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Trial details imported from ClinicalTrials.gov
For full trial details, please see the original record at
https://clinicaltrials.gov/study/NCT01908829
Registration number
NCT01908829
Ethics application status
Date submitted
24/07/2013
Date registered
26/07/2013
Titles & IDs
Public title
A Trial Comparing Combination Treatment (Solifenacin Plus Mirabegron) With One Treatment Alone (Solifenacin)
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Scientific title
A Randomized, Double-Blind, Multi-Centre Study to Evaluate the Efficacy and Safety of Adding Mirabegron to Solifenacin in Incontinent OAB Subjects Who Have Received Solifenacin for 4 Weeks and Warrant Additional Relief for Their OAB Symptoms
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Secondary ID [1]
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2012-005401-41
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Secondary ID [2]
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905-EC-012
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Universal Trial Number (UTN)
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Trial acronym
BESIDE
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Urinary Bladder Diseases
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Urinary Bladder Overactive
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Urologic Diseases
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Condition category
Condition code
Renal and Urogenital
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Other renal and urogenital disorders
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Treatment: Drugs - mirabegron 25 mg
Treatment: Drugs - mirabegron 50 mg
Treatment: Drugs - solifenacin 5 mg
Treatment: Drugs - solifenacin 10 mg
Treatment: Drugs - mirabegron 25 mg matching placebo
Treatment: Drugs - mirabegron 50 mg matching placebo
Treatment: Drugs - solifenacin 5 mg matching placebo
Treatment: Drugs - solifenacin 10 mg matching placebo
Experimental: Combination (solifenacin + mirabegron) - Participants received solifenacin 5 mg, mirabegron 25 mg and solifenacin 10 mg matching placebo once daily for the first 4 weeks of double-blind period. For the last 8 weeks of the double-blind treatment period, the 25 mg mirabegron tablet was replaced by a 50 mg mirabegron tablet. Placebo was given for the 2 week single-blind safety follow-up period.
Active comparator: Solifenacin 5 mg - Participants received solifenacin 5 mg, mirabegron 25 mg matching placebo and solifenacin 10 mg matching placebo once daily. For the last 8 weeks of the double-blind treatment period, the 25 mg mirabegron matching placebo tablet was replaced by a 50 mg mirabegron matching placebo tablet (to maintain the blind). Placebo was given for the 2 week single-blind safety follow-up period
Active comparator: Solifenacin 10 mg - Participants received solifenacin 5 mg matching placebo, mirabegron 25 mg matching placebo and solifenacin 10 mg once daily. For the last 8 weeks of the double-blind treatment period, the 25 mg mirabegron matching placebo tablet was replaced by a 50 mg mirabegron matching placebo tablet (to maintain the blind). Placebo was given for the 2 week single-blind safety follow-up period.
Treatment: Drugs: mirabegron 25 mg
Mirabegron was supplied as the marketed formulation in the 25 mg OCAS (Oral Controlled Absorption System) modified release tablets. Medication was taken orally with a glass of water, with or without food.
Treatment: Drugs: mirabegron 50 mg
Mirabegron was supplied as the marketed formulation in the 50 mg OCAS (Oral Controlled Absorption System) modified release tablets. Medication was taken orally with a glass of water, with or without food.
Treatment: Drugs: solifenacin 5 mg
Solifenacin was provided as the marketed formulation in the 5 mg strength. Medication was taken orally with a glass of water, with or without food.
Treatment: Drugs: solifenacin 10 mg
Solifenacin was provided as the marketed formulation in the 10 mg strength. Medication was taken orally with a glass of water, with or without food.
Treatment: Drugs: mirabegron 25 mg matching placebo
Matching placebo of mirabegron OCAS 25 mg tablets was supplied. Medication was taken orally with a glass of water, with or without food.
Treatment: Drugs: mirabegron 50 mg matching placebo
Matching placebo of mirabegron OCAS 50 mg tablets was supplied. Medication was taken orally with a glass of water, with or without food.
Treatment: Drugs: solifenacin 5 mg matching placebo
Matching placebo of solifenacin succinate 5 mg tablets was supplied. Medication was taken orally with a glass of water, with or without food.
Treatment: Drugs: solifenacin 10 mg matching placebo
Matching placebo of solifenacin succinate 10 mg tablets was supplied. Medication was taken orally with a glass of water, with or without food.
