was well tolerated) in the safety extension phase and if dose was not tolerated participants were withdrawn from the study. Participants with body weight <=25 kg received fesoterodine 2 mg BIC capsules orally once daily for 12 weeks in safety extension phase. Participants with body weight <=25 kg received fesoterodine 4 mg BIC capsules orally once daily for 12 weeks in safety extension phase.
    Measure Participants 3 7 2 3 15 19
    Dominant hand: Change at Week 24
    -0.33
    (0.58)
    0.00
    (0.00)
    0.00
    (0.00)
    0.00
    (0.00)
    0.07
    (0.26)
    0.00
    (0.00)
    Non-dominant hand: Change at Week 24
    -1.33
    (2.31)
    0.00
    (0.00)
    0.00
    (0.00)
    0.00
    (0.00)
    0.14
    (0.53)
    0.21
    (0.92)
    34. Secondary Outcome
    Title Change From Baseline in Number of Pegs Placed Correctly Assessment of Grooved Pegboard Test, 25 Pegs Group at Week 12: Active Comparator Phase/Efficacy Phase
    Description The grooved pegboard test was a manipulative dexterity test that assessed psychomotor speed, fine motor control, and rapid-visual motor coordination. It consisted of a small board of 25 holes with randomly positioned slots. Pegs with a key along one side must be rotated to match the hole before they can be inserted. Participants were asked to insert 25 grooved pegs into the holes within the given time limit (up to 300 seconds). In this outcome measure number of pegs placed correctly while putting in the holes were measured. The task needs to be completed once for each hand; firstly, using the dominant hand followed by the non-dominant hand.
    Time Frame Baseline, Week 12

    Outcome Measure Data

    Analysis Population Description
    Safety analysis set population for active comparator phase and efficacy phase analyzed. 10-peg assessment was done only in participants below age of 9 years. "Overall Number of Participants Analyzed": participants evaluable for this outcome measure, "Number Analyzed": participants evaluable for specified rows. There was 1 participant who inadvertently did the 10-peg test with non-dominant hand and 25-peg test with dominant hand. This participant was counted in both 10 peg and 25 peg assessment.
    Arm/Group Title Cohort 1, Active Comparator Phase: Fesoterodine 4 mg Cohort 1, Active Comparator Phase: Fesoterodine 4 mg Then 8 mg Cohort 1, Active Comparator Phase: Oxybutynin Cohort 2, Efficacy Phase: Fesoterodine 2 mg Cohort 2, Efficacy Phase: Fesoterodine 2 mg Then 4 mg
    Arm/Group Description Participants with body weight >25 kg were randomized to receive fesoterodine 4 mg PR tablet orally once daily for 12 weeks in active comparator phase. Participants with body weight >25 kg were randomized to receive fesoterodine 4 mg PR tablets orally once daily for first 1 week and if dose was tolerated well, participants received 8 mg PR tablet orally once daily for next 11 weeks in active comparator phase and if dose was not tolerated then participants were withdrawn from the study. Participants with body weight >25 kg were randomized to receive oxybutynin ER tablet, at a daily dose in accordance with approved pediatric labeling and accepted practice. Dose titration was done for first 4 weeks. After Week 4, participants remained on the optimized daily dose for next 8 weeks, in active comparator phase. Participants with body weight <=25 kg were randomized to receive fesoterodine 2 mg BIC capsule orally once daily for 12 weeks in efficacy phase. Participants with body weight <=25 kg were randomized to receive fesoterodine 2 mg BIC capsule orally once daily for first 1 week and if dose was tolerated well, participants received 4 mg BIC capsule orally once daily for next 11 weeks in efficacy phase and if dose was not tolerated then participants were withdrawn from the study.
    Measure Participants 33 34 33 10 9
    Dominant hand: Baseline
    25.00
    (0.00)
    24.56
    (1.89)
    25.00
    (0.00)
    25.00
    (0.00)
    23.22
    (3.83)
    Dominant hand: Change at Week 12
    -0.07
    (0.25)
    0.42
    (1.77)
    -0.12
    (0.70)
    -0.13
    (0.35)
    0.11
    (2.76)
    Non-dominant hand: Baseline
    24.45
    (2.09)
    24.75
    (0.92)
    24.88
    (0.42)
    24.50
    (1.58)
    24.25
    (1.75)
    Non-dominant hand: Change at Week 12
    0.53
    (2.19)
    0.26
    (0.93)
    0.03
    (0.30)
    0.63
    (1.77)
    -0.63
    (1.77)
    35. Secondary Outcome
    Title Change From Baseline in Number of Pegs Placed Correctly Assessment of Grooved Pegboard Test, 25 Pegs Group at Week 24: Safety Extension Phase
    Description The grooved pegboard test was a manipulative dexterity test that assessed psychomotor speed, fine motor control, and rapid-visual motor coordination. It consisted of a small board of 25 holes with randomly positioned slots. Pegs with a key along one side must be rotated to match the hole before they can be inserted. Participants were asked to insert 25 grooved pegs into the holes within the given time limit (up to 300 seconds). In this outcome measure number of pegs placed correctly while putting in the holes were measured. The task needs to be completed once for each hand; firstly, using the dominant hand followed by the non-dominant hand.
    Time Frame Baseline, Week 24

    Outcome Measure Data

    Analysis Population Description
    Safety analysis set population for active comparator phase and efficacy phase analyzed. 25-peg assessment was done only in participants of age 9 years and above. Here, "Overall Number of Participants Analyzed": participants evaluable for this outcome measure and "Number Analyzed": participants evaluable for specified rows.
    Arm/Group Title Cohort 1, Safety Extension Phase: Fesoterodine 4 mg Cohort 1, Safety Extension Phase: Fesoterodine 8 mg Cohort 1, SEP: Oxybutynin Then Fesoterodine 4 mg Cohort 1, SEP: Oxybutynin Then Fesoterodine 4 mg Then 8 mg Cohort 2, Safety Extension Phase: Fesoterodine 2 mg Cohort 2, Safety Extension Phase: Fesoterodine 4 mg
    Arm/Group Description Participants with body weight >25 kg received fesoterodine 4 mg PR tablet orally once daily for 12 weeks in safety extension phase. Participants with body weight >25 kg received fesoterodine 8 mg PR tablet orally once daily for 12 weeks in safety extension phase. Participants with body weight >25 kg who were randomized to receive oxybutynin ER tablet, at a daily dose in accordance with approved pediatric labeling and accepted practice, in active comparator phase; were allocated by investigator to receive fesoterodine 4 mg PR tablet orally once daily for 12 weeks in the safety extension phase. Participants with body weight >25 kg who were randomized to receive oxybutynin ER tablet, at a daily dose in accordance with approved pediatric labeling and accepted practice, in active comparator phase; were allocated by investigator to receive fesoterodine 4 mg PR tablet orally once daily for first 1 week followed by fesoterodine 8 mg PR tablet orally once daily for another 11 weeks (if the fesoterodine 4 mg dose was well tolerated) in the safety extension phase and if dose was not tolerated participants were withdrawn from the study. Participants with body weight <=25 kg received fesoterodine 2 mg BIC capsules orally once daily for 12 weeks in safety extension phase. Participants with body weight <=25 kg received fesoterodine 4 mg BIC capsules orally once daily for 12 weeks in safety extension phase.
    Measure Participants 25 30 14 16 5 9
    Dominant hand: Change at Week 24
    0.00
    (0.00)
    0.50
    (2.01)
    0.00
    (0.00)
    0.00
    (0.00)
    0.00
    (0.00)
    0.11
    (2.76)
    Non-dominant hand: Change at Week 24
    0.60
    (2.40)
    0.21
    (0.96)
    0.14
    (0.66)
    0.00
    (0.00)
    0.60
    (2.61)
    -0.50
    (1.85)
    36. Secondary Outcome
    Title Number of Participants Meeting Pre-defined Criteria for Vital Signs Values From Baseline Through Week 12: Active Comparator/Efficacy Phase
    Description Pre-defined criteria for vital signs: 1) a) systolic blood pressure (SBP) of <90 millimeter of mercury (mmHg), b) change >=30 mmHg increase, c) change >=30 mmHg decrease; 2) a) diastolic blood pressure (DBP) of <50 mmHg, b) change >=20 mmHg increase, c) change >=20 mmHg decrease; 3) a) pulse rate value of <40 beats per minute (bpm), b) pulse rate value >120 bpm.
    Time Frame Baseline up to Week 12

    Outcome Measure Data

    Analysis Population Description
    Analysis set population for active comparator phase and efficacy phase: all participants of respective cohorts who received at least 1 dose of study medication in relevant phase. Here, "Overall Number of Participants Analyzed": participants evaluable for this outcome measure.
    Arm/Group Title Cohort 1, Active Comparator Phase: Fesoterodine 4 mg Cohort 1, Active Comparator Phase: Fesoterodine 4 mg Then 8 mg Cohort 1, Active Comparator Phase: Oxybutynin Cohort 2, Efficacy Phase: Fesoterodine 2 mg Cohort 2, Efficacy Phase: Fesoterodine 2 mg Then 4 mg
    Arm/Group Description Participants with body weight >25 kg were randomized to receive fesoterodine 4 mg PR tablet orally once daily for 12 weeks in active comparator phase. Participants with body weight >25 kg were randomized to receive fesoterodine 4 mg PR tablets orally once daily for first 1 week and if dose was tolerated well, participants received 8 mg PR tablet orally once daily for next 11 weeks in active comparator phase and if dose was not tolerated then participants were withdrawn from the study. Participants with body weight >25 kg were randomized to receive oxybutynin ER tablet, at a daily dose in accordance with approved pediatric labeling and accepted practice. Dose titration was done for first 4 weeks. After Week 4, participants remained on the optimized daily dose for next 8 weeks, in active comparator phase. Participants with body weight <=25 kg were randomized to receive fesoterodine 2 mg BIC capsule orally once daily for 12 weeks in efficacy phase. Participants with body weight <=25 kg were randomized to receive fesoterodine 2 mg BIC capsule orally once daily for first 1 week and if dose was tolerated well, participants received 4 mg BIC capsule orally once daily for next 11 weeks in efficacy phase and if dose was not tolerated then participants were withdrawn from the study.
    Measure Participants 40 41 40 24 29
    SBP: <90 mmHg
    2
    4.8%
    2
    4.8%
    0
    0%
    7
    25%
    4
    13.8%
    SBP: Change >=30 mmHg increase
    1
    2.4%
    2
    4.8%
    1
    2.5%
    0
    0%
    1
    3.4%
    SBP: Change >=30 mmHg decrease
    1
    2.4%
    0
    0%
    0
    0%
    0
    0%
    0
    0%
    DBP: <50 mmHg
    2
    4.8%
    1
    2.4%
    2
    5%
    3
    10.7%
    1
    3.4%
    DBP: Change >=20 mmHg increase
    1
    2.4%
    2
    4.8%
    1
    2.5%
    3
    10.7%
    4
    13.8%
    DBP: Change >=20 mmHg decrease
    1
    2.4%
    1
    2.4%
    1
    2.5%
    2
    7.1%
    0
    0%
    Pulse rate: <40 bpm
    0
    0%
    0
    0%
    0
    0%
    0
    0%
    0
    0%
    Pulse rate: >120 bpm
    2
    4.8%
    4
    9.5%
    0
    0%
    2
    7.1%
    3
    10.3%
    37. Secondary Outcome
    Title Number of Participants Meeting Pre-defined Criteria for Vital Signs Values From Baseline Through Week 24: Safety Extension Phase
    Description Pre-defined criteria for vital signs: 1) a) systolic blood pressure (SBP) of <90 millimeter of mercury (mmHg), b) change >=30 mmHg increase, c) change >=30 mmHg decrease; 2) a) diastolic blood pressure (DBP) of <50 mmHg, b) change >=20 mmHg increase, c) change >=20 mmHg decrease; 3) a) pulse rate value of <40 beats per minute (bpm), b) pulse rate value >120 bpm.
    Time Frame Baseline up to Week 24

