Incontinence, Obesity, Overactive Bladder
Conditions
Brief summary
This study evaluated the effectiveness of trospium chloride extended release (XR) in obese female patients with overactive bladder (OAB). Patients received either placebo and trospium chloride XR or placebo only. The study assessed the change from baseline in urinary frequency, urgency, and incontinence for trospium chloride XR versus a placebo-pill. The study was 14 weeks in duration.
Interventions
Trospium chloride extended release 60 mg capsule taken orally once daily for 12 weeks.
Placebo capsule taken orally once daily for either 2 weeks or 14 weeks.
Sponsors
Study design
Eligibility
Inclusion criteria
* OAB syndrome with Urgency, Urinary frequency and Urgency urinary incontinence * Non-smoker (refrained from any tobacco usage, including smokeless tobacco, nicotine patches, etc., for 6 months prior to the screening visit). * Obese
Exclusion criteria
* Chronic kidney failure * Abdominal bypass surgery for obesity * Moderate or severe memory impairment * Uncontrolled narrow angle glaucoma * Uncontrolled systemic disease * Concurrent dementia drugs: Aricept (donepezil), Namenda (memantine), Cognex (tacrine), Exelon (rivastigmine), Razadyne (galantamine), or similar drugs for dementia
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Percent Change From Baseline in Urinary Urgency Incontinence (UUI) | Baseline (Week 2), Week 14 | Patients recorded information about UUI (accidental leakage, urgency associated with void and urgency severity) in a 3-day diary at Baseline (Week 2) and Week 14. The daily average episodes of UUI was the sum of all UUI episodes over valid diary days during the 3-day diary period divided by the valid number of diary days with at least one valid bladder entry. The percent change from baseline was calculated as (Mean UUI at Week 14- Mean UUI at Week 2)/ Mean UUI at Week 2 X 100. A negative number percent change from baseline indicated an improvement. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Percent Change From Baseline in Urgency Severity Associated With Toilet Voids | Baseline (Week 2), Week 14 | Due to lack of evaluable data, analysis for this outcome measure was not performed. |
| Percent Change From Baseline in Voided Volume | Baseline (Week 2), Week 14 | Due to lack of evaluable data, analysis for this outcome measure was not performed. |
| Percent Change From Baseline in Over Active Bladder (OAB)-Symptom Composite Score | Baseline (Week 2), Week 14 | Due to lack of evaluable data, analysis for this outcome measure was not performed. |
| Percent Change From Baseline in Percentage of Patients Continent | Baseline (Week 2), Week 14 | Due to lack of evaluable data, analysis for this outcome measure was not performed. |
Countries
United States
Participant flow
Participants by arm
| Arm | Count |
|---|---|
| Trospium Chloride XR 60 mg Placebo capsule taken orally once daily for 2 weeks followed by trospium chloride extended release (XR) 60 mg capsule taken orally once daily for 12 weeks. | 64 |
| Placebo Placebo capsule taken orally once daily for 14 weeks. | 63 |
| Total | 127 |
Baseline characteristics
| Characteristic | Trospium Chloride XR 60 mg | Placebo | Total |
|---|---|---|---|
| Age, Customized 18 to 75 years | 64 Participants | 63 Participants | 127 Participants |
| Age, Customized <18 years | 0 Participants | 0 Participants | 0 Participants |
| Age, Customized >75 years | 0 Participants | 0 Participants | 0 Participants |
| Sex: Female, Male Female | 64 Participants | 63 Participants | 127 Participants |
| Sex: Female, Male Male | 0 Participants | 0 Participants | 0 Participants |
Adverse events
| Event type | EG000 affected / at risk | EG001 affected / at risk |
|---|---|---|
| deaths Total, all-cause mortality | — / — | — / — |
| other Total, other adverse events | 6 / 64 | 3 / 63 |
| serious Total, serious adverse events | 0 / 64 | 1 / 63 |
Outcome results
Percent Change From Baseline in Urinary Urgency Incontinence (UUI)
Patients recorded information about UUI (accidental leakage, urgency associated with void and urgency severity) in a 3-day diary at Baseline (Week 2) and Week 14. The daily average episodes of UUI was the sum of all UUI episodes over valid diary days during the 3-day diary period divided by the valid number of diary days with at least one valid bladder entry. The percent change from baseline was calculated as (Mean UUI at Week 14- Mean UUI at Week 2)/ Mean UUI at Week 2 X 100. A negative number percent change from baseline indicated an improvement.
Time frame: Baseline (Week 2), Week 14
Population: Modified Intent-to-Treat (mITT) defined as all patients who were randomized and received at least one dose of study medication. Analysis below was done on patients from the mITT population who completed the study at Week 14 and who had data available for this outcome measure.
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| Trospium Chloride XR 60 mg | Percent Change From Baseline in Urinary Urgency Incontinence (UUI) | -23.7 Percent change | Standard Deviation 36.16 |
| Placebo | Percent Change From Baseline in Urinary Urgency Incontinence (UUI) | 57.8 Percent change | Standard Deviation 275.3 |
Percent Change From Baseline in Over Active Bladder (OAB)-Symptom Composite Score
Due to lack of evaluable data, analysis for this outcome measure was not performed.
Time frame: Baseline (Week 2), Week 14
Percent Change From Baseline in Percentage of Patients Continent
Due to lack of evaluable data, analysis for this outcome measure was not performed.
Time frame: Baseline (Week 2), Week 14
Percent Change From Baseline in Urgency Severity Associated With Toilet Voids
Due to lack of evaluable data, analysis for this outcome measure was not performed.
Time frame: Baseline (Week 2), Week 14
Percent Change From Baseline in Voided Volume
Due to lack of evaluable data, analysis for this outcome measure was not performed.
Time frame: Baseline (Week 2), Week 14