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Exploratory Trial of TAS-303 in Female Patients With Stress Urinary Incontinence

A Phase IIa Study of TAS-303 in Female Patients With Stress Urinary Incontinence

Status
Completed
Phases
Phase 2
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT02906683
Enrollment
337
Registered
2016-09-20
Start date
2016-10-20
Completion date
2018-04-30
Last updated
2024-09-26

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

Conditions

Stress Urinary Incontinence

Keywords

Urinary Incontinence, Urinary Incontinence, Stress, Lower Urinary Tract Symptoms

Brief summary

The purpose of this study is to evaluate the efficacy and safety of TAS-303 in female patients with stress urinary incontinence.

Detailed description

The main purpose of this study is to assess the efficacy of TAS-303 for 8 weeks in female patients with stress urinary incontinence (SUI) compared with placebo as measured by the percent change in incontinence episode frequency (IEF) from baseline.

Interventions

DRUGTAS-303

Oral administration for 8 weeks, once daily.

DRUGPlacebo

Oral administration for 8 weeks, once daily.

Sponsors

Taiho Pharmaceutical Co., Ltd.
Lead SponsorINDUSTRY

Study design

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

Eligibility

Sex/Gender
FEMALE
Age
20 Years to 79 Years
Healthy volunteers
No

Inclusion criteria

* Patient has symptoms of Stress Urinary Incontinence (SUI) for at least 12 weeks prior to study entry * Patient has at least 1 incontinence episodes per day, and urinary diurnal frequency of 10 or less per day and nocturia of 2 or less per day. * Patient is positive in 1-hour pad weight test

Exclusion criteria

* Patient has predominant or primary urge incontinence according to investigator judgment * Patient had a prior surgical SUI treatment * Patient is diagnosed stageII or more of Pelvic Organ Prolapse * Patient has symptoms of Urinary tract infection (UTI) * Patient is positive pregnancy test * Patient has on physical examination, neurological and/or vaginal examination results which, in the opinion of the investigator, should exclude the subject.

Design outcomes

Primary

MeasureTime frame
Incontinence Episode Frequency (IEF) Per 24 Hours at Baseline and Week 8Baseline to Week 8 (8 weeks in treatment period)
Mean Percentage Changes in Incontinence Episode Frequency (IEF) Per 24 Hours From Baseline to Week 8Baseline to Week 8 (8 weeks in treatment period)

Secondary

MeasureTime frameDescription
Incontinence Episode Frequency (IEF) Per 24 Hours at Baseline and Week 4 in SUI SubgroupBaseline to Week 4 (4 weeks in treatment period)
Mean Percentage Changes in Incontinence Episode Frequency (IEF) Per 24 Hours From Baseline to Week 4 in SUI SubgroupBaseline to Week 4 (4 weeks in treatment period)
Incontinence Episode Frequency (IEF) Per 24 Hours at Baseline and Week 8 in SUI SubgroupBaseline to Week 8 (8 weeks in treatment period)
Mean Percentage Changes in Incontinence Episode Frequency (IEF) Per 24 Hours From Baseline to Week 8 in SUI SubgroupBaseline to Week 8 (8 weeks in treatment period)
Percentages of the Patients With an Incontinence Amount of ≤ 2.0 g (Deemed Dryness) in the 1-hour Pad Test at Week 8 in the Treatment PeriodAt Week 8 in the treatment period
Incontinence Episode Frequency (IEF) Per 24 Hours at Baseline and Week 4Baseline to Week 4 (4 weeks in treatment period)
Any Adverse EventsBaseline to Week 8 (8 weeks in treatment period)For tabulation of adverse events, the terms of diagnosis recorded in the eCRFs were converted according to the Medical Dictionary for Regulatory Activities (MedDRA) ver. 20.1 and were expressed as preferred terms of MedDRA.
Advese Events Occurring in ≥2% of Patients in Any Treatment Group During the Treatment PeriodBaseline to Week 8 (8 weeks in treatment period)For tabulation of adverse events, the terms of diagnosis recorded in the eCRFs were converted according to the Medical Dictionary for Regulatory Activities (MedDRA) ver. 20.1 and were expressed as preferred terms of MedDRA.
Adverse Drug ReactionsBaseline to Week 8 (8 weeks in treatment period)For tabulation of adverse events, the terms of diagnosis recorded in the eCRFs were converted according to the Medical Dictionary for Regulatory Activities (MedDRA) ver. 20.1 and were expressed as preferred terms of MedDRA.
Serious Adverse EventsBaseline to Week 8 (8 weeks in treatment period)
Adverse Events Leading to Discontinuation of AdministrationBaseline to Week 8 (8 weeks in treatment period)
Patient Global Impression-Improvement (PGI-I) Rates at Baseline, Week 4 and Week 8Baseline to Week 8 (8 weeks in treatment period)PGI-I was used to evaluate the patients' impression of improvement of urinary incontinence. The improvement of PGI-I was defined as the selection of Very much better, Much better, or A little better. The investigator or subinvestigator instructed patients to evaluate the improvement of urinary incontinence at the evaluation time point using the following 7-point scale: (1) Very much better; (2) Much better; (3) A little better; (4) No change; (5) A little worse; (6) Much worse; and (7) Very much worse.
Mean Percentage Changes in Incontinence Episode Frequency (IEF) Per 24 Hours From Baseline to Week 4Baseline to Week 4 (4 weeks in treatment period)

Countries

Japan

Participant flow

Recruitment details

This study was undertaken at 31 centers in Japan between 17 October 2016 and 25 April 2018. Of the 386 patients who gave informed consent and received screening tests, 49 patients were withdrawn at screening. The number of patients enrolled in the observation period was 337 patients, but after the end of the observation period, 256 patients were deemed to be eligible for enrollment in the treatment period.

