A Study to Assess Efficacy and Safety With VESIcare® to Improve Urinary Continence in Subjects After Robotic Assisted Radical Prostatectomy
- Full Text View
- Tabular View
- No Study Results Posted
- Disclaimer
- How to Read a Study Record
Purpose
The purpose of this study is to assess the efficacy and safety of 12 weeks of treatment of VESIcare® versus placebo in subjects who are incontinent after Robotic Assisted Radical Prostatectomy.
This study will also assess the effect of 12 weeks of treatment with VESIcare versus placebo on quality of life (QOL) as measured by questionnaires.
| Condition | Intervention | Phase |
|---|---|---|
|
Urinary Incontinence |
Drug: solifenacin succinate Drug: Placebo |
Phase 4 |
| Study Type: | Interventional |
| Study Design: | Allocation: Randomized Endpoint Classification: Safety/Efficacy Study Intervention Model: Parallel Assignment Masking: Double Blind (Subject, Caregiver, Investigator) Primary Purpose: Treatment |
| Official Title: | A Randomized, Double-Blind, Parallel, Placebo-Controlled, Phase 4, Multicenter Study to Assess Efficacy and Safety of VESIcare® (Solifenacin Succinate) to Improve Urinary Continence of Subjects After Robotic Assisted Radical Prostatectomy |
- The time from the date of first dose to the date of urinary continence [ Time Frame: 12 weeks ] [ Designated as safety issue: No ]Urinary continence will be defined as the first of three consecutive 24 hour days which subject uses 0 pads, or a pad for security which remains completely dry, during the 12 week study
- Proportion of subjects who gain urinary continence [ Time Frame: 12 weeks ] [ Designated as safety issue: No ]
- Change from baseline to each month in average daily pad usage [ Time Frame: Baseline, 4 weeks, 8 weeks, and 12 weeks ] [ Designated as safety issue: No ]
- Change from baseline in quality of life (QOL) [ Time Frame: Baseline and 12 weeks ] [ Designated as safety issue: No ]QOL as measured by the American Urology Association Symptom Score (AUASS)
- Change from baseline in quality of life (QOL) [ Time Frame: Bsaeleine and 12 weeks ] [ Designated as safety issue: No ]QOL as measured by the International Consultation on Incontinence Questionnaire-Short Form (ICIQ-SF)
- Change from baseline to end of study on work productivity [ Time Frame: Baseline and 12 weeks ] [ Designated as safety issue: No ]Work productivity will be measured by the Work Productivity and Activity Impairment Questionnaire (WPAI)
- Time from baseline to first day of returning to work [ Time Frame: Baseline and up to 12 weeks ] [ Designated as safety issue: No ]
| Estimated Enrollment: | 600 |
| Study Start Date: | August 2011 |
| Estimated Study Completion Date: | June 2013 |
| Estimated Primary Completion Date: | June 2013 (Final data collection date for primary outcome measure) |
| Arms | Assigned Interventions |
|---|---|
| Experimental: solifenacin succinate |
Drug: solifenacin succinate
oral
Other Names:
|
| Placebo Comparator: Placebo |
Drug: Placebo
oral
|
Detailed Description:
The study duration includes a 14-day treatment free wash-out period. The maximum total study duration is 15 weeks (2-3 week screening/washout period and a 12 week treatment period). The Baseline, Week 4, and Week 8 visits will be telephone contact visits.
Subjects will complete an electronic daily pad use diary during the study duration. Subjects will also be asked to complete several questionnaires during the study.