    Outcome Measure Data

    Analysis Population Description
    Safety analysis set population for safety extension phase included all participants of respective cohorts who received at least 1 dose of study medication in the relevant phase of the study.
    Arm/Group Title Cohort 1, Safety Extension Phase: Fesoterodine 4 mg Cohort 1, Safety Extension Phase: Fesoterodine 8 mg Cohort 1, SEP: Oxybutynin Then Fesoterodine 4 mg Cohort 1, SEP: Oxybutynin Then Fesoterodine 4 mg Then 8 mg Cohort 2, Safety Extension Phase: Fesoterodine 2 mg Cohort 2, Safety Extension Phase: Fesoterodine 4 mg
    Arm/Group Description Participants with body weight >25 kg received fesoterodine 4 mg PR tablet orally once daily for 12 weeks in safety extension phase. Participants with body weight >25 kg received fesoterodine 8 mg PR tablet orally once daily for 12 weeks in safety extension phase. Participants with body weight >25 kg who were randomized to receive oxybutynin ER tablet, at a daily dose in accordance with approved pediatric labeling and accepted practice, in active comparator phase; were allocated by investigator to receive fesoterodine 4 mg PR tablet orally once daily for 12 weeks in the safety extension phase. Participants with body weight >25 kg who were randomized to receive oxybutynin ER tablet, at a daily dose in accordance with approved pediatric labeling and accepted practice, in active comparator phase; were allocated by investigator to receive fesoterodine 4 mg PR tablet orally once daily for first 1 week followed by fesoterodine 8 mg PR tablet orally once daily for another 11 weeks (if the fesoterodine 4 mg dose was well tolerated) in the safety extension phase and if dose was not tolerated participants were withdrawn from the study. Participants with body weight <=25 kg received fesoterodine 2 mg BIC capsules orally once daily for 12 weeks in safety extension phase. Participants with body weight <=25 kg received fesoterodine 4 mg BIC capsules orally once daily for 12 weeks in safety extension phase.
    Measure Participants 30 37 16 20 20 28
    SBP: <90 mmHg
    0
    0%
    3
    7.1%
    2
    5%
    1
    3.6%
    4
    13.8%
    2
    1.1%
    SBP: Change >=30 mmHg increase
    1
    2.4%
    0
    0%
    0
    0%
    0
    0%
    0
    0%
    0
    0%
    SBP: Change >=30 mmHg decrease
    0
    0%
    1
    2.4%
    0
    0%
    0
    0%
    0
    0%
    0
    0%
    DBP: <50 mmHg
    0
    0%
    2
    4.8%
    0
    0%
    0
    0%
    2
    6.9%
    0
    0%
    DBP: Change >=20 mmHg increase
    1
    2.4%
    0
    0%
    0
    0%
    0
    0%
    1
    3.4%
    2
    1.1%
    DBP: Change >=20 mmHg decrease
    1
    2.4%
    0
    0%
    0
    0%
    0
    0%
    0
    0%
    0
    0%
    Pulse rate: <40 bpm
    0
    0%
    0
    0%
    0
    0%
    0
    0%
    0
    0%
    0
    0%
    Pulse rate: >120 bpm
    0
    0%
    0
    0%
    0
    0%
    0
    0%
    0
    0%
    1
    0.6%
    38. Secondary Outcome
    Title Number of Participants With Clinically Significant Urinary Tract Infections (UTI): Active Comparator/Efficacy Phase
    Description Clinically significant UTI, counted as an adverse event was defined as: positive urine culture with a uropathogen (defined as >=10^5 colony forming unit per milliliter [CFU/mL]) and the presence of symptoms, or pyuria (defined as >50 white blood cells [WBC] per high-pass filter [hpf]) and the presence of symptoms, or positive urine culture with a uropathogen (defined as >=10^5 CFU/mL) with or without symptoms in a participant with a documented history of vesicoureteral reflux (VUR).
    Time Frame Week 1 up to Week 12

    Outcome Measure Data

    Analysis Population Description
    Safety analysis set population for active comparator phase and efficacy phase: all participants of respective cohorts who received at least 1 dose of study medication in relevant phase of the study.
    Arm/Group Title Cohort 1, Active Comparator Phase: Fesoterodine 4 mg Cohort 1, Active Comparator Phase: Fesoterodine 4 mg Then 8 mg Cohort 1, Active Comparator Phase: Oxybutynin Cohort 2, Efficacy Phase: Fesoterodine 2 mg Cohort 2, Efficacy Phase: Fesoterodine 2 mg Then 4 mg
    Arm/Group Description Participants with body weight >25 kg were randomized to receive fesoterodine 4 mg PR tablet orally once daily for 12 weeks in active comparator phase. Participants with body weight >25 kg were randomized to receive fesoterodine 4 mg PR tablets orally once daily for first 1 week and if dose was tolerated well, participants received 8 mg PR tablet orally once daily for next 11 weeks in active comparator phase and if dose was not tolerated then participants were withdrawn from the study. Participants with body weight >25 kg were randomized to receive oxybutynin ER tablet, at a daily dose in accordance with approved pediatric labeling and accepted practice. Dose titration was done for first 4 weeks. After Week 4, participants remained on the optimized daily dose for next 8 weeks, in active comparator phase. Participants with body weight <=25 kg were randomized to receive fesoterodine 2 mg BIC capsule orally once daily for 12 weeks in efficacy phase. Participants with body weight <=25 kg were randomized to receive fesoterodine 2 mg BIC capsule orally once daily for first 1 week and if dose was tolerated well, participants received 4 mg BIC capsule orally once daily for next 11 weeks in efficacy phase and if dose was not tolerated then participants were withdrawn from the study.
    Measure Participants 42 42 40 28 29
    Count of Participants [Participants]
    4
    9.5%
    1
    2.4%
    4
    10%
    3
    10.7%
    4
    13.8%
    39. Secondary Outcome
    Title Number of Participants With Clinically Significant Urinary Tract Infections (UTI): Safety Extension Phase
    Description Clinically significant UTI, counted as an adverse event was defined as: positive urine culture with a uropathogen (defined as >=10^5 CFU/mL) and the presence of symptoms, or pyuria (defined as >50 WBC per hpf and the presence of symptoms, or positive urine culture with a uropathogen (defined as >=10^5 CFU/mL) with or without symptoms in a participants with a documented history of VUR.
    Time Frame Week 12 up to Week 26

    Outcome Measure Data

    Analysis Population Description
    Safety analysis set population for safety extension phase included all participants of respective cohorts who received at least 1 dose of study medication in the relevant phase of the study.
    Arm/Group Title Cohort 1, Safety Extension Phase: Fesoterodine 4 mg Cohort 1, Safety Extension Phase: Fesoterodine 8 mg Cohort 1, SEP: Oxybutynin Then Fesoterodine 4 mg Cohort 1, SEP: Oxybutynin Then Fesoterodine 4 mg Then 8 mg Cohort 2, Safety Extension Phase: Fesoterodine 2 mg Cohort 2, Safety Extension Phase: Fesoterodine 4 mg
    Arm/Group Description Participants with body weight >25 kg received fesoterodine 4 mg PR tablet orally once daily for 12 weeks in safety extension phase. Participants with body weight >25 kg received fesoterodine 8 mg PR tablet orally once daily for 12 weeks in safety extension phase. Participants with body weight >25 kg who were randomized to receive oxybutynin ER tablet, at a daily dose in accordance with approved pediatric labeling and accepted practice, in active comparator phase; were allocated by investigator to receive fesoterodine 4 mg PR tablet orally once daily for 12 weeks in the safety extension phase. Participants with body weight >25 kg who were randomized to receive oxybutynin ER tablet, at a daily dose in accordance with approved pediatric labeling and accepted practice, in active comparator phase; were allocated by investigator to receive fesoterodine 4 mg PR tablet orally once daily for first 1 week followed by fesoterodine 8 mg PR tablet orally once daily for another 11 weeks (if the fesoterodine 4 mg dose was well tolerated) in the safety extension phase and if dose was not tolerated participants were withdrawn from the study. Participants with body weight <=25 kg received fesoterodine 2 mg BIC capsules orally once daily for 12 weeks in safety extension phase. Participants with body weight <=25 kg received fesoterodine 4 mg BIC capsules orally once daily for 12 weeks in safety extension phase.
    Measure Participants 30 37 16 20 20 28
    Count of Participants [Participants]
    0
    0%
    1
    2.4%
    2
    5%
    0
    0%
    1
    3.4%
    5
    2.8%
    40. Secondary Outcome
    Title Number of Participants With Clinical Laboratory Abnormalities: Active Comparator/Efficacy Phase
    Description Hematology: hemoglobin, hematocrit, erythrocytes <0.8*lower limit of normal (LLN), platelets<0.5*LLN>1.75*upper limit of normal (ULN), leukocytes <0.6*LLN>1.5*ULN, lymphocytes, neutrophils, <0.8*LLN >1.2*ULN, basophils, eosinophils, monocytes monocytes/leukocytes >1.2*ULN. Clinical chemistry: bilirubin, direct, bilirubin >1.5*ULN, aspartate aminotransferase (AT), alanine AT, gamma glutamyl transferase, lactate dehydrogenase, alkaline phosphatase>3.0*ULN, protein, albumin, phosphate <0.8*LLN >1.2*ULN, blood urea nitrogen, creatinine >1.3*ULN, urate >1.2*ULN, sodium<0.95*LLN>1.05*ULN, potassium, chloride, calcium bicarbonate<0.9*LLN>1.1*ULN, glucose<0.6*LLN>1.5*ULN, creatine kinase >2.0*ULN. Urinalysis: specific gravity <1.003>1.030, pH <4.5>8, urine glucose, ketones, urine protein, urine hemoglobin, urine bilirubin, nitrite, >=1, urine erythrocytes, urine leukocytes >=20, epithelial cells >=6, bacteria >20.
    Time Frame Week 1 up to Week 12

    Outcome Measure Data

    Analysis Population Description
    Safety analysis set population for active comparator phase and efficacy phase: all participants of respective cohorts who received at least 1 dose of study medication in relevant phase. Here, "Overall Number of Participants Analyzed": participants evaluable for this outcome measure.
    Arm/Group Title Cohort 1, Active Comparator Phase: Fesoterodine 4 mg Cohort 1, Active Comparator Phase: Fesoterodine 4 mg Then 8 mg Cohort 1, Active Comparator Phase: Oxybutynin Cohort 2, Efficacy Phase: Fesoterodine 2 mg Cohort 2, Efficacy Phase: Fesoterodine 2 mg Then 4 mg
    Arm/Group Description Participants with body weight >25 kg were randomized to receive fesoterodine 4 mg PR tablet orally once daily for 12 weeks in active comparator phase. Participants with body weight >25 kg were randomized to receive fesoterodine 4 mg PR tablets orally once daily for first 1 week and if dose was tolerated well, participants received 8 mg PR tablet orally once daily for next 11 weeks in active comparator phase and if dose was not tolerated then participants were withdrawn from the study. Participants with body weight >25 kg were randomized to receive oxybutynin ER tablet, at a daily dose in accordance with approved pediatric labeling and accepted practice. Dose titration was done for first 4 weeks. After Week 4, participants remained on the optimized daily dose for next 8 weeks, in active comparator phase. Participants with body weight <=25 kg were randomized to receive fesoterodine 2 mg BIC capsule orally once daily for 12 weeks in efficacy phase. Participants with body weight <=25 kg were randomized to receive fesoterodine 2 mg BIC capsule orally once daily for first 1 week and if dose was tolerated well, participants received 4 mg BIC capsule orally once daily for next 11 weeks in efficacy phase and if dose was not tolerated then participants were withdrawn from the study.
    Measure Participants 39 41 39 24 29
    Count of Participants [Participants]
    30
    71.4%
    29
    69%
    27
    67.5%
    19
    67.9%
    19
    65.5%
    41. Secondary Outcome
    Title Number of Participants With Clinical Laboratory Abnormalities: Safety Extension Phase
    Description Hematology: hemoglobin, hematocrit, erythrocytes <0.8*lower limit of normal (LLN), platelets<0.5*LLN>1.75*upper limit of normal (ULN), leukocytes <0.6*LLN>1.5*ULN, lymphocytes, neutrophils, <0.8*LLN >1.2*ULN, basophils, eosinophils, monocytes monocytes/leukocytes >1.2*ULN. Clinical chemistry: bilirubin, direct, bilirubin >1.5*ULN, aspartate aminotransferase (AT), alanine AT, gamma glutamyl transferase, lactate dehydrogenase, alkaline phosphatase>3.0*ULN, protein, albumin, phosphate <0.8*LLN >1.2*ULN, blood urea nitrogen, creatinine >1.3*ULN, urate >1.2*ULN, sodium<0.95*LLN>1.05*ULN, potassium, chloride, calcium bicarbonate<0.9*LLN>1.1*ULN, glucose<0.6*LLN>1.5*ULN, creatine kinase >2.0*ULN. Urinalysis: specific gravity <1.003>1.030, pH <4.5>8, urine glucose, ketones, urine protein, urine hemoglobin, urine bilirubin, nitrite, >=1, urine erythrocytes, urine leukocytes >=20, epithelial cells >=6, bacteria >20.
    Time Frame Week 12 up to Week 26

