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A Long-Term Extension Study of OnabotulinumtoxinA (BOTOX®) for Urinary Incontinence Due to Neurogenic Detrusor Overactivity

Long-term Extension Study of BOTOX® in the Treatment of Urinary Incontinence Due to Neurogenic Detrusor Overactivity in Patients 5 to 17 Years of Age

Status
Completed
Phases
Phase 3
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT01852058
Enrollment
95
Registered
2013-05-13
Start date
2014-01-11
Completion date
2019-10-03
Last updated
2020-05-12

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

Conditions

Urinary Incontinence

Brief summary

This study will evaluate the long-term safety and efficacy of onabotulinumtoxinA (botulinum toxin Type A; BOTOX®) for the treatment of urinary incontinence due to neurogenic detrusor overactivity in participants who successfully completed Study 191622-120 (NCT01852045).

Interventions

BIOLOGICALOnabotulinumtoxinA

OnabotulinumtoxinA injected into the detrusor wall. Treatments were administered as needed with a minimum of a 12-week interval between doses.

Sponsors

Allergan
Lead SponsorINDUSTRY

Study design

Allocation
NON_RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
QUADRUPLE (Subject, Caregiver, Investigator, Outcomes Assessor)

Eligibility

Sex/Gender
ALL
Age
5 Years to 17 Years
Healthy volunteers
No

Inclusion criteria

* Successfully completed participation in Study 191622-120 * Aged ≥ 5 years to ≤ 17 years at the time of entry into Study 191622-120 * Regularly using clean intermittent catheterization to empty the bladder

Exclusion criteria

* Myasthenia gravis, Eaton-Lambert syndrome, or amyotrophic lateral sclerosis * Current or planned use of a baclofen pump * Current or planned use of an electrostimulation/neuromodulation device for urinary incontinence * Use of an indwelling catheter for urinary incontinence instead of using clean intermittent catheterization to empty the bladder * Previous or current use of botulinum toxin therapy of any serotype for any urological condition, or treatment with botulinum toxin of any serotype for any other condition since entering study 191622-120

Design outcomes

Primary

MeasureTime frameDescription
Change From Study Baseline in the Daily Normalized Daytime Average Number of Urinary Incontinence Episodes in Treatment Cycle 1Study Baseline (Prior to Day 1 in Study 120) to 2 consecutive days in the week prior to Week 6 in Treatment Cycle 1Urinary incontinence was defined as involuntary loss of urine as recorded by the participant in a bladder diary during 2 consecutive days in the week prior to the study visit (normalized to a 12 hour daytime period). Daytime is defined as the time between waking up to start the day and going to bed to sleep for the night. The number of daily daytime incontinence episodes were averaged during the 2-day period. A negative change from Baseline indicates improvement. Data are summarized under the respective treatments that participants received in the corresponding treatment cycle.
Change From Study Baseline in the Daily Normalized Daytime Average Number of Urinary Incontinence Episodes in Treatment Cycle 2Study Baseline (Prior to Day 1 in Study 120) to 2 consecutive days in the week prior to Week 6 in Treatment Cycle 2Urinary incontinence was defined as involuntary loss of urine as recorded by the participant in a bladder diary during 2 consecutive days in the week prior to the study visit (normalized to a 12 hour daytime period). Daytime is defined as the time between waking up to start the day and going to bed to sleep for the night. The number of daily daytime incontinence episodes were averaged during the 2-day period. A negative change from Baseline indicates improvement. Data are summarized under the respective treatments that participants received in the corresponding treatment cycle.
Change From Study Baseline in the Daily Normalized Daytime Average Number of Urinary Incontinence Episodes in Treatment Cycle 3Study Baseline (Prior to Day 1 in Study 120) to 2 consecutive days in the week prior to Week 6 in Treatment Cycle 3Urinary incontinence was defined as involuntary loss of urine as recorded by the participant in a bladder diary during 2 consecutive days in the week prior to the study visit (normalized to a 12 hour daytime period). Daytime is defined as the time between waking up to start the day and going to bed to sleep for the night. The number of daily daytime incontinence episodes were averaged during the 2-day period. A negative change from Baseline indicates improvement. Data are summarized under the respective treatments that participants received in the corresponding treatment cycle.

Secondary

MeasureTime frameDescription
Percentage of Participants With ≥ 50%, ≥ 75%, ≥ 90%, and ≥ 100% Reduction From Baseline in the Number of Normalized Daytime Urinary Incontinence Episodes in Treatment Cycle 3Study Baseline (Prior to Day 1 in Study 120) to 2 consecutive days in the week prior to Week 6 in Treatment Cycle 3Urinary incontinence was defined as involuntary loss of urine as recorded by the participant in a bladder diary during 2 consecutive days in the week prior to the study visit (normalized to a 12 hour daytime period). Daytime is defined as the time between waking up to start the day and going to bed to sleep for the night. The number of daily incontinence episodes were averaged during the 2-day period. Data are summarized under the respective treatments that participants received in the corresponding treatment cycle.
Change From Baseline in Average Urine Volume at First Morning Catheterization in Treatment Cycle 1Baseline (Prior to Day 1 in Study 120) to 2 consecutive days in the week prior to Week 6 in Treatment Cycle 1The change in urine volume at first morning catherization was recorded by the participant in a bladder diary in the 2 consecutive days during the week prior to the study visit. The daily values were averaged during the 2-day period. A positive change from Baseline indicates improvement. Data are summarized under the respective treatments that participants received in the corresponding treatment cycle.
Change From Baseline in Average Urine Volume at First Morning Catheterization in Treatment Cycle 2Baseline (Prior to Day 1 in Study 120) to 2 consecutive days in the week prior to Week 6 in Treatment Cycle 2The change in urine volume at first morning catherization was recorded by the participant in a bladder diary in the 2 consecutive days during the week prior to the study visit. The daily values were averaged during the 2-day period. A positive change from Baseline indicates improvement. Data are summarized under the respective treatments that participants received in the corresponding treatment cycle.
Change From Baseline in Average Urine Volume at First Morning Catheterization in Treatment Cycle 3Baseline (Prior to Day 1 in Study 120) to 2 consecutive days in the week prior to Week 6 in Treatment Cycle 3The change in urine volume at first morning catherization was recorded by the participant in a bladder diary in the 2 consecutive days during the week prior to the study visit. The daily values were averaged during the 2-day period. A positive change from Baseline indicates improvement. Data are summarized under the respective treatments that participants received in the corresponding treatment cycle.
Percentage of Participants With Night Time Urinary Incontinence in Treatment Cycle 1Baseline (Prior to Day 1 in Study 120) and 2 consecutive days in the week prior to Week 6 in Treatment Cycle 1Urinary incontinence was defined as involuntary loss of urine. Night time urinary incontinence was recorded by the participant on the bladder diary as a presence or absence of urinary leakage upon waking, for 2 consecutive days in the week prior to the week 6 visit. Night time was defined as the time between going to bed to sleep for the night and waking up to start the day. The percentage of participants with night time urinary incontinence is presented in categories 0, 1, and 2 nights. Data are summarized under the respective treatments that participants received in the corresponding treatment cycle.
Percentage of Participants With Night Time Urinary Incontinence in Treatment Cycle 2Baseline (Prior to Day 1 in Study 120) and 2 consecutive days in the week prior to Week 6 in Treatment Cycle 2Urinary incontinence was defined as involuntary loss of urine. Night time urinary incontinence was recorded by the participant on the bladder diary as a presence or absence of urinary leakage upon waking, for 2 consecutive days in the week prior to the week 6 visit. Night time was defined as the time between going to bed to sleep for the night and waking up to start the day. The percentage of participants with night time urinary incontinence is presented in categories 0, 1, and 2 nights. Data are summarized under the respective treatments that participants received in the corresponding treatment cycle.
Number of Participants With Treatment Emergent Adverse Events (TEAEs) and Serious Treatment Emergent Adverse Events (STEAEs)First injection on Day 1 in Study 120 through completion of Study 121 (Up to 108 weeks)An adverse event is any untoward medical occurrence in a patient or clinical investigation participant administered a pharmaceutical product and which does not necessarily have a causal relationship with this treatment. An adverse event can therefore be any unfavorable and unintended sign (including an abnormal laboratory finding), symptom, or disease temporally associated with use of a medicinal (investigational) product, whether or not related to medicinal (investigational) product. A serious adverse event (SAE) is any AE that resulted in death, inpatient hospitalization or prolongation of existing hospitalization, persistent or significant disability or incapacity, life threatening, a congenital anomaly/birth defect, or an important medical event. A TEAE or STEAE is defined as any new AE or worsening of an existing condition after initiation of treatment. Data are summarized under the respective treatments that participants received in the corresponding treatment cycles.
Average Time to Participant's Request for RetreatmentFirst injection on Day 1 in Study 120 through to the date of completion of Study 121 (Up to 108 weeks)Time to request for re-treatment is the time in weeks between last injection and request for next injection, regardless of fulfillment of the re-treatment criteria. Data are summarized under the respective treatments that participants received across entire study. Data is reported for only participants that had at least one request for retreatment while on a specified BOTOX dose.
Average Time to Participant's Qualification for RetreatmentFirst injection on Day 1 in Study 120 through to the date of completion of Study 121 (Up to 108 weeks)The criteria for qualification of retreatment included 1) Participant/parent/caregiver requests retreatment; 2) Participant has a total of at least 2 daytime urinary incontinence episodes over the 2-day bladder diary collection period; 3) At least 12 weeks has elapsed since treatment 1 and 4) Participant has not experienced a serious treatment-related adverse event at any time. Data are summarized under the respective treatments that participants received across entire study. Data is reported for only participants that had at least one request for retreatment while on a specified BOTOX dose.
Percentage of Participants With Positive Response on Modified Treatment Benefit Scale (TBS) in Treatment Cycle 1Week 6 in Treatment Cycle 1The Modified TBS is a single-item scale which assesses the participant's condition (urinary problems, urinary incontinence) on a 4-point scale where 1 = greatly improved; 2 = improved; 3 = not changed; and 4 = worsened. A participant was considered to have a positive treatment response if they responded to the TBS question as either greatly improved or improved. Data are summarized under the respective treatments that participants received in the corresponding treatment cycle.
Percentage of Participants With Positive Response on Modified Treatment Benefit Scale (TBS) in Treatment Cycle 2Week 6 in Treatment Cycle 2The Modified TBS is a single-item scale which assesses the participant's condition (urinary problems, urinary incontinence) on a 4-point scale where 1 = greatly improved; 2 = improved; 3 = not changed; and 4 = worsened. A participant was considered to have a positive treatment response if they responded to the TBS question as either greatly improved or improved. Data are summarized under the respective treatments that participants received in the corresponding treatment cycle.
Percentage of Participants With Positive Response on Modified Treatment Benefit Scale (TBS) in Treatment Cycle 3Week 6 in Treatment Cycle 3The Modified TBS is a single-item scale which assesses the participant's condition (urinary problems, urinary incontinence) on a 4-point scale where 1 = greatly improved; 2 = improved; 3 = not changed; and 4 = worsened. A participant was considered to have a positive treatment response if they responded to the TBS question as either greatly improved or improved. Data are summarized under the respective treatments that participants received in the corresponding treatment cycle.
Percentage of Participants With Night Time Urinary Incontinence in Treatment Cycle 3Baseline (Prior to Day 1 in Study 120) and 2 consecutive days in the week prior to Week 6 in Treatment Cycle 3Urinary incontinence was defined as involuntary loss of urine. Night time urinary incontinence was recorded by the participant on the bladder diary as a presence or absence of urinary leakage upon waking, for 2 consecutive days in the week prior to the week 6 visit. Night time was defined as the time between going to bed to sleep for the night and waking up to start the day. The percentage of participants with night time urinary incontinence is presented in categories 0, 1, and 2 nights. Data are summarized under the respective treatments that participants received in the corresponding treatment cycle.
Percentage of Participants With ≥ 50%, ≥ 75%, ≥ 90%, and ≥ 100% Reduction From Baseline in the Number of Normalized Daytime Urinary Incontinence Episodes in Treatment Cycle 1Study Baseline (Prior to Day 1 in Study 120) to 2 consecutive days in the week prior to Week 6 in Treatment Cycle 1Urinary incontinence was defined as involuntary loss of urine as recorded by the participant in a bladder diary during 2 consecutive days in the week prior to the study visit (normalized to a 12 hour daytime period). Daytime is defined as the time between waking up to start the day and going to bed to sleep for the night. The number of daily incontinence episodes were averaged during the 2-day period. Data are summarized under the respective treatments that participants received in the corresponding treatment cycle.
Percentage of Participants With ≥ 50%, ≥ 75%, ≥ 90%, and ≥ 100% Reduction From Baseline in the Number of Normalized Daytime Urinary Incontinence Episodes in Treatment Cycle 2Study Baseline (Prior to Day 1 in Study 120) to 2 consecutive days in the week prior to Week 6 in Treatment Cycle 2Urinary incontinence was defined as involuntary loss of urine as recorded by the participant in a bladder diary during 2 consecutive days in the week prior to the study visit (normalized to a 12 hour daytime period). Daytime is defined as the time between waking up to start the day and going to bed to sleep for the night. The number of daily incontinence episodes were averaged during the 2-day period. Data are summarized under the respective treatments that participants received in the corresponding treatment cycle.