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Intervention code [1]
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Treatment: Drugs
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Comparator / control treatment
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Control group
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Outcomes
Primary outcome [1]
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Change From Baseline to End of Treatment (EoT) in Mean Number of Incontinence Episodes Per 24 Hours
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Assessment method [1]
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The mean number of incontinence episodes (complaint of any involuntary leakage of urine) per day was derived from number of incontinence episodes recorded on valid diary days during the 3-day micturition diary period divided by the number of valid diary days during the 3-day micturition diary period. The analysis population consisted of the Full Analysis Set (FAS) which comprised of all the Randomized Analysis Set's (RAS) participants who met the following criteria: took at least 1 dose of double-blind study drug after randomization, reported at least 1 micturition in the baseline diary \& at least 1 micturition postbaseline \& reported at least 1 incontinence episode in the baseline diary. For participants who withdrew before EoT (week 12) and have no measurement available for that diary period, the Last Observation Carried Forward (LOCF) value during the double-blind study period was used as EoT value to derive the primary variable.
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Timepoint [1]
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Baseline and end of treatment (up to 12 weeks)
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Secondary outcome [1]
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Change From Baseline to Weeks 4, 8 & 12 in Mean Number of Incontinence Episodes Per 24 Hours
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Assessment method [1]
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The mean number of incontinence episodes (complaint of any involuntary leakage of urine) per day was derived from number of incontinence episodes recorded on valid diary days during the 3-day micturition diary period divided by the number of valid diary days during the 3-day micturition diary period.
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Timepoint [1]
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Baseline and weeks 4, 8 & 12
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Secondary outcome [2]
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Change From Baseline in Mean Number of Micturitions Per 24 Hours
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Assessment method [2]
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The average number of micturitions (voluntary urinations (excluding incontinence only episodes)) per 24 hours was derived from number of micturitions recorded on valid diary days during the 3-day micturition diary period divided by the number of valid diary days during the 3-day micturition diary period (excluding incontinence only episodes).
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Timepoint [2]
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Baseline and weeks 4, 8 & 12
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Secondary outcome [3]
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Number of Incontinence Episodes Reported During the 3-Day Diary
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Assessment method [3]
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The number of incontinence episodes (complaint of any involuntary leakage of urine) per day was derived from total number of incontinence episodes on valid diary days recorded during the 3-day micturition diary period.
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Timepoint [3]
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Weeks 4, 8 and 12
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Secondary outcome [4]
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Change From Baseline in Mean Volume Voided (MVV) Per Micturition
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Assessment method [4]
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MVV per micturition was defined as MVV (mL) per micturition during last 3 days of the 3-day micturition diary period. MVV per micturition was calculated as the sum of each volume voided for each record with volume voided \> 0 on valid diary days divided by the total number of records with a volume voided \> 0 on valid diary days during the 3-day micturition diary period.
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Timepoint [4]
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Baseline and weeks 4, 8 & 12
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Secondary outcome [5]
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Change From Baseline to EoT in Corrected Micturition Frequency (CMF)
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Assessment method [5]
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CMF was defined as the mean number of micturitions per 24 hours that participants would have at EoT if their fluid intake had remained unchanged since baseline. This was calculated by the MVV per Micturition at baseline multiplied by the mean number of micturitions per 24 hours at baseline divided by the MVV per micturition at EoT.
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Timepoint [5]
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Baseline and EoT (up to 12 weeks)
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Secondary outcome [6]
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Change From Baseline in Mean Number of Urgency Incontinence (UI) Episodes Per 24 Hours
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Assessment method [6]
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UI was defined as the complaint of involuntary urine leakage accompanied by or immediately preceded by urgency. UI was measured using the Patient Perception of Intensity of Urgency Scale (PPIUS), a patient reported outcome validated 5-point categorical scale rating the degree of associated urinary urgency severity (0=No urgency, I felt no need to empty my bladder, but did so for other reasons. 1=Mild, I could postpone voiding as long as necessary, without fear of wetting myself. 2= Moderate, I could postpone voiding for a short while, without fear of wetting myself. 3=Severe, I could not postpone voiding, but had to rush to the toilet in order not to wet myself. 4=Urgency incontinence, I leaked before arriving to the toilet). One urgency incontinence episode was counted for each record of the diary in which the following occurred: incontinence episode or 'both' was recorded \& severity of urinary urgency recorded was 3 or 4.
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Timepoint [6]
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Baseline and weeks 4, 8 & 12
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Secondary outcome [7]
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Number of UI Episodes Reported During the 3-Day Diary
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Assessment method [7]
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Number of UI episodes was calculated using the number of UI episodes recorded on valid diary days during the 3-day micturition diary period. NOTE: Only urgency incontinence episodes recorded on a valid diary day were counted.
