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A Study To Find Out How Fesoterodine Works In Children Aged 6 To 17 Years With Bladder Overactivity Caused By A Neurological Condition

The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Read our disclaimer for details.
 
ClinicalTrials.gov Identifier: NCT01557244
Recruitment Status : Completed
First Posted : March 19, 2012
Results First Posted : February 2, 2021
Last Update Posted : February 2, 2021
Sponsor:
Information provided by (Responsible Party):
Pfizer

Study Type Interventional
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
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
Hide 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orally once daily for next 11 weeks in active comparator phase and if dose was not tolerated then participants were withdrawn from the study.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.
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
Hide 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
Hide Baseline Analysis Population Description
Analysis population included all randomized participants.
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%
1.Primary Outcome
Title Change From Baseline in Maximum Cystometric Bladder Capacity at Week 12: Active Comparator Phase/Efficacy Phase
Hide Description Maximum cystometric bladder capacity (in milliliter) was defined as maximal tolerable cystometric capacity, until voiding or leaking begins or at a pressure of >=40 centimeter (cm) water (H2O).
Time Frame Baseline, Week 12
Hide Outcome Measure Data
Hide Analysis Population Description
Full analysis set included all participants who were randomized in the study and received at least 1 dose of study medication and had provided baseline primary endpoint data.
Arm/Group Title Cohort 1, Active Comparator Phase: Fesoterodine 4 mg Cohort 1, Active Comparator Phase: Fesoterodine 4 mg Then 8 mg Cohort 1, Active Comparator Phase: Oxybutynin Cohort 2, Efficacy Phase: Fesoterodine 2 mg Cohort 2, Efficacy Phase: Fesoterodine 2 mg Then 4 mg
Hide 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.
Participants with body weight >25 kg were randomized to receive fesoterodine 4 mg PR tablets orally once daily for first 1 week and if dose was tolerated well, participants received 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.
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 BIC capsule orally once daily for 12 weeks in efficacy phase.
Participants with body weight <=25 kg were randomized to receive fesoterodine 2 mg BIC capsule orally once daily for first 1 week and if dose was tolerated well, participants received 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.
Overall Number of Participants Analyzed 41 41 38 25 28
Least Squares Mean (95% Confidence Interval)
Unit of Measure: milliliter
58.12
(28.84 to 87.39)
83.36
(54.22 to 112.49)
87.17
(56.82 to 117.53)
23.49
(3.03 to 43.95)
40.17
(20.84 to 59.50)
Hide Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection Cohort 1, Active Comparator Phase: Fesoterodine 4 mg
Comments P-value was calculated for change from Baseline at Week 12, based on an analysis of covariance (ANCOVA) model with terms for treatment group, baseline maximum cystometric bladder capacity and baseline weight.
Type of Statistical Test Superiority
Comments [Not Specified]
Statistical Test of Hypothesis P-Value 0.0001
Comments [Not Specified]
Method ANCOVA
Comments [Not Specified]
Hide Statistical Analysis 2
Statistical Analysis Overview Comparison Group Selection Cohort 1, Active Comparator Phase: Fesoterodine 4 mg Then 8 mg
Comments P-value was calculated for change from Baseline at Week 12, based on ANCOVA model with terms for treatment group, baseline maximum cystometric bladder capacity and baseline weight.
Type of Statistical Test Superiority
Comments [Not Specified]
Statistical Test of Hypothesis P-Value <.0001
Comments [Not Specified]
Method ANCOVA
Comments [Not Specified]
Hide Statistical Analysis 3
Statistical Analysis Overview Comparison Group Selection Cohort 1, Active Comparator Phase: Oxybutynin
Comments P-value was calculated for change from Baseline at Week 12, based on an ANCOVA model with terms for treatment group, baseline maximum cystometric bladder capacity and baseline weight.
Type of Statistical Test Superiority
Comments [Not Specified]
Statistical Test of Hypothesis P-Value <.0001
Comments [Not Specified]
Method ANCOVA
Comments [Not Specified]
Hide Statistical Analysis 4
Statistical Analysis Overview Comparison Group Selection Cohort 1, Active Comparator Phase: Fesoterodine 4 mg, Cohort 1, Active Comparator Phase: Oxybutynin
Comments [Not Specified]
Type of Statistical Test Other
Comments [Not Specified]
Method of Estimation Estimation Parameter Difference in Least square (LS) Mean
Estimated Value -29.06
Confidence Interval (2-Sided) 95%
-71.42 to 13.31
Estimation Comments [Not Specified]
Hide Statistical Analysis 5
Statistical Analysis Overview Comparison Group Selection Cohort 1, Active Comparator Phase: Fesoterodine 4 mg Then 8 mg, Cohort 1, Active Comparator Phase: Oxybutynin
Comments [Not Specified]
Type of Statistical Test Other
Comments [Not Specified]
Method of Estimation Estimation Parameter Difference in LS Mean
Estimated Value -3.82
Confidence Interval (2-Sided) 95%
-45.87 to 38.23
Estimation Comments [Not Specified]
2.Secondary Outcome
Title Change From Baseline in Detrusor Pressure at Maximum Bladder Capacity at Week 12: Active Comparator Phase/Efficacy Phase
Hide Description Detrusor pressure (in cm H2O) at maximum urinary bladder capacity was measured using urodynamic testing.
Time Frame Baseline, Week 12
Hide Outcome Measure Data
Hide Analysis Population Description
Full analysis set included all participants who were randomized in the study and received at least 1 dose of study medication and had provided baseline primary endpoint data. Here, 'Overall Number of Participants Analyzed' signifies participants evaluable for this outcome measure.
Arm/Group Title Cohort 1, Active Comparator Phase: Fesoterodine 4 mg Cohort 1, Active Comparator Phase: Fesoterodine 4 mg Then 8 mg Cohort 1, Active Comparator Phase: Oxybutynin Cohort 2, Efficacy Phase: Fesoterodine 2 mg Cohort 2, Efficacy Phase: Fesoterodine 2 mg Then 4 mg
Hide 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.
Participants with body weight >25 kg were randomized to receive fesoterodine 4 mg PR tablets orally once daily for first 1 week and if dose was tolerated well, participants received 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.
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 BIC capsule orally once daily for 12 weeks in efficacy phase.
Participants with body weight <=25 kg were randomized to receive fesoterodine 2 mg BIC capsule orally once daily for first 1 week and if dose was tolerated well, participants received 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.
Overall Number of Participants Analyzed 40 41 38 25 28
Least Squares Mean (95% Confidence Interval)
Unit of Measure: cm H2O
-2.86
(-7.60 to 1.87)
-1.57
(-6.25 to 3.12)
-2.39
(-7.27 to 2.48)
-2.74
(-10.62 to 5.15)
-9.73
(-17.18 to -2.28)
Hide Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection Cohort 1, Active Comparator Phase: Fesoterodine 4 mg
Comments P-value was calculated for change from Baseline at Week 12, based on an ANCOVA model with terms for treatment group, baseline detrusor pressure at maximum bladder capacity and baseline weight.
Type of Statistical Test Superiority
Comments [Not Specified]
Statistical Test of Hypothesis P-Value 0.2334
Comments [Not Specified]
Method ANCOVA
Comments [Not Specified]
Hide Statistical Analysis 2
Statistical Analysis Overview Comparison Group Selection Cohort 1, Active Comparator Phase: Fesoterodine 4 mg Then 8 mg
Comments P-value was calculated for change from Baseline at Week 12, based on an ANCOVA model with terms for treatment group, baseline detrusor pressure at maximum bladder capacity and baseline weight.
Type of Statistical Test Superiority
Comments [Not Specified]
Statistical Test of Hypothesis P-Value 0.5087
Comments [Not Specified]
Method ANCOVA
Comments [Not Specified]
Hide Statistical Analysis 3
Statistical Analysis Overview Comparison Group Selection Cohort 1, Active Comparator Phase: Oxybutynin
Comments P-value was calculated for change from Baseline at Week 12, based on an ANCOVA model with terms for treatment group, baseline detrusor pressure at maximum bladder capacity and baseline weight.
Type of Statistical Test Superiority
Comments [Not Specified]
Statistical Test of Hypothesis P-Value 0.3333
Comments [Not Specified]
Method ANCOVA
Comments [Not Specified]
Hide Statistical Analysis 4
Statistical Analysis Overview Comparison Group Selection Cohort 1, Active Comparator Phase: Fesoterodine 4 mg, Cohort 1, Active Comparator Phase: Oxybutynin
Comments [Not Specified]
Type of Statistical Test Other
Comments [Not Specified]
Method of Estimation Estimation Parameter Difference in LS Mean
Estimated Value -0.47
Confidence Interval (2-Sided) 95%
-7.28 to 6.33
Estimation Comments [Not Specified]
Hide Statistical Analysis 5
Statistical Analysis Overview Comparison Group Selection Cohort 1, Active Comparator Phase: Fesoterodine 4 mg Then 8 mg, Cohort 1, Active Comparator Phase: Oxybutynin
Comments [Not Specified]
Type of Statistical Test Other
Comments [Not Specified]
Method of Estimation Estimation Parameter Difference in LS Mean
Estimated Value 0.82
Confidence Interval (2-Sided) 95%
-5.96 to 7.60
Estimation Comments [Not Specified]
3.Secondary Outcome
Title Number of Participants With Shift From Baseline at Week 12 in Involuntary Detrusor Contractions (IDC): Active Comparator Phase/Efficacy Phase
Hide Description In this outcome measure, shift data have been reported using 4 categories: (1) number of participants who did not have IDC at Baseline and at Week 12, (2) number of participants who did not have IDC at Baseline but had IDC at Week 12, (3) number of participants who had IDC at Baseline but no IDC at Week 12, and (4) number of participants who had IDC at Baseline and at Week 12.
Time Frame Baseline, Week 12
Hide Outcome Measure Data
Hide Analysis Population Description
Full analysis set included all participants who were randomized in the study and received at least 1 dose of study medication and had provided baseline primary endpoint data.
Arm/Group Title Cohort 1, Active Comparator Phase: Fesoterodine 4 mg Cohort 1, Active Comparator Phase: Fesoterodine 4 mg Then 8 mg Cohort 1, Active Comparator Phase: Oxybutynin Cohort 2, Efficacy Phase: Fesoterodine 2 mg Cohort 2, Efficacy Phase: Fesoterodine 2 mg Then 4 mg
Hide 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.
Participants with body weight >25 kg were randomized to receive fesoterodine 4 mg PR tablets orally once daily for first 1 week and if dose was tolerated well, participants received 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.
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 BIC capsule orally once daily for 12 weeks in efficacy phase.
Participants with body weight <=25 kg were randomized to receive fesoterodine 2 mg BIC capsule orally once daily for first 1 week and if dose was tolerated well, participants received 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.
Overall Number of Participants Analyzed 41 41 38 25 28
Measure Type: Count of Participants
Unit of Measure: Participants
Baseline IDC = No; Week 12 IDC = No
12
  29.3%
4
   9.8%
6
  15.8%
0
   0.0%
1
   3.6%
Baseline IDC = No; Week 12 IDC = Yes
2
   4.9%
1
   2.4%
0
   0.0%
0
   0.0%
0
   0.0%
Baseline IDC = Yes; Week 12 IDC = No
9
  22.0%
18
  43.9%
14
  36.8%
6
  24.0%
11
  39.3%
Baseline IDC = Yes; Week 12 IDC = Yes
18
  43.9%
18
  43.9%
18
  47.4%
19
  76.0%
16
  57.1%
4.Secondary Outcome
Title Change From Baseline in Bladder Volume at First Involuntary Detrusor Contraction (IDC) at Week 12: Active Comparator Phase/Efficacy Phase
Hide Description Bladder volume (in milliliter) at first IDC was measured using urodynamic testing.
Time Frame Baseline, Week 12
Hide Outcome Measure Data
Hide Analysis Population Description
Full analysis set included all participants who were randomized in the study and received at least 1 dose of study medication and had provided baseline primary endpoint data. Here, 'Overall Number of Participants Analyzed' signifies participants evaluable for this outcome measure.
Arm/Group Title Cohort 1, Active Comparator Phase: Fesoterodine 4 mg Cohort 1, Active Comparator Phase: Fesoterodine 4 mg Then 8 mg Cohort 1, Active Comparator Phase: Oxybutynin Cohort 2, Efficacy Phase: Fesoterodine 2 mg Cohort 2, Efficacy Phase: Fesoterodine 2 mg Then 4 mg
Hide 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.
Participants with body weight >25 kg were randomized to receive fesoterodine 4 mg PR tablets orally once daily for first 1 week and if dose was tolerated well, participants received 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.
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 BIC capsule orally once daily for 12 weeks in efficacy phase.
Participants with body weight <=25 kg were randomized to receive fesoterodine 2 mg BIC capsule orally once daily for first 1 week and if dose was tolerated well, participants received 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.
Overall Number of Participants Analyzed 26 36 32 25 27
Least Squares Mean (95% Confidence Interval)
Unit of Measure: milliliter
30.53
(2.42 to 58.64)
26.06
(2.19 to 49.92)
41.31
(15.92 to 66.70)
23.80
(-1.60 to 49.19)
31.26
(6.85 to 55.68)
Hide Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection Cohort 1, Active Comparator Phase: Fesoterodine 4 mg
Comments P-value was calculated for change from Baseline at Week 12, based on an ANCOVA model with terms for treatment group, baseline bladder volume at first IDC and baseline weight.
Type of Statistical Test Superiority
Comments [Not Specified]
Statistical Test of Hypothesis P-Value 0.0336
Comments [Not Specified]
Method ANCOVA
Comments [Not Specified]
Hide Statistical Analysis 2
Statistical Analysis Overview Comparison Group Selection Cohort 1, Active Comparator Phase: Fesoterodine 4 mg Then 8 mg
Comments P-value was calculated for change from Baseline at Week 12, based on an ANCOVA model with terms for treatment group, baseline bladder volume at first IDC and baseline weight.
Type of Statistical Test Superiority
Comments [Not Specified]
Statistical Test of Hypothesis P-Value 0.0327
Comments [Not Specified]
Method ANCOVA
Comments [Not Specified]
Hide Statistical Analysis 3
Statistical Analysis Overview Comparison Group Selection Cohort 1, Active Comparator Phase: Oxybutynin
Comments P-value was calculated for change from Baseline at Week 12, based on an ANCOVA model with terms for treatment group, baseline bladder volume at first IDC and baseline weight.
Type of Statistical Test Superiority
Comments [Not Specified]
Statistical Test of Hypothesis P-Value 0.0017
Comments [Not Specified]
Method ANCOVA
Comments [Not Specified]
Hide Statistical Analysis 4
Statistical Analysis Overview Comparison Group Selection Cohort 1, Active Comparator Phase: Fesoterodine 4 mg, Cohort 1, Active Comparator Phase: Oxybutynin
Comments [Not Specified]
Type of Statistical Test Other
Comments [Not Specified]
Method of Estimation Estimation Parameter Difference in LS Mean
Estimated Value -10.78
Confidence Interval (2-Sided) 95%
-48.75 to 27.19
Estimation Comments [Not Specified]
Hide Statistical Analysis 5
Statistical Analysis Overview Comparison Group Selection Cohort 1, Active Comparator Phase: Fesoterodine 4 mg Then 8 mg, Cohort 1, Active Comparator Phase: Oxybutynin
Comments [Not Specified]
Type of Statistical Test Other
Comments [Not Specified]
Method of Estimation Estimation Parameter Difference in LS Mean
Estimated Value -15.25
Confidence Interval (2-Sided) 95%
-50.15 to 19.64
Estimation Comments [Not Specified]
5.Secondary Outcome
Title Change From Baseline in Bladder Compliance at Week 12: Active Comparator Phase/Efficacy Phase
Hide Description Bladder compliance was defined as change in bladder volume in milliliter (mL) divided by change in bladder pressure in cm H2O (during the same time when change in bladder volume was estimated).
Time Frame Baseline, Week 12
Hide Outcome Measure Data
Hide Analysis Population Description
Full analysis set included all participants who were randomized in the study and received at least 1 dose of study medication and had provided baseline primary endpoint data. Here, 'Overall Number of Participants Analyzed' signifies participants evaluable for this outcome measure.
Arm/Group Title Cohort 1, Active Comparator Phase: Fesoterodine 4 mg Cohort 1, Active Comparator Phase: Fesoterodine 4 mg Then 8 mg Cohort 1, Active Comparator Phase: Oxybutynin Cohort 2, Efficacy Phase: Fesoterodine 2 mg Cohort 2, Efficacy Phase: Fesoterodine 2 mg Then 4 mg
Hide 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.
Participants with body weight >25 kg were randomized to receive fesoterodine 4 mg PR tablets orally once daily for first 1 week and if dose was tolerated well, participants received 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.
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 BIC capsule orally once daily for 12 weeks in efficacy phase.
Participants with body weight <=25 kg were randomized to receive fesoterodine 2 mg BIC capsule orally once daily for first 1 week and if dose was tolerated well, participants received 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.
Overall Number of Participants Analyzed 40 40 38 25 28
Least Squares Mean (95% Confidence Interval)
Unit of Measure: mL per cm H2O
6.40
(-0.48 to 13.28)
5.41
(-1.49 to 12.32)
11.36
(4.30 to 18.42)
12.44
(-0.64 to 25.53)
16.44
(4.08 to 28.80)
Hide Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection Cohort 1, Active Comparator Phase: Fesoterodine 4 mg
Comments P-value was calculated for change from Baseline at Week 12, based on an ANCOVA model with terms for treatment group, baseline bladder compliance and baseline weight.
Type of Statistical Test Superiority
Comments [Not Specified]
Statistical Test of Hypothesis P-Value 0.0679
Comments [Not Specified]
Method ANCOVA
Comments [Not Specified]
Hide Statistical Analysis 2
Statistical Analysis Overview Comparison Group Selection Cohort 1, Active Comparator Phase: Fesoterodine 4 mg Then 8 mg
Comments P-value was calculated for change from Baseline at Week 12, based on an ANCOVA model with terms for treatment group, baseline bladder compliance and baseline weight.
Type of Statistical Test Superiority
Comments [Not Specified]
Statistical Test of Hypothesis P-Value 0.1233
Comments [Not Specified]
Method ANCOVA
Comments [Not Specified]
Hide Statistical Analysis 3
Statistical Analysis Overview Comparison Group Selection Cohort 1, Active Comparator Phase: Oxybutynin
Comments P-value was calculated for change from Baseline at Week 12, based on an ANCOVA model with terms for treatment group, baseline bladder compliance and baseline weight.
Type of Statistical Test Superiority
Comments [Not Specified]
Statistical Test of Hypothesis P-Value 0.0019
Comments [Not Specified]
Method ANCOVA
Comments [Not Specified]
Hide Statistical Analysis 4
Statistical Analysis Overview Comparison Group Selection Cohort 1, Active Comparator Phase: Fesoterodine 4 mg, Cohort 1, Active Comparator Phase: Oxybutynin
Comments [Not Specified]
Type of Statistical Test Other
Comments [Not Specified]
Method of Estimation Estimation Parameter Difference in LS Mean
Estimated Value -4.96
Confidence Interval (2-Sided) 95%
-14.81 to 4.89
Estimation Comments [Not Specified]
Hide Statistical Analysis 5
Statistical Analysis Overview Comparison Group Selection Cohort 1, Active Comparator Phase: Fesoterodine 4 mg Then 8 mg, Cohort 1, Active Comparator Phase: Oxybutynin
Comments [Not Specified]
Type of Statistical Test Other
Comments [Not Specified]
Method of Estimation Estimation Parameter Difference in LS Mean
Estimated Value -5.95
Confidence Interval (2-Sided) 95%
-15.85 to 3.95
Estimation Comments [Not Specified]
6.Secondary Outcome
Title Change From Baseline in Mean Number of Micturitions Per 24 Hours at Week 12: Active Comparator Phase/Efficacy Phase
Hide Description The mean number of micturitions per 24 hours were calculated as the total number of micturitions divided by the total number of diary days collected at the assessment time point. Number of diary days collected at the assessment time point = number of calendar days when the diary was completed on, even if it was not a full 24 hour period. This outcome measure was only calculated for participants with >0 micturitions at Baseline.
Time Frame Baseline, Week 12
Hide Outcome Measure Data
Hide Analysis Population Description
Full analysis set included all participants who were randomized in the study and received at least 1 dose of study medication and had provided baseline primary endpoint data. Here, 'Overall Number of Participants Analyzed' signifies participants evaluable for this outcome measure.
Arm/Group Title Cohort 1, Active Comparator Phase: Fesoterodine 4 mg Cohort 1, Active Comparator Phase: Fesoterodine 4 mg Then 8 mg Cohort 1, Active Comparator Phase: Oxybutynin Cohort 2, Efficacy Phase: Fesoterodine 2 mg Cohort 2, Efficacy Phase: Fesoterodine 2 mg Then 4 mg
Hide 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.
Participants with body weight >25 kg were randomized to receive fesoterodine 4 mg PR tablets orally once daily for first 1 week and if dose was tolerated well, participants received 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.
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 BIC capsule orally once daily for 12 weeks in efficacy phase.
Participants with body weight <=25 kg were randomized to receive fesoterodine 2 mg BIC capsule orally once daily for first 1 week and if dose was tolerated well, participants received 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.
Overall Number of Participants Analyzed 18 21 26 14 17
Least Squares Mean (95% Confidence Interval)
Unit of Measure: micturitions per 24 hours
-1.07
(-1.88 to -0.25)
-0.68
(-1.44 to 0.08)
-0.97
(-1.65 to -0.29)
-0.37
(-1.10 to 0.36)
-0.70
(-1.36 to -0.04)
Hide Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection Cohort 1, Active Comparator Phase: Fesoterodine 4 mg
Comments P-value was calculated for change from Baseline at Week 12, based on an ANCOVA model with terms for treatment group, baseline number of micturitions per 24 hours and baseline weight.
Type of Statistical Test Superiority
Comments [Not Specified]
Statistical Test of Hypothesis P-Value 0.0116
Comments [Not Specified]
Method ANCOVA
Comments [Not Specified]
Hide Statistical Analysis 2
Statistical Analysis Overview Comparison Group Selection Cohort 1, Active Comparator Phase: Fesoterodine 4 mg Then 8 mg
Comments P-value was calculated for change from Baseline at Week 12, based on an ANCOVA model with terms for treatment group, baseline number of micturitions per 24 hours and baseline weight.
Type of Statistical Test Superiority
Comments [Not Specified]
Statistical Test of Hypothesis P-Value 0.0765
Comments [Not Specified]
Method ANCOVA
Comments [Not Specified]
Hide Statistical Analysis 3
Statistical Analysis Overview Comparison Group Selection Cohort 1, Active Comparator Phase: Oxybutynin
Comments P-value was calculated for change from Baseline at Week 12, based on an ANCOVA model with terms for treatment group, baseline number of micturitions per 24 hours and baseline weight.
Type of Statistical Test Superiority
Comments [Not Specified]
Statistical Test of Hypothesis P-Value 0.0061
Comments [Not Specified]
Method ANCOVA
Comments [Not Specified]
Hide Statistical Analysis 4
Statistical Analysis Overview Comparison Group Selection Cohort 1, Active Comparator Phase: Fesoterodine 4 mg, Cohort 1, Active Comparator Phase: Oxybutynin
Comments [Not Specified]
Type of Statistical Test Other
Comments [Not Specified]
Method of Estimation Estimation Parameter Difference in LS Mean
Estimated Value -0.10
Confidence Interval (2-Sided) 95%
-1.16 to 0.97
Estimation Comments [Not Specified]
Hide Statistical Analysis 5
Statistical Analysis Overview Comparison Group Selection Cohort 1, Active Comparator Phase: Fesoterodine 4 mg Then 8 mg, Cohort 1, Active Comparator Phase: Oxybutynin
Comments [Not Specified]
Type of Statistical Test Other
Comments [Not Specified]
Method of Estimation Estimation Parameter Difference in LS Mean
Estimated Value 0.28
Confidence Interval (2-Sided) 95%
-0.74 to 1.31
Estimation Comments [Not Specified]
7.Secondary Outcome
Title Change From Baseline in Mean Number of Catheterizations Per 24 Hours at Week 12: Active Comparator Phase/Efficacy Phase
Hide Description The mean number of catheterizations per 24 hours were calculated as the total number of catheterizations divided by the total number of diary days collected at the assessment time point. Number of diary days collected at the assessment time point = number of calendar days when the diary was completed on; even if it was not a full 24 hours period. This outcome measure was only calculated for participants with >0 catheterizations at Baseline.
Time Frame Baseline, Week 12
Hide Outcome Measure Data
Hide Analysis Population Description
Full analysis set included all participants who were randomized in the study and received at least 1 dose of study medication and had provided baseline primary endpoint data. Here, 'Overall Number of Participants Analyzed' signifies participants evaluable for this outcome measure.
Arm/Group Title Cohort 1, Active Comparator Phase: Fesoterodine 4 mg Cohort 1, Active Comparator Phase: Fesoterodine 4 mg Then 8 mg Cohort 1, Active Comparator Phase: Oxybutynin Cohort 2, Efficacy Phase: Fesoterodine 2 mg Cohort 2, Efficacy Phase: Fesoterodine 2 mg Then 4 mg
Hide 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.
Participants with body weight >25 kg were randomized to receive fesoterodine 4 mg PR tablets orally once daily for first 1 week and if dose was tolerated well, participants received 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.
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 BIC capsule orally once daily for 12 weeks in efficacy phase.
Participants with body weight <=25 kg were randomized to receive fesoterodine 2 mg BIC capsule orally once daily for first 1 week and if dose was tolerated well, participants received 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.
Overall Number of Participants Analyzed 37 33 31 22 24
Least Squares Mean (95% Confidence Interval)
Unit of Measure: catheterizations per 24 hours
-0.30
(-0.63 to 0.04)
-0.32
(-0.68 to 0.03)
-0.34
(-0.71 to 0.02)
-0.10
(-0.50 to 0.29)
-0.22
(-0.60 to 0.16)
Hide Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection Cohort 1, Active Comparator Phase: Fesoterodine 4 mg
Comments P-value was calculated for change from Baseline at Week 12, based on an ANCOVA model with terms for treatment group, baseline number of catheterizations per 24 hours and baseline weight.
Type of Statistical Test Superiority
Comments [Not Specified]
Statistical Test of Hypothesis P-Value 0.0787
Comments [Not Specified]
Method ANCOVA
Comments [Not Specified]
Hide Statistical Analysis 2
Statistical Analysis Overview Comparison Group Selection Cohort 1, Active Comparator Phase: Fesoterodine 4 mg Then 8 mg
Comments P-value was calculated for change from Baseline at Week 12, based on an ANCOVA model with terms for treatment group, baseline number of catheterizations per 24 hours and baseline weight.
Type of Statistical Test Superiority
Comments [Not Specified]
Statistical Test of Hypothesis P-Value 0.0727
Comments [Not Specified]
Method ANCOVA
Comments [Not Specified]
Hide Statistical Analysis 3
Statistical Analysis Overview Comparison Group Selection Cohort 1, Active Comparator Phase: Oxybutynin
Comments P-value was calculated for change from Baseline at Week 12, based on an ANCOVA model with terms for treatment group, baseline number of catheterizations per 24 hours and baseline weight.
