SCORPIO: Study to Assess the Efficacy and Safety of the Beta-3 Agonist Mirabegron (YM178) in Patients With Symptoms of Overactive Bladder

Sponsor
Astellas Pharma Inc (Industry)
Overall Status
Completed
CT.gov ID
NCT00689104
Collaborator
(none)
2,336
219
4
10.8
10.7
1

Study Details

Study Description

Brief Summary

The study is intended to test efficacy, safety and tolerability of two doses of Mirabegron against placebo and compare the efficacy and safety with active comparator in patients with symptoms of overactive bladder.

Condition or Disease Intervention/Treatment Phase
Phase 3

Study Design

Study Type:
Interventional
Actual Enrollment :
2336 participants
Allocation:
Randomized
Intervention Model:
Parallel Assignment
Masking:
Double (Participant, Investigator)
Primary Purpose:
Treatment
Official Title:
A Randomized, Double-Blind, Parallel Group, Placebo and Active Controlled, Multicenter Study to Assess the Efficacy and Safety of Mirabegron in Subjects With Symptoms of Overactive Bladder
Actual Study Start Date :
Apr 28, 2008
Actual Primary Completion Date :
Mar 24, 2009
Actual Study Completion Date :
Mar 24, 2009

Arms and Interventions

Arm Intervention/Treatment
Placebo Comparator: Placebo

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

Drug: Placebo to Mirabegron
Matching mirabegron placebo tablets.

Drug: Placebo to Tolterodine
Matching tolterodine placebo capsules.

Experimental: Mirabegron 50 mg

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

Drug: Mirabegron
Tablets
Other Names:
  • Myrbetriq
  • YM178
  • Drug: Placebo to Tolterodine
    Matching tolterodine placebo capsules.

    Experimental: Mirabegron 100 mg

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

    Drug: Mirabegron
    Tablets
    Other Names:
  • Myrbetriq
  • YM178
  • Drug: Placebo to Tolterodine
    Matching tolterodine placebo capsules.

    Active Comparator: Tolterodine SR 4 mg

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

    Drug: Tolterodine
    Capsules

    Drug: Placebo to Mirabegron
    Matching mirabegron placebo tablets.

    Outcome Measures

    Primary Outcome Measures

    1. Change From Baseline to End of Treatment (Final Visit) in Mean Number of Incontinence Episodes Per 24 Hours [Baseline and Week 12 (final visit)]

      The average number of incontinence episodes (any involuntary leakage of urine) per day was derived from the number of incontinence episodes recorded by the patient in a micturition diary for 3-days before the Baseline and Week 12 clinic visits. Least Squares (LS) Means were generated from an analysis of covariance (ANCOVA) model with treatment group, gender, and geographic region as fixed factors and baseline as a covariate.

    2. Change From Baseline to End of Treatment (Final Visit) in Mean Number of Micturitions Per 24 Hours [Baseline and Week 12]

      The average number of micturitions (urinations) per 24 hours was derived from the number of times a patient urinates (excluding incontinence only episodes) per day recorded by the patient in a micturition diary for 3-days before the Baseline and Week 12 clinic visits. LS Means generated from an ANCOVA model with treatment group, gender, and geographic region as fixed factors and baseline as a covariate.

    Secondary Outcome Measures

    1. Change From Baseline to Final Visit in Mean Volume Voided Per Micturition [Baseline and Week 12]

      The average volume voided per micturition was calculated from the volume of each micturition measured by the patient and recorded in a micturition diary for 3 days before the Baseline and Week 12 clinic visits. LS Means were generated from an ANCOVA model with treatment group, gender, and geographic region as fixed factors and baseline as a covariate.

    2. Change From Baseline to Week 4 in Mean Number of Incontinence Episodes Per 24 Hours [Baseline and Week 4]

      The average number of incontinence episodes (any involuntary leakage of urine) per 24 hours was derived from the number of incontinence episodes recorded by the patient in a micturition diary for 3-days before the Baseline and Week 4 clinic visits. LS Means were generated from an ANCOVA model with treatment group, gender, and geographic region as fixed factors and baseline as a covariate.

    3. Change From Baseline to Week 4 in Mean Number of Micturitions Per 24 Hours [Baseline and Week 4]

      The average number of micturitions (urinations) per 24 hours was calculated from the number of micturitions recorded by the patient in a micturition diary for 3-days before the Baseline and Week 4 clinic visits. LS Means generated from an ANCOVA model with treatment group, gender, and geographic region as fixed factors and baseline as a covariate.

    4. Change From Baseline to Week 8 and Week 12 in Mean Number of Incontinence Episodes Per 24 Hours [Baseline and Weeks 8 and 12]

      The average number of incontinence episodes (any involuntary leakage of urine) per 24 hours was derived from the number of incontinence episodes recorded by the patient in a micturition diary for 3-days before the Baseline, Week 8 and Week 12 clinic visits. LS Means were generated from an ANCOVA model with treatment group, gender, and geographic region as fixed factors and baseline as a covariate.

    5. Change From Baseline to Week 8 and Week 12 in Mean Number of Micturitions Per 24 Hours [Baseline and Weeks 8 and 12]

      The average number of micturitions (urinations) per 24 hours was calculated from the number of micturitions recorded by the patient in a micturition diary for 3-days before the Baseline, Week 8 and 12 clinic visits. LS Means were generated from an ANCOVA model with treatment group, gender, and geographic region as fixed factors and baseline as a covariate.

    6. Change From Baseline to Week 4, Week 8 and Week 12 in Mean Volume Voided Per Micturition [Baseline and Weeks 4, 8 and 12]

      The average volume voided per micturition was calculated from the volume of each micturition measured by the patient and recorded in a micturition diary for 3 days before the Baseline and Week 4, 8 and 12 clinic visits. LS Means generated from an ANCOVA model with treatment group, gender, and geographic region as fixed factors and baseline as a covariate.

    7. Change From Baseline to Week 4, Week 8, Week 12 and Final Visit in Mean Number of Urgency Incontinence Episodes Per 24 Hours [Baseline and Weeks 4, 8 and 12]

      The involuntary leakage of urine accompanied by or immediately proceeded by urgency, derived from the number of incontinence episodes classified by the patient in a 3-day micturition diary as 3 or 4 on the Patient Perception of Intensity of Urgency Scale: 0 = No urgency; 1 = Mild urgency; 2 = Moderate urgency, could postpone voiding a short while; 3 = Severe urgency, could not postpone voiding; 4 = Urge incontinence, leaked before arriving to the toilet. LS Means are from an ANCOVA with treatment group, gender, and geographic region as fixed factors and baseline as a covariate.

    8. Change From Baseline to Week 4, Week 8, Week 12 and Final Visit in Mean Number of Urgency Episodes (Grades 3 or 4) Per 24 Hours [Baseline and Weeks 4, 8 and 12]

      The average number of urgency episodes (the sudden, compelling desire to pass urine, which is difficult to defer), derived from urgency episodes classified by the patient in a 3-day micturition diary as grade 3 or 4 on the Patient Perception of Intensity of Urgency Scale: 0: No urgency; 1: Mild urgency; 2: Moderate urgency, could delay voiding a short while; 3: Severe urgency, could not delay voiding; 4: Urge incontinence, leaked before arriving to the toilet. LS Means are from an ANCOVA with treatment group, gender, and geographic region as fixed factors and baseline as a covariate.

    9. Change From Baseline to Week 4, Week 8, Week 12 and Final Visit in Mean Level of Urgency [Baseline and Weeks 4, 8 and 12]

      Average of patients' ratings on the degree of urgency associated with each micturition and/or incontinence episode recorded in a 3-day micturition diary according to the following 5-point categorical scale (Patient Perception of Intensity of Urgency Scale): 0: No urgency; 1: Mild urgency; 2: Moderate urgency, could delay voiding a short while; 3: Severe urgency, could not delay voiding; 4: Urge incontinence, leaked before arriving to the toilet. LS Means are from an ANCOVA with treatment group, gender, and geographic region as fixed factors and baseline as a covariate.

    10. Change From Baseline to Week 4, Week 8, Week 12 and Final Visit in Mean Number of Nocturia Episodes Per 24 Hours [Baseline and Weeks 4, 8 and 12]

      Nocturia is defined as waking at night one or more times to void. The average number of times a patient urinated (excluding incontinence only episodes) during sleeping time per day was derived from the 3-day patient micturition diary. LS Means are from an ANCOVA with treatment group, gender, and geographic region as fixed factors and baseline as a covariate.

    11. Change From Baseline to Week 4, Week 8, Week 12 and Final Visit in Mean Number of Pads Used Per 24 Hours [Baseline and Weeks 4, 8 and 12]

      The average number of times a patient records a new pad used per day during the 3-day micturition diary period. LS Means are from an ANCOVA with treatment group, gender, and geographic region as fixed factors and baseline as a covariate.

    12. Percentage of Participants With Zero Incontinence Episodes at Week 4, Week 8, Week 12 and the Final Visit [Weeks 4, 8 and 12]

      The percentage of participants with no incontinence episodes for the 3 days prior to each clinic visit derived from the micturition diary recorded by the patient.

    13. Percentage of Participants With ≥ 50% Reduction in Incontinence Episodes at Weeks 4, 8, 12 and the Final Visit [Baseline and Weeks 4, 8 and 12]

      The percentage of participants with at least 50% decrease from baseline in mean number of incontinence episodes per 24 hours during the 3 days prior to each clinic visit derived from the patient micturition diary.

    14. Change From Baseline to Week 4, Week 8, Week 12 and Final Visit in Symptom Bother Score [Baseline and Weeks 4, 8 and 12]

      Overactive bladder symptoms were assessed using the symptom bother scale of the overactive bladder questionnaire. The symptom bother scale consists of 8 questions answered by the participant on a scale from 1-6. The total symptom bother score was calculated from the 8 answers and then transformed to range from 0 to 100, with 100 indicating worst severity. A negative change from Baseline in symptom bother score indicates improvements. LS Means are from an ANCOVA with treatment group, gender, and geographic region as fixed factors and baseline as a covariate.

    15. Change From Baseline to Week 4, Week 8, Week 12 and Final Visit in Health-related Quality of Life (HRQL) Total Score [Baseline and Weeks 4, 8 and 12]

      Health-related quality of life was assessed by the HRQL subscales (coping, concern, sleep and social interaction) of the overactive bladder questionnaire (OABq). The HRQL total score was calculated by adding the 4 HRQL subscale scores, and transforming to a scale from 0 to 100, with higher scores indicating better quality of life. A positive change from Baseline in HRQL score indicates improvements. LS Means are from an ANCOVA with treatment group, gender, and geographic region as fixed factors and baseline as a covariate.

    16. Change From Baseline to Week 12 and Final Visit in Work Productivity and Activity Impairment (WPAI): Percent Work Time Missed [Baseline and Week 12]

      The Work Productivity and Activity Impairment: Specific Health Problem (WPAI:SHP) questionnaire was used to assess the degree and extent to which overactive bladder (OAB) symptoms interfered with work productivity in the last 7 days. Percent of work time missed is derived from the number of hours of work missed due to OAB symptoms as a percentage of total hours that should have been worked. A higher percentage indicates more hours missed. A negative change from baseline indicates improvement.

    17. Change From Baseline to Week 12 and Final Visit in Work Productivity and Activity Impairment (WPAI): Percent Impairment While Working [Baseline and Week 12]

      The Work Productivity and Activity Impairment: Specific Health Problem (WPAI:SHP) questionnaire was used to assess the degree and extent to which overactive bladder (OAB) symptoms interfered with work productivity in the last 7 days. Percent impairment while working was derived from the patient's assessment of the degree to which OAB affected their productivity while working. A higher percentage indicates greater impairment and less productivity. A negative change from baseline indicates improvement.

    18. Change From Baseline to Week 12 and Final Visit in Work Productivity and Activity Impairment (WPAI): Percent Overall Work Impairment [Baseline and Week 12]

      The Work Productivity and Activity Impairment: Specific Health Problem (WPAI:SHP) questionnaire was used to assess the degree and extent to which overactive bladder (OAB) symptoms interfered with work productivity in the last 7 days. Percent overall work impairment takes into account both hours missed due to OAB symptoms and the patient's assessment of the degree to which OAB affected their productivity while working. A higher percentage indicates greater impairment and less productivity. A negative change from baseline indicates improvement.

    19. Change From Baseline to Week 12 and Final Visit in Work Productivity and Activity Impairment (WPAI): Percent Activity Impairment [Baseline and Week 12]

      The Work Productivity and Activity Impairment: Specific Health Problem (WPAI:SHP) questionnaire was used to assess the degree and extent to which overactive bladder (OAB) symptoms interfered with daily activities over the last 7 days. Percent activity impairment is derived from the patient's assessment of the degree to which OAB affected their regular daily activities. A higher percentage indicates greater impairment. A negative change from baseline indicates improvement.

    20. Change From Baseline to Final Visit in European Quality of Life-5 Dimensions (EQ-5D) Mobility Score [Baseline and Week 12]

      The EQ-5D is an international, standardized, nondisease-specific (i.e., generic) instrument for describing and valuing health status. Participants were asked to indicate which of the following statements best describes their health state: I have no problems in walking about; I have some problems in walking about; I am confined to bed. In the table below, each row title lists Baseline health status first followed by Final Visit health status and reports the number of patients in that category. Missing data indicates patients with no data available for that Visit.

    21. Change From Baseline to Final Visit in European Quality of Life-5 Dimensions (EQ-5D) Self-care Score [Baseline and Week 12]

      The EQ-5D is an international, standardized, nondisease-specific (i.e., generic) instrument for describing and valuing health status. Participants were asked to indicate which of the following statements best describes their health state: I have no problems with self-care; I have some problems washing or dressing myself; I am unable to wash or dress myself. In the table below, each row title lists Baseline health status first followed by Final Visit health status and reports the number of patients in that category. Missing data indicates patients with no data available for that Visit.

    22. Change From Baseline to Final Visit in European Quality of Life-5 Dimensions (EQ-5D) Usual Activities Score [Baseline and Week 12]

      The EQ-5D is a standardized, nondisease-specific instrument for describing health status. Participants were asked which statement best describes their health state with regard to usual activities (work, study or leisure): I have no problems performing my usual activities; I have some problems performing my usual activities; I am unable to perform my usual activities. In the table below, each row title lists Baseline health status first followed by Final Visit health status and reports the number of patients in that category. Missing data indicates patients with no data available at that Visit.

    23. Change From Baseline to Final Visit in European Quality of Life-5 Dimensions (EQ-5D) Pain/Discomfort Score [Baseline and Week 12]

      The EQ-5D is an international, standardized, nondisease-specific (i.e., generic) instrument for describing and valuing health status. Participants were asked to indicate which of the following statements best describes their health state: I have no pain or discomfort; I have moderate pain or discomfort; I have extreme pain or discomfort. In the table below, each row title lists Baseline health status first followed by Final Visit health status and reports the number of patients in that category. Missing data indicates patients with no data available for that Visit.

    24. Change From Baseline to Final Visit in European Quality of Life-5 Dimensions (EQ-5D)Anxiety/Depression Score [Baseline and Week 12]

      The EQ-5D is an international, standardized, nondisease-specific (i.e., generic) instrument for describing and valuing health status. Participants were asked to indicate which of the following statements best describes their health state: I am not anxious or depressed; I am moderately anxious or depressed; I am extremely anxious or depressed. In the table below, each row title lists Baseline health status first followed by Final Visit health status and reports the number of patients in that category. Missing data indicates patients with no data available for that Visit.

    25. Change From Baseline to Week 4, Week 8, Week 12 and Final Visit in the European Quality of Life-5 Dimensions (EQ-5D) Visual Analog Scale (VAS) [Baseline and Weeks 4, 8 and 12]

      The EQ-5D is an international, standardized, generic instrument for describing and evaluating health status. Health status is assessed by patients evaluating their health on a vertical, visual analog scale from 0 to 100 where the endpoints are labeled 'Worst imaginable health state' (=0) and 'Best imaginable health state' (=100). On the EQ-5D VAS, a positive change from baseline indicates improvement.

