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    Summary
    EudraCT Number:2007-006451-39
    Sponsor's Protocol Code Number:A0221046
    National Competent Authority:Spain - AEMPS
    Clinical Trial Type:EEA CTA
    Trial Status:Completed
    Date on which this record was first entered in the EudraCT database:2008-02-12
    Trial results View results
    Index
    A. PROTOCOL INFORMATION
    B. SPONSOR INFORMATION
    C. APPLICANT IDENTIFICATION
    D. IMP IDENTIFICATION
    D.8 INFORMATION ON PLACEBO
    E. GENERAL INFORMATION ON THE TRIAL
    F. POPULATION OF TRIAL SUBJECTS
    G. INVESTIGATOR NETWORKS TO BE INVOLVED IN THE TRIAL
    N. REVIEW BY THE COMPETENT AUTHORITY OR ETHICS COMMITTEE IN THE COUNTRY CONCERNED
    P. END OF TRIAL
    Expand All   Collapse All
    A. Protocol Information
    A.1Member State ConcernedSpain - AEMPS
    A.2EudraCT number2007-006451-39
    A.3Full title of the trial
    ENSAYO DE 12 SEMANAS, MULTICÉNTRICO, ALEATORIZADO, DOBLE CIEGO, CON DOBLE SIMULACIÓN, CONTROLADO CON PLACEBO Y DE GRUPOS PARALELOS PARA EVALUAR LA EFICACIA Y LA SEGURIDAD DE FESOTERODINA EN COMPARACIÓN CON TOLTERODINA ER EN PACIENTES CON VEJIGA HIPERACTIVA

    12-WEEK, RANDOMIZED, DOUBLE-BLIND, DOUBLE-DUMMY, PLACEBO CONTROLLED,
    PARALLEL-GROUP, MULTICENTER TRIAL TO EVALUATE THE EFFICACY AND SAFETY OF FESOTERODINE IN COMPARISON TO TOLTERODINE ER IN PATIENTS WITH OVERACTIVE BLADDER
    A.4.1Sponsor's protocol code numberA0221046
    A.7Trial is part of a Paediatric Investigation Plan Information not present in EudraCT
    A.8EMA Decision number of Paediatric Investigation Plan
    B. Sponsor Information
    B.Sponsor: 1
    B.1.1Name of SponsorPfizer S.A.
    B.1.3.4CountrySpain
    B.3.1 and B.3.2Status of the sponsorCommercial
    B.4 Source(s) of Monetary or Material Support for the clinical trial:
    B.4.1Name of organisation providing support
    B.4.2Country
    B.5 Contact point designated by the sponsor for further information on the trial
    B.5.1Name of organisation
    B.5.2Functional name of contact point
    D. IMP Identification
    D.IMP: 1
    D.1.2 and D.1.3IMP RoleTest
    D.2 Status of the IMP to be used in the clinical trial
    D.2.1IMP to be used in the trial has a marketing authorisation Yes
    D.2.1.1.1Trade name Toviaz
    D.2.1.1.2Name of the Marketing Authorisation holderPfizer Ltd
    D.2.1.2Country which granted the Marketing AuthorisationEuropean Union
    D.2.5The IMP has been designated in this indication as an orphan drug in the Community No
    D.2.5.1Orphan drug designation number
    D.3 Description of the IMP
    D.3.1Product nameFesoterodina
    D.3.4Pharmaceutical form Prolonged-release tablet
    D.3.4.1Specific paediatric formulation Information not present in EudraCT
    D.3.7Routes of administration for this IMPOral use
    D.3.8 to D.3.10 IMP Identification Details (Active Substances)
    D.3.8INN - Proposed INNFesoterodina
    D.3.9.1CAS number 286930-03-8
    D.3.9.3Other descriptive nameFesoterodina Fumarato
    D.3.10 Strength
    D.3.10.1Concentration unit mg milligram(s)
    D.3.10.2Concentration typeequal
    D.3.10.3Concentration number4
    D.3.11 The IMP contains an:
    D.3.11.1Active substance of chemical origin Yes
    D.3.11.2Active substance of biological/ biotechnological origin (other than Advanced Therapy IMP (ATIMP) No
    The IMP is a:
    D.3.11.3Advanced Therapy IMP (ATIMP) Information not present in EudraCT
    D.3.11.3.1Somatic cell therapy medicinal product No
    D.3.11.3.2Gene therapy medical product No
    D.3.11.3.3Tissue Engineered Product Information not present in EudraCT