    Outcome Measure Data

    Analysis Population Description
    Safety analysis set population for safety extension phase: all participants of respective cohorts who received at least 1 dose of study medication in the relevant phase. Here, "Overall Number of Participants Analyzed": participants evaluable for this outcome measure.
    Arm/Group Title Cohort 1, Safety Extension Phase: Fesoterodine 4 mg Cohort 1, Safety Extension Phase: Fesoterodine 8 mg Cohort 1, SEP: Oxybutynin Then Fesoterodine 4 mg Cohort 1, SEP: Oxybutynin Then Fesoterodine 4 mg Then 8 mg Cohort 2, Safety Extension Phase: Fesoterodine 2 mg Cohort 2, Safety Extension Phase: Fesoterodine 4 mg
    Arm/Group Description Participants with body weight >25 kg received fesoterodine 4 mg PR tablet orally once daily for 12 weeks in safety extension phase. Participants with body weight >25 kg received fesoterodine 8 mg PR tablet orally once daily for 12 weeks in safety extension phase. Participants with body weight >25 kg who were randomized to receive oxybutynin ER tablet, at a daily dose in accordance with approved pediatric labeling and accepted practice, in active comparator phase; were allocated by investigator to receive fesoterodine 4 mg PR tablet orally once daily for 12 weeks in the safety extension phase. Participants with body weight >25 kg who were randomized to receive oxybutynin ER tablet, at a daily dose in accordance with approved pediatric labeling and accepted practice, in active comparator phase; were allocated by investigator to receive fesoterodine 4 mg PR tablet orally once daily for first 1 week followed by fesoterodine 8 mg PR tablet orally once daily for another 11 weeks (if the fesoterodine 4 mg dose was well tolerated) in the safety extension phase and if dose was not tolerated participants were withdrawn from the study. Participants with body weight <=25 kg received fesoterodine 2 mg BIC capsules orally once daily for 12 weeks in safety extension phase. Participants with body weight <=25 kg received fesoterodine 4 mg BIC capsules orally once daily for 12 weeks in safety extension phase.
    Measure Participants 30 36 16 19 20 28
    Count of Participants [Participants]
    19
    45.2%
    22
    52.4%
    7
    17.5%
    12
    42.9%
    15
    51.7%
    21
    11.6%
    42. Secondary Outcome
    Title Change From Baseline in Post-Void Residual (PVR) Volume at Weeks 4, 12: Active Comparator Phase/Efficacy Phase
    Description Post-void residual volume measurement was measured by an ultrasound. PVR volume was only assessed for participants who did not perform clean intermittent catheterization or in any participants who had >1 UTI during the study.
    Time Frame Baseline, Week 4, 12

    Outcome Measure Data

    Analysis Population Description
    Safety analysis set population for active comparator phase and efficacy phase: all participants of respective cohorts who received at least 1 dose of study medication in relevant phase. Here, "Overall Number of Participants Analyzed": participants evaluable for this outcome measure; "Number Analyzed": participants evaluable at specified time points.
    Arm/Group Title Cohort 1, Active Comparator Phase: Fesoterodine 4 mg Cohort 1, Active Comparator Phase: Fesoterodine 4 mg Then 8 mg Cohort 1, Active Comparator Phase: Oxybutynin Cohort 2, Efficacy Phase: Fesoterodine 2 mg Cohort 2, Efficacy Phase: Fesoterodine 2 mg Then 4 mg
    Arm/Group Description Participants with body weight >25 kg were randomized to receive fesoterodine 4 mg PR tablet orally once daily for 12 weeks in active comparator phase. Participants with body weight >25 kg were randomized to receive fesoterodine 4 mg PR tablets orally once daily for first 1 week and if dose was tolerated well, participants received 8 mg PR tablet orally once daily for next 11 weeks in active comparator phase and if dose was not tolerated then participants were withdrawn from the study. Participants with body weight >25 kg were randomized to receive oxybutynin ER tablet, at a daily dose in accordance with approved pediatric labeling and accepted practice. Dose titration was done for first 4 weeks. After Week 4, participants remained on the optimized daily dose for next 8 weeks, in active comparator phase. Participants with body weight <=25 kg were randomized to receive fesoterodine 2 mg BIC capsule orally once daily for 12 weeks in efficacy phase. Participants with body weight <=25 kg were randomized to receive fesoterodine 2 mg BIC capsule orally once daily for first 1 week and if dose was tolerated well, participants received 4 mg BIC capsule orally once daily for next 11 weeks in efficacy phase and if dose was not tolerated then participants were withdrawn from the study.
    Measure Participants 6 7 9 6 6
    Baseline
    7.00
    (8.20)
    9.57
    (12.54)
    5.78
    (7.98)
    14.7
    (14.31)
    10.7
    (7.94)
    Change at Week 4
    5.40
    (7.60)
    -7.33
    (10.88)
    19.11
    (24.52)
    -2.00
    (6.24)
    10.25
    (34.40)
    Change at Week 12
    25.60
    (53.42)
    -4.00
    (8.41)
    12.86
    (43.48)
    2.50
    (16.05)
    0.75
    (17.46)
    43. Secondary Outcome
    Title Change From Baseline in Post-Void Residual Volume at Week 24: Safety Extension Phase
    Description Post-void residual volume measurement was measured by an ultrasound. PVR volume was only assessed for participants who did not perform clean intermittent catheterization or in any participants who had >1 UTI during the study.
    Time Frame Baseline, Week 24

    Outcome Measure Data

    Analysis Population Description
    Safety analysis set population for safety extension phase: all participants of respective cohorts who received at least 1 dose of study medication in the relevant phase. Here, "Overall Number of Participants Analyzed": participants evaluable for this outcome measure.
    Arm/Group Title Cohort 1, Safety Extension Phase: Fesoterodine 4 mg Cohort 1, Safety Extension Phase: Fesoterodine 8 mg Cohort 1, SEP: Oxybutynin Then Fesoterodine 4 mg Cohort 1, SEP: Oxybutynin Then Fesoterodine 4 mg Then 8 mg Cohort 2, Safety Extension Phase: Fesoterodine 2 mg Cohort 2, Safety Extension Phase: Fesoterodine 4 mg
    Arm/Group Description Participants with body weight >25 kg received fesoterodine 4 mg PR tablet orally once daily for 12 weeks in safety extension phase. Participants with body weight >25 kg received fesoterodine 8 mg PR tablet orally once daily for 12 weeks in safety extension phase. Participants with body weight >25 kg who were randomized to receive oxybutynin ER tablet, at a daily dose in accordance with approved pediatric labeling and accepted practice, in active comparator phase; were allocated by investigator to receive fesoterodine 4 mg PR tablet orally once daily for 12 weeks in the safety extension phase. Participants with body weight >25 kg who were randomized to receive oxybutynin ER tablet, at a daily dose in accordance with approved pediatric labeling and accepted practice, in active comparator phase; were allocated by investigator to receive fesoterodine 4 mg PR tablet orally once daily for first 1 week followed by fesoterodine 8 mg PR tablet orally once daily for another 11 weeks (if the fesoterodine 4 mg dose was well tolerated) in the safety extension phase and if dose was not tolerated participants were withdrawn from the study. Participants with body weight <=25 kg received fesoterodine 2 mg BIC capsules orally once daily for 12 weeks in safety extension phase. Participants with body weight <=25 kg received fesoterodine 4 mg BIC capsules orally once daily for 12 weeks in safety extension phase.
    Measure Participants 4 5 5 3 3 4
    Mean (Standard Deviation) [milliliter]
    11.50
    (23.67)
    11.60
    (29.43)
    18.00
    (31.36)
    36.67
    (59.23)
    21.67
    (20.21)
    2.75
    (14.50)
    44. Secondary Outcome
    Title Number of Participants With Clinically Relevant Changes in Physical Examination Findings From Baseline to Week 12: Active Comparator/Efficacy Phase
    Description Physical examination included assessment of the general appearance and the skin, head, ears, eyes, nose, mouth, throat, respiratory, cardiovascular, gastrointestinal, musculoskeletal and neurological systems. Clinically relevant changes in physical findings were assessed by the investigator.
    Time Frame Baseline up to Week 12

    Outcome Measure Data

    Analysis Population Description
    Safety analysis set population for active comparator phase and efficacy phase: all participants of respective cohorts who received at least 1 dose of study medication in relevant phase of the study. Here, "Overall Number of Participants Analyzed": participants evaluable for this outcome measure.
    Arm/Group Title Cohort 1, Active Comparator Phase: Fesoterodine 4 mg Cohort 1, Active Comparator Phase: Fesoterodine 4 mg Then 8 mg Cohort 1, Active Comparator Phase: Oxybutynin Cohort 2, Efficacy Phase: Fesoterodine 2 mg Cohort 2, Efficacy Phase: Fesoterodine 2 mg Then 4 mg
    Arm/Group Description Participants with body weight >25 kg were randomized to receive fesoterodine 4 mg PR tablet orally once daily for 12 weeks in active comparator phase. Participants with body weight >25 kg were randomized to receive fesoterodine 4 mg PR tablets orally once daily for first 1 week and if dose was tolerated well, participants received 8 mg PR tablet orally once daily for next 11 weeks in active comparator phase and if dose was not tolerated then participants were withdrawn from the study. Participants with body weight >25 kg were randomized to receive oxybutynin ER tablet, at a daily dose in accordance with approved pediatric labeling and accepted practice. Dose titration was done for first 4 weeks. After Week 4, participants remained on the optimized daily dose for next 8 weeks, in active comparator phase. Participants with body weight <=25 kg were randomized to receive fesoterodine 2 mg BIC capsule orally once daily for 12 weeks in efficacy phase. Participants with body weight <=25 kg were randomized to receive fesoterodine 2 mg BIC capsule orally once daily for first 1 week and if dose was tolerated well, participants received 4 mg BIC capsule orally once daily for next 11 weeks in efficacy phase and if dose was not tolerated then participants were withdrawn from the study.
    Measure Participants 38 42 40 28 29
    Count of Participants [Participants]
    2
    4.8%
    1
    2.4%
    1
    2.5%
    1
    3.6%
    0
    0%
    45. Secondary Outcome
    Title Number of Participants With Clinically Relevant Changes in Physical Examination Findings From Baseline to Week 24: Safety Extension Phase
    Description Physical examination included assessment of the general appearance and the skin, head, ears, eyes, nose, mouth, throat, respiratory, cardiovascular, gastrointestinal, musculoskeletal and neurological systems. Clinically relevant changes in physical findings were assessed by the investigator.
    Time Frame Baseline up to Week 24