    26. Change From Baseline to Week 12 and Final Visit in Patient Perception of Bladder Condition (PPBC) [Baseline and Week 12]

      The PPBC scale is a global assessment tool that asks patients to rate their impression of their current bladder condition on a 6-point scale from 1: 'Does not cause me any problems at all'; 2: 'Causes me some very minor problems'; 3: 'Causes me some minor problems'; 4: 'Causes me (some) moderate problems'; 5: 'Causes me severe problems' and 6: 'Causes me many severe problems'. LS means are from an ANCOVA model with treatment group, gender, and geographical regions as fixed factors and baseline as a covariate. A negative change from Baseline score indicates improvement.

    27. Change From Baseline to Week 12 and Final Visit in Treatment Satisfaction on Visual Analog Scale (TS-VAS) [Baseline and Week 12]

      The TS-VAS is a visual analog scale (VAS) that asks patients to rate their satisfaction with treatment by placing a vertical mark on a 10 cm line where the endpoints are labeled 'No, not at all' on the left (=0) to 'Yes, completely satisfied' on the right (=10). LS means are from an ANCOVA model with treatment group, gender, and geographical regions as fixed factors and baseline as a covariate. A positive change from baseline indicates improvement.

    28. Change From Baseline to Week 4, Week 8, Week 12 and Final Visit in Number of Non-study Related Visits to Physician [Baseline and Weeks 4, 8 and 12]

      The number of times the patient visited a physician's office during the 4 weeks prior to each study visit (excluding study visits) because of the patient's bladder condition.

    29. Percentage of Participants With Improvement in Patient Perception of Bladder Condition (PPBC) at Week 12 and Final Visit [Baseline and Week 12]

      The PPBC scale is a global assessment tool that asks patients to rate their impression of their current bladder condition on a 6-point scale from 1: 'Does not cause me any problems at all'; 2: 'Causes me some very minor problems'; 3: 'Causes me some minor problems'; 4: 'Causes me (some) moderate problems'; 5: 'Causes me severe problems' and 6: 'Causes me many severe problems'. Improvement was defined as at least a 1 point improvement from Baseline to post-baseline and a major improvement was defined as at least a 2 point improvement from Baseline to post-baseline in PPBC score.

    Eligibility Criteria

    Criteria

    Ages Eligible for Study:
    18 Years and Older
    Sexes Eligible for Study:
    All
    Accepts Healthy Volunteers:
    No
    Inclusion Criteria:
    • Subject is willing and able to complete the micturition diary and questionnaires correctly

    • Subject has symptoms of overactive bladder (urinary frequency and urgency with or without urge incontinence) for ≥ 3 months

    • Subject experiences frequency of micturition on average ≥ 8 times per 24-hour period during the 3-day micturition diary period

    • Subject must experience at least 3 episodes of urgency (grade 3 or 4) with or without incontinence, during the 3-day micturition diary period

    Exclusion Criteria:
    • Subject is breastfeeding, pregnant, intends to become pregnant during the study, or of childbearing potential, sexually active and not practicing a highly reliable method of birth control

    • Subject has significant stress incontinence or mixed stress/urge incontinence where stress is the predominant factor

    • Subject has an indwelling catheter or practices intermittent self-catheterization

    • Subject has diabetic neuropathy

    • Subject has evidence of a symptomatic urinary tract infection, chronic inflammation such as interstitial cystitis, bladder stones, previous pelvic radiation therapy or previous or current malignant disease of the pelvic organs

    • Subject receives non-drug treatment including electro-stimulation therapy

    • Subject has severe hypertension

    • Subject has a known or suspected hypersensitivity to tolterodine, other anticholinergics, YM178, other beta-adrenoreceptor (ß-AR) agonists, or lactose or any of the other inactive ingredients

    • Subject has been treated with any investigational drug or device within 30 days (90 days in the UK)

    • Subject had an average total daily urine volume > 3000 mL as recorded in the 3-day micturition diary period

    • Subject has serum creatinine >150 umol/L, aspartate aminotransferase (AST) and/or alanine aminotransferase (ALT) > 2x upper limit of normal range (ULN), or gamma glutamyl transferase (γ-GT) > 3x ULN

    • Subject has a clinically significant abnormal electrocardiogram (ECG)

    Contacts and Locations

    Locations

    Site City State Country Postal Code
    1 Auchenflower Australia
    2 Clayton Australia
    3 Kogarah Australia
    4 Randwick Australia
    5 Woolloongabba Australia
    6 Graz Austria 8036
    7 Innsbruck Austria 6020
    8 Linz Austria 4020
    9 Minsk Belarus 220036
    10 Minsk Belarus 220119
    11 Minsk Belarus 223041
    12 Antwerp Belgium 2020
    13 Antwerp Belgium 2030
    14 Brussels Belgium 1070
    15 Brussels Belgium 1090
    16 Edegem Belgium 2650
    17 Gent Belgium 9000
    18 Kortrijk Belgium 8500
    19 Leper Belgium 8900
    20 Leuven Belgium 3000
    21 Liege Belgium 4000
    22 Sint Truiden Belgium 3800
    23 Pleven Bulgaria
    24 Sofia Bulgaria
    25 Varna Bulgaria
    26 Brno Czechia 60200
    27 Melnik Czechia 27601
    28 Olomouc Czechia 77200
    29 Ostrava-Poruba Czechia 70853
    30 Plzen Czechia 30599
    31 Prague Czechia 12851
    32 Prague Czechia 14056
    33 Prague Czechia 18081
    34 Steti Czechia 41108
    35 Usti nad Labem Czechia 40001
    36 Aalborg Denmark 9100
    37 Aarhus Denmark 8200
    38 Glostrup Denmark 2600
    39 Roskilde Denmark
    40 Helsinki Finland 00029
    41 Oulu Finland 90220
    42 Tampere Finland 33521
    43 Turku Finland 20100
    44 Bordeaux France 33076
    45 Colmar France 68024
    46 Marseille Cedex 9 France 13274
    47 Marseille France 13285
    48 Mulhouse France 68070
    49 Nantes France 45035
    50 Nimes Cedex 9 France 30029
    51 Orleans Cedex 2 France 45067
    52 Paris-Cedex 12 France 75571
    53 Paris France 75020
    54 Rouen France 76031
    55 Saint Priest en Jarez France 42055
    56 Strasbourg France 67000
    57 Toulouse Cedex 9 France 31059
    58 Aichach Germany 86551
    59 Bad Ems Germany 56130
    60 Bautzen Germany 02625
    61 Berlin Germany 13347
    62 Duisburg Germany 47051
    63 Frankfurt Germany 65933
    64 Ganderkesee Germany 27777
    65 Hagenow Germany 19230
    66 Halle/Saale Germany 06132
    67 Hamburg Germany 20253
    68 Henningsdorf Germany 16761
    69 Hettstedt Germany 06333
    70 Koblenz Germany 56068
    71 Leipzig Germany 04105
    72 Lutherstadt Eisleben Germany 06295
    73 Muenchen-Bogenhausen Germany 81925
    74 Neustadt I. Sachsen Germany 01844
    75 Oranienburg Germany 16151
    76 Radebeul Germany 01445
    77 Sangerhausen Germany 06526
    78 Trier Germany 54290
    79 Uetersen Germany 25436
    80 Athens Greece
    81 Nikaias-Piraeus Greece
    82 Patras Greece
    83 Thessaloniki Greece
    84 Budapest Hungary 1047
    85 Budapest Hungary 1076
    86 Budapest Hungary 1204
    87 Debrecen Hungary 4043
    88 Eger Hungary 3300
    89 Nyiregyhaza Hungary 4400
    90 Papa Hungary
    91 Sopron Hungary
    92 Szeged Hungary 6725
    93 Szekesfehervar Hungary 8000
    94 Szekszard Hungary 7100
    95 Tatabanya Hungary 2800
    96 Veszprem Hungary 8200
    97 Reykjavik Iceland 101
    98 Cork Ireland
    99 Dublin 9 Ireland
    100 Dublin Ireland
    101 Mullingar Ireland
    102 Tralee Ireland
    103 Bari Italy 70124
    104 Catanzaro Italy 88100
    105 Florence Italy 50139
    106 Florence Italy 59129
    107 Genoa Italy 16128
    108 Latina Italy 04100
    109 Magenta Italy 20013
    110 Milan Italy 20142
    111 Milan Italy 20153
    112 Modena Italy 41100
    113 Naples Italy 80131
    114 Perugia Italy 06122
    115 Teramo Italy 64100
    116 Treviglio Italy 24047
    117 Varese Italy 21100
    118 Liepaja Latvia
    119 Riga Latvia
    120 Kaunas Lithuania
    121 Vilnius Lithuania
    122 Amsterdam Netherlands 1105 AZ
    123 Apeldoorn Netherlands 7334 DZ
    124 Apeldoorn Netherlands
    125 Eindhoven Netherlands 5623 EJ
    126 Enschede Netherlands 7511 JX
    127 Leiden Netherlands 2334 CK
    128 Maastricht Netherlands 6229 HX
    129 Nijmegen Netherlands 6532 SZ
    130 Sneek Netherlands 8600 BA
    131 Tilburg Netherlands 5022 GC
    132 Winterswijk Netherlands 7101 BN
    133 Bergen Norway 5021
    134 Drammen Norway 3016
    135 Hamar Norway 2317
    136 Oslo Norway 0257
    137 Tonsberg Norway 3103
    138 Bialystok Poland 15-278
    139 Chorzow Poland 41-500
    140 Lodz Poland 93-338
    141 Lodz Poland 93-513
    142 Lublin Poland 20-954
    143 Warsaw Poland 00-846
    144 Warsaw Poland 02-005
    145 Warsaw Poland 02-507
    146 Wroclaw Poland 50-556
    147 Amadora Portugal 2700
    148 Porto Portugal 4099-005
    149 Tomar Portugal 2304-909
    150 Viana do Castelo Portugal 4900-858
    151 Bucharest Romania 22328
    152 Bucharest Romania
    153 Lasi Romania
    154 Oradea Romania
    155 Timisoara Romania
    156 Moscow Russian Federation 101000
    157 Moscow Russian Federation 105425
    158 Moscow Russian Federation 111020
    159 Moscow Russian Federation 111123
    160 Moscow Russian Federation 115516
    161 Moscow Russian Federation 117049
    162 Moscow Russian Federation 117815
    163 Moscow Russian Federation 119435
    164 Moscow Russian Federation 123836
    165 Moscow Russian Federation 125206
    166 St. Petersburg Russian Federation 197089
    167 St. Petersburg Russian Federation 198013
    168 Martin Slovakia 03659
    169 Poprad Slovakia 05801
    170 Skalica Slovakia 90982
    171 Trencin Slovakia 91101
    172 Zilina Slovakia 01207
    173 Bloemfontein South Africa
    174 Hatfield South Africa
    175 Lyttelton South Africa
    176 Paarl South Africa
    177 Pietermaritzburg South Africa
    178 Barcelona Spain 08020
    179 Bilbao Spain 48013
    180 Esplugues De Llobregat-Barcelo Spain 08950
    181 Fuenlabrada Spain 28942
    182 Getafe Spain 28905
    183 Madrid Spain 28016
    184 Madrid Spain 28046
    185 Madrid Spain
    186 Mataro Spain 8304
    187 Miranda de Ebro Spain 09200
    188 Palma de Mallorca Spain 07014
    189 Sevilla Spain 41013
    190 Toledo Spain 45071
    191 Valencia Spain 46010
    192 Villareal Spain 12540
    193 Boras Sweden 50182
    194 Helsingborg Sweden 25187
    195 Orebro Sweden 70185
    196 Skovde Sweden 54130
    197 Stockholm Sweden 11883
    198 Stockholm Sweden 14186
    199 Stockholm Sweden 17176
    200 Stockholm Sweden 18288
    201 Umea Sweden 90185
    202 Uppsala Sweden 75185
    203 Frauenfeld Switzerland 8501
    204 Luzern Switzerland 6000
    205 Kiev Ukraine 01023
    206 Kiev Ukraine 04053
    207 Birmingham United Kingdom B15 2TG
    208 Chorley United Kingdom PR7 7NA
    209 Croydon United Kingdom CR7 7YE
    210 Liverpool United Kingdom L22 OLG
    211 London United Kingdom SE5 9RS
    212 London United Kingdom W2 2YP
    213 Manchester United Kingdom M15 6SX
    214 Newcastle Upon Tyne United Kingdom NE7 7DN
    215 Northwood United Kingdom HA6 2RN
    216 Reading United Kingdom RG1 5AN
    217 Reading United Kingdom RG2 7AG
    218 Sheffield United Kingdom S10 2JF
    219 Swansea United Kingdom SA6 6NL

    Sponsors and Collaborators

    • Astellas Pharma Inc

    Investigators

    • Study Director: Central Contact, Astellas Pharma Europe B.V.

    Study Documents (Full-Text)

    None provided.

    More Information

    Additional Information:

    Publications

    Responsible Party:
    Astellas Pharma Inc
    ClinicalTrials.gov Identifier:
    NCT00689104
    Other Study ID Numbers:
    • 178-CL-046
    • 2007-001451-19
    First Posted:
    Jun 3, 2008
    Last Update Posted:
    Dec 11, 2017
    Last Verified:
    Nov 1, 2017
    Individual Participant Data (IPD) Sharing Statement:
    Yes
    Plan to Share IPD:
    Yes
    Keywords provided by Astellas Pharma Inc
    Additional relevant MeSH terms:

    Study Results

    Participant Flow

    Recruitment Details
    Pre-assignment Detail After screening, 2336 patients took placebo run-in study drug in a 2-week, single-blind, placebo run-in period. On completion of the run-in period, 1987 eligible patients were randomly assigned to receive placebo, mirabegron 50 mg, mirabegron 100 mg or tolterodine 4 mg for 12 weeks.
    Arm/Group Title Placebo Mirabegron 50 mg Mirabegron 100 mg Tolterodine SR 4 mg
    Arm/Group Description Participants received matching mirabegron placebo tablets and matching tolterodine slow release (SR) placebo capsules orally once a day for 12 weeks. Participants received mirabegron 50 mg tablets and matching tolterodine SR placebo capsules orally once a day for 12 weeks. Participants received mirabegron 100 mg tablets and matching tolterodine SR placebo capsules orally once a day for 12 weeks. Participants received Tolterodine SR 4 mg capsules and matching mirabegron placebo tablets orally once a day for 12 weeks.
    Period Title: Overall Study
    STARTED 497 497 498 495
    Safety Analysis Set (SAF) 494 493 496 495
    Full Analysis Set (FAS) 480 473 478 475
    Full Analysis Set Incontinence (FAS-I) 291 293 281 300
    COMPLETED 453 440 453 445
    NOT COMPLETED 44 57 45 50