Type of Statistical Test Superiority
Comments [Not Specified]
Statistical Test of Hypothesis P-Value 0.0666
Comments [Not Specified]
Method ANCOVA
Comments [Not Specified]
Hide Statistical Analysis 4
Statistical Analysis Overview Comparison Group Selection Cohort 1, Active Comparator Phase: Fesoterodine 4 mg, Cohort 1, Active Comparator Phase: Oxybutynin
Comments [Not Specified]
Type of Statistical Test Other
Comments [Not Specified]
Method of Estimation Estimation Parameter Difference in LS Mean
Estimated Value 0.04
Confidence Interval (2-Sided) 95%
-0.45 to 0.54
Estimation Comments [Not Specified]
Hide Statistical Analysis 5
Statistical Analysis Overview Comparison Group Selection Cohort 1, Active Comparator Phase: Fesoterodine 4 mg Then 8 mg, Cohort 1, Active Comparator Phase: Oxybutynin
Comments [Not Specified]
Type of Statistical Test Other
Comments [Not Specified]
Method of Estimation Estimation Parameter Difference in LS Mean
Estimated Value 0.02
Confidence Interval (2-Sided) 95%
-0.49 to 0.52
Estimation Comments [Not Specified]
8.Secondary Outcome
Title Change From Baseline in Mean Number of Micturitions or Catheterizations Per 24 Hours at Week 12: Active Comparator Phase/Efficacy Phase
Hide Description The mean number of micturitions or catheterizations combined per 24 hours were calculated as the total number of micturitions and catheterizations combined divided by the total number of diary days collected at the assessment point. Number of diary days collected at the assessment time point = number of calendar days when the diary was completed; even if it was not a full 24 hour (hrs) period. This outcome was evaluated in those participants who had micturitions or catheterizations >0 at Baseline.
Time Frame Baseline, Week 12
Hide Outcome Measure Data
Hide Analysis Population Description
Full analysis set included all participants who were randomized in the study and received at least 1 dose of study medication and had provided baseline primary endpoint data. Here, 'Overall Number of Participants Analyzed' signifies participants evaluable for this outcome measure.
Arm/Group Title Cohort 1, Active Comparator Phase: Fesoterodine 4 mg Cohort 1, Active Comparator Phase: Fesoterodine 4 mg Then 8 mg Cohort 1, Active Comparator Phase: Oxybutynin Cohort 2, Efficacy Phase: Fesoterodine 2 mg Cohort 2, Efficacy Phase: Fesoterodine 2 mg Then 4 mg
Hide 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.
Participants with body weight >25 kg were randomized to receive fesoterodine 4 mg PR tablets orally once daily for first 1 week and if dose was tolerated well, participants received 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.
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 BIC capsule orally once daily for 12 weeks in efficacy phase.
Participants with body weight <=25 kg were randomized to receive fesoterodine 2 mg BIC capsule orally once daily for first 1 week and if dose was tolerated well, participants received 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.
Overall Number of Participants Analyzed 41 37 38 23 26
Least Squares Mean (95% Confidence Interval)
Unit of Measure: micturitions and catheterizations/24 hrs
-0.61
(-1.08 to -0.14)
-0.60
(-1.09 to -0.11)
-0.75
(-1.24 to -0.26)
-0.24
(-0.67 to 0.19)
-0.28
(-0.68 to 0.12)
Hide Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection Cohort 1, Active Comparator Phase: Fesoterodine 4 mg
Comments P-value was calculated for change from Baseline at Week 12, based on an ANCOVA model with terms for treatment group, baseline number of micturitions and catheterizations combined per 24 hours and baseline weight.
Type of Statistical Test Superiority
Comments [Not Specified]
Statistical Test of Hypothesis P-Value 0.0111
Comments [Not Specified]
Method ANCOVA
Comments [Not Specified]
Hide Statistical Analysis 2
Statistical Analysis Overview Comparison Group Selection Cohort 1, Active Comparator Phase: Fesoterodine 4 mg Then 8 mg
Comments P-value was calculated for change from Baseline at Week 12, based on an ANCOVA model with terms for treatment group, baseline number of micturitions and catheterizations combined per 24 hours and baseline weight.
Type of Statistical Test Superiority
Comments [Not Specified]
Statistical Test of Hypothesis P-Value 0.0171
Comments [Not Specified]
Method ANCOVA
Comments [Not Specified]
Hide Statistical Analysis 3
Statistical Analysis Overview Comparison Group Selection Cohort 1, Active Comparator Phase: Oxybutynin
Comments P-value was calculated for change from Baseline at Week 12, based on an ANCOVA model with terms for treatment group, baseline number of micturitions and catheterizations combined per 24 hours and baseline weight.
Type of Statistical Test Superiority
Comments [Not Specified]
Statistical Test of Hypothesis P-Value 0.0028
Comments [Not Specified]
Method ANCOVA
Comments [Not Specified]
Hide Statistical Analysis 4
Statistical Analysis Overview Comparison Group Selection Cohort 1, Active Comparator Phase: Fesoterodine 4 mg, Cohort 1, Active Comparator Phase: Oxybutynin
Comments [Not Specified]
Type of Statistical Test Other
Comments [Not Specified]
Method of Estimation Estimation Parameter Difference in LS Mean
Estimated Value 0.14
Confidence Interval (2-Sided) 95%
-0.53 to 0.82
Estimation Comments [Not Specified]
Hide Statistical Analysis 5
Statistical Analysis Overview Comparison Group Selection Cohort 1, Active Comparator Phase: Fesoterodine 4 mg Then 8 mg, Cohort 1, Active Comparator Phase: Oxybutynin
Comments [Not Specified]
Type of Statistical Test Other
Comments [Not Specified]
Method of Estimation Estimation Parameter Difference in LS Mean
Estimated Value 0.15
Confidence Interval (2-Sided) 95%
-0.54 to 0.84
Estimation Comments [Not Specified]
9.Secondary Outcome
Title Change From Baseline in Mean Number of Incontinence Episodes Per 24 Hours at Week 12: Active Comparator Phase/Efficacy Phase
Hide Description The mean number of incontinence episodes per 24 hours were calculated as the total number of incontinence episodes divided by the total number of diary days collected at the assessment time point. Number of diary days collected at the assessment time point = number of calendar days when the diary was completed; even if it was not a full 24 hours period. This outcome measure was only calculated for participants with >0 incontinence episodes at Baseline.
Time Frame Baseline, Week 12
Hide Outcome Measure Data
Hide Analysis Population Description
Full analysis set included all participants who were randomized in the study and received at least 1 dose of study medication and had provided baseline primary endpoint data. Here, 'Overall Number of Participants Analyzed' signifies participants evaluable for this outcome measure.
Arm/Group Title Cohort 1, Active Comparator Phase: Fesoterodine 4 mg Cohort 1, Active Comparator Phase: Fesoterodine 4 mg Then 8 mg Cohort 1, Active Comparator Phase: Oxybutynin Cohort 2, Efficacy Phase: Fesoterodine 2 mg Cohort 2, Efficacy Phase: Fesoterodine 2 mg Then 4 mg
Hide 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.
Participants with body weight >25 kg were randomized to receive fesoterodine 4 mg PR tablets orally once daily for first 1 week and if dose was tolerated well, participants received 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.
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 BIC capsule orally once daily for 12 weeks in efficacy phase.
Participants with body weight <=25 kg were randomized to receive fesoterodine 2 mg BIC capsule orally once daily for first 1 week and if dose was tolerated well, participants received 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.
Overall Number of Participants Analyzed 33 33 35 22 20
Least Squares Mean (95% Confidence Interval)
Unit of Measure: incontinence episodes per 24 hours
-0.46
(-0.92 to -0.00)
-0.89
(-1.35 to -0.43)
-1.01
(-1.46 to -0.56)
-0.38
(-0.95 to 0.20)
-0.69
(-1.29 to -0.08)
Hide Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection Cohort 1, Active Comparator Phase: Fesoterodine 4 mg
Comments P-value was calculated for change from Baseline at Week 12, based on an ANCOVA model with terms for treatment group, baseline number of incontinence episodes per 24 hours and baseline weight.
Type of Statistical Test Superiority
Comments [Not Specified]
Statistical Test of Hypothesis P-Value 0.0496
Comments [Not Specified]
Method ANCOVA
Comments [Not Specified]
Hide Statistical Analysis 2
Statistical Analysis Overview Comparison Group Selection Cohort 1, Active Comparator Phase: Fesoterodine 4 mg Then 8 mg
Comments P-value was calculated for change from Baseline at Week 12, based on an ANCOVA model with terms for treatment group, baseline number of incontinence episodes per 24 hours and baseline weight.
Type of Statistical Test Superiority
Comments [Not Specified]
Statistical Test of Hypothesis P-Value 0.0002
Comments [Not Specified]
Method ANCOVA
Comments [Not Specified]
Hide Statistical Analysis 3
Statistical Analysis Overview Comparison Group Selection Cohort 1, Active Comparator Phase: Oxybutynin
Comments P-value was calculated for change from Baseline at Week 12, based on an ANCOVA model with terms for treatment group, baseline number of incontinence episodes per 24 hours and baseline weight.
Type of Statistical Test Superiority
Comments [Not Specified]
Statistical Test of Hypothesis P-Value <.0001
Comments [Not Specified]
Method ANCOVA
Comments [Not Specified]
Hide Statistical Analysis 4
Statistical Analysis Overview Comparison Group Selection Cohort 1, Active Comparator Phase: Fesoterodine 4 mg, Cohort 1, Active Comparator Phase: Oxybutynin
Comments [Not Specified]
Type of Statistical Test Other
Comments [Not Specified]
Method of Estimation Estimation Parameter Difference in LS Mean
Estimated Value 0.55
Confidence Interval (2-Sided) 95%
-0.09 to 1.19
Estimation Comments [Not Specified]
Hide Statistical Analysis 5
Statistical Analysis Overview Comparison Group Selection Cohort 1, Active Comparator Phase: Fesoterodine 4 mg Then 8 mg, Cohort 1, Active Comparator Phase: Oxybutynin
Comments [Not Specified]
Type of Statistical Test Other
Comments [Not Specified]
Method of Estimation Estimation Parameter Difference in LS Mean
Estimated Value 0.12
Confidence Interval (2-Sided) 95%
-0.52 to 0.77
Estimation Comments [Not Specified]
10.Secondary Outcome
Title Change From Baseline in Mean Number of Urgency Episodes Per 24 Hours at Week 12: Active Comparator Phase/Efficacy Phase
Hide Description The mean number of urgency episodes per 24 hours were calculated as the total number of urgency episodes divided by the total number of diary days collected at the assessment time point. Number of diary days collected at the assessment time point = number of calendar days when the diary was completed; even if it was not a full 24 hours period. Urgency episodes were defined as urgency marked as 'yes' in the diary. This outcome measure was only calculated for participants with >0 urgency episodes at Baseline.
Time Frame Baseline, Week 12
Hide Outcome Measure Data
Hide Analysis Population Description
Full analysis set included all participants who were randomized in the study and received at least 1 dose of study medication and had provided baseline primary endpoint data. Here, 'Overall Number of Participants Analyzed' signifies participants evaluable for this outcome measure.
Arm/Group Title Cohort 1, Active Comparator Phase: Fesoterodine 4 mg Cohort 1, Active Comparator Phase: Fesoterodine 4 mg Then 8 mg Cohort 1, Active Comparator Phase: Oxybutynin Cohort 2, Efficacy Phase: Fesoterodine 2 mg Cohort 2, Efficacy Phase: Fesoterodine 2 mg Then 4 mg
Hide 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.
Participants with body weight >25 kg were randomized to receive fesoterodine 4 mg PR tablets orally once daily for first 1 week and if dose was tolerated well, participants received 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.
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 BIC capsule orally once daily for 12 weeks in efficacy phase.
Participants with body weight <=25 kg were randomized to receive fesoterodine 2 mg BIC capsule orally once daily for first 1 week and if dose was tolerated well, participants received 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.
Overall Number of Participants Analyzed 26 18 26 13 9
Least Squares Mean (95% Confidence Interval)
Unit of Measure: urgency episodes per 24 hours
-0.62
(-1.18 to -0.06)
-0.50
(-1.17 to 0.17)
-0.14
(-0.70 to 0.42)
-0.23
(-0.84 to 0.38)
-0.62
(-1.35 to 0.12)
Hide Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection Cohort 1, Active Comparator Phase: Fesoterodine 4 mg
Comments P-value was calculated for change from Baseline at Week 12, based on an ANCOVA model with terms for treatment group, baseline number of urgency episodes per 24 hours and baseline weight.
Type of Statistical Test Superiority
Comments [Not Specified]
Statistical Test of Hypothesis P-Value 0.0298
Comments [Not Specified]
Method ANCOVA
Comments [Not Specified]
Hide Statistical Analysis 2
Statistical Analysis Overview Comparison Group Selection Cohort 1, Active Comparator Phase: Fesoterodine 4 mg Then 8 mg
Comments P-value was calculated for change from Baseline at Week 12, based on an ANCOVA model with terms for treatment group, baseline number of urgency episodes per 24 hours and baseline weight.
Type of Statistical Test Superiority
Comments [Not Specified]
Statistical Test of Hypothesis P-Value 0.1417
Comments [Not Specified]
Method ANCOVA
Comments [Not Specified]
Hide Statistical Analysis 3
Statistical Analysis Overview Comparison Group Selection Cohort 1, Active Comparator Phase: Oxybutynin
Comments P-value was calculated for change from Baseline at Week 12, based on an ANCOVA model with terms for treatment group, baseline number of urgency episodes per 24 hours and baseline weight.
Type of Statistical Test Superiority
Comments [Not Specified]
Statistical Test of Hypothesis P-Value 0.6219
Comments [Not Specified]
Method ANCOVA
Comments [Not Specified]
Hide Statistical Analysis 4
Statistical Analysis Overview Comparison Group Selection Cohort 1, Active Comparator Phase: Fesoterodine 4 mg, Cohort 1, Active Comparator Phase: Oxybutynin
Comments [Not Specified]
Type of Statistical Test Other
Comments [Not Specified]
Method of Estimation Estimation Parameter Difference in LS Mean
Estimated Value -0.48
Confidence Interval (2-Sided) 95%
-1.28 to 0.32
Estimation Comments [Not Specified]
Hide Statistical Analysis 5
Statistical Analysis Overview Comparison Group Selection Cohort 1, Active Comparator Phase: Fesoterodine 4 mg Then 8 mg, Cohort 1, Active Comparator Phase: Oxybutynin
Comments [Not Specified]
Type of Statistical Test Other
Comments [Not Specified]
Method of Estimation Estimation Parameter Difference in LS Mean
Estimated Value -0.36
Confidence Interval (2-Sided) 95%
-1.24 to 0.52
Estimation Comments [Not Specified]
11.Secondary Outcome
Title Change From Baseline in Mean Volume Voided Per Micturition at Week 12: Active Comparator Phase/Efficacy Phase
Hide Description The mean voided volume per micturition was calculated as sum of voided volume divided by the total number of micturition episodes with a recorded voided volume greater than 0.
Time Frame Baseline, Week 12
Hide Outcome Measure Data
Hide Analysis Population Description
Full analysis set included all participants who were randomized in the study and received at least 1 dose of study medication and had provided baseline primary endpoint data. Here, 'Overall Number of Participants Analyzed' signifies participants evaluable for this outcome measure.
Arm/Group Title Cohort 1, Active Comparator Phase: Fesoterodine 4 mg Cohort 1, Active Comparator Phase: Fesoterodine 4 mg Then 8 mg Cohort 1, Active Comparator Phase: Oxybutynin Cohort 2, Efficacy Phase: Fesoterodine 2 mg Cohort 2, Efficacy Phase: Fesoterodine 2 mg Then 4 mg
Hide 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.
Participants with body weight >25 kg were randomized to receive fesoterodine 4 mg PR tablets orally once daily for first 1 week and if dose was tolerated well, participants received 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.
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 BIC capsule orally once daily for 12 weeks in efficacy phase.
Participants with body weight <=25 kg were randomized to receive fesoterodine 2 mg BIC capsule orally once daily for first 1 week and if dose was tolerated well, participants received 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.
Overall Number of Participants Analyzed 15 15 20 8 10
Least Squares Mean (95% Confidence Interval)
Unit of Measure: milliliter per micturition
4.10
(-28.05 to 36.24)
19.21
(-12.67 to 51.10)
4.15
(-22.69 to 30.98)
-12.72
(-34.96 to 9.52)
-8.41
(-28.27 to 11.44)
Hide Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection Cohort 1, Active Comparator Phase: Fesoterodine 4 mg
Comments P-value was calculated for change from Baseline at Week 12, based on an ANCOVA model with terms for treatment group, baseline mean volume voided per micturition and baseline weight.
Type of Statistical Test Superiority
Comments [Not Specified]
Statistical Test of Hypothesis P-Value 0.7986
Comments [Not Specified]
Method ANCOVA
Comments [Not Specified]
Hide Statistical Analysis 2
Statistical Analysis Overview Comparison Group Selection Cohort 1, Active Comparator Phase: Fesoterodine 4 mg Then 8 mg
Comments P-value was calculated for change from Baseline at Week 12, based on an ANCOVA model with terms for treatment group, baseline mean volume voided per micturition and baseline weight.
Type of Statistical Test Superiority
Comments [Not Specified]
Statistical Test of Hypothesis P-Value 0.2313
Comments [Not Specified]
Method ANCOVA
Comments [Not Specified]
Hide Statistical Analysis 3
Statistical Analysis Overview Comparison Group Selection Cohort 1, Active Comparator Phase: Oxybutynin
Comments P-value was calculated for change from Baseline at Week 12, based on an ANCOVA model with terms for treatment group, baseline mean volume voided per micturition and baseline weight.
Type of Statistical Test Superiority
Comments [Not Specified]
Statistical Test of Hypothesis P-Value 0.7571
Comments [Not Specified]
Method ANCOVA
Comments [Not Specified]
Hide Statistical Analysis 4
Statistical Analysis Overview Comparison Group Selection Cohort 1, Active Comparator Phase: Fesoterodine 4 mg, Cohort 1, Active Comparator Phase: Oxybutynin
Comments [Not Specified]
Type of Statistical Test Other
Comments [Not Specified]
Method of Estimation Estimation Parameter Difference in LS Mean
Estimated Value -0.05
Confidence Interval (2-Sided) 95%
-42.11 to 42.00
Estimation Comments [Not Specified]
Hide Statistical Analysis 5
Statistical Analysis Overview Comparison Group Selection Cohort 1, Active Comparator Phase: Fesoterodine 4 mg Then 8 mg, Cohort 1, Active Comparator Phase: Oxybutynin
Comments [Not Specified]
Type of Statistical Test Other
Comments [Not Specified]
Method of Estimation Estimation Parameter Difference in LS Mean
Estimated Value 15.07
Confidence Interval (2-Sided) 95%
-26.50 to 56.63
Estimation Comments [Not Specified]
12.Secondary Outcome
Title Change From Baseline in Mean Volume Voided Per Catheterization at Week 12: Active Comparator Phase/Efficacy Phase
Hide Description The mean volume per catheterization was calculated as sum of voided volume divided by the total number of catheterization, with a recorded voided volume greater than 0.
Time Frame Baseline, Week 12
Hide Outcome Measure Data
Hide Analysis Population Description
Full analysis set included all participants who were randomized in the study and received at least 1 dose of study medication and had provided baseline primary endpoint data. Here, 'Overall Number of Participants Analyzed' signifies participants evaluable for this outcome measure.
Arm/Group Title Cohort 1, Active Comparator Phase: Fesoterodine 4 mg Cohort 1, Active Comparator Phase: Fesoterodine 4 mg Then 8 mg Cohort 1, Active Comparator Phase: Oxybutynin Cohort 2, Efficacy Phase: Fesoterodine 2 mg Cohort 2, Efficacy Phase: Fesoterodine 2 mg Then 4 mg
Hide 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.
Participants with body weight >25 kg were randomized to receive fesoterodine 4 mg PR tablets orally once daily for first 1 week and if dose was tolerated well, participants received 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.
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 BIC capsule orally once daily for 12 weeks in efficacy phase.
Participants with body weight <=25 kg were randomized to receive fesoterodine 2 mg BIC capsule orally once daily for first 1 week and if dose was tolerated well, participants received 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.
Overall Number of Participants Analyzed 36 32 28 23 25
Least Squares Mean (95% Confidence Interval)
Unit of Measure: milliliter per catheterization
29.47
(-1.38 to 60.32)
47.18
(14.74 to 79.62)
45.90
(11.24 to 80.55)
11.50
(-9.87 to 32.88)
1.74
(-18.76 to 22.23)
Hide Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection Cohort 1, Active Comparator Phase: Fesoterodine 4 mg
Comments P-value was calculated for change from Baseline at Week 12, based on an ANCOVA model with terms for treatment group, baseline mean volume voided per catheterization and baseline weight.
Type of Statistical Test Superiority
Comments [Not Specified]
Statistical Test of Hypothesis P-Value 0.0610
Comments [Not Specified]
Method ANCOVA
Comments [Not Specified]
Hide Statistical Analysis 2
Statistical Analysis Overview Comparison Group Selection Cohort 1, Active Comparator Phase: Fesoterodine 4 mg Then 8 mg
Comments P-value was calculated for change from Baseline at Week 12, based on an ANCOVA model with terms for treatment group, baseline mean volume voided per catheterization and baseline weight.
Type of Statistical Test Superiority
Comments [Not Specified]
Statistical Test of Hypothesis P-Value 0.0048
Comments [Not Specified]
Method ANCOVA
Comments [Not Specified]
Hide Statistical Analysis 3
Statistical Analysis Overview Comparison Group Selection Cohort 1, Active Comparator Phase: Oxybutynin
Comments P-value was calculated for change from Baseline at Week 12, based on an ANCOVA model with terms for treatment group, baseline mean volume voided per catheterization and baseline weight.
Type of Statistical Test Superiority
Comments [Not Specified]
Statistical Test of Hypothesis P-Value 0.0100
Comments [Not Specified]
Method ANCOVA
Comments [Not Specified]
Hide Statistical Analysis 4
Statistical Analysis Overview Comparison Group Selection Cohort 1, Active Comparator Phase: Fesoterodine 4 mg, Cohort 1, Active Comparator Phase: Oxybutynin
Comments [Not Specified]
Type of Statistical Test Other
Comments [Not Specified]
Method of Estimation Estimation Parameter Difference in LS Mean
Estimated Value -16.43
Confidence Interval (2-Sided) 95%
-63.14 to 30.29
Estimation Comments [Not Specified]
Hide Statistical Analysis 5
Statistical Analysis Overview Comparison Group Selection Cohort 1, Active Comparator Phase: Fesoterodine 4 mg Then 8 mg, Cohort 1, Active Comparator Phase: Oxybutynin
Comments [Not Specified]
Type of Statistical Test Other
Comments [Not Specified]
Method of Estimation Estimation Parameter Difference in LS Mean
Estimated Value 1.28
Confidence Interval (2-Sided) 95%
-46.00 to 48.57
Estimation Comments [Not Specified]
13.Secondary Outcome
Title Change From Baseline in Mean Volume Voided Per Micturition or Catheterization at Week 12: Active Comparator Phase/Efficacy Phase
Hide Description The mean voided volume per micturition or catheterization was calculated as sum of voided volume divided by the total number of micturition or catheterization episodes with a recorded voided volume greater than 0. This outcome was evaluated in those participants who had micturitions or catheterizations >0 at Baseline.
Time Frame Baseline, Week 12
Hide Outcome Measure Data
Hide Analysis Population Description
Full analysis set included all participants who were randomized in the study and received at least 1 dose of study medication and had provided baseline primary endpoint data. Here, 'Overall Number of Participants Analyzed' signifies participants evaluable for this outcome measure.
Arm/Group Title Cohort 1, Active Comparator Phase: Fesoterodine 4 mg Cohort 1, Active Comparator Phase: Fesoterodine 4 mg Then 8 mg Cohort 1, Active Comparator Phase: Oxybutynin Cohort 2, Efficacy Phase: Fesoterodine 2 mg Cohort 2, Efficacy Phase: Fesoterodine 2 mg Then 4 mg
Hide 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.
Participants with body weight >25 kg were randomized to receive fesoterodine 4 mg PR tablets orally once daily for first 1 week and if dose was tolerated well, participants received 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.
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 BIC capsule orally once daily for 12 weeks in efficacy phase.
Participants with body weight <=25 kg were randomized to receive fesoterodine 2 mg BIC capsule orally once daily for first 1 week and if dose was tolerated well, participants received 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.
Overall Number of Participants Analyzed 39 38 38 24 28
Least Squares Mean (95% Confidence Interval)
Unit of Measure: mL per micturition or catheterization
18.45
(-11.49 to 48.40)
55.55
(25.80 to 85.31)
36.69
(6.95 to 66.43)
7.12
(-11.87 to 26.11)
-2.65
(-20.22 to 14.92)
Hide Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection Cohort 1, Active Comparator Phase: Fesoterodine 4 mg
Comments P-value was calculated for change from Baseline at Week 12, based on an ANCOVA model with terms for treatment group, baseline mean volume voided per micturition or catheterization and baseline weight.
Type of Statistical Test Superiority
Comments [Not Specified]
Statistical Test of Hypothesis P-Value 0.2246
Comments [Not Specified]
Method ANCOVA
Comments [Not Specified]
Hide Statistical Analysis 2
Statistical Analysis Overview Comparison Group Selection Cohort 1, Active Comparator Phase: Fesoterodine 4 mg Then 8 mg
Comments P-value was calculated for change from Baseline at Week 12, based on an ANCOVA model with terms for treatment group, baseline mean volume voided per micturition or catheterization and baseline weight.
Type of Statistical Test Superiority
Comments [Not Specified]
Statistical Test of Hypothesis P-Value 0.0003
Comments [Not Specified]
Method ANCOVA
Comments [Not Specified]
Hide Statistical Analysis 3
Statistical Analysis Overview Comparison Group Selection Cohort 1, Active Comparator Phase: Oxybutynin
Comments P-value was calculated for change from Baseline at Week 12, based on an ANCOVA model with terms for treatment group, baseline mean volume voided per micturition or catheterization and baseline weight.
Type of Statistical Test Superiority
Comments [Not Specified]
Statistical Test of Hypothesis P-Value 0.0161
Comments [Not Specified]
Method ANCOVA
Comments [Not Specified]
Hide Statistical Analysis 4
Statistical Analysis Overview Comparison Group Selection Cohort 1, Active Comparator Phase: Fesoterodine 4 mg, Cohort 1, Active Comparator Phase: Oxybutynin
Comments [Not Specified]
Type of Statistical Test Other
Comments [Not Specified]
Method of Estimation Estimation Parameter Difference in LS Mean
Estimated Value -18.24
Confidence Interval (2-Sided) 95%
-61.00 to 24.53
Estimation Comments [Not Specified]
Hide Statistical Analysis 5
Statistical Analysis Overview Comparison Group Selection Cohort 1, Active Comparator Phase: Fesoterodine 4 mg Then 8 mg, Cohort 1, Active Comparator Phase: Oxybutynin
Comments [Not Specified]
Type of Statistical Test Other
Comments [Not Specified]
Method of Estimation Estimation Parameter Difference in LS Mean
Estimated Value 18.86
Confidence Interval (2-Sided) 95%
-22.93 to 60.65
Estimation Comments [Not Specified]
14.Secondary Outcome
Title Number of Participants With Treatment Emergent Adverse Events (AEs) and Serious Adverse Events (SAEs): Active Comparator Phase/Efficacy Phase
Hide Description An AE was any untoward medical occurrence in a participant who received investigational product without regard to possibility of causal relationship. SAE was an AE resulting in any of the following outcomes or deemed significant for any other reason: death; initial or prolonged inpatient hospitalization; life-threatening experience (immediate risk of dying); persistent or significant disability/incapacity; congenital anomaly; medically important events. A treatment emergent AE was defined as an event that emerged during the treatment period that was absent before treatment, or worsened during the treatment period relative to the pretreatment state. AEs included both all serious and non-serious adverse events.
