Mirabegron

Generic Name
Mirabegron
Brand Names
Myrbetriq, Betmiga
Drug Type
Small Molecule
Chemical Formula
C21H24N4O2S
CAS Number
223673-61-8
Unique Ingredient Identifier
MVR3JL3B2V
Background

Mirabegron is a sympathomimetic beta-3 adrenergic receptor agonist used to relax the smooth muscle of the bladder in the treatment of urinary frequency and incontinence. It is unique amongst overactive bladder treatment options in that, unlike other treatments such as solifenacin and darifenacin, it lacks significant antimuscarinic activity, which is responsible both for the therapeutic effects of these medications and their broad range of adverse effects. Mirabegron has a comparatively favorable adverse effect profile as compared to other available treatment options, and its complementary mechanism to the antimuscarinics that came before it allows for its use alongside solifenacin in refractory cases.

Mirabegron first received FDA approval in 2012, under the brand name Myrbetriq, for the treatment of adults with overactive bladder. An extended-release granule formulation was subsequently granted approval in March 2021 for the treatment of pediatric patients with neurogenic detrusor overactivity. Mirabegron is also used in other jurisdictions across the globe, including Canada, the EU, and Japan.

Indication

Mirabegron is indicated for the treatment of overactive bladder (OAB) - with symptoms of urge urinary incontinence, urgency, and urinary frequency - either alone or in combination with solifenacin. It is also indicated for the treatment of neurogenic detrusor overactivity (NDO) in pediatric patients 3 years of age and older and weighing 35kg or more.

Associated Conditions
Neurogenic Detrusor Overactivity, Overactive Bladder Syndrome (OABS)
Associated Therapies
-

Myrbetriq™ (Mirabegron) to Reduce Pain and Discomfort Following Ureteral Stent Placement

First Posted Date
2015-06-04
Last Posted Date
2023-06-13
Lead Sponsor
Southern Illinois University
Target Recruit Count
11
Registration Number
NCT02462837
Locations
🇺🇸

SIUSOM - Division of Urology, Springfield, Illinois, United States

Treatment of Incontinence Without Memory Problems

First Posted Date
2015-05-07
Last Posted Date
2019-04-16
Lead Sponsor
University of California, San Francisco
Target Recruit Count
23
Registration Number
NCT02436889
Locations
🇺🇸

University of California, San Francisco, San Francisco, California, United States

Myrbetriq™ (Mirabegron) to Improve Disordered Sleep in Subjects With Lower Urinary Tract Symptoms (LUTS)

First Posted Date
2015-04-07
Last Posted Date
2019-05-09
Lead Sponsor
Southern Illinois University
Target Recruit Count
34
Registration Number
NCT02410135
Locations
🇺🇸

SIUSOM - Division of Urology, Springfield, Illinois, United States

A Prospective, Observational, Multicenter Study of Patients Following Initiation of a New Course of Treatment for Overactive Bladder (OAB)

First Posted Date
2015-03-11
Last Posted Date
2024-10-16
Lead Sponsor
Astellas Scientific & Medical Affairs, Inc.
Target Recruit Count
1524
Registration Number
NCT02386072
Locations
🇨🇦

Site CA1025, Oshawa, Ontario, Canada

🇺🇸

Site US1060, Raleigh, North Carolina, United States

🇺🇸

Site US1067, Houston, Texas, United States

and more 89 locations

MIrabegron With oveRACtive bLadder Symptoms in mEn

First Posted Date
2015-02-11
Last Posted Date
2015-02-11
Lead Sponsor
Seoul National University Hospital
Target Recruit Count
462
Registration Number
NCT02361502
Locations
🇰🇷

Seoul National University Bundang Hospital, Seongnam, Gyeonggi, Korea, Republic of

🇰🇷

Korea University Ansan Hospital, Ansan, Korea, Republic of

🇰🇷

Pusan National University Hospital, Busan, Korea, Republic of

and more 11 locations

Efficacy of Pharmacological Stimulation of BAT and WAT in Lean and Obese Young Adults

Phase 2
Conditions
Interventions
First Posted Date
2015-02-03
Last Posted Date
2017-05-10
Lead Sponsor
Otto Muzik
Target Recruit Count
20
Registration Number
NCT02354807
Locations
🇺🇸

Children's Hospital of Michigan, Detroit, Michigan, United States

Sympathicomimetic Agonist in Patients With Myeloproliferative Neoplasms With JAK2-mutation

First Posted Date
2014-12-08
Last Posted Date
2019-05-15
Lead Sponsor
Swiss Group for Clinical Cancer Research
Target Recruit Count
39
Registration Number
NCT02311569
Locations
🇨🇭

Universitaetsspital-Basel, Basel, Switzerland

🇨🇭

Inselspital Bern, Bern, Switzerland

🇨🇭

Hopitaux Universitaires de Geneve, Genève 14, Switzerland

and more 8 locations

Efficacy And Safety Of Combination Therapy For Treatment Of Overactive Bladder In Male Patients With Benign Prostatic Hyperplasia.

First Posted Date
2014-10-31
Last Posted Date
2021-03-19
Lead Sponsor
St. Joseph's Healthcare Hamilton
Target Recruit Count
200
Registration Number
NCT02279615
Locations
🇨🇦

St. Joseph's Healthcare Hamilton - McMaster Institute of Urology, Hamilton, Ontario, Canada

Study to Evaluate the Efficacy, Safety, and Tolerability of Mirabegron in Older Adult Subjects With Overactive Bladder (OAB)

Phase 4
Completed
Conditions
Interventions
First Posted Date
2014-08-13
Last Posted Date
2024-11-22
Lead Sponsor
Astellas Pharma Global Development, Inc.
Target Recruit Count
888
Registration Number
NCT02216214
Locations
🇺🇸

Site US00102, Norman, Oklahoma, United States

🇺🇸

Site US00122, Greensboro, North Carolina, United States

🇺🇸

Site US00112, Los Angeles, California, United States

and more 117 locations

A Study to Evaluate the Pharmacokinetics, Safety and Tolerability of Mirabegron OCAS (Oral Controlled Absorption System) in Pediatric Subjects With Neurogenic Detrusor Overactivity or Overactive Bladder

First Posted Date
2014-08-08
Last Posted Date
2024-10-22
Lead Sponsor
Astellas Pharma Inc
Target Recruit Count
34
Registration Number
NCT02211846
Locations
🇷🇸

Site RS38010 Mother and Child Health Care, Belgrade, Serbia

🇧🇪

Site BE32009 Univ.Ziekenhuis Antwerpen, Edegem, Belgium

🇵🇱

Site PL48001 Pomnik-Centrum Zdrowia Dziecka, Warsaw, Poland

and more 10 locations
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