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Solifenacin Succinate With Tamsulosin HCl in Males With Lower Urinary Tract Symptoms and Bladder Outlet Obstruction

A Phase 2, Randomized, Double-Blind, Parallel Group, Placebo Controlled, Multi-Center Study to Evaluate the Safety of the Co-administration of Solifenacin Succinate With 0.4 mg Tamsulosin Hydrochloride OCAS (TOCAS) Using Urodynamics in Male Subjects With Lower Urinary Tract Symptoms (LUTS) and Bladder Outlet Obstruction (BOO)

Status
Completed
Phases
Phase 2
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT00507455
Enrollment
222
Registered
2007-07-26
Start date
2007-06-30
Completion date
2008-08-31
Last updated
2014-08-06

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Lower Urinary Tract Symptoms, Bladder Outlet Obstruction

Keywords

Lower Urinary Tract Symptoms, Bladder Outlet Obstruction, Treatment, Solifenacin Succinate, Tamsulosin hydrochloride

Brief summary

A study to evaluate the safety of the co-administration of solifenacin succinate with tamsulosin hydrochloride in men with lower urinary tract symptoms (LUTS) and bladder outlet obstruction (BOO).

Interventions

DRUGsolifenacin succinate

Solifenacin succinate tablets

Tamsulosin hydrochloride Oral Control Absorption System (TOCAS) tablets

DRUGPlacebo to solifenacin
DRUGPlacebo to tamsulosin

Sponsors

Astellas Pharma Inc
Lead SponsorINDUSTRY

Study design

Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
TRIPLE (Subject, Caregiver, Investigator)

Eligibility

Sex/Gender
MALE
Age
45 Years to No maximum
Healthy volunteers
No

Inclusion criteria

* Diagnosed with Lower Urinary Tract Symptoms (LUTS) and Bladder Outlet Obstruction (BOO) * BOO indication by a Bladder Outlet Obstruction Index (BOOI) ≥ 20 * Patient has a total International Prostate Symptom Score (IPPS) score of ≥ 8 (Inclusion criteria for Baseline also) * Patient had a maximum urinary flow rate of ≤ 12 mL/sec, with a voided volume of ≥ 120 mL during free flow in a representative assessment of uroflowmetry.

Exclusion criteria

* History of urinary retention in preceding 12 months * Current urinary tract infection (UTI) or symptomatic and recurrent UTI of \> 3 episodes within 12 months. * Known clinical history or diagnosis of chronic inflammation, stone in bladder or ureter, or other causes of outflow tract obstruction * Known diagnosis or history of carcinoma or previous pelvic radiation therapy, except non-metastatic basal or squamous cell carcinoma of the skin that had been treated successfully * Clinically significant cardiovascular or cerebrovascular diseases within 6 months prior to Visit 1

Design outcomes

Primary

MeasureTime frameDescription
Change From Baseline to End of Treatment in Detrusor Pressure at Maximum Flow Rate (PdetQmax)Baseline and Week 12Detrusor pressure (Pdet) measures the force the detrusor muscle is exerting. This pressure is required to expel urine from the bladder during normal voiding. A high detrusor pressure may be observed in the presence of outflow tract obstruction. Detrusor pressure at maximum urinary flow rate (PdetQmax) was evaluated using simultaneous recording of urinary voiding by an uroflowmeter during detrusor pressure evaluation by cystometry.
Change From Baseline to End of Treatment in Maximum Flow Rate (Qmax)Baseline and Week 12The maximum flow rate (Qmax) during a micturition (urination) was recorded using uroflowmetry. A reduction in maximum flow rate may be due to an obstruction of the bladder outlet or a failure of the detrusor muscle to aid in expelling urine.

Secondary

MeasureTime frameDescription
Change From Baseline to End of Treatment in Percent Bladder Voiding Efficiency (BVE)Baseline and Week 12Percent Bladder Voiding Efficiency (BVE) is a product of bladder contractility against the urethral resistance and is measured according to the degree of bladder emptying. BVE is expressed as a percentage and is calculated using the formula: Bladder Voiding efficiency = (Voided volume x 100)/maximum cystometric capacity. A higher number indicates a higher voiding efficiency. LS means were adjusted for pooled center and Baseline value.
Safety Assessed by Adverse Events (AEs), Electrocardiogram (ECG), Vital Signs, Physical Exam and Laboratory TestsFrom first dose to within 30 days after last dose of double blind study medication (up to 16 weeks).Abnormal laboratory parameters, vital signs or ECG data were defined as AEs if the abnormality induced clinical signs or symptoms, needed active intervention, interruption or discontinuation of study medication or was clinically significant. A serious AE was an event resulting in death, persistent or significant disability/incapacity or congenital anomaly or birth defect, was life-threatening, required or prolonged hospitalization or was considered medically important. AEs were assessed by the Investigator for intensity as mild (no disruption of normal daily activities), moderate (affected normal daily activities) or severe (inability to perform daily activities) and for causal relationship to study drug.
Change From Baseline in International Prostate Symptoms Score (IPSS)Baseline and Weeks 2, 4, 8 and 12The IPSS is a validated global questionnaire used to assess the degree of bother from benign prostatic hyperplasia symptoms and is based on the answers to 7 questions concerning urinary symptoms: * Sensation of incomplete emptying * Repeat urinating after 2 hours (frequency) * Start and stop several times (intermittency) * Urgency * Weak stream * Straining * Nocturia Each question is assigned points from 0 to 5 indicating increasing severity of the particular symptom. The total score can therefore range from 0 to 35 (asymptomatic to very symptomatic). Least squares (LS) means were adjusted for pooled center and the Baseline value.
Change From Baseline in IPSS Voiding ScoreBaseline and Weeks 2, 4, 8 and 12The IPSS is a validated global questionnaire used to assess the degree of bother from benign prostatic hyperplasia symptoms based on the answers to 7 questions concerning urinary symptoms. Each question is assigned points from 0 to 5 indicating increasing severity of the particular symptom. The voiding score is the sum of the responses to 4 questions relating to urination (incomplete emptying, intermittency, weak stream and straining) and ranges from 0 to 20 (asymptomatic to very symptomatic). Least squares (LS) means were adjusted for pooled center and the Baseline value.
Change From Baseline in IPSS Storage ScoreBaseline and Weeks 2, 4, 8 and 12The IPSS is a validated global questionnaire used to assess the degree of bother from benign prostatic hyperplasia symptoms based on the answers to 7 questions concerning urinary symptoms. Each question is assigned points from 0 to 5 indicating increasing severity of the particular symptom. The storage symptom score is the sum of the responses to 3 questions relating to storage symptoms (frequency, urgency and nocturia) and ranges from 0 to 15 (asymptomatic to very symptomatic). Least squares (LS) means were adjusted for pooled center and the Baseline value.
Change From Baseline in Patient Perception of Bladder Condition (PPBC)Baseline and Weeks 2, 4, 8 and 12The patient perception of bladder condition (PPBC) questionnaire asks participants to assess their bladder condition using a 6-point validated Likert scale which ranges from 1 (does not cause me any problems at all) to 6 (causes me many severe problems). Least squares (LS) means were adjusted for pooled center and the Baseline value.
Change From Baseline in Number of Micturitions Per 24 HoursBaseline and Weeks 2, 4, 8 and 12A micturition is any voluntary urination, excluding episodes of incontinence only. The mean number of micturitions per 24 hours was calculated from data recorded by the participant in the micturition diary for the 3 days preceding each clinic visit. Least squares (LS) means were adjusted for pooled center and the Baseline value.
Change From Baseline in Post Void Residual Volume (PVR)Baseline and Weeks 2, 4, 8 and 12Healthy micturitions result in complete emptying of the bladder. Post Void Residual (PVR) is the volume of urine retained after voiding (post-void residual urine). Post void residual volume was assessed by abdominal ultrasound. An increasing PVR over time is an indicator of abnormal bladder function or detrusor decompensation. End-of-treatment is the last post-baseline assessment during the treatment period. Least squares (LS) means were adjusted for pooled center and the Baseline value.
Change From Baseline in Number of Incontinence Episodes Per 24 HoursBaseline and Weeks 2, 4, 8 and 12The mean number of incontinence episodes (the involuntary leakage of urine) per 24 hours was calculated from data recorded by the participant in the micturition diary for the 3 days preceding each clinic visit. Least squares (LS) means were adjusted for pooled center and the Baseline value.
Change From Baseline in Volume Voided Per MicturitionBaseline and Weeks 2, 4, 8 and 12The mean volume voided per micturition was calculated from data recorded by the participant in the micturition diary for the 3 days preceding each clinic visit. Least squares (LS) means were adjusted for pooled center and the Baseline value.
Change From Baseline in International Consultation on Incontinence Questionnaire - Male Lower Urinary Tract Symptom (ICIQ MLUTS) Total Symptom ScoreBaseline and Weeks 4, 8 and 12Male lower urinary tract symptoms were assessed by the ICIQ MLUTS questionnaire which consists of 13 questions regarding urinary symptoms. Each question is answered by the participant on a scale from 0 (never) to 4 (all the time). The total symptom score ranges from 0 to 52, where larger scores correspond to worse conditions. Least squares (LS) means were adjusted for pooled center and the Baseline value.
Change From Baseline in ICIQ-MLUTS Total Symptom Bother ScoreBaseline and Weeks 4, 8 and 12The degree to which urinary symptoms bothered participants was assessed by the ICIQ MLUTS questionnaire which consists of 13 symptom bother questions. Each question is answered by the participant on a scale from 0 (not at all) to 10 (a great deal). The total bother score ranges from 0 to 130, where larger scores correspond to worse outcomes. Least squares (LS) means were adjusted for pooled center and the Baseline value.
Change From Baseline in International Consultation on Incontinence Questionnaire - Lower Urinary Tract Symptom Quality of Life (ICIQ-LUTSqol) Symptom ScoreBaseline and Weeks 4, 8 and 12Quality of life was assessed by the ICIQ-LUTSqol questionnaire which consists of 19 questions regarding daily activities affected by urinary problems. Participants responded to each question on a scale from 1 (not at all) to 4 (a lot). The total symptom score ranges from 19 to 76, where larger scores correspond to a lesser quality of life). Least squares (LS) means were adjusted for pooled center and the Baseline value.
Change From Baseline in ICIQ-LUTSqol Overall Symptom Interference of Life ScoreBaseline and Weeks 4, 8 and 12Participants were asked to rate how much their urinary symptoms interfered overall with their everyday life on a scale from 0 (not at all) to 10 (a great deal). Least squares (LS) means were adjusted for pooled center and the Baseline value.
Change From Baseline in Number of Urgency Episodes Per 24 HoursBaseline and Weeks 2, 4, 8 and 12For each micturition and/or incontinence episode participants rated the degree of associated urgency (the sudden compelling desire to pass urine, which is difficult to defer) according to the following scale: 0: No Urgency, felt no need to empty my bladder but did so for another reason; 1: Mild urgency, could postpone passing water for as long as necessary; 2: Moderate urgency, could postpone passing water for a short while; 3: Severe urgency, could not postpone passing water; 4: Urge incontinence, leaked before reaching the toilet. An urgency episode is defined as an episode with urgency severity of three or higher. The mean number of urgency episodes per 24 hours was calculated from data recorded by the participant in the micturition diary for the 3 days preceding each clinic visit. Least squares (LS) means were adjusted for pooled center and the Baseline value.
Change From Baseline to End of Treatment in Bladder Contractility Index (BCI)Baseline and Week 12The Bladder Contractility Index (BCI) is a value used to measure the degree of contractility. BCI was calculated using the following formula: BCI = pdetQmax + 5Qmax. Strong contractility is a BCI \> 150, normal contractility is a BCI of 100-150 and weak contractility is a BCI of \< 100. LS means were adjusted for pooled center and Baseline value.