    Outcome Measure Data

    Analysis Population Description
    Safety analysis set population for safety extension phase included all participants of respective cohorts who received at least 1 dose of study medication in the relevant phase of the study.
    Arm/Group Title Cohort 1, Safety Extension Phase: Fesoterodine 4 mg Cohort 1, Safety Extension Phase: Fesoterodine 8 mg Cohort 1, SEP: Oxybutynin Then Fesoterodine 4 mg Cohort 1, SEP: Oxybutynin Then Fesoterodine 4 mg Then 8 mg Cohort 2, Safety Extension Phase: Fesoterodine 2 mg Cohort 2, Safety Extension Phase: Fesoterodine 4 mg
    Arm/Group Description Participants with body weight >25 kg received fesoterodine 4 mg PR tablet orally once daily for 12 weeks in safety extension phase. Participants with body weight >25 kg received fesoterodine 8 mg PR tablet orally once daily for 12 weeks in safety extension phase. Participants with body weight >25 kg who were randomized to receive oxybutynin ER tablet, at a daily dose in accordance with approved pediatric labeling and accepted practice, in active comparator phase; were allocated by investigator to receive fesoterodine 4 mg PR tablet orally once daily for 12 weeks in the safety extension phase. Participants with body weight >25 kg who were randomized to receive oxybutynin ER tablet, at a daily dose in accordance with approved pediatric labeling and accepted practice, in active comparator phase; were allocated by investigator to receive fesoterodine 4 mg PR tablet orally once daily for first 1 week followed by fesoterodine 8 mg PR tablet orally once daily for another 11 weeks (if the fesoterodine 4 mg dose was well tolerated) in the safety extension phase and if dose was not tolerated participants were withdrawn from the study. Participants with body weight <=25 kg received fesoterodine 2 mg BIC capsules orally once daily for 12 weeks in safety extension phase. Participants with body weight <=25 kg received fesoterodine 4 mg BIC capsules orally once daily for 12 weeks in safety extension phase.
    Measure Participants 30 37 16 20 20 28
    Count of Participants [Participants]
    3
    7.1%
    2
    4.8%
    0
    0%
    0
    0%
    0
    0%
    2
    1.1%
    46. Secondary Outcome
    Title Absorption Rate Constant (Ka) of Fesoterodine
    Description Absorption rate constant is used to determine rate at which drug is entering into body. Pharmacokinetic (PK) analysis was not done separately for each dose of fesoterodine in respective cohorts and were combined for PK analysis using PK modelling approach.
    Time Frame Week 4, Day 1: pre-dose (when dose administered at clinic) or if dose taken at home up to 3 hours before coming to the clinic, sampling just after arrival at clinic, 5 hours post-dose, 8-10 hours post-dose (if participants remained at clinic)

    Outcome Measure Data

    Analysis Population Description
    The PK analysis population included all participants randomized and treated with fesoterodine and who had at least 1 of the PK parameters of primary interest during the study.
    Arm/Group Title Fesoterodine Pooled
    Arm/Group Description Participants received any dose of fesoterodine in the study from Week 1 to Week 24.
    Measure Participants 121
    Mean (Standard Error) [per hour]
    0.0897
    (5.99)
    47. Secondary Outcome
    Title Apparent Oral Clearance (CL/F) of Fesoterodine
    Description Clearance determines the rate at which a drug is metabolized or eliminated by normal biological processes. PK analysis was not done separately for each dose of fesoterodine in respective cohorts and were combined for PK analysis using PK modelling approach.
    Time Frame Week 4, Day 1: pre-dose (when dose administered at clinic) or if dose taken at home up to 3 hours before coming to the clinic, sampling just after arrival at clinic, 5 hours post-dose, 8-10 hours post-dose (if participants remained at clinic)

    Outcome Measure Data

    Analysis Population Description
    The PK analysis population included all participants randomized and treated with fesoterodine and who had at least 1 of the PK parameters of primary interest during the study.
    Arm/Group Title Fesoterodine Pooled
    Arm/Group Description Participants received any dose of fesoterodine in the study from Week 1 to Week 24.
    Measure Participants 121
    Mean (Standard Error) [liter per hour]
    71.6
    (6.7)
    48. Secondary Outcome
    Title Volume of Distribution (Vd) of Fesoterodine
    Description Volume of distribution is defined as the theoretical volume in which the total amount of drug would need to be uniformly distributed to produce the desired plasma concentration of a drug. PK analysis was not done separately for each dose of fesoterodine in respective cohorts and were combined for PK analysis using PK modelling approach.
    Time Frame Week 4, Day 1: pre-dose (when dose administered at clinic) or if dose taken at home up to 3 hours before coming to the clinic, sampling just after arrival at clinic, 5 hours post-dose, 8-10 hours post-dose (if participants remained at clinic)

    Outcome Measure Data

    Analysis Population Description
    The PK analysis population included all participants randomized and treated with fesoterodine and who had at least 1 of the PK parameters of primary interest during the study.
    Arm/Group Title Fesoterodine Pooled
    Arm/Group Description Participants received any dose of fesoterodine in the study from Week 1 to Week 24.
    Measure Participants 121
    Mean (Standard Error) [liter]
    68.1
    (29.7)

