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A Trial To Evaluate The Efficacy And Safety Of Fesoterodine In Patients With Symptoms Of Overactive Bladder Including Nocturnal Urinary Urgency

A Randomized, Double Blind, Placebo Controlled, Parallel Group, Multicenter Trial To Evaluate The Efficacy And Safety Of A Fesoterodine Flexible Dose Regimen In Patients With Symptoms Of Overactive Bladder Including Nocturnal Urinary Urgency.

Status
Completed
Phases
Phase 4
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT00911937
Enrollment
963
Registered
2009-06-03
Start date
2009-08-31
Completion date
2011-09-30
Last updated
2018-12-04

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

Conditions

Overactive Bladder

Keywords

incontinence OAB urgency nocturia

Brief summary

This study is designed to assess the efficacy of a flexible dose regimen of fesoterodine on micturition related nocturnal urgency episodes.

Interventions

DRUGFesoterodine

Fesoterodine 4mg and 8 mg tablets taken daily.

DRUGPlacebo

Placebo sham 4mg and 8 mg tables taken daily.

Sponsors

Pfizer
Lead SponsorINDUSTRY

Study design

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

Eligibility

Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No

Inclusion criteria

* Mean urinary frequency of \>=8 micturitions per 24 hours as verified by the screening bladder diary prior to Start of Placebo run in visit (Visit 2) * Mean number of micturition related urgency episodes \>=3 per 24 hours as verified by the screening bladder diary prior to Start of Placebo run in /Visit 2 (Urgency episodes are defined as those with Urinary Sensation Scale rating \>=3) * Mean number of micturition related nocturnal urgency episodes \>=2 but no more than 8 episodes per 24 hours as verified by the bladder diary at Visit 2 (nocturnal urgency episodes are defined as those with Urinary Sensation Scale rating of \>3 recorded in the bed time section of the bladder diary)

Exclusion criteria

* A known recent history or previous diagnosis of any sleep disorder such as obstructive sleep apnea, primary insomnia, periodic limb movement, parasomnia * Nocturia due to other underlying uncontrolled conditions, such as congestive heart failure, diabetes mellitus, diabetes insipidus, polyuria of any cause, etc.

Design outcomes

Primary

MeasureTime frameDescription
Mean Number of Micturition-related Nocturnal Urgency Episodes Per 24 HoursBaselineMicturition-related nocturnal urgency episodes had urinary sensation scale (USS) rating of 3 or more that occurred between time participant went to bed and time he or she arose to start next day. Number of nocturnal micturition-related urgency episodes per 24 hours was calculated as sum of all nocturnal micturition-related urgency episodes divided by total number of diary days collected at that visit.
Change From Baseline in Mean Number of Micturition-related Nocturnal Urgency Episodes Per 24 Hours at Week 12Baseline and Week 12Micturition-related nocturnal urgency episodes had USS rating of 3 or more that occurred between time participant went to bed and time he or she arose to start next day. Number of nocturnal micturition-related urgency episodes per 24 hours was calculated as sum of all nocturnal micturition-related urgency episodes divided by total number of diary days collected at that visit.