Participants by arm

ArmCount
TAS-303 3 mg
Female patients with stress urinary incontinence (SUI) orally received 3 mg of TAS-303 once daily for 8 weeks.
84
TAS-303 6 mg
Female patients with SUI orally received 6 mg of TAS-303 once daily for 8 weeks.
80
Placebo
Female patients with SUI orally received placebo once daily for 8 weeks.
81
Total245

Withdrawals & dropouts

PeriodReasonFG000FG001FG002
Overall StudyAdverse Event010
Overall StudyPatient did not meet the eligibility criteria for the study100
Overall StudyPhysician Decision011
Overall StudyStudy treatment becomes impossible due to changing hospital or other reasons011
Overall StudyWithdrawal by Subject021

Baseline characteristics

CharacteristicTAS-303 3 mgTotalPlaceboTAS-303 6 mg
1-hour Pad weight Test33.85 gram
STANDARD_DEVIATION 70.98
33.65 gram
STANDARD_DEVIATION 60.67
37.92 gram
STANDARD_DEVIATION 60.49
29.12 gram
STANDARD_DEVIATION 48.26
Age, Continuous57.0 years
STANDARD_DEVIATION 11.8
56.3 years
STANDARD_DEVIATION 12.2
55.9 years
STANDARD_DEVIATION 11.3
56.0 years
STANDARD_DEVIATION 13.4
Number of Urinary Incontinence episodes per 24 hours2.853 episodes per 24hr
STANDARD_DEVIATION 2.322
2.648 episodes per 24hr
STANDARD_DEVIATION 1.874
2.582 episodes per 24hr
STANDARD_DEVIATION 1.673
2.499 episodes per 24hr
STANDARD_DEVIATION 1.507
Prior surgery for pelvic organ prolapse10 Participants20 Participants5 Participants5 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants0 Participants0 Participants0 Participants
Race (NIH/OMB)
Asian
84 Participants245 Participants81 Participants80 Participants
Race (NIH/OMB)
Black or African American
0 Participants0 Participants0 Participants0 Participants
Race (NIH/OMB)
More than one race
0 Participants0 Participants0 Participants0 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants0 Participants0 Participants0 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants0 Participants0 Participants0 Participants
Race (NIH/OMB)
White
0 Participants0 Participants0 Participants0 Participants
Region of Enrollment
Japan
84 participants245 participants81 participants80 participants
Sex: Female, Male
Female
84 Participants245 Participants81 Participants80 Participants
Sex: Female, Male
Male
0 Participants0 Participants0 Participants0 Participants
Type of Urinary Incontinence
Mixed Urinary Incontinence (MUI)
21 Participants60 Participants20 Participants19 Participants
Type of Urinary Incontinence
Stress Urinary Incontinence (SUI)
63 Participants185 Participants61 Participants61 Participants
Urinary Incontinence episodes of <2 per 24 hours39 Participants120 Participants41 Participants40 Participants
Urinary Incontinence episodes of ≥2 per 24 hours45 Participants125 Participants40 Participants40 Participants

Adverse events

Event typeEG000
affected / at risk
EG001
affected / at risk
EG002
affected / at risk
deaths
Total, all-cause mortality
0 / 850 / 860 / 85
other
Total, other adverse events
31 / 8520 / 8626 / 85
serious
Total, serious adverse events
0 / 850 / 860 / 85

Outcome results

Primary

Incontinence Episode Frequency (IEF) Per 24 Hours at Baseline and Week 8

Time frame: Baseline to Week 8 (8 weeks in treatment period)

Population: PPS was used for the analysis.

ArmMeasureGroupValue (MEAN)Dispersion
TAS-303 3 mgIncontinence Episode Frequency (IEF) Per 24 Hours at Baseline and Week 8IEF per 24 hours at baseline2.9 episodesStandard Deviation 2.3
TAS-303 3 mgIncontinence Episode Frequency (IEF) Per 24 Hours at Baseline and Week 8IEF per 24 hours at Week 82.0 episodesStandard Deviation 2.3
TAS-303 6 mgIncontinence Episode Frequency (IEF) Per 24 Hours at Baseline and Week 8IEF per 24 hours at baseline2.5 episodesStandard Deviation 1.5
TAS-303 6 mgIncontinence Episode Frequency (IEF) Per 24 Hours at Baseline and Week 8IEF per 24 hours at Week 81.7 episodesStandard Deviation 1.7
PlaceboIncontinence Episode Frequency (IEF) Per 24 Hours at Baseline and Week 8IEF per 24 hours at baseline2.6 episodesStandard Deviation 1.7
PlaceboIncontinence Episode Frequency (IEF) Per 24 Hours at Baseline and Week 8IEF per 24 hours at Week 81.9 episodesStandard Deviation 1.9
Primary

Mean Percentage Changes in Incontinence Episode Frequency (IEF) Per 24 Hours From Baseline to Week 8

Time frame: Baseline to Week 8 (8 weeks in treatment period)

Population: PPS was used for the analysis.

ArmMeasureValue (MEAN)Dispersion
TAS-303 3 mgMean Percentage Changes in Incontinence Episode Frequency (IEF) Per 24 Hours From Baseline to Week 8-34.7 Percentage changeStandard Deviation 39.9
TAS-303 6 mgMean Percentage Changes in Incontinence Episode Frequency (IEF) Per 24 Hours From Baseline to Week 8-35.4 Percentage changeStandard Deviation 39
PlaceboMean Percentage Changes in Incontinence Episode Frequency (IEF) Per 24 Hours From Baseline to Week 8-28.1 Percentage changeStandard Deviation 47.3
Comparison: TAS-303 3 mg group vs. Placebo group for the mean percentage changes in IEF per 24 hours from baseline to Week 8p-value: 0.32995% CI: [-20.1, 6.7]t-test, 2 sided
Comparison: TAS-303 6 mg group vs. Placebo group for the mean percentage changes in IEF per 24 hours from baseline to Week 8p-value: 0.28595% CI: [-20.9, 6.2]t-test, 2 sided
Secondary

Adverse Drug Reactions

For tabulation of adverse events, the terms of diagnosis recorded in the eCRFs were converted according to the Medical Dictionary for Regulatory Activities (MedDRA) ver. 20.1 and were expressed as preferred terms of MedDRA.