    D.3.11.3.4Combination ATIMP (i.e. one involving a medical device) Information not present in EudraCT
    D.3.11.3.5Committee on Advanced therapies (CAT) has issued a classification for this product Information not present in EudraCT
    D.3.11.4Combination product that includes a device, but does not involve an Advanced Therapy Information not present in EudraCT
    D.3.11.5Radiopharmaceutical medicinal product No
    D.3.11.6Immunological medicinal product (such as vaccine, allergen, immune serum) No
    D.3.11.7Plasma derived medicinal product No
    D.3.11.8Extractive medicinal product No
    D.3.11.9Recombinant medicinal product Information not present in EudraCT
    D.3.11.10Medicinal product containing genetically modified organisms No
    D.3.11.11Herbal medicinal product No
    D.3.11.12Homeopathic medicinal product No
    D.3.11.13Another type of medicinal product No
    D.IMP: 2
    D.1.2 and D.1.3IMP RoleTest
    D.2 Status of the IMP to be used in the clinical trial
    D.2.1IMP to be used in the trial has a marketing authorisation Yes
    D.2.1.1.1Trade name Toviaz
    D.2.1.1.2Name of the Marketing Authorisation holderPfizer Ltd
    D.2.1.2Country which granted the Marketing AuthorisationEuropean Union
    D.2.5The IMP has been designated in this indication as an orphan drug in the Community No
    D.2.5.1Orphan drug designation number
    D.3 Description of the IMP
    D.3.1Product namefesoterodina
    D.3.4Pharmaceutical form Prolonged-release tablet
    D.3.4.1Specific paediatric formulation Information not present in EudraCT
    D.3.7Routes of administration for this IMPOral use
    D.3.8 to D.3.10 IMP Identification Details (Active Substances)
    D.3.8INN - Proposed INNFesoterodine
    D.3.9.1CAS number 286930-03-8
    D.3.9.3Other descriptive nameFesoterodine Fumarate
    D.3.10 Strength
    D.3.10.1Concentration unit mg milligram(s)
    D.3.10.2Concentration typeequal
    D.3.10.3Concentration number8
    D.3.11 The IMP contains an:
    D.3.11.1Active substance of chemical origin Yes
    D.3.11.2Active substance of biological/ biotechnological origin (other than Advanced Therapy IMP (ATIMP) No
    The IMP is a:
    D.3.11.3Advanced Therapy IMP (ATIMP) Information not present in EudraCT
    D.3.11.3.1Somatic cell therapy medicinal product No
    D.3.11.3.2Gene therapy medical product No
    D.3.11.3.3Tissue Engineered Product Information not present in EudraCT
    D.3.11.3.4Combination ATIMP (i.e. one involving a medical device) Information not present in EudraCT
    D.3.11.3.5Committee on Advanced therapies (CAT) has issued a classification for this product Information not present in EudraCT
    D.3.11.4Combination product that includes a device, but does not involve an Advanced Therapy Information not present in EudraCT
    D.3.11.5Radiopharmaceutical medicinal product No
    D.3.11.6Immunological medicinal product (such as vaccine, allergen, immune serum) No
    D.3.11.7Plasma derived medicinal product No
    D.3.11.8Extractive medicinal product No
    D.3.11.9Recombinant medicinal product Information not present in EudraCT
    D.3.11.10Medicinal product containing genetically modified organisms No
    D.3.11.11Herbal medicinal product No
    D.3.11.12Homeopathic medicinal product No
    D.3.11.13Another type of medicinal product No
    D.IMP: 3
    D.1.2 and D.1.3IMP RoleComparator
    D.2 Status of the IMP to be used in the clinical trial
    D.2.1IMP to be used in the trial has a marketing authorisation Yes
    D.2.1.1.1Trade name Detrusitol SR 4mg
    D.2.1.1.2Name of the Marketing Authorisation holderPfizer, S.A.