Secondary

MeasureTime frameDescription
Number of Nocturnal Micturitions Per 24 HoursBaselineNocturnal micturitions were defined as micturitions with USS rating 1-5 that occurred between the time the participant went to bed and the time he or she arose to start the next day. USS rating: 1. No feeling of urgency, 2. Mild feeling of urgency, 3. Moderate feeling of urgency, 4. Severe feeling of urgency, 5. Unable to hold; leak urine. The mean number of nocturnal micturitions per 24 hours was calculated as the total number of nocturnal micturitions divided by the total number of diary days collected at that visit.
Change From Baseline in Number of Nocturnal Micturitions Per 24 Hours at Week 4 and 12Baseline, Week 4 and 12Nocturnal micturitions were defined as micturitions with USS rating 1-5 that occurred between the time the participant went to bed and the time he or she arose to start the next day. USS rating: 1. No feeling of urgency, 2. Mild feeling of urgency, 3. Moderate feeling of urgency, 4. Severe feeling of urgency, 5. Unable to hold; leak urine. The mean number of nocturnal micturitions per 24 hours was calculated as the total number of nocturnal micturitions divided by the total number of diary days collected at that visit.
Percent Change From Baseline in Nocturnal Micturitions Per 24 Hours at Week 4 and 12Baseline, Week 4 and 12Percent change of nocturnal micturitions per 24 hours was calculated as change in 24-hour mean at that visit divided by the baseline 24-hour mean multiplied by 100 (100\*(Week 4 or 12 - baseline)/baseline).
Mean Number of Micturitions Per 24 HoursBaselineMicturitions include episodes of voluntary micturition and episodes of Urgency Urinary Incontinence \[UUI\]. UUI episodes were defined as those micturitions with USS rating of 5 in the diary in participants with UUI at baseline. USS rating 5: Unable to hold; leak urine.
Change From Baseline in Mean Number of Micturitions Per 24 Hours at Week 4 and 12Baseline, Week 4 and 12Micturitions include episodes of voluntary micturition and episodes of UUI. UUI episodes were defined as those micturitions with USS rating of 5 in the diary in participants with UUI at baseline. USS rating 5: Unable to hold; leak urine.
Percent Change From Baseline in Micturitions Per 24 Hours at Week 4 and 12Baseline, Week 4 and 12Percent change of micturitions per 24 hours was calculated as change in 24-hour mean at that visit divided by the baseline 24-hour mean multiplied by 100 (100\*(Week 4 or 12 - baseline)/baseline).
Number of Micturition-related Urgency Episodes Per 24 HoursBaselineThe mean number of micturition-related urgency episodes per 24 hours was calculated as the total number of micturitions with USS rating of greater than or equal to 3 divided by the total number of days that diary data was collected at that visit. USS total range 1 to 5: 1. No feeling of urgency, 2. Mild feeling of urgency, 3. Moderate feeling of urgency, 4. Severe feeling of urgency, 5. Unable to hold; leak urine.
Change From Baseline in Number of Micturition-related Urgency Episodes Per 24 Hours at Week 4 and 12Baseline, Week 4 and 12The mean number of micturition-related urgency episodes per 24 hours was calculated as the total number of micturitions with USS rating of greater than or equal to 3 divided by the total number of days that diary data was collected at that visit. USS total range 1 to 5: 1. No feeling of urgency, 2. Mild feeling of urgency, 3. Moderate feeling of urgency, 4. Severe feeling of urgency, 5. Unable to hold; leak urine.
Percent Change From Baseline in Micturition-related Urgency Episodes Per 24 Hours at Week 4 and 12Baseline, Week 4 and 12Percent change of micturition-related urgency episodes per 24 hours was calculated as change in 24-hour mean at that visit divided by the baseline 24-hour mean multiplied by 100 (100\*(Week 4 or 12 - baseline)/baseline).
Number of Urgency Urinary Incontinence (UUI) Episodes Per 24 HoursBaselineUUI episodes were defined as those with the USS rating of 5 in the diary. USS total range 1 to 5: 1. No feeling of urgency, 2. Mild feeling of urgency, 3. Moderate feeling of urgency, 4. Severe feeling of urgency, 5. Unable to hold; leak urine.
Change From Baseline in Number of Urgency Urinary Incontinence (UUI) Episodes Per 24 Hours at Week 4 and 12Baseline, Week 4 and 12UUI episodes were defined as those with the USS rating of 5 in the diary. USS total range 1 to 5: 1. No feeling of urgency, 2. Mild feeling of urgency, 3. Moderate feeling of urgency, 4. Severe feeling of urgency, 5. Unable to hold; leak urine.
Percent Change From Baseline in of Urgency Urinary Incontinence (UUI) Episodes Per 24 Hours at Week 4 and 12Baseline, Week 4 and 12Percent change of UUI episodes per 24 hours was calculated as change in 24-hour mean at that visit divided by the baseline 24-hour mean multiplied by 100 (100\*(Week 4 or 12 - baseline)/baseline).
Change From Baseline in Mean Number of Micturition-related Nocturnal Urgency Episodes Per 24 Hours at Week 4Baseline and Week 4Micturition-related nocturnal urgency episodes had USS rating of 3 or more that occurred between time participant went to bed and time he or she arose to start next day. Number of micturition-related nocturnal urgency episodes per 24 hours was calculated as sum of all nocturnal micturition-related urgency episodes divided by total number of diary days collected at that visit.
Change From Baseline in Nocturnal Frequency-urgency Sum Rating Per 24 Hours at Week 4 and 12Baseline, Week 4 and 12Frequency-urgency sum is total USS ratings recorded for all nocturnal micturitions in 24-hour day. Number of USS ratings per 24 hours is sum of all USS ratings divided by the total diary days collected at that visit. USS scale: 1=No feeling of urgency to 5=Unable to hold: leak urine. Numerical decrease indicates improvement.
Frequency-urgency Sum Rating Per 24 HoursBaselineFrequency-urgency sum is total USS ratings recorded for all micturitions in 24-hour day. Number of USS ratings per 24 hours is sum of all USS ratings divided by the total diary days collected at that visit. USS scale: 1=No feeling of urgency to 5=Unable to hold: leak urine.
Change From Baseline in Frequency-urgency Sum Rating Per 24 Hours at Week 4 and 12Baseline, Week 4 and 12Frequency-urgency sum is total USS ratings recorded for all micturitions in 24-hour day. Number of USS ratings per 24 hours is sum of all USS ratings divided by the total diary days collected at that visit. USS scale: 1=No feeling of urgency to 5=Unable to hold: leak urine. Numerical decrease indicates improvement.
Mean Voided Volume Per Nocturnal MicturitionBaselineMean voided volume per nocturnal micturition was calculated as sum of voided volume during bedtime divided by the total number of bedtime micturition episodes with a recorded voided volume greater than 0 at that visit.
Change From Baseline in Mean Voided Volume Per Nocturnal Micturition at Week 12Baseline and Week 12Mean voided volume per nocturnal micturition was calculated as sum of voided volume during bedtime divided by the total number of bedtime micturition episodes with a recorded voided volume greater than 0 at that visit.
Mean Voided Volume Per MicturitionBaselineMean voided volume per micturition was calculated as sum of voided volume divided by the total number of total micturition episodes with a recorded voided volume greater than 0 at that visit.
Change From Baseline in Mean Voided Volume Per Micturition at Week 12Baseline and Week 12Mean voided volume per micturition was calculated as sum of voided volume divided by the total number of total micturition episodes with a recorded voided volume greater than 0 at that visit.
Overactive Bladder Questionnaire (OAB-q) Symptom Bother ScoreBaselineOAB-q: a self-administered, 33-item, questionnaire that assesses how much the participant has been bothered by selected bladder symptoms. Each item rated by participant on Likert scale 1 (least symptom bother) to 6 (most symptom bother). Symptom bother score derived as sum of scores for questions 1-8; lowest possible raw score: 8; highest possible score: 48. Data analyzed based on transformation of the score to a 0 to 100 scale \[(Actual total raw score - lowest possible value of raw score)/range\]\*100. Higher scores values indicative of greater symptom bother.
Change From Baseline in Overactive Bladder Questionnaire (OAB-q) Symptom Bother Score at Week 4 and 12Baseline, Week 4 and 12OAB-q: a self-administered, 33-item, questionnaire that assesses how much the participant has been bothered by selected bladder symptoms. Each item rated by participant on Likert scale 1 (least symptom bother) to 6 (most symptom bother). Symptom bother score derived as sum of scores for questions 1-8; lowest possible raw score: 8; highest possible score: 48. Data analyzed based on transformation of the score to a 0 to 100 scale \[(Actual total raw score - lowest possible value of raw score)/range\]\*100. Higher scores values indicative of greater symptom bother.
Health Related Quality of Life (HRQL) Domain and Total Score of Overactive Bladder Questionnaire (OAB-q)BaselineOAB-q: self-administered, 33-item, questionnaire, assesses how much participant has been bothered by selected bladder symptoms. Each item rated on Likert scale 1 (least symptom bother) to 6 (most symptom bother). Questions 9 to 33 constitute HRQL, includes domains: concern, coping, sleep, and social function. HRQL domain and total raw score derived as sum of scores. Transformed score range 0 to 100 (Total HRQL or domain) = \[(Highest possible raw score-Actual total raw score)/Raw score range\]\*100. Higher transformed scores indicative of better HRQL.
Change From Baseline in Health Related Quality of Life (HRQL) Domain and Total Score of Overactive Bladder Questionnaire (OAB-q) at Week 4 and 12Baseline, Week 4 and 12OAB-q: self-administered, 33-item, questionnaire, assesses how much participant has been bothered by selected bladder symptoms. Each item rated on Likert scale 1 (least symptom bother) to 6 (most symptom bother). Questions 9 to 33 constitute HRQL, includes domains: concern, coping, sleep, and social function. HRQL domain and total raw score derived as sum of scores. Transformed score range 0 to 100 (Total HRQL or domain) = \[(Highest possible raw score-Actual total raw score)/Raw score range\]\*100. Higher transformed scores indicative of better HRQL.
Nocturnal Frequency-urgency Sum Rating Per 24 HoursBaselineFrequency-urgency sum is total USS ratings recorded for all nocturnal micturitions in 24-hour day. Number of USS ratings per 24 hours is sum of all USS ratings divided by the total diary days collected at that visit. USS scale: 1=No feeling of urgency to 5=Unable to hold: leak urine. Numerical decrease indicates improvement.
Percent Change From Baseline in Micturition-related Nocturnal Urgency Episodes Per 24 Hours at Week 4 and 12Baseline, Week 4 and 12Percent change of micturition-related nocturnal urgency episodes per 24 hours was calculated as change in 24-hour mean at that visit divided by the baseline 24-hour mean multiplied by 100 (100\*(Week 4 or 12 - baseline)/baseline).

Countries

United States

Participant flow

Participants by arm

ArmCount
Placebo
Placebo matched to fesoterodine 4 milligram (mg) oral tablet once daily for 4 weeks followed by placebo matched to fesoterodine 8 mg once daily depending on dose escalation as per investigator's discretion for remaining 8 weeks.
474
Fesoterodine
Fesoterodine 4 mg oral tablet once daily for 4 weeks followed by dose-escalation to 8 mg once daily depending on investigator's discretion for remaining 8 weeks.
463
Total937

Withdrawals & dropouts

PeriodReasonFG000FG001
Overall StudyAdverse Event1125
Overall StudyDeath10
Overall StudyDid not meet inclusion criteria911
Overall StudyLack of Efficacy116
Overall StudyLost to Follow-up85
Overall StudyOther95
Overall StudyProtocol Violation1423
Overall StudyRandomized but not treated1313
Overall StudyWithdrawal by Subject107
Overall StudyWithdrawn due to pregnancy10

Baseline characteristics

CharacteristicPlaceboFesoterodineTotal
Age, Customized
18 to 44 years
74 participants84 participants158 participants
Age, Customized
45 to 64 years
257 participants214 participants471 participants
Age, Customized
At least 65 years
143 participants165 participants308 participants
Sex: Female, Male
Female
312 Participants313 Participants625 Participants
Sex: Female, Male
Male
162 Participants150 Participants312 Participants

Adverse events

Event typeEG000
affected / at risk
EG001
affected / at risk
deaths
Total, all-cause mortality
— / —— / —
other
Total, other adverse events
148 / 474187 / 463
serious
Total, serious adverse events
9 / 4745 / 463

Outcome results

Primary

Change From Baseline in Mean Number of Micturition-related Nocturnal Urgency Episodes Per 24 Hours at Week 12

Micturition-related nocturnal urgency episodes had USS rating of 3 or more that occurred between time participant went to bed and time he or she arose to start next day. Number of nocturnal micturition-related urgency episodes per 24 hours was calculated as sum of all nocturnal micturition-related urgency episodes divided by total number of diary days collected at that visit.