Time frame: Baseline to Week 8 (8 weeks in treatment period)

Population: All treated population was used for the analysis. This analysis set includes all patients enrolled in the observation period who received at least 1 dose of the study drug.

ArmMeasureGroupValue (COUNT_OF_PARTICIPANTS)
TAS-303 3 mgAdverse Drug ReactionsConstipation1 Participants
TAS-303 3 mgAdverse Drug ReactionsAlanine aminotransferase increased1 Participants
TAS-303 3 mgAdverse Drug ReactionsAny Events6 Participants
TAS-303 3 mgAdverse Drug ReactionsAspartate aminotransferase increased1 Participants
TAS-303 3 mgAdverse Drug ReactionsBlood creatine phosphokinase increased1 Participants
TAS-303 3 mgAdverse Drug ReactionsWhite blood cell count increased1 Participants
TAS-303 3 mgAdverse Drug ReactionsLiver function test increased1 Participants
TAS-303 3 mgAdverse Drug ReactionsRash1 Participants
TAS-303 6 mgAdverse Drug ReactionsAlanine aminotransferase increased0 Participants
TAS-303 6 mgAdverse Drug ReactionsLiver function test increased0 Participants
TAS-303 6 mgAdverse Drug ReactionsAspartate aminotransferase increased0 Participants
TAS-303 6 mgAdverse Drug ReactionsBlood creatine phosphokinase increased0 Participants
TAS-303 6 mgAdverse Drug ReactionsWhite blood cell count increased0 Participants
TAS-303 6 mgAdverse Drug ReactionsConstipation0 Participants
TAS-303 6 mgAdverse Drug ReactionsRash0 Participants
TAS-303 6 mgAdverse Drug ReactionsAny Events0 Participants
PlaceboAdverse Drug ReactionsAny Events0 Participants
PlaceboAdverse Drug ReactionsAlanine aminotransferase increased0 Participants
PlaceboAdverse Drug ReactionsConstipation0 Participants
PlaceboAdverse Drug ReactionsAspartate aminotransferase increased0 Participants
PlaceboAdverse Drug ReactionsLiver function test increased0 Participants
PlaceboAdverse Drug ReactionsWhite blood cell count increased0 Participants
PlaceboAdverse Drug ReactionsBlood creatine phosphokinase increased0 Participants
PlaceboAdverse Drug ReactionsRash0 Participants
Secondary

Adverse Events Leading to Discontinuation of Administration

Time frame: Baseline to Week 8 (8 weeks in treatment period)

Population: All treated population was used for the analysis. This analysis set includes all patients enrolled in the observation period who received at least 1 dose of the study drug.

ArmMeasureGroupValue (COUNT_OF_PARTICIPANTS)
TAS-303 3 mgAdverse Events Leading to Discontinuation of AdministrationRadius fracture0 Participants
TAS-303 3 mgAdverse Events Leading to Discontinuation of AdministrationAny adverse events leading to discontinuation of administration0 Participants
TAS-303 3 mgAdverse Events Leading to Discontinuation of AdministrationSpinal compression fracture0 Participants
TAS-303 6 mgAdverse Events Leading to Discontinuation of AdministrationRadius fracture1 Participants
TAS-303 6 mgAdverse Events Leading to Discontinuation of AdministrationAny adverse events leading to discontinuation of administration1 Participants
TAS-303 6 mgAdverse Events Leading to Discontinuation of AdministrationSpinal compression fracture1 Participants
PlaceboAdverse Events Leading to Discontinuation of AdministrationAny adverse events leading to discontinuation of administration0 Participants
PlaceboAdverse Events Leading to Discontinuation of AdministrationSpinal compression fracture0 Participants
PlaceboAdverse Events Leading to Discontinuation of AdministrationRadius fracture0 Participants
Secondary

Advese Events Occurring in ≥2% of Patients in Any Treatment Group During the Treatment Period

For tabulation of adverse events, the terms of diagnosis recorded in the eCRFs were converted according to the Medical Dictionary for Regulatory Activities (MedDRA) ver. 20.1 and were expressed as preferred terms of MedDRA.

Time frame: Baseline to Week 8 (8 weeks in treatment period)

Population: All treated population was used for the analysis. This analysis set includes all patients enrolled in the observation period who received at least 1 dose of the study drug.

