Safety and Efficacy Study of OnabotulinumtoxinA for the Treatment of Urinary Incontinence Due to Neurogenic Detrusor Overactivity (NDO) in Non-Catheterizing Patients With Multiple Sclerosis (MS)
Studieoversigt
Status
Status
Betingelser
Betingelser
Intervention / Behandling
Intervention / Behandling
Undersøgelsestype
Undersøgelsestype
Tilmelding (Faktiske)
Tilmelding
Fase
Fase
- Fase 3
Kontakter og lokationer
Studiesteder
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Liege, Belgien
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British Columbia
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Victoria, British Columbia, Canada
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Ontario
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Kitchener, Ontario, Canada
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St. Petersburg, Den Russiske Føderation
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Washington
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Mountlake Terrace, Washington, Forenede Stater
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Garches, Frankrig
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Marseille, Frankrig
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Warsaw, Polen
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Porto, Portugal
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Olomouc, Tjekkiet
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Deltagelseskriterier
Berettigelseskriterier
Berettigelseskriterier
Aldre berettiget til at studere
Tager imod sunde frivillige
Køn, der er berettiget til at studere
Beskrivelse
Inclusion Criteria:
- At least 3 episodes of urinary incontinence over a 3-day period
- History of Multiple Sclerosis (MS)
- Urinary incontinence not adequately controlled by anticholinergic medication
Exclusion Criteria:
- Current use of intermittent catheter or indwelling catheter to manage urinary incontinence
- Previous or current botulinum toxin therapy of any serotype for any urological condition
- Previous or current botulinum toxin therapy of any serotype for any non-urological condition within the last 12 weeks
- Diagnosis of myasthenia gravis, Eaton-Lambert Syndrome, or Amyotrophic Lateral Sclerosis
Studieplan
Hvordan er undersøgelsen tilrettelagt?
Design detaljer
- Primært formål: Behandling
- Tildeling: Randomiseret
- Interventionel model: Parallel tildeling
- Maskning: Firedobbelt
Antal våben
Våben og indgreb
Deltagergruppe / ArmDeltagergruppe / Arm |
Intervention / BehandlingIntervention / Behandling |
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Eksperimentel: OnabotulinumtoxinA
OnabotulinumtoxinA 100 U is administered into the detrusor at Day 1.
After a minimum of 12 weeks, patients could request/qualify for a second onabotulinumtoxinA 100 U injection.
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OnabotulinumtoxinA 100 U is administered into the detrusor at Day 1 in the onabotulinumtoxinA 100 U arm.
After a minimum of 12 weeks, patients in both the onabotulinumtoxinA 100 U arm and the placebo arm could request/qualify for an onabotulinumtoxinA injection.
Andre navne:
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Andet: Placebo (Normal Saline)
Placebo (normal saline) is administered into the detrusor at Day 1.
After a minimum of 12 weeks, patients could request/qualify for an onabotulinumtoxinA injection.
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OnabotulinumtoxinA 100 U is administered into the detrusor at Day 1 in the onabotulinumtoxinA 100 U arm.
After a minimum of 12 weeks, patients in both the onabotulinumtoxinA 100 U arm and the placebo arm could request/qualify for an onabotulinumtoxinA injection.
Andre navne:
Placebo (normal saline) is administered into the detrusor at Day 1.
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Hvad måler undersøgelsen?
Primære resultatmål
Primære resultatmål
Resultatmål |
Foranstaltningsbeskrivelse |
Tidsramme |
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Change From Baseline in Daily Average Frequency of Urinary Incontinence Episodes
Tidsramme: Baseline, Week 6
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Incontinence is defined as involuntary loss of urine as recorded in a patient bladder diary.
The number of episodes of urinary incontinence is recorded over a 3-day period the week of the study visit.
A negative number change from baseline indicates a reduction in incontinence episodes (improvement) and a positive number change indicates an increase in incontinence episodes (worsening).