Time frame: Baseline and Week 12

Population: FAS population. Last observation carried forward (LOCF) method was used to impute missing data. Here, 'N' (number of participants analyzed) signifies those participants who had baseline nocturnal urgency episodes greater than 0 per 24 hours and non-missing change from baseline value at Week 12.

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
PlaceboChange From Baseline in Mean Number of Micturition-related Nocturnal Urgency Episodes Per 24 Hours at Week 12-1.06 episodes per 24 hoursStandard Error 0.06
FesoterodineChange From Baseline in Mean Number of Micturition-related Nocturnal Urgency Episodes Per 24 Hours at Week 12-1.29 episodes per 24 hoursStandard Error 0.06
Comparison: Analysis of covariance (ANCOVA) model with terms for treatment and center with centered baseline value as a covariate was used to calculate p-value.p-value: 0.00395% CI: [-0.37, -0.08]ANCOVA
Primary

Mean Number of Micturition-related Nocturnal Urgency Episodes Per 24 Hours

Micturition-related nocturnal urgency episodes had urinary sensation scale (USS) rating of 3 or more that occurred between time participant went to bed and time he or she arose to start next day. Number of nocturnal micturition-related urgency episodes per 24 hours was calculated as sum of all nocturnal micturition-related urgency episodes divided by total number of diary days collected at that visit.

Time frame: Baseline

Population: Full analysis set (FAS): all participants who received at least 1 dose of study drug and had at least baseline or a post-baseline efficacy assessment. Here, 'N'(number of participants analyzed) signifies those participants who had baseline nocturnal urgency episodes greater than 0 per 24 hours and non-missing change from baseline value at Week 12.

ArmMeasureValue (MEAN)Dispersion
PlaceboMean Number of Micturition-related Nocturnal Urgency Episodes Per 24 Hours2.93 episodes per 24 hoursStandard Deviation 0.98
FesoterodineMean Number of Micturition-related Nocturnal Urgency Episodes Per 24 Hours2.91 episodes per 24 hoursStandard Deviation 0.9
Secondary

Change From Baseline in Frequency-urgency Sum Rating Per 24 Hours at Week 4 and 12

Frequency-urgency sum is total USS ratings recorded for all micturitions in 24-hour day. Number of USS ratings per 24 hours is sum of all USS ratings divided by the total diary days collected at that visit. USS scale: 1=No feeling of urgency to 5=Unable to hold: leak urine. Numerical decrease indicates improvement.

Time frame: Baseline, Week 4 and 12

Population: FAS population. LOCF method was used to impute only Week 12 missing data but not Week 4 missing data. Here, 'N' (number of participants analyzed) signifies those participants who had baseline frequency-urgency sum rating greater than 0 per 24 hours and non-missing change from baseline value at Week 12.

ArmMeasureGroupValue (LEAST_SQUARES_MEAN)Dispersion
PlaceboChange From Baseline in Frequency-urgency Sum Rating Per 24 Hours at Week 4 and 12Change at Week 4-4.88 units on a scaleStandard Deviation 0.46
PlaceboChange From Baseline in Frequency-urgency Sum Rating Per 24 Hours at Week 4 and 12Change at Week 12-8.69 units on a scaleStandard Deviation 0.51
FesoterodineChange From Baseline in Frequency-urgency Sum Rating Per 24 Hours at Week 4 and 12Change at Week 4-6.44 units on a scaleStandard Deviation 0.48
FesoterodineChange From Baseline in Frequency-urgency Sum Rating Per 24 Hours at Week 4 and 12Change at Week 12-11.12 units on a scaleStandard Deviation 0.53
Comparison: Change at Week 4: ANCOVA model with terms for treatment and center with centered baseline value as a covariate was used to calculate p-value.p-value: 0.013195% CI: [-2.79, -0.33]ANCOVA
Comparison: Change at Week 12: ANCOVA model with terms for treatment and center with centered baseline value as a covariate was used to calculate p-value.p-value: 0.000495% CI: [-3.78, -1.08]ANCOVA
Secondary

Change From Baseline in Health Related Quality of Life (HRQL) Domain and Total Score of Overactive Bladder Questionnaire (OAB-q) at Week 4 and 12

OAB-q: self-administered, 33-item, questionnaire, assesses how much participant has been bothered by selected bladder symptoms. Each item rated on Likert scale 1 (least symptom bother) to 6 (most symptom bother). Questions 9 to 33 constitute HRQL, includes domains: concern, coping, sleep, and social function. HRQL domain and total raw score derived as sum of scores. Transformed score range 0 to 100 (Total HRQL or domain) = \[(Highest possible raw score-Actual total raw score)/Raw score range\]\*100. Higher transformed scores indicative of better HRQL.

Time frame: Baseline, Week 4 and 12

Population: FAS population included all participants who received at least 1 dose of study drug and had at least baseline or a post-baseline efficacy assessment. Here, 'N' (number of participants analyzed) signifies those participants who had non-missing change from baseline value at Week 12.

