Overactive Bladder Syndrome (OABS)
Conditions
Brief summary
SMP-986 is a compound being developed for the treatment of overactive bladder syndrome (OABS). This clinical study is designed to test the hypothesis that SMP-986 at doses of 20mg, 40mg, 80mg or 120mg provides greater symptom relief in OABS compared to placebo. The hypothesis will be tested by measuring the change in mean voids/24 hrs after treatment with SMP-986 compared to placebo, as well comparing the change in: the severity of urgency episodes, mean number of urgency episodes/24 hr, mean number of incontinence episodes/24 hr and the mean void volume/void between SMP-986 and placebo.
Detailed description
A multicenter study conducted in patients with OABS comprising a 2-week single blind placebo run-in period followed by an 8-week randomized, double-blind, placebo controlled treatment period with patients randomized to receive 20 mg, 40 mg, 80 mg or 120 mg SMP 986 or placebo in a 1:1:1:1:1 ratio in parallel groups on an outpatient basis with study center visits.
Interventions
Placebo, 2 week duration.
Comparison of varying dosages (20, 40, 80 or 120mg) of SMP-986 against placebo. Dosing is to occur once daily, in the morning, for a duration of 8 weeks
Sponsors
Study design
Eligibility
Inclusion criteria
Main Inclusion Criteria: * Males, or females who are not of child-bearing potential * Aged 20-80 years (inclusive) with a diagnosis of OABS based on symptomatic reporting over a period of 6 months (micturition frequency, and urgency with or without incontinence) prior to screening.
Exclusion criteria
Main
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Change From Baseline to Week 8 in the Number of Voids/24 Hours | 8 Weeks |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| To Assess the Safety and Tolerability of 20, 40, 80 and 120 mg SMP 986 (o.d) Following 8-weeks of Treatment in Patients With Over Active Bladder Syndrome | 8 Weeks | Treatment emergent adverse event summary |
Countries
Estonia, France, Germany, Latvia, Lithuania, Poland, Spain, United Kingdom, United States
Participant flow
Pre-assignment details
550 subjects were enrolled into the 2 week placebo run-in phase prior to randomization.
Participants by arm
| Arm | Count |
|---|---|
| Placebo Placebo run-in phase. 2 week duration.
Placebo: Placebo, 2 week duration. | 111 |
| 20mg Dose of SMP-986 20mg dose of SMP-986 to be taken once daily for 8 week duration.
SMP-986: Comparison of varying dosages (20, 40, 80 or 120mg) of SMP-986 against placebo. Dosing is to occur once daily, in the morning, for a duration of 8 weeks | 111 |
| 40mg Dose of SMP-986 40mg dose of SMP-986 to be taken for 8 week duration.
SMP-986: Comparison of varying dosages (20, 40, 80 or 120mg) of SMP-986 against placebo. Dosing is to occur once daily, in the morning, for a duration of 8 weeks | 109 |
| 80mg Dose of SMP-986 80mg dose of SMP-986 to be taken for 8 week duration.
SMP-986: Comparison of varying dosages (20, 40, 80 or 120mg) of SMP-986 against placebo. Dosing is to occur once daily, in the morning, for a duration of 8 weeks | 109 |
| 120mg Dose of SMP-986 120mg dose of SMP-986 to be taken for 8 week duration.
SMP-986: Comparison of varying dosages (20, 40, 80 or 120mg) of SMP-986 against placebo. Dosing is to occur once daily, in the morning, for a duration of 8 weeks | 110 |
| Total | 550 |
Baseline characteristics
| Characteristic | Placebo | Total | 120mg Dose of SMP-986 | 80mg Dose of SMP-986 | 40mg Dose of SMP-986 | 20mg Dose of SMP-986 |
|---|---|---|---|---|---|---|
| Age, Categorical <=18 years | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants |
| Age, Categorical >=65 years | 47 Participants | 229 Participants | 45 Participants | 46 Participants | 43 Participants | 48 Participants |
| Age, Categorical Between 18 and 65 years | 64 Participants | 321 Participants | 65 Participants | 63 Participants | 66 Participants | 63 Participants |
| Age, Continuous | 61.0 years STANDARD_DEVIATION 11.15 | 61.4 years STANDARD_DEVIATION 9.96 | 61.1 years STANDARD_DEVIATION 10.08 | 61.6 years STANDARD_DEVIATION 9.04 | 61.5 years STANDARD_DEVIATION 9.93 | 62.0 years STANDARD_DEVIATION 9.6 |
| Race (NIH/OMB) American Indian or Alaska Native | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants |
| Race (NIH/OMB) Asian | 1 Participants | 5 Participants | 1 Participants | 2 Participants | 1 Participants | 0 Participants |
| Race (NIH/OMB) Black or African American | 3 Participants | 14 Participants | 6 Participants | 1 Participants | 1 Participants | 3 Participants |