ArmMeasureGroupValue (COUNT_OF_PARTICIPANTS)
TAS-303 3 mgAdvese Events Occurring in ≥2% of Patients in Any Treatment Group During the Treatment PeriodAlanine aminotransferase increased2 Participants
TAS-303 3 mgAdvese Events Occurring in ≥2% of Patients in Any Treatment Group During the Treatment PeriodConstipation2 Participants
TAS-303 3 mgAdvese Events Occurring in ≥2% of Patients in Any Treatment Group During the Treatment PeriodNasopharyngitis9 Participants
TAS-303 3 mgAdvese Events Occurring in ≥2% of Patients in Any Treatment Group During the Treatment PeriodEczema0 Participants
TAS-303 3 mgAdvese Events Occurring in ≥2% of Patients in Any Treatment Group During the Treatment PeriodDiarrhoea0 Participants
TAS-303 3 mgAdvese Events Occurring in ≥2% of Patients in Any Treatment Group During the Treatment PeriodHeadache0 Participants
TAS-303 3 mgAdvese Events Occurring in ≥2% of Patients in Any Treatment Group During the Treatment PeriodCough0 Participants
TAS-303 3 mgAdvese Events Occurring in ≥2% of Patients in Any Treatment Group During the Treatment PeriodDecreased appetite0 Participants
TAS-303 3 mgAdvese Events Occurring in ≥2% of Patients in Any Treatment Group During the Treatment PeriodCystitis2 Participants
TAS-303 6 mgAdvese Events Occurring in ≥2% of Patients in Any Treatment Group During the Treatment PeriodDecreased appetite2 Participants
TAS-303 6 mgAdvese Events Occurring in ≥2% of Patients in Any Treatment Group During the Treatment PeriodHeadache2 Participants
TAS-303 6 mgAdvese Events Occurring in ≥2% of Patients in Any Treatment Group During the Treatment PeriodAlanine aminotransferase increased0 Participants
TAS-303 6 mgAdvese Events Occurring in ≥2% of Patients in Any Treatment Group During the Treatment PeriodCystitis0 Participants
TAS-303 6 mgAdvese Events Occurring in ≥2% of Patients in Any Treatment Group During the Treatment PeriodEczema0 Participants
TAS-303 6 mgAdvese Events Occurring in ≥2% of Patients in Any Treatment Group During the Treatment PeriodCough2 Participants
TAS-303 6 mgAdvese Events Occurring in ≥2% of Patients in Any Treatment Group During the Treatment PeriodNasopharyngitis4 Participants
TAS-303 6 mgAdvese Events Occurring in ≥2% of Patients in Any Treatment Group During the Treatment PeriodDiarrhoea2 Participants
TAS-303 6 mgAdvese Events Occurring in ≥2% of Patients in Any Treatment Group During the Treatment PeriodConstipation1 Participants
PlaceboAdvese Events Occurring in ≥2% of Patients in Any Treatment Group During the Treatment PeriodEczema2 Participants
PlaceboAdvese Events Occurring in ≥2% of Patients in Any Treatment Group During the Treatment PeriodNasopharyngitis8 Participants
PlaceboAdvese Events Occurring in ≥2% of Patients in Any Treatment Group During the Treatment PeriodConstipation0 Participants
PlaceboAdvese Events Occurring in ≥2% of Patients in Any Treatment Group During the Treatment PeriodHeadache0 Participants
PlaceboAdvese Events Occurring in ≥2% of Patients in Any Treatment Group During the Treatment PeriodCough0 Participants
PlaceboAdvese Events Occurring in ≥2% of Patients in Any Treatment Group During the Treatment PeriodDiarrhoea0 Participants
PlaceboAdvese Events Occurring in ≥2% of Patients in Any Treatment Group During the Treatment PeriodDecreased appetite0 Participants
PlaceboAdvese Events Occurring in ≥2% of Patients in Any Treatment Group During the Treatment PeriodAlanine aminotransferase increased0 Participants
PlaceboAdvese Events Occurring in ≥2% of Patients in Any Treatment Group During the Treatment PeriodCystitis1 Participants
Secondary

Any Adverse Events

For tabulation of adverse events, the terms of diagnosis recorded in the eCRFs were converted according to the Medical Dictionary for Regulatory Activities (MedDRA) ver. 20.1 and were expressed as preferred terms of MedDRA.

Time frame: Baseline to Week 8 (8 weeks in treatment period)

Population: All treated population was used for the analysis. This analysis set includes all patients enrolled in the observation period who received at least 1 dose of the study drug.