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Timepoint [7]
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Weeks 4, 8 and 12
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Secondary outcome [8]
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Change From Baseline in Mean Number of Urgency Episodes (Grade 3 and/or 4) Per 24 Hours
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Assessment method [8]
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An urgency episode was defined as the complaint of a sudden, compelling desire to pass urine, which is difficult to defer. The mean number of urgency episodes (severity of 3 or 4) per 24 hours was defined as the average number of times a participant recorded an urgency episode (severity of 3 or 4) with or without incontinence per day during the 3-day micturition diary period. Measured using the PPIUS scale. This was calculated using the sum of each record with an urgency episode (severity of 3 or 4) recorded on a valid diary day divided by the number of valid diary days during the 3-day micturition diary period.
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Timepoint [8]
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Baseline and weeks 4, 8 & 12
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Secondary outcome [9]
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Change From Baseline in Mean Number of Pads Per 24 Hours
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Assessment method [9]
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The mean number of pads per 24 hours was defined as the average number of times a participant recorded a new pad used per day during the 3-day micturition diary period. This was calculated using the number of new pads used during valid diary days during the 3-day micturition diary period divided by the number of valid diary days during the 3-day micturition diary period.
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Timepoint [9]
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Baseline and weeks 4, 8 & 12
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Secondary outcome [10]
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Number of Pads Used During the 3-Day Diary
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Assessment method [10]
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The number of pads used was defined as the number of times a participant recorded a new pad used during the 3-day micturition diary period. This was calculated using the sum of each record with new pad checked. Only records with new pad checked on a valid diary day were counted.
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Timepoint [10]
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Weeks 4, 8 and 12
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Secondary outcome [11]
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Change From Baseline in Mean Number of Nocturia Episodes
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Assessment method [11]
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Mean number of nocturia episodes was defined as the number of times a participant urinated (excluding incontinence only episodes) while sleeping during the 3-day diary period, divided by the number of valid diary days during the diary period. Night time episode of incontinence only was not considered a nocturia episode. Nocturia episodes were counted for each micturition record which occurred between the date/time of going to bed with intention to sleep and the date/time of getting up with intention to stay awake on a valid diary day \& which was accompanied by a sleep interruption. Nocturia only determined for those who were not night-shift workers.
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Timepoint [11]
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Baseline and weeks 4, 8 & 12
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Secondary outcome [12]
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Number of Nocturia Episodes Reported Over 3-Day Diary
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Assessment method [12]
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The number of nocturia episodes was defined as the number of times a participant urinated (excluding incontinence only episodes) during sleeping time during the 3-day micturition diary period. This was calculated using the sum of each nocturia episode recorded on valid diary days during the 3-day micturition diary period.
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Timepoint [12]
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Weeks 4, 8 and 12
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Secondary outcome [13]
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Number of Participants With Change From Baseline to EoT in Euroqol European Quality of Life-5 Dimensions (EQ-5D) Subscale Score: Mobility
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Assessment method [13]
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The EQ-5D is an international, standardized, nondisease specific instrument for describing and valuing health status. It has 5 dimensions: Mobility, Self-care, Usual Activities, Pain/Discomfort, and Anxiety/Depression. Each dimension has 5 response levels: level 1=no problem or none; level 2=slight problems; level 3=moderate problems; level 4=severe problems; level 5=unable to perform activity.
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Timepoint [13]
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Baseline and EoT (up to 12 weeks)
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Secondary outcome [14]
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Number of Participants With Change From Baseline to EoT in EQ-5D Subscale Score: Self-care
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Assessment method [14]
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The EQ-5D is an international, standardized, nondisease specific instrument for describing and valuing health status. It has 5 dimensions: Mobility, Self-care, Usual Activities, Pain/Discomfort, and Anxiety/Depression. Each dimension has 5 response levels: level 1=no problem or none; level 2=slight problems; level 3=moderate problems; level 4=severe problems; level 5=unable to perform activity.
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Timepoint [14]
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Baseline and EoT (up to 12 weeks)
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Secondary outcome [15]
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Number of Participants With Change From Baseline to EoT in EQ-5D Subscale Score: Usual Activities
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Assessment method [15]
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The EQ-5D is an international, standardized, nondisease specific instrument for describing and valuing health status. It has 5 dimensions: Mobility, Self-care, Usual Activities, Pain/Discomfort, and Anxiety/Depression. Each dimension has 5 response levels: level 1=no problem or none; level 2=slight problems; level 3=moderate problems; level 4=severe problems; level 5=unable to perform activity.