Time Frame Baseline up to Week 12
Hide Outcome Measure Data
Hide Analysis Population Description
Safety analysis set population for active comparator phase and efficacy phase included all participants of respective cohorts who received at least 1 dose of study medication in the relevant phase.
Arm/Group Title Cohort 1, Active Comparator Phase: Fesoterodine 4 mg Cohort 1, Active Comparator Phase: Fesoterodine 4 mg Then 8 mg Cohort 1, Active Comparator Phase: Oxybutynin Cohort 2, Efficacy Phase: Fesoterodine 2 mg Cohort 2, Efficacy Phase: Fesoterodine 2 mg Then 4 mg
Hide 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.
Participants with body weight >25 kg were randomized to receive fesoterodine 4 mg PR tablets orally once daily for first 1 week and if dose was tolerated well, participants received 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.
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 BIC capsule orally once daily for 12 weeks in efficacy phase.
Participants with body weight <=25 kg were randomized to receive fesoterodine 2 mg BIC capsule orally once daily for first 1 week and if dose was tolerated well, participants received 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.
Overall Number of Participants Analyzed 42 42 40 28 29
Measure Type: Count of Participants
Unit of Measure: Participants
Treatment Emergent AEs
26
  61.9%
20
  47.6%
30
  75.0%
19
  67.9%
18
  62.1%
Treatment Emergent SAEs
3
   7.1%
2
   4.8%
1
   2.5%
2
   7.1%
2
   6.9%
15.Secondary Outcome
Title Number of Participants With Treatment Emergent Adverse Events (AEs) and Serious Adverse Events (SAEs): Safety Extension Phase
Hide Description An AE was any untoward medical occurrence in a participant who received investigational product without regard to possibility of causal relationship. SAE was an AE resulting in any of the following outcomes or deemed significant for any other reason: death; initial or prolonged inpatient hospitalization; life-threatening experience (immediate risk of dying); persistent or significant disability/incapacity; congenital anomaly; medically important events. A treatment emergent AE was defined as an event that emerged during the treatment period that was absent before treatment, or worsened during the treatment period relative to the pretreatment state. AEs included both all serious and non-serious adverse events.
Time Frame Week 12 up to Week 26 (including 2 weeks of follow up after last dose)
Hide Outcome Measure Data
Hide Analysis Population Description
Safety analysis set population for safety extension phase included all participants of respective cohorts who received at least 1 dose of study medication in the relevant phase of the study.
Arm/Group Title Cohort 1, Safety Extension Phase: Fesoterodine 4 mg Cohort 1, Safety Extension Phase (SEP): Fesoterodine 8 mg Cohort 1, SEP: Oxybutynin Then Fesoterodine 4 mg Cohort 1, SEP: Oxybutynin Then Fesoterodine 4 mg Then 8 mg Cohort 2, Safety Extension Phase: Fesoterodine 2 mg Cohort 2, Safety Extension Phase: Fesoterodine 4 mg
Hide Arm/Group Description:
Participants with body weight >25 kg received fesoterodine 4 mg PR tablet orally once daily for 12 weeks in safety extension phase.
Participants with body weight >25 kg received fesoterodine 8 mg PR tablet orally once daily for 12 weeks in 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 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 participants were withdrawn from the study.
Participants with body weight <=25 kg received fesoterodine 2 mg BIC capsules orally once daily for 12 weeks in safety extension phase.
Participants with body weight <=25 kg received fesoterodine 4 mg BIC capsules orally once daily for 12 weeks in safety extension phase.
Overall Number of Participants Analyzed 30 37 16 20 20 28
Measure Type: Count of Participants
Unit of Measure: Participants
Treatment emergent AEs
14
  46.7%
13
  35.1%
9
  56.3%
11
  55.0%
11
  55.0%
16
  57.1%
Treatment emergent SAEs
0
   0.0%
2
   5.4%
0
   0.0%
0
   0.0%
0
   0.0%
2
   7.1%
16.Secondary Outcome
Title Change From Baseline in Visual Acuity at Week 12: Active Comparator Phase/Efficacy Phase
Hide Description Visual acuity (VA) was assessed using the Snellen method, where logarithm of minimum angle of resolution (logMAR) units were derived from the Snellen ratios. Participants had to read letters from the chart at a distance of 20 feet/6 meter or 4 meter. VA/Snellen ratio = distance between the chart and participant, divided by the distance at which participant was able to see or read chart without impairment; expressed as decimal. logMAR = log10 (1/decimal VA). In this outcome measure data have been reported for right and left eye separately.
Time Frame Baseline, Week 12
Hide Outcome Measure Data
Hide Analysis Population Description
Safety analysis set population for active comparator phase and efficacy phase included all participants of respective cohorts who received at least 1 dose of study medication in the relevant phase. Here, 'Number Analyzed' = participants evaluable for this outcome measure for specified rows.
Arm/Group Title Cohort 1, Active Comparator Phase: Fesoterodine 4 mg Cohort 1, Active Comparator Phase: Fesoterodine 4 mg Then 8 mg Cohort 1, Active Comparator Phase: Oxybutynin Cohort 2, Efficacy Phase: Fesoterodine 2 mg Cohort 2, Efficacy Phase: Fesoterodine 2 mg Then 4 mg
Hide 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.
Participants with body weight >25 kg were randomized to receive fesoterodine 4 mg PR tablets orally once daily for first 1 week and if dose was tolerated well, participants received 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.
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 BIC capsule orally once daily for 12 weeks in efficacy phase.
Participants with body weight <=25 kg were randomized to receive fesoterodine 2 mg BIC capsule orally once daily for first 1 week and if dose was tolerated well, participants received 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.
Overall Number of Participants Analyzed 42 42 40 28 29
Mean (Standard Deviation)
Unit of Measure: logMAR unit
Right Eye: Baseline Number Analyzed 42 participants 41 participants 40 participants 28 participants 29 participants
0.09  (0.16) 0.11  (0.19) 0.03  (0.11) 0.15  (0.21) 0.10  (0.18)
Right Eye: Change at Week 12 Number Analyzed 37 participants 40 participants 40 participants 24 participants 29 participants
0.01  (0.11) -0.01  (0.10) 0.02  (0.18) 0.03  (0.12) -0.00  (0.09)
Left Eye: Baseline Number Analyzed 42 participants 42 participants 40 participants 28 participants 29 participants
0.08  (0.16) 0.10  (0.17) 0.02  (0.13) 0.16  (0.21) 0.14  (0.30)
Left Eye: Change at Week 12 Number Analyzed 37 participants 41 participants 40 participants 24 participants 29 participants
0.00  (0.13) -0.01  (0.10) 0.00  (0.13) -0.02  (0.08) 0.00  (0.08)
17.Secondary Outcome
Title Change From Baseline in Visual Acuity at Week 24: Safety Extension Phase
Hide Description VA was assessed using the Snellen method, where logMAR units were derived from the Snellen ratios. Participants had to read letters from the chart at a distance of 20 feet/6 meter or 4 meter. VA/Snellen ratio = distance between the chart and participant, divided by the distance at which participant was able to see or read chart without impairment; expressed as decimal. logMAR = log10 (1/decimal VA). In this outcome measure data have been reported for right and left eye separately.
Time Frame Baseline, Week 24
Hide Outcome Measure Data
Hide Analysis Population Description
Safety analysis set population for safety extension phase included all participants of respective cohorts who received at least 1 dose of study medication in the relevant phase. Here, 'Number Analyzed' = participants evaluable for this outcome measure for specified rows.
Arm/Group Title Cohort 1, Safety Extension Phase: Fesoterodine 4 mg Cohort 1, Safety Extension Phase: Fesoterodine 8 mg Cohort 1, SEP: Oxybutynin Then Fesoterodine 4 mg Cohort 1, SEP: Oxybutynin Then Fesoterodine 4 mg Then 8 mg Cohort 2, Safety Extension Phase: Fesoterodine 2 mg Cohort 2, Safety Extension Phase: Fesoterodine 4 mg
Hide Arm/Group Description:
Participants with body weight >25 kg received fesoterodine 4 mg PR tablet orally once daily for 12 weeks in safety extension phase.
Participants with body weight >25 kg received fesoterodine 8 mg PR tablet orally once daily for 12 weeks in 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 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 participants were withdrawn from the study.
Participants with body weight <=25 kg received fesoterodine 2 mg BIC capsules orally once daily for 12 weeks in safety extension phase.
Participants with body weight <=25 kg received fesoterodine 4 mg BIC capsules orally once daily for 12 weeks in safety extension phase.
Overall Number of Participants Analyzed 30 37 16 20 20 28
Mean (Standard Deviation)
Unit of Measure: logMAR unit
Right Eye: Change at Week 24 Number Analyzed 30 participants 36 participants 16 participants 20 participants 19 participants 28 participants
0.04  (0.17) -0.02  (0.11) -0.01  (0.05) 0.02  (0.13) 0.00  (0.07) 0.01  (0.11)
Left Eye: Change at Week 24 Number Analyzed 30 participants 37 participants 16 participants 20 participants 19 participants 28 participants
0.01  (0.19) -0.01  (0.11) 0.00  (0.08) -0.04  (0.09) -0.02  (0.07) 0.03  (0.13)
18.Secondary Outcome
Title Change From Baseline in Visual Accommodation at Week 12: Active Comparator Phase/Efficacy Phase
Hide Description The visual accommodation was the distance for each eye at which vision became blurred and was calculated as the mean of triplicate measurements. The participants focused on a single letter of the 20/40 line of an eye chart and chart was moved slowly towards the participant until letter was blurred. At this point, the distance from eye to letter was measured for each eye. In this outcome measure data have been reported for right and left eye separately.
Time Frame Baseline, Week 12
Hide Outcome Measure Data
Hide Analysis Population Description
Safety analysis set population for active comparator phase and efficacy phase included all participants of respective cohorts who received at least 1 dose of study medication in the relevant phase. Here, 'Number Analyzed' = participants evaluable for this outcome measure for specified rows.
Arm/Group Title Cohort 1, Active Comparator Phase: Fesoterodine 4 mg Cohort 1, Active Comparator Phase: Fesoterodine 4 mg Then 8 mg Cohort 1, Active Comparator Phase: Oxybutynin Cohort 2, Efficacy Phase: Fesoterodine 2 mg Cohort 2, Efficacy Phase: Fesoterodine 2 mg Then 4 mg
Hide 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.
Participants with body weight >25 kg were randomized to receive fesoterodine 4 mg PR tablets orally once daily for first 1 week and if dose was tolerated well, participants received 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.
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 BIC capsule orally once daily for 12 weeks in efficacy phase.
Participants with body weight <=25 kg were randomized to receive fesoterodine 2 mg BIC capsule orally once daily for first 1 week and if dose was tolerated well, participants received 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.
Overall Number of Participants Analyzed 42 42 40 28 29
Mean (Standard Deviation)
Unit of Measure: centimeter
Right Eye: Baseline Number Analyzed 38 participants 39 participants 39 participants 26 participants 28 participants
11.88  (7.39) 15.94  (18.64) 9.59  (5.05) 9.67  (16.71) 8.17  (6.89)
Right Eye: Change at Week 12 Number Analyzed 33 participants 38 participants 39 participants 22 participants 28 participants
1.74  (7.45) 7.77  (45.53) 0.50  (4.64) -1.04  (6.79) 1.02  (3.89)
Left Eye: Baseline Number Analyzed 39 participants 40 participants 39 participants 26 participants 27 participants
12.31  (8.67) 15.83  (17.85) 9.69  (5.13) 8.81  (14.89) 8.04  (7.17)
Left Eye: Change at Week 12 Number Analyzed 34 participants 39 participants 39 participants 22 participants 27 participants
0.27  (4.29) 5.79  (36.75) 0.81  (4.78) -1.45  (9.60) 0.90  (3.38)
19.Secondary Outcome
Title Change From Baseline in Visual Accommodation at Week 24: Safety Extension Phase
Hide Description The visual accommodation is the distance for each eye at which vision became blurred and was calculated as the mean of triplicate measurements. The participants focused on a single letter of the 20/40 line of an eye chart and chart was moved slowly towards the participant until letter was blurred. At this point, the distance from eye to letter was measured for each eye. In this outcome measure data have been reported for right and left eye separately.
Time Frame Baseline, Week 24
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Hide Analysis Population Description
Safety analysis set population for safety extension phase included all participants of respective cohorts who received at least 1 dose of study medication in the relevant phase. Here, 'Number Analyzed' = participants evaluable for this outcome measure for specified rows.
Arm/Group Title Cohort 1, Safety Extension Phase: Fesoterodine 4 mg Cohort 1, Safety Extension Phase: Fesoterodine 8 mg Cohort 1, SEP: Oxybutynin Then Fesoterodine 4 mg Cohort 1, SEP: Oxybutynin Then Fesoterodine 4 mg Then 8 mg Cohort 2, Safety Extension Phase: Fesoterodine 2 mg Cohort 2, Safety Extension Phase: Fesoterodine 4 mg
Hide Arm/Group Description:
Participants with body weight >25 kg received fesoterodine 4 mg PR tablet orally once daily for 12 weeks in safety extension phase.
Participants with body weight >25 kg received fesoterodine 8 mg PR tablet orally once daily for 12 weeks in 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 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 participants were withdrawn from the study.
Participants with body weight <=25 kg received fesoterodine 2 mg BIC capsules orally once daily for 12 weeks in safety extension phase.
Participants with body weight <=25 kg received fesoterodine 4 mg BIC capsules orally once daily for 12 weeks in safety extension phase.
Overall Number of Participants Analyzed 30 37 16 20 20 28
Mean (Standard Deviation)
Unit of Measure: centimeter
Right Eye: Change at Week 24 Number Analyzed 27 participants 34 participants 16 participants 20 participants 18 participants 27 participants
0.73  (5.47) 4.33  (28.89) 1.50  (4.80) 0.50  (4.30) -1.35  (13.03) 0.96  (4.38)
Left Eye: Change at Week 24 Number Analyzed 28 participants 35 participants 16 participants 20 participants 18 participants 26 participants
0.90  (5.85) 3.79  (29.81) 1.66  (6.25) 0.58  (4.53) 0.43  (11.53) 1.12  (4.20)
20.Secondary Outcome
Title Change From Baseline in Child Behavior Checklist (CBCL) T Score (Derived Score) at Week 12: Active Comparator Phase/Efficacy Phase
Hide Description CBCL: 120 items questionnaire answered by parent/caregiver of child to assess a child's behavioral, emotional problems. Scale for each item: 0= not true, 1= somewhat/sometimes true, 2= very true/often true. Out of 120 items, 103 were categorized into 8 domains; aggressive behavior, anxious/depressed, attention problems, rule-breaking behavior, social problems, somatic complaints, thought problems, withdrawn. Summary scores: Internalizing problems=anxious/depressed + withdrawn + somatic complaints; Externalizing problems=rule-breaking + aggressive behavior. Total problems=8 domains + other 17 items. Raw scores for each domain, summary and total problems=sum of scores of related items. Using Assessment Data Manager (ADM) tool raw scores transformed/derived into standard T-scores, range: each domain=50 to 100, internalizing problems=34 to 100, externalizing problems=33 to 100, total problems=24 to 100. Lower T-score for each 8 domains, 2 summary and total problems scores=better outcomes.
Time Frame Baseline, Week 12
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Safety analysis set population for active comparator phase and efficacy phase included all participants of respective cohorts who received at least 1 dose of study medication in the relevant phase. Here, 'Number Analyzed' = participants evaluable for this outcome measure for specified rows.
Arm/Group Title Cohort 1, Active Comparator Phase: Fesoterodine 4 mg Cohort 1, Active Comparator Phase: Fesoterodine 4 mg Then 8 mg Cohort 1, Active Comparator Phase: Oxybutynin Cohort 2, Efficacy Phase: Fesoterodine 2 mg Cohort 2, Efficacy Phase: Fesoterodine 2 mg Then 4 mg
Hide 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.
Participants with body weight >25 kg were randomized to receive fesoterodine 4 mg PR tablets orally once daily for first 1 week and if dose was tolerated well, participants received 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.
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 BIC capsule orally once daily for 12 weeks in efficacy phase.
Participants with body weight <=25 kg were randomized to receive fesoterodine 2 mg BIC capsule orally once daily for first 1 week and if dose was tolerated well, participants received 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.
Overall Number of Participants Analyzed 42 42 40 28 29
Mean (Standard Deviation)
Unit of Measure: T score
Aggressive behavior: Baseline Number Analyzed 42 participants 41 participants 40 participants 28 participants 29 participants
53.86  (5.67) 54.32  (5.88) 54.58  (5.75) 54.9  (5.25) 52.8  (4.48)
Aggressive behavior: Change at Week 12 Number Analyzed 37 participants 40 participants 39 participants 24 participants 29 participants
-1.03  (3.17) -0.95  (3.71) -1.28  (2.77) -1.29  (3.58) -0.03  (2.96)
Anxious/depressed: Baseline Number Analyzed 42 participants 41 participants 40 participants 28 participants 29 participants
56.07  (6.99) 57.00  (8.26) 56.75  (7.32) 55.5  (6.58) 56.3  (6.55)
Anxious/depressed: Change at Week 12 Number Analyzed 37 participants 40 participants 39 participants 24 participants 29 participants
-1.73  (3.05) -1.38  (5.25) -1.92  (4.66) -0.79  (4.55) -3.21  (5.27)
Attention problems: Baseline Number Analyzed 42 participants 41 participants 40 participants 28 participants 29 participants
56.29  (5.32) 56.66  (7.47) 56.30  (5.68) 55.4  (5.06) 55.3  (5.74)
Attention problems: Change at week 12 Number Analyzed 37 participants 40 participants 39 participants 24 participants 29 participants
-1.97  (3.79) -1.40  (4.30) -1.28  (3.69) -1.29  (3.61) -1.45  (3.41)
Rule-breaking behavior: Baseline Number Analyzed 42 participants 41 participants 40 participants 28 participants 29 participants
53.26  (3.52) 53.80  (5.53) 53.43  (4.96) 54.5  (4.96) 52.3  (3.74)
Rule-breaking behavior: Change at Week 12 Number Analyzed 37 participants 40 participants 39 participants 24 participants 29 participants
-0.92  (2.99) -0.88  (3.91) -0.72  (2.76) -1.71  (4.84) -0.10  (2.19)
Social problems : Baseline Number Analyzed 42 participants 41 participants 40 participants 28 participants 29 participants
57.52  (5.42) 58.54  (9.43) 57.95  (7.90) 57.9  (6.66) 55.8  (5.90)
Social problems : Change at Week 12 Number Analyzed 37 participants 40 participants 39 participants 24 participants 29 participants
-1.35  (3.90) -2.55  (4.74) -0.67  (3.73) -2.21  (4.38) -1.10  (3.41)
Somatic complaints: Baseline Number Analyzed 42 participants 41 participants 40 participants 28 participants 29 participants
61.14  (6.24) 60.46  (8.73) 60.58  (8.44) 57.1  (6.47) 58.4  (6.55)
Somatic complaints: Change at Week 12 Number Analyzed 37 participants 40 participants 39 participants 24 participants 29 participants
-0.46  (5.99) -1.28  (6.35) -0.87  (7.16) -0.38  (3.97) -1.69  (5.90)
Thought problems: Baseline Number Analyzed 42 participants 41 participants 40 participants 28 participants 29 participants
55.00  (6.19) 53.54  (5.93) 56.73  (7.64) 51.9  (2.81) 54.9  (5.60)
Thought problems: Change at Week 12 Number Analyzed 37 participants 40 participants 39 participants 24 participants 29 participants
-0.92  (4.69) -0.48  (4.25) -1.59  (3.65) -0.42  (1.67) -1.38  (5.42)
Withdrawn: Baseline Number Analyzed 42 participants 41 participants 40 participants 28 participants 29 participants
54.60  (5.17) 57.54  (8.34) 58.25  (7.93) 55.7  (5.96) 55.0  (7.11)
Withdrawn: Change at Week 12 Number Analyzed 37 participants 40 participants 39 participants 24 participants 29 participants
0.35  (4.70) -1.25  (5.13) -1.92  (5.08) -1.75  (3.97) -0.59  (4.48)
Externalizing: Baseline Number Analyzed 42 participants 41 participants 40 participants 28 participants 29 participants
49.48  (8.68) 49.46  (10.00) 50.10  (9.73) 51.1  (9.83) 48.0  (7.84)
Externalizing: Change at Week 12 Number Analyzed 37 participants 40 participants 39 participants 24 participants 29 participants
-2.08  (5.26) -2.33  (5.28) -1.95  (4.62) -2.63  (4.72) -1.45  (4.56)
Internalizing: Baseline Number Analyzed 42 participants 41 participants 40 participants 28 participants 29 participants
56.45  (8.06) 55.93  (12.84) 57.25  (11.00) 53.9  (10.34) 54.6  (10.14)
Internalizing: Change at Week 12 Number Analyzed 37 participants 40 participants 39 participants 24 participants 29 participants
-2.14  (6.46) -2.35  (6.98) -3.05  (7.12) -1.96  (6.53) -3.52  (6.38)
Total Problems: Baseline Number Analyzed 42 participants 41 participants 40 participants 28 participants 29 participants
55.05  (8.20) 53.61  (11.98) 55.45  (10.28) 53.4  (10.70) 52.7  (9.37)
Total Problems: Change at Week 12 Number Analyzed 42 participants 42 participants 40 participants 28 participants 29 participants
-2.51  (4.63) -3.23  (5.45) -2.36  (4.68) -2.17  (5.05) -3.38  (4.55)
21.Secondary Outcome
Title Change From Baseline in Child Behavior Checklist (CBCL) T Score (Derived Score) at Week 24: Safety Extension Phase
Hide Description CBCL: 120 items questionnaire answered by parent/caregiver of child to assess a child's behavioral, emotional problems. Scale for each item: 0= not true, 1= somewhat/sometimes true, 2= very true/often true. Out of 120 items, 103 were categorized into 8 domains; aggressive behavior, anxious/depressed, attention problems, rule-breaking behavior, social problems, somatic complaints, thought problems, withdrawn. Summary scores: Internalizing problems=anxious/depressed + withdrawn + somatic complaints; Externalizing problems=rule-breaking + aggressive behavior. Total problems=8 domains + other 17 items. Raw scores for each domain, summary and total problems=sum of scores of related items. Using Assessment Data Manager (ADM) tool raw scores transformed/derived into standard T-scores, range: each domain=50 to 100, internalizing problems=34 to 100, externalizing problems=33 to 100, total problems=24 to 100. Lower T-score for each 8 domains, 2 summary and total problems scores=better outcomes.
Time Frame Baseline, Week 24
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Hide Analysis Population Description
Safety analysis set population for safety extension phase included all participants of respective cohorts who received at least 1 dose of study medication in the relevant phase. Here, 'Number Analyzed' = participants evaluable for this outcome measure for specified rows.
Arm/Group Title Cohort 1, Safety Extension Phase: Fesoterodine 4 mg Cohort 1, Safety Extension Phase: Fesoterodine 8 mg Cohort 1, SEP: Oxybutynin Then Fesoterodine 4 mg Cohort 1, SEP: Oxybutynin Then Fesoterodine 4 mg Then 8 mg Cohort 2, Safety Extension Phase: Fesoterodine 2 mg Cohort 2, Safety Extension Phase: Fesoterodine 4 mg
Hide Arm/Group Description:
Participants with body weight >25 kg received fesoterodine 4 mg PR tablet orally once daily for 12 weeks in safety extension phase.
Participants with body weight >25 kg received fesoterodine 8 mg PR tablet orally once daily for 12 weeks in 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 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 participants were withdrawn from the study.
Participants with body weight <=25 kg received fesoterodine 2 mg BIC capsules orally once daily for 12 weeks in safety extension phase
Participants with body weight <=25 kg received fesoterodine 4 mg BIC capsules orally once daily for 12 weeks in safety extension phase.
Overall Number of Participants Analyzed 30 37 16 20 20 28
Mean (Standard Deviation)
Unit of Measure: T score
Aggressive behavior: Change at Week 24 Number Analyzed 29 participants 36 participants 16 participants 20 participants 20 participants 28 participants
-1.59  (3.85) -1.31  (4.57) -1.25  (3.40) -2.40  (4.89) -1.70  (3.40) -1.86  (3.63)
Anxious/depressed: Change at Week 24 Number Analyzed 29 participants 36 participants 16 participants 20 participants 20 participants 28 participants
-3.45  (4.86) -2.31  (5.64) -1.50  (3.76) -3.25  (5.66) -2.60  (5.24) -3.89  (4.95)
Attention problems: Change at Week 24 Number Analyzed 29 participants 36 participants 16 participants 20 participants 20 participants 28 participants
-2.21  (3.99) -2.64  (5.72) -3.38  (4.65) -1.70  (3.01) -1.50  (3.15) -1.71  (3.29)
Rule-breaking behavior: Change at Week 24 Number Analyzed 29 participants 36 participants 16 participants 20 participants 20 participants 28 participants
-1.59  (3.62) -1.47  (5.12) -1.31  (4.01) -0.90  (2.36) -2.15  (3.17) -0.36  (2.63)
Social problems : Change at Week 24 Number Analyzed 29 participants 36 participants 16 participants 20 participants 20 participants 28 participants
-2.83  (4.12) -2.56  (4.15) -3.19  (5.79) -2.65  (3.28) -3.90  (4.35) -2.36  (4.17)
Somatic complaints: Change at Week 24 Number Analyzed 29 participants 36 participants 16 participants 20 participants 20 participants 28 participants
-4.38  (6.59) -2.64  (6.58) -1.69  (9.20) -1.50  (5.82) -0.60  (3.12) -1.96  (6.77)
Thought problems: Change at Week 24 Number Analyzed 29 participants 36 participants 16 participants 20 participants 20 participants 28 participants
-3.10  (5.45) -1.03  (4.52) -3.25  (6.62) -2.30  (3.50) -1.40  (3.00) -1.75  (3.99)
Withdrawn: Change at Week 24 Number Analyzed 29 participants 36 participants 16 participants 20 participants 20 participants 28 participants
-0.69  (4.33) -1.50  (5.98) -2.19  (3.90) -4.35  (5.24) -1.80  (5.43) -0.43  (3.75)
Externalizing: Change at Week 24 Number Analyzed 29 participants 36 participants 16 participants 20 participants 20 participants 28 participants
-5.21  (8.20) -2.89  (7.06) -1.81  (5.42) -4.15  (7.44) -4.20  (5.15) -4.21  (6.86)
Internalizing: Change at Week 24 Number Analyzed 29 participants 36 participants 16 participants 20 participants 20 participants 28 participants
-7.69  (7.46) -4.14  (7.62) -3.25  (8.10) -5.35  (7.21) -4.40  (6.21) -4.32  (6.70)
Total Problems: Change at Week 24 Number Analyzed 30 participants 37 participants 16 participants 20 participants 20 participants 28 participants
-7.03  (7.77) -4.44  (6.57) -3.69  (6.74) -4.90  (4.78) -5.20  (4.32) -5.25  (6.22)
22.Secondary Outcome
Title Change From Baseline in Child Behavior Checklist Total Score (Raw Score) at Week 12: Active Comparator Phase/Efficacy Phase
Hide Description CBCL: It consisted of 120 items on behavior and emotional problems. Parent/caregiver of child answered 120 items, each on scale: 0= not true, 1= somewhat/sometimes true, 2= very/often true. 103 items were classified in 8 domains: aggressive behavior: total score range (TSR)= 0 to 36, anxious/depressed: TSR= 0 to 26, attention problems: TSR= 0 to 20, rule-breaking behavior: TSR= 0 to 34, social problems: TSR= 0 to 22, somatic complaints: TSR= 0 to 22, thought problems: TSR= 0 to 30, withdrawn (TSR)= 0 to 16. Rule-breaking and aggressive behavior summarized to externalizing problems with a TSR= 0 to 70. Anxious/depressed, withdrawn, somatic complaints summarized to internalizing problems with a TSR= 0 to 64. All 103 items of 8 domains and other 17 remaining items were combined to give total problems TSR = 0 to 240. TSR for each domain, summary and total problems was sum of scores of related items respectively. Lower scores for each domain, summary and total problems= better outcomes.