    D.2.1.2Country which granted the Marketing AuthorisationEuropean Union
    D.2.5The IMP has been designated in this indication as an orphan drug in the Community No
    D.2.5.1Orphan drug designation number
    D.3 Description of the IMP
    D.3.1Product nameTolterodina
    D.3.4Pharmaceutical form Prolonged-release capsule, hard
    D.3.4.1Specific paediatric formulation Information not present in EudraCT
    D.3.7Routes of administration for this IMPOral use
    D.3.8 to D.3.10 IMP Identification Details (Active Substances)
    D.3.9.1CAS number 124937-52-6
    D.3.9.3Other descriptive namePNU-200583E, Tolterodina Tartrato
    D.3.10 Strength
    D.3.10.1Concentration unit mg milligram(s)
    D.3.10.2Concentration typeequal
    D.3.10.3Concentration number4
    D.3.11 The IMP contains an:
    D.3.11.1Active substance of chemical origin Yes
    D.3.11.2Active substance of biological/ biotechnological origin (other than Advanced Therapy IMP (ATIMP) No
    The IMP is a:
    D.3.11.3Advanced Therapy IMP (ATIMP) Information not present in EudraCT
    D.3.11.3.1Somatic cell therapy medicinal product No
    D.3.11.3.2Gene therapy medical product No
    D.3.11.3.3Tissue Engineered Product Information not present in EudraCT
    D.3.11.3.4Combination ATIMP (i.e. one involving a medical device) Information not present in EudraCT
    D.3.11.3.5Committee on Advanced therapies (CAT) has issued a classification for this product Information not present in EudraCT
    D.3.11.4Combination product that includes a device, but does not involve an Advanced Therapy Information not present in EudraCT
    D.3.11.5Radiopharmaceutical medicinal product No
    D.3.11.6Immunological medicinal product (such as vaccine, allergen, immune serum) No
    D.3.11.7Plasma derived medicinal product No
    D.3.11.8Extractive medicinal product No
    D.3.11.9Recombinant medicinal product Information not present in EudraCT
    D.3.11.10Medicinal product containing genetically modified organisms No
    D.3.11.11Herbal medicinal product No
    D.3.11.12Homeopathic medicinal product No
    D.3.11.13Another type of medicinal product No
    D.8 Information on Placebo
    D.8 Placebo: 1
    D.8.1Is a Placebo used in this Trial?Yes
    D.8.3Pharmaceutical form of the placeboTablet
    D.8.4Route of administration of the placeboOral use
    D.8 Placebo: 2
    D.8.1Is a Placebo used in this Trial?Yes
    D.8.3Pharmaceutical form of the placeboCapsule*
    D.8.4Route of administration of the placeboOral use
    E. General Information on the Trial
    E.1 Medical condition or disease under investigation
    E.1.1Medical condition(s) being investigated
    Tratamiento de vejiga hiperactiva con síntomas de frecuencia, urgencia e incontinencia de urgencia

    Treatment of overactive bladder with symptoms of frequency, urgency, and urgency
    incontinence.
    MedDRA Classification
    E.1.2 Medical condition or disease under investigation
    E.1.2Version 9.1
    E.1.2Level LLT
    E.1.2Classification code 10059617
    E.1.2Term Overactive bladder
    E.1.3Condition being studied is a rare disease No
    E.2 Objective of the trial
    E.2.1Main objective of the trial
    Comparar la eficacia de la fesoterodina con la de placebo y la de tolterodina ER en sujetos con vejiga hiperactiva tras 12 semanas de tratamiento.