    Adverse Events

    Time Frame Baseline up to Week 26 (includes 2 week of follow up)
    Adverse Event Reporting Description Same event may appear as AE and serious AE, what is presented are distinct events. Event may be categorized as serious in 1 participant and as non-serious in another participant or 1 participant may have experienced both serious and non-serious event during study. Safety analysis population evaluated.
    Arm/Group Title Cohort 1, Active Comparator Phase: Fesoterodine 4 mg Cohort 1, Active Comparator Phase: Fesoterodine 4 mg Then 8 mg Cohort 1, Active Comparator Phase: Oxybutynin Cohort 1, Safety Extension Phase: Fesoterodine 4 mg Cohort 1, Safety Extension Phase (SEP): Fesoterodine 8 mg Cohort 1, SEP: Oxybutynin Then Fesoterodine 4 mg Cohort 1,SEP: Oxybutynin Then Fesoterodine 8 mg Cohort 2, Efficacy Phase: Fesoterodine 2 mg Cohort 2 Efficacy Phase: Fesoterodine 4 mg Cohort 2, Safety Extension Phase: Fesoterodine 2 mg Cohort 2, Safety Extension Phase: Fesoterodine 4 mg
    Arm/Group Description Participants with body weight >25 kg were randomized to receive fesoterodine 4 mg PR tablet orally once daily for 12 weeks in active comparator phase. Participants with body weight >25 kg were randomized to receive fesoterodine 4 mg PR tablets orally once daily for first 1 week and if dose was tolerated well, participants received 8 mg PR tablet orally once daily for next 11 weeks in active comparator phase and if dose was not tolerated then participants were withdrawn from the study. Participants with body weight >25 kg were randomized to receive oxybutynin ER tablet, at a daily dose in accordance with approved pediatric labeling and accepted practice. Dose titration was done for first 4 weeks. After Week 4, participants remained on the optimized daily dose for next 8 weeks, in active comparator phase. Participants with body weight >25 kg received fesoterodine 4 mg PR tablet orally once daily for 12 weeks in safety extension phase. Participants with body weight >25 kg received fesoterodine 8 mg PR tablet orally once daily for 12 weeks in safety extension phase. Participants with body weight >25 kg who were randomized to receive oxybutynin ER tablet, at a daily dose in accordance with approved pediatric labeling and accepted practice, in active comparator phase; were allocated by investigator to receive fesoterodine 4 mg PR tablet orally once daily for 12 weeks in the safety extension phase. Participants with body weight >25 kg who were randomized to receive oxybutynin ER tablet, at a daily dose in accordance with approved pediatric labeling and accepted practice, in active comparator phase; were allocated by investigator to receive fesoterodine 4 mg PR tablet orally once daily for first 1 week followed by fesoterodine 8 mg PR tablet orally once daily for another 11 weeks (if the fesoterodine 4 mg dose was well tolerated) in the safety extension phase and if dose was not tolerated participants were withdrawn from the study. Participants with body weight <=25 kg were randomized to receive fesoterodine 2 mg BIC capsule orally once daily for 12 weeks in efficacy phase. Participants with body weight <=25 kg were randomized to receive fesoterodine 2 mg BIC capsule orally once daily for first 1 week and if dose was tolerated well, participants received 4 mg BIC capsule orally once daily for next 11 weeks in efficacy phase and if dose was not tolerated then participants were withdrawn from the study. Participants with body weight <=25 kg received fesoterodine 2 mg BIC capsules orally once daily for 12 weeks in safety extension phase. Participants with body weight <=25 kg received fesoterodine 4 mg BIC capsules orally once daily for 12 weeks in safety extension phase.
    All Cause Mortality
    Cohort 1, Active Comparator Phase: Fesoterodine 4 mg Cohort 1, Active Comparator Phase: Fesoterodine 4 mg Then 8 mg Cohort 1, Active Comparator Phase: Oxybutynin Cohort 1, Safety Extension Phase: Fesoterodine 4 mg Cohort 1, Safety Extension Phase (SEP): Fesoterodine 8 mg Cohort 1, SEP: Oxybutynin Then Fesoterodine 4 mg Cohort 1,SEP: Oxybutynin Then Fesoterodine 8 mg Cohort 2, Efficacy Phase: Fesoterodine 2 mg Cohort 2 Efficacy Phase: Fesoterodine 4 mg Cohort 2, Safety Extension Phase: Fesoterodine 2 mg Cohort 2, Safety Extension Phase: Fesoterodine 4 mg
    Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events
    Total 0/42 (0%) 0/42 (0%) 0/40 (0%) 0/30 (0%) 0/37 (0%) 0/16 (0%) 0/20 (0%) 0/28 (0%) 0/29 (0%) 0/20 (0%) 0/28 (0%)
    Serious Adverse Events
    Cohort 1, Active Comparator Phase: Fesoterodine 4 mg Cohort 1, Active Comparator Phase: Fesoterodine 4 mg Then 8 mg Cohort 1, Active Comparator Phase: Oxybutynin Cohort 1, Safety Extension Phase: Fesoterodine 4 mg Cohort 1, Safety Extension Phase (SEP): Fesoterodine 8 mg Cohort 1, SEP: Oxybutynin Then Fesoterodine 4 mg Cohort 1,SEP: Oxybutynin Then Fesoterodine 8 mg Cohort 2, Efficacy Phase: Fesoterodine 2 mg Cohort 2 Efficacy Phase: Fesoterodine 4 mg Cohort 2, Safety Extension Phase: Fesoterodine 2 mg Cohort 2, Safety Extension Phase: Fesoterodine 4 mg
    Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events
    Total 3/42 (7.1%) 2/42 (4.8%) 1/40 (2.5%) 0/30 (0%) 2/37 (5.4%) 0/16 (0%) 0/20 (0%) 2/28 (7.1%) 2/29 (6.9%) 0/20 (0%) 2/28 (7.1%)
    Infections and infestations
    Cellulitis 1/42 (2.4%) 0/42 (0%) 0/40 (0%) 0/30 (0%) 0/37 (0%) 0/16 (0%) 0/20 (0%) 0/28 (0%) 0/29 (0%) 0/20 (0%) 0/28 (0%)
    Complicated appendicitis 1/42 (2.4%) 0/42 (0%) 0/40 (0%) 0/30 (0%) 0/37 (0%) 0/16 (0%) 0/20 (0%) 0/28 (0%) 0/29 (0%) 0/20 (0%) 0/28 (0%)
    Epididymitis 0/42 (0%) 1/42 (2.4%) 0/40 (0%) 0/30 (0%) 0/37 (0%) 0/16 (0%) 0/20 (0%) 0/28 (0%) 0/29 (0%) 0/20 (0%) 0/28 (0%)
    Peritonitis 1/42 (2.4%) 0/42 (0%) 0/40 (0%) 0/30 (0%) 0/37 (0%) 0/16 (0%) 0/20 (0%) 0/28 (0%) 1/29 (3.4%) 0/20 (0%) 0/28 (0%)
    Pyelonephritis acute 0/42 (0%) 0/42 (0%) 0/40 (0%) 0/30 (0%) 1/37 (2.7%) 0/16 (0%) 0/20 (0%) 0/28 (0%) 0/29 (0%) 0/20 (0%) 0/28 (0%)
    Urinary tract infection 1/42 (2.4%) 0/42 (0%) 1/40 (2.5%) 0/30 (0%) 0/37 (0%) 0/16 (0%) 0/20 (0%) 1/28 (3.6%) 1/29 (3.4%) 0/20 (0%) 1/28 (3.6%)
    Viral infection 0/42 (0%) 1/42 (2.4%) 0/40 (0%) 0/30 (0%) 0/37 (0%) 0/16 (0%) 0/20 (0%) 0/28 (0%) 0/29 (0%) 0/20 (0%) 0/28 (0%)
    Appendicitis 0/42 (0%) 0/42 (0%) 0/40 (0%) 0/30 (0%) 0/37 (0%) 0/16 (0%) 0/20 (0%) 0/28 (0%) 1/29 (3.4%) 0/20 (0%) 0/28 (0%)
    Dengue fever 0/42 (0%) 0/42 (0%) 0/40 (0%) 0/30 (0%) 0/37 (0%) 0/16 (0%) 0/20 (0%) 0/28 (0%) 0/29 (0%) 0/20 (0%) 1/28 (3.6%)
    Injury, poisoning and procedural complications
    Animal bite 0/42 (0%) 0/42 (0%) 0/40 (0%) 0/30 (0%) 0/37 (0%) 0/16 (0%) 0/20 (0%) 1/28 (3.6%) 0/29 (0%) 0/20 (0%) 0/28 (0%)
    Musculoskeletal and connective tissue disorders
    Epiphysiolysis 1/42 (2.4%) 0/42 (0%) 0/40 (0%) 0/30 (0%) 0/37 (0%) 0/16 (0%) 0/20 (0%) 0/28 (0%) 0/29 (0%) 0/20 (0%) 0/28 (0%)
    Renal and urinary disorders
    Acute kidney injury 0/42 (0%) 0/42 (0%) 1/40 (2.5%) 0/30 (0%) 0/37 (0%) 0/16 (0%) 0/20 (0%) 0/28 (0%) 0/29 (0%) 0/20 (0%) 0/28 (0%)
    Hydronephrosis 0/42 (0%) 0/42 (0%) 1/40 (2.5%) 0/30 (0%) 0/37 (0%) 0/16 (0%) 0/20 (0%) 0/28 (0%) 0/29 (0%) 0/20 (0%) 0/28 (0%)
    Reproductive system and breast disorders
    Ovarian cyst 0/42 (0%) 0/42 (0%) 0/40 (0%) 0/30 (0%) 1/37 (2.7%) 0/16 (0%) 0/20 (0%) 0/28 (0%) 0/29 (0%) 0/20 (0%) 0/28 (0%)
    Skin and subcutaneous tissue disorders
