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ong-Term Follow up study of BOTOX in patients with Overactive Bladder with urinary Incontinence

Phase 1
Conditions
Patients with symptoms of idiopathic overactive bladder (frequency and urgency)with urinary incontinence, whose symptoms have not been adequately managed with anticholinergic therapy.
MedDRA version: 15.0 Level: LLT Classification code 10059617 Term: Overactive bladder System Organ Class: 10038359 - Renal and urinary disorders
Therapeutic area: Diseases [C] - Symptoms and general pathology [C23]
Registration Number
EUCTR2009-013089-26-GB
Lead Sponsor
Allergan Ltd
Brief Summary

Not available

Detailed Description

Not available

Recruitment & Eligibility

Status
ot Recruiting
Sex
Not specified
Target Recruitment
829
Inclusion Criteria

1. Patient has participated in study 191622-095 or 191622-520 and fulfilled that study’s exit criteria (ie. completion of 24 weeks post Randomization / Day 1, and if a second treatment was received, completed at least 12 weeks post-treatment follow up).
2. Written informed consent has been obtained.
3. Written Authorization for Use and Release of Health and Research Study Information (US sites only) has been obtained.
4. Written Data Protection Consent (EU sites only) has been obtained.
5. Written documentation has been obtained in accordance with the relevant country and local privacy requirements, where applicable.
6. Patient is willing to use clean intermittent catheterization (CIC) to empty the bladder following study treatment or at any other time if it is determined to be necessary by the investigator.
7. Patient has a negative pregnancy test result if female and of childbearing potential.
8. Patient is able to complete study requirements including using the toilet without assistance, is able to collect urine volume voided per micturition measurements over a 24-hour period, complete diaries and questionnaires, and attend all study visits in the opinion of the investigator.

Are the trial subjects under 18? no
Number of subjects for this age range: 750
F.1.2 Adults (18-64 years) yes
F.1.2.1 Number of subjects for this age range 375
F.1.3 Elderly (>=65 years) yes
F.1.3.1 Number of subjects for this age range 375

Exclusion Criteria

1. Patient cannot withhold any anti-platelet, anti-coagulant therapy or medications with anticoagulant effects within 3 days prior to any study treatment.
2. Patient has a known allergy or sensitivity to any botulinum toxin preparation (including the study medication preparation), anesthetics or antibiotics to be used during the study.
3. Patient has experienced any serious adverse event related to the study procedure or treatment in the preceding study (191622-095 or 191622-520).
4. Patient has had occurrence of bladder stones in the preceding study (191622-095 or 191622-520)
5. Patient has any medical condition that may put them at increased risk with exposure to BOTOX® including diagnosed myasthenia gravis, Eaton-Lambert syndrome, or amyotrophic lateral sclerosis.
6. Females who are pregnant, nursing or planning a pregnancy during the study or females of childbearing potential who are unable or unwilling to use a reliable form of contraception during the study (see section 8.2.3).
7. Patient has any condition or situation which, in the investigator’s opinion, puts the patient at significant risk, could confound the study results, or may interfere significantly with the patient’s participation in the study.

Study & Design

Study Type
Interventional clinical trial of medicinal product
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Main Objective: To evaluate the long-term safety and efficacy of BOTOX® in patients with idiopathic overactive bladder with urinary incontinence whose symptoms have not been adequately managed with anticholinergic therapy.;Secondary Objective: N/A;<br> Primary end point(s): There are two co-primary measures <br> • Number of episodes of urinary incontinence<br> • Proportion of patients who have a positive treatment response on the Treatment Benefit Scale (score of either 1 or 2, representing ‘greatly improved’ or ‘improved’) <br> <br> The time point of primary interest is Week 12 following each treatment.<br> ;Timepoint(s) of evaluation of this end point: Week 12 following each treatment
Secondary Outcome Measures
NameTimeMethod
Secondary end point(s): Number of micturition episodes, Urinary incontinence-Specific Quality-of-Life Instrument (I-QOL), Kings Health Questionnaire (KHQ), Number of urgency episodes - The protocol also details other efficacy and safety measures;Timepoint(s) of evaluation of this end point: Duration of the study
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