Countries

Belgium, Canada, Czechia, France, Italy, Poland, Turkey (Türkiye), United States

Participant flow

Recruitment details

Participants who successfully completed Study 191622-120 (NCT01852045) were enrolled in this study and were followed for up to an additional 60 weeks.

Pre-assignment details

Data from the participant's participation in this extension Study 191622-121 (121) were integrated with the corresponding participant's data from the preceding Study 191622-120 (120).

Participants by arm

ArmCount
OnabotulinumtoxinA 50 U
Following treatment with onabotulinumtoxinA (botulinum toxin Type A) 50 U (not to exceed 6 U/kg) intramuscular injection into the detrusor wall in Study 120, participants were eligible for retreatments in this study as needed with a minimum 12-week interval between doses for a maximum of 3 retreatments. Blinded dose increases (one level) were allowed based on clinical response from cycle to cycle (not to exceed 6 U/kg).
31
OnabotulinumtoxinA 100 U
Following treatment with onabotulinumtoxinA (botulinum toxin Type A) 100 U (not to exceed 6 U/kg) intramuscular injection into the detrusor wall in Study 120, participants were eligible for retreatments in this study as needed with a minimum 12-week interval between doses for a maximum of 3 retreatments. Blinded dose increases (one level) were allowed based on clinical response from cycle to cycle (not to exceed 6 U/kg).
39
OnabotulinumtoxinA 200 U
Following treatment with onabotulinumtoxinA (botulinum toxin Type A) 200 U (not to exceed 6 U/kg) intramuscular injection into the detrusor wall in Study 120, participants were eligible for retreatments in this study as needed with a minimum 12-week interval between doses for a maximum of 3 retreatments. Blinded dose increases (one level) were allowed based on clinical response from cycle to cycle (not to exceed 6 U/kg).
25
Total95

Withdrawals & dropouts

PeriodReasonFG000FG001FG002FG003FG004FG005FG006FG007FG008FG009FG010FG011
Treatment Cycle 1, Occurred in Study 120Lost to Follow-up100000000000
Treatment Cycle2:Retreatment 1,Study 121Adverse Event000010000000
Treatment Cycle2:Retreatment 1,Study 121Lack of Efficacy000011000000
Treatment Cycle2:Retreatment 1,Study 121Lost to Follow-up000010000000
Treatment Cycle2:Retreatment 1,Study 121Protocol Deviation000100000000
Treatment Cycle2:Retreatment 1,Study 121Reason not Specified000017000000
Treatment Cycle2:Retreatment 1,Study 121Withdrawal by Subject000031000000
Treatment Cycle3:Retreatment 2,Study 121Reason Not Specified000000001000
Treatment Cycle3:Retreatment 2,Study 121Withdrawal by Subject000000010000

Baseline characteristics

CharacteristicOnabotulinumtoxinA 50 UOnabotulinumtoxinA 100 UOnabotulinumtoxinA 200 UTotal
Age, Continuous11.7 years
STANDARD_DEVIATION 3.49
10.8 years
STANDARD_DEVIATION 3.36
11.7 years
STANDARD_DEVIATION 3.22
11.3 years
STANDARD_DEVIATION 3.36
Race/Ethnicity, Customized
Asian
1 Participants2 Participants0 Participants3 Participants
Race/Ethnicity, Customized
Black or African American
6 Participants3 Participants2 Participants11 Participants
Race/Ethnicity, Customized
Hispanic
1 Participants3 Participants3 Participants7 Participants
Race/Ethnicity, Customized
Other
1 Participants3 Participants2 Participants6 Participants
Race/Ethnicity, Customized
White
22 Participants28 Participants18 Participants68 Participants
Sex: Female, Male
Female
17 Participants14 Participants13 Participants44 Participants
Sex: Female, Male
Male
14 Participants25 Participants12 Participants51 Participants

Adverse events

Event typeEG000
affected / at risk
EG001
affected / at risk
EG002
affected / at risk
EG003
affected / at risk
EG004
affected / at risk
EG005
affected / at risk
EG006
affected / at risk
EG007
affected / at risk
EG008
affected / at risk
EG009
affected / at risk
EG010
affected / at risk
EG011
affected / at risk
deaths
Total, all-cause mortality
0 / 310 / 390 / 250 / 90 / 450 / 360 / 50 / 160 / 340 / 30 / 40 / 4
other
Total, other adverse events
21 / 3131 / 3916 / 257 / 932 / 4527 / 364 / 510 / 1619 / 343 / 32 / 44 / 4
serious
Total, serious adverse events
2 / 313 / 391 / 250 / 95 / 456 / 360 / 51 / 162 / 340 / 30 / 40 / 4

Outcome results

Primary

Change From Study Baseline in the Daily Normalized Daytime Average Number of Urinary Incontinence Episodes in Treatment Cycle 1

Urinary incontinence was defined as involuntary loss of urine as recorded by the participant in a bladder diary during 2 consecutive days in the week prior to the study visit (normalized to a 12 hour daytime period). Daytime is defined as the time between waking up to start the day and going to bed to sleep for the night. The number of daily daytime incontinence episodes were averaged during the 2-day period. A negative change from Baseline indicates improvement. Data are summarized under the respective treatments that participants received in the corresponding treatment cycle.