Countries

Belgium, Czechia, Germany, Hungary, Poland, United States

Participant flow

Participants by arm

ArmCount
Placebo
Participants received once daily, oral doses of placebo matching solifenacin succinate and tamsulosin tablets for 12 weeks.
74
6 mg Solifenacin + 0.4 mg Tamsulosin
Participants received once daily, oral doses of 6 mg solifenacin succinate and 0.4 mg tamsulosin tablets for 12 weeks.
74
9 mg Solifenacin + 0.4 mg Tamsulosin
Participants received once daily, oral doses of 9 mg solifenacin succinate and 0.4 mg tamsulosin tablets for 12 weeks.
74
Total222

Withdrawals & dropouts

PeriodReasonFG000FG001FG002
Overall StudyAdverse Event336
Overall StudyLack of Efficacy010
Overall StudyLost to Follow-up202
Overall StudyOther - miscellaneous reason101
Overall StudyProtocol Violation411
Overall StudyWithdrawal by Subject212

Baseline characteristics

CharacteristicPlacebo6 mg Solifenacin + 0.4 mg Tamsulosin9 mg Solifenacin + 0.4 mg TamsulosinTotal
Age, Continuous64.3 years
STANDARD_DEVIATION 7.6
63.8 years
STANDARD_DEVIATION 8.43
65.6 years
STANDARD_DEVIATION 8.26
64.6 years
STANDARD_DEVIATION 8.11
Race/Ethnicity, Customized
Asian
1 participants0 participants1 participants2 participants
Race/Ethnicity, Customized
Black or African-American
2 participants0 participants2 participants4 participants
Race/Ethnicity, Customized
Hispanic or Latino
2 participants3 participants5 participants10 participants
Race/Ethnicity, Customized
Non Hispanic or Latino
72 participants71 participants69 participants212 participants
Race/Ethnicity, Customized
Other
0 participants0 participants2 participants2 participants
Race/Ethnicity, Customized
White
71 participants74 participants69 participants214 participants
Sex: Female, Male
Female
0 Participants0 Participants0 Participants0 Participants
Sex: Female, Male
Male
74 Participants74 Participants74 Participants222 Participants

Adverse events

Event typeEG000
affected / at risk
EG001
affected / at risk
EG002
affected / at risk
deaths
Total, all-cause mortality
— / —— / —— / —
other
Total, other adverse events
10 / 7417 / 7419 / 74
serious
Total, serious adverse events
1 / 742 / 742 / 74

Outcome results

Primary

Change From Baseline to End of Treatment in Detrusor Pressure at Maximum Flow Rate (PdetQmax)

Detrusor pressure (Pdet) measures the force the detrusor muscle is exerting. This pressure is required to expel urine from the bladder during normal voiding. A high detrusor pressure may be observed in the presence of outflow tract obstruction. Detrusor pressure at maximum urinary flow rate (PdetQmax) was evaluated using simultaneous recording of urinary voiding by an uroflowmeter during detrusor pressure evaluation by cystometry.

Time frame: Baseline and Week 12

Population: Full analysis set (FAS) population consisted of participants who received at least one dose of double-blind treatment and had both urodynamic measurements at baseline and one or both measured at any post-baseline on-treatment visit. Last observation carried forward (LOCF) imputation was used.

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
PlaceboChange From Baseline to End of Treatment in Detrusor Pressure at Maximum Flow Rate (PdetQmax)-1.69 cmH2OStandard Error 3.15
6 mg Solifenacin + 0.4 mg TamsulosinChange From Baseline to End of Treatment in Detrusor Pressure at Maximum Flow Rate (PdetQmax)-7.84 cmH2OStandard Error 2.95
9 mg Solifenacin + 0.4 mg TamsulosinChange From Baseline to End of Treatment in Detrusor Pressure at Maximum Flow Rate (PdetQmax)-6.69 cmH2OStandard Error 3.2
Comparison: A hierarchical step-down procedure was used to control for multiplicity. The comparison between solifenacin 6 mg + tamsulosin 0.4 mg and placebo was conducted first. If non-inferiority was demonstrated, solifenacin 9 mg + tamsulosin 0.4 mg was then compared to placebo. If the first comparison did not demonstrate non-inferiority, no further testing was performed. This procedure maintained the overall type I error of 1-sided 2.5%.95% CI: [-14.67, 2.37]
Comparison: A hierarchical step-down procedure was used to control for multiplicity. The comparison between solifenacin 6 mg + tamsulosin 0.4 mg and placebo was conducted first. If non-inferiority was demonstrated, solifenacin 9 mg + tamsulosin 0.4 mg was then compared to placebo. If the first comparison did not demonstrate non-inferiority, no further testing was performed. This procedure maintained the overall type I error of 1-sided 2.5%.95% CI: [-13.85, 3.84]
Primary

Change From Baseline to End of Treatment in Maximum Flow Rate (Qmax)

The maximum flow rate (Qmax) during a micturition (urination) was recorded using uroflowmetry. A reduction in maximum flow rate may be due to an obstruction of the bladder outlet or a failure of the detrusor muscle to aid in expelling urine.

Time frame: Baseline and Week 12

Population: Full analysis set (FAS) population consisted of participants who received at least one dose of double-blind treatment and had urodynamic measurements at baseline and post-baseline on-treatment visit. Last observation carried forward (LOCF) imputation was used.

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
PlaceboChange From Baseline to End of Treatment in Maximum Flow Rate (Qmax)0.17 mL/secStandard Error 0.43
6 mg Solifenacin + 0.4 mg TamsulosinChange From Baseline to End of Treatment in Maximum Flow Rate (Qmax)1.85 mL/secStandard Error 0.41
9 mg Solifenacin + 0.4 mg TamsulosinChange From Baseline to End of Treatment in Maximum Flow Rate (Qmax)2.35 mL/secStandard Error 0.43
Comparison: A hierarchical step-down procedure was used to control for multiplicity. The comparison between solifenacin 6 mg + tamsulosin 0.4 mg and placebo was conducted first. If non-inferiority was demonstrated, solifenacin 9 mg + tamsulosin 0.4 mg was then compared to placebo. If the first comparison did not demonstrate non-inferiority, no further testing was performed. This procedure maintained the overall type I error of 1-sided 2.5%.95% CI: [0.5, 2.85]
Comparison: A hierarchical step-down procedure was used to control for multiplicity. The comparison between solifenacin 6 mg + tamsulosin 0.4 mg and placebo was conducted first. If non-inferiority was demonstrated, solifenacin 9 mg + tamsulosin 0.4 mg was then compared to placebo. If the first comparison did not demonstrate non-inferiority, no further testing was performed. This procedure maintained the overall type I error of 1-sided 2.5%.95% CI: [0.98, 3.37]
Secondary

Change From Baseline in ICIQ-LUTSqol Overall Symptom Interference of Life Score

Participants were asked to rate how much their urinary symptoms interfered overall with their everyday life on a scale from 0 (not at all) to 10 (a great deal). Least squares (LS) means were adjusted for pooled center and the Baseline value.