Eligibility| Ages Eligible for Study: | 18 Years and older |
| Genders Eligible for Study: | Male |
| Accepts Healthy Volunteers: | No |
Inclusion Criteria:
- Subject is ambulatory
- Subject is willing and able to complete the daily pad use diary, American Urology Association Symptom Score (AUASS) with Bother Score, the International Consultation on Incontinence Questionnaire Short Form (ICIQ-SF), and the Work Productivity and Activity Impairment Questionnaire (WPAI)
- Subject has not used any medication for over-active bladder symptoms for at least 14 days prior to enrollment
- Subject has been diagnosed with prostate cancer, treated by Robotic Assisted Radical Prostatectomy, is voiding spontaneously and has urinary incontinence one week after removal of the indwelling catheter which requires management with 2 to 10 pads inclusive per day (24 hour days) for 7 consecutive days
Exclusion Criteria:
- Subject has evidence of severe neurologic damage post-prostatectomy
- Subject has evidence of chronic urologic inflammation such as interstitial cystitis and bladder stone; uncontrolled narrow angle glaucoma; urinary or gastric retention or neurogenic bladder
- Subject has a clinically significant history of hepatic or renal impairment (2 X Upper Limit of Normal (ULN) values in ALT, AST or creatinine clearance < 30 ml/min)
- Subject has history of diagnosed gastrointestinal obstruction disease
- Subject has any prior history of local radiation therapy to the prostate or rectum or any prior hormonal therapy or has planned such therapy during study conduct
- Subject has known or suspected hypersensitivity to solifenacin succinate, any components, or other anticholinergics
- Subject has been treated with any investigational drug within last 30 days
- Subject has a history of a clinically significant illness or medical condition that would preclude participation in the study
- Subject has been diagnosed with New York Heart Association Class III and IV heart failure
- Subject has the following peri-operative laboratory results: ALT > 2.0 ULN, AST > 2.0 ULN, serum creatinine > 1.5 mg/L, blood glucose > 130 mg/dL, BUN > 23 mg/dL.
- Subject has severe hypertension on peri-operative evaluation which is defined as a sitting systolic blood pressure > 180 mmHg and/or diastolic blood pressure > 110 mmHg, and which is not corrected
- Subject has electrolytes (sodium, potassium, chloride or bicarbonate) that are not in normal range and clinically significant as determined by the investigator in the perioperative period. Subject can be eligible if electrolytes are corrected to within normal range prior to randomization
- Subject has participated in any interventional clinical study or has been treated with any investigational drugs within 30 days or 5 half lives, whichever is longer, prior to the initiation of Screening
Contacts and Locations| Contact: Astellas Pharma Global Development | 800-888-7704 ext 5473 | clintrials.info@us.astellas.com |
Hide Study Locations| United States, Alabama | |
| Urology Centers of Alabama | Recruiting |
| Homewood, Alabama, United States, 35209 | |
| United States, Alaska | |
| Alaska Clinical Research Center | Completed |
| Anchorage, Alaska, United States, 99508 | |
| United States, Arizona | |
| Urological Associates of Southern Arizona | Recruiting |
| Tucson, Arizona, United States, 85715 | |
| United States, California | |
| City of Hope National Medical Center | Not yet recruiting |
| Duarte, California, United States, 91010 | |
| University of California, San Diego Moores Cancer Center | Completed |
| La Jolla, California, United States, 92093 | |
| Tower Urology | Recruiting |
| Los Angeles, California, United States, 90048 | |
| University of California, Irvine | Withdrawn |
| Orange, California, United States, 92868 | |
| Peninsula Urology Center | Recruiting |
| Redwood City, California, United States, 94062 | |
| University of California Davis, Department of Urology | Withdrawn |
| Sacramento, California, United States, 95817 | |
| Radiological Associates of Sacramento Medical Group, Inc. | Completed |