Time frame: Study Baseline (Prior to Day 1 in Study 120) to 2 consecutive days in the week prior to Week 6 in Treatment Cycle 1

Population: BOTOX-treated Population included all participants enrolled into the extension study who received at least 1 BOTOX treatment over the course of the total evaluation period, starting from their first treatment in Study 120. Number analyzed is the number of participants with evaluable data at the given timepoint.

ArmMeasureGroupValue (MEAN)Dispersion
OnabotulinumtoxinA 50 U (Treatment Cycle 1)Change From Study Baseline in the Daily Normalized Daytime Average Number of Urinary Incontinence Episodes in Treatment Cycle 1Baseline2.66 urinary incontinence episodes per dayStandard Deviation 0.876
OnabotulinumtoxinA 50 U (Treatment Cycle 1)Change From Study Baseline in the Daily Normalized Daytime Average Number of Urinary Incontinence Episodes in Treatment Cycle 1Change from Baseline to Week 6-1.19 urinary incontinence episodes per dayStandard Deviation 1.156
OnabotulinumtoxinA 100 U (Treatment Cycle 1)Change From Study Baseline in the Daily Normalized Daytime Average Number of Urinary Incontinence Episodes in Treatment Cycle 1Baseline2.97 urinary incontinence episodes per dayStandard Deviation 1.135
OnabotulinumtoxinA 100 U (Treatment Cycle 1)Change From Study Baseline in the Daily Normalized Daytime Average Number of Urinary Incontinence Episodes in Treatment Cycle 1Change from Baseline to Week 6-1.39 urinary incontinence episodes per dayStandard Deviation 1.585
OnabotulinumtoxinA 200 U (Treatment Cycle 1)Change From Study Baseline in the Daily Normalized Daytime Average Number of Urinary Incontinence Episodes in Treatment Cycle 1Baseline3.99 urinary incontinence episodes per dayStandard Deviation 5.492
OnabotulinumtoxinA 200 U (Treatment Cycle 1)Change From Study Baseline in the Daily Normalized Daytime Average Number of Urinary Incontinence Episodes in Treatment Cycle 1Change from Baseline to Week 6-2.19 urinary incontinence episodes per dayStandard Deviation 5.738
Primary

Change From Study Baseline in the Daily Normalized Daytime Average Number of Urinary Incontinence Episodes in Treatment Cycle 2

Urinary incontinence was defined as involuntary loss of urine as recorded by the participant in a bladder diary during 2 consecutive days in the week prior to the study visit (normalized to a 12 hour daytime period). Daytime is defined as the time between waking up to start the day and going to bed to sleep for the night. The number of daily daytime incontinence episodes were averaged during the 2-day period. A negative change from Baseline indicates improvement. Data are summarized under the respective treatments that participants received in the corresponding treatment cycle.

Time frame: Study Baseline (Prior to Day 1 in Study 120) to 2 consecutive days in the week prior to Week 6 in Treatment Cycle 2

Population: BOTOX-treated Population included all participants enrolled into the extension study who received at least 1 BOTOX treatment over the course of the total evaluation period, starting from their first treatment in Study 120. Number analyzed is the number of participants with evaluable data at the given time point.

ArmMeasureGroupValue (MEAN)Dispersion
OnabotulinumtoxinA 50 U (Treatment Cycle 1)Change From Study Baseline in the Daily Normalized Daytime Average Number of Urinary Incontinence Episodes in Treatment Cycle 2Baseline2.57 urinary incontinence episodes per dayStandard Deviation 0.937
OnabotulinumtoxinA 50 U (Treatment Cycle 1)Change From Study Baseline in the Daily Normalized Daytime Average Number of Urinary Incontinence Episodes in Treatment Cycle 2Change from Baseline to Week 6-1.07 urinary incontinence episodes per dayStandard Deviation 2.092
OnabotulinumtoxinA 100 U (Treatment Cycle 1)Change From Study Baseline in the Daily Normalized Daytime Average Number of Urinary Incontinence Episodes in Treatment Cycle 2Baseline2.80 urinary incontinence episodes per dayStandard Deviation 0.915
OnabotulinumtoxinA 100 U (Treatment Cycle 1)Change From Study Baseline in the Daily Normalized Daytime Average Number of Urinary Incontinence Episodes in Treatment Cycle 2Change from Baseline to Week 6-1.70 urinary incontinence episodes per dayStandard Deviation 1.331
OnabotulinumtoxinA 200 U (Treatment Cycle 1)Change From Study Baseline in the Daily Normalized Daytime Average Number of Urinary Incontinence Episodes in Treatment Cycle 2Baseline3.83 urinary incontinence episodes per dayStandard Deviation 4.623
OnabotulinumtoxinA 200 U (Treatment Cycle 1)Change From Study Baseline in the Daily Normalized Daytime Average Number of Urinary Incontinence Episodes in Treatment Cycle 2Change from Baseline to Week 6-1.64 urinary incontinence episodes per dayStandard Deviation 1.906
Primary

Change From Study Baseline in the Daily Normalized Daytime Average Number of Urinary Incontinence Episodes in Treatment Cycle 3

Urinary incontinence was defined as involuntary loss of urine as recorded by the participant in a bladder diary during 2 consecutive days in the week prior to the study visit (normalized to a 12 hour daytime period). Daytime is defined as the time between waking up to start the day and going to bed to sleep for the night. The number of daily daytime incontinence episodes were averaged during the 2-day period. A negative change from Baseline indicates improvement. Data are summarized under the respective treatments that participants received in the corresponding treatment cycle.

Time frame: Study Baseline (Prior to Day 1 in Study 120) to 2 consecutive days in the week prior to Week 6 in Treatment Cycle 3

Population: BOTOX-treated Population included all participants enrolled into the extension study who received at least 1 BOTOX treatment over the course of the total evaluation period, starting from their first treatment in Study 120. Number analyzed is the number of participants with evaluable data at the given time point.

ArmMeasureGroupValue (MEAN)Dispersion
OnabotulinumtoxinA 50 U (Treatment Cycle 1)Change From Study Baseline in the Daily Normalized Daytime Average Number of Urinary Incontinence Episodes in Treatment Cycle 3Baseline2.48 urinary incontinence episodes per dayStandard Deviation 0.228
OnabotulinumtoxinA 50 U (Treatment Cycle 1)Change From Study Baseline in the Daily Normalized Daytime Average Number of Urinary Incontinence Episodes in Treatment Cycle 3Change from Baseline to Week 6-1.92 urinary incontinence episodes per dayStandard Deviation 0.858
OnabotulinumtoxinA 100 U (Treatment Cycle 1)Change From Study Baseline in the Daily Normalized Daytime Average Number of Urinary Incontinence Episodes in Treatment Cycle 3Baseline2.94 urinary incontinence episodes per dayStandard Deviation 0.923
OnabotulinumtoxinA 100 U (Treatment Cycle 1)Change From Study Baseline in the Daily Normalized Daytime Average Number of Urinary Incontinence Episodes in Treatment Cycle 3Change from Baseline to Week 6-1.73 urinary incontinence episodes per dayStandard Deviation 1.057
OnabotulinumtoxinA 200 U (Treatment Cycle 1)Change From Study Baseline in the Daily Normalized Daytime Average Number of Urinary Incontinence Episodes in Treatment Cycle 3Baseline3.80 urinary incontinence episodes per dayStandard Deviation 4.678
OnabotulinumtoxinA 200 U (Treatment Cycle 1)Change From Study Baseline in the Daily Normalized Daytime Average Number of Urinary Incontinence Episodes in Treatment Cycle 3Change from Baseline to Week 6-2.74 urinary incontinence episodes per dayStandard Deviation 4.833
Secondary

Average Time to Participant's Qualification for Retreatment

The criteria for qualification of retreatment included 1) Participant/parent/caregiver requests retreatment; 2) Participant has a total of at least 2 daytime urinary incontinence episodes over the 2-day bladder diary collection period; 3) At least 12 weeks has elapsed since treatment 1 and 4) Participant has not experienced a serious treatment-related adverse event at any time. Data are summarized under the respective treatments that participants received across entire study. Data is reported for only participants that had at least one request for retreatment while on a specified BOTOX dose.

Time frame: First injection on Day 1 in Study 120 through to the date of completion of Study 121 (Up to 108 weeks)

Population: BOTOX-treated Population included all participants enrolled into extension study who received \>=1 BOTOX treatment over course of total evaluation period, starting from their first treatment in Study 120. Overall number of participants analyzed is the number of participants with data available for analyses.

ArmMeasureValue (MEDIAN)
OnabotulinumtoxinA 50 U (Treatment Cycle 1)Average Time to Participant's Qualification for Retreatment25.38 weeks
OnabotulinumtoxinA 100 U (Treatment Cycle 1)Average Time to Participant's Qualification for Retreatment25.43 weeks
OnabotulinumtoxinA 200 U (Treatment Cycle 1)Average Time to Participant's Qualification for Retreatment26.29 weeks
Secondary

Average Time to Participant's Request for Retreatment

Time to request for re-treatment is the time in weeks between last injection and request for next injection, regardless of fulfillment of the re-treatment criteria. Data are summarized under the respective treatments that participants received across entire study. Data is reported for only participants that had at least one request for retreatment while on a specified BOTOX dose.

