A Study To Find Out How Fesoterodine Works In Children Aged 6 To 17 Years With Bladder Overactivity Caused By A Neurological Condition
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ClinicalTrials.gov Identifier: NCT01557244 |
Recruitment Status :
Completed
First Posted : March 19, 2012
Results First Posted : February 2, 2021
Last Update Posted : February 2, 2021
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Sponsor:
Pfizer
Information provided by (Responsible Party):
Pfizer
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Study Type | Interventional |
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Study Design | Allocation: Randomized; Intervention Model: Parallel Assignment; Masking: None (Open Label); Primary Purpose: Treatment |
Condition |
Urinary Bladder, Neurogenic |
Interventions |
Drug: Fesoterodine PR 4 mg Drug: Fesoterodine PR 8 mg Drug: Oxybutynin Drug: Fesoterodine PR Drug: Fesoterodine BIC 2 mg Drug: Fesoterodine BIC 4 mg |
Enrollment | 181 |
Participant Flow
Recruitment Details | Study had 2 cohorts: cohort 1 had participants with body weight greater than (>) 25 kilogram (kg) and cohort 2 had participants with body weight less than or equal to (<=) 25 kg. There were 2 phases in each cohort: cohort 1- active comparator phase followed by safety extension phase; cohort 2- efficacy phase followed by safety extension phase. |
Pre-assignment Details |
Arm/Group Title | Cohort 1: Fesoterodine 4 mg | Cohort 1: Fesoterodine 4 mg Then 8 mg | Cohort 1: Oxybutynin | Cohort 1: Oxybutynin Then Fesoterodine 4 mg | Cohort 1: Oxybutynin Then Fesoterodine 4 mg Then 8 mg | Cohort 2: Fesoterodine 2 mg | Cohort 2: Fesoterodine 2 mg Then 4 mg |
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Arm/Group Description | Participants with body weight >25 kg were randomized to receive fesoterodine 4 milligram (mg) prolonged release (PR) tablet orally once daily for 12 weeks in active comparator phase. Active comparator phase was followed by safety extension phase, where participants continued to receive fesoterodine 4 mg PR tablet orally once daily for another 12 weeks. | Participants with body weight >25 kg were randomized to receive fesoterodine 4 mg PR tablet orally once daily for first 1 week and if this dose was tolerated well, participants received fesoterodine 8 mg PR tablet orally once daily for next 11 weeks in active comparator phase and if dose was not tolerated then participants were withdrawn from the study. Active comparator phase was followed by safety extension phase, where participants continued to receive fesoterodine 8 mg PR tablet orally once daily for another 12 weeks. | Participants with body weight >25 kg were randomized to receive oxybutynin extended release (ER) tablet, at a daily dose in accordance with approved pediatric labeling and accepted practice. Dose titration was done for first 4 weeks. After Week 4, participants remained on the optimized daily dose for next 8 weeks, in active comparator phase. | Participants with body weight >25 kg who were randomized to receive oxybutynin ER tablet, at a daily dose in accordance with approved pediatric labeling and accepted practice, in active comparator phase; were allocated by investigator to receive fesoterodine 4 mg PR tablet orally once daily for 12 weeks in the safety extension phase. | Participants with body weight >25 kg who were randomized to receive oxybutynin ER tablet, at a daily dose in accordance with approved pediatric labeling and accepted practice, in active comparator phase; were allocated by investigator to receive fesoterodine 4 mg PR tablet orally once daily for first 1 week followed by fesoterodine 8 mg PR tablet orally once daily for another 11 weeks (if the fesoterodine 4 mg dose was well tolerated) in the safety extension phase and if dose was not tolerated then participants were withdrawn from the study. | Participants with body weight <=25 kg were randomized to receive fesoterodine 2 mg beads-in-capsule (BIC) capsule orally once daily for 12 weeks in efficacy phase. Efficacy phase was followed by safety extension phase, where participants continued to receive fesoterodine 2 mg BIC capsules orally once daily for another 12 weeks. | Participants with body weight <=25 kg were randomized to receive fesoterodine 2 mg BIC capsule orally once daily for first 1 week and if this dose was tolerated well, participants received fesoterodine 4 mg BIC capsule orally once daily for next 11 weeks in efficacy phase and if dose was not tolerated then participants were withdrawn from the study. Efficacy phase was followed by safety extension phase, where participants continued to receive fesoterodine 4 mg BIC capsule orally once daily for another 12 weeks. |