    E.2.2Secondary objectives of the trial
    1. Comparar el efecto de la fesoterodina con el de placebo sobre los resultados comunicados por los pacientes en sujetos con vejiga hiperactiva tras 12 semanas de tratamiento
    2. Comparar la eficacia de 4 mg 1 v/d de fesoterodina con la de placebo en sujetos con vejiga hiperactiva tras 1 semana de tratamiento
    3. Resumir los datos de la seguridad de 12 semanas de tratamiento con fesoterodina, tolterodina ER o placebo en sujetos con vejiga hiperactiva
    E.2.3Trial contains a sub-study No
    E.3Principal inclusion criteria
    1. Varones o mujeres ambulatorios de edad ≥ 18 años
    2. Síntomas de vejiga hiperactiva (notificados por el sujeto) durante ≥ 3 meses antes de la vista de selección/reclutamiento (visita 1)
    3. Notificación de un promedio de al menos 1 episodio de IUU cada 24 horas en el diario vesical de 3 días antes de la visita de aleatorización/basal (visita 2)
    4. Frecuencia urinaria media ≥ 8 micciones cada 24 horas demostrada por el diario vesical de 3 días antes de la visita de aleatorización/basal (visita 2)
    5. Ser capaces y estar dispuestos a cumplimentar los diarios vesicales y todos los cuestionarios relacionados con el ensayo y a cumplir las visitas programadas a la clínica y los procedimientos del ensayo clínico
    6. Se capaces de entender y haber firmado el impreso de consentimiento informado tras una explicación completa de la condición de fármaco en investigación del tratamiento y de sus riesgos y efectos beneficiosos
    E.4Principal exclusion criteria
    1.Cualquier proceso que contraindique su uso de fesoterodina, como: hipersensibilidad al principio activo (fumarato de fesoterodina) o a los cacahuetes, la soja o cualquiera de los excipientes, retención urinaria, retención gástrica, glaucoma de ángulo estrecho incontrolado, miastenia grave, insuficiencia hepática grave (Child-Pugh C), colitis ulcerosa grave y megacolon tóxico
    2.Enfermedad hepática o renal de importancia clínica, y/o con un valor de AST, ALT, nitrógeno ureico o creatinina más de 1,5 veces mayor que el límite superior normal (LSN) en las pruebas de la selección
    3.Afecciones neurológicas como ictus, esclerosis múltiple, lesión medular o Parkinson de las que se sepa o se sospeche que están afectando al funcionamiento de la vejiga del sujeto
    4.Prolapso de órgano pélvico importante, definido como tejido visible a través del orificio en la posición de litotomía en reposo (sin aumento de la presión intraabdominal)
    5.Antecedentes de intervención de las vías urinarias bajas o de la pelvis (por ejemplo, por incontinencia, prolapso, hiperplasia prostática benigna, histerectomía) en el curso de los 6 últimos meses
    6.Antecedentes conocidos de cistitis intersticial o un componente de dolor importante asociado con los síntomas de VHA, hematuria no investigada, cáncer urogenital, radiación intersticial o externa de la pelvis o los genitales externos, u obstrucción de la salida de la vejiga debida a contractura del cuello vesical, sospecha clínica de carcinoma de próstata, quistes de los conductos de Muller, obstrucción uretral debida a estenosis/valvas/esclerosis o tumor uretral, cistitis por radiación, tuberculosis genitourinaria, cálculos vesicales o disinergia detrusor-esfínter
    7.Antecedentes previos de retención urinaria aguda que exigió sondaje o dificultades graves para la micción a criterio del investigador antes del momento basal
    8.Uso de una sonda permanente o de un programa de autosondaje intermitente
    9.Síntomas de incontinencia, con predominio de la incontinencia urinaria de esfuerzo, determinados por el investigador
    10.Poliuria (> 3000 ml/24 h) o emisión de un volumen > 500 ml en cualquier micción durante el período preinclusión
    11.Infección urinaria (IU) demostrada por los resultados del análisis de orina en la selección o infección urinaria recurrente (IUR), definida como tratamiento de IU > 3 veces en el último año