Time frame: First injection on Day 1 in Study 120 through to the date of completion of Study 121 (Up to 108 weeks)

Population: BOTOX-treated Population included all participants enrolled into extension study who received \>=1 BOTOX treatment over course of total evaluation period, starting from their first treatment in Study 120. Overall number of participants analyzed is the number of participants with data available for analyses.

ArmMeasureValue (MEDIAN)
OnabotulinumtoxinA 50 U (Treatment Cycle 1)Average Time to Participant's Request for Retreatment24.55 weeks
OnabotulinumtoxinA 100 U (Treatment Cycle 1)Average Time to Participant's Request for Retreatment24.64 weeks
OnabotulinumtoxinA 200 U (Treatment Cycle 1)Average Time to Participant's Request for Retreatment25.43 weeks
Secondary

Change From Baseline in Average Urine Volume at First Morning Catheterization in Treatment Cycle 1

The change in urine volume at first morning catherization was recorded by the participant in a bladder diary in the 2 consecutive days during the week prior to the study visit. The daily values were averaged during the 2-day period. A positive change from Baseline indicates improvement. Data are summarized under the respective treatments that participants received in the corresponding treatment cycle.

Time frame: Baseline (Prior to Day 1 in Study 120) to 2 consecutive days in the week prior to Week 6 in Treatment Cycle 1

Population: BOTOX-treated Population included all participants enrolled into extension study who received \>=1 BOTOX treatment over course of total evaluation period, starting from their first treatment in Study 120. Overall number of participants analyzed is the number of participants with data available for analyses.

ArmMeasureValue (MEAN)Dispersion
OnabotulinumtoxinA 50 U (Treatment Cycle 1)Change From Baseline in Average Urine Volume at First Morning Catheterization in Treatment Cycle 114.68 mLStandard Deviation 88.146
OnabotulinumtoxinA 100 U (Treatment Cycle 1)Change From Baseline in Average Urine Volume at First Morning Catheterization in Treatment Cycle 139.88 mLStandard Deviation 72.787
OnabotulinumtoxinA 200 U (Treatment Cycle 1)Change From Baseline in Average Urine Volume at First Morning Catheterization in Treatment Cycle 196.90 mLStandard Deviation 120.429
Secondary

Change From Baseline in Average Urine Volume at First Morning Catheterization in Treatment Cycle 2

The change in urine volume at first morning catherization was recorded by the participant in a bladder diary in the 2 consecutive days during the week prior to the study visit. The daily values were averaged during the 2-day period. A positive change from Baseline indicates improvement. Data are summarized under the respective treatments that participants received in the corresponding treatment cycle.

Time frame: Baseline (Prior to Day 1 in Study 120) to 2 consecutive days in the week prior to Week 6 in Treatment Cycle 2

Population: BOTOX-treated Population included all participants enrolled into extension study who received \>=1 BOTOX treatment over course of total evaluation period, starting from their first treatment in Study 120. Overall number of participants analyzed is the number of participants with data available for analyses.

ArmMeasureValue (MEAN)Dispersion
OnabotulinumtoxinA 50 U (Treatment Cycle 1)Change From Baseline in Average Urine Volume at First Morning Catheterization in Treatment Cycle 27.92 mLStandard Deviation 148.597
OnabotulinumtoxinA 100 U (Treatment Cycle 1)Change From Baseline in Average Urine Volume at First Morning Catheterization in Treatment Cycle 279.53 mLStandard Deviation 106.794
OnabotulinumtoxinA 200 U (Treatment Cycle 1)Change From Baseline in Average Urine Volume at First Morning Catheterization in Treatment Cycle 235.34 mLStandard Deviation 98.209
Secondary

Change From Baseline in Average Urine Volume at First Morning Catheterization in Treatment Cycle 3

The change in urine volume at first morning catherization was recorded by the participant in a bladder diary in the 2 consecutive days during the week prior to the study visit. The daily values were averaged during the 2-day period. A positive change from Baseline indicates improvement. Data are summarized under the respective treatments that participants received in the corresponding treatment cycle.

Time frame: Baseline (Prior to Day 1 in Study 120) to 2 consecutive days in the week prior to Week 6 in Treatment Cycle 3

Population: BOTOX-treated Population included all participants enrolled into extension study who received \>=1 BOTOX treatment over course of total evaluation period, starting from their first treatment in Study 120. Overall number of participants analyzed is the number of participants with data available for analyses.

ArmMeasureValue (MEAN)Dispersion
OnabotulinumtoxinA 50 U (Treatment Cycle 1)Change From Baseline in Average Urine Volume at First Morning Catheterization in Treatment Cycle 358.50 mLStandard Deviation 22.749
OnabotulinumtoxinA 100 U (Treatment Cycle 1)Change From Baseline in Average Urine Volume at First Morning Catheterization in Treatment Cycle 357.86 mLStandard Deviation 74.762
OnabotulinumtoxinA 200 U (Treatment Cycle 1)Change From Baseline in Average Urine Volume at First Morning Catheterization in Treatment Cycle 392.39 mLStandard Deviation 147.322
Secondary

Number of Participants With Treatment Emergent Adverse Events (TEAEs) and Serious Treatment Emergent Adverse Events (STEAEs)

An adverse event is any untoward medical occurrence in a patient or clinical investigation participant administered a pharmaceutical product and which does not necessarily have a causal relationship with this treatment. An adverse event can therefore be any unfavorable and unintended sign (including an abnormal laboratory finding), symptom, or disease temporally associated with use of a medicinal (investigational) product, whether or not related to medicinal (investigational) product. A serious adverse event (SAE) is any AE that resulted in death, inpatient hospitalization or prolongation of existing hospitalization, persistent or significant disability or incapacity, life threatening, a congenital anomaly/birth defect, or an important medical event. A TEAE or STEAE is defined as any new AE or worsening of an existing condition after initiation of treatment. Data are summarized under the respective treatments that participants received in the corresponding treatment cycles.

Time frame: First injection on Day 1 in Study 120 through completion of Study 121 (Up to 108 weeks)

Population: BOTOX-treated Population included all participants enrolled into the extension study who received at least 1 BOTOX treatment over the course of the total evaluation period, starting from their first treatment in Study 120.

ArmMeasureGroupValue (COUNT_OF_PARTICIPANTS)
OnabotulinumtoxinA 50 U (Treatment Cycle 1)Number of Participants With Treatment Emergent Adverse Events (TEAEs) and Serious Treatment Emergent Adverse Events (STEAEs)TEAEs23 Participants
OnabotulinumtoxinA 50 U (Treatment Cycle 1)Number of Participants With Treatment Emergent Adverse Events (TEAEs) and Serious Treatment Emergent Adverse Events (STEAEs)STEAEs2 Participants
OnabotulinumtoxinA 100 U (Treatment Cycle 1)Number of Participants With Treatment Emergent Adverse Events (TEAEs) and Serious Treatment Emergent Adverse Events (STEAEs)TEAEs31 Participants
OnabotulinumtoxinA 100 U (Treatment Cycle 1)Number of Participants With Treatment Emergent Adverse Events (TEAEs) and Serious Treatment Emergent Adverse Events (STEAEs)STEAEs3 Participants
OnabotulinumtoxinA 200 U (Treatment Cycle 1)Number of Participants With Treatment Emergent Adverse Events (TEAEs) and Serious Treatment Emergent Adverse Events (STEAEs)TEAEs19 Participants
OnabotulinumtoxinA 200 U (Treatment Cycle 1)Number of Participants With Treatment Emergent Adverse Events (TEAEs) and Serious Treatment Emergent Adverse Events (STEAEs)STEAEs1 Participants
OnabotulinumtoxinA 50 U (Treatment Cycle 2)Number of Participants With Treatment Emergent Adverse Events (TEAEs) and Serious Treatment Emergent Adverse Events (STEAEs)TEAEs7 Participants
OnabotulinumtoxinA 50 U (Treatment Cycle 2)Number of Participants With Treatment Emergent Adverse Events (TEAEs) and Serious Treatment Emergent Adverse Events (STEAEs)STEAEs0 Participants
OnabotulinumtoxinA 100 U (Treatment Cycle 2)Number of Participants With Treatment Emergent Adverse Events (TEAEs) and Serious Treatment Emergent Adverse Events (STEAEs)STEAEs5 Participants
OnabotulinumtoxinA 100 U (Treatment Cycle 2)Number of Participants With Treatment Emergent Adverse Events (TEAEs) and Serious Treatment Emergent Adverse Events (STEAEs)TEAEs34 Participants
OnabotulinumtoxinA 200 U (Treatment Cycle 2)Number of Participants With Treatment Emergent Adverse Events (TEAEs) and Serious Treatment Emergent Adverse Events (STEAEs)TEAEs31 Participants
OnabotulinumtoxinA 200 U (Treatment Cycle 2)Number of Participants With Treatment Emergent Adverse Events (TEAEs) and Serious Treatment Emergent Adverse Events (STEAEs)STEAEs6 Participants
OnabotulinumtoxinA 50 U (Treatment Cycle 3)Number of Participants With Treatment Emergent Adverse Events (TEAEs) and Serious Treatment Emergent Adverse Events (STEAEs)STEAEs0 Participants
OnabotulinumtoxinA 50 U (Treatment Cycle 3)Number of Participants With Treatment Emergent Adverse Events (TEAEs) and Serious Treatment Emergent Adverse Events (STEAEs)TEAEs4 Participants
OnabotulinumtoxinA 100 U (Treatment Cycle 3)Number of Participants With Treatment Emergent Adverse Events (TEAEs) and Serious Treatment Emergent Adverse Events (STEAEs)TEAEs10 Participants
OnabotulinumtoxinA 100 U (Treatment Cycle 3)Number of Participants With Treatment Emergent Adverse Events (TEAEs) and Serious Treatment Emergent Adverse Events (STEAEs)STEAEs1 Participants
OnabotulinumtoxinA 200 U (Treatment Cycle 3)Number of Participants With Treatment Emergent Adverse Events (TEAEs) and Serious Treatment Emergent Adverse Events (STEAEs)TEAEs21 Participants
OnabotulinumtoxinA 200 U (Treatment Cycle 3)Number of Participants With Treatment Emergent Adverse Events (TEAEs) and Serious Treatment Emergent Adverse Events (STEAEs)STEAEs2 Participants
OnabotulinumtoxinA 50 U (Treatment Cycle 4)Number of Participants With Treatment Emergent Adverse Events (TEAEs) and Serious Treatment Emergent Adverse Events (STEAEs)TEAEs3 Participants
OnabotulinumtoxinA 50 U (Treatment Cycle 4)Number of Participants With Treatment Emergent Adverse Events (TEAEs) and Serious Treatment Emergent Adverse Events (STEAEs)STEAEs0 Participants
OnabotulinumtoxinA 100 U (Treatment Cycle 4)Number of Participants With Treatment Emergent Adverse Events (TEAEs) and Serious Treatment Emergent Adverse Events (STEAEs)STEAEs0 Participants
OnabotulinumtoxinA 100 U (Treatment Cycle 4)Number of Participants With Treatment Emergent Adverse Events (TEAEs) and Serious Treatment Emergent Adverse Events (STEAEs)TEAEs2 Participants
OnabotulinumtoxinA 200 U (Treatment Cycle 4)Number of Participants With Treatment Emergent Adverse Events (TEAEs) and Serious Treatment Emergent Adverse Events (STEAEs)STEAEs0 Participants
OnabotulinumtoxinA 200 U (Treatment Cycle 4)Number of Participants With Treatment Emergent Adverse Events (TEAEs) and Serious Treatment Emergent Adverse Events (STEAEs)TEAEs4 Participants
Secondary