Time Frame Baseline, Week 12
Hide Outcome Measure Data
Hide Analysis Population Description
Safety analysis set population for active comparator phase and efficacy phase included all participants of respective cohorts who received at least 1 dose of study medication in the relevant phase. Here, 'Number Analyzed' = participants evaluable for this outcome measure for specified rows.
Arm/Group Title Cohort 1, Active Comparator Phase: Fesoterodine 4 mg Cohort 1, Active Comparator Phase: Fesoterodine 4 mg Then 8 mg Cohort 1, Active Comparator Phase: Oxybutynin Cohort 2, Efficacy Phase: Fesoterodine 2 mg Cohort 2, Efficacy Phase: Fesoterodine 2 mg Then 4 mg
Hide 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.
Participants with body weight >25 kg were randomized to receive fesoterodine 4 mg PR tablets orally once daily for first 1 week and if dose was tolerated well, participants received 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.
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 BIC capsule orally once daily for 12 weeks in efficacy phase.
Participants with body weight <=25 kg were randomized to receive fesoterodine 2 mg BIC capsule orally once daily for first 1 week and if dose was tolerated well, participants received 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.
Overall Number of Participants Analyzed 42 42 40 28 29
Mean (Standard Deviation)
Unit of Measure: units on a scale
Aggressive behavior: Baseline Number Analyzed 42 participants 41 participants 40 participants 28 participants 29 participants
4.19  (4.39) 4.66  (4.46) 4.88  (4.35) 5.1  (3.95) 3.5  (3.37)
Aggressive behavior: Change at Week 12 Number Analyzed 37 participants 40 participants 39 participants 24 participants 29 participants
-0.62  (2.35) -0.90  (2.56) -0.97  (2.08) -0.92  (2.39) -0.17  (1.85)
Anxious/depressed: Baseline Number Analyzed 42 participants 41 participants 40 participants 28 participants 29 participants
3.83  (3.33) 4.20  (4.06) 4.10  (3.53) 3.8  (3.15) 4.0  (3.35)
Anxious/depressed: Change at Week 12 Number Analyzed 37 participants 40 participants 39 participants 24 participants 29 participants
-0.97  (1.46) -0.73  (2.43) -1.05  (2.26) -0.58  (2.28) -1.48  (2.43)
Attention problems: Baseline Number Analyzed 42 participants 41 participants 40 participants 28 participants 29 participants
4.79  (3.18) 4.49  (4.11) 4.85  (3.33) 4.2  (2.78) 3.9  (3.11)
Attention problems: Change at Week 12 Number Analyzed 37 participants 40 participants 39 participants 24 participants 29 participants
-1.05  (2.25) -0.73  (2.16) -0.77  (2.03) -0.71  (1.90) -0.83  (1.63)
Rule-breaking behavior: Baseline Number Analyzed 42 participants 41 participants 40 participants 28 participants 29 participants
1.64  (1.48) 1.66  (1.98) 1.70  (1.87) 1.9  (1.63) 1.0  (1.30)
Rule-breaking behavior: Change at Week 12 Number Analyzed 37 participants 40 participants 39 participants 24 participants 29 participants
-0.43  (1.09) -0.30  (1.36) -0.38  (0.99) -0.63  (1.56) 0.52  (3.45)
Social problems: Baseline Number Analyzed 42 participants 41 participants 40 participants 28 participants 29 participants
3.60  (2.30) 4.07  (4.12) 3.80  (3.36) 3.9  (2.99) 3.2  (2.64)
Social problems: Change at Week 12 Number Analyzed 37 participants 40 participants 39 participants 24 participants 29 participants
-0.54  (1.54) -1.13  (2.09) -0.26  (1.57) -0.83  (1.86) -0.62  (1.52)
Somatic complaints: Baseline Number Analyzed 42 participants 41 participants 40 participants 28 participants 29 participants
3.40  (2.18) 3.46  (3.26) 3.40  (3.23) 2.1  (1.93) 2.6  (2.16)
Somatic complaints: Change at Week 12 Number Analyzed 37 participants 40 participants 39 participants 24 participants 29 participants
-0.05  (2.26) -0.53  (2.44) -0.51  (2.64) -0.04  (1.55) -0.55  (2.03)
Thought problems: Baseline Number Analyzed 42 participants 41 participants 40 participants 28 participants 29 participants
2.05  (2.23) 1.46  (2.34) 2.58  (2.92) 1.0  (1.04) 2.0  (1.79)
Thought problems: Change at Week 12 Number Analyzed 37 participants 40 participants 39 participants 24 participants 29 participants
-0.46  (1.69) -0.10  (1.37) -0.51  (1.30) -0.21  (0.72) -0.45  (1.64)
Withdrawn: Baseline Number Analyzed 42 participants 41 participants 40 participants 28 participants 29 participants
1.52  (1.77) 2.49  (2.78) 2.75  (2.66) 1.7  (1.81) 1.6  (2.26)
Withdrawn: Change at Week 12 Number Analyzed 37 participants 40 participants 39 participants 24 participants 29 participants
0.14  (1.44) -0.35  (1.59) -0.64  (1.77) -0.50  (1.10) -0.17  (1.39)
Externalizing: Baseline Number Analyzed 42 participants 41 participants 40 participants 28 participants 29 participants
5.83  (5.23) 6.32  (6.14) 6.53  (5.87) 6.9  (5.16) 4.5  (4.32)
Externalizing: Change at Week 12 Number Analyzed 37 participants 40 participants 39 participants 24 participants 29 participants
-1.05  (2.85) -1.20  (3.42) -1.31  (2.30) -1.54  (3.50) -0.31  (2.33)
Internalizing: Baseline Number Analyzed 42 participants 41 participants 40 participants 28 participants 29 participants
8.76  (5.56) 10.15  (8.64) 10.25  (7.02) 7.5  (5.61) 8.2  (6.13)
Internalizing: Change at Week 12 Number Analyzed 37 participants 40 participants 39 participants 24 participants 29 participants
-0.89  (3.62) -1.70  (5.16) -2.21  (4.35) -1.13  (3.85) -2.21  (3.91)
Total Problems: Baseline Number Analyzed 42 participants 41 participants 40 participants 28 participants 29 participants
31.52  (16.84) 31.88  (23.78) 34.18  (22.16) 29.5  (17.41) 27.0  (16.59)
Total Problems: Change at Week 12 Number Analyzed 37 participants 40 participants 39 participants 24 participants 29 participants
-4.92  (8.73) -5.83  (12.16) -5.85  (9.77) -5.33  (8.29) -5.10  (7.41)
23.Secondary Outcome
Title Change From Baseline in Child Behavior Checklist Total Score (Raw Score) at Week 24: Safety Extension Phase
Hide Description CBCL: It consisted of 120 items on behavior and emotional problems. Parent/caregiver of child answered 120 items, each on scale: 0= not true, 1= somewhat/sometimes true, 2= very/often true. 103 items were classified in 8 domains: aggressive behavior: total score range (TSR)= 0 to 36, anxious/depressed: TSR= 0 to 26, attention problems: TSR= 0 to 20, rule-breaking behavior: TSR= 0 to 34, social problems: TSR= 0 to 22, somatic complaints: TSR= 0 to 22, thought problems: TSR= 0 to 30, withdrawn (TSR)= 0 to 16. Rule-breaking and aggressive behavior summarized to externalizing problems with a TSR= 0 to 70. Anxious/depressed, withdrawn, somatic complaints summarized to internalizing problems with a TSR= 0 to 64. All 103 items of 8 domains and other 17 remaining items were combined to give total problems TSR = 0 to 240. TSR for each domain, summary and total problems was sum of scores of related items respectively. Lower scores for each domain, summary and total problems= better outcomes.
Time Frame Baseline, Week 24
Hide Outcome Measure Data
Hide Analysis Population Description
Safety analysis set population for safety extension phase: all participants of respective cohorts who received at least 1 dose of study medication in the relevant phase. Here, 'Overall Number of Participants Analyzed' signifies participants evaluable for this outcome measure.
Arm/Group Title Cohort 1, Safety Extension Phase: Fesoterodine 4 mg Cohort 1, Safety Extension Phase: Fesoterodine 8 mg Cohort 1, SEP: Oxybutynin Then Fesoterodine 4 mg Cohort 1, SEP: Oxybutynin Then Fesoterodine 4 mg Then 8 mg Cohort 2, Safety Extension Phase: Fesoterodine 2 mg Cohort 2, Safety Extension Phase: Fesoterodine 4 mg
Hide Arm/Group Description:
Participants with body weight >25 kg received fesoterodine 4 mg PR tablet orally once daily for 12 weeks in safety extension phase.
Participants with body weight >25 kg received fesoterodine 8 mg PR tablet orally once daily for 12 weeks in 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 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 participants were withdrawn from the study.
Participants with body weight <=25 kg received fesoterodine 2 mg BIC capsules orally once daily for 12 weeks in safety extension phase.
Participants with body weight <=25 kg received fesoterodine 4 mg BIC capsules orally once daily for 12 weeks in safety extension phase.
Overall Number of Participants Analyzed 29 36 16 20 20 28
Mean (Standard Deviation)
Unit of Measure: units on a scale
Aggressive behavior: Change at Week 24 -1.34  (2.92) -1.17  (3.10) -0.81  (2.43) -1.75  (3.58) -1.40  (2.41) -1.57  (2.70)
Anxious/depressed: Change at Week 24 -1.93  (2.22) -1.28  (2.42) -1.06  (1.88) -1.60  (2.48) -1.70  (2.36) -1.75  (2.34)
Attention problems: Change at Week 24 -1.41  (2.31) -1.36  (2.77) -1.94  (2.35) -1.25  (1.77) -1.15  (1.76) -0.89  (1.69)
Rule-breaking behavior: Change at Week 24 -0.62  (1.29) -0.50  (1.65) -0.50  (1.21) -0.55  (0.94) -0.80  (1.01) -0.18  (0.94)
Social problems: Change at Week 24 -1.28  (1.53) -1.19  (1.97) -1.13  (2.33) -1.20  (1.36) -1.65  (1.81) -1.14  (1.74)
Somatic complaints: Change at Week 24 -1.34  (2.22) -0.89  (2.38) -0.88  (3.32) -0.45  (1.73) -0.15  (0.88) -0.68  (2.04)
Thought problems: Change at Week 24 -1.31  (1.95) -0.36  (1.40) -1.06  (2.14) -0.90  (1.21) -0.65  (1.04) -0.64  (1.28)
Withdrawn: Change at Week 24 -0.24  (1.43) -0.44  (2.01) -0.69  (1.35) -1.35  (1.66) -0.45  (1.50) -0.14  (1.04)
Externalizing: Change at Week 24 -1.97  (3.50) -1.67  (4.27) -1.19  (3.23) -2.30  (4.03) -2.20  (2.84) -1.79  (3.28)
Internalizing: Change at Week 24 -3.52  (4.00) -2.61  (4.95) -2.63  (4.65) -3.40  (4.68) -2.30  (3.64) -2.57  (3.63)
Total Problems: Change at Week 24 -10.90  (11.98) -8.58  (12.86) -9.00  (13.45) -10.10  (10.47) -9.45  (7.93) -8.39  (10.22)
24.Secondary Outcome
Title Change From Baseline in Time to Completion Assessment of Grooved Pegboard Test, 10 Pegs Group at Week 12: Active Comparator Phase/Efficacy Phase
Hide Description The grooved pegboard test was a manipulative dexterity test that assessed psychomotor speed, fine motor control, and rapid-visual motor coordination. It consisted of a small board of 25 holes with randomly positioned slots. Pegs with a key along one side must be rotated to match the hole before they can be inserted. In this outcome measure participants were asked to insert 10 grooved pegs into the holes within the given time limit (up to 300 seconds). The task needs to be completed once for each hand; firstly, using the dominant hand followed by the non-dominant hand. Time taken to complete the test was inversely correlated to the cognitive ability.
Time Frame Baseline, Week 12
Hide Outcome Measure Data
Hide Analysis Population Description
Safety analysis set population for active comparator phase and efficacy phase analyzed. 10-peg assessment was done only in participants below age of 9 years. "Overall Number of Participants Analyzed": participants evaluable for this outcome measure, "Number Analyzed": participants evaluable for specified rows. There was 1 participant who inadvertently did the 10-peg test with non-dominant hand and 25-peg test with dominant hand. This participant was counted in both 10 peg and 25 peg assessment.
Arm/Group Title Cohort 1, Active Comparator Phase: Fesoterodine 4 mg Cohort 1, Active Comparator Phase: Fesoterodine 4 mg Then 8 mg Cohort 1, Active Comparator Phase: Oxybutynin Cohort 2, Efficacy Phase: Fesoterodine 2 mg Cohort 2, Efficacy Phase: Fesoterodine 2 mg Then 4 mg
Hide 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.
Participants with body weight >25 kg were randomized to receive fesoterodine 4 mg PR tablets orally once daily for first 1 week and if dose was tolerated well, participants received 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.
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 BIC capsule orally once daily for 12 weeks in efficacy phase.
Participants with body weight <=25 kg were randomized to receive fesoterodine 2 mg BIC capsule orally once daily for first 1 week and if dose was tolerated well, participants received 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.
Overall Number of Participants Analyzed 9 9 7 18 21
Mean (Standard Deviation)
Unit of Measure: seconds
Dominant hand: Baseline Number Analyzed 9 participants 8 participants 7 participants 18 participants 20 participants
61.11  (31.66) 56.50  (32.09) 46.43  (16.28) 69.56  (58.52) 52.20  (31.06)
Dominant hand: Change at Week 12 Number Analyzed 7 participants 7 participants 6 participants 15 participants 19 participants
-7.71  (11.06) 10.14  (37.18) -5.33  (6.15) -11.20  (41.11) -10.26  (27.21)
Non-dominant hand: Baseline Number Analyzed 9 participants 9 participants 7 participants 17 participants 21 participants
80.44  (41.45) 114.00  (89.43) 48.00  (15.14) 91.29  (110.76) 76.29  (76.71)
Non-dominant hand: Change at Week 12 Number Analyzed 7 participants 6 participants 6 participants 14 participants 20 participants
-21.71  (25.44) 15.33  (49.28) -2.00  (12.25) -19.36  (81.03) -3.25  (22.53)
25.Secondary Outcome
Title Change From Baseline in Time to Completion Assessment of Grooved Pegboard Test, 10 Pegs Group at Week 24: Safety Extension Phase
Hide Description The grooved pegboard test was a manipulative dexterity test that assessed psychomotor speed, fine motor control, and rapid-visual motor coordination. It consisted of a small board of 25 holes with randomly positioned slots. Pegs with a key along one side must be rotated to match the hole before they can be inserted. In this outcome measure participants were asked to insert 10 grooved pegs into the holes within the given time limit (up to 300 seconds). The task needs to be completed once for each hand; firstly, using the dominant hand followed by the non-dominant hand. Time taken to complete the test was inversely correlated to the cognitive ability.
Time Frame Baseline, Week 24
Hide Outcome Measure Data
Hide Analysis Population Description
Safety analysis set population for active comparator phase and efficacy phase analyzed. 10-peg assessment was done only in participants below age of 9 years. Here, "Overall Number of Participants Analyzed": participants evaluable for this outcome measure and "Number Analyzed": participants evaluable for specified rows.
Arm/Group Title Cohort 1, Safety Extension Phase: Fesoterodine 4 mg Cohort 1, Safety Extension Phase: Fesoterodine 8 mg Cohort 1, SEP: Oxybutynin Then Fesoterodine 4 mg Cohort 1, SEP: Oxybutynin Then Fesoterodine 4 mg Then 8 mg Cohort 2, Safety Extension Phase: Fesoterodine 2 mg Cohort 2, Safety Extension Phase: Fesoterodine 4 mg
Hide Arm/Group Description:
Participants with body weight >25 kg received fesoterodine 4 mg PR tablet orally once daily for 12 weeks in safety extension phase.
Participants with body weight >25 kg received fesoterodine 8 mg PR tablet orally once daily for 12 weeks in 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 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 participants were withdrawn from the study.
Participants with body weight <=25 kg received fesoterodine 2 mg BIC capsules orally once daily for 12 weeks in safety extension phase.
Participants with body weight <=25 kg received fesoterodine 4 mg BIC capsules orally once daily for 12 weeks in safety extension phase.
Overall Number of Participants Analyzed 3 7 2 3 15 19
Mean (Standard Deviation)
Unit of Measure: seconds
Dominant hand: Change at Week 24 Number Analyzed 3 participants 7 participants 2 participants 3 participants 15 participants 18 participants
-11.33  (9.07) -3.71  (22.94) -2.00  (8.49) -6.33  (3.06) -7.07  (6.80) -15.00  (28.54)
Non-dominant hand: Change at Week 24 Number Analyzed 3 participants 6 participants 2 participants 3 participants 14 participants 19 participants
-2.00  (13.75) -4.00  (29.09) 1.50  (10.61) -11.00  (5.00) -9.14  (14.33) -18.47  (38.13)
26.Secondary Outcome
Title Change From Baseline in Time to Completion Assessment of Grooved Pegboard Test, 25 Pegs Group at Week 12: Active Comparator Phase/Efficacy Phase
Hide Description The grooved pegboard test was a manipulative dexterity test that assessed psychomotor speed, fine motor control, and rapid-visual motor coordination. It consisted of a small board of 25 holes with randomly positioned slots. Pegs with a key along one side must be rotated to match the hole before they can be inserted. In this outcome measure participants were asked to insert 25 grooved pegs into the holes within the given time limit (up to 300 seconds). The task needs to be completed once for each hand; firstly, using the dominant hand followed by the non-dominant hand. Time taken to complete the test was inversely correlated to the cognitive ability.
Time Frame Baseline, Week 12
Hide Outcome Measure Data
Hide Analysis Population Description
Safety analysis set population for active comparator phase and efficacy phase analyzed. 10-peg assessment was done only in participants below age of 9 years. "Overall Number of Participants Analyzed": participants evaluable for this outcome measure, "Number Analyzed": participants evaluable for specified rows. There was 1 participant who inadvertently did the 10-peg test with non-dominant hand and 25-peg test with dominant hand. This participant was counted in both 10 peg and 25 peg assessment.
Arm/Group Title Cohort 1, Active Comparator Phase: Fesoterodine 4 mg Cohort 1, Active Comparator Phase: Fesoterodine 4 mg Then 8 mg Cohort 1, Active Comparator Phase: Oxybutynin Cohort 2, Efficacy Phase: Fesoterodine 2 mg Cohort 2, Efficacy Phase: Fesoterodine 2 mg Then 4 mg
Hide 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.
Participants with body weight >25 kg were randomized to receive fesoterodine 4 mg PR tablets orally once daily for first 1 week and if dose was tolerated well, participants received 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.
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 BIC capsule orally once daily for 12 weeks in efficacy phase.
Participants with body weight <=25 kg were randomized to receive fesoterodine 2 mg BIC capsule orally once daily for first 1 week and if dose was tolerated well, participants received 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.
Overall Number of Participants Analyzed 33 34 33 10 9
Mean (Standard Deviation)
Unit of Measure: seconds
Dominant hand: Baseline Number Analyzed 33 participants 34 participants 33 participants 10 participants 9 participants
88.85  (24.22) 92.15  (40.51) 82.64  (24.32) 106.7  (64.07) 124.7  (71.99)
Dominant hand: Change at Week 12 Number Analyzed 30 participants 33 participants 33 participants 8 participants 9 participants
-5.40  (10.43) -8.88  (20.76) 1.21  (11.87) -14.38  (25.90) -18.44  (32.23)
Non-dominant hand: Baseline Number Analyzed 33 participants 32 participants 33 participants 10 participants 8 participants
110.61  (59.63) 109.00  (49.75) 92.94  (25.05) 130.30  (83.58) 126.1  (48.93)
Non-dominant hand: Change at Week 12 Number Analyzed 30 participants 31 participants 33 participants 8 participants 8 participants
-9.10  (19.94) -4.10  (10.79) -1.97  (14.00) -13.50  (18.81) -12.50  (20.30)
27.Secondary Outcome
Title Change From Baseline in Time to Completion Assessment of Grooved Pegboard Test, 25 Pegs Group at Week 24: Safety Extension Phase
Hide Description The grooved pegboard test was a manipulative dexterity test that assessed psychomotor speed, fine motor control, and rapid-visual motor coordination. It consisted of a small board of 25 holes with randomly positioned slots. Pegs with a key along one side must be rotated to match the hole before they can be inserted. In this outcome measure participants were asked to insert 25 grooved pegs into the holes within the given time limit (up to 300 seconds). The task needs to be completed once for each hand; firstly, using the dominant hand followed by the non-dominant hand. Time taken to complete the test was inversely correlated to the cognitive ability.
Time Frame Baseline, Week 24
Hide Outcome Measure Data
Hide Analysis Population Description
Safety analysis set population for active comparator phase and efficacy phase analyzed. 25-peg assessment was done only in participants of age 9 years and above. Here, "Overall Number of Participants Analyzed": participants evaluable for this outcome measure and "Number Analyzed": participants evaluable for specified rows.
Arm/Group Title Cohort 1, Safety Extension Phase: Fesoterodine 4 mg Cohort 1, Safety Extension Phase: Fesoterodine 8 mg Cohort 1, SEP: Oxybutynin Then Fesoterodine 4 mg Cohort 1, SEP: Oxybutynin Then Fesoterodine 4 mg Then 8 mg Cohort 2, Safety Extension Phase: Fesoterodine 2 mg Cohort 2, Safety Extension Phase: Fesoterodine 4 mg
Hide Arm/Group Description:
Participants with body weight >25 kg received fesoterodine 4 mg PR tablet orally once daily for 12 weeks in safety extension phase.
Participants with body weight >25 kg received fesoterodine 8 mg PR tablet orally once daily for 12 weeks in 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 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 participants were withdrawn from the study.
Participants with body weight <=25 kg received fesoterodine 2 mg BIC capsules orally once daily for 12 weeks in safety extension phase.
Participants with body weight <=25 kg received fesoterodine 4 mg BIC capsules orally once daily for 12 weeks in safety extension phase.
Overall Number of Participants Analyzed 25 30 14 16 5 9
Mean (Standard Deviation)
Unit of Measure: seconds
Dominant hand: Change at Week 24 Number Analyzed 25 participants 30 participants 14 participants 16 participants 5 participants 9 participants
-8.20  (11.67) -12.27  (18.28) -5.71  (9.55) -7.00  (13.25) -38.20  (31.67) -17.00  (33.16)
Non-dominant hand: Change at Week 24 Number Analyzed 25 participants 28 participants 14 participants 15 participants 5 participants 8 participants
-9.24  (15.79) -8.46  (10.42) -3.79  (11.89) -11.87  (14.15) -38.00  (29.35) -15.50  (29.11)
28.Secondary Outcome
Title Change From Baseline in Number of Pegs Dropped Assessment of Grooved Pegboard Test, 10 Pegs Group at Week 12: Active Comparator Phase/Efficacy Phase
Hide Description The grooved pegboard test was a manipulative dexterity test that assessed psychomotor speed, fine motor control, and rapid-visual motor coordination. It consisted of a small board of 25 holes with randomly positioned slots. Pegs with a key along one side must be rotated to match the hole before they can be inserted. Participants were asked to insert 10 grooved pegs into the holes within the given time limit (up to 300 seconds). In this outcome measure number of pegs dropped while putting in the holes were measured. The task needs to be completed once for each hand; firstly, using the dominant hand followed by the non-dominant hand.
Time Frame Baseline, Week 12
Hide Outcome Measure Data
Hide Analysis Population Description
Safety analysis set population for active comparator phase and efficacy phase analyzed. 10-peg assessment was done only in participants below age of 9 years. "Overall Number of Participants Analyzed": participants evaluable for this outcome measure, "Number Analyzed": participants evaluable for specified rows. There was 1 participant who inadvertently did the 10-peg test with non-dominant hand and 25-peg test with dominant hand. This participant was counted in both 10 peg and 25 peg assessment.
Arm/Group Title Cohort 1, Active Comparator Phase: Fesoterodine 4 mg Cohort 1, Active Comparator Phase: Fesoterodine 4 mg Then 8 mg Cohort 1, Active Comparator Phase: Oxybutynin Cohort 2, Efficacy Phase: Fesoterodine 2 mg Cohort 2, Efficacy Phase: Fesoterodine 2 mg Then 4 mg
Hide 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.
Participants with body weight >25 kg were randomized to receive fesoterodine 4 mg PR tablets orally once daily for first 1 week and if dose was tolerated well, participants received 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.
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 BIC capsule orally once daily for 12 weeks in efficacy phase.
Participants with body weight <=25 kg were randomized to receive fesoterodine 2 mg BIC capsule orally once daily for first 1 week and if dose was tolerated well, participants received 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.
Overall Number of Participants Analyzed 9 9 7 18 21
Mean (Standard Deviation)
Unit of Measure: pegs
Dominant hand: Baseline Number Analyzed 9 participants 8 participants 7 participants 18 participants 20 participants
0.11  (0.33) 0.75  (1.75) 0.29  (0.49) 0.39  (1.24) 0.10  (0.45)
Dominant hand: Change at Week 12 Number Analyzed 7 participants 7 participants 6 participants 15 participants 19 participants
0.29  (0.76) 0.57  (1.13) -0.17  (0.75) 0.00  (1.77) 0.05  (0.52)
Non-dominant hand: Baseline Number Analyzed 9 participants 9 participants 7 participants 17 participants 21 participants
0.44  (0.53) 1.22  (2.28) 0.00  (0.00) 0.35  (0.86) 0.76  (2.26)
Non-dominant hand: Change at Week 12 Number Analyzed 7 participants 6 participants 6 participants 14 participants 20 participants
0.43  (1.27) 1.00  (2.00) 0.17  (0.41) 0.00  (0.68) 0.60  (3.45)
29.Secondary Outcome
Title Change From Baseline in Number of Pegs Dropped Assessment of Grooved Pegboard Test, 10 Pegs Group at Week 24: Safety Extension Phase
Hide Description The grooved pegboard test was a manipulative dexterity test that assessed psychomotor speed, fine motor control, and rapid-visual motor coordination. It consisted of a small board of 25 holes with randomly positioned slots. Pegs with a key along one side must be rotated to match the hole before they can be inserted. Participants were asked to insert 10 grooved pegs into the holes within the given time limit (up to 300 seconds). In this outcome measure number of pegs dropped while putting in the holes were measured. The task needs to be completed once for each hand; firstly, using the dominant hand followed by the non-dominant hand.