ArmMeasureGroupValue (COUNT_OF_PARTICIPANTS)
TAS-303 3 mgAny Adverse EventsPyuria1 Participants
TAS-303 3 mgAny Adverse EventsBlood potassium increased0 Participants
TAS-303 3 mgAny Adverse EventsAllergy to arthropod bite0 Participants
TAS-303 3 mgAny Adverse EventsSleep disorder1 Participants
TAS-303 3 mgAny Adverse EventsBlood creatine phosphokinase increased1 Participants
TAS-303 3 mgAny Adverse EventsBronchitis0 Participants
TAS-303 3 mgAny Adverse EventsDiarrhoea0 Participants
TAS-303 3 mgAny Adverse EventsGingivitis0 Participants
TAS-303 3 mgAny Adverse EventsAspartate aminotransferase increased1 Participants
TAS-303 3 mgAny Adverse EventsHerpes zoster1 Participants
TAS-303 3 mgAny Adverse EventsHeadache0 Participants
TAS-303 3 mgAny Adverse EventsAlanine aminotransferase increased2 Participants
TAS-303 3 mgAny Adverse EventsHordeolum1 Participants
TAS-303 3 mgAny Adverse EventsTenosynovitis0 Participants
TAS-303 3 mgAny Adverse EventsEar abrasion1 Participants
TAS-303 3 mgAny Adverse EventsInfluenza1 Participants
TAS-303 3 mgAny Adverse EventsCystitis2 Participants
TAS-303 3 mgAny Adverse EventsSkin injury0 Participants
TAS-303 3 mgAny Adverse EventsNasopharyngitis9 Participants
TAS-303 3 mgAny Adverse EventsAny adverse events31 Participants
TAS-303 3 mgAny Adverse EventsWound0 Participants
TAS-303 3 mgAny Adverse EventsOtitis media1 Participants
TAS-303 3 mgAny Adverse EventsDermatitis contact0 Participants
TAS-303 3 mgAny Adverse EventsSpinal compression fracture0 Participants
TAS-303 3 mgAny Adverse EventsPeriodontitis0 Participants
TAS-303 3 mgAny Adverse EventsRadius fracture0 Participants
TAS-303 3 mgAny Adverse EventsUpper respiratory tract infection1 Participants
TAS-303 3 mgAny Adverse EventsMyalgia1 Participants
TAS-303 3 mgAny Adverse EventsMuscle injury1 Participants
TAS-303 3 mgAny Adverse EventsCystitis bacterial0 Participants
TAS-303 3 mgAny Adverse EventsPalpitations1 Participants
TAS-303 3 mgAny Adverse EventsArthropod sting0 Participants
TAS-303 3 mgAny Adverse EventsHypertension1 Participants
TAS-303 3 mgAny Adverse EventsMusculoskeletal pain0 Participants
TAS-303 3 mgAny Adverse EventsVertigo0 Participants
TAS-303 3 mgAny Adverse EventsUpper respiratory tract inflammation1 Participants
TAS-303 3 mgAny Adverse EventsBack pain1 Participants
TAS-303 3 mgAny Adverse EventsSudden hearing loss0 Participants
TAS-303 3 mgAny Adverse EventsEczema0 Participants
TAS-303 3 mgAny Adverse EventsArthralgia0 Participants
TAS-303 3 mgAny Adverse EventsAbdominal pain lower1 Participants
TAS-303 3 mgAny Adverse EventsDermatitis atopic1 Participants
TAS-303 3 mgAny Adverse EventsDecreased appetite0 Participants
TAS-303 3 mgAny Adverse EventsConstipation2 Participants
TAS-303 3 mgAny Adverse EventsCough0 Participants
TAS-303 3 mgAny Adverse EventsDyslipidaemia1 Participants
TAS-303 3 mgAny Adverse EventsDental caries0 Participants
TAS-303 3 mgAny Adverse EventsGastritis0 Participants
TAS-303 3 mgAny Adverse EventsRash1 Participants
TAS-303 3 mgAny Adverse EventsLiver function test increased1 Participants
TAS-303 3 mgAny Adverse EventsNausea0 Participants
TAS-303 3 mgAny Adverse EventsOropharyngeal pain0 Participants
TAS-303 3 mgAny Adverse EventsWhite blood cell count increased1 Participants
TAS-303 3 mgAny Adverse EventsStomatitis1 Participants
TAS-303 3 mgAny Adverse EventsHypotonic urinary bladder0 Participants
TAS-303 3 mgAny Adverse EventsEosinophil count increased0 Participants
TAS-303 3 mgAny Adverse EventsVomiting1 Participants
TAS-303 3 mgAny Adverse EventsSkin discomfort0 Participants
TAS-303 3 mgAny Adverse EventsElectrocardiogram QT prolonged1 Participants
TAS-303 3 mgAny Adverse EventsMalaise0 Participants
TAS-303 3 mgAny Adverse EventsThirst1 Participants
TAS-303 3 mgAny Adverse EventsC-reactive protein increased1 Participants
TAS-303 3 mgAny Adverse EventsPyrexia0 Participants
TAS-303 3 mgAny Adverse EventsProteinuria0 Participants
TAS-303 6 mgAny Adverse EventsGastritis0 Participants
TAS-303 6 mgAny Adverse EventsPeriodontitis1 Participants
TAS-303 6 mgAny Adverse EventsPyuria0 Participants
TAS-303 6 mgAny Adverse EventsDermatitis contact0 Participants
TAS-303 6 mgAny Adverse EventsEczema0 Participants
TAS-303 6 mgAny Adverse EventsRash0 Participants
TAS-303 6 mgAny Adverse EventsSkin discomfort0 Participants
TAS-303 6 mgAny Adverse EventsDental caries0 Participants
TAS-303 6 mgAny Adverse EventsDiarrhoea2 Participants
TAS-303 6 mgAny Adverse EventsAny adverse events20 Participants
TAS-303 6 mgAny Adverse EventsPalpitations0 Participants
TAS-303 6 mgAny Adverse EventsVertigo0 Participants
TAS-303 6 mgAny Adverse EventsSudden hearing loss0 Participants
TAS-303 6 mgAny Adverse EventsAbdominal pain lower0 Participants
TAS-303 6 mgAny Adverse EventsConstipation1 Participants
TAS-303 6 mgAny Adverse EventsCystitis0 Participants
TAS-303 6 mgAny Adverse EventsNausea1 Participants
TAS-303 6 mgAny Adverse EventsStomatitis0 Participants
TAS-303 6 mgAny Adverse EventsVomiting0 Participants
TAS-303 6 mgAny Adverse EventsMalaise1 Participants
TAS-303 6 mgAny Adverse EventsPyrexia1 Participants
TAS-303 6 mgAny Adverse EventsThirst1 Participants
TAS-303 6 mgAny Adverse EventsAllergy to arthropod bite1 Participants
TAS-303 6 mgAny Adverse EventsBronchitis1 Participants
TAS-303 6 mgAny Adverse EventsGingivitis0 Participants
TAS-303 6 mgAny Adverse EventsHerpes zoster0 Participants
TAS-303 6 mgAny Adverse EventsHordeolum0 Participants
TAS-303 6 mgAny Adverse EventsInfluenza0 Participants
TAS-303 6 mgAny Adverse EventsNasopharyngitis4 Participants
TAS-303 6 mgAny Adverse EventsOtitis media0 Participants
TAS-303 6 mgAny Adverse EventsUpper respiratory tract infection0 Participants