    Baseline Characteristics

    Arm/Group Title Placebo Mirabegron 50 mg Mirabegron 100 mg Tolterodine SR 4 mg Total
    Arm/Group Description Participants received matching mirabegron placebo tablets and matching tolterodine slow release (SR) placebo capsules orally once a day for 12 weeks. Participants received mirabegron 50 mg tablets and matching tolterodine SR placebo capsules orally once a day for 12 weeks. Participants received mirabegron 100 mg tablets and matching tolterodine SR placebo capsules orally once a day for 12 weeks. Participants received Tolterodine SR 4 mg capsules and matching mirabegron placebo tablets orally once a day for 12 weeks. Total of all reporting groups
    Overall Participants 494 493 496 495 1978
    Age (years) [Mean (Standard Deviation) ]
    Mean (Standard Deviation) [years]
    59.2
    (12.30)
    59.1
    (12.36)
    59.0
    (12.71)
    59.1
    (12.89)
    59.1
    (12.56)
    Sex: Female, Male (Count of Participants)
    Female
    356
    72.1%
    357
    72.4%
    355
    71.6%
    361
    72.9%
    1429
    72.2%
    Male
    138
    27.9%
    136
    27.6%
    141
    28.4%
    134
    27.1%
    549
    27.8%
    Race/Ethnicity, Customized (participants) [Number]
    White
    490
    99.2%
    488
    99%
    492
    99.2%
    490
    99%
    1960
    99.1%
    Black or African American
    2
    0.4%
    1
    0.2%
    1
    0.2%
    3
    0.6%
    7
    0.4%
    Asian
    0
    0%
    2
    0.4%
    2
    0.4%
    2
    0.4%
    6
    0.3%
    Other
    2
    0.4%
    2
    0.4%
    1
    0.2%
    0
    0%
    5
    0.3%
    Type of overactive bladder (OAB) (participants) [Number]
    Urge Incontinence
    204
    41.3%
    200
    40.6%
    188
    37.9%
    190
    38.4%
    782
    39.5%
    Mixed
    106
    21.5%
    113
    22.9%
    119
    24%
    111
    22.4%
    449
    22.7%
    Frequency
    184
    37.2%
    180
    36.5%
    189
    38.1%
    194
    39.2%
    747
    37.8%
    Duration of OAB symptoms (months) [Mean (Standard Deviation) ]
    Mean (Standard Deviation) [months]
    76.0
    (91.38)
    79.6
    (87.14)
    84.8
    (94.12)
    75.5
    (92.20)
    79.0
    (91.25)
    Mean number of micturitions per 24 Hours (micturitions) [Mean (Standard Deviation) ]
    Mean (Standard Deviation) [micturitions]
    11.72
    (3.122)
    11.64
    (2.967)
    11.49
    (2.720)
    11.53
    (2.773)
    11.59
    (2.899)
    Mean volume voided per micturition (mL) [Mean (Standard Deviation) ]
    Mean (Standard Deviation) [mL]
    156.8
    (52.73)
    160.3
    (57.85)
    158.9
    (53.95)
    157.4
    (54.23)
    158.3
    (54.69)
    Mean number of urgency episodes (grade 3 or 4) per 24 hours (urgency episodes) [Mean (Standard Deviation) ]
    Mean (Standard Deviation) [urgency episodes]
    5.72
    (3.972)
    5.68
    (3.679)
    5.95
    (3.699)
    5.79
    (3.494)
    5.79
    (3.713)
    Mean level of urgency (scores on a scale) [Mean (Standard Deviation) ]
    Mean (Standard Deviation) [scores on a scale]
    2.36
    (0.563)
    2.40
    (0.547)
    2.46
    (0.528)
    2.41
    (0.561)
    2.41
    (0.551)
    Mean number of nocturia episodes per 24 hours (nocturia episodes) [Mean (Standard Deviation) ]
    Mean (Standard Deviation) [nocturia episodes]
    1.98
    (1.405)
    1.87
    (1.294)
    1.91
    (1.374)
    1.93
    (1.417)
    1.92
    (1.373)
    Mean number of pads used per 24 hours (pads) [Mean (Standard Deviation) ]
    Mean (Standard Deviation) [pads]
    1.12
    (1.812)
    1.12
    (1.941)
    1.25
    (2.020)
    1.04
    (1.752)
    1.13
    (1.884)

    Outcome Measures

    1. Primary Outcome
    Title Change From Baseline to End of Treatment (Final Visit) in Mean Number of Incontinence Episodes Per 24 Hours
    Description The average number of incontinence episodes (any involuntary leakage of urine) per day was derived from the number of incontinence episodes recorded by the patient in a micturition diary for 3-days before the Baseline and Week 12 clinic visits. Least Squares (LS) Means were generated from an analysis of covariance (ANCOVA) model with treatment group, gender, and geographic region as fixed factors and baseline as a covariate.
    Time Frame Baseline and Week 12 (final visit)

    Outcome Measure Data

    Analysis Population Description
    The full analysis set-Incontinence included all randomized patients who took at least 1 dose of double-blind study drug and who had a baseline and at least 1 post baseline micturition measurement in the visit diary and who had at least 1 incontinence episode at baseline. Last observation carried forward (LOCF) was utilized.
    Arm/Group Title Placebo Mirabegron 50 mg Mirabegron 100 mg Tolterodine SR 4 mg
    Arm/Group Description Participants received matching mirabegron placebo tablets and matching tolterodine slow release (SR) placebo capsules orally once a day for 12 weeks. Participants received mirabegron 50 mg tablets and matching tolterodine SR placebo capsules orally once a day for 12 weeks. Participants received mirabegron 100 mg tablets and matching tolterodine SR placebo capsules orally once a day for 12 weeks. Participants received Tolterodine SR 4 mg capsules and matching mirabegron placebo tablets orally once a day for 12 weeks.
    Measure Participants 291 293 281 300
    Least Squares Mean (Standard Error) [Incontinence episodes]
    -1.17
    (0.113)
    -1.57
    (0.113)
    -1.46
    (0.115)
    -1.27
    (0.112)
    Statistical Analysis 1
    Statistical Analysis Overview Comparison Group Selection Placebo, Mirabegron 50 mg
    Comments Since there were 2 coprimary efficacy endpoints and 3 key secondary efficacy endpoints, the multiplicity among the endpoints was controlled at a type I error rate at the alpha = 0.05 level using a stepwise parallel gatekeeping procedure (5 stages). In addition, since two mirabegron treatment groups were compared with placebo per endpoint, the Hochberg procedure was used to adjust for multiplicity. A stratified rank ANCOVA model was utilized for hypothesis testing.
    Type of Statistical Test Superiority or Other
    Comments
    Statistical Test of Hypothesis p-Value 0.003
    Comments The response variable for the stratified rank ANCOVA was standardized ranks on change from baseline to Final Visit value with baseline standardized ranks and gender as covariates and geographic region as a stratum.
    Method Stratified rank ANCOVA
    Comments LS mean difference was derived from an ANCOVA model with treatment group, gender, and geographic region as fixed factors and baseline as a covariate.
    Method of Estimation Estimation Parameter LS Mean Difference
    Estimated Value -0.41
    Confidence Interval (2-Sided) 95%
    -0.72 to -0.09
    Parameter Dispersion Type:
    Value:
    Estimation Comments
    Statistical Analysis 2
    Statistical Analysis Overview Comparison Group Selection Placebo, Mirabegron 100 mg
    Comments Since there were 2 coprimary efficacy endpoints and 3 key secondary efficacy endpoints, the multiplicity among the endpoints was controlled at a type I error rate at the alpha = 0.05 level using a stepwise parallel gatekeeping procedure (5 stages). In addition, since two mirabegron treatment groups were compared with placebo per endpoint, the Hochberg procedure was used to adjust for multiplicity. A stratified rank ANCOVA model was utilized for hypothesis testing.
    Type of Statistical Test Superiority or Other
    Comments
    Statistical Test of Hypothesis p-Value 0.010
    Comments The response variable for the stratified rank ANCOVA was standardized ranks on change from baseline to Final Visit value with baseline standardized ranks and gender as covariates and geographic region as a stratum.
    Method Stratified rank ANCOVA
    Comments LS mean difference was derived from an ANCOVA model with treatment group, gender, and geographic region as fixed factors and baseline as a covariate.
    Method of Estimation Estimation Parameter LS Mean Difference
    Estimated Value -0.29
    Confidence Interval (2-Sided) 95%
    -0.61 to 0.03
    Parameter Dispersion Type:
    Value:
    Estimation Comments
    Statistical Analysis 3
    Statistical Analysis Overview Comparison Group Selection Placebo, Tolterodine SR 4 mg
    Comments Since the comparison between tolterodine and placebo was a secondary analysis, no adjustment for multiplicity was necessary.
    Type of Statistical Test Superiority or Other
    Comments
    Statistical Test of Hypothesis p-Value 0.11
    Comments The response variable for the stratified rank ANCOVA was standardized ranks on change from baseline to Final Visit value with baseline standardized ranks and gender as covariates and geographic region as a stratum.
    Method Stratified rank ANCOVA
    Comments LS mean difference was derived from an ANCOVA model with treatment group, gender, and geographic region as fixed factors and baseline as a covariate
    Method of Estimation Estimation Parameter LS Mean Difference
    Estimated Value -0.10
    Confidence Interval (2-Sided) 95%
    -0.42 to 0.21
    Parameter Dispersion Type:
    Value:
    Estimation Comments
    2. Primary Outcome
    Title Change From Baseline to End of Treatment (Final Visit) in Mean Number of Micturitions Per 24 Hours
    Description The average number of micturitions (urinations) per 24 hours was derived from the number of times a patient urinates (excluding incontinence only episodes) per day recorded by the patient in a micturition diary for 3-days before the Baseline and Week 12 clinic visits. LS Means generated from an ANCOVA model with treatment group, gender, and geographic region as fixed factors and baseline as a covariate.
    Time Frame Baseline and Week 12

    Outcome Measure Data

    Analysis Population Description
    The full analysis set included all randomized patients who took at least 1 dose of double-blind study drug and who had a baseline and at least 1 post baseline micturition measurement in the visit diary. Last observation carried forward was utilized.
    Arm/Group Title Placebo Mirabegron 50 mg Mirabegron 100 mg Tolterodine SR 4 mg
    Arm/Group Description Participants received matching mirabegron placebo tablets and matching tolterodine slow release (SR) placebo capsules orally once a day for 12 weeks. Participants received mirabegron 50 mg tablets and matching tolterodine SR placebo capsules orally once a day for 12 weeks. Participants received mirabegron 100 mg tablets and matching tolterodine SR placebo capsules orally once a day for 12 weeks. Participants received Tolterodine SR 4 mg capsules and matching mirabegron placebo tablets orally once a day for 12 weeks.
    Measure Participants 480 473 478 475
    Least Squares Mean (Standard Error) [micturitions]
    -1.34
    (0.110)
    -1.93
    (0.111)
    -1.77
    (0.110)
    -1.59
    (0.111)
    Statistical Analysis 1
    Statistical Analysis Overview Comparison Group Selection Placebo, Mirabegron 50 mg
    Comments Since there were 2 coprimary efficacy endpoints and 3 key secondary efficacy endpoints, the multiplicity among the endpoints was controlled at a type I error rate at the alpha = 0.05 level using a stepwise parallel gatekeeping procedure (5 stages). In addition, since two mirabegron treatment groups were compared with placebo per endpoint, the Hochberg procedure was used to adjust for multiplicity. An ANCOVA model was used for hypothesis testing.
    Type of Statistical Test Superiority or Other
    Comments
    Statistical Test of Hypothesis p-Value <0.001
    Comments LS mean difference and p-value were derived from an ANCOVA model with treatment group, gender, and geographic region as fixed factors and baseline as a covariate.
    Method ANCOVA
    Comments
    Method of Estimation Estimation Parameter LS Mean Difference
    Estimated Value -0.60
    Confidence Interval (2-Sided) 95%
    -0.90 to -0.29
    Parameter Dispersion Type:
    Value:
    Estimation Comments
    Statistical Analysis 2
    Statistical Analysis Overview Comparison Group Selection Placebo, Mirabegron 100 mg
    Comments Since there were 2 coprimary efficacy endpoints and 3 key secondary efficacy endpoints, the multiplicity among the endpoints was controlled at a type I error rate at the alpha = 0.05 level using a stepwise parallel gatekeeping procedure (5 stages). In addition, since two mirabegron treatment groups were compared with placebo per endpoint, the Hochberg procedure was used to adjust for multiplicity. An ANCOVA model was used for hypothesis testing.
    Type of Statistical Test Superiority or Other
    Comments
    Statistical Test of Hypothesis p-Value 0.005
    Comments LS mean difference and p-value were derived from an ANCOVA model with treatment group, gender, and geographic region as fixed factors and baseline as a covariate.
    Method ANCOVA
    Comments
    Method of Estimation Estimation Parameter LS Mean Difference
    Estimated Value -0.44
    Confidence Interval (2-Sided) 95%
    -0.74 to -0.13
    Parameter Dispersion Type:
    Value:
    Estimation Comments
    Statistical Analysis 3
    Statistical Analysis Overview Comparison Group Selection Placebo, Tolterodine SR 4 mg
    Comments Since the comparison between tolterodine and placebo was a secondary analysis, no adjustment for multiplicity was necessary.
    Type of Statistical Test Superiority or Other
    Comments
    Statistical Test of Hypothesis p-Value 0.11
    Comments LS mean difference and p-value were derived from an ANCOVA model with treatment group, gender, and geographic region as fixed factors and baseline as a covariate.
    Method ANCOVA
    Comments
    Method of Estimation Estimation Parameter LS Mean Difference
    Estimated Value -0.25
    Confidence Interval (2-Sided) 95%
    -0.55 to 0.06
    Parameter Dispersion Type:
    Value:
    Estimation Comments
    3. Secondary Outcome
    Title Change From Baseline to Final Visit in Mean Volume Voided Per Micturition
    Description The average volume voided per micturition was calculated from the volume of each micturition measured by the patient and recorded in a micturition diary for 3 days before the Baseline and Week 12 clinic visits. LS Means were generated from an ANCOVA model with treatment group, gender, and geographic region as fixed factors and baseline as a covariate.
    Time Frame Baseline and Week 12

    Outcome Measure Data

    Analysis Population Description
    The Full analysis set included all randomized patients who took at least 1 dose of double-blind study drug and who had a baseline and at least 1 post baseline micturition measurement in the visit diary. Last observation carried forward was utilized.
    Arm/Group Title Placebo Mirabegron 50 mg Mirabegron 100 mg Tolterodine SR 4 mg
    Arm/Group Description Participants received matching mirabegron placebo tablets and matching tolterodine slow release (SR) placebo capsules orally once a day for 12 weeks. Participants received mirabegron 50 mg tablets and matching tolterodine SR placebo capsules orally once a day for 12 weeks. Participants received mirabegron 100 mg tablets and matching tolterodine SR placebo capsules orally once a day for 12 weeks. Participants received Tolterodine SR 4 mg capsules and matching mirabegron placebo tablets orally once a day for 12 weeks.
    Measure Participants 480 472 478 475
    Least Squares Mean (Standard Error) [mL]
    12.3
    (1.99)
    24.2
    (2.01)
    25.6
    (2.00)
    25.0
    (2.00)
    Statistical Analysis 1
    Statistical Analysis Overview Comparison Group Selection Placebo, Mirabegron 50 mg
    Comments Since there were 2 coprimary efficacy endpoints and 3 key secondary efficacy endpoints, the multiplicity among the endpoints was controlled at a type I error rate at the alpha = 0.05 level using a stepwise parallel gatekeeping procedure (5 stages). In addition, since two mirabegron treatment groups were compared with placebo per endpoint, the Hochberg procedure was used to adjust for multiplicity. An ANCOVA model was used for hypothesis testing.
    Type of Statistical Test Superiority or Other
    Comments
    Statistical Test of Hypothesis p-Value <0.001
    Comments LS mean difference and p-value were derived from an ANCOVA model with treatment group, gender, and geographic region as fixed factors and baseline as a covariate.
    Method ANCOVA
    Comments
    Method of Estimation Estimation Parameter LS Mean Difference
    Estimated Value 11.9
    Confidence Interval (2-Sided) 95%
    6.3 to 17.4
    Parameter Dispersion Type:
    Value:
    Estimation Comments
    Statistical Analysis 2
    Statistical Analysis Overview Comparison Group Selection Placebo, Mirabegron 100 mg
    Comments Since there were 2 coprimary efficacy endpoints and 3 key secondary efficacy endpoints, the multiplicity among the endpoints was controlled at a type I error rate at the alpha = 0.05 level using a stepwise parallel gatekeeping procedure (5 stages). In addition, since two mirabegron treatment groups were compared with placebo per endpoint, the Hochberg procedure was used to adjust for multiplicity. An ANCOVA model was used for hypothesis testing.
    Type of Statistical Test Superiority or Other
    Comments
    Statistical Test of Hypothesis p-Value <0.001
    Comments LS mean difference and p-value were derived from an ANCOVA model with treatment group, gender, and geographic region as fixed factors and baseline as a covariate
    Method ANCOVA
    Comments
    Method of Estimation Estimation Parameter LS Mean Difference
    Estimated Value 13.2
    Confidence Interval (2-Sided) 95%
    7.7 to 18.7
    Parameter Dispersion Type:
    Value:
    Estimation Comments
    Statistical Analysis 3
    Statistical Analysis Overview Comparison Group Selection Placebo, Tolterodine SR 4 mg
    Comments Since the comparison between tolterodine and placebo was a secondary analysis, no adjustment for multiplicity was necessary.
    Type of Statistical Test Superiority or Other
    Comments
    Statistical Test of Hypothesis p-Value <0.001
    Comments LS mean difference and p-value were derived from an ANCOVA model with treatment group, gender, and geographic region as fixed factors and baseline as a covariate.
    Method ANCOVA
    Comments
    Method of Estimation Estimation Parameter LS Mean Difference
    Estimated Value 12.6
    Confidence Interval (2-Sided) 95%
    7.1 to 18.2
    Parameter Dispersion Type:
    Value:
    Estimation Comments
    4. Secondary Outcome
    Title Change From Baseline to Week 4 in Mean Number of Incontinence Episodes Per 24 Hours
    Description The average number of incontinence episodes (any involuntary leakage of urine) per 24 hours was derived from the number of incontinence episodes recorded by the patient in a micturition diary for 3-days before the Baseline and Week 4 clinic visits. LS Means were generated from an ANCOVA model with treatment group, gender, and geographic region as fixed factors and baseline as a covariate.
    Time Frame Baseline and Week 4