    Decubitus ulcer 1/42 (2.4%) 0/42 (0%) 0/40 (0%) 0/30 (0%) 0/37 (0%) 0/16 (0%) 0/20 (0%) 0/28 (0%) 0/29 (0%) 0/20 (0%) 0/28 (0%)
    Other (Not Including Serious) Adverse Events
    Cohort 1, Active Comparator Phase: Fesoterodine 4 mg Cohort 1, Active Comparator Phase: Fesoterodine 4 mg Then 8 mg Cohort 1, Active Comparator Phase: Oxybutynin Cohort 1, Safety Extension Phase: Fesoterodine 4 mg Cohort 1, Safety Extension Phase (SEP): Fesoterodine 8 mg Cohort 1, SEP: Oxybutynin Then Fesoterodine 4 mg Cohort 1,SEP: Oxybutynin Then Fesoterodine 8 mg Cohort 2, Efficacy Phase: Fesoterodine 2 mg Cohort 2 Efficacy Phase: Fesoterodine 4 mg Cohort 2, Safety Extension Phase: Fesoterodine 2 mg Cohort 2, Safety Extension Phase: Fesoterodine 4 mg
    Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events
    Total 26/42 (61.9%) 19/42 (45.2%) 30/40 (75%) 14/30 (46.7%) 13/37 (35.1%) 9/16 (56.3%) 11/20 (55%) 19/28 (67.9%) 17/29 (58.6%) 11/20 (55%) 14/28 (50%)
    Blood and lymphatic system disorders
    Thrombocytopenia 1/42 (2.4%) 0/42 (0%) 0/40 (0%) 0/30 (0%) 0/37 (0%) 0/16 (0%) 0/20 (0%) 0/28 (0%) 0/29 (0%) 0/20 (0%) 0/28 (0%)
    Cardiac disorders
    Supraventricular extrasystoles 0/42 (0%) 0/42 (0%) 0/40 (0%) 0/30 (0%) 0/37 (0%) 0/16 (0%) 0/20 (0%) 1/28 (3.6%) 0/29 (0%) 0/20 (0%) 0/28 (0%)
    Tachycardia 0/42 (0%) 0/42 (0%) 0/40 (0%) 0/30 (0%) 0/37 (0%) 0/16 (0%) 0/20 (0%) 1/28 (3.6%) 0/29 (0%) 0/20 (0%) 0/28 (0%)
    Ear and labyrinth disorders
    Vertigo positional 0/42 (0%) 0/42 (0%) 0/40 (0%) 0/30 (0%) 0/37 (0%) 0/16 (0%) 1/20 (5%) 0/28 (0%) 0/29 (0%) 0/20 (0%) 0/28 (0%)
    Ear pain 0/42 (0%) 0/42 (0%) 0/40 (0%) 1/30 (3.3%) 0/37 (0%) 0/16 (0%) 0/20 (0%) 0/28 (0%) 0/29 (0%) 0/20 (0%) 0/28 (0%)
    Eye disorders
    Astigmatism 0/42 (0%) 0/42 (0%) 0/40 (0%) 0/30 (0%) 0/37 (0%) 0/16 (0%) 0/20 (0%) 1/28 (3.6%) 0/29 (0%) 0/20 (0%) 0/28 (0%)
    Myopia 1/42 (2.4%) 1/42 (2.4%) 1/40 (2.5%) 1/30 (3.3%) 0/37 (0%) 0/16 (0%) 1/20 (5%) 0/28 (0%) 1/29 (3.4%) 0/20 (0%) 1/28 (3.6%)
    Strabismus 0/42 (0%) 0/42 (0%) 0/40 (0%) 0/30 (0%) 0/37 (0%) 0/16 (0%) 0/20 (0%) 1/28 (3.6%) 0/29 (0%) 0/20 (0%) 0/28 (0%)
    Vision blurred 0/42 (0%) 0/42 (0%) 0/40 (0%) 1/30 (3.3%) 0/37 (0%) 0/16 (0%) 0/20 (0%) 0/28 (0%) 0/29 (0%) 0/20 (0%) 0/28 (0%)
    Accommodation disorder 1/42 (2.4%) 0/42 (0%) 0/40 (0%) 0/30 (0%) 0/37 (0%) 0/16 (0%) 0/20 (0%) 0/28 (0%) 0/29 (0%) 0/20 (0%) 0/28 (0%)
    Eye pruritus 0/42 (0%) 0/42 (0%) 1/40 (2.5%) 0/30 (0%) 0/37 (0%) 0/16 (0%) 0/20 (0%) 0/28 (0%) 0/29 (0%) 0/20 (0%) 0/28 (0%)
    Visual impairment 0/42 (0%) 0/42 (0%) 0/40 (0%) 0/30 (0%) 1/37 (2.7%) 0/16 (0%) 0/20 (0%) 0/28 (0%) 0/29 (0%) 0/20 (0%) 0/28 (0%)
    Gastrointestinal disorders
    Abdominal pain 1/42 (2.4%) 1/42 (2.4%) 2/40 (5%) 0/30 (0%) 0/37 (0%) 0/16 (0%) 0/20 (0%) 1/28 (3.6%) 1/29 (3.4%) 0/20 (0%) 0/28 (0%)
    Abdominal pain upper 2/42 (4.8%) 1/42 (2.4%) 2/40 (5%) 0/30 (0%) 0/37 (0%) 0/16 (0%) 0/20 (0%) 0/28 (0%) 0/29 (0%) 0/20 (0%) 0/28 (0%)
    Constipation 3/42 (7.1%) 3/42 (7.1%) 5/40 (12.5%) 0/30 (0%) 0/37 (0%) 1/16 (6.3%) 0/20 (0%) 0/28 (0%) 2/29 (6.9%) 0/20 (0%) 0/28 (0%)
    Diarrhoea 5/42 (11.9%) 3/42 (7.1%) 1/40 (2.5%) 1/30 (3.3%) 1/37 (2.7%) 0/16 (0%) 0/20 (0%) 1/28 (3.6%) 1/29 (3.4%) 1/20 (5%) 0/28 (0%)
    Dry mouth 3/42 (7.1%) 4/42 (9.5%) 11/40 (27.5%) 1/30 (3.3%) 0/37 (0%) 1/16 (6.3%) 0/20 (0%) 0/28 (0%) 1/29 (3.4%) 0/20 (0%) 0/28 (0%)
    Faeces soft 0/42 (0%) 0/42 (0%) 0/40 (0%) 0/30 (0%) 0/37 (0%) 0/16 (0%) 0/20 (0%) 1/28 (3.6%) 0/29 (0%) 0/20 (0%) 0/28 (0%)
    Lip dry 0/42 (0%) 0/42 (0%) 0/40 (0%) 0/30 (0%) 0/37 (0%) 0/16 (0%) 0/20 (0%) 1/28 (3.6%) 0/29 (0%) 0/20 (0%) 0/28 (0%)
    Nausea 2/42 (4.8%) 1/42 (2.4%) 2/40 (5%) 0/30 (0%) 1/37 (2.7%) 0/16 (0%) 0/20 (0%) 1/28 (3.6%) 1/29 (3.4%) 0/20 (0%) 0/28 (0%)
    Vomiting 0/42 (0%) 0/42 (0%) 2/40 (5%) 0/30 (0%) 1/37 (2.7%) 1/16 (6.3%) 0/20 (0%) 0/28 (0%) 1/29 (3.4%) 1/20 (5%) 0/28 (0%)
    Toothache 1/42 (2.4%) 0/42 (0%) 0/40 (0%) 1/30 (3.3%) 0/37 (0%) 0/16 (0%) 0/20 (0%) 0/28 (0%) 0/29 (0%) 0/20 (0%) 0/28 (0%)
    Abdominal discomfort 0/42 (0%) 0/42 (0%) 1/40 (2.5%) 0/30 (0%) 0/37 (0%) 0/16 (0%) 0/20 (0%) 0/28 (0%) 0/29 (0%) 0/20 (0%) 0/28 (0%)
    Abdominal pain lower 0/42 (0%) 0/42 (0%) 1/40 (2.5%) 0/30 (0%) 0/37 (0%) 0/16 (0%) 0/20 (0%) 0/28 (0%) 0/29 (0%) 0/20 (0%) 0/28 (0%)
    Dental caries 0/42 (0%) 1/42 (2.4%) 0/40 (0%) 0/30 (0%) 0/37 (0%) 0/16 (0%) 0/20 (0%) 0/28 (0%) 0/29 (0%) 0/20 (0%) 0/28 (0%)
    Dysphagia 0/42 (0%) 0/42 (0%) 1/40 (2.5%) 0/30 (0%) 0/37 (0%) 0/16 (0%) 0/20 (0%) 0/28 (0%) 0/29 (0%) 0/20 (0%) 0/28 (0%)
    Enteritis 0/42 (0%) 0/42 (0%) 1/40 (2.5%) 0/30 (0%) 0/37 (0%) 0/16 (0%) 0/20 (0%) 0/28 (0%) 0/29 (0%) 0/20 (0%) 0/28 (0%)
    Flatulence 1/42 (2.4%) 0/42 (0%) 0/40 (0%) 0/30 (0%) 0/37 (0%) 0/16 (0%) 0/20 (0%) 0/28 (0%) 0/29 (0%) 0/20 (0%) 0/28 (0%)
    Lip erythema 0/42 (0%) 0/42 (0%) 1/40 (2.5%) 0/30 (0%) 0/37 (0%) 0/16 (0%) 0/20 (0%) 0/28 (0%) 0/29 (0%) 0/20 (0%) 0/28 (0%)
    Stomatitis 1/42 (2.4%) 0/42 (0%) 0/40 (0%) 0/30 (0%) 0/37 (0%) 0/16 (0%) 0/20 (0%) 0/28 (0%) 0/29 (0%) 0/20 (0%) 0/28 (0%)
    General disorders
    Catheter site pain 0/42 (0%) 0/42 (0%) 0/40 (0%) 0/30 (0%) 0/37 (0%) 0/16 (0%) 0/20 (0%) 0/28 (0%) 0/29 (0%) 1/20 (5%) 0/28 (0%)
    Fatigue 1/42 (2.4%) 0/42 (0%) 1/40 (2.5%) 1/30 (3.3%) 0/37 (0%) 0/16 (0%) 0/20 (0%) 0/28 (0%) 0/29 (0%) 0/20 (0%) 0/28 (0%)
    Malaise 0/42 (0%) 0/42 (0%) 0/40 (0%) 0/30 (0%) 0/37 (0%) 0/16 (0%) 0/20 (0%) 0/28 (0%) 0/29 (0%) 0/20 (0%) 1/28 (3.6%)
    Mass 0/42 (0%) 0/42 (0%) 0/40 (0%) 0/30 (0%) 0/37 (0%) 1/16 (6.3%) 0/20 (0%) 0/28 (0%) 0/29 (0%) 0/20 (0%) 0/28 (0%)
    Non-cardiac chest pain 0/42 (0%) 0/42 (0%) 0/40 (0%) 0/30 (0%) 0/37 (0%) 0/16 (0%) 1/20 (5%) 0/28 (0%) 0/29 (0%) 0/20 (0%) 0/28 (0%)
    Pyrexia 2/42 (4.8%) 1/42 (2.4%) 1/40 (2.5%) 1/30 (3.3%) 1/37 (2.7%) 2/16 (12.5%) 0/20 (0%) 1/28 (3.6%) 2/29 (6.9%) 2/20 (10%) 1/28 (3.6%)
    Adverse drug reaction 1/42 (2.4%) 0/42 (0%) 0/40 (0%) 0/30 (0%) 0/37 (0%) 0/16 (0%) 0/20 (0%) 0/28 (0%) 0/29 (0%) 0/20 (0%) 0/28 (0%)
    Feeling cold 0/42 (0%) 0/42 (0%) 1/40 (2.5%) 0/30 (0%) 0/37 (0%) 0/16 (0%) 0/20 (0%) 0/28 (0%) 0/29 (0%) 0/20 (0%) 0/28 (0%)
    Oedema peripheral 0/42 (0%) 1/42 (2.4%) 0/40 (0%) 0/30 (0%) 0/37 (0%) 0/16 (0%) 0/20 (0%) 0/28 (0%) 0/29 (0%) 0/20 (0%) 0/28 (0%)
    Thirst 1/42 (2.4%) 0/42 (0%) 0/40 (0%) 0/30 (0%) 0/37 (0%) 0/16 (0%) 0/20 (0%) 0/28 (0%) 0/29 (0%) 0/20 (0%) 0/28 (0%)
    Temperature intolerance 0/42 (0%) 0/42 (0%) 0/40 (0%) 0/30 (0%) 1/37 (2.7%) 0/16 (0%) 0/20 (0%) 0/28 (0%) 0/29 (0%) 0/20 (0%) 0/28 (0%)
    Immune system disorders
    Hypersensitivity 0/42 (0%) 0/42 (0%) 0/40 (0%) 0/30 (0%) 0/37 (0%) 0/16 (0%) 0/20 (0%) 0/28 (0%) 0/29 (0%) 0/20 (0%) 1/28 (3.6%)
    Infections and infestations
    Asymptomatic bacteriuria 1/42 (2.4%) 0/42 (0%) 0/40 (0%) 0/30 (0%) 0/37 (0%) 1/16 (6.3%) 0/20 (0%) 4/28 (14.3%) 2/29 (6.9%) 3/20 (15%) 0/28 (0%)
    Bacteriuria 0/42 (0%) 0/42 (0%) 1/40 (2.5%) 0/30 (0%) 0/37 (0%) 0/16 (0%) 1/20 (5%) 0/28 (0%) 0/29 (0%) 0/20 (0%) 1/28 (3.6%)
    Conjunctivitis bacterial 0/42 (0%) 0/42 (0%) 0/40 (0%) 0/30 (0%) 0/37 (0%) 0/16 (0%) 0/20 (0%) 0/28 (0%) 1/29 (3.4%) 0/20 (0%) 0/28 (0%)
    Escherichia urinary tract infection 0/42 (0%) 0/42 (0%) 0/40 (0%) 0/30 (0%) 0/37 (0%) 0/16 (0%) 0/20 (0%) 0/28 (0%) 1/29 (3.4%) 0/20 (0%) 0/28 (0%)
    Gastroenteritis 1/42 (2.4%) 1/42 (2.4%) 0/40 (0%) 0/30 (0%) 2/37 (5.4%) 0/16 (0%) 0/20 (0%) 1/28 (3.6%) 0/29 (0%) 1/20 (5%) 0/28 (0%)
    Gastroenteritis viral 0/42 (0%) 0/42 (0%) 0/40 (0%) 0/30 (0%) 0/37 (0%) 0/16 (0%) 1/20 (5%) 0/28 (0%) 0/29 (0%) 0/20 (0%) 0/28 (0%)
