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SMP-986 Phase 2 Proof of Concept in Patients With Overactive Bladder Syndrome (OABS)

Phase 2
Completed
Conditions
Overactive Bladder Syndrome (OABS)
Interventions
Drug: Placebo
Registration Number
NCT00409539
Lead Sponsor
Sumitomo Pharma America, Inc.
Brief Summary

SMP-986 is a compound being developed for the treatment of overactive bladder syndrome (OABS). This clinical study is designed to test the hypothesis that SMP-986 at doses of 20mg, 40mg, 80mg or 120mg provides greater symptom relief in OABS compared to placebo. The hypothesis will be tested by measuring the change in mean voids/24 hrs after treatment with SMP-986 compared to placebo, as well comparing the change in: the severity of urgency episodes, mean number of urgency episodes/24 hr, mean number of incontinence episodes/24 hr and the mean void volume/void between SMP-986 and placebo.

Detailed Description

A multicenter study conducted in patients with OABS comprising a 2-week single blind placebo run-in period followed by an 8-week randomized, double-blind, placebo controlled treatment period with patients randomized to receive 20 mg, 40 mg, 80 mg or 120 mg SMP 986 or placebo in a 1:1:1:1:1 ratio in parallel groups on an outpatient basis with study center visits.

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
550
Inclusion Criteria

Main Inclusion Criteria:

  • Males, or females who are not of child-bearing potential
  • Aged 20-80 years (inclusive) with a diagnosis of OABS based on symptomatic reporting over a period of 6 months (micturition frequency, and urgency with or without incontinence) prior to screening.
Exclusion Criteria

Main Exclusion Criteria:

  • Patients will be excluded if there is an indication of any bladder outlet obstruction or polyuria

  • Patients with the following conditions, or who have undergone the following procedures, will be excluded:

    • stress urinary incontinence
    • pelvic organ prolapse ( stage 2)
    • genitourinary or lower bowel surgery (within 12 months prior to screening),
    • pathological conditions including poorly controlled diabetes, painful bladder syndrome/interstitial cystitis or history of chronic urinary tract infection
    • neurological conditions including multiple sclerosis, Parkinson's disease or neuropathy)
  • Patients will also be excluded if they have an indwelling catheter or perform intermittent self catheterisation

  • Patients should not have a current or past medical condition contraindicating the use of antimuscarinics and must have discontinued use of the following drugs:

    • drugs used to treat OABS or urinary incontinence
    • cholinergics
    • anticholinergics
    • alpha adrenergic antagonists
    • opioid analgesics
    • compound analgesics containing an opioid
    • warfarin
  • Patients with a current or past malignancy (within the last 5 years)

  • Patients who have ever had a tumour affecting the genitourinary tract (not including benign prostatic hyperplasia) will be excluded.

  • Patients will be ineligible if they have a clinically significant cardiac, neurological, hepatic, renal, respiratory, haematological or gastrointestinal disorder (including, a significant history of constipation or an active bowel disease e.g. inflammatory bowel disease) or any other illness which in the opinion of the Investigator would preclude the safe or compliant participation of a subject.

  • Patients will be excluded if they are unable to complete the study diary

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
4SMP-98640mg dose of SMP-986 to be taken for 8 week duration.
2PlaceboTo be taken for the 8 week duration, in parallel with alternative arms (doses of 20, 40, 80 or 120mg SMP-986).
3SMP-98620mg dose of SMP-986 to be taken once daily for 8 week duration.
5SMP-98680mg dose of SMP-986 to be taken for 8 week duration.
6SMP-986120mg dose of SMP-986 to be taken for 8 week duration.
1PlaceboPlacebo run-in phase. 2 week duration.
Primary Outcome Measures
NameTimeMethod
Change From Baseline to Week 8 in the Number of Voids/24 Hours8 Weeks
Secondary Outcome Measures
NameTimeMethod
To Assess the Safety and Tolerability of 20, 40, 80 and 120 mg SMP 986 (o.d) Following 8-weeks of Treatment in Patients With Over Active Bladder Syndrome8 Weeks

Treatment emergent adverse event summary

Trial Locations

Locations (62)