    Outcome Measure Data

    Analysis Population Description
    The full analysis set-Incontinence included all randomized patients who took at least 1 dose of double-blind study drug and who had a baseline and at least 1 post baseline micturition measurement in the visit diary and who had at least 1 incontinence episode at baseline. Last observation carried forward was not utilized in this analysis.
    Arm/Group Title Placebo Mirabegron 50 mg Mirabegron 100 mg Tolterodine SR 4 mg
    Arm/Group Description Participants received matching mirabegron placebo tablets and matching tolterodine slow release (SR) placebo capsules orally once a day for 12 weeks. Participants received mirabegron 50 mg tablets and matching tolterodine SR placebo capsules orally once a day for 12 weeks. Participants received mirabegron 100 mg tablets and matching tolterodine SR placebo capsules orally once a day for 12 weeks. Participants received Tolterodine SR 4 mg capsules and matching mirabegron placebo tablets orally once a day for 12 weeks.
    Measure Participants 291 293 281 299
    Least Squares Mean (Standard Error) [Incontinence episodes]
    -0.65
    (0.118)
    -1.04
    (0.118)
    -1.03
    (0.120)
    -1.00
    (0.117)
    Statistical Analysis 1
    Statistical Analysis Overview Comparison Group Selection Placebo, Mirabegron 50 mg
    Comments Since there were 2 coprimary efficacy endpoints and 3 key secondary efficacy endpoints, the multiplicity among the endpoints was controlled at a type I error rate at the alpha = 0.05 level using a stepwise parallel gatekeeping procedure (5 stages). In addition, since two mirabegron treatment groups were compared with placebo per endpoint, the Hochberg procedure was used to adjust for multiplicity. A stratified rank ANCOVA model was utilized for hypothesis testing.
    Type of Statistical Test Superiority or Other
    Comments
    Statistical Test of Hypothesis p-Value 0.002
    Comments The response variable for the stratified rank ANCOVA was standardized ranks on change from baseline to Final Visit value with baseline standardized ranks and gender as covariates and geographic region as a stratum.
    Method Stratified rank ANCOVA
    Comments LS mean difference was derived from an ANCOVA model with treatment group, gender, and geographic region as fixed factors and baseline as a covariate.
    Method of Estimation Estimation Parameter LS Mean Difference
    Estimated Value -0.39
    Confidence Interval (2-Sided) 95%
    -0.71 to -0.06
    Parameter Dispersion Type:
    Value:
    Estimation Comments
    Statistical Analysis 2
    Statistical Analysis Overview Comparison Group Selection Placebo, Mirabegron 100 mg
    Comments Since there were 2 coprimary efficacy endpoints and 3 key secondary efficacy endpoints, the multiplicity among the endpoints was controlled at a type I error rate at the alpha = 0.05 level using a stepwise parallel gatekeeping procedure (5 stages). In addition, since two mirabegron treatment groups were compared with placebo per endpoint, the Hochberg procedure was used to adjust for multiplicity. A stratified rank ANCOVA model was utilized for hypothesis testing.
    Type of Statistical Test Superiority or Other
    Comments
    Statistical Test of Hypothesis p-Value 0.002
    Comments The response variable for the stratified rank ANCOVA was standardized ranks on change from baseline to Final Visit value with baseline standardized ranks and gender as covariates and geographic region as a stratum.
    Method Stratified rank ANCOVA
    Comments LS mean difference was derived from an ANCOVA model with treatment group, gender, and geographic region as fixed factors and baseline as a covariate.
    Method of Estimation Estimation Parameter LS Mean Difference
    Estimated Value -0.38
    Confidence Interval (2-Sided) 95%
    -0.71 to -0.05
    Parameter Dispersion Type:
    Value:
    Estimation Comments
    Statistical Analysis 3
    Statistical Analysis Overview Comparison Group Selection Placebo, Tolterodine SR 4 mg
    Comments Since the comparison between tolterodine and placebo was a secondary analysis, no adjustment for multiplicity was necessary.
    Type of Statistical Test Superiority or Other
    Comments
    Statistical Test of Hypothesis p-Value 0.019
    Comments The response variable for the stratified rank ANCOVA was standardized ranks on change from baseline to Final Visit value with baseline standardized ranks and gender as covariates and geographic region as a stratum.
    Method Stratified rank ANCOVA
    Comments LS mean difference was derived from an ANCOVA model with treatment group, gender, and geographic region as fixed factors and baseline as a covariate.
    Method of Estimation Estimation Parameter LS mean Difference
    Estimated Value -0.35
    Confidence Interval (2-Sided) 95%
    -0.68 to -0.03
    Parameter Dispersion Type:
    Value:
    Estimation Comments
    5. Secondary Outcome
    Title Change From Baseline to Week 4 in Mean Number of Micturitions Per 24 Hours
    Description The average number of micturitions (urinations) per 24 hours was calculated from the number of micturitions recorded by the patient in a micturition diary for 3-days before the Baseline and Week 4 clinic visits. LS Means generated from an ANCOVA model with treatment group, gender, and geographic region as fixed factors and baseline as a covariate.
    Time Frame Baseline and Week 4

    Outcome Measure Data

    Analysis Population Description
    The full analysis set included all randomized patients who took at least 1 dose of double-blind study drug and who had a baseline and at least 1 post baseline micturition measurement in the visit diary. Last observation carried forward was not utilized in this analysis.
    Arm/Group Title Placebo Mirabegron 50 mg Mirabegron 100 mg Tolterodine SR 4 mg
    Arm/Group Description Participants received matching mirabegron placebo tablets and matching tolterodine slow release (SR) placebo capsules orally once a day for 12 weeks. Participants received mirabegron 50 mg tablets and matching tolterodine SR placebo capsules orally once a day for 12 weeks. Participants received mirabegron 100 mg tablets and matching tolterodine SR placebo capsules orally once a day for 12 weeks. Participants received Tolterodine SR 4 mg capsules and matching mirabegron placebo tablets orally once a day for 12 weeks.
    Measure Participants 479 471 477 474
    Least Squares Mean (Standard Error) [micturitions]
    -0.77
    (0.096)
    -1.16
    (0.097)
    -1.29
    (0.096)
    -1.10
    (0.096)
    Statistical Analysis 1
    Statistical Analysis Overview Comparison Group Selection Placebo, Mirabegron 50 mg
    Comments Since there were 2 coprimary efficacy endpoints and 3 key secondary efficacy endpoints, the multiplicity among the endpoints was controlled at a type I error rate at the alpha = 0.05 level using a stepwise parallel gatekeeping procedure (5 stages). In addition, since two mirabegron treatment groups were compared with placebo per endpoint, the Hochberg procedure was used to adjust for multiplicity. An ANCOVA model was used for hypothesis testing.
    Type of Statistical Test Superiority or Other
    Comments
    Statistical Test of Hypothesis p-Value 0.004
    Comments LS mean difference and p-value were derived from an ANCOVA model with treatment group, gender, and geographic region as fixed factors and baseline as a covariate.
    Method ANCOVA
    Comments
    Method of Estimation Estimation Parameter LS mean Difference
    Estimated Value -0.40
    Confidence Interval (2-Sided) 95%
    -0.66 to -0.13
    Parameter Dispersion Type:
    Value:
    Estimation Comments
    Statistical Analysis 2
    Statistical Analysis Overview Comparison Group Selection Placebo, Mirabegron 100 mg
    Comments Since there were 2 coprimary efficacy endpoints and 3 key secondary efficacy endpoints, the multiplicity among the endpoints was controlled at a type I error rate at the alpha = 0.05 level using a stepwise parallel gatekeeping procedure (5 stages). In addition, since two mirabegron treatment groups were compared with placebo per endpoint, the Hochberg procedure was used to adjust for multiplicity. An ANCOVA model was used for hypothesis testing.
    Type of Statistical Test Superiority or Other
    Comments
    Statistical Test of Hypothesis p-Value <0.001
    Comments LS mean difference and p-value were derived from an ANCOVA model with treatment group, gender, and geographic region as fixed factors and baseline as a covariate.
    Method ANCOVA
    Comments
    Method of Estimation Estimation Parameter LS Mean Difference
    Estimated Value -0.52
    Confidence Interval (2-Sided) 95%
    -0.79 to -0.26
    Parameter Dispersion Type:
    Value:
    Estimation Comments
    Statistical Analysis 3
    Statistical Analysis Overview Comparison Group Selection Placebo, Tolterodine SR 4 mg
    Comments Since the comparison between tolterodine and placebo was a secondary analysis, no adjustment for multiplicity was necessary.
    Type of Statistical Test Superiority or Other
    Comments
    Statistical Test of Hypothesis p-Value 0.016
    Comments LS mean difference and p-value were derived from an ANCOVA model with treatment group, gender, and geographic region as fixed factors and baseline as a covariate.
    Method ANCOVA
    Comments
    Method of Estimation Estimation Parameter LS Mean Difference
    Estimated Value -0.33
    Confidence Interval (2-Sided) 95%
    -0.60 to -0.06
    Parameter Dispersion Type:
    Value:
    Estimation Comments
    6. Secondary Outcome
    Title Change From Baseline to Week 8 and Week 12 in Mean Number of Incontinence Episodes Per 24 Hours
    Description The average number of incontinence episodes (any involuntary leakage of urine) per 24 hours was derived from the number of incontinence episodes recorded by the patient in a micturition diary for 3-days before the Baseline, Week 8 and Week 12 clinic visits. LS Means were generated from an ANCOVA model with treatment group, gender, and geographic region as fixed factors and baseline as a covariate.
    Time Frame Baseline and Weeks 8 and 12

    Outcome Measure Data

    Analysis Population Description
    The full analysis set-incontinence included all randomized patients who took at least 1 dose of double-blind study drug and had a baseline and at least 1 post baseline micturition measurement in the visit diary and at least 1 incontinence episode at baseline. The number of patients included at each time point is noted as "N". LOCF was not utilized.
    Arm/Group Title Placebo Mirabegron 50 mg Mirabegron 100 mg Tolterodine SR 4 mg
    Arm/Group Description Participants received matching mirabegron placebo tablets and matching tolterodine slow release (SR) placebo capsules orally once a day for 12 weeks. Participants received mirabegron 50 mg tablets and matching tolterodine SR placebo capsules orally once a day for 12 weeks. Participants received mirabegron 100 mg tablets and matching tolterodine SR placebo capsules orally once a day for 12 weeks. Participants received Tolterodine SR 4 mg capsules and matching mirabegron placebo tablets orally once a day for 12 weeks.
    Measure Participants 291 293 281 300
    Week 8 [N=280; 277; 268; 292]
    -1.00
    (0.127)
    -1.29
    (0.128)
    -1.40
    (0.130)
    -1.02
    (0.125)
    Week 12 [N=275; 272; 262; 276]
    -1.18
    (0.116)
    -1.62
    (0.117)
    -1.45
    (0.119)
    -1.27
    (0.116)
    7. Secondary Outcome
    Title Change From Baseline to Week 8 and Week 12 in Mean Number of Micturitions Per 24 Hours
    Description The average number of micturitions (urinations) per 24 hours was calculated from the number of micturitions recorded by the patient in a micturition diary for 3-days before the Baseline, Week 8 and 12 clinic visits. LS Means were generated from an ANCOVA model with treatment group, gender, and geographic region as fixed factors and baseline as a covariate.
    Time Frame Baseline and Weeks 8 and 12

    Outcome Measure Data

    Analysis Population Description
    The full analysis set included all randomized patients who took at least 1 dose of double-blind study drug and who had a baseline and at least 1 post baseline micturition measurement in the visit diary. The number of patients included in the calculation for each time point is noted as "N". LOCF was not used in this analysis.
    Arm/Group Title Placebo Mirabegron 50 mg Mirabegron 100 mg Tolterodine SR 4 mg
    Arm/Group Description Participants received matching mirabegron placebo tablets and matching tolterodine slow release (SR) placebo capsules orally once a day for 12 weeks. Participants received mirabegron 50 mg tablets and matching tolterodine SR placebo capsules orally once a day for 12 weeks. Participants received mirabegron 100 mg tablets and matching tolterodine SR placebo capsules orally once a day for 12 weeks. Participants received Tolterodine SR 4 mg capsules and matching mirabegron placebo tablets orally once a day for 12 weeks.
    Measure Participants 480 473 478 475
    Week 8 [N=463; 450; 455; 461]
    -1.15
    (0.106)
    -1.64
    (0.107)
    -1.66
    (0.106)
    -1.43
    (0.106)
    Week 12 [N=452; 437; 447; 438]
    -1.33
    (0.113)
    -2.02
    (0.115)
    -1.78
    (0.113)
    -1.60
    (0.114)
    8. Secondary Outcome
    Title Change From Baseline to Week 4, Week 8 and Week 12 in Mean Volume Voided Per Micturition
    Description The average volume voided per micturition was calculated from the volume of each micturition measured by the patient and recorded in a micturition diary for 3 days before the Baseline and Week 4, 8 and 12 clinic visits. LS Means generated from an ANCOVA model with treatment group, gender, and geographic region as fixed factors and baseline as a covariate.
    Time Frame Baseline and Weeks 4, 8 and 12

    Outcome Measure Data

    Analysis Population Description
    The full analysis set included all randomized patients who took at least 1 dose of double-blind study drug and who had a baseline and at least 1 post baseline micturition measurement in the visit diary. LOCF was not utilized in this analysis. The number of participants included in the calculation for each time point is noted as "N".
    Arm/Group Title Placebo Mirabegron 50 mg Mirabegron 100 mg Tolterodine SR 4 mg
    Arm/Group Description Participants received matching mirabegron placebo tablets and matching tolterodine slow release (SR) placebo capsules orally once a day for 12 weeks. Participants received mirabegron 50 mg tablets and matching tolterodine SR placebo capsules orally once a day for 12 weeks. Participants received mirabegron 100 mg tablets and matching tolterodine SR placebo capsules orally once a day for 12 weeks. Participants received Tolterodine SR 4 mg capsules and matching mirabegron placebo tablets orally once a day for 12 weeks.
    Measure Participants 480 473 478 475
    Week 4 [N=479; 470; 477; 474]
    9.8
    (1.73)
    20.1
    (1.75)
    20.3
    (1.74)
    21.4
    (1.74)
    Week 8 [N=463; 449; 455; 461]
    11.7
    (1.97)
    20.7
    (2.00)
    25.3
    (1.99)
    25.9
    (1.97)
    Week 12 [N=452; 437; 447; 438]
    11.9
    (2.07)
    25.3
    (2.11)
    25.7
    (2.08)
    25.8
    (2.10)
    9. Secondary Outcome
    Title Change From Baseline to Week 4, Week 8, Week 12 and Final Visit in Mean Number of Urgency Incontinence Episodes Per 24 Hours
    Description The involuntary leakage of urine accompanied by or immediately proceeded by urgency, derived from the number of incontinence episodes classified by the patient in a 3-day micturition diary as 3 or 4 on the Patient Perception of Intensity of Urgency Scale: 0 = No urgency; 1 = Mild urgency; 2 = Moderate urgency, could postpone voiding a short while; 3 = Severe urgency, could not postpone voiding; 4 = Urge incontinence, leaked before arriving to the toilet. LS Means are from an ANCOVA with treatment group, gender, and geographic region as fixed factors and baseline as a covariate.
    Time Frame Baseline and Weeks 4, 8 and 12

