A Phase 2, Multicenter, Randomized, Double-blind, Placebo-controlled, Single-treatment, 2-stage, Dose-finding Study Evaluating the Efficacy and Safety of BOTOX® Intravesical Instillation in Participants With Overactive Bladder and Urinary Incontinence
Overview
- Phase
- Phase 2
- Intervention
- OnabotulinumtoxinA and Hydrogel admixture
- Conditions
- Urinary Incontinence
- Sponsor
- Allergan
- Enrollment
- 383
- Locations
- 63
- Primary Endpoint
- Stage 2: Change From Baseline in the Average Number of Urinary Incontinence Episodes (UIEs) Per Day
- Status
- Completed
- Last Updated
- 4 years ago
Overview
Brief Summary
This study will evaluate the efficacy and safety of BOTOX® intravesical instillation in participants with overactive bladder and urinary incontinence.
Investigators
Eligibility Criteria
Inclusion Criteria
- •Symptoms of OAB (frequency/urgency) with urinary incontinence for at least 6 months
- •Inadequate response or limiting side effects with pharmacotherapy for the treatment of OAB
Exclusion Criteria
- •Overactive Bladder caused by neurological condition
- •Patient has predominance of stress incontinence
- •History or evidence of pelvic or urological abnormality
- •Prior use of BOTOX for any urological condition
Arms & Interventions
100U cohort - BOTOX® plus Hydrogel admixture
100U BOTOX® (onabotulinumtoxinA) and Hydrogel admixture administered as a single intravesical instillation on Day 1
Intervention: OnabotulinumtoxinA and Hydrogel admixture
100U cohort - Placebo plus Hydrogel admixture
Placebo and Hydrogel admixture administered as a single intravesical instillation on Day 1
Intervention: Placebo and Hydrogel admixture
300U cohort - BOTOX® plus Hydrogel admixture
300U BOTOX® (onabotulinumtoxinA) and Hydrogel admixture administered as a single intravesical instillation on Day 1
Intervention: OnabotulinumtoxinA and Hydrogel admixture
300U cohort - Placebo plus Hydrogel admixture
Placebo and Hydrogel admixture administered as a single intravesical instillation on Day 1
Intervention: Placebo and Hydrogel admixture
400U cohort - BOTOX® plus Hydrogel admixture
400U BOTOX® (onabotulinumtoxinA) and Hydrogel admixture administered as a single intravesical instillation on Day 1
Intervention: OnabotulinumtoxinA and Hydrogel admixture
400U cohort - Placebo plus Hydrogel admixture
Placebo and Hydrogel admixture administered as a single intravesical instillation on Day 1
Intervention: Placebo and Hydrogel admixture
500U cohort - BOTOX® plus Hydrogel admixture
500U BOTOX® (onabotulinumtoxinA) and Hydrogel admixture administered as a single intravesical instillation on Day 1
Intervention: OnabotulinumtoxinA and Hydrogel admixture
500U cohort - Placebo plus Hydrogel admixture
Placebo and Hydrogel admixture administered as a single intravesical instillation on Day 1
Intervention: Placebo and Hydrogel admixture
Outcomes
Primary Outcomes
Stage 2: Change From Baseline in the Average Number of Urinary Incontinence Episodes (UIEs) Per Day
Time Frame: Baseline (3 consecutive days during Day -14 to Day -1) to 3 consecutive days in the Week prior to Week 12
The participant recorded urinary incontinence (lack of voluntary control over urination) in a 3-day bladder diary. The average number of UIEs per day is the average of the 3-day diary entries. A negative change from Baseline indicates improvement. Baseline is defined as the last non-missing assessment before the first dose of study treatment. An analysis of covariance (ANCOVA) model was used for analyses.
Number of Participants With at Least One Treatment-Emergent Adverse Event (TEAEs) in the Treatment Period
Time Frame: Up to End of Study (Stage 1: Up to 114 days and Stage 2: Up to 35.1 weeks)
An adverse event (AE) is any untoward medical occurrence in a participants or clinical study investigation participant administered a pharmaceutical product and which does not necessarily have a causal relationship with this treatment. An AE can therefore be any unfavorable and unintended sign (including an abnormal laboratory finding), symptom, or disease temporally associated with the use of a medicinal product, whether or not related to the medicinal product. A TEAE is an AE that occurs or worsens after receiving study drug.
Secondary Outcomes
- Stage 2: Change From Baseline in the Average Number of Micturition Episodes Per Day(Baseline (3 consecutive days during Days -14 to Day -1) to 3 consecutive days in the Week prior to Week 12)
- Stage 2: Change From Baseline in the Average Volume Voided Per Micturition(Baseline (3 consecutive days during Days -14 to Day -1) to 3 consecutive days in the Week prior to Week 12)