Percentage of Participants With ≥ 50%, ≥ 75%, ≥ 90%, and ≥ 100% Reduction From Baseline in the Number of Normalized Daytime Urinary Incontinence Episodes in Treatment Cycle 1

Urinary incontinence was defined as involuntary loss of urine as recorded by the participant in a bladder diary during 2 consecutive days in the week prior to the study visit (normalized to a 12 hour daytime period). Daytime is defined as the time between waking up to start the day and going to bed to sleep for the night. The number of daily incontinence episodes were averaged during the 2-day period. Data are summarized under the respective treatments that participants received in the corresponding treatment cycle.

Time frame: Study Baseline (Prior to Day 1 in Study 120) to 2 consecutive days in the week prior to Week 6 in Treatment Cycle 1

Population: BOTOX-treated Population included all participants enrolled into extension study who received at least 1 BOTOX treatment over the course of total evaluation period, starting from their first treatment in Study 120. Number analyzed is the number of participants with evaluable data for the specific category.

ArmMeasureGroupValue (NUMBER)
OnabotulinumtoxinA 50 U (Treatment Cycle 1)Percentage of Participants With ≥ 50%, ≥ 75%, ≥ 90%, and ≥ 100% Reduction From Baseline in the Number of Normalized Daytime Urinary Incontinence Episodes in Treatment Cycle 1≥50% Reduction from Baseline to Week 653.3 percentage of participants
OnabotulinumtoxinA 50 U (Treatment Cycle 1)Percentage of Participants With ≥ 50%, ≥ 75%, ≥ 90%, and ≥ 100% Reduction From Baseline in the Number of Normalized Daytime Urinary Incontinence Episodes in Treatment Cycle 1≥75% Reduction from Baseline to Week 630.0 percentage of participants
OnabotulinumtoxinA 50 U (Treatment Cycle 1)Percentage of Participants With ≥ 50%, ≥ 75%, ≥ 90%, and ≥ 100% Reduction From Baseline in the Number of Normalized Daytime Urinary Incontinence Episodes in Treatment Cycle 1≥90% Reduction from Baseline to Week 626.7 percentage of participants
OnabotulinumtoxinA 50 U (Treatment Cycle 1)Percentage of Participants With ≥ 50%, ≥ 75%, ≥ 90%, and ≥ 100% Reduction From Baseline in the Number of Normalized Daytime Urinary Incontinence Episodes in Treatment Cycle 1≥100% Reduction from Baseline to Week 626.7 percentage of participants
OnabotulinumtoxinA 100 U (Treatment Cycle 1)Percentage of Participants With ≥ 50%, ≥ 75%, ≥ 90%, and ≥ 100% Reduction From Baseline in the Number of Normalized Daytime Urinary Incontinence Episodes in Treatment Cycle 1≥100% Reduction from Baseline to Week 627.8 percentage of participants
OnabotulinumtoxinA 100 U (Treatment Cycle 1)Percentage of Participants With ≥ 50%, ≥ 75%, ≥ 90%, and ≥ 100% Reduction From Baseline in the Number of Normalized Daytime Urinary Incontinence Episodes in Treatment Cycle 1≥50% Reduction from Baseline to Week 655.6 percentage of participants
OnabotulinumtoxinA 100 U (Treatment Cycle 1)Percentage of Participants With ≥ 50%, ≥ 75%, ≥ 90%, and ≥ 100% Reduction From Baseline in the Number of Normalized Daytime Urinary Incontinence Episodes in Treatment Cycle 1≥90% Reduction from Baseline to Week 630.6 percentage of participants
OnabotulinumtoxinA 100 U (Treatment Cycle 1)Percentage of Participants With ≥ 50%, ≥ 75%, ≥ 90%, and ≥ 100% Reduction From Baseline in the Number of Normalized Daytime Urinary Incontinence Episodes in Treatment Cycle 1≥75% Reduction from Baseline to Week 641.7 percentage of participants
OnabotulinumtoxinA 200 U (Treatment Cycle 1)Percentage of Participants With ≥ 50%, ≥ 75%, ≥ 90%, and ≥ 100% Reduction From Baseline in the Number of Normalized Daytime Urinary Incontinence Episodes in Treatment Cycle 1≥100% Reduction from Baseline to Week 626.1 percentage of participants
OnabotulinumtoxinA 200 U (Treatment Cycle 1)Percentage of Participants With ≥ 50%, ≥ 75%, ≥ 90%, and ≥ 100% Reduction From Baseline in the Number of Normalized Daytime Urinary Incontinence Episodes in Treatment Cycle 1≥75% Reduction from Baseline to Week 639.1 percentage of participants
OnabotulinumtoxinA 200 U (Treatment Cycle 1)Percentage of Participants With ≥ 50%, ≥ 75%, ≥ 90%, and ≥ 100% Reduction From Baseline in the Number of Normalized Daytime Urinary Incontinence Episodes in Treatment Cycle 1≥90% Reduction from Baseline to Week 630.4 percentage of participants
OnabotulinumtoxinA 200 U (Treatment Cycle 1)Percentage of Participants With ≥ 50%, ≥ 75%, ≥ 90%, and ≥ 100% Reduction From Baseline in the Number of Normalized Daytime Urinary Incontinence Episodes in Treatment Cycle 1≥50% Reduction from Baseline to Week 652.2 percentage of participants
Secondary

Percentage of Participants With ≥ 50%, ≥ 75%, ≥ 90%, and ≥ 100% Reduction From Baseline in the Number of Normalized Daytime Urinary Incontinence Episodes in Treatment Cycle 2

Urinary incontinence was defined as involuntary loss of urine as recorded by the participant in a bladder diary during 2 consecutive days in the week prior to the study visit (normalized to a 12 hour daytime period). Daytime is defined as the time between waking up to start the day and going to bed to sleep for the night. The number of daily incontinence episodes were averaged during the 2-day period. Data are summarized under the respective treatments that participants received in the corresponding treatment cycle.

Time frame: Study Baseline (Prior to Day 1 in Study 120) to 2 consecutive days in the week prior to Week 6 in Treatment Cycle 2

Population: BOTOX-treated Population included all participants enrolled into extension study who received at least 1 BOTOX treatment over the course of total evaluation period, starting from their first treatment in Study 120. Number analyzed is the number of participants with evaluable data for the specific category.

