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

Phase 2
Terminated
Conditions
Overactive Detrusor
Multiple Sclerosis
Interventions
Registration Number
NCT00845338
Lead Sponsor
Bayer
Brief 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.

Detailed Description

Not available

Recruitment & Eligibility

Status
TERMINATED
Sex
All
Target Recruitment
7
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
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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
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Study & Design

Study Type
INTERVENTIONAL
Study Design
SINGLE_GROUP
Arm && Interventions
GroupInterventionDescription
Arm 1Darifenacin (BAY79-4998)-
Primary Outcome Measures
NameTimeMethod
Change from baseline in volume at first detrusor contraction as determined by urodynamicsAt week 4
Secondary Outcome Measures
NameTimeMethod
ComplianceAt week 4
Detrusor pressure at first contractionAt week 4
Volume at first detectable leakageAt week 4
Volume at 10/20/30/40 cm H2OAt week 4
Maximum cystometric bladder capacityAt week 4
7-day micturition diary: MicturitionsAt days 0, 14, 28
7-day micturition diary: Urgency episodesAt days 0, 14, 28
7-day micturition diary: Urge urinary incontinence episodesAt days 0, 14, 28
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