Time frame: Baseline and Weeks 4, 8 and 12

Population: Full analysis set (FAS) population with available data at Baseline and at each time point (indicated as N). End of treatment includes participants who did not complete the Week 12 visit using the last observation carried forward method.

ArmMeasureGroupValue (LEAST_SQUARES_MEAN)Dispersion
PlaceboChange From Baseline in ICIQ-LUTSqol Overall Symptom Interference of Life ScoreWeek 4 (N=57, 66, 56)-1.2 units on a scaleStandard Error 0.29
PlaceboChange From Baseline in ICIQ-LUTSqol Overall Symptom Interference of Life ScoreWeek 8 (N=56, 65, 55)-1.7 units on a scaleStandard Error 0.29
PlaceboChange From Baseline in ICIQ-LUTSqol Overall Symptom Interference of Life ScoreWeek 12 (N=56, 63, 55)-2.1 units on a scaleStandard Error 0.28
PlaceboChange From Baseline in ICIQ-LUTSqol Overall Symptom Interference of Life ScoreEnd of Treatment (N=60, 66, 57)-2.0 units on a scaleStandard Error 0.28
6 mg Solifenacin + 0.4 mg TamsulosinChange From Baseline in ICIQ-LUTSqol Overall Symptom Interference of Life ScoreEnd of Treatment (N=60, 66, 57)-1.9 units on a scaleStandard Error 0.26
6 mg Solifenacin + 0.4 mg TamsulosinChange From Baseline in ICIQ-LUTSqol Overall Symptom Interference of Life ScoreWeek 4 (N=57, 66, 56)-1.2 units on a scaleStandard Error 0.27
6 mg Solifenacin + 0.4 mg TamsulosinChange From Baseline in ICIQ-LUTSqol Overall Symptom Interference of Life ScoreWeek 12 (N=56, 63, 55)-2.0 units on a scaleStandard Error 0.26
6 mg Solifenacin + 0.4 mg TamsulosinChange From Baseline in ICIQ-LUTSqol Overall Symptom Interference of Life ScoreWeek 8 (N=56, 65, 55)-1.7 units on a scaleStandard Error 0.26
9 mg Solifenacin + 0.4 mg TamsulosinChange From Baseline in ICIQ-LUTSqol Overall Symptom Interference of Life ScoreEnd of Treatment (N=60, 66, 57)-2.1 units on a scaleStandard Error 0.29
9 mg Solifenacin + 0.4 mg TamsulosinChange From Baseline in ICIQ-LUTSqol Overall Symptom Interference of Life ScoreWeek 8 (N=56, 65, 55)-1.8 units on a scaleStandard Error 0.29
9 mg Solifenacin + 0.4 mg TamsulosinChange From Baseline in ICIQ-LUTSqol Overall Symptom Interference of Life ScoreWeek 12 (N=56, 63, 55)-2.2 units on a scaleStandard Error 0.28
9 mg Solifenacin + 0.4 mg TamsulosinChange From Baseline in ICIQ-LUTSqol Overall Symptom Interference of Life ScoreWeek 4 (N=57, 66, 56)-1.3 units on a scaleStandard Error 0.29
Secondary

Change From Baseline in ICIQ-MLUTS Total Symptom Bother Score

The degree to which urinary symptoms bothered participants was assessed by the ICIQ MLUTS questionnaire which consists of 13 symptom bother questions. Each question is answered by the participant on a scale from 0 (not at all) to 10 (a great deal). The total bother score ranges from 0 to 130, where larger scores correspond to worse outcomes. Least squares (LS) means were adjusted for pooled center and the Baseline value.

Time frame: Baseline and Weeks 4, 8 and 12

Population: Full analysis set (FAS) population with available data at Baseline and at each time point (indicated as N). End of treatment includes participants who did not complete the Week 12 visit using the last observation carried forward method.

ArmMeasureGroupValue (LEAST_SQUARES_MEAN)Dispersion
PlaceboChange From Baseline in ICIQ-MLUTS Total Symptom Bother ScoreWeek 4 (N=52, 57, 48)-14.6 units on a scaleStandard Error 2.76
PlaceboChange From Baseline in ICIQ-MLUTS Total Symptom Bother ScoreWeek 8 (N=51, 55, 47)-20.7 units on a scaleStandard Error 2.88
PlaceboChange From Baseline in ICIQ-MLUTS Total Symptom Bother ScoreWeek 12 (N=51, 51, 47)-22.6 units on a scaleStandard Error 2.78
PlaceboChange From Baseline in ICIQ-MLUTS Total Symptom Bother ScoreEnd of Treatment (N=58, 60, 53)-21.7 units on a scaleStandard Error 2.71
6 mg Solifenacin + 0.4 mg TamsulosinChange From Baseline in ICIQ-MLUTS Total Symptom Bother ScoreEnd of Treatment (N=58, 60, 53)-21.1 units on a scaleStandard Error 2.65
6 mg Solifenacin + 0.4 mg TamsulosinChange From Baseline in ICIQ-MLUTS Total Symptom Bother ScoreWeek 4 (N=52, 57, 48)-11.0 units on a scaleStandard Error 2.62
6 mg Solifenacin + 0.4 mg TamsulosinChange From Baseline in ICIQ-MLUTS Total Symptom Bother ScoreWeek 12 (N=51, 51, 47)-23.9 units on a scaleStandard Error 2.74
6 mg Solifenacin + 0.4 mg TamsulosinChange From Baseline in ICIQ-MLUTS Total Symptom Bother ScoreWeek 8 (N=51, 55, 47)-19.4 units on a scaleStandard Error 2.75
9 mg Solifenacin + 0.4 mg TamsulosinChange From Baseline in ICIQ-MLUTS Total Symptom Bother ScoreEnd of Treatment (N=58, 60, 53)-22.4 units on a scaleStandard Error 2.84
9 mg Solifenacin + 0.4 mg TamsulosinChange From Baseline in ICIQ-MLUTS Total Symptom Bother ScoreWeek 8 (N=51, 55, 47)-20.7 units on a scaleStandard Error 3.01
9 mg Solifenacin + 0.4 mg TamsulosinChange From Baseline in ICIQ-MLUTS Total Symptom Bother ScoreWeek 12 (N=51, 51, 47)-23.9 units on a scaleStandard Error 2.91
9 mg Solifenacin + 0.4 mg TamsulosinChange From Baseline in ICIQ-MLUTS Total Symptom Bother ScoreWeek 4 (N=52, 57, 48)-17.0 units on a scaleStandard Error 2.88
Secondary

Change From Baseline in International Consultation on Incontinence Questionnaire - Lower Urinary Tract Symptom Quality of Life (ICIQ-LUTSqol) Symptom Score

Quality of life was assessed by the ICIQ-LUTSqol questionnaire which consists of 19 questions regarding daily activities affected by urinary problems. Participants responded to each question on a scale from 1 (not at all) to 4 (a lot). The total symptom score ranges from 19 to 76, where larger scores correspond to a lesser quality of life). Least squares (LS) means were adjusted for pooled center and the Baseline value.

Time frame: Baseline and Weeks 4, 8 and 12

Population: Full analysis set (FAS) population with available data at Baseline and at each time point (indicated as N). End of treatment includes participants who did not complete the Week 12 visit using the last observation carried forward method.

ArmMeasureGroupValue (LEAST_SQUARES_MEAN)Dispersion
PlaceboChange From Baseline in International Consultation on Incontinence Questionnaire - Lower Urinary Tract Symptom Quality of Life (ICIQ-LUTSqol) Symptom ScoreWeek 4 (N=33, 36, 36)-2.7 units on a scaleStandard Error 0.93
PlaceboChange From Baseline in International Consultation on Incontinence Questionnaire - Lower Urinary Tract Symptom Quality of Life (ICIQ-LUTSqol) Symptom ScoreWeek 8 (N=33, 32, 31)-3.6 units on a scaleStandard Error 0.98
PlaceboChange From Baseline in International Consultation on Incontinence Questionnaire - Lower Urinary Tract Symptom Quality of Life (ICIQ-LUTSqol) Symptom ScoreWeek 12 (N=35, 33, 28)-4.8 units on a scaleStandard Error 1.1
PlaceboChange From Baseline in International Consultation on Incontinence Questionnaire - Lower Urinary Tract Symptom Quality of Life (ICIQ-LUTSqol) Symptom ScoreEnd of Treatment (N=39, 39, 38)-4.7 units on a scaleStandard Error 1.05
6 mg Solifenacin + 0.4 mg TamsulosinChange From Baseline in International Consultation on Incontinence Questionnaire - Lower Urinary Tract Symptom Quality of Life (ICIQ-LUTSqol) Symptom ScoreEnd of Treatment (N=39, 39, 38)-5.3 units on a scaleStandard Error 1.04
6 mg Solifenacin + 0.4 mg TamsulosinChange From Baseline in International Consultation on Incontinence Questionnaire - Lower Urinary Tract Symptom Quality of Life (ICIQ-LUTSqol) Symptom ScoreWeek 4 (N=33, 36, 36)-2.4 units on a scaleStandard Error 0.88
6 mg Solifenacin + 0.4 mg TamsulosinChange From Baseline in International Consultation on Incontinence Questionnaire - Lower Urinary Tract Symptom Quality of Life (ICIQ-LUTSqol) Symptom ScoreWeek 12 (N=35, 33, 28)-6.5 units on a scaleStandard Error 1.12
6 mg Solifenacin + 0.4 mg TamsulosinChange From Baseline in International Consultation on Incontinence Questionnaire - Lower Urinary Tract Symptom Quality of Life (ICIQ-LUTSqol) Symptom ScoreWeek 8 (N=33, 32, 31)-4.3 units on a scaleStandard Error 0.99
9 mg Solifenacin + 0.4 mg TamsulosinChange From Baseline in International Consultation on Incontinence Questionnaire - Lower Urinary Tract Symptom Quality of Life (ICIQ-LUTSqol) Symptom ScoreEnd of Treatment (N=39, 39, 38)-7.3 units on a scaleStandard Error 1.05
9 mg Solifenacin + 0.4 mg TamsulosinChange From Baseline in International Consultation on Incontinence Questionnaire - Lower Urinary Tract Symptom Quality of Life (ICIQ-LUTSqol) Symptom ScoreWeek 8 (N=33, 32, 31)-6.7 units on a scaleStandard Error 1.01
9 mg Solifenacin + 0.4 mg TamsulosinChange From Baseline in International Consultation on Incontinence Questionnaire - Lower Urinary Tract Symptom Quality of Life (ICIQ-LUTSqol) Symptom ScoreWeek 12 (N=35, 33, 28)-8.4 units on a scaleStandard Error 1.21
9 mg Solifenacin + 0.4 mg TamsulosinChange From Baseline in International Consultation on Incontinence Questionnaire - Lower Urinary Tract Symptom Quality of Life (ICIQ-LUTSqol) Symptom ScoreWeek 4 (N=33, 36, 36)-5.1 units on a scaleStandard Error 0.88
Secondary