| Sacramento, California, United States, 95815 | |
| United States, Colorado | |
| Urology Center of Colorado | Completed |
| Denver, Colorado, United States, 80211 | |
| Urology Associates | Recruiting |
| Englewood, Colorado, United States, 80113 | |
| Advanced Urology | Recruiting |
| Parker, Colorado, United States, 80134 | |
| United States, Connecticut | |
| Connecticut Clinical Research Center | Recruiting |
| Middlebury, Connecticut, United States, 06762 | |
| Grove Hill Medical Center | Recruiting |
| New Britain, Connecticut, United States, 06052 | |
| Urology Associates of Norwalk | Withdrawn |
| Norwalk, Connecticut, United States, 06859 | |
| United States, District of Columbia | |
| Urologic Surgeons of Washington | Recruiting |
| Washington, District of Columbia, United States, 20036 | |
| United States, Florida | |
| University of Florida | Recruiting |
| Gainesville, Florida, United States, 32610 | |
| Urology Research Network | Recruiting |
| Hialeah, Florida, United States, 33016 | |
| East Coast Institute for Research | Recruiting |
| Jacksonville, Florida, United States, 32204 | |
| Specialist In Urology | Withdrawn |
| Naples, Florida, United States, 34102 | |
| Winter Park Urology Associates | Recruiting |
| Orlando, Florida, United States, 32803 | |
| Southeastern Research Group | Recruiting |
| Tallahassee, Florida, United States, 32308 | |
| United States, Georgia | |
| Georgia Urology | Withdrawn |
| Atlanta, Georgia, United States, 30342 | |
| United States, Illinois | |
| University of Chicago Medical | Withdrawn |
| Chicago, Illinois, United States, 60637 | |
| Northwestern University | Recruiting |
| Chicago, Illinois, United States, 60611 | |
| Springfield Clinic | Recruiting |
| Springfield, Illinois, United States, 62703 | |
| United States, Indiana | |
| Northeast Indiana Research | Recruiting |
| Fort Wayne, Indiana, United States, 46825 | |
| Urology of Indiana | Recruiting |
| Greenwood, Indiana, United States, 46143 | |
| United States, Iowa | |
| The University of Iowa Hospitals and Clinics | Recruiting |
| Iowa City, Iowa, United States, 52242 | |
| The Iowa Clinic | Recruiting |
| West Des Moines, Iowa, United States, 50266 | |
| United States, Louisiana | |
| Tulane University School of Medicine, Department of Urology | Recruiting |
| New Orleans, Louisiana, United States, 70112 | |
| United States, Massachusetts | |
| Lahey Clinic Medical Center | Completed |
| Burlington, Massachusetts, United States, 01805 | |
| United States, Michigan | |
| Henry Ford Hospital | Completed |
| Detroit, Michigan, United States, 48202 | |
| Spectrum Health Medical Group | Not yet recruiting |
| Grand Rapids, Michigan, United States, 49546 | |
| United States, Minnesota | |
| Adult and Pediatric Urology Group | Recruiting |
| Sartell, Minnesota, United States, 56377 | |
| United States, Montana | |
| Five Valley Urology | Recruiting |
| Missoula, Montana, United States, 59808 | |
| United States, Nevada | |
| South Nevada Aids Research | Completed |
| Las Vegas, Nevada, United States, 89106 | |
| United States, New Jersey | |
| AdvanceMed Research | Recruiting |
| Lawrenceville, New Jersey, United States, 08648 | |
| Delaware Valley Urology | Recruiting |
| Mt. Laurel, New Jersey, United States, 08043 | |
| Robert Wood Johnson Medical School | Recruiting |
| New Brunswick, New Jersey, United States, 08901 | |
| Urology Group of New Jersey | Withdrawn |
| West Orange, New Jersey, United States, 07052 | |
| United States, New York | |
| Community Care Physicians PC | Recruiting |
| Albany, New York, United States, 12208 | |
| Brooklyn Urology Research Group | Recruiting |
| Brooklyn, New York, United States, 11215 | |
| Long Island Jewish Health System, The Arthur Smith Institute for Urology | Withdrawn |
| New Hyde Park, New York, United States, 11040 | |
| Weill Cornell Medical College Department of Urology | Not yet recruiting |
| New York, New York, United States, 10065 | |
| University Urology Associates | Recruiting |
| New York, New York, United States, 10016 | |