Tartu University Clinic

🇪🇪

Tartu, Estonia

Medical University of Selesia

🇵🇱

Katowice, Poland

UI.G. Narutowicza 28

🇵🇱

Lodz, Poland

Clinical Dept of Urology, Medical Postgraduate Education

🇵🇱

Warsaw, Poland

Oddzial Urologii

🇵🇱

Bydgoszcz, Poland

Akdemickie Centrum Kliniczne

🇵🇱

Gdansk, Poland

University School of Medicine

🇵🇱

Lublin, Poland

Ackademicki Szpital Klniczny

🇵🇱

Wroclaw, Poland

Military Institute of Medicine

🇵🇱

Warsaw, Poland

Klinika Urologii Akademii

🇵🇱

Warszawa, Poland

Hospital Universitario

🇪🇸

Tenerife, Canarias, Spain

Poststr. 25

🇩🇪

Hagenow, Germany

South Florida Medical Research

🇺🇸

Aventura, Florida, United States

Regional Urology

🇺🇸

Shreveport, Louisiana, United States

9040 Friars Road

🇺🇸

San Diego, California, United States

Hudson Valley Urology

🇺🇸

Poughkeepsie, New York, United States

5920 Saratoga Boulevard

🇺🇸

Corpus Christi, Texas, United States

San Bernadino Urological Association Medical Group

🇺🇸

San Bernadino, California, United States

Atlanta Medical Research

🇺🇸

Alpharetta, Georgia, United States

Hopital Rothschild

🇫🇷

Paris, France

Volunteer Research Group

🇺🇸

Knoxville, Tennessee, United States

Klinische Forschung Berlin

🇩🇪

Berlin, Germany

Addenbrooke's Hospital

🇬🇧

Cambridge, United Kingdom

The Royal Hallamshire Hospital

🇬🇧

Sheffield, United Kingdom

Visions Clinical Research

🇺🇸

Boynton Beach, Florida, United States

Urologische Gem. Praxis

🇩🇪

Hamburg, Germany

Josef-Retzer-Str. 46

🇩🇪

München, Germany

New York Urological Associates, PC

🇺🇸

New York, New York, United States

Non-public Healthcare Unit

🇵🇱

Kutno, Poland

Southern Research Group, Centre Point Boulevard

🇺🇸

Tallahassee, Florida, United States

Instytut Zdrowia Matki Polki

🇵🇱

Lodz, Poland

University of Pittsburg, Dept Urology

🇺🇸

Pittsburg, Pennsylvania, United States

Aberdeen Royal Infirmary

🇬🇧

Aberdeen, United Kingdom

East Tallinn Central Hospital

🇪🇪

Tallinn, Estonia

Urologische Praxisgemeinschaft

🇩🇪

Hamburg, Germany

Medical Company ARS

🇱🇻

Riga, Latvia

P. Stradins Hospital

🇱🇻

Riga, Latvia

Fundacion Hospital Alcorcon

🇪🇸

Madrid, Spain

Urologische Praxis

🇩🇪

Leipzig, Germany

Kaunas Hospital

🇱🇹

Kaunas, Lithuania

Vilnius Santariskes Clinics

🇱🇹

Vilnius, Lithuania

Gem. Praxis Jacobi & Hellmis

🇩🇪

Duisburg, Germany

HauptstraBe 10

🇩🇪

Markkleeberg, Germany

Beckenboden Zentrum Munchen

🇩🇪

Munchen, Germany

Kaunas 2nd Clinical Hospital

🇱🇹

Kaunas, Lithuania

Leighton Hospital

🇬🇧

Crewe, United Kingdom

Hospital De Terrassa

🇪🇸

Barcelona, Spain

King's College Hospital

🇬🇧

London, United Kingdom

Urological Surgeons of IL

🇺🇸

Kankakee, Illinois, United States

Accumed Research Associate

🇺🇸

Garden City, New York, United States

Peninsula Urology Center

🇺🇸

Atherton, California, United States

Unifour Medical Research

🇺🇸

Hickory, North Carolina, United States

Florida Healthcare Research

🇺🇸

Ocala, Florida, United States

National Clinical Research Inc

🇺🇸

Richmond, Virginia, United States

West Tallinn Central Hospital

🇪🇪

Tallinn, Estonia

Servicio de Ginecologia

🇪🇸

Barcelona, Spain

Universitat Heidelberg

🇩🇪

Mannheim, Germany

Hospital Sant Joan De Deu

🇪🇸

Barcelona, Spain

Hopital Tenon

🇫🇷

Paris, France

Hopital Rangueil - CHU Toulouse

🇫🇷

Toulouse, France

Gem. Praxis fur Urologie und Mannerheilkunde

🇩🇪

Berlin, Germany

801 W. 5th Avenue

🇺🇸

Spokane, Washington, United States

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