    Outcome Measure Data

    Analysis Population Description
    The full analysis set-incontinence included all patients who took at least 1 dose of double-blind study drug & had a baseline & at least 1 post baseline micturition measurement in the visit diary & at least 1 urgency incontinence episode at baseline. LOCF was used for the Final Visit analysis. N = the number of patients included at each time point.
    Arm/Group Title Placebo Mirabegron 50 mg Mirabegron 100 mg Tolterodine SR 4 mg
    Arm/Group Description Participants received matching mirabegron placebo tablets and matching tolterodine slow release (SR) placebo capsules orally once a day for 12 weeks. Participants received mirabegron 50 mg tablets and matching tolterodine SR placebo capsules orally once a day for 12 weeks. Participants received mirabegron 100 mg tablets and matching tolterodine SR placebo capsules orally once a day for 12 weeks. Participants received Tolterodine SR 4 mg capsules and matching mirabegron placebo tablets orally once a day for 12 weeks.
    Measure Participants 291 293 281 300
    Week 4 [N=283; 286; 276; 288]
    -0.63
    (0.108)
    -0.98
    (0.107)
    -1.00
    (0.109)
    -1.01
    (0.107)
    Week 8 [N=273; 272; 263; 281]
    -0.94
    (0.118)
    -1.27
    (0.118)
    -1.32
    (0.120)
    -0.99
    (0.116)
    Week 12 [N=269; 267; 257; 265]
    -1.12
    (0.111)
    -1.52
    (0.112)
    -1.32
    (0.114)
    -1.19
    (0.122)
    Final Visit (LOCF) [N=283; 286; 276; 289]
    -1.11
    (0.110)
    -1.46
    (0.109)
    -1.33
    (0.111)
    -1.18
    (0.109)
    10. Secondary Outcome
    Title Change From Baseline to Week 4, Week 8, Week 12 and Final Visit in Mean Number of Urgency Episodes (Grades 3 or 4) Per 24 Hours
    Description The average number of urgency episodes (the sudden, compelling desire to pass urine, which is difficult to defer), derived from urgency episodes classified by the patient in a 3-day micturition diary as grade 3 or 4 on the Patient Perception of Intensity of Urgency Scale: 0: No urgency; 1: Mild urgency; 2: Moderate urgency, could delay voiding a short while; 3: Severe urgency, could not delay voiding; 4: Urge incontinence, leaked before arriving to the toilet. LS Means are from an ANCOVA with treatment group, gender, and geographic region as fixed factors and baseline as a covariate.
    Time Frame Baseline and Weeks 4, 8 and 12

    Outcome Measure Data

    Analysis Population Description
    The full analysis set included all patients who took at least 1 dose of double-blind study drug and had a baseline and at least 1 post baseline micturition measurement in the visit diary and at least 1 episode of urgency grade 3 or 4 at baseline. LOCF was used for the Final Visit analysis. N is the number of patients included at each time point.
    Arm/Group Title Placebo Mirabegron 50 mg Mirabegron 100 mg Tolterodine SR 4 mg
    Arm/Group Description Participants received matching mirabegron placebo tablets and matching tolterodine slow release (SR) placebo capsules orally once a day for 12 weeks. Participants received mirabegron 50 mg tablets and matching tolterodine SR placebo capsules orally once a day for 12 weeks. Participants received mirabegron 100 mg tablets and matching tolterodine SR placebo capsules orally once a day for 12 weeks. Participants received Tolterodine SR 4 mg capsules and matching mirabegron placebo tablets orally once a day for 12 weeks.
    Measure Participants 480 473 478 475
    Week 4 [N=475; 469; 471; 470]
    -0.89
    (0.138)
    -1.39
    (0.139)
    -1.54
    (0.138)
    -1.63
    (0.139)
    Week 8 [N=460; 446; 450; 456]
    -1.28
    (0.152)
    -1.90
    (0.155)
    -1.90
    (0.154)
    -1.91
    (0.153)
    Week 12 [N=450; 433; 441; 434]
    -1.65
    (0.154)
    -2.35
    (0.157)
    -2.00
    (0.155)
    -2.16
    (0.156)
    Final Visit (LOCF) [N=479; 470; 474; 472]
    -1.65
    (0.151)
    -2.25
    (0.152)
    -1.96
    (0.151)
    -2.07
    (0.152)
    11. Secondary Outcome
    Title Change From Baseline to Week 4, Week 8, Week 12 and Final Visit in Mean Level of Urgency
    Description Average of patients' ratings on the degree of urgency associated with each micturition and/or incontinence episode recorded in a 3-day micturition diary according to the following 5-point categorical scale (Patient Perception of Intensity of Urgency Scale): 0: No urgency; 1: Mild urgency; 2: Moderate urgency, could delay voiding a short while; 3: Severe urgency, could not delay voiding; 4: Urge incontinence, leaked before arriving to the toilet. LS Means are from an ANCOVA with treatment group, gender, and geographic region as fixed factors and baseline as a covariate.
    Time Frame Baseline and Weeks 4, 8 and 12

    Outcome Measure Data

    Analysis Population Description
    The full analysis set included all patients who took at least 1 dose of double-blind study drug and had a baseline and at least 1 post baseline micturition measurement in the visit diary. LOCF was used for the Final Visit analysis. The number of participants included in the calculation for each time point is noted as "N".
    Arm/Group Title Placebo Mirabegron 50 mg Mirabegron 100 mg Tolterodine SR 4 mg
    Arm/Group Description Participants received matching mirabegron placebo tablets and matching tolterodine slow release (SR) placebo capsules orally once a day for 12 weeks. Participants received mirabegron 50 mg tablets and matching tolterodine SR placebo capsules orally once a day for 12 weeks. Participants received mirabegron 100 mg tablets and matching tolterodine SR placebo capsules orally once a day for 12 weeks. Participants received Tolterodine SR 4 mg capsules and matching mirabegron placebo tablets orally once a day for 12 weeks.
    Measure Participants 480 473 478 475
    Week 4 [N=476; 469; 472; 471]
    -0.08
    (0.023)
    -0.19
    (0.023)
    -0.21
    (0.023)
    -0.21
    (0.023)
    Week 8 [N=460; 447; 451; 456]
    -0.16
    (0.027)
    -0.26
    (0.027)
    -0.27
    (0.027)
    -0.25
    (0.027)
    Week 12 [N=450; 434; 442; 434]
    -0.22
    (0.029)
    -0.33
    (0.029)
    -0.31
    (0.029)
    -0.30
    (0.029)
    Final Visit (LOCF) [N=480; 472; 475; 473]
    -0.22
    (0.028)
    -0.31
    (0.028)
    -0.30
    (0.028)
    -0.29
    (0.028)
    12. Secondary Outcome
    Title Change From Baseline to Week 4, Week 8, Week 12 and Final Visit in Mean Number of Nocturia Episodes Per 24 Hours
    Description Nocturia is defined as waking at night one or more times to void. The average number of times a patient urinated (excluding incontinence only episodes) during sleeping time per day was derived from the 3-day patient micturition diary. LS Means are from an ANCOVA with treatment group, gender, and geographic region as fixed factors and baseline as a covariate.
    Time Frame Baseline and Weeks 4, 8 and 12

    Outcome Measure Data

    Analysis Population Description
    The full analysis set included all patients who took at least 1 dose of double-blind study drug and had a baseline and at least 1 post baseline micturition measurement in the visit diary and who had at least one nocturia episode at baseline. LOCF was used for the Final Visit analysis. N is the number of participants included at each time point.
    Arm/Group Title Placebo Mirabegron 50 mg Mirabegron 100 mg Tolterodine SR 4 mg
    Arm/Group Description Participants received matching mirabegron placebo tablets and matching tolterodine slow release (SR) placebo capsules orally once a day for 12 weeks. Participants received mirabegron 50 mg tablets and matching tolterodine SR placebo capsules orally once a day for 12 weeks. Participants received mirabegron 100 mg tablets and matching tolterodine SR placebo capsules orally once a day for 12 weeks. Participants received Tolterodine SR 4 mg capsules and matching mirabegron placebo tablets orally once a day for 12 weeks.
    Measure Participants 480 473 478 475
    Week 4 [N=428; 422; 422; 432]
    -0.25
    (0.045)
    -0.27
    (0.045)
    -0.34
    (0.045)
    -0.29
    (0.045)
    Week 8 [N=414; 404; 403; 419]
    -0.30
    (0.047)
    -0.41
    (0.048)
    -0.48
    (0.048)
    -0.39
    (0.047)
    Week 12 [N=404; 393; 395; 399]
    -0.41
    (0.048)
    -0.57
    (0.049)
    -0.47
    (0.049)
    -0.44
    (0.048)
    Final Visit (LOCF) [N=428; 423; 422; 433]
    -0.41
    (0.047)
    -0.56
    (0.047)
    -0.50
    (0.047)
    -0.45
    (0.047)
    13. Secondary Outcome
    Title Change From Baseline to Week 4, Week 8, Week 12 and Final Visit in Mean Number of Pads Used Per 24 Hours
    Description The average number of times a patient records a new pad used per day during the 3-day micturition diary period. LS Means are from an ANCOVA with treatment group, gender, and geographic region as fixed factors and baseline as a covariate.
    Time Frame Baseline and Weeks 4, 8 and 12

    Outcome Measure Data

    Analysis Population Description
    The full analysis set included all patients who took at least 1 dose of double-blind study drug and had a baseline and at least 1 postbaseline micturition measurement in the visit diary and who had at least one use of a pad at baseline. LOCF was used for the Final Visit analysis. N is the number of participants included at each time point.
    Arm/Group Title Placebo Mirabegron 50 mg Mirabegron 100 mg Tolterodine SR 4 mg
    Arm/Group Description Participants received matching mirabegron placebo tablets and matching tolterodine slow release (SR) placebo capsules orally once a day for 12 weeks. Participants received mirabegron 50 mg tablets and matching tolterodine SR placebo capsules orally once a day for 12 weeks. Participants received mirabegron 100 mg tablets and matching tolterodine SR placebo capsules orally once a day for 12 weeks. Participants received Tolterodine SR 4 mg capsules and matching mirabegron placebo tablets orally once a day for 12 weeks.
    Measure Participants 480 473 478 475
    Week 4 [N=209; 183; 195; 181]
    -0.45
    (0.103)
    -0.73
    (0.110)
    -0.81
    (0.107)
    -0.67
    (0.111)
    Week 8 [N=204; 176; 183; 177]
    -0.72
    (0.116)
    -1.02
    (0.125)
    -1.03
    (0.122)
    -0.77
    (0.124)
    Week 12 [N=200; 172; 181; 165]
    -0.99
    (0.117)
    -1.26
    (0.126)
    -1.11
    (0.123)
    -0.95
    (0.128)
    Final Visit (LOCF) [N=209; 183; 195; 181]
    -0.95
    (0.115)
    -1.17
    (0.123)
    -1.12
    (0.119)
    -0.95
    (0.123)
    14. Secondary Outcome
    Title Percentage of Participants With Zero Incontinence Episodes at Week 4, Week 8, Week 12 and the Final Visit
    Description The percentage of participants with no incontinence episodes for the 3 days prior to each clinic visit derived from the micturition diary recorded by the patient.
    Time Frame Weeks 4, 8 and 12

    Outcome Measure Data

    Analysis Population Description
    The full analysis set-incontinence included all patients who took at least 1 dose of double-blind study drug & had a baseline & at least 1 postbaseline micturition measurement in the visit diary & who had at least 1 incontinence episode at baseline. LOCF was used for the Final Visit analysis. N is the number of patients included at each time point.
    Arm/Group Title Placebo Mirabegron 50 mg Mirabegron 100 mg Tolterodine SR 4 mg
    Arm/Group Description Participants received matching mirabegron placebo tablets and matching tolterodine slow release (SR) placebo capsules orally once a day for 12 weeks. Participants received mirabegron 50 mg tablets and matching tolterodine SR placebo capsules orally once a day for 12 weeks. Participants received mirabegron 100 mg tablets and matching tolterodine SR placebo capsules orally once a day for 12 weeks. Participants received Tolterodine SR 4 mg capsules and matching mirabegron placebo tablets orally once a day for 12 weeks.
    Measure Participants 291 293 281 300
    Week 4 [N=291; 293; 281; 299]
    28.9
    5.9%
    32.1
    6.5%
    32.0
    6.5%
    33.4
    6.7%
    Week 8 [N=280; 277; 268; 292]
    34.3
    6.9%
    42.6
    8.6%
    45.1
    9.1%
    41.8
    8.4%
    Week 12 [N=275; 272; 262; 276]
    41.1
    8.3%
    46.3
    9.4%
    43.9
    8.9%
    48.6
    9.8%
    Final Visit (LOCF) [N=291; 293; 281; 300]
    40.5
    8.2%
    45.1
    9.1%
    43.8
    8.8%
    47.3
    9.6%
    15. Secondary Outcome
    Title Percentage of Participants With ≥ 50% Reduction in Incontinence Episodes at Weeks 4, 8, 12 and the Final Visit
    Description The percentage of participants with at least 50% decrease from baseline in mean number of incontinence episodes per 24 hours during the 3 days prior to each clinic visit derived from the patient micturition diary.
    Time Frame Baseline and Weeks 4, 8 and 12

    Outcome Measure Data

    Analysis Population Description
    The full analysis set-incontinence included all patients who took at least 1 dose of double-blind study drug & had a baseline & at least 1 postbaseline micturition measurement in the visit diary & who had at least 1 incontinence episode at baseline. LOCF was used for the Final Visit analysis. N is the number of patients included at each time point.
    Arm/Group Title Placebo Mirabegron 50 mg Mirabegron 100 mg Tolterodine SR 4 mg
    Arm/Group Description Participants received matching mirabegron placebo tablets and matching tolterodine slow release (SR) placebo capsules orally once a day for 12 weeks. Participants received mirabegron 50 mg tablets and matching tolterodine SR placebo capsules orally once a day for 12 weeks. Participants received mirabegron 100 mg tablets and matching tolterodine SR placebo capsules orally once a day for 12 weeks. Participants received Tolterodine SR 4 mg capsules and matching mirabegron placebo tablets orally once a day for 12 weeks.
    Measure Participants 291 293 281 300
    Week 4 [N=291; 293; 281; 299]
    46.0
    9.3%
    57.3
    11.6%
    54.4
    11%
    56.5
    11.4%
    Week 8 [N=280; 277; 268; 292]
    53.9
    10.9%
    67.9
    13.8%
    68.3
    13.8%
    64.4
    13%
    Week 12 [N=275; 272; 262; 276]
    61.5
    12.4%
    73.5
    14.9%
    67.9
    13.7%
    69.6
    14.1%
    Final Visit (LOCF) [N=291; 293; 281; 300]
    60.1
    12.2%
    72.2
    14.6%
    67.6
    13.6%
    68.3
    13.8%
    16. Secondary Outcome
    Title Change From Baseline to Week 4, Week 8, Week 12 and Final Visit in Symptom Bother Score
    Description Overactive bladder symptoms were assessed using the symptom bother scale of the overactive bladder questionnaire. The symptom bother scale consists of 8 questions answered by the participant on a scale from 1-6. The total symptom bother score was calculated from the 8 answers and then transformed to range from 0 to 100, with 100 indicating worst severity. A negative change from Baseline in symptom bother score indicates improvements. LS Means are from an ANCOVA with treatment group, gender, and geographic region as fixed factors and baseline as a covariate.
    Time Frame Baseline and Weeks 4, 8 and 12

