- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT00323635
A Comparison of Tolterodine and Placebo Treatments on Nocturnal Frequency and Sleep Quality in Women After Menopause.
A Parallel, Double-blind Comparison of Tolterodine vs. Placebo Treatments for Nocturia in Postmenopausal Women.
This study is being done to compare frequency of urination during the night when women take tolterodine tablets vs. when they take placebo tablets.
We will also measure whether between these two treatment conditions there are any differences in women's sleep, mood and performance on cognitive tests.
Study Overview
Detailed Description
From midlife onwards, about half of women complain of poor sleep quality. One possible reason might be an increased frequency of need to urinate during the night. Women feel more frequent urges to urinate when structures that support the bladder become more lax. Tolterodine is a drug that can raise the threshold for volume of urine that accumulates in the bladder before the urge to urinate arises.
Many factors determine how people say they sleep, such as their sleep as recorded by sleep-measuring instruments, how closely they notice their night's sleep, whether they are generally prone to make positive or negative judgments or to have a lot or a few body symptoms.
In this study, women between ages 45 to 65 who are past the menopause and who are frequently bothered by the need to urinate during the night will take either tolterodine or placebo tablets for 8 weeks. During the last week they will record the hours they slept and the quality of their sleep each morning. They will wear a device on their wrist through the week that continuously records whether they are asleep or awake. During three nights of the week they will record the volume of urine whenever they urinate. At the end of the week they will complete questionnaires about their mood and take some computerized tests that measure their alertness. Thereafter they will repeat these procedures, taking the kind of tablets they did not take during the first 8-week treatment period.
We will compare the frequency of urination, sleep, mood as adjusted for the tendency to make positive or negative judgments and daytime attention level to find if any of these differ between the two treatment periods, and to explain differences between any differences that may be found.
Study Type
Enrollment (Actual)
Phase
- Phase 4
Contacts and Locations
Study Locations
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Massachusetts
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Boston, Massachusetts, United States, 02114
- Massachusetts General Hospital
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Boston, Massachusetts, United States, 02120
- Brigham & Women's Hospital
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Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
- Post-menopausal women, age 45 to 65 years old.
- No menses for at least 6 months before the study start.
- Have at least 14 episodes of nocturia per week.
- Have at least 4 hot flashes daily.
- Overall good health, as evidenced by a letter from the primary care provider.
- Agree not to use exogenous hormones including soy isoflavones or soybean-based shakes, or nutritional supplements that potentially reduce hot flashes.
- Have discontinued all hormone treatments, systemic, topical, or vaginal, at least 60 days before admission and throughout participation in the study.
Exclusion Criteria:
- Use of anti-cholinergic, hypnotic or sedating drugs
- Presence of urinary retention, gastric retention, chronic severe constipation,or narrow-angled glaucoma.
- A urinary tract infection within a month of study start.
- Undiagnosed abnormal vaginal bleeding.
- Benign or malignant liver disease.
- History or presence of chronic alcoholism or medication addiction within the past 5 yrs.
- An acute systemic infection within seven days before the study start.
- Concurrent participation in another clinical trial and/or receiving an experimental medication/device in the last 30 days before admission to the study.
History of shift work within the past 6 months.
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Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: Quadruple
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Experimental: Tolterodine
Tolterodine 4 mg q.d.
X 8 weeks
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tablet, 4 mg, daily, 1 month
Other Names:
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Placebo Comparator: Placebo
A capsule of identical to tolterodine in taste, smell and appearance that contains no tolterodine
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tablet, 4 mg, daily, 1 month
Other Names:
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What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Nocturnal Urinary Frequency, Recorded on an Event/Symptom Chart;
Time Frame: 2 months
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Subjects note: 1. Number of nocturnal and diurnal voids; 2) level of urgency for 7 days, graded 1 to 4, beginning after the first void on the Friday morning of week 7 and week 13 of their participation; 3) Number of incontinence episodes; 4) Relationship of incontinence to urge or stress (4 grade scale); 4) Whether she used any pads.
