Overactive Bladder
Conditions
Brief summary
The purpose of this study is to determine the optimal dose of botulinum toxin type A injected in the detrusor muscle to improve urinary symptoms, urodynamic parameters and quality of life of continent women suffering from idiopathic overactive bladder.
Interventions
Single injection cycle, intradetrusor injection at baseline visit 2 of either 125 units (arm A), 250 units (arm B) or 500 units (arm C) in total.
Single injection cycle, intradetrusor injection at baseline (visit 2).
Sponsors
Study design
Eligibility
Inclusion criteria
* The subject has a diagnosis of idiopathic overactive bladder, without incontinence. * The subject has ≥ 3 urgency episodes over the course of the 3 days immediately preceding the Baseline visit. * The subject has ≥ 24 episodes of micturition over the course of the 3 days immediately preceding the Baseline visit.
Exclusion criteria
* Bladder outlet obstruction (on urodynamic assessment). * Post-Micturition Residual Volume \> 150 ml (ultrasound assessment). * Evidence of a urinary tract infection at Screening or Baseline in the study. * Active or history of interstitial cystitis, malignancy of the bladder or urothelial tract, a carcinoma in situ (non malignant melanoma is allowed) bladder and/or kidney stones.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Number of episodes of urgency and frequency of micturition. | Week 12 |
Secondary
| Measure | Time frame |
|---|---|
| Severity of urgency. | All timepoints |
| Maximum flow rate and post-micturition residual volume (PMRV). | Day 4 and Week 6 |
| Standard International Continence Society (ICS) urodynamic parameters. | Week 12 |
| Quality of Life (QoL). | All timepoints |
| Safety | All timepoints |
| The number of episodes of urgency, frequency of micturition, and frequency of nocturia. | All timepoints |
| Extension study - The number of episodes of urgency, frequency of micturition, and frequency of nocturia. | All timepoints |
| Extension study - Severity of urgency. | All timepoints |
| Extension study Quality of Life (QoL) | All timepoints |
| Extension study safety. | All timepoints |
| Extension study - Duration of effect as determined by the persistence of a positive response. | All timepoints |
Countries
Belgium, Czechia, France, Germany, Italy, Netherlands, Spain, United Kingdom