NCT00689104

Brief Summary

The study is intended to test efficacy, safety and tolerability of two doses of Mirabegron against placebo and compare the efficacy and safety with active comparator in patients with symptoms of overactive bladder.

Trial Health

98
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Strong global presence with extensive site network
Enrollment
2,336

participants targeted

Target at P75+ for phase_3

Timeline
Completed

Started Apr 2008

Shorter than P25 for phase_3

Geographic Reach
28 countries

202 active sites

Status
completed

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

Study Start

First participant enrolled

April 28, 2008

Completed
1 month until next milestone

First Submitted

Initial submission to the registry

May 29, 2008

Completed
5 days until next milestone

First Posted

Study publicly available on registry

June 3, 2008

Completed
10 months until next milestone

Primary Completion

Last participant's last visit for primary outcome

March 24, 2009

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

March 24, 2009

Completed
3.6 years until next milestone

Results Posted

Study results publicly available

October 17, 2012

Completed
Last Updated

November 20, 2024

Status Verified

October 1, 2024

Enrollment Period

11 months

First QC Date

May 29, 2008

Results QC Date

July 17, 2012

Last Update Submit

October 29, 2024

Conditions

Keywords

MicturitionUrinary incontinenceUrinary urge incontinenceOveractive bladder (OAB)UrgencyYM178Frequency

Outcome Measures

Primary Outcomes (2)

  • Change From Baseline to End of Treatment (Final Visit) in Mean Number of Incontinence Episodes Per 24 Hours

    The average number of incontinence episodes (any involuntary leakage of urine) per day was derived from the number of incontinence episodes recorded by the patient in a micturition diary for 3-days before the Baseline and Week 12 clinic visits. Least Squares (LS) Means were generated from an analysis of covariance (ANCOVA) model with treatment group, gender, and geographic region as fixed factors and baseline as a covariate.

    Baseline and Week 12 (final visit)

  • Change From Baseline to End of Treatment (Final Visit) in Mean Number of Micturitions Per 24 Hours

    The average number of micturitions (urinations) per 24 hours was derived from the number of times a patient urinates (excluding incontinence only episodes) per day recorded by the patient in a micturition diary for 3-days before the Baseline and Week 12 clinic visits. LS Means generated from an ANCOVA model with treatment group, gender, and geographic region as fixed factors and baseline as a covariate.

    Baseline and Week 12

Secondary Outcomes (29)

  • Change From Baseline to Final Visit in Mean Volume Voided Per Micturition

    Baseline and Week 12

  • Change From Baseline to Week 4 in Mean Number of Incontinence Episodes Per 24 Hours

    Baseline and Week 4

  • Change From Baseline to Week 4 in Mean Number of Micturitions Per 24 Hours

    Baseline and Week 4

  • Change From Baseline to Week 8 and Week 12 in Mean Number of Incontinence Episodes Per 24 Hours

    Baseline and Weeks 8 and 12

  • Change From Baseline to Week 8 and Week 12 in Mean Number of Micturitions Per 24 Hours

    Baseline and Weeks 8 and 12

  • +24 more secondary outcomes

Study Arms (4)

Placebo

PLACEBO COMPARATOR

Participants received matching mirabegron placebo tablets and matching tolterodine slow release (SR) placebo capsules orally once a day for 12 weeks.

Drug: Placebo to MirabegronDrug: Placebo to Tolterodine

Mirabegron 50 mg

EXPERIMENTAL

Participants received mirabegron 50 mg tablets and matching tolterodine SR placebo capsules orally once a day for 12 weeks.

Drug: MirabegronDrug: Placebo to Tolterodine

Mirabegron 100 mg

EXPERIMENTAL

Participants received mirabegron 100 mg tablets and matching tolterodine SR placebo capsules orally once a day for 12 weeks.

Drug: MirabegronDrug: Placebo to Tolterodine

Tolterodine SR 4 mg

ACTIVE COMPARATOR

Participants received tolterodine SR 4 mg capsules and matching mirabegron placebo tablets orally once a day for 12 weeks.

Drug: TolterodineDrug: Placebo to Mirabegron

Interventions

Tablets

Also known as: Myrbetriq, YM178
Mirabegron 100 mgMirabegron 50 mg

Capsules

Tolterodine SR 4 mg

Matching mirabegron placebo tablets.

PlaceboTolterodine SR 4 mg

Matching tolterodine placebo capsules.