Time Frame Baseline, Week 24
Hide Outcome Measure Data
Hide Analysis Population Description
Safety analysis set population for active comparator phase and efficacy phase analyzed. 10-peg assessment was done only in participants below age of 9 years. Here, "Overall Number of Participants Analyzed": participants evaluable for this outcome measure and "Number Analyzed": participants evaluable for specified rows.
Arm/Group Title Cohort 1, Safety Extension Phase: Fesoterodine 4 mg Cohort 1, Safety Extension Phase: Fesoterodine 8 mg Cohort 1, SEP: Oxybutynin Then Fesoterodine 4 mg Cohort 1,SEP: Oxybutynin Then Fesoterodine 8 mg Cohort 2, Safety Extension Phase: Fesoterodine 2 mg Cohort 2, Safety Extension Phase: Fesoterodine 4 mg
Hide Arm/Group Description:
Participants with body weight >25 kg received fesoterodine 4 mg PR tablet orally once daily for 12 weeks in safety extension phase.
Participants with body weight >25 kg received fesoterodine 8 mg PR tablet orally once daily for 12 weeks in 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 12 weeks in the safety extension phase.
Participants with body weight >25 kg who were randomized to receive oxybutynin 5 mg ER tablets orally once daily in active comparator phase, were allocated by investigator to receive fesoterodine 8 mg for 12 weeks in safety extension phase.
Participants with body weight <=25 kg received fesoterodine 2 mg BIC capsules orally once daily for 12 weeks in safety extension phase.
Participants with body weight <=25 kg received fesoterodine 4 mg BIC capsules orally once daily for 12 weeks in safety extension phase.
Overall Number of Participants Analyzed 3 7 2 3 15 19
Mean (Standard Deviation)
Unit of Measure: pegs
Dominant hand: Change at week 24 Number Analyzed 3 participants 7 participants 2 participants 3 participants 15 participants 18 participants
0.33  (0.58) 0.43  (0.79) 0.00  (0.00) -0.33  (0.58) -0.27  (1.39) -0.06  (0.54)
Non-dominant hand: Change at week 24 Number Analyzed 3 participants 6 participants 2 participants 3 participants 14 participants 19 participants
1.33  (2.31) 0.00  (1.10) 0.50  (0.71) 0.00  (0.00) -0.36  (0.74) 0.11  (3.45)
30.Secondary Outcome
Title Change From Baseline in Number of Pegs Dropped Assessment of Grooved Pegboard Test, 25 Pegs Group at Week 12: Active Comparator Phase/Efficacy Phase
Hide Description The grooved pegboard test was a manipulative dexterity test that assessed psychomotor speed, fine motor control, and rapid-visual motor coordination. It consisted of a small board of 25 holes with randomly positioned slots. Pegs with a key along one side must be rotated to match the hole before they can be inserted. Participants were asked to insert 25 grooved pegs into the holes within the given time limit (up to 300 seconds). In this outcome measure number of pegs dropped while putting in the holes were measured. The task needs to be completed once for each hand; firstly, using the dominant hand followed by the non-dominant hand.
Time Frame Baseline, Week 12
Hide Outcome Measure Data
Hide Analysis Population Description
Safety analysis set population for active comparator phase and efficacy phase analyzed. 10-peg assessment was done only in participants below age of 9 years. "Overall Number of Participants Analyzed": participants evaluable for this outcome measure, "Number Analyzed": participants evaluable for specified rows. There was 1 participant who inadvertently did the 10-peg test with non-dominant hand and 25-peg test with dominant hand. This participant was counted in both 10 peg and 25 peg assessment.
Arm/Group Title Cohort 1, Active Comparator Phase: Fesoterodine 4 mg Cohort 1, Active Comparator Phase: Fesoterodine 4 mg Then 8 mg Cohort 1, Active Comparator Phase: Oxybutynin Cohort 2, Efficacy Phase: Fesoterodine 2 mg Cohort 2, Efficacy Phase: Fesoterodine 2 mg Then 4 mg
Hide 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.
Participants with body weight >25 kg were randomized to receive fesoterodine 4 mg PR tablets orally once daily for first 1 week and if dose was tolerated well, participants received 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.
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 BIC capsule orally once daily for 12 weeks in efficacy phase.
Participants with body weight <=25 kg were randomized to receive fesoterodine 2 mg BIC capsule orally once daily for first 1 week and if dose was tolerated well, participants received 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.
Overall Number of Participants Analyzed 33 34 33 10 9
Mean (Standard Deviation)
Unit of Measure: pegs
Dominant hand: Baseline Number Analyzed 33 participants 34 participants 33 participants 10 participants 9 participants
0.45  (1.20) 0.24  (0.50) 0.24  (0.66) 0.10  (0.32) 0.11  (0.33)
Dominant hand: Change at Week 12 Number Analyzed 30 participants 33 participants 33 participants 8 participants 9 participants
0.00  (1.05) -0.18  (0.58) 0.09  (0.77) 0.00  (0.53) 0.44  (1.33)
Non-dominant hand: Baseline Number Analyzed 33 participants 32 participants 33 participants 10 participants 8 participants
0.91  (2.36) 0.28  (0.46) 0.36  (0.78) 0.40  (0.97) 0.13  (0.35)
Non-dominant hand: Change at Week 12 Number Analyzed 30 participants 31 participants 33 participants 8 participants 8 participants
-0.33  (1.60) 0.06  (1.03) 0.21  (1.78) 0.13  (0.35) 0.00  (0.00)
31.Secondary Outcome
Title Change From Baseline in Number of Pegs Dropped Assessment of Grooved Pegboard Test, 25 Pegs Group at Week 24: Safety Extension Phase
Hide Description The grooved pegboard test was a manipulative dexterity test that assessed psychomotor speed, fine motor control, and rapid-visual motor coordination. It consisted of a small board of 25 holes with randomly positioned slots. Pegs with a key along one side must be rotated to match the hole before they can be inserted. Participants were asked to insert 25 grooved pegs into the holes within the given time limit (up to 300 seconds). In this outcome measure number of pegs dropped while putting in the holes were measured. The task needs to be completed once for each hand; firstly, using the dominant hand followed by the non-dominant hand.
Time Frame Baseline, Week 24
Hide Outcome Measure Data
Hide Analysis Population Description
Safety analysis set population for active comparator phase and efficacy phase analyzed. 25-peg assessment was done only in participants of age 9 years and above. Here, "Overall Number of Participants Analyzed": participants evaluable for this outcome measure and "Number Analyzed": participants evaluable for specified rows.
Arm/Group Title Cohort 1, Safety Extension Phase: Fesoterodine 4 mg Cohort 1, Safety Extension Phase: Fesoterodine 8 mg Cohort 1, SEP: Oxybutynin Then Fesoterodine 4 mg Cohort 1, SEP: Oxybutynin Then Fesoterodine 4 mg Then 8 mg Cohort 2, Safety Extension Phase: Fesoterodine 2 mg Cohort 2, Safety Extension Phase: Fesoterodine 4 mg
Hide Arm/Group Description:
Participants with body weight >25 kg received fesoterodine 4 mg PR tablet orally once daily for 12 weeks in safety extension phase.
Participants with body weight >25 kg received fesoterodine 8 mg PR tablet orally once daily for 12 weeks in 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 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 participants were withdrawn from the study.
Participants with body weight <=25 kg received fesoterodine 2 mg BIC capsules orally once daily for 12 weeks in safety extension phase.
Participants with body weight <=25 kg received fesoterodine 4 mg BIC capsules orally once daily for 12 weeks in safety extension phase.
Overall Number of Participants Analyzed 25 30 14 16 5 9
Mean (Standard Deviation)
Unit of Measure: pegs
Dominant hand: Change at Week 24 Number Analyzed 25 participants 30 participants 14 participants 16 participants 5 participants 9 participants
0.00  (0.87) 0.63  (4.63) 0.14  (0.36) 0.25  (1.24) 0.00  (0.00) 0.44  (1.33)
Non-dominant hand: Change at Week 24 Number Analyzed 25 participants 28 participants 14 participants 15 participants 5 participants 8 participants
-0.28  (2.17) 0.68  (4.79) 0.00  (0.39) 0.27  (1.67) 0.60  (0.89) -0.13  (0.35)
32.Secondary Outcome
Title Change From Baseline in Number of Pegs Placed Correctly Assessment of Grooved Pegboard Test, 10 Pegs Group at Week 12: Active Comparator Phase/Efficacy Phase
Hide Description The grooved pegboard test was a manipulative dexterity test that assessed psychomotor speed, fine motor control, and rapid-visual motor coordination. It consisted of a small board of 25 holes with randomly positioned slots. Pegs with a key along one side must be rotated to match the hole before they can be inserted. Participants were asked to insert 10 grooved pegs into the holes within the given time limit (up to 300 seconds). In this outcome measure number of pegs placed correctly while putting in the holes were measured. The task needs to be completed once for each hand; firstly, using the dominant hand followed by the non-dominant hand.
Time Frame Baseline, Week 12
Hide Outcome Measure Data
Hide Analysis Population Description
Safety analysis set population for active comparator phase and efficacy phase analyzed. 10-peg assessment was done only in participants below age of 9 years. "Overall Number of Participants Analyzed": participants evaluable for this outcome measure, "Number Analyzed": participants evaluable for specified rows. There was 1 participant who inadvertently did the 10-peg test with non-dominant hand and 25-peg test with dominant hand. This participant was counted in both 10 peg and 25 peg assessment.
Arm/Group Title Cohort 1, Active Comparator Phase: Fesoterodine 4 mg Cohort 1, Active Comparator Phase: Fesoterodine 4 mg Then 8 mg Cohort 1, Active Comparator Phase: Oxybutynin Cohort 2, Efficacy Phase: Fesoterodine 2 mg Cohort 2, Efficacy Phase: Fesoterodine 2 mg Then 4 mg
Hide 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.
Participants with body weight >25 kg were randomized to receive fesoterodine 4 mg PR tablets orally once daily for first 1 week and if dose was tolerated well, participants received 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.
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 BIC capsule orally once daily for 12 weeks in efficacy phase.
Participants with body weight <=25 kg were randomized to receive fesoterodine 2 mg BIC capsule orally once daily for first 1 week and if dose was tolerated well, participants received 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.
Overall Number of Participants Analyzed 9 9 7 18 21
Mean (Standard Deviation)
Unit of Measure: pegs
Dominant hand: Baseline Number Analyzed 9 participants 8 participants 7 participants 18 participants 20 participants
9.56  (1.01) 9.38  (1.77) 10.00  (0.00) 9.89  (0.47) 10.0  (0.00)
Dominant hand: Change at Week 12 Number Analyzed 7 participants 7 participants 6 participants 15 participants 19 participants
-0.29  (0.76) 0.00  (0.00) 0.00  (0.00) 0.00  (0.38) -0.11  (0.46)
Non-dominant hand: Baseline Number Analyzed 9 participants 9 participants 7 participants 17 participants 21 participants
9.56  (1.01) 9.00  (2.35) 10.00  (0.00) 9.82  (0.73) 9.62  (1.20)
Non-dominant hand: Change at Week 12 Number Analyzed 7 participants 6 participants 6 participants 14 participants 20 participants
-0.57  (1.13) 0.00  (0.00) 0.00  (0.00) -0.07  (0.62) 0.00  (0.32)
33.Secondary Outcome
Title Change From Baseline in Number of Pegs Placed Correctly Assessment of Grooved Pegboard Test, 10 Pegs Group at Week 24: Safety Extension Phase
Hide Description The grooved pegboard test was a manipulative dexterity test that assessed psychomotor speed, fine motor control, and rapid-visual motor coordination. It consisted of a small board of 25 holes with randomly positioned slots. Pegs with a key along one side must be rotated to match the hole before they can be inserted. Participants were asked to insert 10 grooved pegs into the holes within the given time limit (up to 300 seconds). In this outcome measure number of pegs placed correctly while putting in the holes were measured. The task needs to be completed once for each hand; firstly, using the dominant hand followed by the non-dominant hand.
Time Frame Baseline, Week 24
Hide Outcome Measure Data
Hide Analysis Population Description
Safety analysis set population for active comparator phase and efficacy phase analyzed. 10-peg assessment was done only in participants below age of 9 years. Here, "Overall Number of Participants Analyzed": participants evaluable for this outcome measure and "Number Analyzed": participants evaluable for specified rows.
Arm/Group Title Cohort 1, Safety Extension Phase: Fesoterodine 4 mg Cohort 1, Safety Extension Phase: Fesoterodine 8 mg Cohort 1, SEP: Oxybutynin Then Fesoterodine 4 mg Cohort 1, SEP: Oxybutynin Then Fesoterodine 4 mg Then 8 mg Cohort 2, Safety Extension Phase: Fesoterodine 2 mg Cohort 2, Safety Extension Phase: Fesoterodine 4 mg
Hide Arm/Group Description:
Participants with body weight >25 kg received fesoterodine 4 mg PR tablet orally once daily for 12 weeks in safety extension phase.
Participants with body weight >25 kg received fesoterodine 8 mg PR tablet orally once daily for 12 weeks in 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 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 participants were withdrawn from the study.
Participants with body weight <=25 kg received fesoterodine 2 mg BIC capsules orally once daily for 12 weeks in safety extension phase.
Participants with body weight <=25 kg received fesoterodine 4 mg BIC capsules orally once daily for 12 weeks in safety extension phase.
Overall Number of Participants Analyzed 3 7 2 3 15 19
Mean (Standard Deviation)
Unit of Measure: pegs
Dominant hand: Change at Week 24 Number Analyzed 3 participants 7 participants 2 participants 3 participants 15 participants 18 participants
-0.33  (0.58) 0.00  (0.00) 0.00  (0.00) 0.00  (0.00) 0.07  (0.26) 0.00  (0.00)
Non-dominant hand: Change at Week 24 Number Analyzed 3 participants 6 participants 2 participants 3 participants 14 participants 19 participants
-1.33  (2.31) 0.00  (0.00) 0.00  (0.00) 0.00  (0.00) 0.14  (0.53) 0.21  (0.92)
34.Secondary Outcome
Title Change From Baseline in Number of Pegs Placed Correctly Assessment of Grooved Pegboard Test, 25 Pegs Group at Week 12: Active Comparator Phase/Efficacy Phase
Hide Description The grooved pegboard test was a manipulative dexterity test that assessed psychomotor speed, fine motor control, and rapid-visual motor coordination. It consisted of a small board of 25 holes with randomly positioned slots. Pegs with a key along one side must be rotated to match the hole before they can be inserted. Participants were asked to insert 25 grooved pegs into the holes within the given time limit (up to 300 seconds). In this outcome measure number of pegs placed correctly while putting in the holes were measured. The task needs to be completed once for each hand; firstly, using the dominant hand followed by the non-dominant hand.
Time Frame Baseline, Week 12
Hide Outcome Measure Data
Hide Analysis Population Description
Safety analysis set population for active comparator phase and efficacy phase analyzed. 10-peg assessment was done only in participants below age of 9 years. "Overall Number of Participants Analyzed": participants evaluable for this outcome measure, "Number Analyzed": participants evaluable for specified rows. There was 1 participant who inadvertently did the 10-peg test with non-dominant hand and 25-peg test with dominant hand. This participant was counted in both 10 peg and 25 peg assessment.
Arm/Group Title Cohort 1, Active Comparator Phase: Fesoterodine 4 mg Cohort 1, Active Comparator Phase: Fesoterodine 4 mg Then 8 mg Cohort 1, Active Comparator Phase: Oxybutynin Cohort 2, Efficacy Phase: Fesoterodine 2 mg Cohort 2, Efficacy Phase: Fesoterodine 2 mg Then 4 mg
Hide 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.
Participants with body weight >25 kg were randomized to receive fesoterodine 4 mg PR tablets orally once daily for first 1 week and if dose was tolerated well, participants received 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.
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 BIC capsule orally once daily for 12 weeks in efficacy phase.
Participants with body weight <=25 kg were randomized to receive fesoterodine 2 mg BIC capsule orally once daily for first 1 week and if dose was tolerated well, participants received 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.
Overall Number of Participants Analyzed 33 34 33 10 9
Mean (Standard Deviation)
Unit of Measure: pegs
Dominant hand: Baseline Number Analyzed 33 participants 34 participants 33 participants 10 participants 9 participants
25.00  (0.00) 24.56  (1.89) 25.00  (0.00) 25.00  (0.00) 23.22  (3.83)
Dominant hand: Change at Week 12 Number Analyzed 30 participants 33 participants 33 participants 8 participants 9 participants
-0.07  (0.25) 0.42  (1.77) -0.12  (0.70) -0.13  (0.35) 0.11  (2.76)
Non-dominant hand: Baseline Number Analyzed 33 participants 32 participants 33 participants 10 participants 8 participants
24.45  (2.09) 24.75  (0.92) 24.88  (0.42) 24.50  (1.58) 24.25  (1.75)
Non-dominant hand: Change at Week 12 Number Analyzed 30 participants 31 participants 33 participants 8 participants 8 participants
0.53  (2.19) 0.26  (0.93) 0.03  (0.30) 0.63  (1.77) -0.63  (1.77)
35.Secondary Outcome
Title Change From Baseline in Number of Pegs Placed Correctly Assessment of Grooved Pegboard Test, 25 Pegs Group at Week 24: Safety Extension Phase
Hide Description The grooved pegboard test was a manipulative dexterity test that assessed psychomotor speed, fine motor control, and rapid-visual motor coordination. It consisted of a small board of 25 holes with randomly positioned slots. Pegs with a key along one side must be rotated to match the hole before they can be inserted. Participants were asked to insert 25 grooved pegs into the holes within the given time limit (up to 300 seconds). In this outcome measure number of pegs placed correctly while putting in the holes were measured. The task needs to be completed once for each hand; firstly, using the dominant hand followed by the non-dominant hand.
Time Frame Baseline, Week 24
Hide Outcome Measure Data
Hide Analysis Population Description
Safety analysis set population for active comparator phase and efficacy phase analyzed. 25-peg assessment was done only in participants of age 9 years and above. Here, "Overall Number of Participants Analyzed": participants evaluable for this outcome measure and "Number Analyzed": participants evaluable for specified rows.
Arm/Group Title Cohort 1, Safety Extension Phase: Fesoterodine 4 mg Cohort 1, Safety Extension Phase: Fesoterodine 8 mg Cohort 1, SEP: Oxybutynin Then Fesoterodine 4 mg Cohort 1, SEP: Oxybutynin Then Fesoterodine 4 mg Then 8 mg Cohort 2, Safety Extension Phase: Fesoterodine 2 mg Cohort 2, Safety Extension Phase: Fesoterodine 4 mg
Hide Arm/Group Description:
Participants with body weight >25 kg received fesoterodine 4 mg PR tablet orally once daily for 12 weeks in safety extension phase.
Participants with body weight >25 kg received fesoterodine 8 mg PR tablet orally once daily for 12 weeks in 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 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 participants were withdrawn from the study.
Participants with body weight <=25 kg received fesoterodine 2 mg BIC capsules orally once daily for 12 weeks in safety extension phase.
Participants with body weight <=25 kg received fesoterodine 4 mg BIC capsules orally once daily for 12 weeks in safety extension phase.
Overall Number of Participants Analyzed 25 30 14 16 5 9
Mean (Standard Deviation)
Unit of Measure: pegs
Dominant hand: Change at Week 24 Number Analyzed 25 participants 30 participants 14 participants 16 participants 5 participants 9 participants
0.00  (0.00) 0.50  (2.01) 0.00  (0.00) 0.00  (0.00) 0.00  (0.00) 0.11  (2.76)
Non-dominant hand: Change at Week 24 Number Analyzed 25 participants 28 participants 14 participants 15 participants 5 participants 8 participants
0.60  (2.40) 0.21  (0.96) 0.14  (0.66) 0.00  (0.00) 0.60  (2.61) -0.50  (1.85)
36.Secondary Outcome
Title Number of Participants Meeting Pre-defined Criteria for Vital Signs Values From Baseline Through Week 12: Active Comparator/Efficacy Phase
Hide Description Pre-defined criteria for vital signs: 1) a) systolic blood pressure (SBP) of <90 millimeter of mercury (mmHg), b) change >=30 mmHg increase, c) change >=30 mmHg decrease; 2) a) diastolic blood pressure (DBP) of <50 mmHg, b) change >=20 mmHg increase, c) change >=20 mmHg decrease; 3) a) pulse rate value of <40 beats per minute (bpm), b) pulse rate value >120 bpm.
Time Frame Baseline up to Week 12
Hide Outcome Measure Data
Hide Analysis Population Description
Analysis set population for active comparator phase and efficacy phase: all participants of respective cohorts who received at least 1 dose of study medication in relevant phase. Here, "Overall Number of Participants Analyzed": participants evaluable for this outcome measure.
Arm/Group Title Cohort 1, Active Comparator Phase: Fesoterodine 4 mg Cohort 1, Active Comparator Phase: Fesoterodine 4 mg Then 8 mg Cohort 1, Active Comparator Phase: Oxybutynin Cohort 2, Efficacy Phase: Fesoterodine 2 mg Cohort 2, Efficacy Phase: Fesoterodine 2 mg Then 4 mg
Hide 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.
Participants with body weight >25 kg were randomized to receive fesoterodine 4 mg PR tablets orally once daily for first 1 week and if dose was tolerated well, participants received 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.
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 BIC capsule orally once daily for 12 weeks in efficacy phase.
Participants with body weight <=25 kg were randomized to receive fesoterodine 2 mg BIC capsule orally once daily for first 1 week and if dose was tolerated well, participants received 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.
Overall Number of Participants Analyzed 40 41 40 24 29
Measure Type: Count of Participants
Unit of Measure: Participants
SBP: <90 mmHg
2
   5.0%
2
   4.9%
0
   0.0%
7
  29.2%
4
  13.8%
SBP: Change >=30 mmHg increase
1
   2.5%
2
   4.9%
1
   2.5%
0
   0.0%
1
   3.4%
SBP: Change >=30 mmHg decrease
1
   2.5%
0
   0.0%
0
   0.0%
0
   0.0%
0
   0.0%
DBP: <50 mmHg
2
   5.0%
1
   2.4%
2
   5.0%
3
  12.5%
1
   3.4%
DBP: Change >=20 mmHg increase
1
   2.5%
2
   4.9%
1
   2.5%
3
  12.5%
4
  13.8%
DBP: Change >=20 mmHg decrease
1
   2.5%
1
   2.4%
1
   2.5%
2
   8.3%
0
   0.0%
Pulse rate: <40 bpm
0
   0.0%
0
   0.0%
0
   0.0%
0
   0.0%
0
   0.0%
Pulse rate: >120 bpm
2
   5.0%
4
   9.8%
0
   0.0%
2
   8.3%
3
  10.3%
37.Secondary Outcome
Title Number of Participants Meeting Pre-defined Criteria for Vital Signs Values From Baseline Through Week 24: Safety Extension Phase
Hide Description Pre-defined criteria for vital signs: 1) a) systolic blood pressure (SBP) of <90 millimeter of mercury (mmHg), b) change >=30 mmHg increase, c) change >=30 mmHg decrease; 2) a) diastolic blood pressure (DBP) of <50 mmHg, b) change >=20 mmHg increase, c) change >=20 mmHg decrease; 3) a) pulse rate value of <40 beats per minute (bpm), b) pulse rate value >120 bpm.
Time Frame Baseline up to Week 24
Hide Outcome Measure Data
Hide Analysis Population Description
Safety analysis set population for safety extension phase included all participants of respective cohorts who received at least 1 dose of study medication in the relevant phase of the study.
Arm/Group Title Cohort 1, Safety Extension Phase: Fesoterodine 4 mg Cohort 1, Safety Extension Phase: Fesoterodine 8 mg Cohort 1, SEP: Oxybutynin Then Fesoterodine 4 mg Cohort 1, SEP: Oxybutynin Then Fesoterodine 4 mg Then 8 mg Cohort 2, Safety Extension Phase: Fesoterodine 2 mg Cohort 2, Safety Extension Phase: Fesoterodine 4 mg
Hide Arm/Group Description:
Participants with body weight >25 kg received fesoterodine 4 mg PR tablet orally once daily for 12 weeks in safety extension phase.
Participants with body weight >25 kg received fesoterodine 8 mg PR tablet orally once daily for 12 weeks in 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 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 participants were withdrawn from the study.
Participants with body weight <=25 kg received fesoterodine 2 mg BIC capsules orally once daily for 12 weeks in safety extension phase.
Participants with body weight <=25 kg received fesoterodine 4 mg BIC capsules orally once daily for 12 weeks in safety extension phase.
Overall Number of Participants Analyzed 30 37 16 20 20 28
Measure Type: Count of Participants
Unit of Measure: Participants
SBP: <90 mmHg
0
   0.0%
3
   8.1%
2
  12.5%
1
   5.0%
4
  20.0%
2
   7.1%
SBP: Change >=30 mmHg increase
1
   3.3%
0
   0.0%
0
   0.0%
0
   0.0%
0
   0.0%
0
   0.0%
SBP: Change >=30 mmHg decrease
0
   0.0%
1
   2.7%
0
   0.0%
0
   0.0%
0
   0.0%
0
   0.0%
DBP: <50 mmHg
0
   0.0%
2
   5.4%
0
   0.0%
0
   0.0%
2
  10.0%
0
   0.0%
DBP: Change >=20 mmHg increase
1
   3.3%
0
   0.0%
0
   0.0%
0
   0.0%
1
   5.0%
2
   7.1%
DBP: Change >=20 mmHg decrease
1
   3.3%
0
   0.0%
0
   0.0%
0
   0.0%
0
   0.0%
0
   0.0%
Pulse rate: <40 bpm
0
   0.0%
0
   0.0%
0
   0.0%
0
   0.0%
0
   0.0%
0
   0.0%
Pulse rate: >120 bpm
0
   0.0%
0
   0.0%
0
   0.0%
0
   0.0%
0
   0.0%
1
   3.6%
38.Secondary Outcome
Title Number of Participants With Clinically Significant Urinary Tract Infections (UTI): Active Comparator/Efficacy Phase
Hide Description Clinically significant UTI, counted as an adverse event was defined as: positive urine culture with a uropathogen (defined as >=10^5 colony forming unit per milliliter [CFU/mL]) and the presence of symptoms, or pyuria (defined as >50 white blood cells [WBC] per high-pass filter [hpf]) and the presence of symptoms, or positive urine culture with a uropathogen (defined as >=10^5 CFU/mL) with or without symptoms in a participant with a documented history of vesicoureteral reflux (VUR).