Change From Baseline in International Consultation on Incontinence Questionnaire - Male Lower Urinary Tract Symptom (ICIQ MLUTS) Total Symptom Score

Male lower urinary tract symptoms were assessed by the ICIQ MLUTS questionnaire which consists of 13 questions regarding urinary symptoms. Each question is answered by the participant on a scale from 0 (never) to 4 (all the time). The total symptom score ranges from 0 to 52, where larger scores correspond to worse conditions. Least squares (LS) means were adjusted for pooled center and the Baseline value.

Time frame: Baseline and Weeks 4, 8 and 12

Population: Full analysis set (FAS) population with available data at Baseline and at each time point (indicated as N). End of treatment includes participants who did not complete the Week 12 visit using the last observation carried forward method.

ArmMeasureGroupValue (LEAST_SQUARES_MEAN)Dispersion
PlaceboChange From Baseline in International Consultation on Incontinence Questionnaire - Male Lower Urinary Tract Symptom (ICIQ MLUTS) Total Symptom ScoreWeek 4 (N=58, 66, 52)-3.9 units on a scaleStandard Error 0.6
PlaceboChange From Baseline in International Consultation on Incontinence Questionnaire - Male Lower Urinary Tract Symptom (ICIQ MLUTS) Total Symptom ScoreWeek 8 (N=55, 63, 53)-5.5 units on a scaleStandard Error 0.68
PlaceboChange From Baseline in International Consultation on Incontinence Questionnaire - Male Lower Urinary Tract Symptom (ICIQ MLUTS) Total Symptom ScoreWeek 12 (N=55, 61, 53)-5.5 units on a scaleStandard Error 0.7
PlaceboChange From Baseline in International Consultation on Incontinence Questionnaire - Male Lower Urinary Tract Symptom (ICIQ MLUTS) Total Symptom ScoreEnd of Treatment (N=60, 66, 57)-5.2 units on a scaleStandard Error 0.69
6 mg Solifenacin + 0.4 mg TamsulosinChange From Baseline in International Consultation on Incontinence Questionnaire - Male Lower Urinary Tract Symptom (ICIQ MLUTS) Total Symptom ScoreEnd of Treatment (N=60, 66, 57)-6.0 units on a scaleStandard Error 0.65
6 mg Solifenacin + 0.4 mg TamsulosinChange From Baseline in International Consultation on Incontinence Questionnaire - Male Lower Urinary Tract Symptom (ICIQ MLUTS) Total Symptom ScoreWeek 4 (N=58, 66, 52)-4.5 units on a scaleStandard Error 0.56
6 mg Solifenacin + 0.4 mg TamsulosinChange From Baseline in International Consultation on Incontinence Questionnaire - Male Lower Urinary Tract Symptom (ICIQ MLUTS) Total Symptom ScoreWeek 12 (N=55, 61, 53)-6.5 units on a scaleStandard Error 0.66
6 mg Solifenacin + 0.4 mg TamsulosinChange From Baseline in International Consultation on Incontinence Questionnaire - Male Lower Urinary Tract Symptom (ICIQ MLUTS) Total Symptom ScoreWeek 8 (N=55, 63, 53)-5.6 units on a scaleStandard Error 0.63
9 mg Solifenacin + 0.4 mg TamsulosinChange From Baseline in International Consultation on Incontinence Questionnaire - Male Lower Urinary Tract Symptom (ICIQ MLUTS) Total Symptom ScoreEnd of Treatment (N=60, 66, 57)-5.8 units on a scaleStandard Error 0.71
9 mg Solifenacin + 0.4 mg TamsulosinChange From Baseline in International Consultation on Incontinence Questionnaire - Male Lower Urinary Tract Symptom (ICIQ MLUTS) Total Symptom ScoreWeek 8 (N=55, 63, 53)-5.8 units on a scaleStandard Error 0.7
9 mg Solifenacin + 0.4 mg TamsulosinChange From Baseline in International Consultation on Incontinence Questionnaire - Male Lower Urinary Tract Symptom (ICIQ MLUTS) Total Symptom ScoreWeek 12 (N=55, 61, 53)-5.9 units on a scaleStandard Error 0.71
9 mg Solifenacin + 0.4 mg TamsulosinChange From Baseline in International Consultation on Incontinence Questionnaire - Male Lower Urinary Tract Symptom (ICIQ MLUTS) Total Symptom ScoreWeek 4 (N=58, 66, 52)-4.6 units on a scaleStandard Error 0.64
Secondary

Change From Baseline in International Prostate Symptoms Score (IPSS)

The IPSS is a validated global questionnaire used to assess the degree of bother from benign prostatic hyperplasia symptoms and is based on the answers to 7 questions concerning urinary symptoms: * Sensation of incomplete emptying * Repeat urinating after 2 hours (frequency) * Start and stop several times (intermittency) * Urgency * Weak stream * Straining * Nocturia Each question is assigned points from 0 to 5 indicating increasing severity of the particular symptom. The total score can therefore range from 0 to 35 (asymptomatic to very symptomatic). Least squares (LS) means were adjusted for pooled center and the Baseline value.

Time frame: Baseline and Weeks 2, 4, 8 and 12

Population: Full analysis set (FAS) population with available data at each time point. End of treatment includes participants who did not complete the Week 12 visit using the last observation carried forward method.

ArmMeasureGroupValue (LEAST_SQUARES_MEAN)Dispersion
PlaceboChange From Baseline in International Prostate Symptoms Score (IPSS)Week 12 (N=58, 63, 57)-6.9 units on a scaleStandard Error 0.66
PlaceboChange From Baseline in International Prostate Symptoms Score (IPSS)Week 8 (N=58, 67, 57)-6.8 units on a scaleStandard Error 0.74
PlaceboChange From Baseline in International Prostate Symptoms Score (IPSS)Week 2 (N=61, 67, 58)-3.8 units on a scaleStandard Error 0.58
PlaceboChange From Baseline in International Prostate Symptoms Score (IPSS)Week 4 (N=60, 65, 57)-5.3 units on a scaleStandard Error 0.63
PlaceboChange From Baseline in International Prostate Symptoms Score (IPSS)End of Treatment (N=62, 67, 59)-6.6 units on a scaleStandard Error 0.65
6 mg Solifenacin + 0.4 mg TamsulosinChange From Baseline in International Prostate Symptoms Score (IPSS)Week 8 (N=58, 67, 57)-7.1 units on a scaleStandard Error 0.68
6 mg Solifenacin + 0.4 mg TamsulosinChange From Baseline in International Prostate Symptoms Score (IPSS)Week 2 (N=61, 67, 58)-4.5 units on a scaleStandard Error 0.54
6 mg Solifenacin + 0.4 mg TamsulosinChange From Baseline in International Prostate Symptoms Score (IPSS)Week 4 (N=60, 65, 57)-6.4 units on a scaleStandard Error 0.59
6 mg Solifenacin + 0.4 mg TamsulosinChange From Baseline in International Prostate Symptoms Score (IPSS)Week 12 (N=58, 63, 57)-7.9 units on a scaleStandard Error 0.62
6 mg Solifenacin + 0.4 mg TamsulosinChange From Baseline in International Prostate Symptoms Score (IPSS)End of Treatment (N=62, 67, 59)-8.0 units on a scaleStandard Error 0.62
9 mg Solifenacin + 0.4 mg TamsulosinChange From Baseline in International Prostate Symptoms Score (IPSS)End of Treatment (N=62, 67, 59)-6.9 units on a scaleStandard Error 0.66
9 mg Solifenacin + 0.4 mg TamsulosinChange From Baseline in International Prostate Symptoms Score (IPSS)Week 12 (N=58, 63, 57)-7.2 units on a scaleStandard Error 0.66
9 mg Solifenacin + 0.4 mg TamsulosinChange From Baseline in International Prostate Symptoms Score (IPSS)Week 2 (N=61, 67, 58)-4.7 units on a scaleStandard Error 0.59
9 mg Solifenacin + 0.4 mg TamsulosinChange From Baseline in International Prostate Symptoms Score (IPSS)Week 8 (N=58, 67, 57)-6.9 units on a scaleStandard Error 0.74
9 mg Solifenacin + 0.4 mg TamsulosinChange From Baseline in International Prostate Symptoms Score (IPSS)Week 4 (N=60, 65, 57)-6.2 units on a scaleStandard Error 0.64
Secondary

Change From Baseline in IPSS Storage Score

The IPSS is a validated global questionnaire used to assess the degree of bother from benign prostatic hyperplasia symptoms based on the answers to 7 questions concerning urinary symptoms. Each question is assigned points from 0 to 5 indicating increasing severity of the particular symptom. The storage symptom score is the sum of the responses to 3 questions relating to storage symptoms (frequency, urgency and nocturia) and ranges from 0 to 15 (asymptomatic to very symptomatic). Least squares (LS) means were adjusted for pooled center and the Baseline value.

