OnabotulinumtoxinA for the Treatment of Urinary Incontinence Due to Overactive Bladder in Pediatric Patients (12 to 17)
BOTOX® in the Treatment of Urinary Incontinence Due to Overactive Bladder in Patients 12 to 17 Years of Age
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Study Type
Study Type
Enrollment (Actual)
Enrollment
Phase
Phase
- Phase 3
Contacts and Locations
Study Locations
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New South Wales
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Randwick, New South Wales, Australia, 2031
- Sydney Children's Hospital /ID# 237191
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Sydney, New South Wales, Australia, 2145
- The Children's Hospital at Westmead /ID# 234337
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Victoria
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Clayton, Victoria, Australia, 3168
- Monash Children's Hospital /ID# 234388
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Antwerpen
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Edegem, Antwerpen, Belgium, 2650
- Universitair Ziekenhuis Antwerpen /ID# 237997
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Oost-Vlaanderen
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Gent, Oost-Vlaanderen, Belgium, 9000
- UZ Gent /ID# 237588
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Vlaams-Brabant
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Leuven, Vlaams-Brabant, Belgium, 3000
- Universitair Ziekenhuis Leuven /ID# 237218
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Alberta
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Calgary, Alberta, Canada, T3B 6A8
- Alberta Children's Hospital /ID# 237510
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Ontario
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London, Ontario, Canada, N6A 5W9
- London Health Sciences Center /ID# 234304
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Quebec
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Sherbrooke, Quebec, Canada, J1H 5N4
- CHUS - Hopital Fleurimont /ID# 237668
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Olomouc, Czechia, 779 00
- Fakultni nemocnice Olomouc /ID# 237577
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Bordeaux, France, 33076
- Duplicate_CHU Bordeaux-Hopital Pellegrin /ID# 237392
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Limoges, France, 87042
- Hôpital de la Mère et de l'Enfant /ID# 235227
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Nice, France, 06200
- Hôpitaux Pédiatriques de Nice CHU-LENVAL /ID# 235278
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Bielefeld, Germany, 33617
- Evangelisches Krankenhaus Bielefeld /ID# 235234
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Emmendingen, Germany, 79312
- Urologische Gemeinschaftspraxis /ID# 234978
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Luebeck, Germany, 23538
- Universitaetsklinikum Schleswig-Holstein Campus Luebeck /ID# 234288
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Napoli, Italy, 80138
- AOU Universita degli Studi della Campania Luigi Vanvitelli /ID# 237308
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Maastricht, Netherlands, 6229 HX
- Maastricht Universitair Medisch Centrum /ID# 237678
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Gelderland
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Nijmegen, Gelderland, Netherlands, 6525 GA
- Radboud Universitair Medisch Centrum /ID# 237043
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Oslo, Norway, 0372
- Oslo University Hospital /ID# 234434
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Poznan, Poland, 61-512
- Specjalistyczny Gabinet Lekarski /ID# 235257
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Warszawa, Poland, 02-798
- Medical Concierge Centrum Medyczne /ID# 235200
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Dolnoslaskie
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Wroclaw, Dolnoslaskie, Poland, 50-556
- Uniwersytecki Szpital Kliniczny im. Jana Mikulicza-Radeckiego we Wrocławiu /ID# 238166
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Port Elizabeth, South Africa, 6001
- St Georges Hospital /ID# 235316
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Aberdeen, United Kingdom, AB15 6RE
- NHS Grampian /ID# 237379
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Liverpool, United Kingdom, L12 2AP
- Alder Hey Children's NHS Foundation Trust /ID# 237279
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Reading, United Kingdom, RG1 5AN
- Royal Berkshire NHS Foundation Trust /ID# 236915
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Sheffield, United Kingdom, S10 2TH
- Sheffield Children's NHS Foundation Trust /ID# 237854
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Lancashire
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Manchester, Lancashire, United Kingdom, M13 9WL
- Manchester University NHS Foundation Trust /ID# 234380
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Norfolk
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Norwich, Norfolk, United Kingdom, NR4 7UY
- Norfolk and Norwich University Hospitals NHS Foundation Trust /ID# 234819
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Scotland
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Glasgow, Scotland, United Kingdom, G12 0XH
- NHS Greater Glasgow and Clyde /ID# 237430
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Alaska
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Anchorage, Alaska, United States, 99503-3902
- Alaska Urological Institute /ID# 238189
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Arkansas
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Little Rock, Arkansas, United States, 72202
- Arkansas Children's Hospital /ID# 237787
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Colorado
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Aurora, Colorado, United States, 80045
- Children's Hospital Colorado /ID# 237621
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Connecticut
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New Haven, Connecticut, United States, 06510-3206
- Yale New Haven Hospital - Yale School of Medicine /ID# 238222
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Florida
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Orlando, Florida, United States, 32806
- Orlando Health-Arnold Palmer Hospital for Children Pediatric Urology /ID# 235283
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North Carolina
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Raleigh, North Carolina, United States, 27612
- Associated Urologist of North Carolina /ID# 235437
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Texas
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Fort Worth, Texas, United States, 76104
- Cook Children's Med. Center /ID# 237539
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Wisconsin
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Milwaukee, Wisconsin, United States, 53226
- Children's Hospital Wisconsin - Milwaukee Campus /ID# 237544
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Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
- Symptoms of overactive bladder (OAB) (frequency/urgency) with urinary incontinence for at least 6 months
- OAB symptoms not adequately managed by 1 or more anticholinergic agents
Exclusion Criteria
- OAB caused by a neurological condition
- Use of anticholinergics or other medications to treat OAB symptoms within 7 days
- Current use of indwelling catheter or clean intermittent catheterization to empty the bladder
- Previous or current use of botulinum toxin therapy of any serotype for any urological condition, or treatment with botulinum toxin of any serotype within 3 months for any other condition or use
- Myasthenia gravis, Eaton-Lambert syndrome, or amyotrophic lateral sclerosis
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: Triple
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
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Experimental: Botox 25 U
Participants randomized to receive 25 Units (U) BOTOX (not to exceed 6 U/kg), administered via cystoscopy as 20 intradetrusor injections of 0.5 mL each, sparing the trigone.