    Outcome Measure Data

    Analysis Population Description
    The full analysis set included all patients who took at least 1 dose of double-blind study drug and had a baseline and at least 1 postbaseline micturition measurement in the visit diary. LOCF was used for the Final Visit analysis. The number of participants included in the calculation for each time point is noted as "N".
    Arm/Group Title Placebo Mirabegron 50 mg Mirabegron 100 mg Tolterodine SR 4 mg
    Arm/Group Description Participants received matching mirabegron placebo tablets and matching tolterodine slow release (SR) placebo capsules orally once a day for 12 weeks. Participants received mirabegron 50 mg tablets and matching tolterodine SR placebo capsules orally once a day for 12 weeks. Participants received mirabegron 100 mg tablets and matching tolterodine SR placebo capsules orally once a day for 12 weeks. Participants received Tolterodine SR 4 mg capsules and matching mirabegron placebo tablets orally once a day for 12 weeks.
    Measure Participants 480 473 478 475
    Week 4 [N=472; 460; 470; 467]
    -9.7
    (0.75)
    -13.0
    (0.76)
    -13.8
    (0.75)
    -13.8
    (0.76)
    Week 8 [N=455; 441; 450; 451]
    -13.3
    (0.84)
    -17.8
    (0.85)
    -17.6
    (0.84)
    -17.1
    (0.84)
    Week 12 [N=445; 424; 435; 433]
    -15.3
    (0.87)
    -20.3
    (0.89)
    -20.0
    (0.88)
    -18.5
    (0.88)
    Final Visit (LOCF) [N=475; 465; 473; 469]
    -14.9
    (0.84)
    -19.6
    (0.85)
    -19.9
    (0.84)
    -18.4
    (0.85)
    17. Secondary Outcome
    Title Change From Baseline to Week 4, Week 8, Week 12 and Final Visit in Health-related Quality of Life (HRQL) Total Score
    Description Health-related quality of life was assessed by the HRQL subscales (coping, concern, sleep and social interaction) of the overactive bladder questionnaire (OABq). The HRQL total score was calculated by adding the 4 HRQL subscale scores, and transforming to a scale from 0 to 100, with higher scores indicating better quality of life. A positive change from Baseline in HRQL score indicates improvements. LS Means are from an ANCOVA with treatment group, gender, and geographic region as fixed factors and baseline as a covariate.
    Time Frame Baseline and Weeks 4, 8 and 12

    Outcome Measure Data

    Analysis Population Description
    The full analysis set included all patients who took at least 1 dose of double-blind study drug and had a baseline and at least 1 postbaseline micturition measurement in the visit diary. LOCF was utilized for the Final Visit analysis. The number of participants included in the calculation for each time point is noted as "N".
    Arm/Group Title Placebo Mirabegron 50 mg Mirabegron 100 mg Tolterodine SR 4 mg
    Arm/Group Description Participants received matching mirabegron placebo tablets and matching tolterodine slow release (SR) placebo capsules orally once a day for 12 weeks. Participants received mirabegron 50 mg tablets and matching tolterodine SR placebo capsules orally once a day for 12 weeks. Participants received mirabegron 100 mg tablets and matching tolterodine SR placebo capsules orally once a day for 12 weeks. Participants received Tolterodine SR 4 mg capsules and matching mirabegron placebo tablets orally once a day for 12 weeks.
    Measure Participants 480 473 478 475
    Week 4 [N=471; 463; 469; 467]
    8.8
    (0.68)
    9.5
    (0.68)
    11.2
    (0.68)
    9.4
    (0.68)
    Week 8 [N=454; 446; 450; 453]
    11.9
    (0.76)
    13.7
    (0.76)
    14.8
    (0.76)
    13.2
    (0.76)
    Week 12 [N=445; 426; 435; 432]
    14.1
    (0.79)
    16.6
    (0.80)
    17.2
    (0.80)
    15.1
    (0.80)
    Final Visit (LOCF) [N=473; 468; 472; 470]
    13.7
    (0.76)
    16.1
    (0.77)
    17.0
    (0.77)
    14.8
    (0.77)
    18. Secondary Outcome
    Title Change From Baseline to Week 12 and Final Visit in Work Productivity and Activity Impairment (WPAI): Percent Work Time Missed
    Description The Work Productivity and Activity Impairment: Specific Health Problem (WPAI:SHP) questionnaire was used to assess the degree and extent to which overactive bladder (OAB) symptoms interfered with work productivity in the last 7 days. Percent of work time missed is derived from the number of hours of work missed due to OAB symptoms as a percentage of total hours that should have been worked. A higher percentage indicates more hours missed. A negative change from baseline indicates improvement.
    Time Frame Baseline and Week 12

    Outcome Measure Data

    Analysis Population Description
    The full analysis set included all patients who took at least 1 dose of double-blind study drug & had a baseline & at least 1 postbaseline micturition measurement in the visit diary. The number of patients at each time point (N) includes those with both baseline and post-baseline values who were employed. LOCF was used for the Final Visit analysis.
    Arm/Group Title Placebo Mirabegron 50 mg Mirabegron 100 mg Tolterodine SR 4 mg
    Arm/Group Description Participants received matching mirabegron placebo tablets and matching tolterodine slow release (SR) placebo capsules orally once a day for 12 weeks. Participants received mirabegron 50 mg tablets and matching tolterodine SR placebo capsules orally once a day for 12 weeks. Participants received mirabegron 100 mg tablets and matching tolterodine SR placebo capsules orally once a day for 12 weeks. Participants received Tolterodine SR 4 mg capsules and matching mirabegron placebo tablets orally once a day for 12 weeks.
    Measure Participants 480 473 478 475
    Week 12 [N=111; 120; 109; 113]
    -0.2
    (7.31)
    -1.9
    (13.42)
    -1.7
    (18.83)
    -1.2
    (12.68)
    Final Visit (LOCF) [N=113; 122; 110; 114]
    -0.2
    (7.24)
    -1.8
    (13.31)
    -1.7
    (18.74)
    -1.2
    (12.62)
    19. Secondary Outcome
    Title Change From Baseline to Week 12 and Final Visit in Work Productivity and Activity Impairment (WPAI): Percent Impairment While Working
    Description The Work Productivity and Activity Impairment: Specific Health Problem (WPAI:SHP) questionnaire was used to assess the degree and extent to which overactive bladder (OAB) symptoms interfered with work productivity in the last 7 days. Percent impairment while working was derived from the patient's assessment of the degree to which OAB affected their productivity while working. A higher percentage indicates greater impairment and less productivity. A negative change from baseline indicates improvement.
    Time Frame Baseline and Week 12

    Outcome Measure Data

    Analysis Population Description
    The full analysis set included all patients who took at least 1 dose of double-blind study drug & had a baseline & at least 1 postbaseline micturition measurement in the visit diary. The number of patients at each time point (N) includes those with both baseline and post-baseline values who were employed. LOCF was used for the Final Visit analysis.
    Arm/Group Title Placebo Mirabegron 50 mg Mirabegron 100 mg Tolterodine SR 4 mg
    Arm/Group Description Participants received matching mirabegron placebo tablets and matching tolterodine slow release (SR) placebo capsules orally once a day for 12 weeks. Participants received mirabegron 50 mg tablets and matching tolterodine SR placebo capsules orally once a day for 12 weeks. Participants received mirabegron 100 mg tablets and matching tolterodine SR placebo capsules orally once a day for 12 weeks. Participants received Tolterodine SR 4 mg capsules and matching mirabegron placebo tablets orally once a day for 12 weeks.
    Measure Participants 480 473 478 475
    Week 12 [N=116; 128; 104; 114]
    -8.3
    (24.50)
    -12.5
    (23.24)
    -10.8
    (25.19)
    -6.7
    (28.40)
    Final Visit (LOCF) [N=118; 130; 106; 115]
    -8.1
    (24.43)
    -12.8
    (23.24)
    -10.8
    (25.04)
    -6.6
    (28.28)
    20. Secondary Outcome
    Title Change From Baseline to Week 12 and Final Visit in Work Productivity and Activity Impairment (WPAI): Percent Overall Work Impairment
    Description The Work Productivity and Activity Impairment: Specific Health Problem (WPAI:SHP) questionnaire was used to assess the degree and extent to which overactive bladder (OAB) symptoms interfered with work productivity in the last 7 days. Percent overall work impairment takes into account both hours missed due to OAB symptoms and the patient's assessment of the degree to which OAB affected their productivity while working. A higher percentage indicates greater impairment and less productivity. A negative change from baseline indicates improvement.
    Time Frame Baseline and Week 12

    Outcome Measure Data

    Analysis Population Description
    The full analysis set included all patients who took at least 1 dose of double-blind study drug & had a baseline & at least 1 postbaseline micturition measurement in the visit diary. The number of patients at each time point (N) includes those with both baseline and post-baseline values who were employed. LOCF was used for the Final Visit analysis.
    Arm/Group Title Placebo Mirabegron 50 mg Mirabegron 100 mg Tolterodine SR 4 mg
    Arm/Group Description Participants received matching mirabegron placebo tablets and matching tolterodine slow release (SR) placebo capsules orally once a day for 12 weeks. Participants received mirabegron 50 mg tablets and matching tolterodine SR placebo capsules orally once a day for 12 weeks. Participants received mirabegron 100 mg tablets and matching tolterodine SR placebo capsules orally once a day for 12 weeks. Participants received Tolterodine SR 4 mg capsules and matching mirabegron placebo tablets orally once a day for 12 weeks.
    Measure Participants 480 473 478 475
    Week 12 [N=104; 117; 98; 104]
    -7.9
    (23.86)
    -13.2
    (25.70)
    -11.6
    (27.09)
    -5.8
    (28.32)
    Final Visit (LOCF) [N=106; 119; 99; 105]
    -7.7
    (23.79)
    -13.6
    (25.64)
    -11.5
    (26.97)
    -5.8
    (28.19)
    21. Secondary Outcome
    Title Change From Baseline to Week 12 and Final Visit in Work Productivity and Activity Impairment (WPAI): Percent Activity Impairment
    Description The Work Productivity and Activity Impairment: Specific Health Problem (WPAI:SHP) questionnaire was used to assess the degree and extent to which overactive bladder (OAB) symptoms interfered with daily activities over the last 7 days. Percent activity impairment is derived from the patient's assessment of the degree to which OAB affected their regular daily activities. A higher percentage indicates greater impairment. A negative change from baseline indicates improvement.
    Time Frame Baseline and Week 12

    Outcome Measure Data

    Analysis Population Description
    The full analysis set included all patients who took at least 1 dose of double-blind study drug and had a baseline and at least 1 postbaseline micturition measurement in the visit diary. The number of participants at each time point (N) included patients with both baseline and post-baseline values. LOCF was used for the Final Visit analysis.
    Arm/Group Title Placebo Mirabegron 50 mg Mirabegron 100 mg Tolterodine SR 4 mg
    Arm/Group Description Participants received matching mirabegron placebo tablets and matching tolterodine slow release (SR) placebo capsules orally once a day for 12 weeks. Participants received mirabegron 50 mg tablets and matching tolterodine SR placebo capsules orally once a day for 12 weeks. Participants received mirabegron 100 mg tablets and matching tolterodine SR placebo capsules orally once a day for 12 weeks. Participants received Tolterodine SR 4 mg capsules and matching mirabegron placebo tablets orally once a day for 12 weeks.
    Measure Participants 480 473 478 475
    Week 12 [N=409; 395; 409; 400]
    -11.2
    (27.73)
    -15.0
    (27.93)
    -14.5
    (28.67)
    -14.7
    (29.50)
    Final Visit (LOCF) [N=419; 400; 417; 409]
    -11.0
    (27.78)
    -14.9
    (27.84)
    -14.4
    (28.70)
    -14.3
    (29.70)
    22. Secondary Outcome
    Title Change From Baseline to Final Visit in European Quality of Life-5 Dimensions (EQ-5D) Mobility Score
    Description The EQ-5D is an international, standardized, nondisease-specific (i.e., generic) instrument for describing and valuing health status. Participants were asked to indicate which of the following statements best describes their health state: I have no problems in walking about; I have some problems in walking about; I am confined to bed. In the table below, each row title lists Baseline health status first followed by Final Visit health status and reports the number of patients in that category. Missing data indicates patients with no data available for that Visit.
    Time Frame Baseline and Week 12

    Outcome Measure Data

    Analysis Population Description
    The full analysis set included all patients who took at least 1 dose of double-blind study drug and had a baseline and at least 1 postbaseline micturition measurement in the visit diary. LOCF was used for this analysis.
    Arm/Group Title Placebo Mirabegron 50 mg Mirabegron 100 mg Tolterodine SR 4 mg
    Arm/Group Description Participants received matching mirabegron placebo tablets and matching tolterodine slow release (SR) placebo capsules orally once a day for 12 weeks. Participants received mirabegron 50 mg tablets and matching tolterodine SR placebo capsules orally once a day for 12 weeks. Participants received mirabegron 100 mg tablets and matching tolterodine SR placebo capsules orally once a day for 12 weeks. Participants received Tolterodine SR 4 mg capsules and matching mirabegron placebo tablets orally once a day for 12 weeks.
    Measure Participants 480 473 478 475
    No problem -> No problem
    334
    67.6%
    340
    69%
    334
    67.3%
    330
    66.7%
    No problem -> Some problems
    27
    5.5%
    26
    5.3%
    18
    3.6%
    28
    5.7%
    No problem -> Confined to bed
    0
    0%
    1
    0.2%
    0
    0%
    0
    0%
    No problem -> Missing data
    2
    0.4%
    2
    0.4%
    1
    0.2%
    1
    0.2%
    Some problems -> No problems
    37
    7.5%
    44
    8.9%
    40
    8.1%
    38
    7.7%
    Some problems -> Some problems
    78
    15.8%
    59
    12%
    82
    16.5%
    73
    14.7%
    Some problems -> Confined to bed
    0
    0%
    0
    0%
    0
    0%
    1
    0.2%
    Some problems -> Missing data
    0
    0%
    0
    0%
    1
    0.2%
    0
    0%
    Confined -> No problems
    0
    0%
    0
    0%
    0
    0%
    0
    0%
    Confined -> Some problems
    0
    0%
    0
    0%
    0
    0%
    0
    0%
    Confined -> Confined to bed
    0
    0%
    0
    0%
    0
    0%
    0
    0%
    Confined -> Missing data
    0
    0%
    0
    0%
    0
    0%
    0
    0%
    Missing data -> No problem
    2
    0.4%
    1
    0.2%
    2
    0.4%
    3
    0.6%
    Missing data -> Some problems
    0
    0%
    0
    0%
    0
    0%
    1
    0.2%
    Missing data -> Confined to bed
    0
    0%
    0
    0%
    0
    0%
    0
    0%
    Missing data -> Missing data
    0
    0%
    0
    0%
    0
    0%
    0
    0%
    23. Secondary Outcome
    Title Change From Baseline to Final Visit in European Quality of Life-5 Dimensions (EQ-5D) Self-care Score
    Description The EQ-5D is an international, standardized, nondisease-specific (i.e., generic) instrument for describing and valuing health status. Participants were asked to indicate which of the following statements best describes their health state: I have no problems with self-care; I have some problems washing or dressing myself; I am unable to wash or dress myself. In the table below, each row title lists Baseline health status first followed by Final Visit health status and reports the number of patients in that category. Missing data indicates patients with no data available for that Visit.
    Time Frame Baseline and Week 12