Mirabegron 100 mgMirabegron 50 mgPlacebo

Eligibility Criteria

Age18 Years+
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • Subject is willing and able to complete the micturition diary and questionnaires correctly
  • Subject has symptoms of overactive bladder (urinary frequency and urgency with or without urge incontinence) for ≥ 3 months
  • Subject experiences frequency of micturition on average ≥ 8 times per 24-hour period during the 3-day micturition diary period
  • Subject must experience at least 3 episodes of urgency (grade 3 or 4) with or without incontinence, during the 3-day micturition diary period

You may not qualify if:

  • Subject is breastfeeding, pregnant, intends to become pregnant during the study, or of childbearing potential, sexually active and not practicing a highly reliable method of birth control
  • Subject has significant stress incontinence or mixed stress/urge incontinence where stress is the predominant factor
  • Subject has an indwelling catheter or practices intermittent self-catheterization
  • Subject has diabetic neuropathy
  • Subject has evidence of a symptomatic urinary tract infection, chronic inflammation such as interstitial cystitis, bladder stones, previous pelvic radiation therapy or previous or current malignant disease of the pelvic organs
  • Subject receives non-drug treatment including electro-stimulation therapy
  • Subject has severe hypertension
  • Subject has a known or suspected hypersensitivity to tolterodine, other anticholinergics, YM178, other beta-adrenoreceptor (ß-AR) agonists, or lactose or any of the other inactive ingredients
  • Subject has been treated with any investigational drug or device within 30 days (90 days in the UK)
  • Subject had an average total daily urine volume \> 3000 mL as recorded in the 3-day micturition diary period
  • Subject has serum creatinine \>150 umol/L, aspartate aminotransferase (AST) and/or alanine aminotransferase (ALT) \> 2x upper limit of normal range (ULN), or gamma glutamyl transferase (γ-GT) \> 3x ULN
  • Subject has a clinically significant abnormal electrocardiogram (ECG)

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (218)

Unknown Facility

Auchenflower, Australia

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Clayton, Australia

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Kogarah, Australia

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Randwick, Australia

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Woolloongabba, Australia

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Graz, 8036, Austria

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Innsbruck, 6020, Austria

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Linz, 4020, Austria

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Minsk, 220036, Belarus

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Minsk, 220119, Belarus

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Minsk, 223041, Belarus

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Antwerp, 2020, Belgium

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Antwerp, 2030, Belgium

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Brussels, 1070, Belgium

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Brussels, 1090, Belgium

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Edegem, 2650, Belgium

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Ghent, 9000, Belgium

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Kortrijk, 8500, Belgium

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Leper, 8900, Belgium

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Leuven, 3000, Belgium

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Liège, 4000, Belgium

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Sint-Truiden, 3800, Belgium

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Pleven, Bulgaria

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Sofia, Bulgaria

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Varna, Bulgaria

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Brno, 60200, Czechia

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Mělník, 27601, Czechia

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Olomouc, 77200, Czechia

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Ostrava-Poruba, 70853, Czechia

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Pilsen, 30599, Czechia

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Prague, 12851, Czechia

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Prague, 14056, Czechia

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Prague, 18081, Czechia

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Štětí, 41108, Czechia

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Ústí nad Labem, 40001, Czechia

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Aalborg, 9100, Denmark

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Aarhus, 8200, Denmark

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Glostrup Municipality, 2600, Denmark

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Roskilde, Denmark

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Helsinki, 00029, Finland

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Oulu, 90220, Finland

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Tampere, 33521, Finland

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Turku, 20100, Finland

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Bordeaux, 33076, France

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Colmar, 68024, France

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Marseille, 13274, France

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Marseille, 13285, France

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Mulhouse, 68070, France

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Nantes, 45035, France

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Nîmes, 30029, France

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Orléans, 45067, France

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Paris, 75020, France

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Paris, 75571, France

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Rouen, 76031, France

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Saint-Priest-en-Jarez, 42055, France

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Strasbourg, 67000, France

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Toulouse, 31059, France

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Aichach, 86551, Germany

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Bad Ems, 56130, Germany

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Bautzen, 02625, Germany

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Berlin, 13347, Germany

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Duisburg, 47051, Germany

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Eisleben Lutherstadt, 06295, Germany

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Frankfurt, 65933, Germany

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Ganderkesee, 27777, Germany

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Hagenow, 19230, Germany

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Halle, 06132, Germany

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Hamburg, 20253, Germany

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Henningsdorf, 16761, Germany

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Hettstedt, 06333, Germany

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Koblenz, 56068, Germany

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Leipzig, 04105, Germany

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Muenchen-Bogenhausen, 81925, Germany

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Neustadt in Sachsen, 01844, Germany

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Oranienburg, 16151, Germany

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Radebeul, 01445, Germany

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Sangerhausen, 06526, Germany