TAS-303 6 mgAny Adverse EventsCystitis bacterial1 Participants
TAS-303 6 mgAny Adverse EventsArthropod sting0 Participants
TAS-303 6 mgAny Adverse EventsMuscle injury0 Participants
TAS-303 6 mgAny Adverse EventsRadius fracture1 Participants
TAS-303 6 mgAny Adverse EventsSpinal compression fracture1 Participants
TAS-303 6 mgAny Adverse EventsWound0 Participants
TAS-303 6 mgAny Adverse EventsSkin injury0 Participants
TAS-303 6 mgAny Adverse EventsEar abrasion0 Participants
TAS-303 6 mgAny Adverse EventsAlanine aminotransferase increased0 Participants
TAS-303 6 mgAny Adverse EventsAspartate aminotransferase increased0 Participants
TAS-303 6 mgAny Adverse EventsBlood creatine phosphokinase increased1 Participants
TAS-303 6 mgAny Adverse EventsBlood potassium increased1 Participants
TAS-303 6 mgAny Adverse EventsC-reactive protein increased1 Participants
TAS-303 6 mgAny Adverse EventsElectrocardiogram QT prolonged0 Participants
TAS-303 6 mgAny Adverse EventsEosinophil count increased1 Participants
TAS-303 6 mgAny Adverse EventsWhite blood cell count increased0 Participants
TAS-303 6 mgAny Adverse EventsLiver function test increased0 Participants
TAS-303 6 mgAny Adverse EventsDyslipidaemia0 Participants
TAS-303 6 mgAny Adverse EventsDecreased appetite2 Participants
TAS-303 6 mgAny Adverse EventsArthralgia1 Participants
TAS-303 6 mgAny Adverse EventsBack pain0 Participants
TAS-303 6 mgAny Adverse EventsMusculoskeletal pain0 Participants
TAS-303 6 mgAny Adverse EventsMyalgia0 Participants
TAS-303 6 mgAny Adverse EventsTenosynovitis0 Participants
TAS-303 6 mgAny Adverse EventsHeadache2 Participants
TAS-303 6 mgAny Adverse EventsSleep disorder0 Participants
TAS-303 6 mgAny Adverse EventsProteinuria0 Participants
TAS-303 6 mgAny Adverse EventsHypotonic urinary bladder0 Participants
TAS-303 6 mgAny Adverse EventsCough2 Participants
TAS-303 6 mgAny Adverse EventsUpper respiratory tract inflammation0 Participants
TAS-303 6 mgAny Adverse EventsOropharyngeal pain0 Participants
TAS-303 6 mgAny Adverse EventsDermatitis atopic0 Participants
TAS-303 6 mgAny Adverse EventsHypertension0 Participants
PlaceboAny Adverse EventsBlood potassium increased0 Participants
PlaceboAny Adverse EventsMalaise0 Participants
PlaceboAny Adverse EventsSkin discomfort1 Participants
PlaceboAny Adverse EventsC-reactive protein increased1 Participants
PlaceboAny Adverse EventsVomiting1 Participants
PlaceboAny Adverse EventsOropharyngeal pain1 Participants
PlaceboAny Adverse EventsElectrocardiogram QT prolonged0 Participants
PlaceboAny Adverse EventsStomatitis0 Participants
PlaceboAny Adverse EventsProteinuria1 Participants
PlaceboAny Adverse EventsEosinophil count increased0 Participants
PlaceboAny Adverse EventsNausea0 Participants
PlaceboAny Adverse EventsRash0 Participants
PlaceboAny Adverse EventsWhite blood cell count increased0 Participants
PlaceboAny Adverse EventsGastritis1 Participants
PlaceboAny Adverse EventsPeriodontitis0 Participants
PlaceboAny Adverse EventsLiver function test increased0 Participants
PlaceboAny Adverse EventsConstipation0 Participants
PlaceboAny Adverse EventsHypotonic urinary bladder1 Participants
PlaceboAny Adverse EventsDyslipidaemia0 Participants
PlaceboAny Adverse EventsAbdominal pain lower0 Participants
PlaceboAny Adverse EventsEczema2 Participants
PlaceboAny Adverse EventsDecreased appetite0 Participants
PlaceboAny Adverse EventsSudden hearing loss1 Participants
PlaceboAny Adverse EventsHypertension0 Participants
PlaceboAny Adverse EventsArthralgia0 Participants
PlaceboAny Adverse EventsVertigo1 Participants
PlaceboAny Adverse EventsCough0 Participants
PlaceboAny Adverse EventsBack pain1 Participants
PlaceboAny Adverse EventsPalpitations0 Participants
PlaceboAny Adverse EventsDermatitis contact1 Participants
PlaceboAny Adverse EventsMusculoskeletal pain1 Participants
PlaceboAny Adverse EventsAny adverse events26 Participants
PlaceboAny Adverse EventsCystitis bacterial0 Participants
PlaceboAny Adverse EventsDermatitis atopic0 Participants
PlaceboAny Adverse EventsArthropod sting1 Participants
PlaceboAny Adverse EventsUpper respiratory tract infection0 Participants
PlaceboAny Adverse EventsMyalgia1 Participants
PlaceboAny Adverse EventsMuscle injury0 Participants
PlaceboAny Adverse EventsPyuria0 Participants
PlaceboAny Adverse EventsBronchitis1 Participants
PlaceboAny Adverse EventsRadius fracture0 Participants
PlaceboAny Adverse EventsOtitis media0 Participants
PlaceboAny Adverse EventsUpper respiratory tract inflammation0 Participants
PlaceboAny Adverse EventsSpinal compression fracture0 Participants
PlaceboAny Adverse EventsNasopharyngitis8 Participants
PlaceboAny Adverse EventsTenosynovitis1 Participants
PlaceboAny Adverse EventsWound1 Participants
PlaceboAny Adverse EventsInfluenza0 Participants
PlaceboAny Adverse EventsDiarrhoea0 Participants
PlaceboAny Adverse EventsSkin injury1 Participants
PlaceboAny Adverse EventsHordeolum0 Participants
PlaceboAny Adverse EventsPyrexia0 Participants
PlaceboAny Adverse EventsEar abrasion0 Participants
PlaceboAny Adverse EventsHerpes zoster1 Participants
PlaceboAny Adverse EventsHeadache0 Participants
PlaceboAny Adverse EventsAlanine aminotransferase increased0 Participants
PlaceboAny Adverse EventsGingivitis1 Participants
PlaceboAny Adverse EventsDental caries1 Participants
PlaceboAny Adverse EventsAspartate aminotransferase increased0 Participants
PlaceboAny Adverse EventsAllergy to arthropod bite0 Participants
PlaceboAny Adverse EventsCystitis1 Participants
PlaceboAny Adverse EventsBlood creatine phosphokinase increased0 Participants
PlaceboAny Adverse EventsThirst0 Participants
PlaceboAny Adverse EventsSleep disorder0 Participants
Secondary