ArmMeasureGroupValue (LEAST_SQUARES_MEAN)Dispersion
PlaceboChange From Baseline in Health Related Quality of Life (HRQL) Domain and Total Score of Overactive Bladder Questionnaire (OAB-q) at Week 4 and 12Change at Week 4: totalNA units on a scale
PlaceboChange From Baseline in Health Related Quality of Life (HRQL) Domain and Total Score of Overactive Bladder Questionnaire (OAB-q) at Week 4 and 12Change at Week 4: concern domainNA units on a scale
PlaceboChange From Baseline in Health Related Quality of Life (HRQL) Domain and Total Score of Overactive Bladder Questionnaire (OAB-q) at Week 4 and 12Change at Week 12: concern domain14.63 units on a scaleStandard Error 1
PlaceboChange From Baseline in Health Related Quality of Life (HRQL) Domain and Total Score of Overactive Bladder Questionnaire (OAB-q) at Week 4 and 12Change at Week 4: sleep domainNA units on a scale
PlaceboChange From Baseline in Health Related Quality of Life (HRQL) Domain and Total Score of Overactive Bladder Questionnaire (OAB-q) at Week 4 and 12Change at Week 12: coping domain15.17 units on a scaleStandard Error 1.01
PlaceboChange From Baseline in Health Related Quality of Life (HRQL) Domain and Total Score of Overactive Bladder Questionnaire (OAB-q) at Week 4 and 12Change at Week 12: total14.39 units on a scaleStandard Error 0.87
PlaceboChange From Baseline in Health Related Quality of Life (HRQL) Domain and Total Score of Overactive Bladder Questionnaire (OAB-q) at Week 4 and 12Change at Week 12: sleep domain18.97 units on a scaleStandard Error 1.13
PlaceboChange From Baseline in Health Related Quality of Life (HRQL) Domain and Total Score of Overactive Bladder Questionnaire (OAB-q) at Week 4 and 12Change at Week 4: social interaction domainNA units on a scale
PlaceboChange From Baseline in Health Related Quality of Life (HRQL) Domain and Total Score of Overactive Bladder Questionnaire (OAB-q) at Week 4 and 12Change at Week 12: social interaction domain8.27 units on a scaleStandard Error 0.69
PlaceboChange From Baseline in Health Related Quality of Life (HRQL) Domain and Total Score of Overactive Bladder Questionnaire (OAB-q) at Week 4 and 12Change at Week 4: coping domainNA units on a scale
FesoterodineChange From Baseline in Health Related Quality of Life (HRQL) Domain and Total Score of Overactive Bladder Questionnaire (OAB-q) at Week 4 and 12Change at Week 12: total17.42 units on a scaleStandard Error 0.91
FesoterodineChange From Baseline in Health Related Quality of Life (HRQL) Domain and Total Score of Overactive Bladder Questionnaire (OAB-q) at Week 4 and 12Change at Week 4: concern domainNA units on a scale
FesoterodineChange From Baseline in Health Related Quality of Life (HRQL) Domain and Total Score of Overactive Bladder Questionnaire (OAB-q) at Week 4 and 12Change at Week 4: coping domainNA units on a scale
FesoterodineChange From Baseline in Health Related Quality of Life (HRQL) Domain and Total Score of Overactive Bladder Questionnaire (OAB-q) at Week 4 and 12Change at Week 4: sleep domainNA units on a scale
FesoterodineChange From Baseline in Health Related Quality of Life (HRQL) Domain and Total Score of Overactive Bladder Questionnaire (OAB-q) at Week 4 and 12Change at Week 4: social interaction domainNA units on a scale
FesoterodineChange From Baseline in Health Related Quality of Life (HRQL) Domain and Total Score of Overactive Bladder Questionnaire (OAB-q) at Week 4 and 12Change at Week 4: totalNA units on a scale
FesoterodineChange From Baseline in Health Related Quality of Life (HRQL) Domain and Total Score of Overactive Bladder Questionnaire (OAB-q) at Week 4 and 12Change at Week 12: concern domain18.05 units on a scaleStandard Error 1.04
FesoterodineChange From Baseline in Health Related Quality of Life (HRQL) Domain and Total Score of Overactive Bladder Questionnaire (OAB-q) at Week 4 and 12Change at Week 12: coping domain18.32 units on a scaleStandard Error 1.04
FesoterodineChange From Baseline in Health Related Quality of Life (HRQL) Domain and Total Score of Overactive Bladder Questionnaire (OAB-q) at Week 4 and 12Change at Week 12: sleep domain22.45 units on a scaleStandard Error 1.17
FesoterodineChange From Baseline in Health Related Quality of Life (HRQL) Domain and Total Score of Overactive Bladder Questionnaire (OAB-q) at Week 4 and 12Change at Week 12: social interaction domain10.13 units on a scaleStandard Error 0.72
Comparison: Change at Week 12: Concern domain- ANCOVA model with terms for treatment and center with centered baseline value as a covariate was used to calculate p-value.p-value: 0.01195% CI: [0.79, 6.05]ANCOVA
Comparison: Change at Week 12: Coping domain- ANCOVA model with terms for treatment and center with centered baseline value as a covariate was used to calculate p-value.p-value: 0.0295% CI: [0.5, 5.79]ANCOVA
Comparison: Change at Week 12: Sleep domain- ANCOVA model with terms for treatment and center with centered baseline value as a covariate was used to calculate p-value.p-value: 0.021895% CI: [0.51, 6.45]ANCOVA
Comparison: Change at Week 12: Social interaction domain- ANCOVA model with terms for treatment and center with centered baseline value as a covariate was used to calculate p-value.p-value: 0.045895% CI: [0.03, 3.68]ANCOVA
Comparison: Change at Week 12: Total- ANCOVA model with terms for treatment and center with centered baseline value as a covariate was used to calculate p-value.p-value: 0.0195% CI: [0.72, 5.32]ANCOVA
Secondary

Change From Baseline in Mean Number of Micturition-related Nocturnal Urgency Episodes Per 24 Hours at Week 4

Micturition-related nocturnal urgency episodes had USS rating of 3 or more that occurred between time participant went to bed and time he or she arose to start next day. Number of micturition-related nocturnal urgency episodes per 24 hours was calculated as sum of all nocturnal micturition-related urgency episodes divided by total number of diary days collected at that visit.

Time frame: Baseline and Week 4

Population: FAS population included all participants who received at least 1 dose of study drug and had at least baseline or a post-baseline efficacy assessment. Here, 'N' (number of participants analyzed) signifies those participants who had baseline nocturnal urgency episodes greater than 0 per 24 hours and non-missing change from baseline value at Week 4.

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
PlaceboChange From Baseline in Mean Number of Micturition-related Nocturnal Urgency Episodes Per 24 Hours at Week 4-0.70 episodes per 24 hoursStandard Error 0.05
FesoterodineChange From Baseline in Mean Number of Micturition-related Nocturnal Urgency Episodes Per 24 Hours at Week 4-0.83 episodes per 24 hoursStandard Error 0.06
Comparison: ANCOVA model with terms for treatment and center with centered baseline value as a covariate was used to calculate p-value.p-value: 0.077295% CI: [-0.27, 0.01]ANCOVA
Secondary

Change From Baseline in Mean Number of Micturitions Per 24 Hours at Week 4 and 12

Micturitions include episodes of voluntary micturition and episodes of UUI. UUI episodes were defined as those micturitions with USS rating of 5 in the diary in participants with UUI at baseline. USS rating 5: Unable to hold; leak urine.

Time frame: Baseline, Week 4 and 12

Population: FAS population. LOCF method was used to impute only Week 12 missing data but not Week 4 missing data. Here, 'N' (number of participants analyzed) signifies those participants who had baseline micturition frequency greater than 0 per 24 hours and non-missing change from baseline value at Week 12.

ArmMeasureGroupValue (LEAST_SQUARES_MEAN)Dispersion
PlaceboChange From Baseline in Mean Number of Micturitions Per 24 Hours at Week 4 and 12Change at Week 4-0.90 micturitions per 24 hoursStandard Error 0.11
PlaceboChange From Baseline in Mean Number of Micturitions Per 24 Hours at Week 4 and 12Change at Week 12-1.86 micturitions per 24 hoursStandard Error 0.13
FesoterodineChange From Baseline in Mean Number of Micturitions Per 24 Hours at Week 4 and 12Change at Week 4-1.35 micturitions per 24 hoursStandard Error 0.11
FesoterodineChange From Baseline in Mean Number of Micturitions Per 24 Hours at Week 4 and 12Change at Week 12-2.42 micturitions per 24 hoursStandard Error 0.13
Comparison: Change at Week 4: ANCOVA model with terms for treatment and center with centered baseline value as a covariate was used to calculate p-value.p-value: 0.002695% CI: [-0.74, -0.16]ANCOVA
Comparison: Change at Week 12: ANCOVA model with terms for treatment and center with centered baseline value as a covariate was used to calculate p-value.p-value: 0.001495% CI: [-0.9, -0.22]ANCOVA
Secondary

Change From Baseline in Mean Voided Volume Per Micturition at Week 12

Mean voided volume per micturition was calculated as sum of voided volume divided by the total number of total micturition episodes with a recorded voided volume greater than 0 at that visit.

Time frame: Baseline and Week 12

Population: FAS population. Here, 'N' (number of participants analyzed) signifies those participants who had baseline voided volume per micturition greater than 0 per 24 hours and non-missing change from baseline value at Week 12.

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
PlaceboChange From Baseline in Mean Voided Volume Per Micturition at Week 125.51 mLStandard Error 3.17
FesoterodineChange From Baseline in Mean Voided Volume Per Micturition at Week 124.65 mLStandard Error 3.32
Comparison: ANCOVA model with terms for treatment and center with centered baseline value as a covariate was used to calculate p-value.p-value: 0.839695% CI: [-9.14, 7.44]ANCOVA
Secondary

Change From Baseline in Mean Voided Volume Per Nocturnal Micturition at Week 12

Mean voided volume per nocturnal micturition was calculated as sum of voided volume during bedtime divided by the total number of bedtime micturition episodes with a recorded voided volume greater than 0 at that visit.