Time frame: Baseline and Weeks 2, 4, 8 and 12

Population: Full analysis set (FAS) population with available data at each time point. End of treatment includes participants who did not complete the Week 12 visit using the last observation carried forward method.

ArmMeasureGroupValue (LEAST_SQUARES_MEAN)Dispersion
PlaceboChange From Baseline in IPSS Storage ScoreWeek 12 (N=58, 63, 57)-2.8 units on a scaleStandard Error 0.3
PlaceboChange From Baseline in IPSS Storage ScoreWeek 8 (N=58, 67, 58)-2.7 units on a scaleStandard Error 0.34
PlaceboChange From Baseline in IPSS Storage ScoreWeek 2 (N=62, 67, 58)-1.5 units on a scaleStandard Error 0.29
PlaceboChange From Baseline in IPSS Storage ScoreWeek 4 (N=60, 66, 58)-2.1 units on a scaleStandard Error 0.3
PlaceboChange From Baseline in IPSS Storage ScoreEnd of Treatment (N=62, 67, 59)-2.7 units on a scaleStandard Error 0.3
6 mg Solifenacin + 0.4 mg TamsulosinChange From Baseline in IPSS Storage ScoreWeek 8 (N=58, 67, 58)-2.8 units on a scaleStandard Error 0.31
6 mg Solifenacin + 0.4 mg TamsulosinChange From Baseline in IPSS Storage ScoreWeek 2 (N=62, 67, 58)-1.6 units on a scaleStandard Error 0.27
6 mg Solifenacin + 0.4 mg TamsulosinChange From Baseline in IPSS Storage ScoreWeek 4 (N=60, 66, 58)-2.6 units on a scaleStandard Error 0.28
6 mg Solifenacin + 0.4 mg TamsulosinChange From Baseline in IPSS Storage ScoreWeek 12 (N=58, 63, 57)-3.3 units on a scaleStandard Error 0.29
6 mg Solifenacin + 0.4 mg TamsulosinChange From Baseline in IPSS Storage ScoreEnd of Treatment (N=62, 67, 59)-3.4 units on a scaleStandard Error 0.28
9 mg Solifenacin + 0.4 mg TamsulosinChange From Baseline in IPSS Storage ScoreEnd of Treatment (N=62, 67, 59)-3.0 units on a scaleStandard Error 0.3
9 mg Solifenacin + 0.4 mg TamsulosinChange From Baseline in IPSS Storage ScoreWeek 12 (N=58, 63, 57)-3.1 units on a scaleStandard Error 0.3
9 mg Solifenacin + 0.4 mg TamsulosinChange From Baseline in IPSS Storage ScoreWeek 2 (N=62, 67, 58)-2.1 units on a scaleStandard Error 0.29
9 mg Solifenacin + 0.4 mg TamsulosinChange From Baseline in IPSS Storage ScoreWeek 8 (N=58, 67, 58)-3.1 units on a scaleStandard Error 0.33
9 mg Solifenacin + 0.4 mg TamsulosinChange From Baseline in IPSS Storage ScoreWeek 4 (N=60, 66, 58)-2.5 units on a scaleStandard Error 0.3
Secondary

Change From Baseline in IPSS Voiding Score

The IPSS is a validated global questionnaire used to assess the degree of bother from benign prostatic hyperplasia symptoms based on the answers to 7 questions concerning urinary symptoms. Each question is assigned points from 0 to 5 indicating increasing severity of the particular symptom. The voiding score is the sum of the responses to 4 questions relating to urination (incomplete emptying, intermittency, weak stream and straining) and ranges from 0 to 20 (asymptomatic to very symptomatic). Least squares (LS) means were adjusted for pooled center and the Baseline value.

Time frame: Baseline and Weeks 2, 4, 8 and 12

Population: Full analysis set (FAS) population with available data at each time point. End of treatment includes participants who did not complete the Week 12 visit using the last observation carried forward method.

ArmMeasureGroupValue (LEAST_SQUARES_MEAN)Dispersion
PlaceboChange From Baseline in IPSS Voiding ScoreWeek 12 (N=58, 64, 57)-4.0 units on a scaleStandard Error 0.45
PlaceboChange From Baseline in IPSS Voiding ScoreWeek 8 (N=58, 67, 57)-4.1 units on a scaleStandard Error 0.49
PlaceboChange From Baseline in IPSS Voiding ScoreWeek 2 (N=61, 67, 58)-2.2 units on a scaleStandard Error 0.39
PlaceboChange From Baseline in IPSS Voiding ScoreWeek 4 (N=60, 65, 57)-3.2 units on a scaleStandard Error 0.45
PlaceboChange From Baseline in IPSS Voiding ScoreEnd of Treatment (N=62, 67, 59)-3.9 units on a scaleStandard Error 0.44
6 mg Solifenacin + 0.4 mg TamsulosinChange From Baseline in IPSS Voiding ScoreWeek 8 (N=58, 67, 57)-4.3 units on a scaleStandard Error 0.45
6 mg Solifenacin + 0.4 mg TamsulosinChange From Baseline in IPSS Voiding ScoreWeek 2 (N=61, 67, 58)-2.9 units on a scaleStandard Error 0.37
6 mg Solifenacin + 0.4 mg TamsulosinChange From Baseline in IPSS Voiding ScoreWeek 4 (N=60, 65, 57)-3.8 units on a scaleStandard Error 0.42
6 mg Solifenacin + 0.4 mg TamsulosinChange From Baseline in IPSS Voiding ScoreWeek 12 (N=58, 64, 57)-4.7 units on a scaleStandard Error 0.42
6 mg Solifenacin + 0.4 mg TamsulosinChange From Baseline in IPSS Voiding ScoreEnd of Treatment (N=62, 67, 59)-4.6 units on a scaleStandard Error 0.42
9 mg Solifenacin + 0.4 mg TamsulosinChange From Baseline in IPSS Voiding ScoreEnd of Treatment (N=62, 67, 59)-3.9 units on a scaleStandard Error 0.45
9 mg Solifenacin + 0.4 mg TamsulosinChange From Baseline in IPSS Voiding ScoreWeek 12 (N=58, 64, 57)-4.1 units on a scaleStandard Error 0.45
9 mg Solifenacin + 0.4 mg TamsulosinChange From Baseline in IPSS Voiding ScoreWeek 2 (N=61, 67, 58)-2.6 units on a scaleStandard Error 0.4
9 mg Solifenacin + 0.4 mg TamsulosinChange From Baseline in IPSS Voiding ScoreWeek 8 (N=58, 67, 57)-3.8 units on a scaleStandard Error 0.49
9 mg Solifenacin + 0.4 mg TamsulosinChange From Baseline in IPSS Voiding ScoreWeek 4 (N=60, 65, 57)-3.6 units on a scaleStandard Error 0.46
Secondary

Change From Baseline in Number of Incontinence Episodes Per 24 Hours

The mean number of incontinence episodes (the involuntary leakage of urine) per 24 hours was calculated from data recorded by the participant in the micturition diary for the 3 days preceding each clinic visit. Least squares (LS) means were adjusted for pooled center and the Baseline value.

Time frame: Baseline and Weeks 2, 4, 8 and 12

Population: Full analysis set (FAS) population who had 3-day averaged incontinence episodes \>0 at Baseline and with available data at each time point. End of treatment includes participants who did not complete the Week 12 visit using the last observation carried forward method.