| Hudson Valley Urology, PC | Recruiting |
| Poughkeepsie, New York, United States, 12601 | |
| University of Rochester Medical Center | Completed |
| Rochester, New York, United States, 14642 | |
| AMP Urology | Recruiting |
| Syracuse, New York, United States, 13210 | |
| United States, North Carolina | |
| Cary Urology | Recruiting |
| Cary, North Carolina, United States, 27511 | |
| Carolina Clinical Trials | Withdrawn |
| Concord, North Carolina, United States, 28025 | |
| Associated Urologists of North Carolina | Recruiting |
| Raleigh, North Carolina, United States, 27607 | |
| Wake Forest University School of Medicine | Recruiting |
| Winston-Salem, North Carolina, United States, 27103 | |
| United States, Ohio | |
| The Urology Group | Recruiting |
| Cincinnati, Ohio, United States, 45212 | |
| Cleveland Clinic | Recruiting |
| Cleveland, Ohio, United States, 44195 | |
| Southwest Urology | Withdrawn |
| Middlesburg Heights, Ohio, United States, 44130 | |
| Romius Institute of Northwest Ohio | Recruiting |
| Toledo, Ohio, United States, 43615 | |
| United States, Oregon | |
| Oregon Health and Science University | Active, not recruiting |
| Portland, Oregon, United States, 97239 | |
| United States, Pennsylvania | |
| Urologic Consultants of Southeastern Pennsylvania | Recruiting |
| Bala Cynwyd, Pennsylvania, United States, 19004 | |
| United States, Rhode Island | |
| Pharma Resources | Recruiting |
| East Providence, Rhode Island, United States, 02915 | |
| United States, Tennessee | |
| Academic Urologists | Recruiting |
| Chattanooga, Tennessee, United States, 37403 | |
| Volunteer Research Group | Recruiting |
| Knoxville, Tennessee, United States, 37920 | |
| Southeast Urology Network | Recruiting |
| Memphis, Tennessee, United States, 38119 | |
| United States, Texas | |
| UT Southwestern Med. Center | Withdrawn |
| Dallas, Texas, United States, 75390 | |
| Urology Clinics of North Texas | Recruiting |
| Dallas, Texas, United States, 75231 | |
| Methodist Hospital Research Institute | Recruiting |
| Houston, Texas, United States, 77030 | |
| Methodist Urology Associates | Recruiting |
| Houston, Texas, United States, 77094 | |
| Urology San Antonio Research | Recruiting |
| San Antonio, Texas, United States, 78229 | |
| United States, Washington | |
| Swedish Urology Group | Recruiting |
| Seattle, Washington, United States, 98104 | |
| Virginia Mason Medical Center | Completed |
| Seattle, Washington, United States, 98101 | |
| United States, West Virginia | |
| CAMC Institute Clinical Trial Center | Recruiting |
| Charleston, West Virginia, United States, 25304 | |
| United States, Wisconsin | |
| University of Wisconsin Hospital | Recruiting |
| Madison, Wisconsin, United States, 53792 | |
| Canada, British Columbia | |
| The Prostate Centre, Diamond Health Care Centre | Recruiting |
| Vancouver, British Columbia, Canada, V5Z IM9 | |
| Canada, Ontario | |
| University Health Network/ Princess Margaret Hospital | Recruiting |
| Toronto, Ontario, Canada, M5G 2M9 | |
| Study Director: | Medical Director | Astellas Pharma Global Development |
More Information
No publications provided
| Responsible Party: | Astellas Pharma Inc |
| ClinicalTrials.gov Identifier: | NCT01371994 History of Changes |
| Other Study ID Numbers: | 905-UC-050 |
| Study First Received: | June 10, 2011 |
| Last Updated: | April 12, 2013 |
| Health Authority: | United States: Food and Drug Administration Canada: Health Canada |
Keywords provided by Astellas Pharma Inc:
|
Radical Robotic Arm Post Prostatectomy Incontinence Vesicare YM905 |
Additional relevant MeSH terms:
|
Urinary Incontinence Urination Disorders Urologic Diseases Urological Manifestations Signs and Symptoms Quinuclidin-3'-yl-1-phenyl-1,2,3,4-tetrahydroisoquinoline-2-carboxylate monosuccinate Muscarinic Antagonists |
Cholinergic Antagonists Cholinergic Agents Neurotransmitter Agents Molecular Mechanisms of Pharmacological Action Pharmacologic Actions Physiological Effects of Drugs |
ClinicalTrials.gov processed this record on May 21, 2013