Study of Darifenacin in Patients Suffering From Multiple Sclerosis and Neurogenic Detrusor Overactivity

NCT00845338 — Phase 2, Terminated, 7 participants, Bayer

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A 4-week, Open-label, Multicenter, Urodynamic Pilot Study to Explore the Efficacy, Tolerability and Safety of Darifenacin (7.5 mg With Up-titration to 15 mg) in Patients With Multiple Sclerosis and Neurogenic Detrusor Overactivity

RegistryNCT00845338
StatusTerminated - The enrollment rate at most centers was unlikely to result in the recruitment of the planned sample size of 40 evaluable subjects.
PhasePhase 2
Study typeInterventional; non randomized, single group, masking: none, treatment
Enrollment7 (Actual)
SponsorBayer (Industry)
ConditionsMultiple Sclerosis, Overactive Detrusor
InterventionsDarifenacin (BAY79-4998) (Drug)
Datesstart 2007-02-01, primary completion 2007-10-01, completion 2007-10-01, first posted 2009-02-18, last updated 2014-12-02
Locations15 sites in Germany

Related Papers Related Patents Related Grants Related Experts
All trials for Multiple Sclerosis All trials for Overactive Detrusor All trials of Darifenacin (BAY79-4998)

-Summary

The objective of this study is to explore the effects of darifenacin in patients with multiple sclerosis and neurogenic detrusor overactivity. The efficacy, safety and tolerability of darifenacin are already well established in idiopathic detrusor overactivity. Patients with multiple sclerosis and neurogenic detrusor overactivity without detrusor-sphincter-dyssynergia (DSD) will be allocated to darifenacin therapy.

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+Arms and interventions

ArmTypeInterventionsDescription
Arm 1ExperimentalDrug: Darifenacin (BAY79-4998)
  • Darifenacin (BAY79-4998) (Drug): Darifenacin 7,5mg tablets once daily for 14 days, darifenacin 7,5mg or 15mg once daily for 14 consecutive days

+Outcome measures

Primary outcomes

  • Change from baseline in volume at first detrusor contraction as determined by urodynamics [At week 4]

Secondary outcomes

  • Detrusor pressure at first contraction [At week 4]
  • Volume at first detectable leakage [At week 4]
  • Volume at 10/20/30/40 cm H2O [At week 4]
  • Compliance [At week 4]
  • Maximum cystometric bladder capacity [At week 4]
  • 7-day micturition diary: Micturitions [At days 0, 14, 28]
  • 7-day micturition diary: Urgency episodes [At days 0, 14, 28]
  • 7-day micturition diary: Urge urinary incontinence episodes [At days 0, 14, 28]

+Eligibility

Sex: All, ages: 18 Years to any

Inclusion Criteria:

* Patients with multiple sclerosis for at least 6 months
* Neurogenic detrusor overactivity without DSD
* Symptoms of OAB
* Patients capable of completing the bladder diary
* Patients capable of independent toileting
* Patients able to swallow the study medication in accordance to the protocol
* Body Mass Index >/= 18,8 kg/qm and </= 35,0 kg/qm
* documented, dated, written informed consent

Exclusion Criteria:

* Treatment with drugs known to affect mainly the urinary function 14 days prior to starting completion of the baseline diary for Visit 2
* Participation in a bladder-training program
* Low compliance bladder (Compliance <20 mL/cm H2O)
* DSD, Detrusor hyporeflexia / areflexia and bradykinesia / tremor of the external urethral sphincter
* Indwelling catheter or intermittent self-catheterization
* Patience with post-void residual (PVR) urinary volume > 200 mL at baseline
* Urinary retention or clinically significant bladder outlet obstruction as detected by the investigator
* Clinically predominant and bothersome stress urinary incontinence
* Neurological diseases other than multiple sclerosis affecting urinary bladder function
* Any urogenital surgery within 12 month prior to Visit 1
* 17 Additional Exclusion Criteria

+Locations (15)

FacilityCityCountryStatus
Emmendingen, Baden-WurttembergGermany
Heidelberg, Baden-WurttembergGermany
Lahr, Baden-WurttembergGermany
Tübingen, Baden-WurttembergGermany
Villingen-Schwenningen, Baden-WurttembergGermany
Planegg, BavariaGermany
Hamburg, Free and Hanseatic City of HamburgGermany
Oberursel, HesseGermany
Herne, North Rhine-WestphaliaGermany
Mönchengladbach, North Rhine-WestphaliaGermany
Mülheim, North Rhine-WestphaliaGermany
Mainz, Rhineland-PalatinateGermany
Halle, Saxony-AnhaltGermany
Berlin, State of BerlinGermany
Bad Berka, ThuringiaGermany

+Investigators

  • Bayer Study Director, Study director, Bayer