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2 months
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Urgency
Time Frame: Beginning after the first void on the Friday morning of week 7 and week 13 of their participation;
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Level of urgency for 7 days, graded 1 to 4,
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Beginning after the first void on the Friday morning of week 7 and week 13 of their participation;
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Number of Incontinence Episodes;
Time Frame: Duration of Study
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Number
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Duration of Study
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Relationship of Incontinence to Urge or Stress
Time Frame: Duration of study
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4-grade scale
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Duration of study
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Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Psychological Self-reports, Scores on Anxiety and Depression Rating Scales;
Time Frame: 2 weeks
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State and Trait scores on Spielberger State-Trait Anxiety Inventory; The score measured by the Zung Self-Rating Depression Inventory.
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2 weeks
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Quality of Life, Scores on the Women's Health Questionnaire.
Time Frame: 2 weeks
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Self-reported vasomotor symptoms, other somatic symptoms, anxiety, depression, sleep and cognitive symptoms (memory, concentration and clumsiness problems), measured as category scores.
Subjective sleep onset and total sleep times measured as 7-day averaged minutes.
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2 weeks
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Sleep Quality
Time Frame: 2 months
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2 months
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Cognitive Function
Time Frame: Two 20-minute sessions during 2 months
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Motor speed (number of finger taps in 30 seconds); Continuous Performance (mean response time elicited by appearance of target alphabet letter presented in a series of letters on a monitor screen for 1 minute); Color-Word Stroop Test (response times to stimuli with congruent word and color)
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Two 20-minute sessions during 2 months
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Hyperarousal
Time Frame: At baseline and 8 weeks later
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Score on 26-item self-report Hyperarousal Scale that indicates proportion of attention allocated to visceral-somatic information vs. external sensory data.
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At baseline and 8 weeks later
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Whether She Used Any Pads.
Time Frame: Duration of Study
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Yes/No
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Duration of Study
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Pads Used
Time Frame: Duration of Study
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Pads used
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Duration of Study
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Other Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Sleep / Wake Pattern
Time Frame: Two weeks
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Wrist actigraphy measures of total daytime and nighttime activity scored by standardized Actiwatch measures of sleep and sake.
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Two weeks
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Collaborators and Investigators
Sponsor
Collaborators
Investigators
- Principal Investigator: Quentin R Regestein, M.D., Brigham and Women's Hospital
Publications and helpful links
General Publications
- Ancoli-Israel S, Cole R, Alessi C, Chambers M, Moorcroft W, Pollak CP. The role of actigraphy in the study of sleep and circadian rhythms. Sleep. 2003 May 1;26(3):342-92. doi: 10.1093/sleep/26.3.342.
- Roehrs T, Merlotti L, Petrucelli N, Stepanski E, Roth T. Experimental sleep fragmentation. Sleep. 1994 Aug;17(5):438-43. doi: 10.1093/sleep/17.5.438.
- Shaver JL, Paulsen VM. Sleep, psychological distress, and somatic symptoms in perimenopausal women. Fam Pract Res J. 1993 Dec;13(4):373-84.
- Brooks JO 3rd, Friedman L, Bliwise DL, Yesavage JA. Use of the wrist actigraph to study insomnia in older adults. Sleep. 1993 Feb;16(2):151-5. doi: 10.1093/sleep/16.2.151.
Study record dates
Study Major Dates
Study Start
Primary Completion (Actual)
Study Completion (Actual)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Estimate)
Study Record Updates
Last Update Posted (Actual)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Keywords
Additional Relevant MeSH Terms
- Behavioral Symptoms
- Mental Disorders
- Urologic Diseases
- Lower Urinary Tract Symptoms
- Urological Manifestations
- Urination Disorders
- Elimination Disorders
- Urinary Incontinence
- Enuresis
- Physiological Effects of Drugs
- Neurotransmitter Agents
- Molecular Mechanisms of Pharmacological Action
- Muscarinic Antagonists
- Cholinergic Antagonists
- Cholinergic Agents
- Urological Agents
- Tolterodine Tartrate
Other Study ID Numbers
- 2005-P-000960
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.
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