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Timepoint [15]
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Baseline and EoT (up to 12 weeks)
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Secondary outcome [16]
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Number of Participants With Change From Baseline to EoT in EQ-5D Subscale Score: Pain/Discomfort
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Assessment method [16]
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The EQ-5D is an international, standardized, nondisease specific instrument for describing and valuing health status. It has 5 dimensions: Mobility, Self-care, Usual Activities, Pain/Discomfort, and Anxiety/Depression. Each dimension has 5 response levels: level 1=no problem or none; level 2=slight problems; level 3=moderate problems; level 4=severe problems; level 5=unable to perform activity.
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Timepoint [16]
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Baseline and EoT (up to 12 weeks)
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Secondary outcome [17]
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Number of Participants With Change From Baseline to EoT in EQ-5D Subscale Score: Anxiety/Depression
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Assessment method [17]
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The EQ-5D is an international, standardized, nondisease specific instrument for describing and valuing health status. It has 5 dimensions: Mobility, Self-care, Usual Activities, Pain/Discomfort, and Anxiety/Depression. Each dimension has 5 response levels: level 1=no problem or none; level 2=slight problems; level 3=moderate problems; level 4=severe problems; level 5=unable to perform activity.
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Timepoint [17]
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Baseline and EoT (up to 12 weeks)
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Secondary outcome [18]
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Change From Baseline in Overactive Bladder Symptom (OAB-q) Symptom Bother Score
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Assessment method [18]
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The OAB-q was a self-reported questionnaire comprising 33-items each rated on a 6-point Likert scale. The questionnaire consisted of an 8-item symptom bother scale and 25 health-related QoL (HRQL) items comprising 4 HRQL subscales (Coping, Concern, Sleep, and Social Interaction). Symptom Bother score ranges from 0 (least severity) to 100 (worst severity).
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Timepoint [18]
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Baseline and weeks 4, 8 & 12
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Secondary outcome [19]
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Change From Baseline in OAB-q Health-Related Quality of Life (HRQL) Total Score
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Assessment method [19]
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The OAB-q was a self-reported questionnaire comprising 33-items each rated on a 6-point Likert scale. The questionnaire consisted of an 8-item symptom bother scale and 25 health-related QoL (HRQL) items comprising 4 HRQL subscales (Coping, Concern, Sleep, and Social Interaction). HRQL subscales (coping, concern, sleep and social) and total score range from 0 (worst quality of life) to 100 (best quality of life).
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Timepoint [19]
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Baseline and weeks 4, 8 & 12
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Secondary outcome [20]
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Change From Baseline in OAB-q HRQL Subscale Score: Coping
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Assessment method [20]
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The OAB-q was a self-reported questionnaire comprising 33-items each rated on a 6-point Likert scale. The questionnaire consisted of an 8-item symptom bother scale and 25 health-related QoL (HRQL) items comprising 4 HRQL subscales (Coping, Concern, Sleep, and Social Interaction). HRQL subscales (coping, concern, sleep and social) and total score range from 0 (worst quality of life) to 100 (best quality of life).
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Timepoint [20]
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Baseline and weeks 4, 8 & 12
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Secondary outcome [21]
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Change From Baseline in OAB-q HRQL Subscale Score: Concern
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Assessment method [21]
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The OAB-q was a self-reported questionnaire comprising 33-items each rated on a 6-point Likert scale. The questionnaire consisted of an 8-item symptom bother scale and 25 health-related QoL (HRQL) items comprising 4 HRQL subscales (Coping, Concern, Sleep, and Social Interaction). HRQL subscales (coping, concern, sleep and social) and total score range from 0 (worst quality of life) to 100 (best quality of life).
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Timepoint [21]
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Baseline and weeks 4, 8 & 12
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Secondary outcome [22]
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Change From Baseline in OAB-q HRQL Subscale Score: Sleep
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Assessment method [22]
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The OAB-q was a self-reported questionnaire comprising 33-items each rated on a 6-point Likert scale. The questionnaire consisted of an 8-item symptom bother scale and 25 health-related QoL (HRQL) items comprising 4 HRQL subscales (Coping, Concern, Sleep, and Social Interaction). HRQL subscales (coping, concern, sleep and social) and total score range from 0 (worst quality of life) to 100 (best quality of life).
