Risk Factors for Treatment Failure in Women With Detrusor Overactivity Receiving Combined Pharmacotherapy
Risk Factors for the Failure of Combined Pharmacotherapy in Women With Refractory Detrusor Overactivity
1 other identifier
observational
61
1 country
1
Brief Summary
This study evaluated the outcomes of women with detrusor overactivity treated with combined pharmacotherapy to identify risk factors for treatment failure.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P25-P50 for all trials
Started Jun 2022
Typical duration for all trials
1 active site
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
June 1, 2022
CompletedPrimary Completion
Last participant's last visit for primary outcome
June 30, 2024
CompletedStudy Completion
Last participant's last visit for all outcomes
August 31, 2024
CompletedFirst Submitted
Initial submission to the registry
January 1, 2026
CompletedFirst Posted
Study publicly available on registry
January 13, 2026
CompletedJanuary 13, 2026
January 1, 2026
2.1 years
January 1, 2026
January 1, 2026
Conditions
Keywords
Outcome Measures
Primary Outcomes (3)
Short form of Urinary Distress Inventory (UDI-6)
UDI-6 is a valid questionnaire, used particularly to investigate symptoms associated with lower urinary tract dysfunction and inquire on irritative, stress, and obstructive or discomfort complaints. UDI-6 consists of six items: frequent urination; leakage related to feeling of urgency; leakage related to activity, coughing, or sneezing; small amounts of leakage (drops); difficulty emptying the bladder; and pain or discomfort in the lower abdominal or genital area. The total score ranges from 0 to 18 , with a higher score indicating more severe of incontinence.
Assess before treatment and 12 weeks after treatment
Short form of Incontinence Impact Questionnaire (IIQ-7)
The IIQ-7 assess the impact of urinary incontinence on QoL. 7 items assess influence of urinary incontinence on physical activity, travel, social/relationships \& emotional health. Each item is scored between 0 (activities not affected at all) to 3 (activities greatly affected). The total score ranges from 0 to 21, with a higher score indicating more severe of incontinence.
Assess before treatment and 12 weeks after treatment
Overactive Bladder Symptom Score (OABSS)
The total OABSS is the sum of four symptom scores: daytime frequency (score 0-2), nighttime frequency (score 0-3), urgency (score 0-5), and urgency incontinence (score 0-5). The total score ranges from 0 to 15, with a higher score indicating more severe of OAB symptoms.
Assess before treatment and 12 weeks after treatment
Secondary Outcomes (4)
Episodes of daily micturition
Assess before treatment and 12 weeks after treatment
Episodes of daily urgency
Assess before treatment and 12 weeks after treatment
Episodes of daily incontinence
Assess before treatment and 12 weeks after treatment
Episodes of daily nocturia
Assess before treatment and 12 weeks after treatment
Study Arms (1)
Women with urodynamic DO refractory to combined pharmacotherapy
We enrolled women with refractory detrusor overactivity, defined as ongoing symptoms after at least 1 month of treatment with either an anticholinergic or a β3-agonist. Eligible women received combined pharmacotherapy with oral solifenacin 5 mg and mirabegron 25 mg once daily for 12 weeks.
Interventions
Combined pharmacotherapy with oral solifenacin 5 mg and mirabegron 25 mg once daily.
Eligibility Criteria
This study conducted in a tertiary referral hospital located in northern Taiwan.
You may qualify if:
- Patients with detrusor overactivity which defined as a urodynamic observation characterized by involuntary detrusor contractions during the filling phase. Those who were refractory to monotherapy with either anticholinergics or β3-agonist medication for at least 1 month.
You may not qualify if:
- Neurological conditions or spinal cord injury, which could affect urologic function
- Advanced pelvic organ prolapse (pelvic organ prolapse quantification system stage II or above)
- Active urinary tract infection
- Contraindications to taking anticholinergic and β3-agonist medications
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
Mackay Memorial Hospital
Taipei, Taiwan
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Study Design
- Study Type
- observational
- Observational Model
- COHORT
- Time Perspective
- PROSPECTIVE
- Sponsor Type
- OTHER
- Responsible Party
- PRINCIPAL INVESTIGATOR
- PI Title
- Head of urogynecology, Associate Professor
Study Record Dates
First Submitted
January 1, 2026
First Posted
January 13, 2026
Study Start
June 1, 2022
Primary Completion
June 30, 2024
Study Completion
August 31, 2024
Last Updated
January 13, 2026
Record last verified: 2026-01
Data Sharing
- IPD Sharing
- Will not share