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An Extension Study to Examine the Safety and Tolerability of a New Drug in Patients With Symptoms of Overactive Bladder (OAB).

Phase 3
Completed
Conditions
Overactive Bladder
Interventions
Registration Number
NCT03583372
Lead Sponsor
Urovant Sciences GmbH
Brief Summary

This study is designed to evaluate the safety, tolerability, and efficacy of vibegron administered once daily in participants with OAB for up to 52 weeks.

Detailed Description

Not available

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
506
Inclusion Criteria
  1. Has completed participation in study RVT-901-3003.
  2. Has demonstrated ≥ 80% compliance with self-administration of Study Treatment in study RVT-901-3003.
Exclusion Criteria
  1. Has a change in history or current evidence of any clinically significant condition, therapy, lab abnormality, or other circumstance that might, in the opinion of the Investigator, confound the results of the study, interfere with the participant's ability to comply with study procedures, or make participation in the study not in the participant's best interest.
  2. Has coronary or neurovascular interventions planned during the duration of the study.
  3. Has uncontrolled hyperglycemia (defined as fasting blood glucose >150 mg/dL or 8.33 mmol/L and/or non-fasting blood glucose >200 mg/dL or 11.1 mmol/L) based on most recent available lab results in study RVT-901-3003 or, if in the opinion of the Investigator, is uncontrolled.
  4. Has uncontrolled hypertension (systolic blood pressure of ≥ 180 mm Hg and/or diastolic blood pressure of ≥ 100 mm Hg) or has a resting heart rate (by pulse) > 100 beats per minute.
  5. Has clinically significant ECG abnormality which, in the opinion of the Investigator, exposes the participant to risk by participating in the study
  6. Has alanine aminotransferase or aspartate aminotransferase > 2.0 times the upper limit of normal (ULN), or bilirubin (total bilirubin) > 1.5 x ULN (or > 2.0 x ULN if secondary to Gilbert syndrome or pattern consistent with Gilbert syndrome) based on most recent available lab results in study RVT-901-3003.
  7. Has an estimated glomerular filtration rate (eGFR) < 30mL/min/1.73 m2 based on most recent available lab results in study RVT-901-3003.
  8. Use of any prohibited medications as detailed in Section 7.7.3.
  9. Plans to initiate or change the dosing of any medications listed in Section 7.7.5 during the study that in the opinion of the investigator is assessed to be clinical significant.
  10. Has an allergy, intolerance, or a history of a significant clinical or laboratory adverse experience associated with any of the active or inactive components of the vibegron formulation or tolterodine formulation.
  11. Is currently participating or has participated in a study with an investigational compound or device within 28 days of signing informed consent, not including participation in study RVT-901-3003.
  12. Has a history of significant drug or alcohol abuse/dependence within a year of informed consent, as assessed by the investigator.
  13. Has a varying sleep schedule anticipated during times when the voiding diaries are to be completed.

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
Vibegron + Placebo to match Tolterodineplacebos-
Tolterodine + Placebo to match vibegronplacebos-
Tolterodine + Placebo to match vibegronTolterodine Tartrate ER-
Vibegron + Placebo to match TolterodineVibegron-
Primary Outcome Measures
NameTimeMethod
Number of Participants With the Indicated Type of Treatment-emergent Adverse Eventup to 56 weeks

Adverse events were collected in participants with overactive bladder (OAB) who previously completed treatment in Study RVT-901-3003. The treatment-emergent period was defined as the period of time from the first dose date of the active double-blind study treatment, whether in Study RVT-901-3003 or Study RVT-901-3004, through 28 days after the last dose of study treatment, or the date of initiation of another investigational agent or surgical intervention, whichever occurred first.