Time frame: Baseline and Week 12

Population: FAS population. Here, 'N' (number of participants analyzed) signifies those participants who had baseline voided volume per nocturnal micturition greater than 0 per 24 hours and non-missing change from baseline value at Week 12.

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
PlaceboChange From Baseline in Mean Voided Volume Per Nocturnal Micturition at Week 1215.49 mLStandard Error 5.43
FesoterodineChange From Baseline in Mean Voided Volume Per Nocturnal Micturition at Week 1216.81 mLStandard Error 5.65
Comparison: ANCOVA model with terms for treatment and center with centered baseline value as a covariate was used to calculate p-value.p-value: 0.854795% CI: [-12.82, 15.46]ANCOVA
Secondary

Change From Baseline in Nocturnal Frequency-urgency Sum Rating Per 24 Hours at Week 4 and 12

Frequency-urgency sum is total USS ratings recorded for all nocturnal micturitions in 24-hour day. Number of USS ratings per 24 hours is sum of all USS ratings divided by the total diary days collected at that visit. USS scale: 1=No feeling of urgency to 5=Unable to hold: leak urine. Numerical decrease indicates improvement.

Time frame: Baseline, Week 4 and 12

Population: FAS population. LOCF method was used to impute only Week 12 missing data but not Week 4 missing data. Here, 'N' (number of participants analyzed) signifies those participants who had baseline nocturnal frequency-urgency sum rating greater than 0 per 24 hours and non-missing change from baseline value at Week 12.

ArmMeasureGroupValue (LEAST_SQUARES_MEAN)Dispersion
PlaceboChange From Baseline in Nocturnal Frequency-urgency Sum Rating Per 24 Hours at Week 4 and 12Change at Week 4-2.07 units on a scaleStandard Error 0.17
PlaceboChange From Baseline in Nocturnal Frequency-urgency Sum Rating Per 24 Hours at Week 4 and 12Change at Week 12-3.36 units on a scaleStandard Error 0.18
FesoterodineChange From Baseline in Nocturnal Frequency-urgency Sum Rating Per 24 Hours at Week 4 and 12Change at Week 4-2.46 units on a scaleStandard Error 0.18
FesoterodineChange From Baseline in Nocturnal Frequency-urgency Sum Rating Per 24 Hours at Week 4 and 12Change at Week 12-4.08 units on a scaleStandard Error 0.19
Comparison: Change at Week 4: ANCOVA model with terms for treatment and center with centered baseline value as a covariate was used to calculate p-value.p-value: 0.101895% CI: [-0.85, 0.08]ANCOVA
Comparison: Change at Week 12: ANCOVA model with terms for treatment and center with centered baseline value as a covariate was used to calculate p-value.p-value: 0.002795% CI: [-1.2, -0.25]ANCOVA
Secondary

Change From Baseline in Number of Micturition-related Urgency Episodes Per 24 Hours at Week 4 and 12

The mean number of micturition-related urgency episodes per 24 hours was calculated as the total number of micturitions with USS rating of greater than or equal to 3 divided by the total number of days that diary data was collected at that visit. USS total range 1 to 5: 1. No feeling of urgency, 2. Mild feeling of urgency, 3. Moderate feeling of urgency, 4. Severe feeling of urgency, 5. Unable to hold; leak urine.

Time frame: Baseline, Week 4 and 12

Population: FAS population. LOCF method was used to impute only Week 12 missing data but not Week 4 missing data. Here, 'N' (number of participants analyzed) signifies those participants who had baseline urgency episodes greater than 0 per 24 hours and non-missing change from baseline value at Week 12.

ArmMeasureGroupValue (LEAST_SQUARES_MEAN)Dispersion
PlaceboChange From Baseline in Number of Micturition-related Urgency Episodes Per 24 Hours at Week 4 and 12Change at Week 4-1.59 episodes per 24 hoursStandard Error 0.16
PlaceboChange From Baseline in Number of Micturition-related Urgency Episodes Per 24 Hours at Week 4 and 12Change at Week 12-2.72 episodes per 24 hoursStandard Error 0.18
FesoterodineChange From Baseline in Number of Micturition-related Urgency Episodes Per 24 Hours at Week 4 and 12Change at Week 4-2.18 episodes per 24 hoursStandard Error 0.17
FesoterodineChange From Baseline in Number of Micturition-related Urgency Episodes Per 24 Hours at Week 4 and 12Change at Week 12-3.50 episodes per 24 hoursStandard Error 0.18
Comparison: Change at Week 4: ANCOVA model with terms for treatment and center with centered baseline value as a covariate was used to calculate p-value.p-value: 0.007295% CI: [-1.03, -0.16]ANCOVA
Comparison: Change at Week 12: ANCOVA model with terms for treatment and center with centered baseline value as a covariate was used to calculate p-value.p-value: 0.000995% CI: [-1.25, -0.32]ANCOVA
Secondary

Change From Baseline in Number of Nocturnal Micturitions Per 24 Hours at Week 4 and 12

Nocturnal micturitions were defined as micturitions with USS rating 1-5 that occurred between the time the participant went to bed and the time he or she arose to start the next day. USS rating: 1. No feeling of urgency, 2. Mild feeling of urgency, 3. Moderate feeling of urgency, 4. Severe feeling of urgency, 5. Unable to hold; leak urine. The mean number of nocturnal micturitions per 24 hours was calculated as the total number of nocturnal micturitions divided by the total number of diary days collected at that visit.

Time frame: Baseline, Week 4 and 12

Population: FAS population. LOCF method was used to impute only Week 12 missing data but not Week 4 missing data. Here, 'N' (number of participants analyzed) signifies those participants who had baseline nocturnal micturition frequency greater than 0 per 24 hours and non-missing change from baseline value at Week 12.

ArmMeasureGroupValue (LEAST_SQUARES_MEAN)Dispersion
PlaceboChange From Baseline in Number of Nocturnal Micturitions Per 24 Hours at Week 4 and 12Change at Week 4-0.48 micturitions per 24 hoursStandard Error 0.05
PlaceboChange From Baseline in Number of Nocturnal Micturitions Per 24 Hours at Week 4 and 12Change at Week 12-0.84 micturitions per 24 hoursStandard Error 0.05
FesoterodineChange From Baseline in Number of Nocturnal Micturitions Per 24 Hours at Week 4 and 12Change at Week 4-0.59 micturitions per 24 hoursStandard Error 0.05
FesoterodineChange From Baseline in Number of Nocturnal Micturitions Per 24 Hours at Week 4 and 12Change at Week 12-1.02 micturitions per 24 hoursStandard Error 0.06
Comparison: Change at Week 4: ANCOVA model with terms for treatment and center with centered baseline value as a covariate was used to calculate p-value.p-value: 0.082795% CI: [-0.25, 0.01]ANCOVA
Comparison: Change at Week 12: ANCOVA model with terms for treatment and center with centered baseline value as a covariate was used to calculate p-value.p-value: 0.011295% CI: [-0.33, -0.04]ANCOVA
Secondary

Change From Baseline in Number of Urgency Urinary Incontinence (UUI) Episodes Per 24 Hours at Week 4 and 12

UUI episodes were defined as those with the USS rating of 5 in the diary. USS total range 1 to 5: 1. No feeling of urgency, 2. Mild feeling of urgency, 3. Moderate feeling of urgency, 4. Severe feeling of urgency, 5. Unable to hold; leak urine.

Time frame: Baseline, Week 4 and 12

Population: FAS population. LOCF method was used to impute only Week 12 missing data but not Week 4 missing data. Here, 'N' (number of participants analyzed) signifies those participants who had baseline UUI episodes greater than 0 per 24 hours and non-missing change from baseline value at Week 12.

