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Trial details imported from ClinicalTrials.gov
For full trial details, please see the original record at
https://clinicaltrials.gov/study/NCT02660359
Registration number
NCT02660359
Ethics application status
Date submitted
14/01/2016
Date registered
21/01/2016
Titles & IDs
Public title
Dysport® Treatment of Urinary Incontinence in Adults Subjects With Neurogenic Detrusor Overactivity (NDO) Due to Spinal Cord Injury or Multiple Sclerosis - Study 2
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Scientific title
A Phase III, Multicentre, Randomised, Double Blind, Parallel Group, Placebo Controlled Study To Assess The Efficacy And Safety Of One Or More Intradetrusor Treatments Of 600 Or 800 Units Of Dysport® For The Treatment Of Urinary Incontinence In Subjects With Neurogenic Detrusor Overactivity Due To Spinal Cord Injury Or Multiple Sclerosis
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Secondary ID [1]
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2015-000507-44
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Secondary ID [2]
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D-FR-52120-223
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Universal Trial Number (UTN)
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Trial acronym
CONTENT2
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Urinary Incontinence
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Overactive Bladder
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Condition category
Condition code
Injuries and Accidents
0
0
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0
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Fractures
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Injuries and Accidents
0
0
0
0
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Other injuries and accidents
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Neurological
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0
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0
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Other neurological disorders
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Renal and Urogenital
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0
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0
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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: Other - Botulinum toxin type A
Treatment: Other - Botulinum toxin type A
Treatment: Drugs - Placebo
Treatment: Drugs - Placebo
Experimental: 600 U Dysport® Group -
Placebo comparator: 600 U Dysport® Placebo Group -
Experimental: 800 U Dysport® Group -
Placebo comparator: 800 U Dysport® Placebo Group -
Treatment: Other: Botulinum toxin type A
600 U intra detrusor injection in two treatment periods (Initial and Retreatment phase) delivered at 30 injection points.
Treatment: Other: Botulinum toxin type A
800 U intra detrusor injection in two treatment periods (Initial and Retreatment phase) delivered at 30 injection points
Treatment: Drugs: Placebo
AbobotulinumtoxinA Placebo 600 U intra detrusor injection in two treatment periods (Initial and Retreatment phase) delivered at 30 injection points
Treatment: Drugs: Placebo
AbobotulinumtoxinA Placebo 800 U intra detrusor injection in two treatment periods (Initial and Retreatment phase) delivered at 30 injection points
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Intervention code [1]
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Treatment: Other
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Intervention code [2]
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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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Mean Change From Baseline in Weekly Number of UI Episodes at Week 6 of DBPC Cycle
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Assessment method [1]
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The weekly number of UI episodes was measured using a 7-day bladder diary. Bladder diaries that contained data recorded on at least 5 days were included in the analysis. The least square (LS) mean of the change in weekly number of UI episodes at 6 weeks after the first study treatment was calculated using a mixed model repeated measures (MMRM) analysis.
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Timepoint [1]
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Baseline and Week 6 of DBPC Cycle
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Secondary outcome [1]
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Percentage of Subjects With No Episodes of UI at Week 6 of DBPC Cycle
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Assessment method [1]
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The weekly number of UI episodes was measured using a 7-day bladder diary. Bladder diaries that contained data recorded on at least 5 days were included in the analysis. The number of subjects with no UI episodes at 6 weeks after the first study treatment was recorded. Percentage of subjects with no episodes of UI (=100% Improvement) was calculated as: Total number of subjects with no weekly number of UI episodes at Week 6 / Total number of subjects with any number of UI events at Week 6.
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Timepoint [1]
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Baseline and Week 6 of DBPC Cycle
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Secondary outcome [2]
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Percentage of Subjects With a UI Response at Improvement Levels =30%, =50%, and =75% at Week 6 of the DBPC Cycle
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Assessment method [2]
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The weekly number of UI episodes was measured using a 7-day bladder diary. Bladder diaries that contained data recorded on at least 5 days were included in the analysis. The percentage of subjects showing an improvement of =30%, =50% and =75% was calculated as: Total number of subjects with UI response level \>=30% or \>=50% or \>=75% improvement at Week 6 / Total number of subjects with any UI response at Week 6.