ArmMeasureGroupValue (NUMBER)
OnabotulinumtoxinA 50 U (Treatment Cycle 1)Percentage of Participants With ≥ 50%, ≥ 75%, ≥ 90%, and ≥ 100% Reduction From Baseline in the Number of Normalized Daytime Urinary Incontinence Episodes in Treatment Cycle 2≥50% Reduction from Baseline to Week 666.7 percentage of participants
OnabotulinumtoxinA 50 U (Treatment Cycle 1)Percentage of Participants With ≥ 50%, ≥ 75%, ≥ 90%, and ≥ 100% Reduction From Baseline in the Number of Normalized Daytime Urinary Incontinence Episodes in Treatment Cycle 2≥75% Reduction from Baseline to Week 650.0 percentage of participants
OnabotulinumtoxinA 50 U (Treatment Cycle 1)Percentage of Participants With ≥ 50%, ≥ 75%, ≥ 90%, and ≥ 100% Reduction From Baseline in the Number of Normalized Daytime Urinary Incontinence Episodes in Treatment Cycle 2≥90% Reduction from Baseline to Week 650.0 percentage of participants
OnabotulinumtoxinA 50 U (Treatment Cycle 1)Percentage of Participants With ≥ 50%, ≥ 75%, ≥ 90%, and ≥ 100% Reduction From Baseline in the Number of Normalized Daytime Urinary Incontinence Episodes in Treatment Cycle 2≥100% Reduction from Baseline to Week 650.0 percentage of participants
OnabotulinumtoxinA 100 U (Treatment Cycle 1)Percentage of Participants With ≥ 50%, ≥ 75%, ≥ 90%, and ≥ 100% Reduction From Baseline in the Number of Normalized Daytime Urinary Incontinence Episodes in Treatment Cycle 2≥100% Reduction from Baseline to Week 625.0 percentage of participants
OnabotulinumtoxinA 100 U (Treatment Cycle 1)Percentage of Participants With ≥ 50%, ≥ 75%, ≥ 90%, and ≥ 100% Reduction From Baseline in the Number of Normalized Daytime Urinary Incontinence Episodes in Treatment Cycle 2≥50% Reduction from Baseline to Week 665.9 percentage of participants
OnabotulinumtoxinA 100 U (Treatment Cycle 1)Percentage of Participants With ≥ 50%, ≥ 75%, ≥ 90%, and ≥ 100% Reduction From Baseline in the Number of Normalized Daytime Urinary Incontinence Episodes in Treatment Cycle 2≥90% Reduction from Baseline to Week 627.3 percentage of participants
OnabotulinumtoxinA 100 U (Treatment Cycle 1)Percentage of Participants With ≥ 50%, ≥ 75%, ≥ 90%, and ≥ 100% Reduction From Baseline in the Number of Normalized Daytime Urinary Incontinence Episodes in Treatment Cycle 2≥75% Reduction from Baseline to Week 643.2 percentage of participants
OnabotulinumtoxinA 200 U (Treatment Cycle 1)Percentage of Participants With ≥ 50%, ≥ 75%, ≥ 90%, and ≥ 100% Reduction From Baseline in the Number of Normalized Daytime Urinary Incontinence Episodes in Treatment Cycle 2≥100% Reduction from Baseline to Week 638.2 percentage of participants
OnabotulinumtoxinA 200 U (Treatment Cycle 1)Percentage of Participants With ≥ 50%, ≥ 75%, ≥ 90%, and ≥ 100% Reduction From Baseline in the Number of Normalized Daytime Urinary Incontinence Episodes in Treatment Cycle 2≥75% Reduction from Baseline to Week 647.1 percentage of participants
OnabotulinumtoxinA 200 U (Treatment Cycle 1)Percentage of Participants With ≥ 50%, ≥ 75%, ≥ 90%, and ≥ 100% Reduction From Baseline in the Number of Normalized Daytime Urinary Incontinence Episodes in Treatment Cycle 2≥90% Reduction from Baseline to Week 641.2 percentage of participants
OnabotulinumtoxinA 200 U (Treatment Cycle 1)Percentage of Participants With ≥ 50%, ≥ 75%, ≥ 90%, and ≥ 100% Reduction From Baseline in the Number of Normalized Daytime Urinary Incontinence Episodes in Treatment Cycle 2≥50% Reduction from Baseline to Week 658.8 percentage of participants
Secondary

Percentage of Participants With ≥ 50%, ≥ 75%, ≥ 90%, and ≥ 100% Reduction From Baseline in the Number of Normalized Daytime Urinary Incontinence Episodes in Treatment Cycle 3

Urinary incontinence was defined as involuntary loss of urine as recorded by the participant in a bladder diary during 2 consecutive days in the week prior to the study visit (normalized to a 12 hour daytime period). Daytime is defined as the time between waking up to start the day and going to bed to sleep for the night. The number of daily incontinence episodes were averaged during the 2-day period. Data are summarized under the respective treatments that participants received in the corresponding treatment cycle.

Time frame: Study Baseline (Prior to Day 1 in Study 120) to 2 consecutive days in the week prior to Week 6 in Treatment Cycle 3

Population: BOTOX-treated Population included all participants enrolled into extension study who received at least 1 BOTOX treatment over the course of total evaluation period, starting from their first treatment in Study 120. Number analyzed is the number of participants with evaluable data for the specific category.

ArmMeasureGroupValue (NUMBER)
OnabotulinumtoxinA 50 U (Treatment Cycle 1)Percentage of Participants With ≥ 50%, ≥ 75%, ≥ 90%, and ≥ 100% Reduction From Baseline in the Number of Normalized Daytime Urinary Incontinence Episodes in Treatment Cycle 3≥50% Reduction from Baseline at Week 660.0 percentage of participants
OnabotulinumtoxinA 50 U (Treatment Cycle 1)Percentage of Participants With ≥ 50%, ≥ 75%, ≥ 90%, and ≥ 100% Reduction From Baseline in the Number of Normalized Daytime Urinary Incontinence Episodes in Treatment Cycle 3≥75% Reduction from Baseline at Week 660.0 percentage of participants
OnabotulinumtoxinA 50 U (Treatment Cycle 1)Percentage of Participants With ≥ 50%, ≥ 75%, ≥ 90%, and ≥ 100% Reduction From Baseline in the Number of Normalized Daytime Urinary Incontinence Episodes in Treatment Cycle 3≥90% Reduction from Baseline at Week 660.0 percentage of participants
OnabotulinumtoxinA 50 U (Treatment Cycle 1)Percentage of Participants With ≥ 50%, ≥ 75%, ≥ 90%, and ≥ 100% Reduction From Baseline in the Number of Normalized Daytime Urinary Incontinence Episodes in Treatment Cycle 3≥100% Reduction from Baseline at Week 660.0 percentage of participants
OnabotulinumtoxinA 100 U (Treatment Cycle 1)Percentage of Participants With ≥ 50%, ≥ 75%, ≥ 90%, and ≥ 100% Reduction From Baseline in the Number of Normalized Daytime Urinary Incontinence Episodes in Treatment Cycle 3≥100% Reduction from Baseline at Week 618.8 percentage of participants
OnabotulinumtoxinA 100 U (Treatment Cycle 1)Percentage of Participants With ≥ 50%, ≥ 75%, ≥ 90%, and ≥ 100% Reduction From Baseline in the Number of Normalized Daytime Urinary Incontinence Episodes in Treatment Cycle 3≥50% Reduction from Baseline at Week 675.0 percentage of participants
OnabotulinumtoxinA 100 U (Treatment Cycle 1)Percentage of Participants With ≥ 50%, ≥ 75%, ≥ 90%, and ≥ 100% Reduction From Baseline in the Number of Normalized Daytime Urinary Incontinence Episodes in Treatment Cycle 3≥90% Reduction from Baseline at Week 618.8 percentage of participants
OnabotulinumtoxinA 100 U (Treatment Cycle 1)Percentage of Participants With ≥ 50%, ≥ 75%, ≥ 90%, and ≥ 100% Reduction From Baseline in the Number of Normalized Daytime Urinary Incontinence Episodes in Treatment Cycle 3≥75% Reduction from Baseline at Week 637.5 percentage of participants
OnabotulinumtoxinA 200 U (Treatment Cycle 1)Percentage of Participants With ≥ 50%, ≥ 75%, ≥ 90%, and ≥ 100% Reduction From Baseline in the Number of Normalized Daytime Urinary Incontinence Episodes in Treatment Cycle 3≥100% Reduction from Baseline at Week 630.3 percentage of participants
OnabotulinumtoxinA 200 U (Treatment Cycle 1)Percentage of Participants With ≥ 50%, ≥ 75%, ≥ 90%, and ≥ 100% Reduction From Baseline in the Number of Normalized Daytime Urinary Incontinence Episodes in Treatment Cycle 3≥75% Reduction from Baseline at Week 639.4 percentage of participants
OnabotulinumtoxinA 200 U (Treatment Cycle 1)Percentage of Participants With ≥ 50%, ≥ 75%, ≥ 90%, and ≥ 100% Reduction From Baseline in the Number of Normalized Daytime Urinary Incontinence Episodes in Treatment Cycle 3≥90% Reduction from Baseline at Week 633.3 percentage of participants
OnabotulinumtoxinA 200 U (Treatment Cycle 1)Percentage of Participants With ≥ 50%, ≥ 75%, ≥ 90%, and ≥ 100% Reduction From Baseline in the Number of Normalized Daytime Urinary Incontinence Episodes in Treatment Cycle 3≥50% Reduction from Baseline at Week 669.7 percentage of participants
Secondary

Percentage of Participants With Night Time Urinary Incontinence in Treatment Cycle 1

Urinary incontinence was defined as involuntary loss of urine. Night time urinary incontinence was recorded by the participant on the bladder diary as a presence or absence of urinary leakage upon waking, for 2 consecutive days in the week prior to the week 6 visit. Night time was defined as the time between going to bed to sleep for the night and waking up to start the day. The percentage of participants with night time urinary incontinence is presented in categories 0, 1, and 2 nights. Data are summarized under the respective treatments that participants received in the corresponding treatment cycle.

