Safety and Efficacy Study of Botulinum Toxin Type A for the Treatment of Neurogenic Overactive Bladder
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Study Type
Study Type
Enrollment (Actual)
Enrollment
Phase
Phase
- Phase 2
Contacts and Locations
Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
- Urinary incontinence as a result of neurogenic overactive bladder due to spinal cord injury
- Inadequate response to anticholinergic medication used to treat overactive bladder
Exclusion Criteria:
- History or evidence of pelvic or urologic abnormality
- Previous or current diagnosis of bladder or prostate cancer
- Urinary tract infection at time of enrollment
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: Quadruple
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
|
Experimental: 1
botulinum toxin Type A (50U); botulinum toxin Type A (200U)
|
botulinum toxin Type A 50 U on Day 1 followed by botulinum toxin Type A 200 U > 12 weeks; injections into the detrusor
Other Names:
|
|
Experimental: 2
botulinum toxin Type A (100U); botulinum toxin Type A (200U)
|
botulinum toxin Type A 100 U on Day 1 followed by botulinum toxin Type A 200 U > 12 weeks; injections into the detrusor
Other Names:
|
|
Experimental: 3
botulinum toxin Type A (200U)
|
botulinum toxin Type A 200 U on Day 1 followed by botulinum toxin Type A 200 U > 12 weeks; injections into the detrusor
Other Names:
|
|
Other: 4
placebo; botulinum toxin Type A (200U)
|
Placebo injection on Day 1 and botulinum toxin Type A injection 200 U > Week 12; injection into the detrusor
Other Names:
|
What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Change From Baseline in Number of Weekly Episodes of Urinary Incontinence
Time Frame: Baseline, Week 6
|
Change from baseline in the weekly frequency of incontinence episodes at Week 6 after the first treatment.
Incontinence is defined as involuntary loss of urine as recorded in a patient bladder diary.
A negative number change from baseline indicates a reduction in incontinence episodes (improvement).
|
Baseline, Week 6
|
Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Change From Baseline in Maximum Cystometric Capacity (MCC)
Time Frame: Baseline, Week 6
|
Change from baseline in MCC at week 6.
MCC represents the maximum volume of urine the bladder holds.
A positive number change from baseline represents an improvement (increase) in maximum volume of urine the bladder holds.
|
Baseline, Week 6
|
|
Change From Baseline in Maximum Detrusor Pressure (MDP)
Time Frame: Baseline, Week 6
|
Change from baseline in MDP during first involuntary detrusor contraction at week 6.
MDP represents the maximum pressure (peak amplitude) in the bladder during the first involuntary contraction of the bladder muscle.
The greater the negative number change from baseline, the better the improvement.
|
Baseline, Week 6
|
Collaborators and Investigators
Sponsor
Sponsor
Study record dates
Study Major Dates
Study Start
Study Start
Primary Completion (Actual)
Primary Completion
Study Completion (Actual)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Estimate)
First Posted
Study Record Updates
Last Update Posted (Estimate)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
- Urologic Diseases
- Urinary Bladder Diseases
- Lower Urinary Tract Symptoms
- Urological Manifestations
- Urinary Bladder, Overactive
- Physiological Effects of Drugs
- Neurotransmitter Agents
- Molecular Mechanisms of Pharmacological Action
- Peripheral Nervous System Agents
- Cholinergic Agents
- Membrane Transport Modulators
- Acetylcholine Release Inhibitors
- Neuromuscular Agents
- Botulinum Toxins
- Botulinum Toxins, Type A
- abobotulinumtoxinA
Other Study ID Numbers
Other Study ID Numbers
- 191622-518
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