ArmMeasureGroupValue (LEAST_SQUARES_MEAN)Dispersion
PlaceboChange From Baseline in Number of Incontinence Episodes Per 24 HoursWeek 12 (N=12, 9, 12)-1.99 incontinence episodesStandard Error 0.6
PlaceboChange From Baseline in Number of Incontinence Episodes Per 24 HoursWeek 8 (N=12, 10, 12)-1.86 incontinence episodesStandard Error 0.489
PlaceboChange From Baseline in Number of Incontinence Episodes Per 24 HoursWeek 2 (N=13, 10, 13)-0.81 incontinence episodesStandard Error 0.368
PlaceboChange From Baseline in Number of Incontinence Episodes Per 24 HoursWeek 4 (N=13, 10, 13)-1.00 incontinence episodesStandard Error 0.533
PlaceboChange From Baseline in Number of Incontinence Episodes Per 24 HoursEnd of Treatment (N=13, 10, 13)-1.54 incontinence episodesStandard Error 0.571
6 mg Solifenacin + 0.4 mg TamsulosinChange From Baseline in Number of Incontinence Episodes Per 24 HoursWeek 8 (N=12, 10, 12)-1.55 incontinence episodesStandard Error 0.508
6 mg Solifenacin + 0.4 mg TamsulosinChange From Baseline in Number of Incontinence Episodes Per 24 HoursWeek 2 (N=13, 10, 13)-1.45 incontinence episodesStandard Error 0.412
6 mg Solifenacin + 0.4 mg TamsulosinChange From Baseline in Number of Incontinence Episodes Per 24 HoursWeek 4 (N=13, 10, 13)-1.45 incontinence episodesStandard Error 0.596
6 mg Solifenacin + 0.4 mg TamsulosinChange From Baseline in Number of Incontinence Episodes Per 24 HoursWeek 12 (N=12, 9, 12)-1.48 incontinence episodesStandard Error 0.654
6 mg Solifenacin + 0.4 mg TamsulosinChange From Baseline in Number of Incontinence Episodes Per 24 HoursEnd of Treatment (N=13, 10, 13)-1.66 incontinence episodesStandard Error 0.639
9 mg Solifenacin + 0.4 mg TamsulosinChange From Baseline in Number of Incontinence Episodes Per 24 HoursEnd of Treatment (N=13, 10, 13)-1.02 incontinence episodesStandard Error 0.545
9 mg Solifenacin + 0.4 mg TamsulosinChange From Baseline in Number of Incontinence Episodes Per 24 HoursWeek 12 (N=12, 9, 12)-0.85 incontinence episodesStandard Error 0.551
9 mg Solifenacin + 0.4 mg TamsulosinChange From Baseline in Number of Incontinence Episodes Per 24 HoursWeek 2 (N=13, 10, 13)-1.01 incontinence episodesStandard Error 0.352
9 mg Solifenacin + 0.4 mg TamsulosinChange From Baseline in Number of Incontinence Episodes Per 24 HoursWeek 8 (N=12, 10, 12)-0.78 incontinence episodesStandard Error 0.453
9 mg Solifenacin + 0.4 mg TamsulosinChange From Baseline in Number of Incontinence Episodes Per 24 HoursWeek 4 (N=13, 10, 13)-0.81 incontinence episodesStandard Error 0.508
Secondary

Change From Baseline in Number of Micturitions Per 24 Hours

A micturition is any voluntary urination, excluding episodes of incontinence only. The mean number of micturitions per 24 hours was calculated from data recorded by the participant in the micturition diary for the 3 days preceding each clinic visit. Least squares (LS) means were adjusted for pooled center and the Baseline value.

Time frame: Baseline and Weeks 2, 4, 8 and 12

Population: Full analysis set (FAS) population with available data at each time point. End of treatment includes participants who did not complete the Week 12 visit using the last observation carried forward method.

ArmMeasureGroupValue (LEAST_SQUARES_MEAN)Dispersion
PlaceboChange From Baseline in Number of Micturitions Per 24 HoursWeek 12 (N=58, 65, 58)-1.07 micturitionsStandard Error 0.333
PlaceboChange From Baseline in Number of Micturitions Per 24 HoursWeek 8 (N=58, 67, 58)-1.33 micturitionsStandard Error 0.33
PlaceboChange From Baseline in Number of Micturitions Per 24 HoursWeek 2 (N=60, 67, 59)-0.44 micturitionsStandard Error 0.261
PlaceboChange From Baseline in Number of Micturitions Per 24 HoursWeek 4 (N=60, 65, 58)-1.03 micturitionsStandard Error 0.285
PlaceboChange From Baseline in Number of Micturitions Per 24 HoursEnd of Treatment (N=60, 67, 59)-0.95 micturitionsStandard Error 0.328
6 mg Solifenacin + 0.4 mg TamsulosinChange From Baseline in Number of Micturitions Per 24 HoursWeek 8 (N=58, 67, 58)-1.31 micturitionsStandard Error 0.302
6 mg Solifenacin + 0.4 mg TamsulosinChange From Baseline in Number of Micturitions Per 24 HoursWeek 2 (N=60, 67, 59)-1.25 micturitionsStandard Error 0.243
6 mg Solifenacin + 0.4 mg TamsulosinChange From Baseline in Number of Micturitions Per 24 HoursWeek 4 (N=60, 65, 58)-1.32 micturitionsStandard Error 0.27
6 mg Solifenacin + 0.4 mg TamsulosinChange From Baseline in Number of Micturitions Per 24 HoursWeek 12 (N=58, 65, 58)-1.91 micturitionsStandard Error 0.309
6 mg Solifenacin + 0.4 mg TamsulosinChange From Baseline in Number of Micturitions Per 24 HoursEnd of Treatment (N=60, 67, 59)-1.91 micturitionsStandard Error 0.306
9 mg Solifenacin + 0.4 mg TamsulosinChange From Baseline in Number of Micturitions Per 24 HoursEnd of Treatment (N=60, 67, 59)-1.87 micturitionsStandard Error 0.328
9 mg Solifenacin + 0.4 mg TamsulosinChange From Baseline in Number of Micturitions Per 24 HoursWeek 12 (N=58, 65, 58)-1.89 micturitionsStandard Error 0.33
9 mg Solifenacin + 0.4 mg TamsulosinChange From Baseline in Number of Micturitions Per 24 HoursWeek 2 (N=60, 67, 59)-1.19 micturitionsStandard Error 0.261
9 mg Solifenacin + 0.4 mg TamsulosinChange From Baseline in Number of Micturitions Per 24 HoursWeek 8 (N=58, 67, 58)-2.00 micturitionsStandard Error 0.327
9 mg Solifenacin + 0.4 mg TamsulosinChange From Baseline in Number of Micturitions Per 24 HoursWeek 4 (N=60, 65, 58)-1.72 micturitionsStandard Error 0.287
Secondary

Change From Baseline in Number of Urgency Episodes Per 24 Hours

For each micturition and/or incontinence episode participants rated the degree of associated urgency (the sudden compelling desire to pass urine, which is difficult to defer) according to the following scale: 0: No Urgency, felt no need to empty my bladder but did so for another reason; 1: Mild urgency, could postpone passing water for as long as necessary; 2: Moderate urgency, could postpone passing water for a short while; 3: Severe urgency, could not postpone passing water; 4: Urge incontinence, leaked before reaching the toilet. An urgency episode is defined as an episode with urgency severity of three or higher. The mean number of urgency episodes per 24 hours was calculated from data recorded by the participant in the micturition diary for the 3 days preceding each clinic visit. Least squares (LS) means were adjusted for pooled center and the Baseline value.

Time frame: Baseline and Weeks 2, 4, 8 and 12

Population: Full analysis set (FAS) population with available data at each time point. End of treatment includes participants who did not complete the Week 12 visit using the last observation carried forward method.

ArmMeasureGroupValue (LEAST_SQUARES_MEAN)Dispersion
PlaceboChange From Baseline in Number of Urgency Episodes Per 24 HoursWeek 12 (N=58, 65, 58)-1.47 urgency episodesStandard Error 0.247
PlaceboChange From Baseline in Number of Urgency Episodes Per 24 HoursWeek 8 (N=58, 67, 58)-1.45 urgency episodesStandard Error 0.263
PlaceboChange From Baseline in Number of Urgency Episodes Per 24 HoursWeek 2 (N=60, 67, 59)-0.59 urgency episodesStandard Error 0.246
PlaceboChange From Baseline in Number of Urgency Episodes Per 24 HoursWeek 4 (N=60, 65, 58)-1.18 urgency episodesStandard Error 0.254
PlaceboChange From Baseline in Number of Urgency Episodes Per 24 HoursEnd of Treatment (N=60, 67, 59)-1.41 urgency episodesStandard Error 0.249
6 mg Solifenacin + 0.4 mg TamsulosinChange From Baseline in Number of Urgency Episodes Per 24 HoursWeek 8 (N=58, 67, 58)-1.34 urgency episodesStandard Error 0.241
6 mg Solifenacin + 0.4 mg TamsulosinChange From Baseline in Number of Urgency Episodes Per 24 HoursWeek 2 (N=60, 67, 59)-0.89 urgency episodesStandard Error 0.23
6 mg Solifenacin + 0.4 mg TamsulosinChange From Baseline in Number of Urgency Episodes Per 24 HoursWeek 4 (N=60, 65, 58)-1.39 urgency episodesStandard Error 0.24
6 mg Solifenacin + 0.4 mg TamsulosinChange From Baseline in Number of Urgency Episodes Per 24 HoursWeek 12 (N=58, 65, 58)-1.54 urgency episodesStandard Error 0.23
6 mg Solifenacin + 0.4 mg TamsulosinChange From Baseline in Number of Urgency Episodes Per 24 HoursEnd of Treatment (N=60, 67, 59)-1.45 urgency episodesStandard Error 0.232
9 mg Solifenacin + 0.4 mg TamsulosinChange From Baseline in Number of Urgency Episodes Per 24 HoursEnd of Treatment (N=60, 67, 59)-1.23 urgency episodesStandard Error 0.249
9 mg Solifenacin + 0.4 mg TamsulosinChange From Baseline in Number of Urgency Episodes Per 24 HoursWeek 12 (N=58, 65, 58)-1.18 urgency episodesStandard Error 0.245
9 mg Solifenacin + 0.4 mg TamsulosinChange From Baseline in Number of Urgency Episodes Per 24 HoursWeek 2 (N=60, 67, 59)-0.95 urgency episodesStandard Error 0.246
9 mg Solifenacin + 0.4 mg TamsulosinChange From Baseline in Number of Urgency Episodes Per 24 HoursWeek 8 (N=58, 67, 58)-1.08 urgency episodesStandard Error 0.261
9 mg Solifenacin + 0.4 mg TamsulosinChange From Baseline in Number of Urgency Episodes Per 24 HoursWeek 4 (N=60, 65, 58)-1.34 urgency episodesStandard Error 0.255
Secondary

Change From Baseline in Patient Perception of Bladder Condition (PPBC)

The patient perception of bladder condition (PPBC) questionnaire asks participants to assess their bladder condition using a 6-point validated Likert scale which ranges from 1 (does not cause me any problems at all) to 6 (causes me many severe problems). Least squares (LS) means were adjusted for pooled center and the Baseline value.