Incontinence Episode Frequency (IEF) Per 24 Hours at Baseline and Week 4

Time frame: Baseline to Week 4 (4 weeks in treatment period)

Population: PPS was used for the analysis.

ArmMeasureGroupValue (MEAN)Dispersion
TAS-303 3 mgIncontinence Episode Frequency (IEF) Per 24 Hours at Baseline and Week 4IEF per 24 hours at baseline2.9 episodesStandard Deviation 2.3
TAS-303 3 mgIncontinence Episode Frequency (IEF) Per 24 Hours at Baseline and Week 4IEF per 24 hours at Week 42.3 episodesStandard Deviation 2.2
TAS-303 6 mgIncontinence Episode Frequency (IEF) Per 24 Hours at Baseline and Week 4IEF per 24 hours at baseline2.5 episodesStandard Deviation 1.5
TAS-303 6 mgIncontinence Episode Frequency (IEF) Per 24 Hours at Baseline and Week 4IEF per 24 hours at Week 42.0 episodesStandard Deviation 1.5
PlaceboIncontinence Episode Frequency (IEF) Per 24 Hours at Baseline and Week 4IEF per 24 hours at baseline2.6 episodesStandard Deviation 1.7
PlaceboIncontinence Episode Frequency (IEF) Per 24 Hours at Baseline and Week 4IEF per 24 hours at Week 42.2 episodesStandard Deviation 1.7
Secondary

Incontinence Episode Frequency (IEF) Per 24 Hours at Baseline and Week 4 in SUI Subgroup

Time frame: Baseline to Week 4 (4 weeks in treatment period)

Population: PPS was used for the analysis. This analysis was conducted in SUI subgroup. This subgroup includes patients with only SUI but excludes those with MUI.

ArmMeasureGroupValue (MEAN)Dispersion
TAS-303 3 mgIncontinence Episode Frequency (IEF) Per 24 Hours at Baseline and Week 4 in SUI SubgroupIEF per 24 hours at baseline2.7 episodesStandard Deviation 2.4
TAS-303 3 mgIncontinence Episode Frequency (IEF) Per 24 Hours at Baseline and Week 4 in SUI SubgroupIEF per 24 hours at Week 42.0 episodesStandard Deviation 1.9
TAS-303 6 mgIncontinence Episode Frequency (IEF) Per 24 Hours at Baseline and Week 4 in SUI SubgroupIEF per 24 hours at baseline2.5 episodesStandard Deviation 1.5
TAS-303 6 mgIncontinence Episode Frequency (IEF) Per 24 Hours at Baseline and Week 4 in SUI SubgroupIEF per 24 hours at Week 41.9 episodesStandard Deviation 1.5
PlaceboIncontinence Episode Frequency (IEF) Per 24 Hours at Baseline and Week 4 in SUI SubgroupIEF per 24 hours at baseline2.6 episodesStandard Deviation 1.7
PlaceboIncontinence Episode Frequency (IEF) Per 24 Hours at Baseline and Week 4 in SUI SubgroupIEF per 24 hours at Week 42.3 episodesStandard Deviation 1.9
Secondary

Incontinence Episode Frequency (IEF) Per 24 Hours at Baseline and Week 8 in SUI Subgroup

Time frame: Baseline to Week 8 (8 weeks in treatment period)

Population: PPS was used for the analysis. This analysis was conducted in SUI subgroup. This subgroup includes patients with only SUI but excludes those with MUI.

ArmMeasureGroupValue (MEAN)Dispersion
TAS-303 3 mgIncontinence Episode Frequency (IEF) Per 24 Hours at Baseline and Week 8 in SUI SubgroupIEF per 24 hours at baseline2.7 episodesStandard Deviation 2.4
TAS-303 3 mgIncontinence Episode Frequency (IEF) Per 24 Hours at Baseline and Week 8 in SUI SubgroupIEF per 24 hours at Week 81.8 episodesStandard Deviation 2.1
TAS-303 6 mgIncontinence Episode Frequency (IEF) Per 24 Hours at Baseline and Week 8 in SUI SubgroupIEF per 24 hours at baseline2.5 episodesStandard Deviation 1.5
TAS-303 6 mgIncontinence Episode Frequency (IEF) Per 24 Hours at Baseline and Week 8 in SUI SubgroupIEF per 24 hours at Week 81.8 episodesStandard Deviation 1.8
PlaceboIncontinence Episode Frequency (IEF) Per 24 Hours at Baseline and Week 8 in SUI SubgroupIEF per 24 hours at baseline2.6 episodesStandard Deviation 1.7
PlaceboIncontinence Episode Frequency (IEF) Per 24 Hours at Baseline and Week 8 in SUI SubgroupIEF per 24 hours at Week 82.0 episodesStandard Deviation 2
Secondary

Mean Percentage Changes in Incontinence Episode Frequency (IEF) Per 24 Hours From Baseline to Week 4

Time frame: Baseline to Week 4 (4 weeks in treatment period)

Population: PPS was used for the analysis.

ArmMeasureValue (MEAN)Dispersion
TAS-303 3 mgMean Percentage Changes in Incontinence Episode Frequency (IEF) Per 24 Hours From Baseline to Week 4-23.1 Percentage changeStandard Deviation 37.3
TAS-303 6 mgMean Percentage Changes in Incontinence Episode Frequency (IEF) Per 24 Hours From Baseline to Week 4-23.9 Percentage changeStandard Deviation 33.8
PlaceboMean Percentage Changes in Incontinence Episode Frequency (IEF) Per 24 Hours From Baseline to Week 4-11.7 Percentage changeStandard Deviation 45.4
Comparison: TAS-303 3 mg group vs. Placebo group for the mean percentage changes in IEF per 24 hours from baseline to Week 4p-value: 0.08295% CI: [-24.1, 1.5]t-test, 2 sided
Comparison: TAS-303 6 mg group vs. Placebo group for the mean percentage changes in IEF per 24 hours from baseline to Week 4p-value: 0.05795% CI: [-24.7, 0.4]t-test, 2 sided
Secondary

Mean Percentage Changes in Incontinence Episode Frequency (IEF) Per 24 Hours From Baseline to Week 4 in SUI Subgroup

Time frame: Baseline to Week 4 (4 weeks in treatment period)

Population: PPS was used for the analysis. This analysis was conducted in SUI subgroup. This subgroup includes patients with only SUI but excludes those with MUI.