Period Title: Active Comparator/Efficacy Phase:12Weeks | |||||||
Started | 42 | 42 | 40 | 0 | 0 | 28 | 29 |
Treated | 42 | 42 | 40 | 0 | 0 | 28 | 29 |
Completed | 33 | 40 | 36 | 0 | 0 | 21 | 28 |
Not Completed | 9 | 2 | 4 | 0 | 0 | 7 | 1 |
Reason Not Completed | |||||||
Adverse Event | 2 | 0 | 0 | 0 | 0 | 2 | 0 |
Protocol Violation | 2 | 0 | 1 | 0 | 0 | 0 | 0 |
Lost to Follow-up | 1 | 0 | 0 | 0 | 0 | 0 | 0 |
Withdrawal By Parent/Guardian | 2 | 0 | 0 | 0 | 0 | 3 | 0 |
Medication Error Without Associated AEs | 0 | 1 | 0 | 0 | 0 | 0 | 0 |
Insufficient Clinical Response | 0 | 0 | 0 | 0 | 0 | 1 | 1 |
Failure to Meet Randomization Criteria | 0 | 1 | 1 | 0 | 0 | 1 | 0 |
Other | 2 | 0 | 2 | 0 | 0 | 0 | 0 |
Period Title: Safety Extension Phase: 12 Weeks | |||||||
Started | 33 | 40 | 0 [1] | 16 [2] | 20 [2] | 21 | 28 |
Treated | 30 | 37 | 0 | 16 | 20 | 20 | 28 |
Completed | 30 | 36 | 0 | 15 | 20 | 20 | 28 |
Not Completed | 3 | 4 | 0 | 1 | 0 | 1 | 0 |
Reason Not Completed | |||||||
Adverse Event | 1 | 1 | 0 | 0 | 0 | 1 | 0 |
Withdrawal By Parent/Guardian | 1 | 1 | 0 | 0 | 0 | 0 | 0 |
Medication Error Without Associated AEs | 0 | 0 | 0 | 1 | 0 | 0 | 0 |
Insufficient Clinical Response | 1 | 2 | 0 | 0 | 0 | 0 | 0 |
[1]
Did not receive oxybutynin in safety extension phase.
[2]
Allocated from oxybutynin arm to this arm by investigator in safety extension phase.
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Baseline Characteristics
Arm/Group Title | Cohort 1: Fesoterodine 4 mg | Cohort 1: Fesoterodine 4 mg Then 8 mg | Cohort 1: Oxybutynin | Cohort 2: Fesoterodine 2 mg | Cohort 2: Fesoterodine 2 mg Then 4 mg | Total | |
---|---|---|---|---|---|---|---|
Arm/Group Description | Participants with body weight >25 kg were randomized to receive fesoterodine 4 mg PR tablet orally once daily for 12 weeks in active comparator phase. Active comparator phase was followed by safety extension phase, where participants continued to receive fesoterodine 4 mg PR tablet orally once daily for another 12 weeks. | Participants with body weight >25 kg were randomized to receive fesoterodine 4 mg PR tablet orally once daily for first 1 week and if this dose was tolerated well, participants received fesoterodine 8 mg PR tablet orally once daily for next 11 weeks in active comparator phase and if dose was not tolerated then participants were withdrawn from the study. Active comparator phase was followed by safety extension phase, where participants continued to receive fesoterodine 8 mg PR tablet orally once daily for another 12 weeks. | Participants with body weight >25 kg were randomized to receive oxybutynin ER tablet, at a daily dose in accordance with approved pediatric labeling and accepted practice. Dose titration was done for first 4 weeks. After Week 4, participants remained on the optimized daily dose for next 8 weeks, in active comparator phase. | Participants with body weight <=25 kg were randomized to receive fesoterodine 2 mg beads-in-capsule (BIC) capsule orally once daily for 12 weeks in efficacy phase. Efficacy phase was followed by safety extension phase, where participants continued to receive fesoterodine 2 mg BIC capsules orally once daily for another 12 weeks. | Participants with body weight <=25 kg were randomized to receive fesoterodine 2 mg BIC capsule orally once daily for first 1 week and if this dose was tolerated well, participants received fesoterodine 4 mg BIC capsule orally once daily for next 11 weeks in efficacy phase and if dose was not tolerated then participants were withdrawn from the study. Efficacy phase was followed by safety extension phase, where participants continued to receive fesoterodine 4 mg BIC capsule orally once daily for another 12 weeks. | Total of all reporting groups | |
Overall Number of Baseline Participants | 42 | 42 | 40 | 28 | 29 | 181 | |
Baseline Analysis Population Description |
Analysis population included all randomized participants.