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Timepoint [22]
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Baseline and weeks 4, 8 & 12
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Secondary outcome [23]
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Change From Baseline in OAB-q HRQL Subscale Score: Social Interaction
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Assessment method [23]
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The OAB-q was a self-reported questionnaire comprising 33-items each rated on a 6-point Likert scale. The questionnaire consisted of an 8-item symptom bother scale and 25 health-related QoL (HRQL) items comprising 4 HRQL subscales (Coping, Concern, Sleep, and Social Interaction). HRQL subscales (coping, concern, sleep and social) and total score range from 0 (worst quality of life) to 100 (best quality of life).
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Timepoint [23]
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Baseline and weeks 4, 8 & 12
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Secondary outcome [24]
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Change From Baseline in Treatment Satisfaction - Visual Analogue Scale (TS-VAS) Score
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Assessment method [24]
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The TS-VAS rated participant satisfaction with treatment on a scale from 0 (No, not at all) to 10 (Yes, completely).
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Timepoint [24]
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Baseline and weeks 4, 8 & 12
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Secondary outcome [25]
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Change From Baseline in Patient Perception Bladder Control (PPBC) Score
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Assessment method [25]
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The PPBC was a validated, global assessment tool using a 6-point Likert scale on which participants rated their subjective impression of their current bladder condition. PPBC score: 1-no problem, 2- some very minor problems, 3-some minor problems, 4-moderate problems, 5-severe problems, 6-many severe problems.
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Timepoint [25]
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Baseline and weeks 4, 8 & 12
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Secondary outcome [26]
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Number of Participants in Each Category of Patient and Clinician Global Impression of Change Scales (PGIC and CGIC)
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Assessment method [26]
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The PGIC was a 2-part questionnaire, assessing both the change in the participant's overall condition (Patient Impression in General Health (PIBS)) and change in bladder condition since the start of the study (Patient Impression in General Health (PIGH)) (from very much worse to very much improved). The CGIC was a single questionnaire assessing the participant's change in bladder condition since the beginning of the study (Clinician Impression in Bladder Symptoms (CIBS)).
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Timepoint [26]
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End of treatment (up to 12 weeks)
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Secondary outcome [27]
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Percentage of Participants With at Least a 50% Decrease From Baseline in Mean Number of Incontinence Episodes Per 24 Hours
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Assessment method [27]
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Incontinence was defined as any involuntary leakage of urine.
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Timepoint [27]
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Weeks 4, 8 and 12
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Secondary outcome [28]
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Percentage of Participants With Zero Incontinence Episodes Postbaseline
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Assessment method [28]
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Incontinence was defined as any involuntary leakage of urine.
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Timepoint [28]
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Weeks 4, 8 and 12
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Secondary outcome [29]
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Percentage of Participants With a Mean of at Least 8 Micturitions Per 24 Hours at Baseline and Less Than 8 Micturitions Per 24 Hours Postbaseline
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Assessment method [29]
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Micturitions were defined as voluntary urinations (excluding incontinence only episodes).
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Timepoint [29]
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Weeks 4, 8 and 12
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Secondary outcome [30]
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Percentage of Participants With at Least a 10-Point Improvement From Baseline in OAB-q Symptom Bother Score
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Assessment method [30]
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0
The OAB-q was a self-reported questionnaire comprising 33-items each rated on a 6-point Likert scale. The questionnaire consisted of an 8-item symptom bother scale and 25 health-related QoL (HRQL) items comprising 4 HRQL subscales (Coping, Concern, Sleep, and Social Interaction). Symptom Bother score ranges from 0 (least severity) to 100 (worst severity).
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Timepoint [30]
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Weeks 4, 8 and 12
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Secondary outcome [31]
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Percentage of Participants With at Least a 10-Point Improvement From Baseline in HRQL Total Score
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Assessment method [31]
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HRQL subscales (coping, concern, sleep and social) and total score range from 0 (worst quality of life) to 100 (best quality of life).
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Timepoint [31]
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Weeks 4, 8 and 12
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Secondary outcome [32]
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Percentage of Participants With at Least a 1-Point Improvement From Baseline in PPBC
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Assessment method [32]
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The PPBC was a validated, global assessment tool using a 6-point Likert scale on which participants rated their subjective impression of their current bladder condition.
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Timepoint [32]
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0
Weeks 4, 8 and 12
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Secondary outcome [33]
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Percentage of Participants With Major (at Least 2-Point) Improvement From Baseline in PPBC
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Assessment method [33]
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0
The PPBC was a validated, global assessment tool using a 6-point Likert scale on which participants rated their subjective impression of their current bladder condition.