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Baseline, Week 6
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Sekundære resultatmål
Sekundære resultatmål
Resultatmål |
Foranstaltningsbeskrivelse |
Tidsramme |
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Change From Baseline in Maximum Cystometric Capacity (MCC)
Tidsramme: Baseline, Week 6
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MCC represents the maximum volume of urine the bladder holds.
A positive number change from baseline represents an improvement (increase) in the maximum volume of urine the bladder holds and a negative number change from baseline represents a worsening (decrease) in the maximum volume of urine the bladder holds.
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Baseline, Week 6
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Change From Baseline in Maximum Detrusor Pressure During the First Involuntary Detrusor Contraction (IDC)
Tidsramme: Baseline, Week 6
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Maximum detrusor pressure represents the maximum pressure (peak amplitude) in the bladder during the first involuntary contraction of the bladder muscle.
A negative number change from baseline indicates an improvement in pressure and a positive number change from baseline indicates a worsening in pressure.
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Baseline, Week 6
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Change From Baseline in Incontinence Quality of Life Instrument (I-QOL) Total Summary Score
Tidsramme: Baseline, Week 6
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The I-QOL is a validated, disease-specific quality of life (QOL) questionnaire containing 22 questions designed to measure impact of urinary incontinence on patients' lives.
Each question is answered on a 5-point scale (1 = worst QOL, and 5 = best QOL).
The scores are totaled over the 22 questions and normalized to a score of 0-100 (0=worst QOL and 100=best QOL).
A positive change from baseline represents an improvement and a negative change from baseline represents a worsening.
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Baseline, Week 6
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Andre resultatmål
Andre resultatmål
Resultatmål |
Foranstaltningsbeskrivelse |
Tidsramme |
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Duration of Treatment Effect Through Week 52
Tidsramme: Up to 52 Weeks
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The duration of treatment effect is the time to patient request for retreatment.
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Up to 52 Weeks
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Samarbejdspartnere og efterforskere
Sponsor
Sponsor
Publikationer og nyttige links
Datoer for undersøgelser
Studer store datoer
Studiestart (Faktiske)
Studiestart
Primær færdiggørelse (Faktiske)
Primær færdiggørelse
Studieafslutning (Faktiske)
Studieafslutning
Datoer for studieregistrering
Først indsendt
Først indsendt
Først indsendt, der opfyldte QC-kriterier
Først indsendt, der opfyldte QC-kriterier
Først opslået (Skøn)
Først opslået
Opdateringer af undersøgelsesjournaler
Sidste opdatering sendt (Faktiske)
Sidste opdatering sendt
Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier
Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier
Sidst verificeret
Sidst verificeret
Mere information
Begreber relateret til denne undersøgelse
Yderligere relevante MeSH-vilkår
- Adfærdsmæssige symptomer
- Psykiske lidelser
- Patologiske processer
- Sygdomme i nervesystemet
- Sygdomme i immunsystemet
- Demyeliniserende autoimmune sygdomme, CNS
- Autoimmune sygdomme i nervesystemet
- Demyeliniserende sygdomme
- Autoimmune sygdomme
- Urologiske sygdomme
- Urinblæresygdomme
- Nedre urinvejssymptomer
- Urologiske manifestationer
- Neurologiske manifestationer
- Vandladningsforstyrrelser
- Eliminationsforstyrrelser
- Multipel sclerose
- Sclerose
- Ufrivillig vandladning
- Enuresis
- Urinblære, neurogen
- Lægemidlers fysiologiske virkninger
- Neurotransmittermidler
- Molekylære mekanismer for farmakologisk virkning
- Agenter fra det perifere nervesystem
- Kolinerge midler
- Membrantransportmodulatorer
- Acetylcholin-frigivelseshæmmere
- Neuromuskulære midler
- Botulinum toksiner
- Botulinumtoksiner, type A
- abobotulinumtoxinA
Andre undersøgelses-id-numre
Andre undersøgelses-id-numre
- 191622-117
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