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Efficacy and Tolerability of Propiverine Hydrochloride in Patients With Neurogenic Detrusor Overactivity

A

Apogepha

Status and phase

Completed
Phase 3

Conditions

Urinary Bladder Neurogenic Dysfunction
Urinary Bladder Disorder, Neurogenic
Urinary Bladder, Neurogenic
Bladder Disorder, Neurogenic
Neurogenic Urinary Bladder Disorder
Urinary Incontinence
Neurogenic Bladder Disorder
Urologic Diseases
Overactive Detrusor Function

Treatments

Drug: Propiverine hydrochloride ER (extended release)
Drug: Propiverine hydrochloride IR (immediate release)

Study type

Interventional

Funder types

Industry

Identifiers

NCT01530620
8405010

Details and patient eligibility

About

The purpose of this clinical study is to compare efficacy and safety of propiverine hydrochloride extended and immediate release formulations in patients suffering from neurogenic detrusor overactivity.

Enrollment

66 patients

Sex

All

Ages

18 to 70 years old

Volunteers

No Healthy Volunteers

Inclusion criteria

  • Male or female Caucasian patients aged ≥18 and ≤70 years
  • Voluntarily signed informed consent
  • Neurogenic detrusor overactivity with occurrence of reflex detrusor contractions
  • Reflex volume of ≤250 mL
  • Intact reflex arcs in the area of segments S2-S4

Exclusion criteria

  • Patients suffering from multiple sclerosis under unstable conditions
  • Augmented reflex bladder
  • Patients with increased residual urine (≥20 % of the maximum bladder capacity), in whom catheterization is not possible
  • Acute urinary tract infection
  • Electrostimulation therapy (within 4 weeks propir to Visit 1)
  • Anomalies of the lower genitourinary tract (e.g. ectopic ureters, fistulas, urethral stenosis)
  • Radiation bladder, interstitial cystitis, bladder calculi, bladder carcinoma
  • Surgery of the lower genitourinary tract within the last 6 months (e.g. prostatectomy, hysterectomy, tumor surgery)
  • Pre-existing medical contraindications for anticholinergics
  • Cardiac insufficiency (NYHA stage III/ IV)
  • Therapy with botulinum toxin within the last 12 months
  • Evidence of severe renal, hepatic or metabolic disorders
  • History of drug or alcohol abuse
  • Concomitant medication known to have a potential to interfere with the trial medication
  • Known hypersensitivity to Propiverine hydrochloride or excipients contained in the trial medication, respectively
  • Pregnant or breast-feeding women, or women of childbearing potential without using any reliable contraceptive method
  • Patients with impaired co-operation or who are unable to understand the nature, scope and possible consequences of the study

Trial design

Primary purpose

Treatment

Allocation

Randomized

Interventional model

Parallel Assignment

Masking

Quadruple Blind

66 participants in 2 patient groups

Propiverine hydrochloride ER
Experimental group
Description:
45 mg
Treatment:
Drug: Propiverine hydrochloride ER (extended release)
Propiverine hydrochloride IR
Active Comparator group
Description:
15 mg
Treatment:
Drug: Propiverine hydrochloride IR (immediate release)

Trial contacts and locations

3

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Data sourced from clinicaltrials.gov

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