E.1 Medical condition or disease under investigation |
E.1.1 | Medical condition(s) being investigated |
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MedDRA Classification |
E.1.3 | Condition being studied is a rare disease | No |
E.2 Objective of the trial |
E.2.1 | Main objective of the trial |
The primary objective of this study is to compare the efficacy of solabegron 250mg, 125mg, and 50mg administered twice daily to that of placebo in female subjects with OAB including symptoms of urgency with urge incontinence and frequency which may be associated with nocturia, but without bladder related pain. |
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E.2.2 | Secondary objectives of the trial |
To evaluate the safety and tolerability of solabegron 250mg, 125mg, and 50mg administered twice daily compared to that of placebo in female subjects with OAB including symptoms of urgency with urge incontinence and frequency which may be associated with nocturia, but without bladder related pain. To characterize the pharmacokinetic relationship of solabegron (GW427353B) and its primary metabolite (GW678953X) in female subjects with OAB including symptoms of urgency with urge incontinence and frequency which may be associated with nocturia, but without bladder related pain.
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E.2.3 | Trial contains a sub-study | Information not present in EudraCT |
E.3 | Principal inclusion criteria |
1. Females with OAB who are >18 years but not older than 80 years of age who have signed the informed consent. • If of non-childbearing potential (i.e. physiologically incapable of becoming pregnant (tubal ligation), including any female who is post-menopausal [>1 year without menstrual period]) or • If of childbearing potential, has had a negative pregnancy test at screen (serum) and at Day 1 (urine) and • Has a male partner who is sterile prior to the female subject's entry into the study and is the sole sexual partner for that female subject, or • Uses double-barrier methods of contraception; condoms with the use of caps (with spermicide) and IUDs are acceptable, or • Uses hormonal contraceptives (oral, depots, patches, etc.) with double-barrier methods of contraception as outlined above, or • Abstains from sexual intercourse, or • Is with a same-sex partner and does not participate in bisexual activities where there is any risk of pregnancy 2. Female subjects with a BMI in the range ≥ 19 kg/m2 but <31 kg/m2. 3. Subjects must have a pre-dose mean systolic/diastolic blood pressure reading of <= 140/90 mmHg before randomization can occur. 4. While participating in the one or two week treatment-free run-in periods and three days immediately prior to randomization, Day 0 (Visit 2), subjects must also meet all of the following criteria as recorded in their electronic micturition diaries: • Mean of ≥ 10 micturitions/24 hrs over the three day diary recording period (micturitions are “toilet voids”. Incontinence episodes not associated with micturitions episodes are not considered micturition episodes) • Mean of ≥ 1 incontinence episode/24 hrs over the three day diary recording period • Mean of ≥ 1 urgency episode/24 hrs over the three day diary recording period • Mean volume voided of 250 mL/micturition reported over the three day diary recording period • Mean total urine volume of <3000 mL/24 hrs reported over the three day diary recording period
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E.4 | Principal exclusion criteria |
1. Subjects with stress incontinence or mixed stress/urge incontinence where stress incontinence is the predominant component based on prior history 2. Grade III/IV prolapse with cystocele or second or third degree uterine prolapse 3. History of interstitial cystitis or bladder related pain 4. History of pelvic prolapse repair (cystocele or rectocele) or urethral diverticulectomy within six months of screening 5. Subjects with urinary incontinence due to causes other than detrusor over activity (e.g., overflow incontinence or intrinsic sphincter deficiency) 6. Nocturnal enuresis only 7. Urinary retention, or other evidence of poor detrusor function 8. Subjects with concurrent, recent (within 30 days), chronic or recurrent (> 4/year) urinary tract infections or bladder stones. 9. Documented history of myocardial infarction, unstable angina, and/or has undergone coronary artery bypass surgery and/or percutaneous transluminal coronary angioplasty (PTCA) in the past year 10. Congestive heart failure (New York Heart Association Class III or IV heart failure) 11. Any concurrent condition or any clinically significant abnormality on the screening physical examination, laboratory tests, electrocardiogram (including ischemic heart disease), Hepatitis B or C, which, in the opinion of the Investigator, may affect the interpretation of efficacy or safety data, or which otherwise contraindicates participation in a clinical trial with a new chemical entity 12. Subjects with current (within 2 years) urogenital neoplasms or malignancies including bladder, uterine or cervical cancer 13. Subjects with neuropathology that could affect the lower urinary tract or nerve supply, including but not limited to multiple sclerosis, stroke, Parkinsonism, or spinal cord injury 14. Subjects with diabetes insipidus 15. Subjects with a fasting plasma glucose (FPG) >180 mg/dL at Day 0 (Visit 2) 16. Clinically significant or unstable, endocrine, hepatic, renal, immunologic, or lung disease (i.e., glomerulonephritis, AIDS, asthma), or malignancy other than nonmelanomatous skin cancer 17. History of diagnosed gastrointestinal obstructive disorders 18. Chronic severe constipation Concomitant Medications 19. Is currently taking any of the following medications: • Monoamine oxidase inhibitors • Systemic corticosteroids (Note: topical hydrocortisone and inhaled corticosteroids are allowed) • Warfarin or digoxin • Antiretroviral drugs • Inhaled beta agonists • Norepinephrine or dopamine reuptake inhibitors • Bile acid sequestrant, such as cholestyramine or colestipol • Herbal preparations. However, subjects who have been on a stable dose of these preparations prior to entering the study may continue to take these drugs. No new herbal preparations may be introduced or dosage changes initiated while participating in the study. • Anti-arrhythmics 20. Subjects who have not been stable on anti-depressants, diuretics or alpha blockers for less than a month or not stable on SSRIs for 2 months.