Secondary Outcome Measures
NameTimeMethod
Change From Baseline (CFB) at Week 52 in the Average Number of Micturitions Per 24 Hours in All Overactive Bladder (OAB) ParticipantsBaseline; Week 52

A micturition/void is defined as "Urinated in Toilet" as indicated on the Patient Voiding Diary (PVD). The number of micturitions is defined as the number of times a participant voided in the toilet as indicated in the PVD. The average daily number of micturitions was calculated using the daily entries in the PVD (which was to be completed prior to each study visit) as the total number of micturitions that occurred on a Complete Diary Day (CDD) divided by the number of CDDs in the PVD. CFB was calculated as the post-BL value minus the BL value. "Per 24 hours" corresponds to one Diary Day (i.e., time between when the participant got up for the day each morning and time the participant got up for the day the next morning as recorded in the PVD). Covariates included in the mixed model for repeated measures (MMRM) were study visit, treatment, treatment by study visit interaction, Baseline, and the statistically significant terms in Study RVT-901-3003: OAB type (Wet versus Dry) and sex.

CFB at Week 52 in the Average Number of Urge Urinary Incontinence (UUI) Episodes Per 24 Hours in OAB Wet ParticipantsBaseline; Week 52

The number of UUI episodes is defined as the number of times a participant had checked "urge" as the main reason for the leakage in the PVD, regardless of whether more than one reason for leakage in addition to "urge" was checked. The average daily number of UUI episodes was calculated using the daily entries in the PVD (which was to be completed prior to each study visit) as the total number of UUI episodes that occurred on a CDD divided by the number of CDDs in the PVD. CFB was calculated as the post-BL value minus the BL value. "Per 24 hours" corresponds to one Diary Day (i.e., time between when participant got up for the day each morning and time participant got up for the day the next morning as recorded in the PVD). Covariates included in the MMRM were study visit, treatment, treatment by study visit interaction, Baseline, and the statistically significant terms in Study RVT-901-3003: sex. Only participants with evaluable data were analyzed.

CFB at Week 52 in the Average Number of Urgency Episodes (Need to Urinate Immediately) Over 24 Hours in All OAB ParticipantsBaseline; Week 52

The number of urgency episodes is defined as the number of times a participant had checked "need to urinate immediately" on a CDD divided by the number of CDDs in the PVD. CFB is calculated as the post-BL value minus the BL value. "Over 24 hours" corresponds to one Diary Day (i.e., time between when the participant got up for the day each morning and time the participant got up for the day the next morning as recorded in the PVD). Covariates included in the MMRM were study visit, treatment, treatment by study visit interaction, Baseline, and the statistically significant terms in Study RVT-901-3003: OAB type (Wet versus Dry) and sex.

CFB at Week 52 in the Average Number of Total Urinary Incontinence Episodes Over 24 Hours in OAB Wet ParticipantsBaseline; Week 52

The number of total incontinence episodes is defined as the number of times a participant had checked the accidental urine leakage box in the PVD, including for reasons of "urge," "stress," or "other." CFB was calculated as the post-BL value minus the BL value. "Over 24 hours" corresponds to one Diary Day (i.e., time between when the participant got up for the day each morning and time the participant got up for the day the next morning as recorded in the PVD). Covariates included in the MMRM were study visit, treatment, treatment by study visit interaction, Baseline, and the statistically significant terms in Study RVT-901-3003: sex. hr = hour.

Trial Locations

Locations (106)

Coastal Clinical Research Inc.

🇺🇸

Mobile, Alabama, United States

Downtown L.A. Research Center Inc.

🇺🇸

Los Angeles, California, United States

Women's Clinic of Lincoln PC

🇺🇸

Lincoln, Nebraska, United States

PharmQuest

🇺🇸

Greensboro, North Carolina, United States

Aventiv Research, Inc.

🇺🇸

Columbus, Ohio, United States

Research Protocol Management Specialists Hills ObGyn Associates Inc

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Pittsburgh, Pennsylvania, United States

Investigators Research Group LLC

🇺🇸

Brownsburg, Indiana, United States

Montana Health Research Institute Inc.

🇺🇸

Billings, Montana, United States

Boston Clinical Trials

🇺🇸

Boston, Massachusetts, United States

Meridian Clinical Research LLC

🇺🇸

Norfolk, Nebraska, United States

Urologic Research and Consulting LLC

🇺🇸

Englewood, New Jersey, United States

Bay State Clinical Trials Inc.