Time Frame Week 1 up to Week 12
Hide Outcome Measure Data
Hide Analysis Population Description
Safety analysis set population for active comparator phase and efficacy phase: all participants of respective cohorts who received at least 1 dose of study medication in relevant phase of the study.
Arm/Group Title Cohort 1, Active Comparator Phase: Fesoterodine 4 mg Cohort 1, Active Comparator Phase: Fesoterodine 4 mg Then 8 mg Cohort 1, Active Comparator Phase: Oxybutynin Cohort 2, Efficacy Phase: Fesoterodine 2 mg Cohort 2, Efficacy Phase: Fesoterodine 2 mg Then 4 mg
Hide 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.
Participants with body weight >25 kg were randomized to receive fesoterodine 4 mg PR tablets orally once daily for first 1 week and if dose was tolerated well, participants received 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.
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 BIC capsule orally once daily for 12 weeks in efficacy phase.
Participants with body weight <=25 kg were randomized to receive fesoterodine 2 mg BIC capsule orally once daily for first 1 week and if dose was tolerated well, participants received 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.
Overall Number of Participants Analyzed 42 42 40 28 29
Measure Type: Count of Participants
Unit of Measure: Participants
4
   9.5%
1
   2.4%
4
  10.0%
3
  10.7%
4
  13.8%
39.Secondary Outcome
Title Number of Participants With Clinically Significant Urinary Tract Infections (UTI): Safety Extension Phase
Hide Description Clinically significant UTI, counted as an adverse event was defined as: positive urine culture with a uropathogen (defined as >=10^5 CFU/mL) and the presence of symptoms, or pyuria (defined as >50 WBC per hpf and the presence of symptoms, or positive urine culture with a uropathogen (defined as >=10^5 CFU/mL) with or without symptoms in a participants with a documented history of VUR.
Time Frame Week 12 up to Week 26
Hide Outcome Measure Data
Hide Analysis Population Description
Safety analysis set population for safety extension phase included all participants of respective cohorts who received at least 1 dose of study medication in the relevant phase of the study.
Arm/Group Title Cohort 1, Safety Extension Phase: Fesoterodine 4 mg Cohort 1, Safety Extension Phase: Fesoterodine 8 mg Cohort 1, SEP: Oxybutynin Then Fesoterodine 4 mg Cohort 1, SEP: Oxybutynin Then Fesoterodine 4 mg Then 8 mg Cohort 2, Safety Extension Phase: Fesoterodine 2 mg Cohort 2, Safety Extension Phase: Fesoterodine 4 mg
Hide Arm/Group Description:
Participants with body weight >25 kg received fesoterodine 4 mg PR tablet orally once daily for 12 weeks in safety extension phase.
Participants with body weight >25 kg received fesoterodine 8 mg PR tablet orally once daily for 12 weeks in 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 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 participants were withdrawn from the study.
Participants with body weight <=25 kg received fesoterodine 2 mg BIC capsules orally once daily for 12 weeks in safety extension phase.
Participants with body weight <=25 kg received fesoterodine 4 mg BIC capsules orally once daily for 12 weeks in safety extension phase.
Overall Number of Participants Analyzed 30 37 16 20 20 28
Measure Type: Count of Participants
Unit of Measure: Participants
0
   0.0%
1
   2.7%
2
  12.5%
0
   0.0%
1
   5.0%
5
  17.9%
40.Secondary Outcome
Title Number of Participants With Clinical Laboratory Abnormalities: Active Comparator/Efficacy Phase
Hide Description Hematology: hemoglobin, hematocrit, erythrocytes <0.8*lower limit of normal (LLN), platelets<0.5*LLN>1.75*upper limit of normal (ULN), leukocytes <0.6*LLN>1.5*ULN, lymphocytes, neutrophils, <0.8*LLN >1.2*ULN, basophils, eosinophils, monocytes monocytes/leukocytes >1.2*ULN. Clinical chemistry: bilirubin, direct, bilirubin >1.5*ULN, aspartate aminotransferase (AT), alanine AT, gamma glutamyl transferase, lactate dehydrogenase, alkaline phosphatase>3.0*ULN, protein, albumin, phosphate <0.8*LLN >1.2*ULN, blood urea nitrogen, creatinine >1.3*ULN, urate >1.2*ULN, sodium<0.95*LLN>1.05*ULN, potassium, chloride, calcium bicarbonate<0.9*LLN>1.1*ULN, glucose<0.6*LLN>1.5*ULN, creatine kinase >2.0*ULN. Urinalysis: specific gravity <1.003>1.030, pH <4.5>8, urine glucose, ketones, urine protein, urine hemoglobin, urine bilirubin, nitrite, >=1, urine erythrocytes, urine leukocytes >=20, epithelial cells >=6, bacteria >20.
Time Frame Week 1 up to Week 12
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Hide Analysis Population Description
Safety analysis set population for active comparator phase and efficacy phase: all participants of respective cohorts who received at least 1 dose of study medication in relevant phase. Here, "Overall Number of Participants Analyzed": participants evaluable for this outcome measure.
Arm/Group Title Cohort 1, Active Comparator Phase: Fesoterodine 4 mg Cohort 1, Active Comparator Phase: Fesoterodine 4 mg Then 8 mg Cohort 1, Active Comparator Phase: Oxybutynin Cohort 2, Efficacy Phase: Fesoterodine 2 mg Cohort 2, Efficacy Phase: Fesoterodine 2 mg Then 4 mg
Hide 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.
Participants with body weight >25 kg were randomized to receive fesoterodine 4 mg PR tablets orally once daily for first 1 week and if dose was tolerated well, participants received 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.
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 BIC capsule orally once daily for 12 weeks in efficacy phase.
Participants with body weight <=25 kg were randomized to receive fesoterodine 2 mg BIC capsule orally once daily for first 1 week and if dose was tolerated well, participants received 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.
Overall Number of Participants Analyzed 39 41 39 24 29
Measure Type: Count of Participants
Unit of Measure: Participants
30
  76.9%
29
  70.7%
27
  69.2%
19
  79.2%
19
  65.5%
41.Secondary Outcome
Title Number of Participants With Clinical Laboratory Abnormalities: Safety Extension Phase
Hide Description Hematology: hemoglobin, hematocrit, erythrocytes <0.8*lower limit of normal (LLN), platelets<0.5*LLN>1.75*upper limit of normal (ULN), leukocytes <0.6*LLN>1.5*ULN, lymphocytes, neutrophils, <0.8*LLN >1.2*ULN, basophils, eosinophils, monocytes monocytes/leukocytes >1.2*ULN. Clinical chemistry: bilirubin, direct, bilirubin >1.5*ULN, aspartate aminotransferase (AT), alanine AT, gamma glutamyl transferase, lactate dehydrogenase, alkaline phosphatase>3.0*ULN, protein, albumin, phosphate <0.8*LLN >1.2*ULN, blood urea nitrogen, creatinine >1.3*ULN, urate >1.2*ULN, sodium<0.95*LLN>1.05*ULN, potassium, chloride, calcium bicarbonate<0.9*LLN>1.1*ULN, glucose<0.6*LLN>1.5*ULN, creatine kinase >2.0*ULN. Urinalysis: specific gravity <1.003>1.030, pH <4.5>8, urine glucose, ketones, urine protein, urine hemoglobin, urine bilirubin, nitrite, >=1, urine erythrocytes, urine leukocytes >=20, epithelial cells >=6, bacteria >20.
Time Frame Week 12 up to Week 26
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Hide Analysis Population Description
Safety analysis set population for safety extension phase: all participants of respective cohorts who received at least 1 dose of study medication in the relevant phase. Here, "Overall Number of Participants Analyzed": participants evaluable for this outcome measure.
Arm/Group Title Cohort 1, Safety Extension Phase: Fesoterodine 4 mg Cohort 1, Safety Extension Phase: Fesoterodine 8 mg Cohort 1, SEP: Oxybutynin Then Fesoterodine 4 mg Cohort 1, SEP: Oxybutynin Then Fesoterodine 4 mg Then 8 mg Cohort 2, Safety Extension Phase: Fesoterodine 2 mg Cohort 2, Safety Extension Phase: Fesoterodine 4 mg
Hide Arm/Group Description:
Participants with body weight >25 kg received fesoterodine 4 mg PR tablet orally once daily for 12 weeks in safety extension phase.
Participants with body weight >25 kg received fesoterodine 8 mg PR tablet orally once daily for 12 weeks in 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 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 participants were withdrawn from the study.
Participants with body weight <=25 kg received fesoterodine 2 mg BIC capsules orally once daily for 12 weeks in safety extension phase.
Participants with body weight <=25 kg received fesoterodine 4 mg BIC capsules orally once daily for 12 weeks in safety extension phase.
Overall Number of Participants Analyzed 30 36 16 19 20 28
Measure Type: Count of Participants
Unit of Measure: Participants
19
  63.3%
22
  61.1%
7
  43.8%
12
  63.2%
15
  75.0%
21
  75.0%
42.Secondary Outcome
Title Change From Baseline in Post-Void Residual (PVR) Volume at Weeks 4, 12: Active Comparator Phase/Efficacy Phase
Hide Description Post-void residual volume measurement was measured by an ultrasound. PVR volume was only assessed for participants who did not perform clean intermittent catheterization or in any participants who had >1 UTI during the study.
Time Frame Baseline, Week 4, 12
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Hide Analysis Population Description
Safety analysis set population for active comparator phase and efficacy phase: all participants of respective cohorts who received at least 1 dose of study medication in relevant phase. Here, "Overall Number of Participants Analyzed": participants evaluable for this outcome measure; "Number Analyzed": participants evaluable at specified time points.
Arm/Group Title Cohort 1, Active Comparator Phase: Fesoterodine 4 mg Cohort 1, Active Comparator Phase: Fesoterodine 4 mg Then 8 mg Cohort 1, Active Comparator Phase: Oxybutynin Cohort 2, Efficacy Phase: Fesoterodine 2 mg Cohort 2, Efficacy Phase: Fesoterodine 2 mg Then 4 mg
Hide 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.
Participants with body weight >25 kg were randomized to receive fesoterodine 4 mg PR tablets orally once daily for first 1 week and if dose was tolerated well, participants received 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.
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 BIC capsule orally once daily for 12 weeks in efficacy phase.
Participants with body weight <=25 kg were randomized to receive fesoterodine 2 mg BIC capsule orally once daily for first 1 week and if dose was tolerated well, participants received 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.
Overall Number of Participants Analyzed 6 7 9 6 6
Mean (Standard Deviation)
Unit of Measure: milliliter
Baseline Number Analyzed 6 participants 7 participants 9 participants 6 participants 6 participants
7.00  (8.20) 9.57  (12.54) 5.78  (7.98) 14.7  (14.31) 10.7  (7.94)
Change at Week 4 Number Analyzed 5 participants 6 participants 9 participants 3 participants 4 participants
5.40  (7.60) -7.33  (10.88) 19.11  (24.52) -2.00  (6.24) 10.25  (34.40)
Change at Week 12 Number Analyzed 5 participants 6 participants 7 participants 4 participants 4 participants
25.60  (53.42) -4.00  (8.41) 12.86  (43.48) 2.50  (16.05) 0.75  (17.46)
43.Secondary Outcome
Title Change From Baseline in Post-Void Residual Volume at Week 24: Safety Extension Phase
Hide Description Post-void residual volume measurement was measured by an ultrasound. PVR volume was only assessed for participants who did not perform clean intermittent catheterization or in any participants who had >1 UTI during the study.
Time Frame Baseline, Week 24
Hide Outcome Measure Data
Hide Analysis Population Description
Safety analysis set population for safety extension phase: all participants of respective cohorts who received at least 1 dose of study medication in the relevant phase. Here, "Overall Number of Participants Analyzed": participants evaluable for this outcome measure.
Arm/Group Title Cohort 1, Safety Extension Phase: Fesoterodine 4 mg Cohort 1, Safety Extension Phase: Fesoterodine 8 mg Cohort 1, SEP: Oxybutynin Then Fesoterodine 4 mg Cohort 1, SEP: Oxybutynin Then Fesoterodine 4 mg Then 8 mg Cohort 2, Safety Extension Phase: Fesoterodine 2 mg Cohort 2, Safety Extension Phase: Fesoterodine 4 mg
Hide Arm/Group Description:
Participants with body weight >25 kg received fesoterodine 4 mg PR tablet orally once daily for 12 weeks in safety extension phase.
Participants with body weight >25 kg received fesoterodine 8 mg PR tablet orally once daily for 12 weeks in 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 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 participants were withdrawn from the study.
Participants with body weight <=25 kg received fesoterodine 2 mg BIC capsules orally once daily for 12 weeks in safety extension phase.
Participants with body weight <=25 kg received fesoterodine 4 mg BIC capsules orally once daily for 12 weeks in safety extension phase.
Overall Number of Participants Analyzed 4 5 5 3 3 4
Mean (Standard Deviation)
Unit of Measure: milliliter
11.50  (23.67) 11.60  (29.43) 18.00  (31.36) 36.67  (59.23) 21.67  (20.21) 2.75  (14.50)
44.Secondary Outcome
Title Number of Participants With Clinically Relevant Changes in Physical Examination Findings From Baseline to Week 12: Active Comparator/Efficacy Phase
Hide Description Physical examination included assessment of the general appearance and the skin, head, ears, eyes, nose, mouth, throat, respiratory, cardiovascular, gastrointestinal, musculoskeletal and neurological systems. Clinically relevant changes in physical findings were assessed by the investigator.
Time Frame Baseline up to Week 12
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Hide Analysis Population Description
Safety analysis set population for active comparator phase and efficacy phase: all participants of respective cohorts who received at least 1 dose of study medication in relevant phase of the study. Here, "Overall Number of Participants Analyzed": participants evaluable for this outcome measure.
Arm/Group Title Cohort 1, Active Comparator Phase: Fesoterodine 4 mg Cohort 1, Active Comparator Phase: Fesoterodine 4 mg Then 8 mg Cohort 1, Active Comparator Phase: Oxybutynin Cohort 2, Efficacy Phase: Fesoterodine 2 mg Cohort 2, Efficacy Phase: Fesoterodine 2 mg Then 4 mg
Hide 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.
Participants with body weight >25 kg were randomized to receive fesoterodine 4 mg PR tablets orally once daily for first 1 week and if dose was tolerated well, participants received 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.
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 BIC capsule orally once daily for 12 weeks in efficacy phase.
Participants with body weight <=25 kg were randomized to receive fesoterodine 2 mg BIC capsule orally once daily for first 1 week and if dose was tolerated well, participants received 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.
Overall Number of Participants Analyzed 38 42 40 28 29
Measure Type: Count of Participants
Unit of Measure: Participants
2
   5.3%
1
   2.4%
1
   2.5%
1
   3.6%
0
   0.0%
45.Secondary Outcome
Title Number of Participants With Clinically Relevant Changes in Physical Examination Findings From Baseline to Week 24: Safety Extension Phase
Hide Description Physical examination included assessment of the general appearance and the skin, head, ears, eyes, nose, mouth, throat, respiratory, cardiovascular, gastrointestinal, musculoskeletal and neurological systems. Clinically relevant changes in physical findings were assessed by the investigator.
Time Frame Baseline up to Week 24
Hide Outcome Measure Data
Hide Analysis Population Description
Safety analysis set population for safety extension phase included all participants of respective cohorts who received at least 1 dose of study medication in the relevant phase of the study.
Arm/Group Title Cohort 1, Safety Extension Phase: Fesoterodine 4 mg Cohort 1, Safety Extension Phase: Fesoterodine 8 mg Cohort 1, SEP: Oxybutynin Then Fesoterodine 4 mg Cohort 1, SEP: Oxybutynin Then Fesoterodine 4 mg Then 8 mg Cohort 2, Safety Extension Phase: Fesoterodine 2 mg Cohort 2, Safety Extension Phase: Fesoterodine 4 mg
Hide Arm/Group Description:
Participants with body weight >25 kg received fesoterodine 4 mg PR tablet orally once daily for 12 weeks in safety extension phase.
Participants with body weight >25 kg received fesoterodine 8 mg PR tablet orally once daily for 12 weeks in 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 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 participants were withdrawn from the study.
Participants with body weight <=25 kg received fesoterodine 2 mg BIC capsules orally once daily for 12 weeks in safety extension phase.
Participants with body weight <=25 kg received fesoterodine 4 mg BIC capsules orally once daily for 12 weeks in safety extension phase.
Overall Number of Participants Analyzed 30 37 16 20 20 28
Measure Type: Count of Participants
Unit of Measure: Participants
3
  10.0%
2
   5.4%
0
   0.0%
0
   0.0%
0
   0.0%
2
   7.1%
46.Secondary Outcome
Title Absorption Rate Constant (Ka) of Fesoterodine
Hide Description Absorption rate constant is used to determine rate at which drug is entering into body. Pharmacokinetic (PK) analysis was not done separately for each dose of fesoterodine in respective cohorts and were combined for PK analysis using PK modelling approach.
Time Frame Week 4, Day 1: pre-dose (when dose administered at clinic) or if dose taken at home up to 3 hours before coming to the clinic, sampling just after arrival at clinic, 5 hours post-dose, 8-10 hours post-dose (if participants remained at clinic)
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Hide Analysis Population Description
The PK analysis population included all participants randomized and treated with fesoterodine and who had at least 1 of the PK parameters of primary interest during the study.
Arm/Group Title Fesoterodine Pooled
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Participants received any dose of fesoterodine in the study from Week 1 to Week 24.
Overall Number of Participants Analyzed 121
Mean (Standard Error)
Unit of Measure: per hour
0.0897  (5.99)
47.Secondary Outcome
Title Apparent Oral Clearance (CL/F) of Fesoterodine
Hide Description Clearance determines the rate at which a drug is metabolized or eliminated by normal biological processes. PK analysis was not done separately for each dose of fesoterodine in respective cohorts and were combined for PK analysis using PK modelling approach.
Time Frame Week 4, Day 1: pre-dose (when dose administered at clinic) or if dose taken at home up to 3 hours before coming to the clinic, sampling just after arrival at clinic, 5 hours post-dose, 8-10 hours post-dose (if participants remained at clinic)
Hide Outcome Measure Data
Hide Analysis Population Description
The PK analysis population included all participants randomized and treated with fesoterodine and who had at least 1 of the PK parameters of primary interest during the study.
Arm/Group Title Fesoterodine Pooled
Hide Arm/Group Description:
Participants received any dose of fesoterodine in the study from Week 1 to Week 24.
Overall Number of Participants Analyzed 121
Mean (Standard Error)
Unit of Measure: liter per hour
71.6  (6.7)
48.Secondary Outcome
Title Volume of Distribution (Vd) of Fesoterodine
Hide Description Volume of distribution is defined as the theoretical volume in which the total amount of drug would need to be uniformly distributed to produce the desired plasma concentration of a drug. PK analysis was not done separately for each dose of fesoterodine in respective cohorts and were combined for PK analysis using PK modelling approach.
Time Frame Week 4, Day 1: pre-dose (when dose administered at clinic) or if dose taken at home up to 3 hours before coming to the clinic, sampling just after arrival at clinic, 5 hours post-dose, 8-10 hours post-dose (if participants remained at clinic)
Hide Outcome Measure Data
Hide Analysis Population Description
The PK analysis population included all participants randomized and treated with fesoterodine and who had at least 1 of the PK parameters of primary interest during the study.
Arm/Group Title Fesoterodine Pooled
Hide Arm/Group Description:
Participants received any dose of fesoterodine in the study from Week 1 to Week 24.
Overall Number of Participants Analyzed 121
Mean (Standard Error)
Unit of Measure: liter
68.1  (29.7)
Time Frame Baseline up to Week 26 (includes 2 week of follow up)
Adverse Event Reporting Description Same event may appear as AE and serious AE, what is presented are distinct events. Event may be categorized as serious in 1 participant and as non-serious in another participant or 1 participant may have experienced both serious and non-serious event during study. Safety analysis population evaluated.
 
Arm/Group Title Cohort 1, Active Comparator Phase: Fesoterodine 4 mg Cohort 1, Active Comparator Phase: Fesoterodine 4 mg Then 8 mg Cohort 1, Active Comparator Phase: Oxybutynin Cohort 1, Safety Extension Phase: Fesoterodine 4 mg Cohort 1, Safety Extension Phase (SEP): Fesoterodine 8 mg Cohort 1, SEP: Oxybutynin Then Fesoterodine 4 mg Cohort 1,SEP: Oxybutynin Then Fesoterodine 8 mg Cohort 2, Efficacy Phase: Fesoterodine 2 mg Cohort 2 Efficacy Phase: Fesoterodine 4 mg Cohort 2, Safety Extension Phase: Fesoterodine 2 mg Cohort 2, Safety Extension Phase: Fesoterodine 4 mg
Hide 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. Participants with body weight >25 kg were randomized to receive fesoterodine 4 mg PR tablets orally once daily for first 1 week and if dose was tolerated well, participants received 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. 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 received fesoterodine 4 mg PR tablet orally once daily for 12 weeks in safety extension phase. Participants with body weight >25 kg received fesoterodine 8 mg PR tablet orally once daily for 12 weeks in 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 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 participants were withdrawn from the study. Participants with body weight <=25 kg were randomized to receive fesoterodine 2 mg BIC capsule orally once daily for 12 weeks in efficacy phase. Participants with body weight <=25 kg were randomized to receive fesoterodine 2 mg BIC capsule orally once daily for first 1 week and if dose was tolerated well, participants received 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. Participants with body weight <=25 kg received fesoterodine 2 mg BIC capsules orally once daily for 12 weeks in safety extension phase. Participants with body weight <=25 kg received fesoterodine 4 mg BIC capsules orally once daily for 12 weeks in safety extension phase.