ArmMeasureGroupValue (LEAST_SQUARES_MEAN)Dispersion
PlaceboChange From Baseline in Number of Urgency Urinary Incontinence (UUI) Episodes Per 24 Hours at Week 4 and 12Change at Week 12-1.08 episodes per 24 hoursStandard Error 0.11
PlaceboChange From Baseline in Number of Urgency Urinary Incontinence (UUI) Episodes Per 24 Hours at Week 4 and 12Change at Week 4-0.76 episodes per 24 hoursStandard Error 0.12
FesoterodineChange From Baseline in Number of Urgency Urinary Incontinence (UUI) Episodes Per 24 Hours at Week 4 and 12Change at Week 4-0.90 episodes per 24 hoursStandard Error 0.13
FesoterodineChange From Baseline in Number of Urgency Urinary Incontinence (UUI) Episodes Per 24 Hours at Week 4 and 12Change at Week 12-1.26 episodes per 24 hoursStandard Error 0.12
Comparison: Change at Week 4: ANCOVA model with terms for treatment and center with centered baseline value as a covariate was used to calculate p-value.p-value: 0.395495% CI: [-0.47, 0.19]ANCOVA
Comparison: Change at Week 12: ANCOVA model with terms for treatment and center with centered baseline value as a covariate was used to calculate p-value.p-value: 0.216695% CI: [-0.48, 0.11]ANCOVA
Secondary

Change From Baseline in Overactive Bladder Questionnaire (OAB-q) Symptom Bother Score at Week 4 and 12

OAB-q: a self-administered, 33-item, questionnaire that assesses how much the participant has been bothered by selected bladder symptoms. Each item rated by participant on Likert scale 1 (least symptom bother) to 6 (most symptom bother). Symptom bother score derived as sum of scores for questions 1-8; lowest possible raw score: 8; highest possible score: 48. Data analyzed based on transformation of the score to a 0 to 100 scale \[(Actual total raw score - lowest possible value of raw score)/range\]\*100. Higher scores values indicative of greater symptom bother.

Time frame: Baseline, Week 4 and 12

Population: FAS population included all participants who received at least 1 dose of study drug and had at least baseline or a post-baseline efficacy assessment. Here, 'N' (number of participants analyzed) signifies those participants who had non-missing change from baseline value at Week 12.

ArmMeasureGroupValue (LEAST_SQUARES_MEAN)Dispersion
PlaceboChange From Baseline in Overactive Bladder Questionnaire (OAB-q) Symptom Bother Score at Week 4 and 12Change at Week 4NA units on a scale
PlaceboChange From Baseline in Overactive Bladder Questionnaire (OAB-q) Symptom Bother Score at Week 4 and 12Change at Week 12-15.91 units on a scaleStandard Deviation 0.94
FesoterodineChange From Baseline in Overactive Bladder Questionnaire (OAB-q) Symptom Bother Score at Week 4 and 12Change at Week 4NA units on a scale
FesoterodineChange From Baseline in Overactive Bladder Questionnaire (OAB-q) Symptom Bother Score at Week 4 and 12Change at Week 12-20.28 units on a scaleStandard Deviation 0.97
Comparison: Change at Week 12: ANCOVA model with terms for treatment and center with centered baseline value as a covariate was used to calculate p-value.p-value: 0.000695% CI: [-6.84, -1.89]ANCOVA
Secondary

Frequency-urgency Sum Rating Per 24 Hours

Frequency-urgency sum is total USS ratings recorded for all micturitions in 24-hour day. Number of USS ratings per 24 hours is sum of all USS ratings divided by the total diary days collected at that visit. USS scale: 1=No feeling of urgency to 5=Unable to hold: leak urine.

Time frame: Baseline

Population: FAS population. Here, 'N' (number of participants analyzed) signifies those participants who had baseline frequency-urgency sum rating greater than 0 per 24 hours and non-missing change from baseline value at Week 12.

ArmMeasureValue (MEAN)Dispersion
PlaceboFrequency-urgency Sum Rating Per 24 Hours39.54 units on a scaleStandard Deviation 13.83
FesoterodineFrequency-urgency Sum Rating Per 24 Hours38.73 units on a scaleStandard Deviation 12.32
Secondary

Health Related Quality of Life (HRQL) Domain and Total Score of Overactive Bladder Questionnaire (OAB-q)

OAB-q: self-administered, 33-item, questionnaire, assesses how much participant has been bothered by selected bladder symptoms. Each item rated on Likert scale 1 (least symptom bother) to 6 (most symptom bother). Questions 9 to 33 constitute HRQL, includes domains: concern, coping, sleep, and social function. HRQL domain and total raw score derived as sum of scores. Transformed score range 0 to 100 (Total HRQL or domain) = \[(Highest possible raw score-Actual total raw score)/Raw score range\]\*100. Higher transformed scores indicative of better HRQL.

Time frame: Baseline

Population: FAS population included all participants who received at least 1 dose of study drug and had at least baseline or a post-baseline efficacy assessment. Here, 'N' (number of participants analyzed) signifies those participants who had non-missing change from baseline value at Week 12.

ArmMeasureGroupValue (MEAN)Dispersion
PlaceboHealth Related Quality of Life (HRQL) Domain and Total Score of Overactive Bladder Questionnaire (OAB-q)Total63.56 units on a scaleStandard Deviation 21.56
PlaceboHealth Related Quality of Life (HRQL) Domain and Total Score of Overactive Bladder Questionnaire (OAB-q)Concern domain63.29 units on a scaleStandard Deviation 24.66
PlaceboHealth Related Quality of Life (HRQL) Domain and Total Score of Overactive Bladder Questionnaire (OAB-q)Coping domain62.19 units on a scaleStandard Deviation 26.51
PlaceboHealth Related Quality of Life (HRQL) Domain and Total Score of Overactive Bladder Questionnaire (OAB-q)Sleep domain47.45 units on a scaleStandard Deviation 23.25
PlaceboHealth Related Quality of Life (HRQL) Domain and Total Score of Overactive Bladder Questionnaire (OAB-q)Social interaction domain82.22 units on a scaleStandard Deviation 21.36
FesoterodineHealth Related Quality of Life (HRQL) Domain and Total Score of Overactive Bladder Questionnaire (OAB-q)Social interaction domain82.48 units on a scaleStandard Deviation 20.09
FesoterodineHealth Related Quality of Life (HRQL) Domain and Total Score of Overactive Bladder Questionnaire (OAB-q)Sleep domain49.65 units on a scaleStandard Deviation 23.04
FesoterodineHealth Related Quality of Life (HRQL) Domain and Total Score of Overactive Bladder Questionnaire (OAB-q)Concern domain64.30 units on a scaleStandard Deviation 23.08
FesoterodineHealth Related Quality of Life (HRQL) Domain and Total Score of Overactive Bladder Questionnaire (OAB-q)Total64.37 units on a scaleStandard Deviation 20.61
FesoterodineHealth Related Quality of Life (HRQL) Domain and Total Score of Overactive Bladder Questionnaire (OAB-q)Coping domain62.26 units on a scaleStandard Deviation 26.12
Secondary

Mean Number of Micturitions Per 24 Hours

Micturitions include episodes of voluntary micturition and episodes of Urgency Urinary Incontinence \[UUI\]. UUI episodes were defined as those micturitions with USS rating of 5 in the diary in participants with UUI at baseline. USS rating 5: Unable to hold; leak urine.

Time frame: Baseline

Population: FAS population included all participants who received at least 1 dose of study drug and had at least baseline or a post-baseline efficacy assessment. Here, 'N' (number of participants analyzed) signifies those participants who had baseline micturition frequency greater than 0 per 24 hours and non-missing change from baseline value at Week 12.