    Hand-foot-and-mouth disease 0/42 (0%) 0/42 (0%) 0/40 (0%) 0/30 (0%) 0/37 (0%) 0/16 (0%) 0/20 (0%) 0/28 (0%) 0/29 (0%) 1/20 (5%) 0/28 (0%)
    Impetigo 0/42 (0%) 0/42 (0%) 0/40 (0%) 0/30 (0%) 0/37 (0%) 0/16 (0%) 0/20 (0%) 1/28 (3.6%) 0/29 (0%) 0/20 (0%) 0/28 (0%)
    Infection parasitic 0/42 (0%) 0/42 (0%) 0/40 (0%) 0/30 (0%) 0/37 (0%) 0/16 (0%) 0/20 (0%) 0/28 (0%) 1/29 (3.4%) 0/20 (0%) 0/28 (0%)
    Influenza 4/42 (9.5%) 1/42 (2.4%) 1/40 (2.5%) 0/30 (0%) 0/37 (0%) 0/16 (0%) 1/20 (5%) 0/28 (0%) 0/29 (0%) 0/20 (0%) 0/28 (0%)
    Mastitis 0/42 (0%) 0/42 (0%) 0/40 (0%) 0/30 (0%) 0/37 (0%) 0/16 (0%) 1/20 (5%) 0/28 (0%) 0/29 (0%) 0/20 (0%) 0/28 (0%)
    Nasopharyngitis 5/42 (11.9%) 1/42 (2.4%) 2/40 (5%) 1/30 (3.3%) 2/37 (5.4%) 1/16 (6.3%) 2/20 (10%) 3/28 (10.7%) 3/29 (10.3%) 2/20 (10%) 1/28 (3.6%)
    Oral herpes 0/42 (0%) 0/42 (0%) 0/40 (0%) 0/30 (0%) 0/37 (0%) 0/16 (0%) 0/20 (0%) 0/28 (0%) 1/29 (3.4%) 0/20 (0%) 1/28 (3.6%)
    Pharyngitis 0/42 (0%) 0/42 (0%) 1/40 (2.5%) 1/30 (3.3%) 0/37 (0%) 0/16 (0%) 0/20 (0%) 0/28 (0%) 1/29 (3.4%) 1/20 (5%) 1/28 (3.6%)
    Pyelonephritis 0/42 (0%) 0/42 (0%) 2/40 (5%) 0/30 (0%) 0/37 (0%) 0/16 (0%) 1/20 (5%) 0/28 (0%) 0/29 (0%) 0/20 (0%) 0/28 (0%)
    Rhinitis 1/42 (2.4%) 0/42 (0%) 0/40 (0%) 0/30 (0%) 1/37 (2.7%) 0/16 (0%) 0/20 (0%) 0/28 (0%) 0/29 (0%) 0/20 (0%) 1/28 (3.6%)
    Sinusitis 0/42 (0%) 1/42 (2.4%) 0/40 (0%) 0/30 (0%) 0/37 (0%) 0/16 (0%) 0/20 (0%) 1/28 (3.6%) 0/29 (0%) 1/20 (5%) 0/28 (0%)
    Tonsillitis 0/42 (0%) 0/42 (0%) 0/40 (0%) 0/30 (0%) 0/37 (0%) 0/16 (0%) 0/20 (0%) 1/28 (3.6%) 0/29 (0%) 0/20 (0%) 0/28 (0%)
    Upper respiratory tract infection 1/42 (2.4%) 1/42 (2.4%) 1/40 (2.5%) 0/30 (0%) 1/37 (2.7%) 1/16 (6.3%) 0/20 (0%) 0/28 (0%) 1/29 (3.4%) 1/20 (5%) 2/28 (7.1%)
    Urinary tract infection 3/42 (7.1%) 1/42 (2.4%) 3/40 (7.5%) 0/30 (0%) 1/37 (2.7%) 2/16 (12.5%) 0/20 (0%) 2/28 (7.1%) 3/29 (10.3%) 1/20 (5%) 4/28 (14.3%)
    Varicella 0/42 (0%) 0/42 (0%) 0/40 (0%) 0/30 (0%) 0/37 (0%) 0/16 (0%) 0/20 (0%) 0/28 (0%) 0/29 (0%) 0/20 (0%) 1/28 (3.6%)
    Viral upper respiratory tract infection 4/42 (9.5%) 0/42 (0%) 0/40 (0%) 0/30 (0%) 0/37 (0%) 0/16 (0%) 0/20 (0%) 0/28 (0%) 0/29 (0%) 0/20 (0%) 0/28 (0%)
    Dermatitis infected 0/42 (0%) 0/42 (0%) 0/40 (0%) 1/30 (3.3%) 0/37 (0%) 0/16 (0%) 0/20 (0%) 0/28 (0%) 0/29 (0%) 0/20 (0%) 0/28 (0%)
    Ear lobe infection 0/42 (0%) 0/42 (0%) 0/40 (0%) 1/30 (3.3%) 0/37 (0%) 0/16 (0%) 0/20 (0%) 0/28 (0%) 0/29 (0%) 0/20 (0%) 0/28 (0%)
    Bronchitis 1/42 (2.4%) 0/42 (0%) 0/40 (0%) 0/30 (0%) 0/37 (0%) 0/16 (0%) 0/20 (0%) 0/28 (0%) 0/29 (0%) 0/20 (0%) 0/28 (0%)
    Cellulitis 1/42 (2.4%) 0/42 (0%) 0/40 (0%) 0/30 (0%) 0/37 (0%) 0/16 (0%) 0/20 (0%) 0/28 (0%) 0/29 (0%) 0/20 (0%) 0/28 (0%)
    Conjunctivitis 0/42 (0%) 0/42 (0%) 1/40 (2.5%) 0/30 (0%) 0/37 (0%) 0/16 (0%) 0/20 (0%) 0/28 (0%) 0/29 (0%) 0/20 (0%) 0/28 (0%)
    Cystitis 1/42 (2.4%) 1/42 (2.4%) 1/40 (2.5%) 0/30 (0%) 0/37 (0%) 0/16 (0%) 0/20 (0%) 0/28 (0%) 0/29 (0%) 0/20 (0%) 0/28 (0%)
    Cystitis bacterial 0/42 (0%) 0/42 (0%) 1/40 (2.5%) 0/30 (0%) 0/37 (0%) 0/16 (0%) 0/20 (0%) 0/28 (0%) 0/29 (0%) 0/20 (0%) 0/28 (0%)
    Device related infection 0/42 (0%) 0/42 (0%) 1/40 (2.5%) 0/30 (0%) 0/37 (0%) 0/16 (0%) 0/20 (0%) 0/28 (0%) 0/29 (0%) 0/20 (0%) 0/28 (0%)
    Ear infection 1/42 (2.4%) 0/42 (0%) 0/40 (0%) 0/30 (0%) 0/37 (0%) 0/16 (0%) 0/20 (0%) 0/28 (0%) 0/29 (0%) 0/20 (0%) 0/28 (0%)
    Folliculitis 1/42 (2.4%) 0/42 (0%) 0/40 (0%) 0/30 (0%) 0/37 (0%) 0/16 (0%) 0/20 (0%) 0/28 (0%) 0/29 (0%) 0/20 (0%) 0/28 (0%)
    Fungal skin infection 1/42 (2.4%) 0/42 (0%) 0/40 (0%) 0/30 (0%) 0/37 (0%) 0/16 (0%) 0/20 (0%) 0/28 (0%) 0/29 (0%) 0/20 (0%) 0/28 (0%)
    Hordeolum 1/42 (2.4%) 0/42 (0%) 0/40 (0%) 0/30 (0%) 0/37 (0%) 0/16 (0%) 0/20 (0%) 0/28 (0%) 0/29 (0%) 0/20 (0%) 0/28 (0%)
    Paronychia 1/42 (2.4%) 0/42 (0%) 0/40 (0%) 0/30 (0%) 0/37 (0%) 0/16 (0%) 0/20 (0%) 0/28 (0%) 0/29 (0%) 0/20 (0%) 0/28 (0%)
    Pharyngotonsillitis 0/42 (0%) 0/42 (0%) 1/40 (2.5%) 0/30 (0%) 0/37 (0%) 0/16 (0%) 0/20 (0%) 0/28 (0%) 0/29 (0%) 0/20 (0%) 0/28 (0%)
    Scrotal infection 0/42 (0%) 0/42 (0%) 1/40 (2.5%) 0/30 (0%) 0/37 (0%) 0/16 (0%) 0/20 (0%) 0/28 (0%) 0/29 (0%) 0/20 (0%) 0/28 (0%)
    Eye infection 0/42 (0%) 1/42 (2.4%) 0/40 (0%) 0/30 (0%) 0/37 (0%) 0/16 (0%) 0/20 (0%) 0/28 (0%) 0/29 (0%) 0/20 (0%) 0/28 (0%)
    Injury, poisoning and procedural complications
    Skin laceration 0/42 (0%) 0/42 (0%) 0/40 (0%) 0/30 (0%) 0/37 (0%) 0/16 (0%) 0/20 (0%) 0/28 (0%) 1/29 (3.4%) 0/20 (0%) 0/28 (0%)
    Contusion 1/42 (2.4%) 0/42 (0%) 0/40 (0%) 0/30 (0%) 0/37 (0%) 0/16 (0%) 0/20 (0%) 0/28 (0%) 0/29 (0%) 0/20 (0%) 0/28 (0%)
    Investigations
    Bacterial test positive 0/42 (0%) 0/42 (0%) 0/40 (0%) 0/30 (0%) 0/37 (0%) 0/16 (0%) 0/20 (0%) 1/28 (3.6%) 0/29 (0%) 0/20 (0%) 0/28 (0%)
    Blood glucose decreased 0/42 (0%) 0/42 (0%) 0/40 (0%) 0/30 (0%) 0/37 (0%) 0/16 (0%) 1/20 (5%) 0/28 (0%) 0/29 (0%) 0/20 (0%) 0/28 (0%)
    Eosinophil count increased 0/42 (0%) 0/42 (0%) 0/40 (0%) 0/30 (0%) 0/37 (0%) 0/16 (0%) 0/20 (0%) 1/28 (3.6%) 0/29 (0%) 0/20 (0%) 0/28 (0%)
    Heart rate increased 0/42 (0%) 1/42 (2.4%) 0/40 (0%) 0/30 (0%) 0/37 (0%) 0/16 (0%) 0/20 (0%) 0/28 (0%) 0/29 (0%) 0/20 (0%) 1/28 (3.6%)
    Investigation abnormal 0/42 (0%) 0/42 (0%) 0/40 (0%) 0/30 (0%) 0/37 (0%) 0/16 (0%) 0/20 (0%) 1/28 (3.6%) 0/29 (0%) 0/20 (0%) 0/28 (0%)
    Residual urine volume increased 0/42 (0%) 0/42 (0%) 0/40 (0%) 0/30 (0%) 0/37 (0%) 0/16 (0%) 0/20 (0%) 1/28 (3.6%) 0/29 (0%) 0/20 (0%) 0/28 (0%)
    Urine analysis abnormal 0/42 (0%) 0/42 (0%) 0/40 (0%) 0/30 (0%) 0/37 (0%) 0/16 (0%) 0/20 (0%) 0/28 (0%) 0/29 (0%) 1/20 (5%) 0/28 (0%)
    Weight increased 2/42 (4.8%) 0/42 (0%) 1/40 (2.5%) 0/30 (0%) 0/37 (0%) 0/16 (0%) 0/20 (0%) 0/28 (0%) 0/29 (0%) 0/20 (0%) 0/28 (0%)
    Urine output increased 1/42 (2.4%) 0/42 (0%) 0/40 (0%) 0/30 (0%) 0/37 (0%) 0/16 (0%) 0/20 (0%) 0/28 (0%) 0/29 (0%) 0/20 (0%) 0/28 (0%)
    White blood cells urine positive 0/42 (0%) 1/42 (2.4%) 0/40 (0%) 0/30 (0%) 0/37 (0%) 0/16 (0%) 0/20 (0%) 0/28 (0%) 0/29 (0%) 0/20 (0%) 0/28 (0%)
    Cystogram 0/42 (0%) 1/42 (2.4%) 0/40 (0%) 0/30 (0%) 0/37 (0%) 0/16 (0%) 0/20 (0%) 0/28 (0%) 0/29 (0%) 0/20 (0%) 0/28 (0%)
    Metabolism and nutrition disorders
    Decreased appetite 0/42 (0%) 0/42 (0%) 1/40 (2.5%) 0/30 (0%) 0/37 (0%) 0/16 (0%) 0/20 (0%) 0/28 (0%) 0/29 (0%) 1/20 (5%) 1/28 (3.6%)
    Dehydration 0/42 (0%) 0/42 (0%) 0/40 (0%) 0/30 (0%) 0/37 (0%) 0/16 (0%) 0/20 (0%) 0/28 (0%) 0/29 (0%) 1/20 (5%) 0/28 (0%)
    Polydipsia 0/42 (0%) 0/42 (0%) 1/40 (2.5%) 0/30 (0%) 0/37 (0%) 0/16 (0%) 0/20 (0%) 0/28 (0%) 0/29 (0%) 0/20 (0%) 0/28 (0%)
    Musculoskeletal and connective tissue disorders
    Arthralgia 0/42 (0%) 0/42 (0%) 0/40 (0%) 0/30 (0%) 0/37 (0%) 0/16 (0%) 0/20 (0%) 0/28 (0%) 1/29 (3.4%) 0/20 (0%) 0/28 (0%)
    Pain in extremity 0/42 (0%) 1/42 (2.4%) 0/40 (0%) 1/30 (3.3%) 0/37 (0%) 0/16 (0%) 1/20 (5%) 0/28 (0%) 0/29 (0%) 0/20 (0%) 0/28 (0%)
    Spinal deformity 0/42 (0%) 0/42 (0%) 0/40 (0%) 0/30 (0%) 0/37 (0%) 0/16 (0%) 0/20 (0%) 1/28 (3.6%) 0/29 (0%) 0/20 (0%) 0/28 (0%)
    Synovitis 0/42 (0%) 0/42 (0%) 0/40 (0%) 0/30 (0%) 0/37 (0%) 0/16 (0%) 0/20 (0%) 0/28 (0%) 1/29 (3.4%) 0/20 (0%) 0/28 (0%)
    Arthritis 1/42 (2.4%) 0/42 (0%) 1/40 (2.5%) 0/30 (0%) 0/37 (0%) 0/16 (0%) 0/20 (0%) 0/28 (0%) 0/29 (0%) 0/20 (0%) 0/28 (0%)
    Joint contracture 0/42 (0%) 0/42 (0%) 1/40 (2.5%) 0/30 (0%) 0/37 (0%) 0/16 (0%) 0/20 (0%) 0/28 (0%) 0/29 (0%) 0/20 (0%) 0/28 (0%)