Time frame: Baseline and Weeks 2, 4, 8 and 12

Population: Full analysis set (FAS) population with available data at each time point. End of treatment includes participants who did not complete the Week 12 visit using the last observation carried forward method.

ArmMeasureGroupValue (LEAST_SQUARES_MEAN)Dispersion
PlaceboChange From Baseline in Patient Perception of Bladder Condition (PPBC)Week 12 (N=58, 64, 57)-1.1 units on a scaleStandard Error 0.14
PlaceboChange From Baseline in Patient Perception of Bladder Condition (PPBC)Week 8 (N=58, 67, 58)-1.0 units on a scaleStandard Error 0.14
PlaceboChange From Baseline in Patient Perception of Bladder Condition (PPBC)Week 2 (N=61, 66, 58)-0.5 units on a scaleStandard Error 0.12
PlaceboChange From Baseline in Patient Perception of Bladder Condition (PPBC)Week 4 (N=60, 66, 58)-0.7 units on a scaleStandard Error 0.13
PlaceboChange From Baseline in Patient Perception of Bladder Condition (PPBC)End of Treatment (N=62, 67, 59)-1.1 units on a scaleStandard Error 0.13
6 mg Solifenacin + 0.4 mg TamsulosinChange From Baseline in Patient Perception of Bladder Condition (PPBC)Week 8 (N=58, 67, 58)-0.8 units on a scaleStandard Error 0.13
6 mg Solifenacin + 0.4 mg TamsulosinChange From Baseline in Patient Perception of Bladder Condition (PPBC)Week 2 (N=61, 66, 58)-0.3 units on a scaleStandard Error 0.11
6 mg Solifenacin + 0.4 mg TamsulosinChange From Baseline in Patient Perception of Bladder Condition (PPBC)Week 4 (N=60, 66, 58)-0.5 units on a scaleStandard Error 0.12
6 mg Solifenacin + 0.4 mg TamsulosinChange From Baseline in Patient Perception of Bladder Condition (PPBC)Week 12 (N=58, 64, 57)-1.0 units on a scaleStandard Error 0.13
6 mg Solifenacin + 0.4 mg TamsulosinChange From Baseline in Patient Perception of Bladder Condition (PPBC)End of Treatment (N=62, 67, 59)-0.9 units on a scaleStandard Error 0.13
9 mg Solifenacin + 0.4 mg TamsulosinChange From Baseline in Patient Perception of Bladder Condition (PPBC)End of Treatment (N=62, 67, 59)-1.1 units on a scaleStandard Error 0.14
9 mg Solifenacin + 0.4 mg TamsulosinChange From Baseline in Patient Perception of Bladder Condition (PPBC)Week 12 (N=58, 64, 57)-1.1 units on a scaleStandard Error 0.14
9 mg Solifenacin + 0.4 mg TamsulosinChange From Baseline in Patient Perception of Bladder Condition (PPBC)Week 2 (N=61, 66, 58)-0.5 units on a scaleStandard Error 0.12
9 mg Solifenacin + 0.4 mg TamsulosinChange From Baseline in Patient Perception of Bladder Condition (PPBC)Week 8 (N=58, 67, 58)-1.1 units on a scaleStandard Error 0.14
9 mg Solifenacin + 0.4 mg TamsulosinChange From Baseline in Patient Perception of Bladder Condition (PPBC)Week 4 (N=60, 66, 58)-0.9 units on a scaleStandard Error 0.13
Secondary

Change From Baseline in Post Void Residual Volume (PVR)

Healthy micturitions result in complete emptying of the bladder. Post Void Residual (PVR) is the volume of urine retained after voiding (post-void residual urine). Post void residual volume was assessed by abdominal ultrasound. An increasing PVR over time is an indicator of abnormal bladder function or detrusor decompensation. End-of-treatment is the last post-baseline assessment during the treatment period. Least squares (LS) means were adjusted for pooled center and the Baseline value.

Time frame: Baseline and Weeks 2, 4, 8 and 12

Population: Full analysis set (FAS) population with available data at each time point (as indicated by N). End of treatment includes participants who did not complete the Week 12 visit using the last observation carried forward method.

ArmMeasureGroupValue (LEAST_SQUARES_MEAN)Dispersion
PlaceboChange From Baseline in Post Void Residual Volume (PVR)Week 12 (N=57, 63, 57)1.16 mLStandard Error 7.346
PlaceboChange From Baseline in Post Void Residual Volume (PVR)Week 8 (N=58, 66, 58)-12.44 mLStandard Error 6.434
PlaceboChange From Baseline in Post Void Residual Volume (PVR)Week 2 (N=61, 67, 58)-10.21 mLStandard Error 6.912
PlaceboChange From Baseline in Post Void Residual Volume (PVR)Week 4 (N=60, 67, 59)-7.86 mLStandard Error 6.225
PlaceboChange From Baseline in Post Void Residual Volume (PVR)End of Treatment (N=62, 67, 59)0.14 mLStandard Error 6.809
6 mg Solifenacin + 0.4 mg TamsulosinChange From Baseline in Post Void Residual Volume (PVR)Week 8 (N=58, 66, 58)9.64 mLStandard Error 5.95
6 mg Solifenacin + 0.4 mg TamsulosinChange From Baseline in Post Void Residual Volume (PVR)Week 2 (N=61, 67, 58)16.78 mLStandard Error 6.525
6 mg Solifenacin + 0.4 mg TamsulosinChange From Baseline in Post Void Residual Volume (PVR)Week 4 (N=60, 67, 59)14.92 mLStandard Error 5.83
6 mg Solifenacin + 0.4 mg TamsulosinChange From Baseline in Post Void Residual Volume (PVR)Week 12 (N=57, 63, 57)26.81 mLStandard Error 6.843
6 mg Solifenacin + 0.4 mg TamsulosinChange From Baseline in Post Void Residual Volume (PVR)End of Treatment (N=62, 67, 59)25.63 mLStandard Error 6.477
9 mg Solifenacin + 0.4 mg TamsulosinChange From Baseline in Post Void Residual Volume (PVR)End of Treatment (N=62, 67, 59)19.07 mLStandard Error 6.923
9 mg Solifenacin + 0.4 mg TamsulosinChange From Baseline in Post Void Residual Volume (PVR)Week 12 (N=57, 63, 57)18.72 mLStandard Error 7.244
9 mg Solifenacin + 0.4 mg TamsulosinChange From Baseline in Post Void Residual Volume (PVR)Week 2 (N=61, 67, 58)8.97 mLStandard Error 7.015
9 mg Solifenacin + 0.4 mg TamsulosinChange From Baseline in Post Void Residual Volume (PVR)Week 8 (N=58, 66, 58)6.64 mLStandard Error 6.373
9 mg Solifenacin + 0.4 mg TamsulosinChange From Baseline in Post Void Residual Volume (PVR)Week 4 (N=60, 67, 59)9.65 mLStandard Error 6.229
Secondary

Change From Baseline in Volume Voided Per Micturition

The mean volume voided per micturition was calculated from data recorded by the participant in the micturition diary for the 3 days preceding each clinic visit. Least squares (LS) means were adjusted for pooled center and the Baseline value.

Time frame: Baseline and Weeks 2, 4, 8 and 12

Population: Full analysis set (FAS) population with available data at each time point. End of treatment includes participants who did not complete the Week 12 visit using the last observation carried forward method.

ArmMeasureGroupValue (LEAST_SQUARES_MEAN)Dispersion
PlaceboChange From Baseline in Volume Voided Per MicturitionWeek 12 (N=58, 65, 58)9.03 mLStandard Error 5.703
PlaceboChange From Baseline in Volume Voided Per MicturitionWeek 8 (N=58, 67, 58)10.50 mLStandard Error 6.125
PlaceboChange From Baseline in Volume Voided Per MicturitionWeek 2 (N=60, 67, 59)9.36 mLStandard Error 4.415
PlaceboChange From Baseline in Volume Voided Per MicturitionWeek 4 (N=60, 65, 58)10.40 mLStandard Error 5.207
PlaceboChange From Baseline in Volume Voided Per MicturitionEnd of Treatment (N=60, 67, 59)7.56 mLStandard Error 5.7
6 mg Solifenacin + 0.4 mg TamsulosinChange From Baseline in Volume Voided Per MicturitionWeek 8 (N=58, 67, 58)33.72 mLStandard Error 5.596
6 mg Solifenacin + 0.4 mg TamsulosinChange From Baseline in Volume Voided Per MicturitionWeek 2 (N=60, 67, 59)31.46 mLStandard Error 4.109
6 mg Solifenacin + 0.4 mg TamsulosinChange From Baseline in Volume Voided Per MicturitionWeek 4 (N=60, 65, 58)35.27 mLStandard Error 4.92
6 mg Solifenacin + 0.4 mg TamsulosinChange From Baseline in Volume Voided Per MicturitionWeek 12 (N=58, 65, 58)35.02 mLStandard Error 5.283
6 mg Solifenacin + 0.4 mg TamsulosinChange From Baseline in Volume Voided Per MicturitionEnd of Treatment (N=60, 67, 59)36.26 mLStandard Error 5.305
9 mg Solifenacin + 0.4 mg TamsulosinChange From Baseline in Volume Voided Per MicturitionEnd of Treatment (N=60, 67, 59)30.33 mLStandard Error 5.691
9 mg Solifenacin + 0.4 mg TamsulosinChange From Baseline in Volume Voided Per MicturitionWeek 12 (N=58, 65, 58)31.18 mLStandard Error 5.643
9 mg Solifenacin + 0.4 mg TamsulosinChange From Baseline in Volume Voided Per MicturitionWeek 2 (N=60, 67, 59)18.25 mLStandard Error 4.408
9 mg Solifenacin + 0.4 mg TamsulosinChange From Baseline in Volume Voided Per MicturitionWeek 8 (N=58, 67, 58)35.53 mLStandard Error 6.064
9 mg Solifenacin + 0.4 mg TamsulosinChange From Baseline in Volume Voided Per MicturitionWeek 4 (N=60, 65, 58)30.34 mLStandard Error 5.236
Secondary