ArmMeasureValue (MEAN)Dispersion
PlaceboMean Number of Micturitions Per 24 Hours12.33 micturitions per 24 hoursStandard Deviation 3.58
FesoterodineMean Number of Micturitions Per 24 Hours12.30 micturitions per 24 hoursStandard Deviation 3.26
Secondary

Mean Voided Volume Per Micturition

Mean voided volume per micturition was calculated as sum of voided volume divided by the total number of total micturition episodes with a recorded voided volume greater than 0 at that visit.

Time frame: Baseline

Population: FAS population. Here, 'N' (number of participants analyzed) signifies those participants who had baseline voided volume per micturition greater than 0 per 24 hours and non-missing change from baseline value at Week 12.

ArmMeasureValue (MEAN)Dispersion
PlaceboMean Voided Volume Per Micturition154.56 mLStandard Deviation 65.87
FesoterodineMean Voided Volume Per Micturition158.38 mLStandard Deviation 67.4
Secondary

Mean Voided Volume Per Nocturnal Micturition

Mean voided volume per nocturnal micturition was calculated as sum of voided volume during bedtime divided by the total number of bedtime micturition episodes with a recorded voided volume greater than 0 at that visit.

Time frame: Baseline

Population: FAS population. Here, 'N' (number of participants analyzed) signifies those participants who had baseline voided volume per nocturnal micturition greater than 0 per 24 hours and non-missing change from baseline value at Week 12.

ArmMeasureValue (MEAN)Dispersion
PlaceboMean Voided Volume Per Nocturnal Micturition172.53 milliliter (mL)Standard Deviation 95.47
FesoterodineMean Voided Volume Per Nocturnal Micturition173.14 milliliter (mL)Standard Deviation 95.5
Secondary

Nocturnal Frequency-urgency Sum Rating Per 24 Hours

Frequency-urgency sum is total USS ratings recorded for all nocturnal micturitions in 24-hour day. Number of USS ratings per 24 hours is sum of all USS ratings divided by the total diary days collected at that visit. USS scale: 1=No feeling of urgency to 5=Unable to hold: leak urine. Numerical decrease indicates improvement.

Time frame: Baseline

Population: FAS population. Here, 'N' (number of participants analyzed) signifies those participants who had baseline nocturnal frequency-urgency sum rating greater than 0 per 24 hours and non-missing change from baseline value at Week 12.

ArmMeasureValue (MEAN)Dispersion
PlaceboNocturnal Frequency-urgency Sum Rating Per 24 Hours10.91 units on a scaleStandard Deviation 4.14
FesoterodineNocturnal Frequency-urgency Sum Rating Per 24 Hours10.60 units on a scaleStandard Deviation 3.74
Secondary

Number of Micturition-related Urgency Episodes Per 24 Hours

The mean number of micturition-related urgency episodes per 24 hours was calculated as the total number of micturitions with USS rating of greater than or equal to 3 divided by the total number of days that diary data was collected at that visit. USS total range 1 to 5: 1. No feeling of urgency, 2. Mild feeling of urgency, 3. Moderate feeling of urgency, 4. Severe feeling of urgency, 5. Unable to hold; leak urine.

Time frame: Baseline

Population: FAS population included all participants who received at least 1 dose of study drug and had at least baseline or a post-baseline efficacy assessment. Here, 'N' (number of participants analyzed) signifies those participants who had baseline urgency episodes greater than 0 per 24 hours and non-missing change from baseline value at Week 12.

ArmMeasureValue (MEAN)Dispersion
PlaceboNumber of Micturition-related Urgency Episodes Per 24 Hours10.04 episodes per 24 hoursStandard Deviation 4.01
FesoterodineNumber of Micturition-related Urgency Episodes Per 24 Hours9.84 episodes per 24 hoursStandard Deviation 3.62
Secondary

Number of Nocturnal Micturitions Per 24 Hours

Nocturnal micturitions were defined as micturitions with USS rating 1-5 that occurred between the time the participant went to bed and the time he or she arose to start the next day. USS rating: 1. No feeling of urgency, 2. Mild feeling of urgency, 3. Moderate feeling of urgency, 4. Severe feeling of urgency, 5. Unable to hold; leak urine. The mean number of nocturnal micturitions per 24 hours was calculated as the total number of nocturnal micturitions divided by the total number of diary days collected at that visit.

Time frame: Baseline

Population: FAS population. Here, 'N' (number of participants analyzed) signifies those participants who had baseline nocturnal micturition frequency greater than 0 per 24 hours and non-missing change from baseline value at Week 12.

ArmMeasureValue (MEAN)Dispersion
PlaceboNumber of Nocturnal Micturitions Per 24 Hours3.19 micturitions per 24 hoursStandard Deviation 1.05
FesoterodineNumber of Nocturnal Micturitions Per 24 Hours3.15 micturitions per 24 hoursStandard Deviation 0.99
Secondary

Number of Urgency Urinary Incontinence (UUI) Episodes Per 24 Hours

UUI episodes were defined as those with the USS rating of 5 in the diary. USS total range 1 to 5: 1. No feeling of urgency, 2. Mild feeling of urgency, 3. Moderate feeling of urgency, 4. Severe feeling of urgency, 5. Unable to hold; leak urine.

Time frame: Baseline

Population: FAS population included all participants who received at least 1 dose of study drug and had at least baseline or a post-baseline efficacy assessment. Here, 'N' (number of participants analyzed) signifies those participants who had baseline UUI episodes greater than 0 per 24 hours and non-missing change from baseline value at Week 12.

ArmMeasureValue (MEAN)Dispersion
PlaceboNumber of Urgency Urinary Incontinence (UUI) Episodes Per 24 Hours2.23 episodes per 24 hoursStandard Deviation 2.49
FesoterodineNumber of Urgency Urinary Incontinence (UUI) Episodes Per 24 Hours2.20 episodes per 24 hoursStandard Deviation 2.55
Secondary

Overactive Bladder Questionnaire (OAB-q) Symptom Bother Score

OAB-q: a self-administered, 33-item, questionnaire that assesses how much the participant has been bothered by selected bladder symptoms. Each item rated by participant on Likert scale 1 (least symptom bother) to 6 (most symptom bother). Symptom bother score derived as sum of scores for questions 1-8; lowest possible raw score: 8; highest possible score: 48. Data analyzed based on transformation of the score to a 0 to 100 scale \[(Actual total raw score - lowest possible value of raw score)/range\]\*100. Higher scores values indicative of greater symptom bother.

Time frame: Baseline

Population: FAS population included all participants who received at least 1 dose of study drug and had at least baseline or a post-baseline efficacy assessment. Here, 'N' (number of participants analyzed) signifies those participants who had non-missing change from baseline value at Week 12.

ArmMeasureValue (MEAN)Dispersion
PlaceboOveractive Bladder Questionnaire (OAB-q) Symptom Bother Score50.46 units on a scaleStandard Deviation 19.54
FesoterodineOveractive Bladder Questionnaire (OAB-q) Symptom Bother Score48.84 units on a scaleStandard Deviation 19.33
Secondary

Percent Change From Baseline in Micturition-related Nocturnal Urgency Episodes Per 24 Hours at Week 4 and 12

Percent change of micturition-related nocturnal urgency episodes per 24 hours was calculated as change in 24-hour mean at that visit divided by the baseline 24-hour mean multiplied by 100 (100\*(Week 4 or 12 - baseline)/baseline).

Time frame: Baseline, Week 4 and 12

Population: FAS population. LOCF method was used to impute only Week 12 missing data but not Week 4 missing data. Here, 'N' (number of participants analyzed) signifies those participants who had baseline nocturnal urgency episodes greater than 0 per 24 hours and non-missing change from baseline value at Week 12.

