SCORPIO: Study to Assess the Efficacy and Safety of the Beta-3 Agonist Mirabegron (YM178) in Patients With Symptoms of Overactive Bladder
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 |
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|
Phase 3 |
Study Design
Arms and Interventions
Arm | Intervention/Treatment |
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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:
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:
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
- 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.
- 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
- 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.
- 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.
- 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.
- 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.
- 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.
- 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.
- 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.
- 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.
- 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.
- 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.
- 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.
- 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.
- 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.
- 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.
- 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.
- 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.
- 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.
- 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.
- 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.
- 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.
- 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.
- 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.
- 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.
- 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.
- 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.
- 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.
- 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.
- 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.
- 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
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
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Subject experiences frequency of micturition on average ≥ 8 times per 24-hour period during the 3-day micturition diary period
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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:
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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
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Subject has significant stress incontinence or mixed stress/urge incontinence where stress is the predominant factor
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Subject has an indwelling catheter or practices intermittent self-catheterization
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Subject has diabetic neuropathy
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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
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Subject receives non-drug treatment including electro-stimulation therapy
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Subject has severe hypertension
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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
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Subject has been treated with any investigational drug or device within 30 days (90 days in the UK)
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Subject had an average total daily urine volume > 3000 mL as recorded in the 3-day micturition diary period
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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
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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)
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Additional Information:
Publications
- 178-CL-046
- 2007-001451-19
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
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 |
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 |
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 |
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 |
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 |
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)
|
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)
|
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)
|
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)
|
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)
|
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)
|
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)
|
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)
|
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%
|
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%
|
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)
|
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)
|
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)
|
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)
|
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)
|
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)
|
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%
|
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%
|
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%
|
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%
|
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%
|
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)
|
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)
|
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)
|
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)
|
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
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 | |
ClinicalTrials.Disclosure@us.astellas.com |
- 178-CL-046
- 2007-001451-19