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Timepoint [33]
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0
Weeks 4, 8 and 12
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Secondary outcome [34]
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Number of Participants With Adverse Events (AEs)
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Assessment method [34]
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AE was defined as any untoward medical occurrence in a participant administered a study drug or has undergone study procedures \& which does not necessarily have a causal relationship with this treatment. Treatment-Emergent Adverse Event (TEAE) referred to an adverse event which started or worsened in the period from first double-blind medication intake until 30 days after the last double-blind medication intake.
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Timepoint [34]
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From first dose of double blind treatment until 30 days after last dose (up to 16 weeks)
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Secondary outcome [35]
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Change From Baseline in Post Void Residual (PVR) Volume
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Assessment method [35]
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PVR Volume was assessed by bladder scan.
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Timepoint [35]
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Baseline and weeks 4, 8 & 12
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Eligibility
Key inclusion criteria
* Main Inclusion at Screening:
1. Subject has symptoms of OAB (urinary frequency and urgency with urgency incontinence) for >= 3 months prior to the screening visit
2. Subject is willing and able to complete the micturition diary and questionnaires correctly, including collection and measurement of urine output for 3 days prior to each visit;
3. Subject has symptoms of "wet" OAB (urinary frequency and urgency with incontinence or mixed incontinence with predominant urgency incontinence), and reports an average of at least 2 incontinence episodes per day.
* Main Inclusion at Run-in (Visit 2):
1. Subject experiences on average at least 1 episode of urgency (grade 3 or 4) with or without incontinence per 24-hour period during the 3-day micturition diary period.
2. Subject experiences on average at least 2 incontinence episodes per 24-hour period during the 3-day micturition diary period.
3. Subject experiences on average at least 8 micturitions (excluding incontinence episodes) per 24-hour period during the 3-day micturition diary period.
* Main Inclusion at Randomization (Visit 3):
1. Subject experiences at least 1 incontinence episode during the 3-day micturition diary period and wishes to increase their treatment for OAB symptoms.
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Minimum age
18
Years
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Maximum age
No limit
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Sex
Both males and females
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Can healthy volunteers participate?
No
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Key exclusion criteria
* Main Exclusion at Screening:
1. Subject in the opinion of the investigator has clinically significant Bladder Outlet Obstruction (BOO).
2. Subject has significant Post-void residual (PVR) volume (PVR > 150 ml).
3. Subject has significant stress incontinence or mixed stress/urgency incontinence where stress is the predominant factor as determined by the investigator
4. Subject has an indwelling catheter or practices intermittent self catheterization.
5. Subject has evidence of a UTI.
6. Subject has chronic inflammation such as interstitial cystitis, bladder stones, previous pelvic radiation therapy, or previous or current malignant disease of the pelvic organs
7. Subject has moderate to severe hepatic impairment
8. Subject has severe renal impairment or End Stage Renal disease
9. Subject has a clinically significant abnormal Electrocardiogram (ECG)
10. Subject has a concurrent malignancy or history of cancer (except noninvasive skin cancer) within the last 5 years prior to screening.
11. Subject has a QTcF interval > 450 ms for males or > 470 ms for females or is at risk of QT prolongation (e.g., family history of long QT syndrome, hypokalaemia).
12. Subject has received intravesical treatment in the past 12 months with e.g., botulinum toxin, resiniferatoxin, capsaicin.
13. Subject has severe uncontrolled hypertension, which is defined as a sitting average systolic blood pressure = 180 mmHg and/or average diastolic blood pressure = 110 mmHg.
* Main Exclusion at Randomization (visit 3):
1. Subject has achieved 100% continence from Visit 2 to Visit 3 (no incontinence episodes are recorded in the 3 day diary administered for 3 days prior to Visit 3).
2. Subject does not desire an increase in study medication.
3. Subject has an average total daily urine volume > 3000ml as recorded in the micturition diary.
4. Subject has severe uncontrolled hypertension, which is defined as a sitting average systolic blood pressure = 180 mmHg and/or average diastolic blood pressure = 110 mmHg.
5. Subject has a clinically significant abnormal ECG
Query!
Study design
Purpose of the study
Treatment
Query!
Allocation to intervention
Randomised controlled trial
Query!
Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
Query!
Methods used to generate the sequence in which subjects will be randomised (sequence generation)
Query!
Masking / blinding
Blinded (masking used)
Query!
Who is / are masked / blinded?
The people receiving the treatment/s
The people analysing the results/data
Query!
Query!
Query!
Query!
Intervention assignment
Parallel
Query!
Other design features
Query!
Phase
Phase 3
Query!