ArmMeasureGroupValue (MEAN)Dispersion
PlaceboPercent Change From Baseline in Micturition-related Nocturnal Urgency Episodes Per 24 Hours at Week 4 and 12Change at Week 4-24.1 percent changeStandard Deviation 38.1
PlaceboPercent Change From Baseline in Micturition-related Nocturnal Urgency Episodes Per 24 Hours at Week 4 and 12Change at Week 12-36.2 percent changeStandard Deviation 37.8
FesoterodinePercent Change From Baseline in Micturition-related Nocturnal Urgency Episodes Per 24 Hours at Week 4 and 12Change at Week 4-28.4 percent changeStandard Deviation 38.7
FesoterodinePercent Change From Baseline in Micturition-related Nocturnal Urgency Episodes Per 24 Hours at Week 4 and 12Change at Week 12-44.5 percent changeStandard Deviation 39.7
Comparison: Change at Week 12: Ranked ANCOVA model with terms for treatment and center with ranked baseline value as a covariate was used to calculate p-value.p-value: 0.0001Ranked ANCOVA
Secondary

Percent Change From Baseline in Micturition-related Urgency Episodes Per 24 Hours at Week 4 and 12

Percent change of micturition-related urgency episodes per 24 hours was calculated as change in 24-hour mean at that visit divided by the baseline 24-hour mean multiplied by 100 (100\*(Week 4 or 12 - baseline)/baseline).

Time frame: Baseline, Week 4 and 12

Population: FAS population. LOCF method was used to impute only Week 12 missing data but not Week 4 missing data. Here, 'N' (number of participants analyzed) signifies those participants who had baseline urgency episodes greater than 0 per 24 hours and non-missing change from baseline value at Week 12.

ArmMeasureGroupValue (MEAN)Dispersion
PlaceboPercent Change From Baseline in Micturition-related Urgency Episodes Per 24 Hours at Week 4 and 12Change at Week 4-14.9 percent changeStandard Deviation 33.9
PlaceboPercent Change From Baseline in Micturition-related Urgency Episodes Per 24 Hours at Week 4 and 12Change at Week 12-25.7 percent changeStandard Deviation 35.8
FesoterodinePercent Change From Baseline in Micturition-related Urgency Episodes Per 24 Hours at Week 4 and 12Change at Week 4-20.0 percent changeStandard Deviation 37.2
FesoterodinePercent Change From Baseline in Micturition-related Urgency Episodes Per 24 Hours at Week 4 and 12Change at Week 12-34.2 percent changeStandard Deviation 42.3
Comparison: Change at Week 4: Ranked ANCOVA model with terms for treatment and center with ranked baseline value as a covariate was used to calculate p-value.p-value: 0.0041Ranked ANCOVA
Comparison: Change at Week 4: Ranked ANCOVA model with terms for treatment and center with ranked baseline value as a covariate was used to calculate p-value.p-value: <0.0001Ranked ANCOVA
Secondary

Percent Change From Baseline in Micturitions Per 24 Hours at Week 4 and 12

Percent change of micturitions per 24 hours was calculated as change in 24-hour mean at that visit divided by the baseline 24-hour mean multiplied by 100 (100\*(Week 4 or 12 - baseline)/baseline).

Time frame: Baseline, Week 4 and 12

Population: FAS population. LOCF method was used to impute only Week 12 missing data but not Week 4 missing data. Here, 'N' (number of participants analyzed) signifies those participants who had baseline micturition frequency greater than 0 per 24 hours and non-missing change from baseline value at Week 12.

ArmMeasureGroupValue (MEAN)Dispersion
PlaceboPercent Change From Baseline in Micturitions Per 24 Hours at Week 4 and 12Change at Week 4-6.7 percent changeStandard Deviation 17.8
PlaceboPercent Change From Baseline in Micturitions Per 24 Hours at Week 4 and 12Change at Week 12-14.2 percent changeStandard Deviation 21.3
FesoterodinePercent Change From Baseline in Micturitions Per 24 Hours at Week 4 and 12Change at Week 4-10.3 percent changeStandard Deviation 17.7
FesoterodinePercent Change From Baseline in Micturitions Per 24 Hours at Week 4 and 12Change at Week 12-18.7 percent changeStandard Deviation 20
Comparison: Change at Week 4: Ranked ANCOVA model with terms for treatment and center with ranked baseline value as a covariate was used to calculate p-value.p-value: 0.0016Ranked ANCOVA
Comparison: Change at Week 12: Ranked ANCOVA model with terms for treatment and center with ranked baseline value as a covariate was used to calculate p-value.p-value: 0.0004Ranked ANCOVA
Secondary

Percent Change From Baseline in Nocturnal Micturitions Per 24 Hours at Week 4 and 12

Percent change of nocturnal micturitions per 24 hours was calculated as change in 24-hour mean at that visit divided by the baseline 24-hour mean multiplied by 100 (100\*(Week 4 or 12 - baseline)/baseline).

Time frame: Baseline, Week 4 and 12

Population: FAS population. LOCF method was used to impute only Week 12 missing data but not Week 4 missing data. Here, 'N' (number of participants analyzed) signifies those participants who had baseline nocturnal micturition frequency greater than 0 per 24 hours and non-missing change from baseline value at Week 12.

ArmMeasureGroupValue (MEAN)Dispersion
PlaceboPercent Change From Baseline in Nocturnal Micturitions Per 24 Hours at Week 4 and 12Change at Week 12-26.2 percent changeStandard Deviation 35.7
PlaceboPercent Change From Baseline in Nocturnal Micturitions Per 24 Hours at Week 4 and 12Change at Week 4-15.1 percent changeStandard Deviation 33.1
FesoterodinePercent Change From Baseline in Nocturnal Micturitions Per 24 Hours at Week 4 and 12Change at Week 4-18.9 percent changeStandard Deviation 31.8
FesoterodinePercent Change From Baseline in Nocturnal Micturitions Per 24 Hours at Week 4 and 12Change at Week 12-32.2 percent changeStandard Deviation 35.6
Comparison: Change at Week 12: Ranked ANCOVA model with terms for treatment and center with ranked baseline value as a covariate was used to calculate p-value.p-value: 0.0023Ranked ANCOVA
Secondary

Percent Change From Baseline in of Urgency Urinary Incontinence (UUI) Episodes Per 24 Hours at Week 4 and 12

Percent change of UUI episodes per 24 hours was calculated as change in 24-hour mean at that visit divided by the baseline 24-hour mean multiplied by 100 (100\*(Week 4 or 12 - baseline)/baseline).

Time frame: Baseline, Week 4 and 12

Population: FAS population. LOCF method was used to impute only Week 12 missing data but not Week 4 missing data. Here, 'N' (number of participants analyzed) signifies those participants who had baseline UUI episodes greater than 0 per 24 hours and non-missing change from baseline value at Week 12.

ArmMeasureGroupValue (MEAN)Dispersion
PlaceboPercent Change From Baseline in of Urgency Urinary Incontinence (UUI) Episodes Per 24 Hours at Week 4 and 12Change at Week 4-34.2 percent changeStandard Deviation 90
PlaceboPercent Change From Baseline in of Urgency Urinary Incontinence (UUI) Episodes Per 24 Hours at Week 4 and 12Change at Week 12-58.2 percent changeStandard Deviation 103.9
FesoterodinePercent Change From Baseline in of Urgency Urinary Incontinence (UUI) Episodes Per 24 Hours at Week 4 and 12Change at Week 4-34.8 percent changeStandard Deviation 102.6
FesoterodinePercent Change From Baseline in of Urgency Urinary Incontinence (UUI) Episodes Per 24 Hours at Week 4 and 12Change at Week 12-59.2 percent changeStandard Deviation 71.3

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