All-Cause Mortality
Cohort 1, Active Comparator Phase: Fesoterodine 4 mg Cohort 1, Active Comparator Phase: Fesoterodine 4 mg Then 8 mg Cohort 1, Active Comparator Phase: Oxybutynin Cohort 1, Safety Extension Phase: Fesoterodine 4 mg Cohort 1, Safety Extension Phase (SEP): Fesoterodine 8 mg Cohort 1, SEP: Oxybutynin Then Fesoterodine 4 mg Cohort 1,SEP: Oxybutynin Then Fesoterodine 8 mg Cohort 2, Efficacy Phase: Fesoterodine 2 mg Cohort 2 Efficacy Phase: Fesoterodine 4 mg Cohort 2, Safety Extension Phase: Fesoterodine 2 mg Cohort 2, Safety Extension Phase: Fesoterodine 4 mg
Affected / at Risk (%) Affected / at Risk (%) Affected / at Risk (%) Affected / at Risk (%) Affected / at Risk (%) Affected / at Risk (%) Affected / at Risk (%) Affected / at Risk (%) Affected / at Risk (%) Affected / at Risk (%) Affected / at Risk (%)
Total   0/42 (0.00%)   0/42 (0.00%)   0/40 (0.00%)   0/30 (0.00%)   0/37 (0.00%)   0/16 (0.00%)   0/20 (0.00%)   0/28 (0.00%)   0/29 (0.00%)   0/20 (0.00%)   0/28 (0.00%) 
Hide Serious Adverse Events
Cohort 1, Active Comparator Phase: Fesoterodine 4 mg Cohort 1, Active Comparator Phase: Fesoterodine 4 mg Then 8 mg Cohort 1, Active Comparator Phase: Oxybutynin Cohort 1, Safety Extension Phase: Fesoterodine 4 mg Cohort 1, Safety Extension Phase (SEP): Fesoterodine 8 mg Cohort 1, SEP: Oxybutynin Then Fesoterodine 4 mg Cohort 1,SEP: Oxybutynin Then Fesoterodine 8 mg Cohort 2, Efficacy Phase: Fesoterodine 2 mg Cohort 2 Efficacy Phase: Fesoterodine 4 mg Cohort 2, Safety Extension Phase: Fesoterodine 2 mg Cohort 2, Safety Extension Phase: Fesoterodine 4 mg
Affected / at Risk (%) Affected / at Risk (%) Affected / at Risk (%) Affected / at Risk (%) Affected / at Risk (%) Affected / at Risk (%) Affected / at Risk (%) Affected / at Risk (%) Affected / at Risk (%) Affected / at Risk (%) Affected / at Risk (%)
Total   3/42 (7.14%)   2/42 (4.76%)   1/40 (2.50%)   0/30 (0.00%)   2/37 (5.41%)   0/16 (0.00%)   0/20 (0.00%)   2/28 (7.14%)   2/29 (6.90%)   0/20 (0.00%)   2/28 (7.14%) 
Infections and infestations                       
Cellulitis * 1  1/42 (2.38%)  0/42 (0.00%)  0/40 (0.00%)  0/30 (0.00%)  0/37 (0.00%)  0/16 (0.00%)  0/20 (0.00%)  0/28 (0.00%)  0/29 (0.00%)  0/20 (0.00%)  0/28 (0.00%) 
Complicated appendicitis * 1  1/42 (2.38%)  0/42 (0.00%)  0/40 (0.00%)  0/30 (0.00%)  0/37 (0.00%)  0/16 (0.00%)  0/20 (0.00%)  0/28 (0.00%)  0/29 (0.00%)  0/20 (0.00%)  0/28 (0.00%) 
Epididymitis * 1  0/42 (0.00%)  1/42 (2.38%)  0/40 (0.00%)  0/30 (0.00%)  0/37 (0.00%)  0/16 (0.00%)  0/20 (0.00%)  0/28 (0.00%)  0/29 (0.00%)  0/20 (0.00%)  0/28 (0.00%) 
Peritonitis * 1  1/42 (2.38%)  0/42 (0.00%)  0/40 (0.00%)  0/30 (0.00%)  0/37 (0.00%)  0/16 (0.00%)  0/20 (0.00%)  0/28 (0.00%)  1/29 (3.45%)  0/20 (0.00%)  0/28 (0.00%) 
Pyelonephritis acute * 1  0/42 (0.00%)  0/42 (0.00%)  0/40 (0.00%)  0/30 (0.00%)  1/37 (2.70%)  0/16 (0.00%)  0/20 (0.00%)  0/28 (0.00%)  0/29 (0.00%)  0/20 (0.00%)  0/28 (0.00%) 
Urinary tract infection * 1  1/42 (2.38%)  0/42 (0.00%)  1/40 (2.50%)  0/30 (0.00%)  0/37 (0.00%)  0/16 (0.00%)  0/20 (0.00%)  1/28 (3.57%)  1/29 (3.45%)  0/20 (0.00%)  1/28 (3.57%) 
Viral infection * 1  0/42 (0.00%)  1/42 (2.38%)  0/40 (0.00%)  0/30 (0.00%)  0/37 (0.00%)  0/16 (0.00%)  0/20 (0.00%)  0/28 (0.00%)  0/29 (0.00%)  0/20 (0.00%)  0/28 (0.00%) 
Appendicitis * 1  0/42 (0.00%)  0/42 (0.00%)  0/40 (0.00%)  0/30 (0.00%)  0/37 (0.00%)  0/16 (0.00%)  0/20 (0.00%)  0/28 (0.00%)  1/29 (3.45%)  0/20 (0.00%)  0/28 (0.00%) 
Dengue fever * 1  0/42 (0.00%)  0/42 (0.00%)  0/40 (0.00%)  0/30 (0.00%)  0/37 (0.00%)  0/16 (0.00%)  0/20 (0.00%)  0/28 (0.00%)  0/29 (0.00%)  0/20 (0.00%)  1/28 (3.57%) 
Injury, poisoning and procedural complications                       
Animal bite * 1  0/42 (0.00%)  0/42 (0.00%)  0/40 (0.00%)  0/30 (0.00%)  0/37 (0.00%)  0/16 (0.00%)  0/20 (0.00%)  1/28 (3.57%)  0/29 (0.00%)  0/20 (0.00%)  0/28 (0.00%) 
Musculoskeletal and connective tissue disorders                       
Epiphysiolysis * 1  1/42 (2.38%)  0/42 (0.00%)  0/40 (0.00%)  0/30 (0.00%)  0/37 (0.00%)  0/16 (0.00%)  0/20 (0.00%)  0/28 (0.00%)  0/29 (0.00%)  0/20 (0.00%)  0/28 (0.00%) 
Renal and urinary disorders                       
Acute kidney injury * 1  0/42 (0.00%)  0/42 (0.00%)  1/40 (2.50%)  0/30 (0.00%)  0/37 (0.00%)  0/16 (0.00%)  0/20 (0.00%)  0/28 (0.00%)  0/29 (0.00%)  0/20 (0.00%)  0/28 (0.00%) 
Hydronephrosis * 1  0/42 (0.00%)  0/42 (0.00%)  1/40 (2.50%)  0/30 (0.00%)  0/37 (0.00%)  0/16 (0.00%)  0/20 (0.00%)  0/28 (0.00%)  0/29 (0.00%)  0/20 (0.00%)  0/28 (0.00%) 
Reproductive system and breast disorders                       
Ovarian cyst * 1  0/42 (0.00%)  0/42 (0.00%)  0/40 (0.00%)  0/30 (0.00%)  1/37 (2.70%)  0/16 (0.00%)  0/20 (0.00%)  0/28 (0.00%)  0/29 (0.00%)  0/20 (0.00%)  0/28 (0.00%) 
Skin and subcutaneous tissue disorders                       
Decubitus ulcer * 1  1/42 (2.38%)  0/42 (0.00%)  0/40 (0.00%)  0/30 (0.00%)  0/37 (0.00%)  0/16 (0.00%)  0/20 (0.00%)  0/28 (0.00%)  0/29 (0.00%)  0/20 (0.00%)  0/28 (0.00%) 
1
Term from vocabulary, MedDRA v22.1
*
Indicates events were collected by non-systematic assessment
Hide Other (Not Including Serious) Adverse Events
Frequency Threshold for Reporting Other Adverse Events 0%
Cohort 1, Active Comparator Phase: Fesoterodine 4 mg Cohort 1, Active Comparator Phase: Fesoterodine 4 mg Then 8 mg Cohort 1, Active Comparator Phase: Oxybutynin Cohort 1, Safety Extension Phase: Fesoterodine 4 mg Cohort 1, Safety Extension Phase (SEP): Fesoterodine 8 mg Cohort 1, SEP: Oxybutynin Then Fesoterodine 4 mg Cohort 1,SEP: Oxybutynin Then Fesoterodine 8 mg Cohort 2, Efficacy Phase: Fesoterodine 2 mg Cohort 2 Efficacy Phase: Fesoterodine 4 mg Cohort 2, Safety Extension Phase: Fesoterodine 2 mg Cohort 2, Safety Extension Phase: Fesoterodine 4 mg
Affected / at Risk (%) Affected / at Risk (%) Affected / at Risk (%) Affected / at Risk (%) Affected / at Risk (%) Affected / at Risk (%) Affected / at Risk (%) Affected / at Risk (%) Affected / at Risk (%) Affected / at Risk (%) Affected / at Risk (%)
Total   26/42 (61.90%)   19/42 (45.24%)   30/40 (75.00%)   14/30 (46.67%)   13/37 (35.14%)   9/16 (56.25%)   11/20 (55.00%)   19/28 (67.86%)   17/29 (58.62%)   11/20 (55.00%)   14/28 (50.00%) 
Blood and lymphatic system disorders                       
Thrombocytopenia * 1  1/42 (2.38%)  0/42 (0.00%)  0/40 (0.00%)  0/30 (0.00%)  0/37 (0.00%)  0/16 (0.00%)  0/20 (0.00%)  0/28 (0.00%)  0/29 (0.00%)  0/20 (0.00%)  0/28 (0.00%) 
Cardiac disorders                       
Supraventricular extrasystoles * 1  0/42 (0.00%)  0/42 (0.00%)  0/40 (0.00%)  0/30 (0.00%)  0/37 (0.00%)  0/16 (0.00%)  0/20 (0.00%)  1/28 (3.57%)  0/29 (0.00%)  0/20 (0.00%)  0/28 (0.00%) 
Tachycardia * 1  0/42 (0.00%)  0/42 (0.00%)  0/40 (0.00%)  0/30 (0.00%)  0/37 (0.00%)  0/16 (0.00%)  0/20 (0.00%)  1/28 (3.57%)  0/29 (0.00%)  0/20 (0.00%)  0/28 (0.00%) 
Ear and labyrinth disorders                       
Vertigo positional * 1  0/42 (0.00%)  0/42 (0.00%)  0/40 (0.00%)  0/30 (0.00%)  0/37 (0.00%)  0/16 (0.00%)  1/20 (5.00%)  0/28 (0.00%)  0/29 (0.00%)  0/20 (0.00%)  0/28 (0.00%) 
Ear pain * 1  0/42 (0.00%)  0/42 (0.00%)  0/40 (0.00%)  1/30 (3.33%)  0/37 (0.00%)  0/16 (0.00%)  0/20 (0.00%)  0/28 (0.00%)  0/29 (0.00%)  0/20 (0.00%)  0/28 (0.00%) 
Eye disorders                       
Astigmatism * 1  0/42 (0.00%)  0/42 (0.00%)  0/40 (0.00%)  0/30 (0.00%)  0/37 (0.00%)  0/16 (0.00%)  0/20 (0.00%)  1/28 (3.57%)  0/29 (0.00%)  0/20 (0.00%)  0/28 (0.00%) 
Myopia * 1  1/42 (2.38%)  1/42 (2.38%)  1/40 (2.50%)  1/30 (3.33%)  0/37 (0.00%)  0/16 (0.00%)  1/20 (5.00%)  0/28 (0.00%)  1/29 (3.45%)  0/20 (0.00%)  1/28 (3.57%) 
Strabismus * 1  0/42 (0.00%)  0/42 (0.00%)  0/40 (0.00%)  0/30 (0.00%)  0/37 (0.00%)  0/16 (0.00%)  0/20 (0.00%)  1/28 (3.57%)  0/29 (0.00%)  0/20 (0.00%)  0/28 (0.00%) 
Vision blurred * 1  0/42 (0.00%)  0/42 (0.00%)  0/40 (0.00%)  1/30 (3.33%)  0/37 (0.00%)  0/16 (0.00%)  0/20 (0.00%)  0/28 (0.00%)  0/29 (0.00%)  0/20 (0.00%)  0/28 (0.00%) 
Accommodation disorder * 1  1/42 (2.38%)  0/42 (0.00%)  0/40 (0.00%)  0/30 (0.00%)  0/37 (0.00%)  0/16 (0.00%)  0/20 (0.00%)  0/28 (0.00%)  0/29 (0.00%)  0/20 (0.00%)  0/28 (0.00%) 
Eye pruritus * 1  0/42 (0.00%)  0/42 (0.00%)  1/40 (2.50%)  0/30 (0.00%)  0/37 (0.00%)  0/16 (0.00%)  0/20 (0.00%)  0/28 (0.00%)  0/29 (0.00%)  0/20 (0.00%)  0/28 (0.00%) 
Visual impairment * 1  0/42 (0.00%)  0/42 (0.00%)  0/40 (0.00%)  0/30 (0.00%)  1/37 (2.70%)  0/16 (0.00%)  0/20 (0.00%)  0/28 (0.00%)  0/29 (0.00%)  0/20 (0.00%)  0/28 (0.00%) 
Gastrointestinal disorders                       
Abdominal pain * 1  1/42 (2.38%)  1/42 (2.38%)  2/40 (5.00%)  0/30 (0.00%)  0/37 (0.00%)  0/16 (0.00%)  0/20 (0.00%)  1/28 (3.57%)  1/29 (3.45%)  0/20 (0.00%)  0/28 (0.00%) 
Abdominal pain upper * 1  2/42 (4.76%)  1/42 (2.38%)  2/40 (5.00%)  0/30 (0.00%)  0/37 (0.00%)  0/16 (0.00%)  0/20 (0.00%)  0/28 (0.00%)  0/29 (0.00%)  0/20 (0.00%)  0/28 (0.00%) 
Constipation * 1  3/42 (7.14%)  3/42 (7.14%)  5/40 (12.50%)  0/30 (0.00%)  0/37 (0.00%)  1/16 (6.25%)  0/20 (0.00%)  0/28 (0.00%)  2/29 (6.90%)  0/20 (0.00%)  0/28 (0.00%) 
Diarrhoea * 1  5/42 (11.90%)  3/42 (7.14%)  1/40 (2.50%)  1/30 (3.33%)  1/37 (2.70%)  0/16 (0.00%)  0/20 (0.00%)  1/28 (3.57%)  1/29 (3.45%)  1/20 (5.00%)  0/28 (0.00%) 
Dry mouth * 1  3/42 (7.14%)  4/42 (9.52%)  11/40 (27.50%)  1/30 (3.33%)  0/37 (0.00%)  1/16 (6.25%)  0/20 (0.00%)  0/28 (0.00%)  1/29 (3.45%)  0/20 (0.00%)  0/28 (0.00%) 
Faeces soft * 1  0/42 (0.00%)  0/42 (0.00%)  0/40 (0.00%)  0/30 (0.00%)  0/37 (0.00%)  0/16 (0.00%)  0/20 (0.00%)  1/28 (3.57%)  0/29 (0.00%)  0/20 (0.00%)  0/28 (0.00%) 
Lip dry * 1  0/42 (0.00%)  0/42 (0.00%)  0/40 (0.00%)  0/30 (0.00%)  0/37 (0.00%)  0/16 (0.00%)  0/20 (0.00%)  1/28 (3.57%)  0/29 (0.00%)  0/20 (0.00%)  0/28 (0.00%) 
Nausea * 1  2/42 (4.76%)  1/42 (2.38%)  2/40 (5.00%)  0/30 (0.00%)  1/37 (2.70%)  0/16 (0.00%)  0/20 (0.00%)  1/28 (3.57%)  1/29 (3.45%)  0/20 (0.00%)  0/28 (0.00%) 
Vomiting * 1  0/42 (0.00%)  0/42 (0.00%)  2/40 (5.00%)  0/30 (0.00%)  1/37 (2.70%)  1/16 (6.25%)  0/20 (0.00%)  0/28 (0.00%)  1/29 (3.45%)  1/20 (5.00%)  0/28 (0.00%) 
Toothache * 1  1/42 (2.38%)  0/42 (0.00%)  0/40 (0.00%)  1/30 (3.33%)  0/37 (0.00%)  0/16 (0.00%)  0/20 (0.00%)  0/28 (0.00%)  0/29 (0.00%)  0/20 (0.00%)  0/28 (0.00%) 
Abdominal discomfort * 1  0/42 (0.00%)  0/42 (0.00%)  1/40 (2.50%)  0/30 (0.00%)  0/37 (0.00%)  0/16 (0.00%)  0/20 (0.00%)  0/28 (0.00%)  0/29 (0.00%)  0/20 (0.00%)  0/28 (0.00%) 
Abdominal pain lower * 1  0/42 (0.00%)  0/42 (0.00%)  1/40 (2.50%)  0/30 (0.00%)  0/37 (0.00%)  0/16 (0.00%)  0/20 (0.00%)  0/28 (0.00%)  0/29 (0.00%)  0/20 (0.00%)  0/28 (0.00%) 
Dental caries * 1  0/42 (0.00%)  1/42 (2.38%)  0/40 (0.00%)  0/30 (0.00%)  0/37 (0.00%)  0/16 (0.00%)  0/20 (0.00%)  0/28 (0.00%)  0/29 (0.00%)  0/20 (0.00%)  0/28 (0.00%) 
Dysphagia * 1  0/42 (0.00%)  0/42 (0.00%)  1/40 (2.50%)  0/30 (0.00%)  0/37 (0.00%)  0/16 (0.00%)  0/20 (0.00%)  0/28 (0.00%)  0/29 (0.00%)  0/20 (0.00%)  0/28 (0.00%) 
Enteritis * 1  0/42 (0.00%)  0/42 (0.00%)  1/40 (2.50%)  0/30 (0.00%)  0/37 (0.00%)  0/16 (0.00%)  0/20 (0.00%)  0/28 (0.00%)  0/29 (0.00%)  0/20 (0.00%)  0/28 (0.00%) 
Flatulence * 1  1/42 (2.38%)  0/42 (0.00%)  0/40 (0.00%)  0/30 (0.00%)  0/37 (0.00%)  0/16 (0.00%)  0/20 (0.00%)  0/28 (0.00%)  0/29 (0.00%)  0/20 (0.00%)  0/28 (0.00%) 
Lip erythema * 1  0/42 (0.00%)  0/42 (0.00%)  1/40 (2.50%)  0/30 (0.00%)  0/37 (0.00%)  0/16 (0.00%)  0/20 (0.00%)  0/28 (0.00%)  0/29 (0.00%)  0/20 (0.00%)  0/28 (0.00%) 
Stomatitis * 1  1/42 (2.38%)  0/42 (0.00%)  0/40 (0.00%)  0/30 (0.00%)  0/37 (0.00%)  0/16 (0.00%)  0/20 (0.00%)  0/28 (0.00%)  0/29 (0.00%)  0/20 (0.00%)  0/28 (0.00%) 
General disorders                       
Catheter site pain * 1  0/42 (0.00%)  0/42 (0.00%)  0/40 (0.00%)  0/30 (0.00%)  0/37 (0.00%)  0/16 (0.00%)  0/20 (0.00%)  0/28 (0.00%)  0/29 (0.00%)  1/20 (5.00%)  0/28 (0.00%) 
Fatigue * 1  1/42 (2.38%)  0/42 (0.00%)  1/40 (2.50%)  1/30 (3.33%)  0/37 (0.00%)  0/16 (0.00%)  0/20 (0.00%)  0/28 (0.00%)  0/29 (0.00%)  0/20 (0.00%)  0/28 (0.00%) 
Malaise * 1  0/42 (0.00%)  0/42 (0.00%)  0/40 (0.00%)  0/30 (0.00%)  0/37 (0.00%)  0/16 (0.00%)  0/20 (0.00%)  0/28 (0.00%)  0/29 (0.00%)  0/20 (0.00%)  1/28 (3.57%) 
Mass * 1  0/42 (0.00%)  0/42 (0.00%)  0/40 (0.00%)  0/30 (0.00%)  0/37 (0.00%)  1/16 (6.25%)  0/20 (0.00%)  0/28 (0.00%)  0/29 (0.00%)  0/20 (0.00%)  0/28 (0.00%) 
Non-cardiac chest pain * 1  0/42 (0.00%)  0/42 (0.00%)  0/40 (0.00%)  0/30 (0.00%)  0/37 (0.00%)  0/16 (0.00%)  1/20 (5.00%)  0/28 (0.00%)  0/29 (0.00%)  0/20 (0.00%)  0/28 (0.00%) 
Pyrexia * 1  2/42 (4.76%)  1/42 (2.38%)  1/40 (2.50%)  1/30 (3.33%)  1/37 (2.70%)  2/16 (12.50%)  0/20 (0.00%)  1/28 (3.57%)  2/29 (6.90%)  2/20 (10.00%)  1/28 (3.57%) 
Adverse drug reaction * 1  1/42 (2.38%)  0/42 (0.00%)  0/40 (0.00%)  0/30 (0.00%)  0/37 (0.00%)  0/16 (0.00%)  0/20 (0.00%)  0/28 (0.00%)  0/29 (0.00%)  0/20 (0.00%)  0/28 (0.00%) 
Feeling cold * 1  0/42 (0.00%)  0/42 (0.00%)  1/40 (2.50%)  0/30 (0.00%)  0/37 (0.00%)  0/16 (0.00%)  0/20 (0.00%)  0/28 (0.00%)  0/29 (0.00%)  0/20 (0.00%)  0/28 (0.00%) 
Oedema peripheral * 1  0/42 (0.00%)  1/42 (2.38%)  0/40 (0.00%)  0/30 (0.00%)  0/37 (0.00%)  0/16 (0.00%)  0/20 (0.00%)  0/28 (0.00%)  0/29 (0.00%)  0/20 (0.00%)  0/28 (0.00%) 
Thirst * 1  1/42 (2.38%)  0/42 (0.00%)  0/40 (0.00%)  0/30 (0.00%)  0/37 (0.00%)  0/16 (0.00%)  0/20 (0.00%)  0/28 (0.00%)  0/29 (0.00%)  0/20 (0.00%)  0/28 (0.00%) 
Temperature intolerance * 1  0/42 (0.00%)  0/42 (0.00%)  0/40 (0.00%)  0/30 (0.00%)  1/37 (2.70%)  0/16 (0.00%)  0/20 (0.00%)  0/28 (0.00%)  0/29 (0.00%)  0/20 (0.00%)  0/28 (0.00%) 
Immune system disorders                       
Hypersensitivity * 1  0/42 (0.00%)  0/42 (0.00%)  0/40 (0.00%)  0/30 (0.00%)  0/37 (0.00%)  0/16 (0.00%)  0/20 (0.00%)  0/28 (0.00%)  0/29 (0.00%)  0/20 (0.00%)  1/28 (3.57%) 
Infections and infestations                       
Asymptomatic bacteriuria * 1  1/42 (2.38%)  0/42 (0.00%)  0/40 (0.00%)  0/30 (0.00%)  0/37 (0.00%)  1/16 (6.25%)  0/20 (0.00%)  4/28 (14.29%)  2/29 (6.90%)  3/20 (15.00%)  0/28 (0.00%) 
Bacteriuria * 1  0/42 (0.00%)  0/42 (0.00%)  1/40 (2.50%)  0/30 (0.00%)  0/37 (0.00%)  0/16 (0.00%)  1/20 (5.00%)  0/28 (0.00%)  0/29 (0.00%)  0/20 (0.00%)  1/28 (3.57%) 
Conjunctivitis bacterial * 1  0/42 (0.00%)  0/42 (0.00%)  0/40 (0.00%)  0/30 (0.00%)  0/37 (0.00%)  0/16 (0.00%)  0/20 (0.00%)  0/28 (0.00%)  1/29 (3.45%)  0/20 (0.00%)  0/28 (0.00%) 
Escherichia urinary tract infection * 1  0/42 (0.00%)  0/42 (0.00%)  0/40 (0.00%)  0/30 (0.00%)  0/37 (0.00%)  0/16 (0.00%)  0/20 (0.00%)  0/28 (0.00%)  1/29 (3.45%)  0/20 (0.00%)  0/28 (0.00%) 
Gastroenteritis * 1  1/42 (2.38%)  1/42 (2.38%)  0/40 (0.00%)  0/30 (0.00%)  2/37 (5.41%)  0/16 (0.00%)  0/20 (0.00%)  1/28 (3.57%)  0/29 (0.00%)  1/20 (5.00%)  0/28 (0.00%) 
Gastroenteritis viral * 1  0/42 (0.00%)  0/42 (0.00%)  0/40 (0.00%)  0/30 (0.00%)  0/37 (0.00%)  0/16 (0.00%)  1/20 (5.00%)  0/28 (0.00%)  0/29 (0.00%)  0/20 (0.00%)  0/28 (0.00%) 
Hand-foot-and-mouth disease * 1  0/42 (0.00%)  0/42 (0.00%)  0/40 (0.00%)  0/30 (0.00%)  0/37 (0.00%)  0/16 (0.00%)  0/20 (0.00%)  0/28 (0.00%)  0/29 (0.00%)  1/20 (5.00%)  0/28 (0.00%) 
Impetigo * 1  0/42 (0.00%)  0/42 (0.00%)  0/40 (0.00%)  0/30 (0.00%)  0/37 (0.00%)  0/16 (0.00%)  0/20 (0.00%)  1/28 (3.57%)  0/29 (0.00%)  0/20 (0.00%)  0/28 (0.00%) 
Infection parasitic * 1  0/42 (0.00%)  0/42 (0.00%)  0/40 (0.00%)  0/30 (0.00%)  0/37 (0.00%)  0/16 (0.00%)  0/20 (0.00%)  0/28 (0.00%)  1/29 (3.45%)  0/20 (0.00%)  0/28 (0.00%) 
Influenza * 1  4/42 (9.52%)  1/42 (2.38%)  1/40 (2.50%)  0/30 (0.00%)  0/37 (0.00%)  0/16 (0.00%)  1/20 (5.00%)  0/28 (0.00%)  0/29 (0.00%)  0/20 (0.00%)  0/28 (0.00%) 
Mastitis * 1  0/42 (0.00%)  0/42 (0.00%)  0/40 (0.00%)  0/30 (0.00%)  0/37 (0.00%)  0/16 (0.00%)  1/20 (5.00%)  0/28 (0.00%)  0/29 (0.00%)  0/20 (0.00%)  0/28 (0.00%) 
Nasopharyngitis * 1  5/42 (11.90%)  1/42 (2.38%)  2/40 (5.00%)  1/30 (3.33%)  2/37 (5.41%)  1/16 (6.25%)  2/20 (10.00%)  3/28 (10.71%)  3/29 (10.34%)  2/20 (10.00%)  1/28 (3.57%) 
Oral herpes * 1  0/42 (0.00%)  0/42 (0.00%)  0/40 (0.00%)  0/30 (0.00%)  0/37 (0.00%)  0/16 (0.00%)  0/20 (0.00%)  0/28 (0.00%)  1/29 (3.45%)  0/20 (0.00%)  1/28 (3.57%) 
Pharyngitis * 1  0/42 (0.00%)  0/42 (0.00%)  1/40 (2.50%)  1/30 (3.33%)  0/37 (0.00%)  0/16 (0.00%)  0/20 (0.00%)  0/28 (0.00%)  1/29 (3.45%)  1/20 (5.00%)  1/28 (3.57%) 
Pyelonephritis * 1  0/42 (0.00%)  0/42 (0.00%)  2/40 (5.00%)  0/30 (0.00%)  0/37 (0.00%)  0/16 (0.00%)  1/20 (5.00%)  0/28 (0.00%)  0/29 (0.00%)  0/20 (0.00%)  0/28 (0.00%) 
Rhinitis * 1  1/42 (2.38%)  0/42 (0.00%)  0/40 (0.00%)  0/30 (0.00%)  1/37 (2.70%)  0/16 (0.00%)  0/20 (0.00%)  0/28 (0.00%)  0/29 (0.00%)  0/20 (0.00%)  1/28 (3.57%) 
Sinusitis * 1  0/42 (0.00%)  1/42 (2.38%)  0/40 (0.00%)  0/30 (0.00%)  0/37 (0.00%)  0/16 (0.00%)  0/20 (0.00%)  1/28 (3.57%)  0/29 (0.00%)  1/20 (5.00%)  0/28 (0.00%) 
Tonsillitis * 1  0/42 (0.00%)  0/42 (0.00%)  0/40 (0.00%)  0/30 (0.00%)  0/37 (0.00%)  0/16 (0.00%)  0/20 (0.00%)  1/28 (3.57%)  0/29 (0.00%)  0/20 (0.00%)  0/28 (0.00%) 
Upper respiratory tract infection * 1  1/42 (2.38%)  1/42 (2.38%)  1/40 (2.50%)  0/30 (0.00%)  1/37 (2.70%)  1/16 (6.25%)  0/20 (0.00%)  0/28 (0.00%)  1/29 (3.45%)  1/20 (5.00%)  2/28 (7.14%) 
Urinary tract infection * 1  3/42 (7.14%)  1/42 (2.38%)  3/40 (7.50%)  0/30 (0.00%)  1/37 (2.70%)  2/16 (12.50%)  0/20 (0.00%)  2/28 (7.14%)  3/29 (10.34%)  1/20 (5.00%)  4/28 (14.29%) 