Abnormal Values of Concern 21. Systolic BP >140 mmHg, diastolic BP >90 mmHg, or HR > 100 beats/minute at screening. If subject is receiving anti-hypertensive medication, then their BP must have been stable over the last month on the same dose of antihypertensives including, but not limited to, ACE inhibitors, diuretics, Ca channel blockers, or ß blockers 22. Post-void residual urine volume >150mL documented on either of two bladder scans at screening 23. QTc interval >450 msec at screening or Day 0, Visit 2 24. Significant renal impairment as defined by the Cockroft-Gault equation* of (CLcr<50 mL/min) at screening and at Day 0 (Visit 2) * CrCl=(140-age/serum Cr) x (weight in kgs/72) x 0.85 [mL/min] 25. Documented history of advanced hepato-biliary disease and/or an alanine transaminase (ALT), aspartate transaminase (AST), or alkaline phosphatase (ALP) that is > 2.5 times the upper limit of the reference range at screening and at Day 0 (Visit 2) 26. Total bilirubin level >1.5 times the upper limit of the reference range at screening and at Day 0 (Visit 2) 27. Lactate dehydrogenase (LDH) value >2.0 times upper limit of normal at screening and at Day 0 (Visit 2) 28. History of prior anti-incontinence surgery 29. History of radiation cystitis or history of pelvic irradiation
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E.5 End points |
E.5.1 | Primary end point(s) |
The percentage change from baseline to week 8 in the number of incontinence episodes per 24 hours. Subjects who get worse by more than 100% will be censored at 100% worsening. The last available post-baseline assessment on or before week 8 will be used in the calculation. |
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E.6 and E.7 Scope of the trial |
E.6 | Scope of the trial |
E.6.1 | Diagnosis | No |
E.6.2 | Prophylaxis | No |
E.6.3 | Therapy | Yes |
E.6.4 | Safety | Yes |
E.6.5 | Efficacy | Yes |
E.6.6 | Pharmacokinetic | Yes |
E.6.7 | Pharmacodynamic | No |
E.6.8 | Bioequivalence | No |
E.6.9 | Dose response | Yes |
E.6.10 | Pharmacogenetic | Information not present in EudraCT |
E.6.11 | Pharmacogenomic | No |
E.6.12 | Pharmacoeconomic | No |
E.6.13 | Others | No |
E.7 | Trial type and phase |
E.7.1 | Human pharmacology (Phase I) | No |
E.7.1.1 | First administration to humans | Information not present in EudraCT |
E.7.1.2 | Bioequivalence study | Information not present in EudraCT |
E.7.1.3 | Other | Information not present in EudraCT |
E.7.1.3.1 | Other trial type description | |
E.7.2 | Therapeutic exploratory (Phase II) | Yes |
E.7.3 | Therapeutic confirmatory (Phase III) | No |
E.7.4 | Therapeutic use (Phase IV) | No |
E.8 Design of the trial |
E.8.1 | Controlled | Yes |
E.8.1.1 | Randomised | Yes |
E.8.1.2 | Open | Information not present in EudraCT |
E.8.1.3 | Single blind | Information not present in EudraCT |
E.8.1.4 | Double blind | Yes |
E.8.1.5 | Parallel group | Information not present in EudraCT |
E.8.1.6 | Cross over | Information not present in EudraCT |
E.8.1.7 | Other | Information not present in EudraCT |
E.8.2 | Comparator of controlled trial |
E.8.2.1 | Other medicinal product(s) | Information not present in EudraCT |
E.8.2.2 | Placebo | Yes |
E.8.2.3 | Other | Information not present in EudraCT |
E.8.3 |
The trial involves single site in the Member State concerned
| No |
E.8.4 | The trial involves multiple sites in the Member State concerned | Yes |
E.8.5 | The trial involves multiple Member States | Yes |
E.8.6 Trial involving sites outside the EEA |
E.8.6.1 | Trial being conducted both within and outside the EEA | Yes |
E.8.6.2 | Trial being conducted completely outside of the EEA | Information not present in EudraCT |
E.8.6.3 | If E.8.6.1 or E.8.6.2 are Yes, specify the regions in which trial sites are planned |
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E.8.7 | Trial has a data monitoring committee | Information not present in EudraCT |
E.8.8 |
Definition of the end of the trial and justification where it is not the last
visit of the last subject undergoing the trial
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E.8.9 Initial estimate of the duration of the trial |
E.8.9.1 | In the Member State concerned years | |
E.8.9.1 | In the Member State concerned months | 10 |
E.8.9.1 | In the Member State concerned days | |
E.8.9.2 | In all countries concerned by the trial months | 10 |