Posttreatment follow-up clinic visits occurred at Weeks 2, 6, and 12. Participants could request retreatment from Week 12 and 12 weeks after each subsequent treatment for up to 4 cycles.
The retreatment dose was determined by the Investigator and could be at the same dose or at the next higher dose compared with the preceding treatment.
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Each vial of BOTOX (Botulinum Toxin Type A) purified neurotoxin complex, formulation No. 9060X contains 100 U of Clostridium botulinum toxin Type A, 0.5 mg albumin (human), and 0.9 mg sodium chloride in a sterile, vacuum-dried form without a preservative.
The study medication was to be reconstituted with 0.9% sodium chloride (preservative-free).
The 10 mL of study drug was to be administered as 20 injections each of 0.5 mL.
Under direct cystoscopic visualization, injections were to be distributed evenly across the detrusor wall and spaced approximately 1 cm apart.
To avoid injecting the trigone, the injections were to be at least 1 cm above the trigone.
The injection needle was to be inserted approximately 2 mm into the detrusor for each injection.
Other Names:
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Experimental: Botox 50 U
Participants randomized to receive 50 Units (U) BOTOX (not to exceed 6 U/kg), administered via cystoscopy as 20 intradetrusor injections of 0.5 mL each, sparing the trigone.
Posttreatment follow-up clinic visits occurred at Weeks 2, 6, and 12. Participants could request retreatment from Week 12 and 12 weeks after each subsequent treatment for up to 4 cycles.
The retreatment dose was determined by the Investigator and could be at the same dose or at the next higher dose compared with the preceding treatment.
|
Each vial of BOTOX (Botulinum Toxin Type A) purified neurotoxin complex, formulation No. 9060X contains 100 U of Clostridium botulinum toxin Type A, 0.5 mg albumin (human), and 0.9 mg sodium chloride in a sterile, vacuum-dried form without a preservative.
The study medication was to be reconstituted with 0.9% sodium chloride (preservative-free).
The 10 mL of study drug was to be administered as 20 injections each of 0.5 mL.
Under direct cystoscopic visualization, injections were to be distributed evenly across the detrusor wall and spaced approximately 1 cm apart.
To avoid injecting the trigone, the injections were to be at least 1 cm above the trigone.
The injection needle was to be inserted approximately 2 mm into the detrusor for each injection.
Other Names:
|
|
Experimental: Botox 100 U
Participants randomized to receive 100 Units (U) BOTOX (not to exceed 6 U/kg), administered via cystoscopy as 20 intradetrusor injections of 0.5 mL each, sparing the trigone.
Posttreatment follow-up clinic visits occurred at Weeks 2, 6, and 12. Participants could request retreatment from Week 12 and 12 weeks after each subsequent treatment for up to 4 cycles.
The retreatment dose was determined by the Investigator and could be at the same dose or at the next higher dose compared with the preceding treatment.
|
Each vial of BOTOX (Botulinum Toxin Type A) purified neurotoxin complex, formulation No. 9060X contains 100 U of Clostridium botulinum toxin Type A, 0.5 mg albumin (human), and 0.9 mg sodium chloride in a sterile, vacuum-dried form without a preservative.
The study medication was to be reconstituted with 0.9% sodium chloride (preservative-free).
The 10 mL of study drug was to be administered as 20 injections each of 0.5 mL.