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Timepoint [2]
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Baseline and Week 6 of DBPC Cycle
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Secondary outcome [3]
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Median Time Between Treatments
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Assessment method [3]
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Duration of effect for time between treatments was calculated by: (the date of the first retreatment visit - date of first treatment administration in the DBPC cycle). The median number of days between treatments was determined and subjects with no retreatment were censored at the last visit.
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Timepoint [3]
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Day of first treatment (baseline) to day of retreatment, up to 2 years
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Secondary outcome [4]
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Mean Change From Baseline in Volume Per Void at Week 6 of DBPC Cycle
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Assessment method [4]
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The volume per void was measured during one 24-hour period of the 7-day bladder diary. The LS mean of the change in volume per void at 6 weeks after the first study treatment was calculated using a MMRM analysis.
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Timepoint [4]
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Baseline and Week 6 of DBPC Cycle
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Secondary outcome [5]
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Mean Change From Baseline in Maximum Cystometric Capacity (MCC) at Week 6 of DBPC Cycle
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Assessment method [5]
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Subjects included in the urodynamic subset (84.9% of randomised subjects) had a standardised urodynamic filling cystometry assessment at baseline (Screening) and again at Week 6 to determine the MCC. The LS mean of the change in MCC at 6 weeks after the first study treatment was calculated using an analysis of covariance (ANCOVA).
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Timepoint [5]
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Baseline and Week 6 of DBPC Cycle
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Secondary outcome [6]
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Mean Change From Baseline in Maximum Detrusor Pressure (MDP) During Storage at Week 6 of DBPC Cycle
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Assessment method [6]
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Subjects included in the urodynamic subset (84.9% of randomised subjects) had a standardised urodynamic filling cystometry assessment at baseline (Screening) and again at Week 6 to determine the MDP. The LS mean of the change in MDP at 6 weeks after the first study treatment was calculated using an ANCOVA.
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Timepoint [6]
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Baseline and Week 6 of DBPC Cycle
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Secondary outcome [7]
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Mean Change From Baseline in Volume at First Involuntary Detrusor Contraction (Vol@1stIDC) at Week 6 of DBPC Cycle
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Assessment method [7]
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Subjects included in the urodynamic subset (84.9% of randomised subjects) had a standardised urodynamic filling cystometry assessment at baseline (Screening) and again at Week 6 to determine the Vol@1stIDC which is the instilled volume when first IDC commences. Subjects who did not exhibit a post-treatment IDC at Week 6 had Vol@1stIDC imputed using the recorded corrected MCC volume at Week 6. The LS mean of the change in Vol@1stIDC at 6 weeks after the first study treatment was calculated using an ANCOVA.
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Timepoint [7]
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Baseline and Week 6 of DBPC Cycle
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Secondary outcome [8]
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Percentage of Subjects With No Involuntary Detrusor Contraction (IDCs) During Storage at Week 6 of DBPC Cycle
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Assessment method [8]
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Subjects included in the urodynamic subset (84.9% of randomised subjects) had a standardised urodynamic filling cystometry assessment at baseline (Screening) and again at Week 6 to determine the occurrence of IDCs. The percentage of subjects without IDCs at 6 weeks after the first study treatment was recorded.
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Timepoint [8]
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Baseline and Week 6 of DBPC Cycle
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Eligibility
Key inclusion criteria
Key
* Urinary Incontinence for at least 3 months prior to Screening as a result of Neurogenic Detrusor Overactivity due to Spinal Cord Injury or Multiple Sclerosis.
* Subjects with Spinal Cord Injury must have a stable neurological injury at T1 level or below which occurred at least 6 months prior to Screening.
* Subjects with Multiple Sclerosis must be clinically stable in the investigator's opinion, with no exacerbation (relapse) of MS for at least 3 months prior to Screening.
* Subjects must have had an inadequate response after at least 4 weeks of oral medications used in the treatment of NDO (e.g. anticholinergics, beta-3 agonists) and/or have intolerable side-effects.
* Routinely performing Clean Intermittent Catheterization (CIC) to ensure adequate bladder emptying.
* An average of at least two episodes per day of Urinary Incontinence recorded on the screening bladder diary.
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Minimum age
18
Years
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Maximum age
80
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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
* Any current condition (other than NDO) that may impact on bladder function.