    Muscular weakness 0/42 (0%) 1/42 (2.4%) 0/40 (0%) 0/30 (0%) 0/37 (0%) 0/16 (0%) 0/20 (0%) 0/28 (0%) 0/29 (0%) 0/20 (0%) 0/28 (0%)
    Neck pain 1/42 (2.4%) 0/42 (0%) 0/40 (0%) 0/30 (0%) 0/37 (0%) 0/16 (0%) 0/20 (0%) 0/28 (0%) 0/29 (0%) 0/20 (0%) 0/28 (0%)
    Neoplasms benign, malignant and unspecified (incl cysts and polyps)
    Skin papilloma 0/42 (0%) 0/42 (0%) 0/40 (0%) 1/30 (3.3%) 0/37 (0%) 0/16 (0%) 0/20 (0%) 0/28 (0%) 0/29 (0%) 0/20 (0%) 0/28 (0%)
    Nervous system disorders
    Dizziness 0/42 (0%) 0/42 (0%) 1/40 (2.5%) 0/30 (0%) 0/37 (0%) 0/16 (0%) 0/20 (0%) 2/28 (7.1%) 0/29 (0%) 0/20 (0%) 0/28 (0%)
    Headache 2/42 (4.8%) 3/42 (7.1%) 5/40 (12.5%) 1/30 (3.3%) 3/37 (8.1%) 1/16 (6.3%) 1/20 (5%) 0/28 (0%) 2/29 (6.9%) 0/20 (0%) 1/28 (3.6%)
    Peripheral sensory neuropathy 0/42 (0%) 0/42 (0%) 0/40 (0%) 1/30 (3.3%) 0/37 (0%) 0/16 (0%) 0/20 (0%) 0/28 (0%) 0/29 (0%) 0/20 (0%) 0/28 (0%)
    Cognitive disorder 0/42 (0%) 1/42 (2.4%) 0/40 (0%) 0/30 (0%) 0/37 (0%) 0/16 (0%) 0/20 (0%) 0/28 (0%) 0/29 (0%) 0/20 (0%) 0/28 (0%)
    Syncope 1/42 (2.4%) 0/42 (0%) 0/40 (0%) 0/30 (0%) 0/37 (0%) 0/16 (0%) 0/20 (0%) 0/28 (0%) 0/29 (0%) 0/20 (0%) 0/28 (0%)
    Psychiatric disorders
    Aggression 0/42 (0%) 0/42 (0%) 0/40 (0%) 0/30 (0%) 0/37 (0%) 1/16 (6.3%) 0/20 (0%) 0/28 (0%) 0/29 (0%) 0/20 (0%) 0/28 (0%)
    Anxiety 0/42 (0%) 0/42 (0%) 0/40 (0%) 0/30 (0%) 0/37 (0%) 0/16 (0%) 1/20 (5%) 0/28 (0%) 0/29 (0%) 0/20 (0%) 0/28 (0%)
    Behaviour disorder 0/42 (0%) 0/42 (0%) 0/40 (0%) 0/30 (0%) 0/37 (0%) 0/16 (0%) 0/20 (0%) 1/28 (3.6%) 0/29 (0%) 0/20 (0%) 0/28 (0%)
    Encopresis 0/42 (0%) 1/42 (2.4%) 0/40 (0%) 0/30 (0%) 0/37 (0%) 0/16 (0%) 0/20 (0%) 0/28 (0%) 0/29 (0%) 0/20 (0%) 0/28 (0%)
    Restlessness 1/42 (2.4%) 0/42 (0%) 0/40 (0%) 0/30 (0%) 0/37 (0%) 0/16 (0%) 0/20 (0%) 0/28 (0%) 0/29 (0%) 0/20 (0%) 0/28 (0%)
    Renal and urinary disorders
    Haematuria 0/42 (0%) 0/42 (0%) 1/40 (2.5%) 1/30 (3.3%) 0/37 (0%) 0/16 (0%) 0/20 (0%) 0/28 (0%) 0/29 (0%) 0/20 (0%) 0/28 (0%)
    Hypertonic bladder 0/42 (0%) 0/42 (0%) 0/40 (0%) 0/30 (0%) 0/37 (0%) 0/16 (0%) 0/20 (0%) 1/28 (3.6%) 0/29 (0%) 1/20 (5%) 0/28 (0%)
    Incontinence 0/42 (0%) 2/42 (4.8%) 0/40 (0%) 0/30 (0%) 1/37 (2.7%) 0/16 (0%) 1/20 (5%) 0/28 (0%) 0/29 (0%) 0/20 (0%) 0/28 (0%)
    Pollakiuria 1/42 (2.4%) 0/42 (0%) 0/40 (0%) 0/30 (0%) 0/37 (0%) 1/16 (6.3%) 0/20 (0%) 0/28 (0%) 0/29 (0%) 0/20 (0%) 0/28 (0%)
    Renal failure 0/42 (0%) 0/42 (0%) 1/40 (2.5%) 0/30 (0%) 0/37 (0%) 0/16 (0%) 0/20 (0%) 0/28 (0%) 0/29 (0%) 0/20 (0%) 0/28 (0%)
    Urinary incontinence 1/42 (2.4%) 0/42 (0%) 4/40 (10%) 0/30 (0%) 0/37 (0%) 1/16 (6.3%) 0/20 (0%) 0/28 (0%) 2/29 (6.9%) 0/20 (0%) 0/28 (0%)
    Urine odour abnormal 0/42 (0%) 0/42 (0%) 0/40 (0%) 0/30 (0%) 0/37 (0%) 0/16 (0%) 0/20 (0%) 0/28 (0%) 1/29 (3.4%) 2/20 (10%) 0/28 (0%)
    Urethral pain 0/42 (0%) 0/42 (0%) 1/40 (2.5%) 0/30 (0%) 0/37 (0%) 0/16 (0%) 0/20 (0%) 0/28 (0%) 0/29 (0%) 0/20 (0%) 0/28 (0%)
    Urinary tract disorder 1/42 (2.4%) 0/42 (0%) 0/40 (0%) 0/30 (0%) 0/37 (0%) 0/16 (0%) 0/20 (0%) 0/28 (0%) 0/29 (0%) 0/20 (0%) 0/28 (0%)
    Urine flow decreased 1/42 (2.4%) 0/42 (0%) 0/40 (0%) 0/30 (0%) 0/37 (0%) 0/16 (0%) 0/20 (0%) 0/28 (0%) 0/29 (0%) 0/20 (0%) 0/28 (0%)
    Reproductive system and breast disorders
    Genital pain 0/42 (0%) 0/42 (0%) 1/40 (2.5%) 0/30 (0%) 0/37 (0%) 0/16 (0%) 0/20 (0%) 0/28 (0%) 0/29 (0%) 0/20 (0%) 0/28 (0%)
    Menstruation irregular 0/42 (0%) 0/42 (0%) 0/40 (0%) 1/30 (3.3%) 0/37 (0%) 0/16 (0%) 0/20 (0%) 0/28 (0%) 0/29 (0%) 0/20 (0%) 0/28 (0%)
    Respiratory, thoracic and mediastinal disorders
    Asthma 0/42 (0%) 0/42 (0%) 0/40 (0%) 0/30 (0%) 0/37 (0%) 0/16 (0%) 0/20 (0%) 1/28 (3.6%) 0/29 (0%) 0/20 (0%) 0/28 (0%)
    Cough 0/42 (0%) 2/42 (4.8%) 0/40 (0%) 0/30 (0%) 1/37 (2.7%) 0/16 (0%) 0/20 (0%) 1/28 (3.6%) 0/29 (0%) 0/20 (0%) 0/28 (0%)
    Dyspnoea 0/42 (0%) 0/42 (0%) 0/40 (0%) 0/30 (0%) 0/37 (0%) 0/16 (0%) 0/20 (0%) 1/28 (3.6%) 0/29 (0%) 0/20 (0%) 0/28 (0%)
    Epistaxis 0/42 (0%) 1/42 (2.4%) 1/40 (2.5%) 0/30 (0%) 0/37 (0%) 0/16 (0%) 1/20 (5%) 0/28 (0%) 2/29 (6.9%) 0/20 (0%) 1/28 (3.6%)
    Nasal obstruction 0/42 (0%) 0/42 (0%) 1/40 (2.5%) 0/30 (0%) 0/37 (0%) 0/16 (0%) 0/20 (0%) 0/28 (0%) 0/29 (0%) 0/20 (0%) 0/28 (0%)
    Oropharyngeal pain 0/42 (0%) 1/42 (2.4%) 0/40 (0%) 1/30 (3.3%) 1/37 (2.7%) 0/16 (0%) 0/20 (0%) 0/28 (0%) 0/29 (0%) 0/20 (0%) 0/28 (0%)
    Upper respiratory tract inflammation 1/42 (2.4%) 0/42 (0%) 1/40 (2.5%) 0/30 (0%) 0/37 (0%) 0/16 (0%) 0/20 (0%) 1/28 (3.6%) 0/29 (0%) 0/20 (0%) 1/28 (3.6%)
    Respiratory disorder 0/42 (0%) 0/42 (0%) 1/40 (2.5%) 0/30 (0%) 0/37 (0%) 0/16 (0%) 0/20 (0%) 0/28 (0%) 0/29 (0%) 0/20 (0%) 0/28 (0%)
    Dry throat 1/42 (2.4%) 0/42 (0%) 0/40 (0%) 0/30 (0%) 0/37 (0%) 0/16 (0%) 0/20 (0%) 0/28 (0%) 0/29 (0%) 0/20 (0%) 0/28 (0%)
    Rhinitis allergic 0/42 (0%) 1/42 (2.4%) 0/40 (0%) 0/30 (0%) 1/37 (2.7%) 0/16 (0%) 0/20 (0%) 0/28 (0%) 0/29 (0%) 0/20 (0%) 0/28 (0%)
    Rhinorrhoea 0/42 (0%) 1/42 (2.4%) 0/40 (0%) 0/30 (0%) 1/37 (2.7%) 0/16 (0%) 0/20 (0%) 0/28 (0%) 0/29 (0%) 0/20 (0%) 0/28 (0%)
    Nasal congestion 0/42 (0%) 0/42 (0%) 0/40 (0%) 0/30 (0%) 1/37 (2.7%) 0/16 (0%) 0/20 (0%) 0/28 (0%) 0/29 (0%) 0/20 (0%) 0/28 (0%)
    Skin and subcutaneous tissue disorders
    Acne 0/42 (0%) 0/42 (0%) 1/40 (2.5%) 0/30 (0%) 0/37 (0%) 0/16 (0%) 0/20 (0%) 0/28 (0%) 0/29 (0%) 0/20 (0%) 0/28 (0%)
    Decubitus ulcer 2/42 (4.8%) 1/42 (2.4%) 0/40 (0%) 1/30 (3.3%) 0/37 (0%) 0/16 (0%) 0/20 (0%) 1/28 (3.6%) 0/29 (0%) 0/20 (0%) 0/28 (0%)
    Dermal cyst 0/42 (0%) 0/42 (0%) 0/40 (0%) 0/30 (0%) 0/37 (0%) 0/16 (0%) 0/20 (0%) 0/28 (0%) 1/29 (3.4%) 0/20 (0%) 0/28 (0%)
    Dermatitis acneiform 0/42 (0%) 0/42 (0%) 1/40 (2.5%) 0/30 (0%) 0/37 (0%) 0/16 (0%) 0/20 (0%) 0/28 (0%) 0/29 (0%) 0/20 (0%) 0/28 (0%)
    Dermatitis atopic 0/42 (0%) 0/42 (0%) 1/40 (2.5%) 0/30 (0%) 0/37 (0%) 0/16 (0%) 0/20 (0%) 0/28 (0%) 0/29 (0%) 0/20 (0%) 0/28 (0%)
    Eczema 0/42 (0%) 0/42 (0%) 0/40 (0%) 0/30 (0%) 0/37 (0%) 0/16 (0%) 0/20 (0%) 1/28 (3.6%) 0/29 (0%) 0/20 (0%) 0/28 (0%)
    Pruritus 1/42 (2.4%) 0/42 (0%) 1/40 (2.5%) 0/30 (0%) 1/37 (2.7%) 0/16 (0%) 0/20 (0%) 0/28 (0%) 0/29 (0%) 0/20 (0%) 0/28 (0%)
    Seborrhoeic dermatitis 0/42 (0%) 0/42 (0%) 0/40 (0%) 0/30 (0%) 0/37 (0%) 0/16 (0%) 0/20 (0%) 0/28 (0%) 0/29 (0%) 1/20 (5%) 0/28 (0%)
    Skin odour abnormal 0/42 (0%) 0/42 (0%) 0/40 (0%) 0/30 (0%) 0/37 (0%) 0/16 (0%) 0/20 (0%) 0/28 (0%) 1/29 (3.4%) 0/20 (0%) 0/28 (0%)
    Urticaria 0/42 (0%) 0/42 (0%) 1/40 (2.5%) 0/30 (0%) 0/37 (0%) 0/16 (0%) 0/20 (0%) 0/28 (0%) 0/29 (0%) 0/20 (0%) 0/28 (0%)
    Dermatitis allergic 1/42 (2.4%) 0/42 (0%) 0/40 (0%) 0/30 (0%) 0/37 (0%) 0/16 (0%) 0/20 (0%) 0/28 (0%) 0/29 (0%) 0/20 (0%) 0/28 (0%)
    Rash macular 1/42 (2.4%) 0/42 (0%) 0/40 (0%) 0/30 (0%) 0/37 (0%) 0/16 (0%) 0/20 (0%) 0/28 (0%) 0/29 (0%) 0/20 (0%) 0/28 (0%)
    Rash 0/42 (0%) 0/42 (0%) 0/40 (0%) 0/30 (0%) 1/37 (2.7%) 0/16 (0%) 0/20 (0%) 0/28 (0%) 0/29 (0%) 0/20 (0%) 0/28 (0%)
    Social circumstances
    Wheelchair user 0/42 (0%) 0/42 (0%) 0/40 (0%) 1/30 (3.3%) 0/37 (0%) 0/16 (0%) 0/20 (0%) 0/28 (0%) 0/29 (0%) 0/20 (0%) 0/28 (0%)
    Vascular disorders
    Flushing 0/42 (0%) 0/42 (0%) 0/40 (0%) 1/30 (3.3%) 0/37 (0%) 0/16 (0%) 0/20 (0%) 0/28 (0%) 0/29 (0%) 0/20 (0%) 0/28 (0%)

    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:
    NCT01557244
    Other Study ID Numbers:
    • A0221047
    • 2010-022475-55
    First Posted:
    Mar 19, 2012
    Last Update Posted:
    Feb 2, 2021
    Last Verified:
    Dec 1, 2020