    12.Uso de cualquier tipo de electroestimulación o programa formal de entrenamiento vesical o de ejercicios para el suelo de la pelvis bajo la supervisión de un médico o de otro profesional sanitario en las 4 semanas anteriores a la visita 1
    13.Haber recibido la medicación del estudio en cualquier ensayo clínico anterior con fesoterodina
    14.Haber recibido tratamiento en el curso de las 2 semanas anteriores a la visita 1 con alguno de los siguientes medicamentos:
    • cualquier tratamiento farmacológico para la VHA, incluidos los antimuscarínicos para la VHA
    • cualquier fármaco con efectos anticolinérgicos y antiespasmódicos importantes
    15.Haber iniciado un tratamiento con antidepresivos tricíclicos o con estrógenos en las 4 semanas anteriores a la visita 1 y/o estar recibiendo estos tratamientos con una dosis no estabilizada
    16.Haber iniciado un tratamiento con diuréticos o con alfabloqueantes en las 2 semanas anteriores a la visita 1 y/o estar recibiendo estos tratamientos con una dosis no estabilizada
    17.Tratamiento inhibidores potentes de la CYP3A4 como claritromicina, ketoconazol e itraconazol en las 2 semanas anteriores a la visita 1
    18.Administración de medicamentos capaces de inducir metabolismo o transporte de enzimas hepáticas (p. ej., barbitúricos, rifampicina, carbamazepina, fenitoína, primidona o hipérico) en los últimos 30 días
    19.Haber recibido cualquier fármaco en investigación en el curso de los 30 días anteriores a la incorporación al ensayo
    20.Abuso de alcohol o de cualquier otro fármaco o droga en opinión del investigador
    21.Mujeres embarazadas o lactantes o que den positivo en una prueba de embarazo en orina, o mujeres que proyecten quedarse embarazadas en los 3 meses siguientes a la finalización del ensayo
    22.Mujeres en edad fértil heterosexualmente activas que no estén dispuestas o no sean capaces de utilizar un método anticonceptivo adecuado para prevenir el embarazo durante el estudio.
    23.Sujetos que presenten cualquier proceso médico (incluidos los antecedentes conocidos de anomalías hematológicas, renales, cardiovasculares o hepáticas importantes) o psicológico o circunstancias sociales que alterarían su capacidad para participar de manera fiable en el ensayo, o sujetos cuya participación pueda aumentar el riesgo para sí mismos o para otros
    24. Sujetos que, en opinión del investigador, es improbable que completen el ensayo por cualquier motivo.
    E.5 End points
    E.5.1Primary end point(s)
    Cambio del número medio de episodios de incontinencia urinaria de urgencia (IUU) cada 24 horas en la semana 12 respecto al basal (los episodios de IUU se definen como los que han recibido una valoración de 5 en la escala de sensación urinaria del diario).
    E.6 and E.7 Scope of the trial
    E.6Scope of the trial
    E.6.1Diagnosis No
    E.6.2Prophylaxis No
    E.6.3Therapy No
    E.6.4Safety Yes
    E.6.5Efficacy Yes
    E.6.6Pharmacokinetic No
    E.6.7Pharmacodynamic No
    E.6.8Bioequivalence No
    E.6.9Dose response No
    E.6.10Pharmacogenetic No
    E.6.11Pharmacogenomic No
    E.6.12Pharmacoeconomic No
    E.6.13Others No
    E.7Trial type and phase
    E.7.1Human pharmacology (Phase I) No
    E.7.1.1First administration to humans Information not present in EudraCT
    E.7.1.2Bioequivalence study Information not present in EudraCT
    E.7.1.3Other Information not present in EudraCT
    E.7.1.3.1Other trial type description
    E.7.2Therapeutic exploratory (Phase II) No
    E.7.3Therapeutic confirmatory (Phase III) No
    E.7.4Therapeutic use (Phase IV) Yes
    E.8 Design of the trial
    E.8.1Controlled Yes
    E.8.1.1Randomised Yes
    E.8.1.2Open No
    E.8.1.3Single blind No
    E.8.1.4Double blind Yes
    E.8.1.5Parallel group Yes
    E.8.1.6Cross over No
    E.8.1.7Other Yes
    E.8.1.7.1Other trial design description
    Doble simulación
    E.8.2 Comparator of controlled trial
    E.8.2.1Other medicinal product(s) Yes
