Clinical trial

Efficacy and Safety of Solifenacin Combined With Mirabegron Versus Solifenacin With Vaginal Estrogen Cream for the Treatment of Detrusor Overactivity

Name
22MMHIS039e-2
Description
To investigates the effects of combined pharmacotherapy with solifenacin and mirabegron versus solifenacin with vaginal estrogen cream in women with detrusor overactivity.
Trial arms
Trial start
2022-06-16
Estimated PCD
2024-06-15
Trial end
2024-12-31
Status
Recruiting
Phase
Early phase I
Treatment
Solifenacin with vaginal estrogen cream
Solifenacin 5mg with vaginal conjugated equine estrogen (CEE) 0.625 mg
Arms:
Solifenacin with vaginal estrogen cream
Other names:
Premarin
Combination pharmacotherapy
Solifenacin 5mg and Mirabegron 25mg
Arms:
Combination pharmacotherapy
Other names:
Vesicare and Betmiga
Size
100
Primary endpoint
Short form of Urinary Distress Inventory (UDI-6)
Assess before treatment and 1 month, 3 months, 6 months and 1 year after treatment
Short form of Incontinence Impact Questionnaire (IIQ-7)
Assess before treatment and 1 month, 3 months, 6 months and 1 year after treatment
Overactive Bladder Symptom Score (OABSS)
Assess before treatment and 1 month, 3 months, 6 months and 1 year after treatment
Eligibility criteria
Inclusion Criteria: * Patients with detrusor overactivity which defined as a urodynamic observation characterized by involuntary detrusor contractions during the filling phase. Those who were refractory to monotherapy with anti-muscarinics were enrolled for prospective study. Exclusion Criteria: * Postvoid urine retention before treatment * Women who had medical illness and contraindication for using solifenacin and mirabegron, such as narrow-angle glaucoma and hypertension * Concerns for using estrogen include: Women with history of cerebrovascular disease; thromboembolic disorders; gallbladder disease; known or suspected breast carcinoma; estrogen-dependent neoplasm or undiagnosed abnormal genital bleeding. * Women who were on hormone replacement therapy within 3 months were also excluded from the study
Protocol
{'studyType': 'INTERVENTIONAL', 'phases': ['PHASE4'], 'designInfo': {'allocation': 'RANDOMIZED', 'interventionModel': 'PARALLEL', 'primaryPurpose': 'TREATMENT', 'maskingInfo': {'masking': 'DOUBLE', 'whoMasked': ['INVESTIGATOR', 'OUTCOMES_ASSESSOR']}}, 'enrollmentInfo': {'count': 100, 'type': 'ESTIMATED'}}
Updated at
2024-01-30

1 organization

2 products

3 indications

Indication
Bladder
Indication
Overactive
Indication
Drug Effect