Status:

COMPLETED

Effects and Safety of Liposome Encapsulated Botulinum Toxin A for Overactive Bladder Syndrome

Lead Sponsor:

Buddhist Tzu Chi General Hospital

Conditions:

Overactive Bladder

Eligibility:

All Genders

18+ years

Phase:

PHASE2

Brief Summary

Overactive bladder (OAB) is a bothered symptom syndrome. Traditional medication for OAB is antimuscarinic agent. However, adverse events such as dry mouth, constipation, blurred vision, and dizziness ...

Detailed Description

Overactive bladder (OAB) is a symptom syndrome characterized by urgency frequency with or without urgency incontinence, usually no metabolic or anatomical disorders can be found and it may have great ...

Eligibility Criteria

Inclusion

  • Adults with age of 20 years old or above
  • Patients with symptoms of urgency frequency and/or urge incontinence and a urgency severity scale (USS) of at least 2, with or without urodynamically proven detrusor overactivity (DO) (defined by the International Continence Society (ICS) recommendation as: spontaneous detrusor contraction occurring during bladder filling phase or occurring before uninhibited detrusor contraction voiding at bladder capacity in the urodynamic study)
  • Free of active urinary tract infection
  • Free of bladder outlet obstruction on enrollment
  • Free of overt neurogenic bladder dysfunction
  • Having been treated with antimuscarinic agents for at least 4 weeks without effect or with intolerable adverse effects
  • Patient has not been treated with bladder surgery for OAB, such as enterocystoplasty, that might affect the therapeutic effect of test drug
  • Patient can record voiding diary for the urinary frequency and urgency
  • Patient or his/her legally acceptable representative has signed the written informed consent form

Exclusion

  • Use of antimuscarinic agent and effective in treatment of lower urinary tract symptoms
  • Patients with severe cardiopulmonary disease and such as congestive heart failure, arrhythmia, poorly controlled hypertension, not able to receive regular follow-up
  • Patients with bladder outlet obstruction on enrollment
  • Patients with postvoid residual \>150 mL
  • Patients with uncontrolled confirmed diagnosis of acute urinary tract infection
  • Patients have laboratory abnormalities at screening including:
  • Alanine aminotransferase (ALT) \>3 x upper limit of normal range Aspartate aminotransferase (AST) \>3 x upper limit of normal range Patients have abnormal serum creatinine level \>2 x upper limit of normal range
  • Patients with any contraindication to be urethral catheterization during treatment
  • Female patients who is pregnant, lactating, or with child-bearing potential without contraception.
  • Myasthenia gravis, Eaton Lambert syndrome.
  • Patients with any other serious disease considered by the investigator not suitable for general anesthesia or in the condition to enter the trial
  • Patients participated investigational drug trial within 1 month before entering this study

Key Trial Info

Start Date :

May 1 2010

Trial Type :

INTERVENTIONAL

Allocation :

ACTUAL

End Date :

December 1 2013

Estimated Enrollment :

62 Patients enrolled

Trial Details

Trial ID

NCT01167257

Start Date

May 1 2010

End Date

December 1 2013

Last Update

September 22 2014

Active Locations (1)

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1

Buddhist Tzu Chi General Hospital

Hualien City, Taiwan, 970