    E.8.2.2Placebo Yes
    E.8.2.3Other No
    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.8.4.1Number of sites anticipated in Member State concerned6
    E.8.5The trial involves multiple Member States Yes
    E.8.5.1Number of sites anticipated in the EEA90
    E.8.6 Trial involving sites outside the EEA
    E.8.6.1Trial being conducted both within and outside the EEA Yes
    E.8.6.2Trial being conducted completely outside of the EEA Information not present in EudraCT
    E.8.6.3If E.8.6.1 or E.8.6.2 are Yes, specify the regions in which trial sites are planned
    E.8.7Trial has a data monitoring committee No
    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
    E.8.9 Initial estimate of the duration of the trial
    E.8.9.1In the Member State concerned years1
    E.8.9.1In the Member State concerned months11
    E.8.9.1In the Member State concerned days0
    E.8.9.2In all countries concerned by the trial years2
    E.8.9.2In all countries concerned by the trial months1
    E.8.9.2In all countries concerned by the trial days15
    F. Population of Trial Subjects
    F.1 Age Range
    F.1.1Trial has subjects under 18 No
    F.1.1.1In Utero Information not present in EudraCT
    F.1.1.2Preterm newborn infants (up to gestational age < 37 weeks) Information not present in EudraCT
    F.1.1.3Newborns (0-27 days) Information not present in EudraCT
    F.1.1.4Infants and toddlers (28 days-23 months) Information not present in EudraCT
    F.1.1.5Children (2-11years) Information not present in EudraCT
    F.1.1.6Adolescents (12-17 years) Information not present in EudraCT
    F.1.2Adults (18-64 years) Yes
    F.1.3Elderly (>=65 years) Yes
    F.2 Gender
    F.2.1Female Yes
    F.2.2Male Yes
    F.3 Group of trial subjects
    F.3.1Healthy volunteers No
    F.3.2Patients Yes
    F.3.3Specific vulnerable populations Yes
    F.3.3.1Women of childbearing potential not using contraception No
    F.3.3.2Women of child-bearing potential using contraception Yes
    F.3.3.3Pregnant women No
    F.3.3.4Nursing women No
    F.3.3.5Emergency situation No
    F.3.3.6Subjects incapable of giving consent personally No
    F.3.3.7Others No
    F.4 Planned number of subjects to be included
    F.4.1In the member state48
    F.4.2 For a multinational trial
    F.4.2.1In the EEA 967
    F.4.2.2In the whole clinical trial 1675
    F.5 Plans for treatment or care after the subject has ended the participation in the trial (if it is different from the expected normal treatment of that condition)
    Este es un estudio de investigación. Los pacientes recibirán el producto en investigación y los cuidados médicos descritos en el protocolo sólo mientras dure el estudio, a menos que el paciente sufra un acontecimiento adverso que requiera un seguimiento apropiado
    G. Investigator Networks to be involved in the Trial
    N. Review by the Competent Authority or Ethics Committee in the country concerned
    N.Competent Authority Decision Authorised
    N.Date of Competent Authority Decision2008-03-18
    N.Ethics Committee Opinion of the trial applicationFavourable
    N.Ethics Committee Opinion: Reason(s) for unfavourable opinion
    N.Date of Ethics Committee Opinion2008-03-05
    P. End of Trial
    P.End of Trial StatusCompleted
    P.Date of the global end of the trial2009-10-20
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    The status and protocol content of GB trials is no longer updated since 1 January 2021. For the UK, as of 31 January 2021, EU Law applies only to the territory of Northern Ireland (NI) to the extent foreseen in the Protocol on Ireland/NI. Legal notice
    As of 31 January 2023, all EU/EEA initial clinical trial applications must be submitted through CTIS . Updated EudraCT trials information and information on PIP/Art 46 trials conducted exclusively in third countries continues to be submitted through EudraCT and published on this website.

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