Time frame: Baseline (Prior to Day 1 in Study 120) and 2 consecutive days in the week prior to Week 6 in Treatment Cycle 1

Population: BOTOX-treated Population included all participants enrolled into extension study who received \>= 1 BOTOX treatment over course of total evaluation period, starting from their first treatment in Study 120. Number analyzed is the number of participants with data available for analyses at the given time point.

ArmMeasureGroupValue (NUMBER)
OnabotulinumtoxinA 50 U (Treatment Cycle 1)Percentage of Participants With Night Time Urinary Incontinence in Treatment Cycle 10 Nights of Incontinence at Baseline0.0 percentage of participants
OnabotulinumtoxinA 50 U (Treatment Cycle 1)Percentage of Participants With Night Time Urinary Incontinence in Treatment Cycle 10 Nights of Incontinence at Week 630.0 percentage of participants
OnabotulinumtoxinA 50 U (Treatment Cycle 1)Percentage of Participants With Night Time Urinary Incontinence in Treatment Cycle 11 Night of Incontinence at Baseline12.9 percentage of participants
OnabotulinumtoxinA 50 U (Treatment Cycle 1)Percentage of Participants With Night Time Urinary Incontinence in Treatment Cycle 11 Night of Incontinence at Week 620.0 percentage of participants
OnabotulinumtoxinA 50 U (Treatment Cycle 1)Percentage of Participants With Night Time Urinary Incontinence in Treatment Cycle 12 Nights of Incontinence at Baseline87.1 percentage of participants
OnabotulinumtoxinA 50 U (Treatment Cycle 1)Percentage of Participants With Night Time Urinary Incontinence in Treatment Cycle 12 Nights of Incontinence at Week 650.0 percentage of participants
OnabotulinumtoxinA 100 U (Treatment Cycle 1)Percentage of Participants With Night Time Urinary Incontinence in Treatment Cycle 12 Nights of Incontinence at Week 645.9 percentage of participants
OnabotulinumtoxinA 100 U (Treatment Cycle 1)Percentage of Participants With Night Time Urinary Incontinence in Treatment Cycle 10 Nights of Incontinence at Baseline15.4 percentage of participants
OnabotulinumtoxinA 100 U (Treatment Cycle 1)Percentage of Participants With Night Time Urinary Incontinence in Treatment Cycle 11 Night of Incontinence at Week 616.2 percentage of participants
OnabotulinumtoxinA 100 U (Treatment Cycle 1)Percentage of Participants With Night Time Urinary Incontinence in Treatment Cycle 12 Nights of Incontinence at Baseline82.1 percentage of participants
OnabotulinumtoxinA 100 U (Treatment Cycle 1)Percentage of Participants With Night Time Urinary Incontinence in Treatment Cycle 10 Nights of Incontinence at Week 637.8 percentage of participants
OnabotulinumtoxinA 100 U (Treatment Cycle 1)Percentage of Participants With Night Time Urinary Incontinence in Treatment Cycle 11 Night of Incontinence at Baseline2.6 percentage of participants
OnabotulinumtoxinA 200 U (Treatment Cycle 1)Percentage of Participants With Night Time Urinary Incontinence in Treatment Cycle 10 Nights of Incontinence at Week 625.0 percentage of participants
OnabotulinumtoxinA 200 U (Treatment Cycle 1)Percentage of Participants With Night Time Urinary Incontinence in Treatment Cycle 11 Night of Incontinence at Baseline17.4 percentage of participants
OnabotulinumtoxinA 200 U (Treatment Cycle 1)Percentage of Participants With Night Time Urinary Incontinence in Treatment Cycle 12 Nights of Incontinence at Week 645.8 percentage of participants
OnabotulinumtoxinA 200 U (Treatment Cycle 1)Percentage of Participants With Night Time Urinary Incontinence in Treatment Cycle 11 Night of Incontinence at Week 629.2 percentage of participants
OnabotulinumtoxinA 200 U (Treatment Cycle 1)Percentage of Participants With Night Time Urinary Incontinence in Treatment Cycle 10 Nights of Incontinence at Baseline4.3 percentage of participants
OnabotulinumtoxinA 200 U (Treatment Cycle 1)Percentage of Participants With Night Time Urinary Incontinence in Treatment Cycle 12 Nights of Incontinence at Baseline78.3 percentage of participants
Secondary

Percentage of Participants With Night Time Urinary Incontinence in Treatment Cycle 2

Urinary incontinence was defined as involuntary loss of urine. Night time urinary incontinence was recorded by the participant on the bladder diary as a presence or absence of urinary leakage upon waking, for 2 consecutive days in the week prior to the week 6 visit. Night time was defined as the time between going to bed to sleep for the night and waking up to start the day. The percentage of participants with night time urinary incontinence is presented in categories 0, 1, and 2 nights. Data are summarized under the respective treatments that participants received in the corresponding treatment cycle.

Time frame: Baseline (Prior to Day 1 in Study 120) and 2 consecutive days in the week prior to Week 6 in Treatment Cycle 2

Population: BOTOX-treated Population included all participants enrolled into extension study who received \>= 1 BOTOX treatment over course of total evaluation period, starting from their first treatment in Study 120. Number analyzed is the number of participants with data available for analyses at the given time point.

ArmMeasureGroupValue (NUMBER)
OnabotulinumtoxinA 50 U (Treatment Cycle 1)Percentage of Participants With Night Time Urinary Incontinence in Treatment Cycle 20 Nights of Incontinence at Baseline0.0 percentage of participants
OnabotulinumtoxinA 50 U (Treatment Cycle 1)Percentage of Participants With Night Time Urinary Incontinence in Treatment Cycle 20 Nights of Incontinence at Week 666.7 percentage of participants
OnabotulinumtoxinA 50 U (Treatment Cycle 1)Percentage of Participants With Night Time Urinary Incontinence in Treatment Cycle 21 Night of Incontinence at Baseline22.2 percentage of participants
OnabotulinumtoxinA 50 U (Treatment Cycle 1)Percentage of Participants With Night Time Urinary Incontinence in Treatment Cycle 21 Night of Incontinence at Week 616.7 percentage of participants
OnabotulinumtoxinA 50 U (Treatment Cycle 1)Percentage of Participants With Night Time Urinary Incontinence in Treatment Cycle 22 Nights of Incontinence at Baseline77.8 percentage of participants
OnabotulinumtoxinA 50 U (Treatment Cycle 1)Percentage of Participants With Night Time Urinary Incontinence in Treatment Cycle 22 Nights of Incontinence at Week 616.7 percentage of participants
OnabotulinumtoxinA 100 U (Treatment Cycle 1)Percentage of Participants With Night Time Urinary Incontinence in Treatment Cycle 22 Nights of Incontinence at Week 643.2 percentage of participants
OnabotulinumtoxinA 100 U (Treatment Cycle 1)Percentage of Participants With Night Time Urinary Incontinence in Treatment Cycle 20 Nights of Incontinence at Baseline8.9 percentage of participants
OnabotulinumtoxinA 100 U (Treatment Cycle 1)Percentage of Participants With Night Time Urinary Incontinence in Treatment Cycle 21 Night of Incontinence at Week 622.7 percentage of participants
OnabotulinumtoxinA 100 U (Treatment Cycle 1)Percentage of Participants With Night Time Urinary Incontinence in Treatment Cycle 22 Nights of Incontinence at Baseline84.4 percentage of participants
OnabotulinumtoxinA 100 U (Treatment Cycle 1)Percentage of Participants With Night Time Urinary Incontinence in Treatment Cycle 20 Nights of Incontinence at Week 634.1 percentage of participants
OnabotulinumtoxinA 100 U (Treatment Cycle 1)Percentage of Participants With Night Time Urinary Incontinence in Treatment Cycle 21 Night of Incontinence at Baseline6.7 percentage of participants
OnabotulinumtoxinA 200 U (Treatment Cycle 1)Percentage of Participants With Night Time Urinary Incontinence in Treatment Cycle 20 Nights of Incontinence at Week 623.5 percentage of participants
OnabotulinumtoxinA 200 U (Treatment Cycle 1)Percentage of Participants With Night Time Urinary Incontinence in Treatment Cycle 21 Night of Incontinence at Baseline8.8 percentage of participants
OnabotulinumtoxinA 200 U (Treatment Cycle 1)Percentage of Participants With Night Time Urinary Incontinence in Treatment Cycle 22 Nights of Incontinence at Week 667.6 percentage of participants
OnabotulinumtoxinA 200 U (Treatment Cycle 1)Percentage of Participants With Night Time Urinary Incontinence in Treatment Cycle 21 Night of Incontinence at Week 68.8 percentage of participants
OnabotulinumtoxinA 200 U (Treatment Cycle 1)Percentage of Participants With Night Time Urinary Incontinence in Treatment Cycle 20 Nights of Incontinence at Baseline5.9 percentage of participants
OnabotulinumtoxinA 200 U (Treatment Cycle 1)Percentage of Participants With Night Time Urinary Incontinence in Treatment Cycle 22 Nights of Incontinence at Baseline85.3 percentage of participants
Secondary

Percentage of Participants With Night Time Urinary Incontinence in Treatment Cycle 3

Urinary incontinence was defined as involuntary loss of urine. Night time urinary incontinence was recorded by the participant on the bladder diary as a presence or absence of urinary leakage upon waking, for 2 consecutive days in the week prior to the week 6 visit. Night time was defined as the time between going to bed to sleep for the night and waking up to start the day. The percentage of participants with night time urinary incontinence is presented in categories 0, 1, and 2 nights. Data are summarized under the respective treatments that participants received in the corresponding treatment cycle.