🇺🇸

Watertown, Massachusetts, United States

Regional Urology LLC

🇺🇸

Shreveport, Louisiana, United States

Remidica LLC

🇺🇸

Rochester, Michigan, United States

United Medical Associates

🇺🇸

Binghamton, New York, United States

Protenium Clinical Research

🇺🇸

Hurst, Texas, United States

Rapid Medical Research

🇺🇸

Cleveland, Ohio, United States

Buckeye Health and Research

🇺🇸

Columbus, Ohio, United States

Clinical Research of Philadelphia LLC

🇺🇸

Philadelphia, Pennsylvania, United States

AccuMed Research Associates

🇺🇸

Garden City, New York, United States

Seattle Urology Research

🇺🇸

Burien, Washington, United States

DiscoveResearch Inc.

🇺🇸

Bryan, Texas, United States

Clinical Research Solutions

🇺🇸

Middleburg Heights, Ohio, United States

The Clinical Trial Center LLC

🇺🇸

Jenkintown, Pennsylvania, United States

Adams Patterson Gynecology and Obstetrics

🇺🇸

Memphis, Tennessee, United States

WR Global Medical Research

🇺🇸

DeSoto, Texas, United States

Seattle Women's: Health, Research, Gynecology

🇺🇸

Seattle, Washington, United States

LCC Medical Research Institute Inc.

🇺🇸

Miami, Florida, United States

Nuren Medical Research Center

🇺🇸

Miami, Florida, United States

Miami Clinical Research

🇺🇸

Miami, Florida, United States

Advanced Medical Research Institute

🇺🇸

Miami, Florida, United States

Advances in Health

🇺🇸

Houston, Texas, United States

Pioneer Research Solutions

🇺🇸

Houston, Texas, United States

AppleMed Research Group LLC

🇺🇸

Miami, Florida, United States

Clinical Research Consortium

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Tempe, Arizona, United States

Noble Clinical Research

🇺🇸

Tucson, Arizona, United States

American Clinical Trials

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Hawaiian Gardens, California, United States

Core Healthcare Group

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Cerritos, California, United States

Prime-Care Clinical Research

🇺🇸

Laguna Hills, California, United States

Grossmont Center for Clinical Research

🇺🇸

La Mesa, California, United States

Tri Valley Urology Medical Group

🇺🇸

Murrieta, California, United States

Long Beach Clinical Trials LLC

🇺🇸

Long Beach, California, United States

Bayview Research Group LLC

🇺🇸

Valley Village, California, United States

Clinical Research Consulting LLC

🇺🇸

Milford, Connecticut, United States

Chase Medical Research, LLC

🇺🇸

Waterbury, Connecticut, United States

Coastal Connecticut Research LLC

🇺🇸

New London, Connecticut, United States

PAB Clinical Research

🇺🇸

Brandon, Florida, United States

Revival Research

🇺🇸

Doral, Florida, United States

Top Medical Research Inc.

🇺🇸

Cutler Bay, Florida, United States

Riverside Clinical Research

🇺🇸

Edgewater, Florida, United States

Health Awareness, Inc.

🇺🇸

Jupiter, Florida, United States

Best Quality Research, Inc.

🇺🇸

Hialeah, Florida, United States

San Marcus Research Clinic Inc.

🇺🇸

Miami, Florida, United States

Bayside Clinical Research

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New Port Richey, Florida, United States

South Broward Research LLC

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Pembroke Pines, Florida, United States

Clinical Research Center of Florida

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Pompano Beach, Florida, United States

Clinical Research of Central Florida

🇺🇸

Winter Haven, Florida, United States

North Georgia Clinical Research

🇺🇸

Woodstock, Georgia, United States

In-Quest Medical Research, LLC

🇺🇸

Peachtree Corners, Georgia, United States

Advanced Clinical Research

🇺🇸

Meridian, Idaho, United States

Evanston Premier Healthcare Research

🇺🇸

Evanston, Illinois, United States

Clinical Investigation Specialists Inc.

