E.1 Medical condition or disease under investigation |
E.1.1 | Medical condition(s) being investigated |
Overactive Bladder (OAB) in men with Benign Prostatic Hyperplasia (BPH) |
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E.1.1.1 | Medical condition in easily understood language |
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E.1.1.2 | Therapeutic area | Diseases [C] - Symptoms and general pathology [C23] |
MedDRA Classification |
E.1.2 Medical condition or disease under investigation |
E.1.2 | Version | 23.1 |
E.1.2 | Level | LLT |
E.1.2 | Classification code | 10059617 |
E.1.2 | Term | Overactive bladder |
E.1.2 | System Organ Class | 10038359 - Renal and urinary disorders |
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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 |
To assess the long-term safety of vibegron when dosed for up to 52 weeks in men with OAB symptoms on pharmacological therapy for BPH who previously completed treatment in study URO-901-3005. |
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E.2.2 | Secondary objectives of the trial |
To assess the long-term efficacy of vibegron when dosed for up to 52 weeks in men with OAB symptoms on pharmacological therapy for BPH who previously completed treatment in Study URO-901-3005. |
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E.2.3 | Trial contains a sub-study | No |
E.3 | Principal inclusion criteria |
1. Has completed participation of the 24-week double-blind treatment period in Study URO-901-3005 and demonstrated compliance with the study procedures and study medication schedule in the opinion of the investigator. 2. Is capable of giving written informed consent, which includes compliance with the requirements and restrictions listed in the consent form. 3. Has ability to continue to receive a stable dose of BPH treatment with either a) alpha blocker monotherapy or b) alpha blocker + 5-ARI. 4. In the opinion of the investigator, is able and willing to comply with the requirements of the protocol, including completing study questionnaires and the Bladder Diary. |
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E.4 | Principal exclusion criteria |
1. Experienced any SAE in Study URO-901-3005 that was reported as “possibly or probably related” to study treatment by the investigator. 2. Is using any prohibited medications as detailed in Protocol Section 10.6 (Appendix 7). 3. Has uncontrolled hyperglycemia (defined as fasting blood glucose > 150 mg/dL or 8.33 mmol/L and/or non-fasting blood glucose > 200 mg/dL or 11.1 mmol/L) based on most recent available lab results in Study URO-901-3005 or uncontrolled in the opinion of the investigator. 4. Has uncontrolled hypertension (systolic blood pressure of ≥ 180 mmHg and/or diastolic blood pressure of ≥ 100 mmHg) or has a resting heart rate (by pulse) > 100 beats per minute. 5. Has systolic blood pressures ≥ 160 mmHg but < 180 mmHg, unless deemed by the investigator as safe to proceed in this study and able to complete the study per protocol. 6. Subject has current evidence of any clinically significant condition, therapy, lab abnormality, or other circumstances that might, in the opinion of the investigator, confound the results of the study, interfere with the subject’s ability to comply with study procedures, or make participation in the study not in the subject’s best interest. For the complete list of exclusion criteria please refer to Study Protocol. |
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E.5 End points |
E.5.1 | Primary end point(s) |
• Number of participants with any adverse event • Number of Participants with any Clinically Significant Clinical Laboratory Value • Number of Participants with any Clinically Significant Vital Sign Assessment |
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E.5.1.1 | Timepoint(s) of evaluation of this end point |
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E.5.2 | Secondary end point(s) |
• Change from baseline (CFB) in the average number of micturition episodes per day • CFB in the average number of urgency episodes (urgency: need to urinate immediately) per day • CFB in the average the number of nocturia episodes per night • CFB in the average number of urge urinary incontinence episodes per day in subjects with incontinence at baseline in Study URO-901-3005 • CFB in the average of International Prostate Symptom Score (IPSS) 1-week recall) Storage score (1-week recall) • CFB in the average volume voided per micturition |
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E.5.2.1 | Timepoint(s) of evaluation of this end point |
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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 | No |
E.6.4 | Safety | Yes |
E.6.5 | Efficacy | Yes |
E.6.6 | Pharmacokinetic | No |
E.6.7 | Pharmacodynamic | No |
E.6.8 | Bioequivalence | No |
E.6.9 | Dose response | No |
E.6.10 | Pharmacogenetic | No |
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 | No |
E.7.1.2 | Bioequivalence study | No |
E.7.1.3 | Other | No |
E.7.1.3.1 | Other trial type description | |
E.7.2 | Therapeutic exploratory (Phase II) | No |
E.7.3 | Therapeutic confirmatory (Phase III) | Yes |
E.7.4 | Therapeutic use (Phase IV) | No |
E.8 Design of the trial |
E.8.1 | Controlled | No |
E.8.1.1 | Randomised | No |
E.8.1.2 | Open | Yes |
E.8.1.3 | Single blind | No |
E.8.1.4 | Double blind | No |
E.8.1.5 | Parallel group | No |
E.8.1.6 | Cross over | No |
E.8.1.7 | Other | No |
E.8.2 | Comparator of controlled trial |
E.8.2.1 | Other medicinal product(s) | No |
E.8.2.2 | Placebo | No |
E.8.2.3 | Other | No |
E.8.2.4 | Number of treatment arms in the trial | 1 |
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.8.4.1 | Number of sites anticipated in Member State concerned | 9 |
E.8.5 | The trial involves multiple Member States | Yes |
E.8.5.1 | Number of sites anticipated in the EEA | 13 |
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 | No |
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 | Yes |
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 | 7 |
E.8.9.1 | In the Member State concerned days | 29 |
E.8.9.2 | In all countries concerned by the trial years | 2 |
E.8.9.2 | In all countries concerned by the trial months | 10 |