* Previous or current, tumour or malignancy affecting the spinal column or spinal cord, or any other unstable cause of SCI.
* Any condition that will prevent cystoscopic treatment administration or CIC usage, e.g. urethral strictures.
* Current indwelling bladder catheter, or removal of indwelling bladder catheter less than 4 weeks prior to Screening.
* BTX-A treatment within 9 months prior to Screening for any urological condition (e.g. detrusor or urethral sphincter treatments).
* Any neuromodulation/electrostimulation usage for urinary symptoms/incontinence within 4 weeks prior to Screening. Any implanted neuromodulation device must be switched off at least 4 weeks prior to Screening.
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Study design
Purpose of the study
Treatment
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Allocation to intervention
Randomised controlled trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
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Masking / blinding
Blinded (masking used)
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Who is / are masked / blinded?
The people receiving the treatment/s
The people administering the treatment/s
The people analysing the results/data
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Intervention assignment
Parallel
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Other design features
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Phase
Phase 3
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Type of endpoint/s
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Statistical methods / analysis
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Recruitment
Recruitment status
Stopped early
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Data analysis
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Reason for early stopping/withdrawal
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Other reasons
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Date of first participant enrolment
Anticipated
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Actual
8/07/2016
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Date of last participant enrolment
Anticipated
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Actual
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Date of last data collection
Anticipated
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Actual
4/07/2019
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Sample size
Target
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Accrual to date
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Final
258
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Recruitment in Australia
Recruitment state(s)
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Recruitment hospital [1]
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Prince of Wales Hospital (POWH) - Sydney
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Recruitment hospital [2]
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Westmead Hospital - Westmead
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Recruitment postcode(s) [1]
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2031 - Sydney
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Recruitment postcode(s) [2]
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2145 - Westmead
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Recruitment outside Australia
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Argentina
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Buenos Aires
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Argentina
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Córdoba
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Argentina
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Godoy Cruz
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Belgium
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Antwerp
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Belgium
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Brussels
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Belgium
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Esneux
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Brazil
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Campinas
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Brazil
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Curitiba
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Brazil
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Passo Fundo
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Santo André
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Brazil
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Chile
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Medellin
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Paris
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Toulouse Cedex 9
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Germany
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Bonn
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Monchengladbach
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Bedford
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Sheffield
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Stanmore
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United Kingdom
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Wakefield
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Funding & Sponsors
Primary sponsor type
Commercial sector/industry
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Name
Ipsen
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Address
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Country
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Ethics approval
Ethics application status
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Summary
Brief summary
The purpose of this study is to provide confirmatory evidence of the safety and efficacy of two Dysport® doses (600 units \[U\] and 800 U), compared to placebo in reducing urinary incontinence (UI) in adult subjects treated for neurogenic detrusor overactivity (NDO) due to spinal cord injury (SCI) or multiple sclerosis (MS).
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Trial website
https://clinicaltrials.gov/study/NCT02660359
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
Name
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Ipsen Medical Director
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Address
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Ipsen
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Contact person for public queries
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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?
Qualified researchers may request access to patient level data and related study documents including the clinical study report, study protocol with any amendments, annotated case report form, statistical analysis plan, and dataset specifications. Patient level data will be anonymized, and study documents will be redacted to protect the privacy of study participants.
Any requests should be submitted to www.vivli.org for assessment by an independent scientific review board.
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When will data be available (start and end dates)?
Where applicable, data from eligible studies are available 6 months after the studied medicine and indication have been approved in the US and EU or after the primary manuscript describing the results has been accepted for publication, whichever is later.
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Available to whom?
Further details on Ipsen's sharing criteria, eligible studies and process for sharing are available here (https://vivli.org/members/ourmembers/).
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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://vivli.org/members/ourmembers/
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What supporting documents are/will be available?
No Supporting Document Provided
Type
Other Details
Attachment
Study protocol
https://cdn.clinicaltrials.gov/large-docs/59/NCT02660359/Prot_000.pdf
Statistical analysis plan
https://cdn.clinicaltrials.gov/large-docs/59/NCT02660359/SAP_001.pdf
Results publications and other study-related documents
No documents have been uploaded by study researchers.
Results not provided in
https://clinicaltrials.gov/study/NCT02660359