    Outcome Measure Data

    Analysis Population Description
    The full analysis set included all patients who took at least 1 dose of double-blind study drug and had a baseline and at least 1 postbaseline micturition measurement in the visit diary. LOCF was used for this analysis.
    Arm/Group Title Placebo Mirabegron 50 mg Mirabegron 100 mg Tolterodine SR 4 mg
    Arm/Group Description Participants received matching mirabegron placebo tablets and matching tolterodine slow release (SR) placebo capsules orally once a day for 12 weeks. Participants received mirabegron 50 mg tablets and matching tolterodine SR placebo capsules orally once a day for 12 weeks. Participants received mirabegron 100 mg tablets and matching tolterodine SR placebo capsules orally once a day for 12 weeks. Participants received Tolterodine SR 4 mg capsules and matching mirabegron placebo tablets orally once a day for 12 weeks.
    Measure Participants 480 473 478 475
    No problem -> No problem
    437
    88.5%
    445
    90.3%
    439
    88.5%
    432
    87.3%
    No problem -> Some problems
    7
    1.4%
    9
    1.8%
    17
    3.4%
    12
    2.4%
    No problem -> Unable to wash or dress myself
    0
    0%
    0
    0%
    0
    0%
    1
    0.2%
    No problem -> Missing data
    2
    0.4%
    2
    0.4%
    2
    0.4%
    1
    0.2%
    Some problems -> No problems
    18
    3.6%
    9
    1.8%
    8
    1.6%
    9
    1.8%
    Some problems -> Some problems
    14
    2.8%
    6
    1.2%
    10
    2%
    15
    3%
    Some problems -> Unable to wash or dress myself
    0
    0%
    0
    0%
    0
    0%
    0
    0%
    Some problems -> Missing data
    0
    0%
    0
    0%
    0
    0%
    0
    0%
    Unable to wash or dress myself -> No problems
    1
    0.2%
    0
    0%
    0
    0%
    0
    0%
    Unable to wash or dress myself -> Some problems
    0
    0%
    1
    0.2%
    1
    0.2%
    0
    0%
    Unable to wash or dress -> Unable to wash or dress
    0
    0%
    0
    0%
    0
    0%
    0
    0%
    Unable to wash or dress myself -> Missing data
    0
    0%
    0
    0%
    0
    0%
    0
    0%
    Missing data -> No problem
    1
    0.2%
    1
    0.2%
    1
    0.2%
    4
    0.8%
    Missing data -> Some problems
    0
    0%
    0
    0%
    0
    0%
    1
    0.2%
    Missing data -> Unable to wash or dress myself
    0
    0%
    0
    0%
    0
    0%
    0
    0%
    Missing data -> Missing data
    0
    0%
    0
    0%
    0
    0%
    0
    0%
    24. Secondary Outcome
    Title Change From Baseline to Final Visit in European Quality of Life-5 Dimensions (EQ-5D) Usual Activities Score
    Description The EQ-5D is a standardized, nondisease-specific instrument for describing health status. Participants were asked which statement best describes their health state with regard to usual activities (work, study or leisure): I have no problems performing my usual activities; I have some problems performing my usual activities; I am unable to perform my usual activities. In the table below, each row title lists Baseline health status first followed by Final Visit health status and reports the number of patients in that category. Missing data indicates patients with no data available at that Visit.
    Time Frame Baseline and Week 12

    Outcome Measure Data

    Analysis Population Description
    The full analysis set included all patients who took at least 1 dose of double-blind study drug and had a baseline and at least 1 postbaseline micturition measurement in the visit diary. LOCF was used for this analysis.
    Arm/Group Title Placebo Mirabegron 50 mg Mirabegron 100 mg Tolterodine SR 4 mg
    Arm/Group Description Participants received matching mirabegron placebo tablets and matching tolterodine slow release (SR) placebo capsules orally once a day for 12 weeks. Participants received mirabegron 50 mg tablets and matching tolterodine SR placebo capsules orally once a day for 12 weeks. Participants received mirabegron 100 mg tablets and matching tolterodine SR placebo capsules orally once a day for 12 weeks. Participants received Tolterodine SR 4 mg capsules and matching mirabegron placebo tablets orally once a day for 12 weeks.
    Measure Participants 480 473 478 475
    No problem -> No problem
    298
    60.3%
    316
    64.1%
    327
    65.9%
    283
    57.2%
    No problem -> Some problems
    25
    5.1%
    18
    3.7%
    25
    5%
    39
    7.9%
    No problem -> Unable to perform usual activities
    0
    0%
    2
    0.4%
    3
    0.6%
    0
    0%
    No problem -> Missing data
    2
    0.4%
    1
    0.2%
    1
    0.2%
    1
    0.2%
    Some problems -> No problems
    73
    14.8%
    82
    16.6%
    51
    10.3%
    68
    13.7%
    Some problems -> Some problems
    75
    15.2%
    48
    9.7%
    63
    12.7%
    73
    14.7%
    Some problems-> Unable to perform usual activities
    2
    0.4%
    0
    0%
    0
    0%
    0
    0%
    Some problems -> Missing data
    0
    0%
    1
    0.2%
    1
    0.2%
    0
    0%
    Unable to perform usual activities -> No problems
    0
    0%
    1
    0.2%
    1
    0.2%
    2
    0.4%
    Unable to perform usual activities-> Some problems
    2
    0.4%
    1
    0.2%
    3
    0.6%
    3
    0.6%
    Unable to perform -> Unable to perform
    0
    0%
    1
    0.2%
    2
    0.4%
    1
    0.2%
    Unable to perform usual activities -> Missing data
    0
    0%
    0
    0%
    0
    0%
    0
    0%
    Missing data -> No problem
    2
    0.4%
    2
    0.4%
    1
    0.2%
    4
    0.8%
    Missing data -> Some problems
    1
    0.2%
    0
    0%
    0
    0%
    1
    0.2%
    Missing data -> Unable to perform usual activities
    0
    0%
    0
    0%
    0
    0%
    0
    0%
    Missing data -> Missing data
    0
    0%
    0
    0%
    0
    0%
    0
    0%
    25. Secondary Outcome
    Title Change From Baseline to Final Visit in European Quality of Life-5 Dimensions (EQ-5D) Pain/Discomfort Score
    Description The EQ-5D is an international, standardized, nondisease-specific (i.e., generic) instrument for describing and valuing health status. Participants were asked to indicate which of the following statements best describes their health state: I have no pain or discomfort; I have moderate pain or discomfort; I have extreme pain or discomfort. In the table below, each row title lists Baseline health status first followed by Final Visit health status and reports the number of patients in that category. Missing data indicates patients with no data available for that Visit.
    Time Frame Baseline and Week 12

    Outcome Measure Data

    Analysis Population Description
    The full analysis set included all patients who took at least 1 dose of double-blind study drug and had a baseline and at least 1 postbaseline micturition measurement in the visit diary. LOCF was used for this analysis.
    Arm/Group Title Placebo Mirabegron 50 mg Mirabegron 100 mg Tolterodine SR 4 mg
    Arm/Group Description Participants received matching mirabegron placebo tablets and matching tolterodine slow release (SR) placebo capsules orally once a day for 12 weeks. Participants received mirabegron 50 mg tablets and matching tolterodine SR placebo capsules orally once a day for 12 weeks. Participants received mirabegron 100 mg tablets and matching tolterodine SR placebo capsules orally once a day for 12 weeks. Participants received Tolterodine SR 4 mg capsules and matching mirabegron placebo tablets orally once a day for 12 weeks.
    Measure Participants 480 473 478 475
    No pain -> No pain
    210
    42.5%
    211
    42.8%
    209
    42.1%
    197
    39.8%
    No pain -> Moderate pain
    36
    7.3%
    32
    6.5%
    50
    10.1%
    37
    7.5%
    No pain -> Extreme pain
    4
    0.8%
    2
    0.4%
    2
    0.4%
    2
    0.4%
    No pain -> Missing data
    0
    0%
    2
    0.4%
    1
    0.2%
    1
    0.2%
    Moderate pain -> No pain
    70
    14.2%
    71
    14.4%
    76
    15.3%
    69
    13.9%
    Moderate pain -> Moderate pain
    129
    26.1%
    128
    26%
    114
    23%
    132
    26.7%
    Moderate pain -> Extreme pain
    2
    0.4%
    8
    1.6%
    5
    1%
    7
    1.4%
    Moderate pain ->Missing data
    2
    0.4%
    0
    0%
    1
    0.2%
    0
    0%
    Extreme pain -> No pain
    3
    0.6%
    2
    0.4%
    1
    0.2%
    4
    0.8%
    Extreme pain -> Moderate pain
    13
    2.6%
    12
    2.4%
    12
    2.4%
    12
    2.4%
    Extreme pain -> Extreme pain
    10
    2%
    4
    0.8%
    5
    1%
    9
    1.8%
    Extreme pain -> Missing data
    0
    0%
    0
    0%
    0
    0%
    0
    0%
    Missing data -> No pain
    0
    0%
    1
    0.2%
    1
    0.2%
    3
    0.6%
    Missing data -> Moderate pain
    1
    0.2%
    0
    0%
    1
    0.2%
    1
    0.2%
    Missing data -> Extreme pain
    0
    0%
    0
    0%
    0
    0%
    1
    0.2%
    Missing data -> Missing data
    0
    0%
    0
    0%
    0
    0%
    0
    0%
    26. Secondary Outcome
    Title Change From Baseline to Final Visit in European Quality of Life-5 Dimensions (EQ-5D)Anxiety/Depression Score
    Description The EQ-5D is an international, standardized, nondisease-specific (i.e., generic) instrument for describing and valuing health status. Participants were asked to indicate which of the following statements best describes their health state: I am not anxious or depressed; I am moderately anxious or depressed; I am extremely anxious or depressed. In the table below, each row title lists Baseline health status first followed by Final Visit health status and reports the number of patients in that category. Missing data indicates patients with no data available for that Visit.
    Time Frame Baseline and Week 12

    Outcome Measure Data

    Analysis Population Description
    The full analysis set included all patients who took at least 1 dose of double-blind study drug and had a baseline and at least 1 postbaseline micturition measurement in the visit diary. LOCF was used for this analysis.
    Arm/Group Title Placebo Mirabegron 50 mg Mirabegron 100 mg Tolterodine SR 4 mg
    Arm/Group Description Participants received matching mirabegron placebo tablets and matching tolterodine slow release (SR) placebo capsules orally once a day for 12 weeks. Participants received mirabegron 50 mg tablets and matching tolterodine SR placebo capsules orally once a day for 12 weeks. Participants received mirabegron 100 mg tablets and matching tolterodine SR placebo capsules orally once a day for 12 weeks. Participants received Tolterodine SR 4 mg capsules and matching mirabegron placebo tablets orally once a day for 12 weeks.
    Measure Participants 480 473 478 475
    Not anxious -> Not anxious
    219
    44.3%
    224
    45.4%
    232
    46.8%
    217
    43.8%
    Not anxious -> Moderately anxious
    37
    7.5%
    30
    6.1%
    19
    3.8%
    21
    4.2%
    Not anxious -> Extremely anxious
    2
    0.4%
    1
    0.2%
    1
    0.2%
    3
    0.6%
    Not anxious -> Missing data
    1
    0.2%
    0
    0%
    2
    0.4%
    0
    0%
    Moderately anxious -> Not anxious
    76
    15.4%
    74
    15%
    88
    17.7%
    71
    14.3%
    Moderately anxious -> Moderately anxious
    108
    21.9%
    111
    22.5%
    105
    21.2%
    122
    24.6%
    Moderately anxious -> Extremely anxious
    9
    1.8%
    5
    1%
    10
    2%
    12
    2.4%
    Moderately anxious -> Missing data
    1
    0.2%
    1
    0.2%
    0
    0%
    1
    0.2%
    Extremely anxious -> Not anxious
    3
    0.6%
    4
    0.8%
    1
    0.2%
    4
    0.8%
    Extremely anxious -> Moderately anxious
    12
    2.4%
    12
    2.4%
    11
    2.2%
    18
    3.6%
    Extremely anxious -> Extremely anxious
    9
    1.8%
    9
    1.8%
    8
    1.6%
    2
    0.4%
    Extremely anxious -> Missing data
    0
    0%
    1
    0.2%
    0
    0%
    0
    0%
    Missing data -> Not anxious
    2
    0.4%
    1
    0.2%
    1
    0.2%
    3
    0.6%
    Missing data -> Moderately anxious
    1
    0.2%
    0
    0%
    0
    0%
    1
    0.2%
    Missing data -> Extremely anxious
    0
    0%
    0
    0%
    0
    0%
    0
    0%
    Missing data -> Missing data
    0
    0%
    0
    0%
    0
    0%
    0
    0%
    27. Secondary Outcome
    Title Change From Baseline to Week 4, Week 8, Week 12 and Final Visit in the European Quality of Life-5 Dimensions (EQ-5D) Visual Analog Scale (VAS)
    Description The EQ-5D is an international, standardized, generic instrument for describing and evaluating health status. Health status is assessed by patients evaluating their health on a vertical, visual analog scale from 0 to 100 where the endpoints are labeled 'Worst imaginable health state' (=0) and 'Best imaginable health state' (=100). On the EQ-5D VAS, a positive change from baseline indicates improvement.
    Time Frame Baseline and Weeks 4, 8 and 12

    Outcome Measure Data

    Analysis Population Description
    The full analysis set included all patients who took at least 1 dose of double-blind study drug & had a baseline & at least 1 postbaseline micturition measurement in the visit diary. The number of participants at each time point (N) includes only patients with both baseline and post-baseline values. LOCF was used for the Final Visit analysis.
    Arm/Group Title Placebo Mirabegron 50 mg Mirabegron 100 mg Tolterodine SR 4 mg
    Arm/Group Description Participants received matching mirabegron placebo tablets and matching tolterodine slow release (SR) placebo capsules orally once a day for 12 weeks. Participants received mirabegron 50 mg tablets and matching tolterodine SR placebo capsules orally once a day for 12 weeks. Participants received mirabegron 100 mg tablets and matching tolterodine SR placebo capsules orally once a day for 12 weeks. Participants received Tolterodine SR 4 mg capsules and matching mirabegron placebo tablets orally once a day for 12 weeks.
    Measure Participants 480 473 478 475
    Week 4 [N=466; 459; 468; 461]
    3.1
    (15.64)
    3.3
    (15.74)
    4.4
    (16.75)
    3.2
    (17.68)
    Week 8 [N=451; 443; 447; 447]
    4.5
    (16.81)
    5.5
    (16.79)
    6.8
    (17.42)
    6.0
    (17.31)
    Week 12 [N=443; 423; 437; 429]
    6.7
    (19.01)
    7.1
    (18.89)
    8.2
    (17.56)
    6.9
    (17.62)
    Final Visit (LOCF) [N=470; 466; 472; 467]
    6.4
    (19.03)
    6.5
    (18.67)
    8.1
    (17.74)
    6.4
    (18.23)
    28. Secondary Outcome
    Title Change From Baseline to Week 12 and Final Visit in Patient Perception of Bladder Condition (PPBC)
    Description The PPBC scale is a global assessment tool that asks patients to rate their impression of their current bladder condition on a 6-point scale from 1: 'Does not cause me any problems at all'; 2: 'Causes me some very minor problems'; 3: 'Causes me some minor problems'; 4: 'Causes me (some) moderate problems'; 5: 'Causes me severe problems' and 6: 'Causes me many severe problems'. LS means are from an ANCOVA model with treatment group, gender, and geographical regions as fixed factors and baseline as a covariate. A negative change from Baseline score indicates improvement.
    Time Frame Baseline and Week 12