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Age, Customized
Measure Type: Count of Participants Unit of measure: Participants |
|||||||
Number Analyzed | 42 participants | 42 participants | 40 participants | 28 participants | 29 participants | 181 participants | |
>=6-9 Years |
15 35.7%
|
15 35.7%
|
15 37.5%
|
24 85.7%
|
23 79.3%
|
92 50.8%
|
|
>=10-12 Years |
15 35.7%
|
14 33.3%
|
13 32.5%
|
3 10.7%
|
5 17.2%
|
50 27.6%
|
|
>=13-17 Years |
12 28.6%
|
13 31.0%
|
12 30.0%
|
1 3.6%
|
1 3.4%
|
39 21.5%
|
|
Sex: Female, Male
Measure Type: Count of Participants Unit of measure: Participants |
|||||||
Number Analyzed | 42 participants | 42 participants | 40 participants | 28 participants | 29 participants | 181 participants | |
Female |
16 38.1%
|
22 52.4%
|
17 42.5%
|
12 42.9%
|
19 65.5%
|
86 47.5%
|
|
Male |
26 61.9%
|
20 47.6%
|
23 57.5%
|
16 57.1%
|
10 34.5%
|
95 52.5%
|
|
Ethnicity (NIH/OMB)
Measure Type: Count of Participants Unit of measure: Participants |
|||||||
Number Analyzed | 42 participants | 42 participants | 40 participants | 28 participants | 29 participants | 181 participants | |
Hispanic or Latino |
3 7.1%
|
2 4.8%
|
1 2.5%
|
0 0.0%
|
2 6.9%
|
8 4.4%
|
|
Not Hispanic or Latino |
39 92.9%
|
40 95.2%
|
39 97.5%
|
28 100.0%
|
27 93.1%
|
173 95.6%
|
|
Unknown or Not Reported |
0 0.0%
|
0 0.0%
|
0 0.0%
|
0 0.0%
|
0 0.0%
|
0 0.0%
|
|
Race (NIH/OMB)
Measure Type: Count of Participants Unit of measure: Participants |
|||||||
Number Analyzed | 42 participants | 42 participants | 40 participants | 28 participants | 29 participants | 181 participants | |
American Indian or Alaska Native |
0 0.0%
|
0 0.0%
|
0 0.0%
|
0 0.0%
|
0 0.0%
|
0 0.0%
|
|
Asian |
14 33.3%
|
18 42.9%
|
22 55.0%
|
16 57.1%
|
16 55.2%
|
86 47.5%
|
|
Native Hawaiian or Other Pacific Islander |
0 0.0%
|
0 0.0%
|
0 0.0%
|
0 0.0%
|
0 0.0%
|
0 0.0%
|
|
Black or African American |
2 4.8%
|
0 0.0%
|
1 2.5%
|
0 0.0%
|
0 0.0%
|
3 1.7%
|
|
White |
24 57.1%
|
24 57.1%
|
17 42.5%
|
12 42.9%
|
11 37.9%
|
88 48.6%
|
|
More than one race |
0 0.0%
|
0 0.0%
|
0 0.0%
|
0 0.0%
|
0 0.0%
|
0 0.0%
|
|
Unknown or Not Reported |
2 4.8%
|
0 0.0%
|
0 0.0%
|
0 0.0%
|
2 6.9%
|
4 2.2%
|
Outcome Measures
Adverse Events
Limitations and Caveats
[Not Specified]
More Information
Principal Investigators are NOT employed by the organization sponsoring the study.
There IS an agreement between Principal Investigators and the Sponsor (or its agents) that restricts
the PI's rights to discuss or publish trial results after the trial is completed.
Pfizer has the right to review disclosures, requesting a delay of less than 60 days. Investigator will postpone single center publications until after disclosure of pooled data (all sites), less than 12 months from study completion/termination at all participating sites. Investigator may not disclose previously undisclosed confidential information other than study results.
Results Point of Contact
Name/Title: | Pfizer ClinicalTrials.gov Call Center |
Organization: | Pfizer Inc. |
Phone: | 1-800-718-1021 |
EMail: | ClinicalTrials.gov_Inquiries@pfizer.com |
Responsible Party: | Pfizer |
ClinicalTrials.gov Identifier: | NCT01557244 |
Other Study ID Numbers: |
A0221047 2010-022475-55 ( EudraCT Number ) |
First Submitted: | March 15, 2012 |
First Posted: | March 19, 2012 |
Results First Submitted: | October 23, 2020 |
Results First Posted: | February 2, 2021 |
Last Update Posted: | February 2, 2021 |