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Trier, 54290, Germany

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Uetersen, 25436, Germany

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Athens, Greece

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Nikaias-Piraeus, Greece

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Pátrai, Greece

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Thessaloniki, Greece

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Budapest, 1047, Hungary

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Budapest, 1076, Hungary

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Budapest, 1204, Hungary

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Debrecen, 4043, Hungary

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Eger, 3300, Hungary

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Nyíregyháza, 4400, Hungary

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Pápa, Hungary

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Sopron, Hungary

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Szeged, 6725, Hungary

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Szekszárd, 7100, Hungary

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Székesfehérvár, 8000, Hungary

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Tatabánya, 2800, Hungary

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Veszprém, 8200, Hungary

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Reykjavik, 101, Iceland

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Cork, Ireland

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Dublin, Ireland

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Mullingar, Ireland

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Tralee, Ireland

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Bari, 70124, Italy

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Catanzaro, 88100, Italy

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Florence, 50139, Italy

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Florence, 59129, Italy

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Genoa, 16128, Italy

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Latina, 04100, Italy

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Magenta, 20013, Italy

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Milan, 20142, Italy

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Milan, 20153, Italy

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Modena, 41100, Italy

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Naples, 80131, Italy

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Perugia, 06122, Italy

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Teramo, 64100, Italy

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Treviglio, 24047, Italy

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Varese, 21100, Italy

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Liepāja, Latvia

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Riga, Latvia

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Kaunas, Lithuania

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Vilnius, Lithuania

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Amsterdam, 1105 AZ, Netherlands

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Apeldoorn, 7334 DZ, Netherlands

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Apeldoorn, Netherlands

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Eindhoven, 5623 EJ, Netherlands

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Enschede, 7511 JX, Netherlands

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Leiden, 2334 CK, Netherlands

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Maastricht, 6229 HX, Netherlands

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Nijmegen, 6532 SZ, Netherlands

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Sneek, 8600 BA, Netherlands

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Tilburg, 5022 GC, Netherlands

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Winterswijk, 7101 BN, Netherlands

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Bergen, 5021, Norway

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Drammen, 3016, Norway

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Hamar, 2317, Norway

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Oslo, 0257, Norway

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Tønsberg, 3103, Norway

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Bialystok, 15-278, Poland

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Chorzów, 41-500, Poland

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Lodz, 93-338, Poland

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Lodz, 93-513, Poland

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Lublin, 20-954, Poland

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Warsaw, 00-846, Poland

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Warsaw, 02-005, Poland

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Warsaw, 02-507, Poland

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Wroclaw, 50-556, Poland

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Amadora, 2700, Portugal

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Porto, 4099-005, Portugal

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Tomar, 2304-909, Portugal

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Viana do Castelo, 4900-858, Portugal

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Bucharest, 22328, Romania

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Bucharest, Romania

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Lasi, Romania

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Oradea, Romania

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Timișoara, Romania

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Moscow, 101000, Russia

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Moscow, 105425, Russia

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Moscow, 111020, Russia

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Moscow, 111123, Russia

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Moscow, 115516, Russia

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Moscow, 117049, Russia

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Moscow, 117815, Russia

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Moscow, 119435, Russia

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Moscow, 123836, Russia

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Moscow, 125206, Russia

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Saint Petersburg, 197089, Russia

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Saint Petersburg, 198013, Russia

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Martin, 03659, Slovakia

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Poprad, 05801, Slovakia

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Skalica, 90982, Slovakia

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Trenčín, 91101, Slovakia

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Žilina, 01207, Slovakia

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Bloemfontein, South Africa

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Hatfield, South Africa

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Lyttelton, South Africa

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Paarl, South Africa

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Pietermaritzburg, South Africa

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Barcelona, 08020, Spain

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Bilbao, 48013, Spain

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Esplugues de Llobregat-Barcelo, 08950, Spain

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Fuenlabrada, 28942, Spain

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Getafe, 28905, Spain

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Madrid, 28016, Spain

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Madrid, 28046, Spain

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Madrid, Spain

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Mataró, 8304, Spain

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Miranda de Ebro, 09200, Spain

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Palma de Mallorca, 07014, Spain

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Seville, 41013, Spain

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Toledo, 45071, Spain

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Valencia, 46010, Spain

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Villarreal de Huerva, 12540, Spain

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Borås, 50182, Sweden

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Helsingborg, 25187, Sweden

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Örebro, 70185, Sweden

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Skövde, 54130, Sweden

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Stockholm, 11883, Sweden

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Stockholm, 14186, Sweden

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Stockholm, 17176, Sweden

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Stockholm, 18288, Sweden

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Umeå, 90185, Sweden

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Uppsala, 75185, Sweden

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Frauenfeld, 8501, Switzerland

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Lucerne, 6000, Switzerland

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Kiev, 01023, Ukraine

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Kiev, 04053, Ukraine

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Birmingham, B15 2TG, United Kingdom