Time frame: Baseline (Prior to Day 1 in Study 120) and 2 consecutive days in the week prior to Week 6 in Treatment Cycle 3

Population: BOTOX-treated Population included all participants enrolled into extension study who received \>= 1 BOTOX treatment over course of total evaluation period, starting from their first treatment in Study 120. Number analyzed is the number of participants with data available for analyses at the given time point.

ArmMeasureGroupValue (NUMBER)
OnabotulinumtoxinA 50 U (Treatment Cycle 1)Percentage of Participants With Night Time Urinary Incontinence in Treatment Cycle 30 Nights of Incontinence at Baseline0.0 percentage of participants
OnabotulinumtoxinA 50 U (Treatment Cycle 1)Percentage of Participants With Night Time Urinary Incontinence in Treatment Cycle 30 Nights of Incontinence at Week 620.0 percentage of participants
OnabotulinumtoxinA 50 U (Treatment Cycle 1)Percentage of Participants With Night Time Urinary Incontinence in Treatment Cycle 31 Night of Incontinence at Baseline0.0 percentage of participants
OnabotulinumtoxinA 50 U (Treatment Cycle 1)Percentage of Participants With Night Time Urinary Incontinence in Treatment Cycle 31 Night of Incontinence at Week 640.0 percentage of participants
OnabotulinumtoxinA 50 U (Treatment Cycle 1)Percentage of Participants With Night Time Urinary Incontinence in Treatment Cycle 32 Nights of Incontinence at Baseline100.0 percentage of participants
OnabotulinumtoxinA 50 U (Treatment Cycle 1)Percentage of Participants With Night Time Urinary Incontinence in Treatment Cycle 32 Nights of Incontinence at Week 640.0 percentage of participants
OnabotulinumtoxinA 100 U (Treatment Cycle 1)Percentage of Participants With Night Time Urinary Incontinence in Treatment Cycle 32 Nights of Incontinence at Week 656.3 percentage of participants
OnabotulinumtoxinA 100 U (Treatment Cycle 1)Percentage of Participants With Night Time Urinary Incontinence in Treatment Cycle 30 Nights of Incontinence at Baseline12.5 percentage of participants
OnabotulinumtoxinA 100 U (Treatment Cycle 1)Percentage of Participants With Night Time Urinary Incontinence in Treatment Cycle 31 Night of Incontinence at Week 612.5 percentage of participants
OnabotulinumtoxinA 100 U (Treatment Cycle 1)Percentage of Participants With Night Time Urinary Incontinence in Treatment Cycle 32 Nights of Incontinence at Baseline87.5 percentage of participants
OnabotulinumtoxinA 100 U (Treatment Cycle 1)Percentage of Participants With Night Time Urinary Incontinence in Treatment Cycle 30 Nights of Incontinence at Week 631.3 percentage of participants
OnabotulinumtoxinA 100 U (Treatment Cycle 1)Percentage of Participants With Night Time Urinary Incontinence in Treatment Cycle 31 Night of Incontinence at Baseline0.0 percentage of participants
OnabotulinumtoxinA 200 U (Treatment Cycle 1)Percentage of Participants With Night Time Urinary Incontinence in Treatment Cycle 30 Nights of Incontinence at Week 621.2 percentage of participants
OnabotulinumtoxinA 200 U (Treatment Cycle 1)Percentage of Participants With Night Time Urinary Incontinence in Treatment Cycle 31 Night of Incontinence at Baseline5.9 percentage of participants
OnabotulinumtoxinA 200 U (Treatment Cycle 1)Percentage of Participants With Night Time Urinary Incontinence in Treatment Cycle 32 Nights of Incontinence at Week 651.5 percentage of participants
OnabotulinumtoxinA 200 U (Treatment Cycle 1)Percentage of Participants With Night Time Urinary Incontinence in Treatment Cycle 31 Night of Incontinence at Week 627.3 percentage of participants
OnabotulinumtoxinA 200 U (Treatment Cycle 1)Percentage of Participants With Night Time Urinary Incontinence in Treatment Cycle 30 Nights of Incontinence at Baseline5.9 percentage of participants
OnabotulinumtoxinA 200 U (Treatment Cycle 1)Percentage of Participants With Night Time Urinary Incontinence in Treatment Cycle 32 Nights of Incontinence at Baseline88.2 percentage of participants
Secondary

Percentage of Participants With Positive Response on Modified Treatment Benefit Scale (TBS) in Treatment Cycle 1

The Modified TBS is a single-item scale which assesses the participant's condition (urinary problems, urinary incontinence) on a 4-point scale where 1 = greatly improved; 2 = improved; 3 = not changed; and 4 = worsened. A participant was considered to have a positive treatment response if they responded to the TBS question as either greatly improved or improved. Data are summarized under the respective treatments that participants received in the corresponding treatment cycle.

Time frame: Week 6 in Treatment Cycle 1

Population: BOTOX-treated Population included all participants enrolled into extension study who received \>=1 BOTOX treatment over course of total evaluation period,starting from their first treatment in Study 120. Overall number of participants analyzed is number of participants with data available for analyses.

ArmMeasureValue (NUMBER)
OnabotulinumtoxinA 50 U (Treatment Cycle 1)Percentage of Participants With Positive Response on Modified Treatment Benefit Scale (TBS) in Treatment Cycle 180.0 percentage of participants
OnabotulinumtoxinA 100 U (Treatment Cycle 1)Percentage of Participants With Positive Response on Modified Treatment Benefit Scale (TBS) in Treatment Cycle 180.0 percentage of participants
OnabotulinumtoxinA 200 U (Treatment Cycle 1)Percentage of Participants With Positive Response on Modified Treatment Benefit Scale (TBS) in Treatment Cycle 175.0 percentage of participants
Secondary

Percentage of Participants With Positive Response on Modified Treatment Benefit Scale (TBS) in Treatment Cycle 2

The Modified TBS is a single-item scale which assesses the participant's condition (urinary problems, urinary incontinence) on a 4-point scale where 1 = greatly improved; 2 = improved; 3 = not changed; and 4 = worsened. A participant was considered to have a positive treatment response if they responded to the TBS question as either greatly improved or improved. Data are summarized under the respective treatments that participants received in the corresponding treatment cycle.

Time frame: Week 6 in Treatment Cycle 2

Population: BOTOX-treated Population included all participants enrolled into extension study who received \>=1 BOTOX treatment over course of total evaluation period,starting from their first treatment in Study 120. Overall number of participants analyzed is the number of participants with data available for analyses.

ArmMeasureValue (NUMBER)
OnabotulinumtoxinA 50 U (Treatment Cycle 1)Percentage of Participants With Positive Response on Modified Treatment Benefit Scale (TBS) in Treatment Cycle 275.0 percentage of participants
OnabotulinumtoxinA 100 U (Treatment Cycle 1)Percentage of Participants With Positive Response on Modified Treatment Benefit Scale (TBS) in Treatment Cycle 297.6 percentage of participants
OnabotulinumtoxinA 200 U (Treatment Cycle 1)Percentage of Participants With Positive Response on Modified Treatment Benefit Scale (TBS) in Treatment Cycle 283.3 percentage of participants
Secondary

Percentage of Participants With Positive Response on Modified Treatment Benefit Scale (TBS) in Treatment Cycle 3

The Modified TBS is a single-item scale which assesses the participant's condition (urinary problems, urinary incontinence) on a 4-point scale where 1 = greatly improved; 2 = improved; 3 = not changed; and 4 = worsened. A participant was considered to have a positive treatment response if they responded to the TBS question as either greatly improved or improved. Data are summarized under the respective treatments that participants received in the corresponding treatment cycle.

Time frame: Week 6 in Treatment Cycle 3

Population: BOTOX-treated Population included all participants enrolled into extension study who received \>=1 BOTOX treatment over course of total evaluation period,starting from their first treatment in Study 120. Overall number of participants analyzed is the number of participants with data available for analyses.

ArmMeasureValue (NUMBER)
OnabotulinumtoxinA 50 U (Treatment Cycle 1)Percentage of Participants With Positive Response on Modified Treatment Benefit Scale (TBS) in Treatment Cycle 3100 percentage of participants
OnabotulinumtoxinA 100 U (Treatment Cycle 1)Percentage of Participants With Positive Response on Modified Treatment Benefit Scale (TBS) in Treatment Cycle 380.0 percentage of participants
OnabotulinumtoxinA 200 U (Treatment Cycle 1)Percentage of Participants With Positive Response on Modified Treatment Benefit Scale (TBS) in Treatment Cycle 384.8 percentage of participants

Source: ClinicalTrials.gov · Data processed: Feb 12, 2026