| Race (NIH/OMB) More than one race | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants |
| Race (NIH/OMB) Native Hawaiian or Other Pacific Islander | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants |
| Race (NIH/OMB) Unknown or Not Reported | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants |
| Race (NIH/OMB) White | 107 Participants | 531 Participants | 103 Participants | 106 Participants | 107 Participants | 108 Participants |
| Region of Enrollment Estonia | 4 participants | 23 participants | 6 participants | 6 participants | 2 participants | 5 participants |
| Region of Enrollment France | 1 participants | 4 participants | 1 participants | 1 participants | 0 participants | 1 participants |
| Region of Enrollment Germany | 29 participants | 173 participants | 30 participants | 39 participants | 40 participants | 35 participants |
| Region of Enrollment Latvia | 7 participants | 38 participants | 10 participants | 7 participants | 6 participants | 8 participants |
| Region of Enrollment Lithuania | 11 participants | 39 participants | 3 participants | 7 participants | 13 participants | 5 participants |
| Region of Enrollment Poland | 31 participants | 150 participants | 30 participants | 30 participants | 32 participants | 27 participants |
| Region of Enrollment Spain | 2 participants | 12 participants | 5 participants | 1 participants | 1 participants | 3 participants |
| Region of Enrollment United Kingdom | 0 participants | 8 participants | 0 participants | 3 participants | 1 participants | 4 participants |
| Region of Enrollment United States | 26 participants | 103 participants | 25 participants | 15 participants | 14 participants | 23 participants |
| Sex: Female, Male Female | 96 Participants | 465 Participants | 95 Participants | 93 Participants | 89 Participants | 92 Participants |
| Sex: Female, Male Male | 15 Participants | 85 Participants | 15 Participants | 16 Participants | 20 Participants | 19 Participants |
Adverse events
| Event type | EG000 affected / at risk | EG001 affected / at risk | EG002 affected / at risk | EG003 affected / at risk | EG004 affected / at risk |
|---|---|---|---|---|---|
| deaths Total, all-cause mortality | — / — | — / — | — / — | — / — | — / — |
| other Total, other adverse events | 39 / 111 | 40 / 111 | 50 / 109 | 78 / 109 | 81 / 110 |
| serious Total, serious adverse events | 0 / 111 | 1 / 111 | 1 / 109 | 0 / 109 | 3 / 110 |
Outcome results
Change From Baseline to Week 8 in the Number of Voids/24 Hours
Time frame: 8 Weeks
| Arm | Measure | Value (LEAST_SQUARES_MEAN) | Dispersion |
|---|---|---|---|
| Placebo | Change From Baseline to Week 8 in the Number of Voids/24 Hours | -1.06 voids/24 hrs. | Standard Error 2.223 |
| 20mg Dose of SMP-986 | Change From Baseline to Week 8 in the Number of Voids/24 Hours | -1.44 voids/24 hrs. | Standard Error 2.402 |
| 40mg Dose of SMP-986 | Change From Baseline to Week 8 in the Number of Voids/24 Hours | -1.78 voids/24 hrs. | Standard Error 2.376 |
| 80mg Dose of SMP-986 | Change From Baseline to Week 8 in the Number of Voids/24 Hours | -2.41 voids/24 hrs. | Standard Error 2.383 |
| 120mg Dose of SMP-986 | Change From Baseline to Week 8 in the Number of Voids/24 Hours | -1.92 voids/24 hrs. | Standard Error 2.145 |
To Assess the Safety and Tolerability of 20, 40, 80 and 120 mg SMP 986 (o.d) Following 8-weeks of Treatment in Patients With Over Active Bladder Syndrome
Treatment emergent adverse event summary
Time frame: 8 Weeks
| Arm | Measure | Value (NUMBER) |
|---|---|---|
| Placebo | To Assess the Safety and Tolerability of 20, 40, 80 and 120 mg SMP 986 (o.d) Following 8-weeks of Treatment in Patients With Over Active Bladder Syndrome | 61 participants |
| 20mg Dose of SMP-986 | To Assess the Safety and Tolerability of 20, 40, 80 and 120 mg SMP 986 (o.d) Following 8-weeks of Treatment in Patients With Over Active Bladder Syndrome | 62 participants |
| 40mg Dose of SMP-986 | To Assess the Safety and Tolerability of 20, 40, 80 and 120 mg SMP 986 (o.d) Following 8-weeks of Treatment in Patients With Over Active Bladder Syndrome | 61 participants |
| 80mg Dose of SMP-986 | To Assess the Safety and Tolerability of 20, 40, 80 and 120 mg SMP 986 (o.d) Following 8-weeks of Treatment in Patients With Over Active Bladder Syndrome | 87 participants |
| 120mg Dose of SMP-986 | To Assess the Safety and Tolerability of 20, 40, 80 and 120 mg SMP 986 (o.d) Following 8-weeks of Treatment in Patients With Over Active Bladder Syndrome | 90 participants |