🇺🇸

Gurnee, Illinois, United States

Infinity Medical Research Inc.

🇺🇸

North Dartmouth, Massachusetts, United States

Regional Clinical Research Inc.

🇺🇸

Endwell, New York, United States

Drug Trials America

🇺🇸

Hartsdale, New York, United States

Providence Health Partners

🇺🇸

Dayton, Ohio, United States

Preferred Primary Care Physicians Inc.

🇺🇸

Pittsburgh, Pennsylvania, United States

Family Practice Center of Wadsworth Inc. - New Venture Medical Research

🇺🇸

Wadsworth, Ohio, United States

Hillcrest Clinical Research LLC

🇺🇸

Simpsonville, South Carolina, United States

Piedmont Research Partners

🇺🇸

Fort Mill, South Carolina, United States

The Jackson Clinic

🇺🇸

Jackson, Tennessee, United States

MultiSpecialty Clinical Research, Inc.

🇺🇸

Johnson City, Tennessee, United States

Artemis Institute for Clinical Research

🇺🇸

San Marcos, California, United States

Hope Clinical Research

🇺🇸

Canoga Park, California, United States

Suncoast Clinical Research Inc.

🇺🇸

New Port Richey, Florida, United States

Indago Research Health Center

🇺🇸

Hialeah, Florida, United States

Ohio Clinical Research LLC

🇺🇸

Willoughby Hills, Ohio, United States

Barrett Clinic P.C.

🇺🇸

La Vista, Nebraska, United States

Premier Urology Group LLC

🇺🇸

Edison, New Jersey, United States

Lawrence OB-GYN Clinical Research LLC

🇺🇸

Lawrenceville, New Jersey, United States

Upstate Clinical Research Associates LLC

🇺🇸

Williamsville, New York, United States

PMG Research of Charlotte LLC

🇺🇸

Charlotte, North Carolina, United States

HWC Womens Research Center

🇺🇸

Englewood, Ohio, United States

PMG Research

🇺🇸

Wilmington, North Carolina, United States

Leonard Maliver MD Antria, Inc.

🇺🇸

Indiana, Pennsylvania, United States

Greater Providence Clinical Research, LLC

🇺🇸

East Providence, Rhode Island, United States

Family Medicine of SayeBrook LLC

🇺🇸

Myrtle Beach, South Carolina, United States

Palmetto Clinical Research

🇺🇸

Summerville, South Carolina, United States

Health Research of Hampton Roads Inc.

🇺🇸

Newport News, Virginia, United States

Northern California Research

🇺🇸

Sacramento, California, United States

Compass Research LLC

🇺🇸

Orlando, Florida, United States

Clinical Research of West Florida

🇺🇸

Tampa, Florida, United States

WR MCCCR

🇺🇸

San Diego, California, United States

Horizons Clinical Research Center

🇺🇸

Denver, Colorado, United States

Lynn Institute of Denver

🇺🇸

Denver, Colorado, United States

DelRicht Research

🇺🇸

New Orleans, Louisiana, United States

Excel Clinical Research

🇺🇸

Las Vegas, Nevada, United States

PMG Research of Winston-Salem

🇺🇸

Winston-Salem, North Carolina, United States

Wasatch Clinical Research LLC

🇺🇸

Salt Lake City, Utah, United States

Sentral Clinical Research Services

🇺🇸

Cincinnati, Ohio, United States

Clinical Trials of Texas Inc.

🇺🇸

San Antonio, Texas, United States

Bandera Family Health Care

🇺🇸

San Antonio, Texas, United States

Clinical Trials of South Carolina

🇺🇸

Charleston, South Carolina, United States

Central Kentucky Research Associates Inc.

🇺🇸

Lexington, Kentucky, United States

Albuquerque Clinical Trials, Inc.

🇺🇸

Albuquerque, New Mexico, United States

AccumetRx Clinical Research - Division of Urology Group of New Mexico

🇺🇸

Albuquerque, New Mexico, United States

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