ArmMeasureValue (MEAN)Dispersion
TAS-303 3 mgMean Percentage Changes in Incontinence Episode Frequency (IEF) Per 24 Hours From Baseline to Week 4 in SUI Subgroup-26.5 Percentage changeStandard Deviation 34.8
TAS-303 6 mgMean Percentage Changes in Incontinence Episode Frequency (IEF) Per 24 Hours From Baseline to Week 4 in SUI Subgroup-25.8 Percentage changeStandard Deviation 33.5
PlaceboMean Percentage Changes in Incontinence Episode Frequency (IEF) Per 24 Hours From Baseline to Week 4 in SUI Subgroup-8.9 Percentage changeStandard Deviation 46.3
Comparison: TAS-303 3 mg group vs. Placebo group for the mean percentage changes in IEF per 24 hours from baseline to Week 4p-value: 0.01995% CI: [-32.2, -3]t-test, 2 sided
Comparison: TAS-303 6 mg group vs. Placebo group for the mean percentage changes in IEF per 24 hours from baseline to Week 4p-value: 0.02395% CI: [-31.5, -2.3]t-test, 2 sided
Secondary

Mean Percentage Changes in Incontinence Episode Frequency (IEF) Per 24 Hours From Baseline to Week 8 in SUI Subgroup

Time frame: Baseline to Week 8 (8 weeks in treatment period)

Population: PPS was used for the analysis. This analysis was conducted in SUI subgroup. This subgroup includes patients with only SUI but excludes those with MUI.

ArmMeasureValue (MEAN)Dispersion
TAS-303 3 mgMean Percentage Changes in Incontinence Episode Frequency (IEF) Per 24 Hours From Baseline to Week 8 in SUI Subgroup-37.4 Percentage changeStandard Deviation 33.1
TAS-303 6 mgMean Percentage Changes in Incontinence Episode Frequency (IEF) Per 24 Hours From Baseline to Week 8 in SUI Subgroup-35.7 Percentage changeStandard Deviation 37.8
PlaceboMean Percentage Changes in Incontinence Episode Frequency (IEF) Per 24 Hours From Baseline to Week 8 in SUI Subgroup-26.1 Percentage changeStandard Deviation 47.8
Comparison: TAS-303 3 mg group vs. Placebo group for the mean percentage changes in IEF per 24 hours from baseline to Week 8p-value: 0.12595% CI: [-25.9, 3.2]t-test, 2 sided
Comparison: TAS-303 6 mg group vs. Placebo group for the mean percentage changes in IEF per 24 hours from baseline to Week 8p-value: 0.22195% CI: [-25.1, 5.9]t-test, 2 sided
Secondary

Patient Global Impression-Improvement (PGI-I) Rates at Baseline, Week 4 and Week 8

PGI-I was used to evaluate the patients' impression of improvement of urinary incontinence. The improvement of PGI-I was defined as the selection of Very much better, Much better, or A little better. The investigator or subinvestigator instructed patients to evaluate the improvement of urinary incontinence at the evaluation time point using the following 7-point scale: (1) Very much better; (2) Much better; (3) A little better; (4) No change; (5) A little worse; (6) Much worse; and (7) Very much worse.

Time frame: Baseline to Week 8 (8 weeks in treatment period)

Population: PPS was used for the analysis.

ArmMeasureGroupValue (COUNT_OF_PARTICIPANTS)
TAS-303 3 mgPatient Global Impression-Improvement (PGI-I) Rates at Baseline, Week 4 and Week 8Week 449 Participants
TAS-303 3 mgPatient Global Impression-Improvement (PGI-I) Rates at Baseline, Week 4 and Week 8Baseline28 Participants
TAS-303 3 mgPatient Global Impression-Improvement (PGI-I) Rates at Baseline, Week 4 and Week 8Week 861 Participants
TAS-303 6 mgPatient Global Impression-Improvement (PGI-I) Rates at Baseline, Week 4 and Week 8Week 458 Participants
TAS-303 6 mgPatient Global Impression-Improvement (PGI-I) Rates at Baseline, Week 4 and Week 8Baseline29 Participants
TAS-303 6 mgPatient Global Impression-Improvement (PGI-I) Rates at Baseline, Week 4 and Week 8Week 855 Participants
PlaceboPatient Global Impression-Improvement (PGI-I) Rates at Baseline, Week 4 and Week 8Baseline26 Participants
PlaceboPatient Global Impression-Improvement (PGI-I) Rates at Baseline, Week 4 and Week 8Week 853 Participants
PlaceboPatient Global Impression-Improvement (PGI-I) Rates at Baseline, Week 4 and Week 8Week 444 Participants
Secondary

Percentages of the Patients With an Incontinence Amount of ≤ 2.0 g (Deemed Dryness) in the 1-hour Pad Test at Week 8 in the Treatment Period

Time frame: At Week 8 in the treatment period

Population: PPS was used for the analysis.

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
TAS-303 3 mgPercentages of the Patients With an Incontinence Amount of ≤ 2.0 g (Deemed Dryness) in the 1-hour Pad Test at Week 8 in the Treatment Period25 Participants
TAS-303 6 mgPercentages of the Patients With an Incontinence Amount of ≤ 2.0 g (Deemed Dryness) in the 1-hour Pad Test at Week 8 in the Treatment Period27 Participants
PlaceboPercentages of the Patients With an Incontinence Amount of ≤ 2.0 g (Deemed Dryness) in the 1-hour Pad Test at Week 8 in the Treatment Period13 Participants
Secondary

Serious Adverse Events

Time frame: Baseline to Week 8 (8 weeks in treatment period)

Population: All treated population was used for the analysis. This analysis set includes all patients enrolled in the observation period who received at least 1 dose of the study drug.

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
TAS-303 3 mgSerious Adverse Events0 Participants
TAS-303 6 mgSerious Adverse Events0 Participants
PlaceboSerious Adverse Events0 Participants

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