Under direct cystoscopic visualization, injections were to be distributed evenly across the detrusor wall and spaced approximately 1 cm apart.
To avoid injecting the trigone, the injections were to be at least 1 cm above the trigone.
The injection needle was to be inserted approximately 2 mm into the detrusor for each injection.
Other Names:
|
What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
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Change From Study Baseline in the Daily Normalized Daytime Average Number of Urinary Incontinence Episodes in Treatment Cycle 1
Time Frame: From Baseline to 2 consecutive days in the week prior to Week 12 in Treatment Cycle 1
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Urinary incontinence was defined as involuntary loss of urine as recorded by the participant in a bladder diary during 2 consecutive days in the week prior to the study visit (normalized to a 12 hour daytime period).
Daytime is defined as the time between waking up to start the day and going to bed to sleep for the night.
The number of daily daytime incontinence episodes were averaged during the 2-day period.
A negative change from Baseline indicates improvement.
Data are summarized per the respective treatments that participants received in the corresponding treatment cycle.
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From Baseline to 2 consecutive days in the week prior to Week 12 in Treatment Cycle 1
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Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
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Change From Study Baseline in the Daily Average Frequency of Normalized Daytime Micturition Episodes
Time Frame: From Baseline to 2 consecutive days in the week prior to Week 12 in Treatment Cycle 1
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Micturition was defined as toilet voids recorded by the participant in a bladder diary during 2 consecutive days in the week prior to the study visit (normalized to a 12 hour daytime period).
Daytime is defined as the time between waking up to start the day and going to bed to sleep for the night.
The number of daily daytime micturition episodes were averaged during the 2-day period.
A negative change from Baseline indicates improvement.
Data are summarized per the respective treatments that participants received in the corresponding treatment cycle.
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From Baseline to 2 consecutive days in the week prior to Week 12 in Treatment Cycle 1
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Change From Study Baseline in the Daily Average Frequency of Normalized Daytime Urgency Episodes
Time Frame: From Baseline to 2 consecutive days in the week prior to Week 12 in Treatment Cycle 1
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Participants recorded daytime urgency episodes in a bladder diary during 2 consecutive days in the week prior to the study visit (normalized to a 12 hour daytime period).
Daytime is defined as the time between waking up to start the day and going to bed to sleep for the night.
The number of daily daytime urgency episodes were averaged during the 2-day period.
A negative change from Baseline indicates improvement.
Data are summarized per the respective treatments that participants received in the corresponding treatment cycle.
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From Baseline to 2 consecutive days in the week prior to Week 12 in Treatment Cycle 1
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Percentage of Participants With Night Time Urinary Incontinence
Time Frame: From Baseline to 2 consecutive days in the week prior to Week 12 in Treatment Cycle 1
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Urinary incontinence was defined as involuntary loss of urine.
Participants recorded night time urinary incontinence episodes in a bladder diary during 2 consecutive days in the week prior to the study visit.
Night time is defined as the time between going to bed to sleep for the night and waking up to start the next day.
The number of daily night time urinary incontinence episodes were averaged during the 2-day period.
Data are summarized per the respective treatments that participants received in the corresponding treatment cycle.
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From Baseline to 2 consecutive days in the week prior to Week 12 in Treatment Cycle 1
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Change From Study Baseline in the Daily Average Volume Voided Per Micturition (mL)
Time Frame: From Baseline to 2 consecutive days in the week prior to Week 12 in Treatment Cycle 1
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The volume per micturition was derived from the total urine volume voided over 1 daytime period during the 2-day bladder diary collection period divided by the number of voids in the same daytime period.
Daytime is defined as the time between waking up to start the day and going to bed to sleep for the night.
A negative change from Baseline indicates improvement.
Data are summarized per the respective treatments that participants received in the corresponding treatment cycle.
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From Baseline to 2 consecutive days in the week prior to Week 12 in Treatment Cycle 1
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Change From Study Baseline in Pediatric Urinary Incontinence Quality of Life Total Score (PinQ)
Time Frame: From Day 1 Prior to Treatment to Week 12 in Treatment Cycle 1
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The PinQ is a 20-item questionnaire that asks about the participant's incontinence and its consequences in daily life and relationships.
Items are answered on a Likert-type scale of 0 (no) to 4 (all of the time) and a total sum score is calculated (from 0 to 80), with higher scores indicating lower health-related quality of life.
A negative change from Baseline indicates improvement.
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From Day 1 Prior to Treatment to Week 12 in Treatment Cycle 1
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Change From Study Baseline in PinQ Item 'I am Worried That People Might Think my Clothes Smell Like Pee"
Time Frame: From Day 1 Prior to Treatment to Week 12 in Treatment Cycle 1
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The Pediatric Urinary Incontinence Quality of (PinQ) is a 20-item questionnaire that asks about the participant's incontinence and its consequences in daily life and relationships.