Varicella * 1  0/42 (0.00%)  0/42 (0.00%)  0/40 (0.00%)  0/30 (0.00%)  0/37 (0.00%)  0/16 (0.00%)  0/20 (0.00%)  0/28 (0.00%)  0/29 (0.00%)  0/20 (0.00%)  1/28 (3.57%) 
Viral upper respiratory tract infection * 1  4/42 (9.52%)  0/42 (0.00%)  0/40 (0.00%)  0/30 (0.00%)  0/37 (0.00%)  0/16 (0.00%)  0/20 (0.00%)  0/28 (0.00%)  0/29 (0.00%)  0/20 (0.00%)  0/28 (0.00%) 
Dermatitis infected * 1  0/42 (0.00%)  0/42 (0.00%)  0/40 (0.00%)  1/30 (3.33%)  0/37 (0.00%)  0/16 (0.00%)  0/20 (0.00%)  0/28 (0.00%)  0/29 (0.00%)  0/20 (0.00%)  0/28 (0.00%) 
Ear lobe infection * 1  0/42 (0.00%)  0/42 (0.00%)  0/40 (0.00%)  1/30 (3.33%)  0/37 (0.00%)  0/16 (0.00%)  0/20 (0.00%)  0/28 (0.00%)  0/29 (0.00%)  0/20 (0.00%)  0/28 (0.00%) 
Bronchitis * 1  1/42 (2.38%)  0/42 (0.00%)  0/40 (0.00%)  0/30 (0.00%)  0/37 (0.00%)  0/16 (0.00%)  0/20 (0.00%)  0/28 (0.00%)  0/29 (0.00%)  0/20 (0.00%)  0/28 (0.00%) 
Cellulitis * 1  1/42 (2.38%)  0/42 (0.00%)  0/40 (0.00%)  0/30 (0.00%)  0/37 (0.00%)  0/16 (0.00%)  0/20 (0.00%)  0/28 (0.00%)  0/29 (0.00%)  0/20 (0.00%)  0/28 (0.00%) 
Conjunctivitis * 1  0/42 (0.00%)  0/42 (0.00%)  1/40 (2.50%)  0/30 (0.00%)  0/37 (0.00%)  0/16 (0.00%)  0/20 (0.00%)  0/28 (0.00%)  0/29 (0.00%)  0/20 (0.00%)  0/28 (0.00%) 
Cystitis * 1  1/42 (2.38%)  1/42 (2.38%)  1/40 (2.50%)  0/30 (0.00%)  0/37 (0.00%)  0/16 (0.00%)  0/20 (0.00%)  0/28 (0.00%)  0/29 (0.00%)  0/20 (0.00%)  0/28 (0.00%) 
Cystitis bacterial * 1  0/42 (0.00%)  0/42 (0.00%)  1/40 (2.50%)  0/30 (0.00%)  0/37 (0.00%)  0/16 (0.00%)  0/20 (0.00%)  0/28 (0.00%)  0/29 (0.00%)  0/20 (0.00%)  0/28 (0.00%) 
Device related infection * 1  0/42 (0.00%)  0/42 (0.00%)  1/40 (2.50%)  0/30 (0.00%)  0/37 (0.00%)  0/16 (0.00%)  0/20 (0.00%)  0/28 (0.00%)  0/29 (0.00%)  0/20 (0.00%)  0/28 (0.00%) 
Ear infection * 1  1/42 (2.38%)  0/42 (0.00%)  0/40 (0.00%)  0/30 (0.00%)  0/37 (0.00%)  0/16 (0.00%)  0/20 (0.00%)  0/28 (0.00%)  0/29 (0.00%)  0/20 (0.00%)  0/28 (0.00%) 
Folliculitis * 1  1/42 (2.38%)  0/42 (0.00%)  0/40 (0.00%)  0/30 (0.00%)  0/37 (0.00%)  0/16 (0.00%)  0/20 (0.00%)  0/28 (0.00%)  0/29 (0.00%)  0/20 (0.00%)  0/28 (0.00%) 
Fungal skin infection * 1  1/42 (2.38%)  0/42 (0.00%)  0/40 (0.00%)  0/30 (0.00%)  0/37 (0.00%)  0/16 (0.00%)  0/20 (0.00%)  0/28 (0.00%)  0/29 (0.00%)  0/20 (0.00%)  0/28 (0.00%) 
Hordeolum * 1  1/42 (2.38%)  0/42 (0.00%)  0/40 (0.00%)  0/30 (0.00%)  0/37 (0.00%)  0/16 (0.00%)  0/20 (0.00%)  0/28 (0.00%)  0/29 (0.00%)  0/20 (0.00%)  0/28 (0.00%) 
Paronychia * 1  1/42 (2.38%)  0/42 (0.00%)  0/40 (0.00%)  0/30 (0.00%)  0/37 (0.00%)  0/16 (0.00%)  0/20 (0.00%)  0/28 (0.00%)  0/29 (0.00%)  0/20 (0.00%)  0/28 (0.00%) 
Pharyngotonsillitis * 1  0/42 (0.00%)  0/42 (0.00%)  1/40 (2.50%)  0/30 (0.00%)  0/37 (0.00%)  0/16 (0.00%)  0/20 (0.00%)  0/28 (0.00%)  0/29 (0.00%)  0/20 (0.00%)  0/28 (0.00%) 
Scrotal infection * 1  0/42 (0.00%)  0/42 (0.00%)  1/40 (2.50%)  0/30 (0.00%)  0/37 (0.00%)  0/16 (0.00%)  0/20 (0.00%)  0/28 (0.00%)  0/29 (0.00%)  0/20 (0.00%)  0/28 (0.00%) 
Eye infection * 1  0/42 (0.00%)  1/42 (2.38%)  0/40 (0.00%)  0/30 (0.00%)  0/37 (0.00%)  0/16 (0.00%)  0/20 (0.00%)  0/28 (0.00%)  0/29 (0.00%)  0/20 (0.00%)  0/28 (0.00%) 
Injury, poisoning and procedural complications                       
Skin laceration * 1  0/42 (0.00%)  0/42 (0.00%)  0/40 (0.00%)  0/30 (0.00%)  0/37 (0.00%)  0/16 (0.00%)  0/20 (0.00%)  0/28 (0.00%)  1/29 (3.45%)  0/20 (0.00%)  0/28 (0.00%) 
Contusion * 1  1/42 (2.38%)  0/42 (0.00%)  0/40 (0.00%)  0/30 (0.00%)  0/37 (0.00%)  0/16 (0.00%)  0/20 (0.00%)  0/28 (0.00%)  0/29 (0.00%)  0/20 (0.00%)  0/28 (0.00%) 
Investigations                       
Bacterial test positive * 1  0/42 (0.00%)  0/42 (0.00%)  0/40 (0.00%)  0/30 (0.00%)  0/37 (0.00%)  0/16 (0.00%)  0/20 (0.00%)  1/28 (3.57%)  0/29 (0.00%)  0/20 (0.00%)  0/28 (0.00%) 
Blood glucose decreased * 1  0/42 (0.00%)  0/42 (0.00%)  0/40 (0.00%)  0/30 (0.00%)  0/37 (0.00%)  0/16 (0.00%)  1/20 (5.00%)  0/28 (0.00%)  0/29 (0.00%)  0/20 (0.00%)  0/28 (0.00%) 
Eosinophil count increased * 1  0/42 (0.00%)  0/42 (0.00%)  0/40 (0.00%)  0/30 (0.00%)  0/37 (0.00%)  0/16 (0.00%)  0/20 (0.00%)  1/28 (3.57%)  0/29 (0.00%)  0/20 (0.00%)  0/28 (0.00%) 
Heart rate increased * 1  0/42 (0.00%)  1/42 (2.38%)  0/40 (0.00%)  0/30 (0.00%)  0/37 (0.00%)  0/16 (0.00%)  0/20 (0.00%)  0/28 (0.00%)  0/29 (0.00%)  0/20 (0.00%)  1/28 (3.57%) 
Investigation abnormal * 1  0/42 (0.00%)  0/42 (0.00%)  0/40 (0.00%)  0/30 (0.00%)  0/37 (0.00%)  0/16 (0.00%)  0/20 (0.00%)  1/28 (3.57%)  0/29 (0.00%)  0/20 (0.00%)  0/28 (0.00%) 
Residual urine volume increased * 1  0/42 (0.00%)  0/42 (0.00%)  0/40 (0.00%)  0/30 (0.00%)  0/37 (0.00%)  0/16 (0.00%)  0/20 (0.00%)  1/28 (3.57%)  0/29 (0.00%)  0/20 (0.00%)  0/28 (0.00%) 
Urine analysis abnormal * 1  0/42 (0.00%)  0/42 (0.00%)  0/40 (0.00%)  0/30 (0.00%)  0/37 (0.00%)  0/16 (0.00%)  0/20 (0.00%)  0/28 (0.00%)  0/29 (0.00%)  1/20 (5.00%)  0/28 (0.00%) 
Weight increased * 1  2/42 (4.76%)  0/42 (0.00%)  1/40 (2.50%)  0/30 (0.00%)  0/37 (0.00%)  0/16 (0.00%)  0/20 (0.00%)  0/28 (0.00%)  0/29 (0.00%)  0/20 (0.00%)  0/28 (0.00%) 
Urine output increased * 1  1/42 (2.38%)  0/42 (0.00%)  0/40 (0.00%)  0/30 (0.00%)  0/37 (0.00%)  0/16 (0.00%)  0/20 (0.00%)  0/28 (0.00%)  0/29 (0.00%)  0/20 (0.00%)  0/28 (0.00%) 
White blood cells urine positive * 1  0/42 (0.00%)  1/42 (2.38%)  0/40 (0.00%)  0/30 (0.00%)  0/37 (0.00%)  0/16 (0.00%)  0/20 (0.00%)  0/28 (0.00%)  0/29 (0.00%)  0/20 (0.00%)  0/28 (0.00%) 
Cystogram * 1  0/42 (0.00%)  1/42 (2.38%)  0/40 (0.00%)  0/30 (0.00%)  0/37 (0.00%)  0/16 (0.00%)  0/20 (0.00%)  0/28 (0.00%)  0/29 (0.00%)  0/20 (0.00%)  0/28 (0.00%) 
Metabolism and nutrition disorders                       
Decreased appetite * 1  0/42 (0.00%)  0/42 (0.00%)  1/40 (2.50%)  0/30 (0.00%)  0/37 (0.00%)  0/16 (0.00%)  0/20 (0.00%)  0/28 (0.00%)  0/29 (0.00%)  1/20 (5.00%)  1/28 (3.57%) 
Dehydration * 1  0/42 (0.00%)  0/42 (0.00%)  0/40 (0.00%)  0/30 (0.00%)  0/37 (0.00%)  0/16 (0.00%)  0/20 (0.00%)  0/28 (0.00%)  0/29 (0.00%)  1/20 (5.00%)  0/28 (0.00%) 
Polydipsia * 1  0/42 (0.00%)  0/42 (0.00%)  1/40 (2.50%)  0/30 (0.00%)  0/37 (0.00%)  0/16 (0.00%)  0/20 (0.00%)  0/28 (0.00%)  0/29 (0.00%)  0/20 (0.00%)  0/28 (0.00%) 
Musculoskeletal and connective tissue disorders                       
Arthralgia * 1  0/42 (0.00%)  0/42 (0.00%)  0/40 (0.00%)  0/30 (0.00%)  0/37 (0.00%)  0/16 (0.00%)  0/20 (0.00%)  0/28 (0.00%)  1/29 (3.45%)  0/20 (0.00%)  0/28 (0.00%) 
Pain in extremity * 1  0/42 (0.00%)  1/42 (2.38%)  0/40 (0.00%)  1/30 (3.33%)  0/37 (0.00%)  0/16 (0.00%)  1/20 (5.00%)  0/28 (0.00%)  0/29 (0.00%)  0/20 (0.00%)  0/28 (0.00%) 
Spinal deformity * 1  0/42 (0.00%)  0/42 (0.00%)  0/40 (0.00%)  0/30 (0.00%)  0/37 (0.00%)  0/16 (0.00%)  0/20 (0.00%)  1/28 (3.57%)  0/29 (0.00%)  0/20 (0.00%)  0/28 (0.00%) 
Synovitis * 1  0/42 (0.00%)  0/42 (0.00%)  0/40 (0.00%)  0/30 (0.00%)  0/37 (0.00%)  0/16 (0.00%)  0/20 (0.00%)  0/28 (0.00%)  1/29 (3.45%)  0/20 (0.00%)  0/28 (0.00%) 
Arthritis * 1  1/42 (2.38%)  0/42 (0.00%)  1/40 (2.50%)  0/30 (0.00%)  0/37 (0.00%)  0/16 (0.00%)  0/20 (0.00%)  0/28 (0.00%)  0/29 (0.00%)  0/20 (0.00%)  0/28 (0.00%) 
Joint contracture * 1  0/42 (0.00%)  0/42 (0.00%)  1/40 (2.50%)  0/30 (0.00%)  0/37 (0.00%)  0/16 (0.00%)  0/20 (0.00%)  0/28 (0.00%)  0/29 (0.00%)  0/20 (0.00%)  0/28 (0.00%) 
Muscular weakness * 1  0/42 (0.00%)  1/42 (2.38%)  0/40 (0.00%)  0/30 (0.00%)  0/37 (0.00%)  0/16 (0.00%)  0/20 (0.00%)  0/28 (0.00%)  0/29 (0.00%)  0/20 (0.00%)  0/28 (0.00%) 
Neck pain * 1  1/42 (2.38%)  0/42 (0.00%)  0/40 (0.00%)  0/30 (0.00%)  0/37 (0.00%)  0/16 (0.00%)  0/20 (0.00%)  0/28 (0.00%)  0/29 (0.00%)  0/20 (0.00%)  0/28 (0.00%) 
Neoplasms benign, malignant and unspecified (incl cysts and polyps)                       
Skin papilloma * 1  0/42 (0.00%)  0/42 (0.00%)  0/40 (0.00%)  1/30 (3.33%)  0/37 (0.00%)  0/16 (0.00%)  0/20 (0.00%)  0/28 (0.00%)  0/29 (0.00%)  0/20 (0.00%)  0/28 (0.00%) 
Nervous system disorders                       
Dizziness * 1  0/42 (0.00%)  0/42 (0.00%)  1/40 (2.50%)  0/30 (0.00%)  0/37 (0.00%)  0/16 (0.00%)  0/20 (0.00%)  2/28 (7.14%)  0/29 (0.00%)  0/20 (0.00%)  0/28 (0.00%) 
Headache * 1  2/42 (4.76%)  3/42 (7.14%)  5/40 (12.50%)  1/30 (3.33%)  3/37 (8.11%)  1/16 (6.25%)  1/20 (5.00%)  0/28 (0.00%)  2/29 (6.90%)  0/20 (0.00%)  1/28 (3.57%) 
Peripheral sensory neuropathy * 1  0/42 (0.00%)  0/42 (0.00%)  0/40 (0.00%)  1/30 (3.33%)  0/37 (0.00%)  0/16 (0.00%)  0/20 (0.00%)  0/28 (0.00%)  0/29 (0.00%)  0/20 (0.00%)  0/28 (0.00%) 
Cognitive disorder * 1  0/42 (0.00%)  1/42 (2.38%)  0/40 (0.00%)  0/30 (0.00%)  0/37 (0.00%)  0/16 (0.00%)  0/20 (0.00%)  0/28 (0.00%)  0/29 (0.00%)  0/20 (0.00%)  0/28 (0.00%) 
Syncope * 1  1/42 (2.38%)  0/42 (0.00%)  0/40 (0.00%)  0/30 (0.00%)  0/37 (0.00%)  0/16 (0.00%)  0/20 (0.00%)  0/28 (0.00%)  0/29 (0.00%)  0/20 (0.00%)  0/28 (0.00%) 
Psychiatric disorders                       
Aggression * 1  0/42 (0.00%)  0/42 (0.00%)  0/40 (0.00%)  0/30 (0.00%)  0/37 (0.00%)  1/16 (6.25%)  0/20 (0.00%)  0/28 (0.00%)  0/29 (0.00%)  0/20 (0.00%)  0/28 (0.00%) 
Anxiety * 1  0/42 (0.00%)  0/42 (0.00%)  0/40 (0.00%)  0/30 (0.00%)  0/37 (0.00%)  0/16 (0.00%)  1/20 (5.00%)  0/28 (0.00%)  0/29 (0.00%)  0/20 (0.00%)  0/28 (0.00%) 
Behaviour disorder * 1  0/42 (0.00%)  0/42 (0.00%)  0/40 (0.00%)  0/30 (0.00%)  0/37 (0.00%)  0/16 (0.00%)  0/20 (0.00%)  1/28 (3.57%)  0/29 (0.00%)  0/20 (0.00%)  0/28 (0.00%) 
Encopresis * 1  0/42 (0.00%)  1/42 (2.38%)  0/40 (0.00%)  0/30 (0.00%)  0/37 (0.00%)  0/16 (0.00%)  0/20 (0.00%)  0/28 (0.00%)  0/29 (0.00%)  0/20 (0.00%)  0/28 (0.00%) 
Restlessness * 1  1/42 (2.38%)  0/42 (0.00%)  0/40 (0.00%)  0/30 (0.00%)  0/37 (0.00%)  0/16 (0.00%)  0/20 (0.00%)  0/28 (0.00%)  0/29 (0.00%)  0/20 (0.00%)  0/28 (0.00%) 
Renal and urinary disorders                       
Haematuria * 1  0/42 (0.00%)  0/42 (0.00%)  1/40 (2.50%)  1/30 (3.33%)  0/37 (0.00%)  0/16 (0.00%)  0/20 (0.00%)  0/28 (0.00%)  0/29 (0.00%)  0/20 (0.00%)  0/28 (0.00%) 
Hypertonic bladder * 1  0/42 (0.00%)  0/42 (0.00%)  0/40 (0.00%)  0/30 (0.00%)  0/37 (0.00%)  0/16 (0.00%)  0/20 (0.00%)  1/28 (3.57%)  0/29 (0.00%)  1/20 (5.00%)  0/28 (0.00%) 
Incontinence * 1  0/42 (0.00%)  2/42 (4.76%)  0/40 (0.00%)  0/30 (0.00%)  1/37 (2.70%)  0/16 (0.00%)  1/20 (5.00%)  0/28 (0.00%)  0/29 (0.00%)  0/20 (0.00%)  0/28 (0.00%) 
Pollakiuria * 1  1/42 (2.38%)  0/42 (0.00%)  0/40 (0.00%)  0/30 (0.00%)  0/37 (0.00%)  1/16 (6.25%)  0/20 (0.00%)  0/28 (0.00%)  0/29 (0.00%)  0/20 (0.00%)  0/28 (0.00%) 
Renal failure * 1  0/42 (0.00%)  0/42 (0.00%)  1/40 (2.50%)  0/30 (0.00%)  0/37 (0.00%)  0/16 (0.00%)  0/20 (0.00%)  0/28 (0.00%)  0/29 (0.00%)  0/20 (0.00%)  0/28 (0.00%) 
Urinary incontinence * 1  1/42 (2.38%)  0/42 (0.00%)  4/40 (10.00%)  0/30 (0.00%)  0/37 (0.00%)  1/16 (6.25%)  0/20 (0.00%)  0/28 (0.00%)  2/29 (6.90%)  0/20 (0.00%)  0/28 (0.00%) 
Urine odour abnormal * 1  0/42 (0.00%)  0/42 (0.00%)  0/40 (0.00%)  0/30 (0.00%)  0/37 (0.00%)  0/16 (0.00%)  0/20 (0.00%)  0/28 (0.00%)  1/29 (3.45%)  2/20 (10.00%)  0/28 (0.00%) 
Urethral pain * 1  0/42 (0.00%)  0/42 (0.00%)  1/40 (2.50%)  0/30 (0.00%)  0/37 (0.00%)  0/16 (0.00%)  0/20 (0.00%)  0/28 (0.00%)  0/29 (0.00%)  0/20 (0.00%)  0/28 (0.00%) 
Urinary tract disorder * 1  1/42 (2.38%)  0/42 (0.00%)  0/40 (0.00%)  0/30 (0.00%)  0/37 (0.00%)  0/16 (0.00%)  0/20 (0.00%)  0/28 (0.00%)  0/29 (0.00%)  0/20 (0.00%)  0/28 (0.00%) 
Urine flow decreased * 1  1/42 (2.38%)  0/42 (0.00%)  0/40 (0.00%)  0/30 (0.00%)  0/37 (0.00%)  0/16 (0.00%)  0/20 (0.00%)  0/28 (0.00%)  0/29 (0.00%)  0/20 (0.00%)  0/28 (0.00%) 
Reproductive system and breast disorders                       
Genital pain * 1  0/42 (0.00%)  0/42 (0.00%)  1/40 (2.50%)  0/30 (0.00%)  0/37 (0.00%)  0/16 (0.00%)  0/20 (0.00%)  0/28 (0.00%)  0/29 (0.00%)  0/20 (0.00%)  0/28 (0.00%) 
Menstruation irregular * 1  0/42 (0.00%)  0/42 (0.00%)  0/40 (0.00%)  1/30 (3.33%)  0/37 (0.00%)  0/16 (0.00%)  0/20 (0.00%)  0/28 (0.00%)  0/29 (0.00%)  0/20 (0.00%)  0/28 (0.00%) 
Respiratory, thoracic and mediastinal disorders                       
Asthma * 1  0/42 (0.00%)  0/42 (0.00%)  0/40 (0.00%)  0/30 (0.00%)  0/37 (0.00%)  0/16 (0.00%)  0/20 (0.00%)  1/28 (3.57%)  0/29 (0.00%)  0/20 (0.00%)  0/28 (0.00%) 
Cough * 1  0/42 (0.00%)  2/42 (4.76%)  0/40 (0.00%)  0/30 (0.00%)  1/37 (2.70%)  0/16 (0.00%)  0/20 (0.00%)  1/28 (3.57%)  0/29 (0.00%)  0/20 (0.00%)  0/28 (0.00%) 
Dyspnoea * 1  0/42 (0.00%)  0/42 (0.00%)  0/40 (0.00%)  0/30 (0.00%)  0/37 (0.00%)  0/16 (0.00%)  0/20 (0.00%)  1/28 (3.57%)  0/29 (0.00%)  0/20 (0.00%)  0/28 (0.00%) 
Epistaxis * 1  0/42 (0.00%)  1/42 (2.38%)  1/40 (2.50%)  0/30 (0.00%)  0/37 (0.00%)  0/16 (0.00%)  1/20 (5.00%)  0/28 (0.00%)  2/29 (6.90%)  0/20 (0.00%)  1/28 (3.57%) 
Nasal obstruction * 1  0/42 (0.00%)  0/42 (0.00%)  1/40 (2.50%)  0/30 (0.00%)  0/37 (0.00%)  0/16 (0.00%)  0/20 (0.00%)  0/28 (0.00%)  0/29 (0.00%)  0/20 (0.00%)  0/28 (0.00%) 
Oropharyngeal pain * 1  0/42 (0.00%)  1/42 (2.38%)  0/40 (0.00%)  1/30 (3.33%)  1/37 (2.70%)  0/16 (0.00%)  0/20 (0.00%)  0/28 (0.00%)  0/29 (0.00%)  0/20 (0.00%)  0/28 (0.00%) 
Upper respiratory tract inflammation * 1  1/42 (2.38%)  0/42 (0.00%)  1/40 (2.50%)  0/30 (0.00%)  0/37 (0.00%)  0/16 (0.00%)  0/20 (0.00%)  1/28 (3.57%)  0/29 (0.00%)  0/20 (0.00%)  1/28 (3.57%) 
Respiratory disorder * 1  0/42 (0.00%)  0/42 (0.00%)  1/40 (2.50%)  0/30 (0.00%)  0/37 (0.00%)  0/16 (0.00%)  0/20 (0.00%)  0/28 (0.00%)  0/29 (0.00%)  0/20 (0.00%)  0/28 (0.00%) 
Dry throat * 1  1/42 (2.38%)  0/42 (0.00%)  0/40 (0.00%)  0/30 (0.00%)  0/37 (0.00%)  0/16 (0.00%)  0/20 (0.00%)  0/28 (0.00%)  0/29 (0.00%)  0/20 (0.00%)  0/28 (0.00%) 
Rhinitis allergic * 1  0/42 (0.00%)  1/42 (2.38%)  0/40 (0.00%)  0/30 (0.00%)  1/37 (2.70%)  0/16 (0.00%)  0/20 (0.00%)  0/28 (0.00%)  0/29 (0.00%)  0/20 (0.00%)  0/28 (0.00%) 
Rhinorrhoea * 1  0/42 (0.00%)  1/42 (2.38%)  0/40 (0.00%)  0/30 (0.00%)  1/37 (2.70%)  0/16 (0.00%)  0/20 (0.00%)  0/28 (0.00%)  0/29 (0.00%)  0/20 (0.00%)  0/28 (0.00%) 
Nasal congestion * 1  0/42 (0.00%)  0/42 (0.00%)  0/40 (0.00%)  0/30 (0.00%)  1/37 (2.70%)  0/16 (0.00%)  0/20 (0.00%)  0/28 (0.00%)  0/29 (0.00%)  0/20 (0.00%)  0/28 (0.00%) 
Skin and subcutaneous tissue disorders                       
Acne * 1  0/42 (0.00%)  0/42 (0.00%)  1/40 (2.50%)  0/30 (0.00%)  0/37 (0.00%)  0/16 (0.00%)  0/20 (0.00%)  0/28 (0.00%)  0/29 (0.00%)  0/20 (0.00%)  0/28 (0.00%) 
Decubitus ulcer * 1  2/42 (4.76%)  1/42 (2.38%)  0/40 (0.00%)  1/30 (3.33%)  0/37 (0.00%)  0/16 (0.00%)  0/20 (0.00%)  1/28 (3.57%)  0/29 (0.00%)  0/20 (0.00%)  0/28 (0.00%) 
Dermal cyst * 1  0/42 (0.00%)  0/42 (0.00%)  0/40 (0.00%)  0/30 (0.00%)  0/37 (0.00%)  0/16 (0.00%)  0/20 (0.00%)  0/28 (0.00%)  1/29 (3.45%)  0/20 (0.00%)  0/28 (0.00%) 
Dermatitis acneiform * 1  0/42 (0.00%)  0/42 (0.00%)  1/40 (2.50%)  0/30 (0.00%)  0/37 (0.00%)  0/16 (0.00%)  0/20 (0.00%)  0/28 (0.00%)  0/29 (0.00%)  0/20 (0.00%)  0/28 (0.00%) 
Dermatitis atopic * 1  0/42 (0.00%)  0/42 (0.00%)  1/40 (2.50%)  0/30 (0.00%)  0/37 (0.00%)  0/16 (0.00%)  0/20 (0.00%)  0/28 (0.00%)  0/29 (0.00%)  0/20 (0.00%)  0/28 (0.00%) 
Eczema * 1  0/42 (0.00%)  0/42 (0.00%)  0/40 (0.00%)  0/30 (0.00%)  0/37 (0.00%)  0/16 (0.00%)  0/20 (0.00%)  1/28 (3.57%)  0/29 (0.00%)  0/20 (0.00%)  0/28 (0.00%) 
Pruritus * 1  1/42 (2.38%)  0/42 (0.00%)  1/40 (2.50%)  0/30 (0.00%)  1/37 (2.70%)  0/16 (0.00%)  0/20 (0.00%)  0/28 (0.00%)  0/29 (0.00%)  0/20 (0.00%)  0/28 (0.00%) 
Seborrhoeic dermatitis * 1  0/42 (0.00%)  0/42 (0.00%)  0/40 (0.00%)  0/30 (0.00%)  0/37 (0.00%)  0/16 (0.00%)  0/20 (0.00%)  0/28 (0.00%)  0/29 (0.00%)  1/20 (5.00%)  0/28 (0.00%) 
Skin odour abnormal * 1  0/42 (0.00%)  0/42 (0.00%)  0/40 (0.00%)  0/30 (0.00%)  0/37 (0.00%)  0/16 (0.00%)  0/20 (0.00%)  0/28 (0.00%)  1/29 (3.45%)  0/20 (0.00%)  0/28 (0.00%) 
Urticaria * 1  0/42 (0.00%)  0/42 (0.00%)  1/40 (2.50%)  0/30 (0.00%)  0/37 (0.00%)  0/16 (0.00%)  0/20 (0.00%)  0/28 (0.00%)  0/29 (0.00%)  0/20 (0.00%)  0/28 (0.00%) 
Dermatitis allergic * 1  1/42 (2.38%)  0/42 (0.00%)  0/40 (0.00%)  0/30 (0.00%)  0/37 (0.00%)  0/16 (0.00%)  0/20 (0.00%)  0/28 (0.00%)  0/29 (0.00%)  0/20 (0.00%)  0/28 (0.00%) 
Rash macular * 1  1/42 (2.38%)  0/42 (0.00%)  0/40 (0.00%)  0/30 (0.00%)  0/37 (0.00%)  0/16 (0.00%)  0/20 (0.00%)  0/28 (0.00%)  0/29 (0.00%)  0/20 (0.00%)  0/28 (0.00%) 
Rash * 1  0/42 (0.00%)  0/42 (0.00%)  0/40 (0.00%)  0/30 (0.00%)  1/37 (2.70%)  0/16 (0.00%)  0/20 (0.00%)  0/28 (0.00%)  0/29 (0.00%)  0/20 (0.00%)  0/28 (0.00%) 
Social circumstances                       
Wheelchair user * 1  0/42 (0.00%)  0/42 (0.00%)  0/40 (0.00%)  1/30 (3.33%)  0/37 (0.00%)  0/16 (0.00%)  0/20 (0.00%)  0/28 (0.00%)  0/29 (0.00%)  0/20 (0.00%)  0/28 (0.00%) 
Vascular disorders                       
Flushing * 1  0/42 (0.00%)  0/42 (0.00%)  0/40 (0.00%)  1/30 (3.33%)  0/37 (0.00%)  0/16 (0.00%)  0/20 (0.00%)  0/28 (0.00%)  0/29 (0.00%)  0/20 (0.00%)  0/28 (0.00%) 
1
Term from vocabulary, MedDRA v22.1
*
Indicates events were collected by non-systematic assessment
Certain Agreements
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
Layout table for Results Point of Contact information
Name/Title: Pfizer ClinicalTrials.gov Call Center
Organization: Pfizer Inc.
Phone: 1-800-718-1021
EMail: ClinicalTrials.gov_Inquiries@pfizer.com
Layout table for additonal information
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