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Chorley, PR7 7NA, United Kingdom

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Croydon, CR7 7YE, United Kingdom

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Liverpool, L22 OLG, United Kingdom

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London, SE5 9RS, United Kingdom

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London, W2 2YP, United Kingdom

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Manchester, M15 6SX, United Kingdom

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Newcastle upon Tyne, NE7 7DN, United Kingdom

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Northwood, HA6 2RN, United Kingdom

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Reading, RG1 5AN, United Kingdom

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Reading, RG2 7AG, United Kingdom

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Sheffield, S10 2JF, United Kingdom

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Swansea, SA6 6NL, United Kingdom

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Related Publications (3)

  • Khullar V, Amarenco G, Angulo JC, Cambronero J, Hoye K, Milsom I, Radziszewski P, Rechberger T, Boerrigter P, Drogendijk T, Wooning M, Chapple C. Efficacy and tolerability of mirabegron, a beta(3)-adrenoceptor agonist, in patients with overactive bladder: results from a randomised European-Australian phase 3 trial. Eur Urol. 2013 Feb;63(2):283-95. doi: 10.1016/j.eururo.2012.10.016. Epub 2012 Nov 6.

    PMID: 23182126BACKGROUND
  • Stoniute A, Madhuvrata P, Still M, Barron-Millar E, Nabi G, Omar MI. Oral anticholinergic drugs versus placebo or no treatment for managing overactive bladder syndrome in adults. Cochrane Database Syst Rev. 2023 May 9;5(5):CD003781. doi: 10.1002/14651858.CD003781.pub3.

  • Desroziers K, Aballea S, Maman K, Nazir J, Odeyemi I, Hakimi Z. Estimating EQ-5D and OAB-5D health state utilities for patients with overactive bladder. Health Qual Life Outcomes. 2013 Nov 19;11:200. doi: 10.1186/1477-7525-11-200.

Related Links

MeSH Terms

Conditions

Urinary Bladder, OveractiveUrinary IncontinenceUrinary Incontinence, Urge

Interventions

mirabegronTolterodine Tartrate

Condition Hierarchy (Ancestors)

Urinary Bladder DiseasesUrologic DiseasesFemale Urogenital DiseasesFemale Urogenital Diseases and Pregnancy ComplicationsUrogenital DiseasesMale Urogenital DiseasesLower Urinary Tract SymptomsUrological ManifestationsSigns and SymptomsPathological Conditions, Signs and SymptomsUrination Disorders

Intervention Hierarchy (Ancestors)

PhenylpropanolaminePropanolaminesAmino AlcoholsAlcoholsOrganic ChemicalsPropanolsAminesBenzhydryl CompoundsBenzene DerivativesHydrocarbons, AromaticHydrocarbons, CyclicHydrocarbonsCresolsPhenols

Results Point of Contact

Title
Director Medical Science
Organization
Astellas Pharma Europe B.V.

Study Officials

  • Central Contact

    Astellas Pharma Europe B.V.

    STUDY DIRECTOR

Publication Agreements

PI is Sponsor Employee
No
Restriction Type
OTHER
Restrictive Agreement
Yes

Study Design

Study Type
interventional
Phase
phase 3
Allocation
RANDOMIZED
Masking
DOUBLE
Who Masked
PARTICIPANT, INVESTIGATOR
Purpose
TREATMENT
Intervention Model
PARALLEL
Sponsor Type
INDUSTRY
Responsible Party
SPONSOR

Study Record Dates

First Submitted

May 29, 2008

First Posted

June 3, 2008

Study Start

April 28, 2008

Primary Completion

March 24, 2009

Study Completion

March 24, 2009

Last Updated

November 20, 2024

Results First Posted

October 17, 2012

Record last verified: 2024-10

Data Sharing

IPD Sharing
Will share

Access to anonymized individual participant level data collected during the study, in addition to study-related supporting documentation, is planned for studies conducted with approved product indications and formulations, as well as products terminated during development. Studies conducted with product indications or formulations that remain active in development are assessed after study completion to determine if Individual Participant Data can be shared. Further details on Astellas' data sharing policy can be found at https://www.clinicaltrials.astellas.com/transparency/.

Shared Documents
STUDY PROTOCOL, SAP, CSR
Time Frame
Access to participant level data is offered to researchers after publication of the primary manuscript (if applicable) and is available as long as Astellas has legal authority to provide the data.
Access Criteria
Researchers must submit a proposal to conduct a scientifically relevant analysis of the study data. The research proposal is reviewed by an Independent Research Panel. If the proposal is approved, access to the study data is provided in a secure data sharing environment after receipt of a signed Data Sharing Agreement.
More information

Locations