Type of endpoint/s
Query!
Statistical methods / analysis
Query!
Recruitment
Recruitment status
Completed
Query!
Data analysis
Query!
Reason for early stopping/withdrawal
Query!
Other reasons
Query!
Date of first participant enrolment
Anticipated
Query!
Actual
10/07/2013
Query!
Date of last participant enrolment
Anticipated
Query!
Actual
Query!
Date of last data collection
Anticipated
Query!
Actual
25/11/2014
Query!
Sample size
Target
Query!
Accrual to date
Query!
Final
2174
Query!
Recruitment in Australia
Recruitment state(s)
Query!
Recruitment hospital [1]
0
0
Site: 61006 - Adelaide
Query!
Recruitment hospital [2]
0
0
Site: 61001 - Kogarah, Sydney
Query!
Recruitment hospital [3]
0
0
Site: 61016 - Victoria
Query!
Recruitment postcode(s) [1]
0
0
- Adelaide
Query!
Recruitment postcode(s) [2]
0
0
- Kogarah, Sydney
Query!
Recruitment postcode(s) [3]
0
0
- Victoria
Query!
Recruitment outside Australia
Country [1]
0
0
United States of America
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State/province [1]
0
0
Arizona
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0
0
United States of America
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0
0
California
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0
United States of America
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Florida
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United States of America
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Georgia
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0
United States of America
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Idaho
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United States of America
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Indiana
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United States of America
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Maryland
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United States of America
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Massachusetts
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United States of America
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Michigan
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United States of America
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Nebraska
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North Carolina
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Ohio
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Utah
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Armenia
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Yerevan
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Austria
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Graz
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Austria
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Innsbruck
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Austria
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Linz
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Vienna
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Austria
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Anderlecht
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Belgium
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Deurne
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Belgium
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Edegem
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Belgium
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Gent
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Belgium
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Kortrijk
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Belgium
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Liege
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Belgium
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Roeselare
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Barrie
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Canada
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Canada
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Brno
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Melnik
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Nachod
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Czechia
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Plzen
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Czechia
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Czechia
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Prague
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Czechia
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Czechia
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Aarhus N
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Denmark
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Frederiksberg
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Denmark
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Herlev
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Odense C
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Finland
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Helsinki (hus)
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Finland
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Tampere
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France
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Bordeaux Cedex
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France
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Marseille
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Georgia
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T'bilisi
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Germany
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Bad Ems
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Germany
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Berlin
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Germany
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Hagenow
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Germany
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Halle (Saale)
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Germany
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Hamburg
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Germany
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Henningsdorf
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Germany
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Hettstedt
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Germany
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Koblenz
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Germany
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Lutherstadt Eisleben
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Germany
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Reutlingen
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Germany
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Sangerhausen
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Greece
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Athens
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Greece
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Heraklion, Crete
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Greece
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Patras
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Hungary
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Csongrad
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Hungary
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Hajduszoboszlo
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Hungary
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Nyiregyhaza
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Hungary
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Salgotarjan
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Hungary
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Szekszard
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Ireland
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Cork
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Ireland
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Dublin
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Ireland
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Limerick
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Ireland
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Mullingar
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Ireland
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Tralee
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Ireland
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Waterford
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Israel
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Haifa
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Israel
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Jerusalem
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0
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Israel
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Kfar Saba
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0
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Israel
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Petach Tikva
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Israel
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Tel Hashomer
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Italy
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Avellino
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Italy
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Cantanzaro
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Italy
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Firenze
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Italy
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Perugia
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Italy
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Treviglio (BG)
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Italy
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Varese
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Lebanon
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Beirut
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Netherlands
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Amsterdam
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Norway
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Bekkestua
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Norway
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Tonsberg
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Norway
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Trondheim
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Poland
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Kolbuszowa Dolna
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Poland
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Krakow
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Lublin
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Piaseczno