Items are answered on a Likert-type scale of 0 (no) to 4 (all of the time), with higher scores indicating lower health-related quality of life.
A negative change from Baseline indicates improvement.
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From Day 1 Prior to Treatment to Week 12 in Treatment Cycle 1
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Change From Study Baseline in PinQ Item 'My Bladder Problem Makes me Feel Bad About Myself"
Time Frame: From Day 1 Prior to Treatment to Week 12 in Treatment Cycle 1
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The Pediatric Urinary Incontinence Quality of (PinQ) is a 20-item questionnaire that asks about the participant's incontinence and its consequences in daily life and relationships.
Items are answered on a Likert-type scale of 0 (no) to 4 (all of the time), with higher scores indicating lower health-related quality of life.
A negative change from Baseline indicates improvement.
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From Day 1 Prior to Treatment to Week 12 in Treatment Cycle 1
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Change From Study Baseline in PinQ Item 'I Miss Out on Being With Friends Because of my Bladder Problems"
Time Frame: From Day 1 Prior to Treatment to Week 12 in Treatment Cycle 1
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The Pediatric Urinary Incontinence Quality of (PinQ) is a 20-item questionnaire that asks about the participant's incontinence and its consequences in daily life and relationships.
Items are answered on a Likert-type scale of 0 (no) to 4 (all of the time), with higher scores indicating lower health-related quality of life.
A negative change from Baseline indicates improvement.
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From Day 1 Prior to Treatment to Week 12 in Treatment Cycle 1
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Percentage of Participants With a Positive Treatment Response in the Modified Treatment Benefit Scale
Time Frame: At Week 12 in Treatment Cycle 1
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The Modified Treatment Benefit Scale (Modified TBS) is a single-item scale designed to assess the change in the participant's overactive bladder (OAB) condition following treatment.
The participant's current condition (urinary problems, urinary incontinence) is compared to their condition prior to receipt of any study treatment by selection of "greatly improved", "improved", "not changed" or "worsened".
Participants who selected "greatly improved" or "improved" were considered to have a positive treatment response.
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At Week 12 in Treatment Cycle 1
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Time to Participant's First Request for Retreatment
Time Frame: From the day of BOTOX treatment in Treatment Cycle 1 to the request for subsequent treatment
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The time from the day of BOTOX treatment to the request for the subsequent treatment was estimated using a Kaplan-Meier survival method for each treatment group.
Participants who did not request retreatment were treated as censored at the time of their last study visit or study exit.
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From the day of BOTOX treatment in Treatment Cycle 1 to the request for subsequent treatment
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Time to Participant's Qualification for Retreatment
Time Frame: From the day of BOTOX treatment in Treatment Cycle 1 to the qualification for retreatment
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The time from the day of BOTOX treatment to the qualification for retreatment was estimated using a Kaplan-Meier survival method for each treatment group.
Participants who did not qualify for retreatment were treated as censored at the time of their last study visit or study exit.
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From the day of BOTOX treatment in Treatment Cycle 1 to the qualification for retreatment
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Other Outcome Measures
Other Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
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Number of Participants With Treatment Emergent Adverse Events
Time Frame: From the first dose of study drug until the last dose, up to 147 weeks
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An adverse event (AE) is defined as any untoward medical occurrence in a patient or clinical investigation participant administered a pharmaceutical product which does not necessarily have a causal relationship with this treatment.
The investigator assesses the relationship of each event to the use of study drug.
A serious adverse event (SAE) is an event that results in death, is life-threatening, requires or prolongs hospitalization, results in a congenital anomaly, persistent or significant disability/incapacity or is an important medical event that, based on medical judgment, may jeopardize the participant and may require medical or surgical intervention to prevent any of the outcomes listed above.
Treatment-emergent adverse events/treatment-emergent serious adverse events (TEAEs/TESAEs) are defined as any event that began or worsened in severity on or after the first dose of study drug.
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From the first dose of study drug until the last dose, up to 147 weeks
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Collaborators and Investigators
Sponsor
Sponsor
Publications and helpful links
Study record dates
Study Major Dates
Study Start (Actual)
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 (Actual)
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
- Behavioral Symptoms
- Mental Disorders
- Urologic Diseases
- Urinary Bladder Diseases
- Lower Urinary Tract Symptoms
- Urological Manifestations
- Urination Disorders
- Elimination Disorders
- Urinary Bladder, Overactive
- Urinary Incontinence
- Enuresis
- 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
- 191622-137
- 2014-000464-17 (EudraCT Number)
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
IPD Plan Description
IPD Sharing Time Frame
IPD Sharing Access Criteria
IPD Sharing Supporting Information Type
- Study Protocol
- Statistical Analysis Plan (SAP)
- Clinical Study Report (CSR)
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
product manufactured in and exported from the U.S.
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.