    Outcome Measure Data

    Analysis Population Description
    The full analysis set included all patients who took at least 1 dose of double-blind study drug and had a baseline and at least 1 postbaseline micturition measurement in the visit diary. The number of participants included at each time point (N) only includes those with baseline and post-baseline values. LOCF was used for the Final Visit analysis.
    Arm/Group Title Placebo Mirabegron 50 mg Mirabegron 100 mg Tolterodine SR 4 mg
    Arm/Group Description Participants received matching mirabegron placebo tablets and matching tolterodine slow release (SR) placebo capsules orally once a day for 12 weeks. Participants received mirabegron 50 mg tablets and matching tolterodine SR placebo capsules orally once a day for 12 weeks. Participants received mirabegron 100 mg tablets and matching tolterodine SR placebo capsules orally once a day for 12 weeks. Participants received Tolterodine SR 4 mg capsules and matching mirabegron placebo tablets orally once a day for 12 weeks.
    Measure Participants 480 473 478 475
    Week 12 [N=425; 410; 421; 417]
    -0.8
    (0.06)
    -1.1
    (0.06)
    -0.1
    (0.06)
    -1.0
    (0.06)
    Final Visit (LOCF) [N=433; 416; 429; 426]
    -0.8
    (0.05)
    -1.0
    (0.06)
    -1.1
    (0.05)
    -1.0
    (0.06)
    29. Secondary Outcome
    Title Change From Baseline to Week 12 and Final Visit in Treatment Satisfaction on Visual Analog Scale (TS-VAS)
    Description The TS-VAS is a visual analog scale (VAS) that asks patients to rate their satisfaction with treatment by placing a vertical mark on a 10 cm line where the endpoints are labeled 'No, not at all' on the left (=0) to 'Yes, completely satisfied' on the right (=10). LS means are from an ANCOVA model with treatment group, gender, and geographical regions as fixed factors and baseline as a covariate. A positive change from baseline indicates improvement.
    Time Frame Baseline and Week 12

    Outcome Measure Data

    Analysis Population Description
    The full analysis set included all patients who took at least 1 dose of double-blind study drug and had a baseline and at least 1 postbaseline micturition measurement in the visit diary. The number of participants included at each time point (N) only includes those with baseline and post-baseline values. LOCF was used for the Final Visit analysis.
    Arm/Group Title Placebo Mirabegron 50 mg Mirabegron 100 mg Tolterodine SR 4 mg
    Arm/Group Description Participants received matching mirabegron placebo tablets and matching tolterodine slow release (SR) placebo capsules orally once a day for 12 weeks. Participants received mirabegron 50 mg tablets and matching tolterodine SR placebo capsules orally once a day for 12 weeks. Participants received mirabegron 100 mg tablets and matching tolterodine SR placebo capsules orally once a day for 12 weeks. Participants received Tolterodine SR 4 mg capsules and matching mirabegron placebo tablets orally once a day for 12 weeks.
    Measure Participants 480 473 478 475
    Week 12 [N=421; 410; 420; 416]
    1.92
    (0.147)
    2.57
    (0.149)
    2.67
    (0.147)
    2.44
    (0.148)
    Final Visit (LOCF) [N=428; 414; 427; 425]
    1.89
    (0.146)
    2.55
    (0.149)
    2.66
    (0.146)
    2.44
    (0.147)
    30. Secondary Outcome
    Title Change From Baseline to Week 4, Week 8, Week 12 and Final Visit in Number of Non-study Related Visits to Physician
    Description The number of times the patient visited a physician's office during the 4 weeks prior to each study visit (excluding study visits) because of the patient's bladder condition.
    Time Frame Baseline and Weeks 4, 8 and 12

    Outcome Measure Data

    Analysis Population Description
    The full analysis set included all patients who took at least 1 dose of double-blind study drug and had a baseline and at least 1 postbaseline micturition measurement in the visit diary. The number of participants at each time point (N) includes only patients with both baseline and post-baseline values. LOCF was used for the Final Visit analysis.
    Arm/Group Title Placebo Mirabegron 50 mg Mirabegron 100 mg Tolterodine SR 4 mg
    Arm/Group Description Participants received matching mirabegron placebo tablets and matching tolterodine slow release (SR) placebo capsules orally once a day for 12 weeks. Participants received mirabegron 50 mg tablets and matching tolterodine SR placebo capsules orally once a day for 12 weeks. Participants received mirabegron 100 mg tablets and matching tolterodine SR placebo capsules orally once a day for 12 weeks. Participants received Tolterodine SR 4 mg capsules and matching mirabegron placebo tablets orally once a day for 12 weeks.
    Measure Participants 480 473 478 475
    Week 4 [N=477; 467; 473; 474]
    -0.0
    (0.20)
    -0.0
    (0.14)
    -0.0
    (0.19)
    0.0
    (0.23)
    Week 8 [N=462; 448; 453; 460]
    -0.0
    (0.17)
    0.0
    (0.18)
    -0.0
    (0.21)
    -0.0
    (0.15)
    Week 12 [N=451; 435; 443; 439]
    -0.0
    (0.16)
    -0.0
    (0.16)
    -0.0
    (0.18)
    -0.0
    (0.18)
    Final Visit (LOCF) [N=478; 469; 475; 474]
    -0.0
    (0.19)
    -0.0
    (0.17)
    -0.0
    (0.18)
    -0.0
    (0.19)
    31. Secondary Outcome
    Title Percentage of Participants With Improvement in Patient Perception of Bladder Condition (PPBC) at Week 12 and Final Visit
    Description The PPBC scale is a global assessment tool that asks patients to rate their impression of their current bladder condition on a 6-point scale from 1: 'Does not cause me any problems at all'; 2: 'Causes me some very minor problems'; 3: 'Causes me some minor problems'; 4: 'Causes me (some) moderate problems'; 5: 'Causes me severe problems' and 6: 'Causes me many severe problems'. Improvement was defined as at least a 1 point improvement from Baseline to post-baseline and a major improvement was defined as at least a 2 point improvement from Baseline to post-baseline in PPBC score.
    Time Frame Baseline and Week 12

    Outcome Measure Data

    Analysis Population Description
    The full analysis set included all patients who took at least 1 dose of double-blind study drug and had a baseline and at least 1 postbaseline micturition measurement in the visit diary. The number of participants at each time point (N) only includes those with baseline and post-baseline values. LOCF was used for the Final Visit analysis.
    Arm/Group Title Placebo Mirabegron 50 mg Mirabegron 100 mg Tolterodine SR 4 mg
    Arm/Group Description Participants received matching mirabegron placebo tablets and matching tolterodine slow release (SR) placebo capsules orally once a day for 12 weeks. Participants received mirabegron 50 mg tablets and matching tolterodine SR placebo capsules orally once a day for 12 weeks. Participants received mirabegron 100 mg tablets and matching tolterodine SR placebo capsules orally once a day for 12 weeks. Participants received Tolterodine SR 4 mg capsules and matching mirabegron placebo tablets orally once a day for 12 weeks.
    Measure Participants 480 473 478 475
    Improvement: Week 12 [N=425; 410;421; 417]
    56.9
    11.5%
    61.5
    12.5%
    62.7
    12.6%
    65.2
    13.2%
    Improvement: Final Visit [N=433; 416; 429; 426]
    56.6
    11.5%
    61.3
    12.4%
    62.2
    12.5%
    65.0
    13.1%
    Major Improvement: Week 12 [N=425; 410; 421; 417]
    28.5
    5.8%
    29.5
    6%
    34.0
    6.9%
    31.7
    6.4%
    Major Improvement: Final Visit [N=433;416;429;426]
    28.2
    5.7%
    29.1
    5.9%
    33.6
    6.8%
    31.5
    6.4%

    Adverse Events

    Time Frame Adverse events starting or worsening in the period from first double-blind study drug intake until 30 days after last double-blind study drug intake.
    Adverse Event Reporting Description
    Arm/Group Title Placebo Mirabegron 50 mg Mirabegron 100 mg Tolterodine SR 4 mg
    Arm/Group Description Participants received matching mirabegron placebo tablets and matching tolterodine slow release (SR) placebo capsules orally once a day for 12 weeks. Participants received mirabegron 50 mg tablets and matching tolterodine SR placebo capsules orally once a day for 12 weeks. Participants received mirabegron 100 mg tablets and matching tolterodine SR placebo capsules orally once a day for 12 weeks. Participants received Tolterodine SR 4 mg capsules and matching mirabegron placebo tablets orally once a day for 12 weeks.
    All Cause Mortality
    Placebo Mirabegron 50 mg Mirabegron 100 mg Tolterodine SR 4 mg
    Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events
    Total / (NaN) / (NaN) / (NaN) / (NaN)
    Serious Adverse Events
    Placebo Mirabegron 50 mg Mirabegron 100 mg Tolterodine SR 4 mg
    Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events
    Total 8/494 (1.6%) 14/493 (2.8%) 12/496 (2.4%) 11/495 (2.2%)
    Cardiac disorders
    Atrial fibrillation 0/494 (0%) 1/493 (0.2%) 1/496 (0.2%) 0/495 (0%)
    Acute coronary syndrome 0/494 (0%) 1/493 (0.2%) 0/496 (0%) 0/495 (0%)
    Cardiac failure acute 0/494 (0%) 0/493 (0%) 1/496 (0.2%) 0/495 (0%)
    Arrhythmia 0/494 (0%) 0/493 (0%) 0/496 (0%) 1/495 (0.2%)
    Atrioventricular block first degree 1/494 (0.2%) 0/493 (0%) 0/496 (0%) 0/495 (0%)
    Coronary artery disease 1/494 (0.2%) 0/493 (0%) 0/496 (0%) 0/495 (0%)
    Myocardial infarction 1/494 (0.2%) 0/493 (0%) 0/496 (0%) 0/495 (0%)
    Eye disorders
    Retinitis 0/494 (0%) 1/493 (0.2%) 0/496 (0%) 0/495 (0%)
    Gastrointestinal disorders
    Abdominal pain 0/494 (0%) 1/493 (0.2%) 0/496 (0%) 0/495 (0%)
    Enterocele 0/494 (0%) 0/493 (0%) 1/496 (0.2%) 0/495 (0%)
    Pancreatitis chronic 0/494 (0%) 0/493 (0%) 1/496 (0.2%) 0/495 (0%)
    Reflux oesophagitis 0/494 (0%) 0/493 (0%) 1/496 (0.2%) 0/495 (0%)
    Gastritis 0/494 (0%) 0/493 (0%) 0/496 (0%) 1/495 (0.2%)
    General disorders
    Asthenia 1/494 (0.2%) 0/493 (0%) 0/496 (0%) 0/495 (0%)
    Chest pain 1/494 (0.2%) 0/493 (0%) 0/496 (0%) 0/495 (0%)
    Pyrexia 1/494 (0.2%) 0/493 (0%) 0/496 (0%) 0/495 (0%)
    Hepatobiliary disorders
    Hepatitis 0/494 (0%) 0/493 (0%) 0/496 (0%) 1/495 (0.2%)
    Infections and infestations
    Erysipelas 0/494 (0%) 0/493 (0%) 1/496 (0.2%) 1/495 (0.2%)
    Hepatitis A 0/494 (0%) 1/493 (0.2%) 0/496 (0%) 0/495 (0%)
    Postoperative infection 0/494 (0%) 1/493 (0.2%) 0/496 (0%) 0/495 (0%)
    Urinary tract infection 0/494 (0%) 1/493 (0.2%) 0/496 (0%) 0/495 (0%)
    Injury, poisoning and procedural complications
    Fall 0/494 (0%) 0/493 (0%) 1/496 (0.2%) 1/495 (0.2%)
    Humerus fracture 0/494 (0%) 1/493 (0.2%) 0/496 (0%) 0/495 (0%)
    Limb injury 0/494 (0%) 1/493 (0.2%) 0/496 (0%) 0/495 (0%)
    Open wound 0/494 (0%) 0/493 (0%) 1/496 (0.2%) 0/495 (0%)
    Gas poisoning 1/494 (0.2%) 0/493 (0%) 0/496 (0%) 0/495 (0%)
    Lower limb fracture 1/494 (0.2%) 0/493 (0%) 0/496 (0%) 0/495 (0%)
    Investigations
    Cardiovascular evaluation 0/494 (0%) 0/493 (0%) 1/496 (0.2%) 0/495 (0%)
    Hepatic enzyme increased 0/494 (0%) 1/493 (0.2%) 0/496 (0%) 0/495 (0%)
    Catheterisation cardiac 0/494 (0%) 0/493 (0%) 0/496 (0%) 1/495 (0.2%)
    Musculoskeletal and connective tissue disorders
    Rotator cuff syndrome 0/494 (0%) 1/493 (0.2%) 0/496 (0%) 0/495 (0%)
    Sympathetic posterior cervical syndrome 0/494 (0%) 0/493 (0%) 0/496 (0%) 1/495 (0.2%)
    Neoplasms benign, malignant and unspecified (incl cysts and polyps)
    Bowen's disease 0/494 (0%) 0/493 (0%) 1/496 (0.2%) 0/495 (0%)
    Leukaemia 0/494 (0%) 0/493 (0%) 0/496 (0%) 1/495 (0.2%)
    Nervous system disorders
    Cerebral ischaemia 0/494 (0%) 0/493 (0%) 1/496 (0.2%) 0/495 (0%)
    Neuralgia 0/494 (0%) 1/493 (0.2%) 0/496 (0%) 0/495 (0%)
    Balance disorder 1/494 (0.2%) 0/493 (0%) 0/496 (0%) 0/495 (0%)
    Epilepsy 0/494 (0%) 0/493 (0%) 0/496 (0%) 1/495 (0.2%)
    Ruptured cerebral aneurysm 0/494 (0%) 0/493 (0%) 0/496 (0%) 1/495 (0.2%)
    Pregnancy, puerperium and perinatal conditions
    Pregnancy 0/494 (0%) 1/493 (0.2%) 0/496 (0%) 0/495 (0%)
    Renal and urinary disorders
    Calculus urinary 0/494 (0%) 0/493 (0%) 1/496 (0.2%) 0/495 (0%)
    Nephrolithiasis 0/494 (0%) 1/493 (0.2%) 0/496 (0%) 0/495 (0%)
    Urinary retention 0/494 (0%) 1/493 (0.2%) 0/496 (0%) 0/495 (0%)
    Reproductive system and breast disorders
    Rectocele 0/494 (0%) 0/493 (0%) 1/496 (0.2%) 0/495 (0%)
    Vaginal erosion 0/494 (0%) 0/493 (0%) 1/496 (0.2%) 0/495 (0%)
    Respiratory, thoracic and mediastinal disorders
    Asthma 0/494 (0%) 0/493 (0%) 0/496 (0%) 1/495 (0.2%)
    Surgical and medical procedures
    Bunion operation 0/494 (0%) 0/493 (0%) 2/496 (0.4%) 0/495 (0%)
    Papilloma excision 0/494 (0%) 0/493 (0%) 0/496 (0%) 1/495 (0.2%)
    Polypectomy 1/494 (0.2%) 0/493 (0%) 0/496 (0%) 0/495 (0%)
    Vascular disorders
    Hypertensive crisis 0/494 (0%) 1/493 (0.2%) 0/496 (0%) 0/495 (0%)
    Hypertension 0/494 (0%) 0/493 (0%) 0/496 (0%) 1/495 (0.2%)
    Other (Not Including Serious) Adverse Events
    Placebo Mirabegron 50 mg Mirabegron 100 mg Tolterodine SR 4 mg
    Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events
    Total 49/494 (9.9%) 42/493 (8.5%) 41/496 (8.3%) 86/495 (17.4%)
    Gastrointestinal disorders
    Dry mouth 13/494 (2.6%) 14/493 (2.8%) 14/496 (2.8%) 50/495 (10.1%)
    Vascular disorders
    hypertension 38/494 (7.7%) 29/493 (5.9%) 27/496 (5.4%) 39/495 (7.9%)

    Limitations/Caveats

    [Not Specified]

    More Information

    Certain Agreements

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

    Institute and/or Principal Investigator may publish trial data generated at their specific study site after Primary publication of the multi-center data. Sponsor must receive a site's manuscript at least 45 days prior to planned submission to ensure that no confidential information of Sponsor is included in the document. Sponsor will respond within 30 days and may request changes or delay the publication to seek patent protection.

    Results Point of Contact

    Name/Title Director Medical Science
    Organization Astellas Pharma Europe B.V.
    Phone
    Email ClinicalTrials.Disclosure@us.astellas.com
    Responsible Party:
    Astellas Pharma Inc
    ClinicalTrials.gov Identifier:
    NCT00689104
    Other Study ID Numbers:
    • 178-CL-046
    • 2007-001451-19
    First Posted:
    Jun 3, 2008
    Last Update Posted:
    Dec 11, 2017
    Last Verified:
    Nov 1, 2017