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Warszawa
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Portugal
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Lisbon
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Portugal
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Matosinhos
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Portugal
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Porto
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Portugal
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Setubal
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Portugal
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Tomar
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Bucharest
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Craiova
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Romania
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Judetul Ilfov
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Romania
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Oradea
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Timisoara
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Russian Federation
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Moscow
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Russian Federation
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Rostove-on-Don
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Russian Federation
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Saint Petersburg
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Russian Federation
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Saratov
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Slovakia
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Bratislava
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Slovakia
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Kosice
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Slovakia
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Michalovce
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Slovakia
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Nove Zamky
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Slovakia
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Piestany
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Slovakia
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Poprad
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Slovakia
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Zilina
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Slovenia
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Ljubljana
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Slovenia
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Maribor
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Slovenia
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Ptuj
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Spain
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Barcelona
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Spain
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Bilbao
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Spain
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Getafe (Madrid)
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Spain
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Madrid
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Spain
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Mendaro
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Spain
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Miranda de Ebro
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Spain
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San Sebastian de los Reyes
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Spain
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San Sebastian
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Spain
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Sevilla
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Spain
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Vigo
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Sweden
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Halmstad
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Sweden
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Lund
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Sweden
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Norrtalje
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Sweden
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Stockholm
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Sweden
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Umea
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Switzerland
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Baden
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Switzerland
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Frauenfeld
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Turkey
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Ankara
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Turkey
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Izmir
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Turkey
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Kocaeli
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Turkey
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Manisa
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Turkey
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Sivas
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United Kingdom
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Bristol
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United Kingdom
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Cambridge
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United Kingdom
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Cheltenham
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United Kingdom
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Coventry
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United Kingdom
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Garston
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United Kingdom
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Kings Lynn
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0
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United Kingdom
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London
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0
0
United Kingdom
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Northampton
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Country [159]
0
0
United Kingdom
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0
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Nottingham
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0
0
United Kingdom
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State/province [160]
0
0
Plymouth
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Country [161]
0
0
United Kingdom
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State/province [161]
0
0
Taunton
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Country [162]
0
0
United Kingdom
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State/province [162]
0
0
West Yorkshire
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Funding & Sponsors
Primary sponsor type
Commercial sector/industry
Query!
Name
Astellas Pharma Europe Ltd.
Query!
Address
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Country
Query!
Ethics approval
Ethics application status
Query!
Summary
Brief summary
The purpose of this study was to see if adding a new type of medication recently approved to treat overactive bladder (mirabegron) to an antimuscarinic treatment (solifenacin) would be more effective in controlling incontinence than when using the antimuscarinic treatment alone.
Query!
Trial website
https://clinicaltrials.gov/study/NCT01908829
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Trial related presentations / publications
Gibson W, MacDiarmid S, Huang M, Siddiqui E, Stolzel M, Choudhury N, Drake MJ. Treating Overactive Bladder in Older Patients with a Combination of Mirabegron and Solifenacin: A Prespecified Analysis from the BESIDE Study. Eur Urol Focus. 2017 Dec;3(6):629-638. doi: 10.1016/j.euf.2017.08.008. Epub 2017 Sep 12. Drake MJ, Chapple C, Esen AA, Athanasiou S, Cambronero J, Mitcheson D, Herschorn S, Saleem T, Huang M, Siddiqui E, Stolzel M, Herholdt C, MacDiarmid S; BESIDE study investigators. Efficacy and Safety of Mirabegron Add-on Therapy to Solifenacin in Incontinent Overactive Bladder Patients with an Inadequate Response to Initial 4-Week Solifenacin Monotherapy: A Randomised Double-blind Multicentre Phase 3B Study (BESIDE). Eur Urol. 2016 Jul;70(1):136-145. doi: 10.1016/j.eururo.2016.02.030. Epub 2016 Mar 8.
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Public notes
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Contacts
Principal investigator
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Clinical Study Manager
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Astellas Pharma Europe Ltd.
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Contact person for scientific queries
Data sharing statement
Will individual participant data (IPD) for this trial be available (including data dictionaries)?
Yes
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What data in particular will be shared?
Access to anonymized individual participant level data collected during the trial, in addition to study-related supporting documentation, is planned for trials conducted with approved product indications and formulations, as well as compounds terminated during development. Conditions and exceptions are described under the Sponsor Specific Details for Astellas on www.clinicalstudydatarequest.com.
Supporting document/s available: Study protocol, Statistical analysis plan (SAP), Clinical study report (CSR)
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When will data be available (start and end dates)?
Access to participant level data is offered to researchers after publication of the primary manuscript (if applicable) and is available as long as Astellas has legal authority to provide the data.
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Available to whom?
Researchers must submit a proposal to conduct a scientifically relevant analysis of the study data. The research proposal is reviewed by an Independent Research Panel. If the proposal is approved, access to the study data is provided in a secure data sharing environment after receipt of a signed Data Sharing Agreement.
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Available for what types of analyses?
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How or where can data be obtained?
IPD available at link: https://www.clinicalstudydatarequest.com/
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What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
No documents have been uploaded by study researchers.
Results are available at
https://clinicaltrials.gov/study/NCT01908829