Change From Baseline to End of Treatment in Bladder Contractility Index (BCI)

The Bladder Contractility Index (BCI) is a value used to measure the degree of contractility. BCI was calculated using the following formula: BCI = pdetQmax + 5Qmax. Strong contractility is a BCI \> 150, normal contractility is a BCI of 100-150 and weak contractility is a BCI of \< 100. LS means were adjusted for pooled center and Baseline value.

Time frame: Baseline and Week 12

Population: Full analysis set (FAS) population; Last observation carried forward (LOCF) imputation was used.

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
PlaceboChange From Baseline to End of Treatment in Bladder Contractility Index (BCI)-1.63 units on a scaleStandard Error 3.705
6 mg Solifenacin + 0.4 mg TamsulosinChange From Baseline to End of Treatment in Bladder Contractility Index (BCI)1.84 units on a scaleStandard Error 3.475
9 mg Solifenacin + 0.4 mg TamsulosinChange From Baseline to End of Treatment in Bladder Contractility Index (BCI)3.86 units on a scaleStandard Error 3.764
Secondary

Change From Baseline to End of Treatment in Percent Bladder Voiding Efficiency (BVE)

Percent Bladder Voiding Efficiency (BVE) is a product of bladder contractility against the urethral resistance and is measured according to the degree of bladder emptying. BVE is expressed as a percentage and is calculated using the formula: Bladder Voiding efficiency = (Voided volume x 100)/maximum cystometric capacity. A higher number indicates a higher voiding efficiency. LS means were adjusted for pooled center and Baseline value.

Time frame: Baseline and Week 12

Population: Full analysis set (FAS) population; Last observation carried forward (LOCF) imputation was used.

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
PlaceboChange From Baseline to End of Treatment in Percent Bladder Voiding Efficiency (BVE)-0.67 Percent voiding efficiencyStandard Error 2.757
6 mg Solifenacin + 0.4 mg TamsulosinChange From Baseline to End of Treatment in Percent Bladder Voiding Efficiency (BVE)-1.38 Percent voiding efficiencyStandard Error 2.634
9 mg Solifenacin + 0.4 mg TamsulosinChange From Baseline to End of Treatment in Percent Bladder Voiding Efficiency (BVE)-3.79 Percent voiding efficiencyStandard Error 2.812
Secondary

Safety Assessed by Adverse Events (AEs), Electrocardiogram (ECG), Vital Signs, Physical Exam and Laboratory Tests

Abnormal laboratory parameters, vital signs or ECG data were defined as AEs if the abnormality induced clinical signs or symptoms, needed active intervention, interruption or discontinuation of study medication or was clinically significant. A serious AE was an event resulting in death, persistent or significant disability/incapacity or congenital anomaly or birth defect, was life-threatening, required or prolonged hospitalization or was considered medically important. AEs were assessed by the Investigator for intensity as mild (no disruption of normal daily activities), moderate (affected normal daily activities) or severe (inability to perform daily activities) and for causal relationship to study drug.

Time frame: From first dose to within 30 days after last dose of double blind study medication (up to 16 weeks).

Population: Safety analysis set population consisted of participants who received at least 1 dose of double-blind treatment.

ArmMeasureGroupValue (NUMBER)
PlaceboSafety Assessed by Adverse Events (AEs), Electrocardiogram (ECG), Vital Signs, Physical Exam and Laboratory TestsAny adverse event29 participants
PlaceboSafety Assessed by Adverse Events (AEs), Electrocardiogram (ECG), Vital Signs, Physical Exam and Laboratory TestsMild adverse event21 participants
PlaceboSafety Assessed by Adverse Events (AEs), Electrocardiogram (ECG), Vital Signs, Physical Exam and Laboratory TestsModerate adverse event6 participants
PlaceboSafety Assessed by Adverse Events (AEs), Electrocardiogram (ECG), Vital Signs, Physical Exam and Laboratory TestsSevere adverse event2 participants
PlaceboSafety Assessed by Adverse Events (AEs), Electrocardiogram (ECG), Vital Signs, Physical Exam and Laboratory TestsSerious adverse event1 participants
PlaceboSafety Assessed by Adverse Events (AEs), Electrocardiogram (ECG), Vital Signs, Physical Exam and Laboratory TestsAE leading to study drug discontinuation3 participants
PlaceboSafety Assessed by Adverse Events (AEs), Electrocardiogram (ECG), Vital Signs, Physical Exam and Laboratory TestsDrug-related adverse events15 participants
PlaceboSafety Assessed by Adverse Events (AEs), Electrocardiogram (ECG), Vital Signs, Physical Exam and Laboratory TestsDeaths0 participants
6 mg Solifenacin + 0.4 mg TamsulosinSafety Assessed by Adverse Events (AEs), Electrocardiogram (ECG), Vital Signs, Physical Exam and Laboratory TestsModerate adverse event13 participants
6 mg Solifenacin + 0.4 mg TamsulosinSafety Assessed by Adverse Events (AEs), Electrocardiogram (ECG), Vital Signs, Physical Exam and Laboratory TestsDrug-related adverse events24 participants
6 mg Solifenacin + 0.4 mg TamsulosinSafety Assessed by Adverse Events (AEs), Electrocardiogram (ECG), Vital Signs, Physical Exam and Laboratory TestsSevere adverse event4 participants
6 mg Solifenacin + 0.4 mg TamsulosinSafety Assessed by Adverse Events (AEs), Electrocardiogram (ECG), Vital Signs, Physical Exam and Laboratory TestsSerious adverse event2 participants
6 mg Solifenacin + 0.4 mg TamsulosinSafety Assessed by Adverse Events (AEs), Electrocardiogram (ECG), Vital Signs, Physical Exam and Laboratory TestsAE leading to study drug discontinuation3 participants
6 mg Solifenacin + 0.4 mg TamsulosinSafety Assessed by Adverse Events (AEs), Electrocardiogram (ECG), Vital Signs, Physical Exam and Laboratory TestsAny adverse event38 participants
6 mg Solifenacin + 0.4 mg TamsulosinSafety Assessed by Adverse Events (AEs), Electrocardiogram (ECG), Vital Signs, Physical Exam and Laboratory TestsMild adverse event21 participants
6 mg Solifenacin + 0.4 mg TamsulosinSafety Assessed by Adverse Events (AEs), Electrocardiogram (ECG), Vital Signs, Physical Exam and Laboratory TestsDeaths0 participants
9 mg Solifenacin + 0.4 mg TamsulosinSafety Assessed by Adverse Events (AEs), Electrocardiogram (ECG), Vital Signs, Physical Exam and Laboratory TestsModerate adverse event12 participants
9 mg Solifenacin + 0.4 mg TamsulosinSafety Assessed by Adverse Events (AEs), Electrocardiogram (ECG), Vital Signs, Physical Exam and Laboratory TestsMild adverse event20 participants
9 mg Solifenacin + 0.4 mg TamsulosinSafety Assessed by Adverse Events (AEs), Electrocardiogram (ECG), Vital Signs, Physical Exam and Laboratory TestsAny adverse event37 participants
9 mg Solifenacin + 0.4 mg TamsulosinSafety Assessed by Adverse Events (AEs), Electrocardiogram (ECG), Vital Signs, Physical Exam and Laboratory TestsSevere adverse event5 participants
9 mg Solifenacin + 0.4 mg TamsulosinSafety Assessed by Adverse Events (AEs), Electrocardiogram (ECG), Vital Signs, Physical Exam and Laboratory TestsDrug-related adverse events26 participants
9 mg Solifenacin + 0.4 mg TamsulosinSafety Assessed by Adverse Events (AEs), Electrocardiogram (ECG), Vital Signs, Physical Exam and Laboratory TestsAE leading to study drug discontinuation6 participants
9 mg Solifenacin + 0.4 mg TamsulosinSafety Assessed by Adverse Events (AEs), Electrocardiogram (ECG), Vital Signs, Physical Exam and Laboratory TestsSerious adverse event2 participants
9 mg Solifenacin + 0.4 mg TamsulosinSafety Assessed by Adverse Events (AEs), Electrocardiogram (ECG), Vital Signs, Physical Exam and Laboratory TestsDeaths0 participants

Source: ClinicalTrials.gov · Data processed: Feb 4, 2026