Title

SMP-986 Phase 2 Proof of Concept in Patients With Overactive Bladder Syndrome (OABS)
A 10-week Randomised, DB, PG, PC Phase 2 Study to Investigate the Extent of Symptom Relief and the Safety and Tolerability of SMP-986 (20, 40, 80 and 120 mg) Administered Once Daily for 8 Weeks to Patients With Overactive Bladder Syndrome
  • Phase

    Phase 2
  • Study Type

    Interventional
  • Intervention/Treatment

    afacifenacin ...
  • Study Participants

    550
SMP-986 is a compound being developed for the treatment of overactive bladder syndrome (OABS). This clinical study is designed to test the hypothesis that SMP-986 at doses of 20mg, 40mg, 80mg or 120mg provides greater symptom relief in OABS compared to placebo. The hypothesis will be tested by measuring the change in mean voids/24 hrs after treatment with SMP-986 compared to placebo, as well comparing the change in: the severity of urgency episodes, mean number of urgency episodes/24 hr, mean number of incontinence episodes/24 hr and the mean void volume/void between SMP-986 and placebo.
A multicenter study conducted in patients with OABS comprising a 2-week single blind placebo run-in period followed by an 8-week randomized, double-blind, placebo controlled treatment period with patients randomized to receive 20 mg, 40 mg, 80 mg or 120 mg SMP 986 or placebo in a 1:1:1:1:1 ratio in parallel groups on an outpatient basis with study center visits.
Study Started
Dec 31
2006
Primary Completion
Jun 30
2008
Study Completion
Jul 31
2008
Results Posted
Dec 10
2014
Estimate
Last Update
Dec 10
2014
Estimate

Drug Placebo

Placebo, 2 week duration.

Drug Placebo

Taken for the 8 week duration, in parallel with alternative arms (doses of 20, 40, 80 or 120mg SMP-986).

Drug SMP-986

Comparison of varying dosages (20, 40, 80 or 120mg) of SMP-986 against placebo. Dosing is to occur once daily, in the morning, for a duration of 8 weeks

1 Placebo Comparator

Placebo run-in phase. 2 week duration.

2 Placebo Comparator

To be taken for the 8 week duration, in parallel with alternative arms (doses of 20, 40, 80 or 120mg SMP-986).

3 Experimental

20mg dose of SMP-986 to be taken once daily for 8 week duration.

4 Experimental

40mg dose of SMP-986 to be taken for 8 week duration.

5 Experimental

80mg dose of SMP-986 to be taken for 8 week duration.

6 Experimental

120mg dose of SMP-986 to be taken for 8 week duration.

Criteria

Inclusion Criteria:

Main Inclusion Criteria:

Males, or females who are not of child-bearing potential
Aged 20-80 years (inclusive) with a diagnosis of OABS based on symptomatic reporting over a period of 6 months (micturition frequency, and urgency with or without incontinence) prior to screening.

Exclusion Criteria:

Main Exclusion Criteria:

Patients will be excluded if there is an indication of any bladder outlet obstruction or polyuria

Patients with the following conditions, or who have undergone the following procedures, will be excluded:

stress urinary incontinence
pelvic organ prolapse ( stage 2)
genitourinary or lower bowel surgery (within 12 months prior to screening),
pathological conditions including poorly controlled diabetes, painful bladder syndrome/interstitial cystitis or history of chronic urinary tract infection
neurological conditions including multiple sclerosis, Parkinson's disease or neuropathy)
Patients will also be excluded if they have an indwelling catheter or perform intermittent self catheterisation

Patients should not have a current or past medical condition contraindicating the use of antimuscarinics and must have discontinued use of the following drugs:

drugs used to treat OABS or urinary incontinence
cholinergics
anticholinergics
alpha adrenergic antagonists
opioid analgesics
compound analgesics containing an opioid
warfarin
Patients with a current or past malignancy (within the last 5 years)
Patients who have ever had a tumour affecting the genitourinary tract (not including benign prostatic hyperplasia) will be excluded.
Patients will be ineligible if they have a clinically significant cardiac, neurological, hepatic, renal, respiratory, haematological or gastrointestinal disorder (including, a significant history of constipation or an active bowel disease e.g. inflammatory bowel disease) or any other illness which in the opinion of the Investigator would preclude the safe or compliant participation of a subject.
Patients will be excluded if they are unable to complete the study diary

Summary

Placebo

20mg Dose of SMP-986

40mg Dose of SMP-986

80mg Dose of SMP-986

120mg Dose of SMP-986

All Events

Event Type Organ System Event Term Placebo 20mg Dose of SMP-986 40mg Dose of SMP-986 80mg Dose of SMP-986 120mg Dose of SMP-986

Change From Baseline to Week 8 in the Number of Voids/24 Hours

Placebo

-1.06
voids/24 hrs. (Least Squares Mean)
Standard Error: 2.223

20mg Dose of SMP-986

-1.44
voids/24 hrs. (Least Squares Mean)
Standard Error: 2.402

40mg Dose of SMP-986

-1.78
voids/24 hrs. (Least Squares Mean)
Standard Error: 2.376

80mg Dose of SMP-986

-2.41
voids/24 hrs. (Least Squares Mean)
Standard Error: 2.383

120mg Dose of SMP-986

-1.92
voids/24 hrs. (Least Squares Mean)
Standard Error: 2.145

To Assess the Safety and Tolerability of 20, 40, 80 and 120 mg SMP 986 (o.d) Following 8-weeks of Treatment in Patients With Over Active Bladder Syndrome

Treatment emergent adverse event summary

Placebo

61.0
participants

20mg Dose of SMP-986

62.0
participants

40mg Dose of SMP-986

61.0
participants

80mg Dose of SMP-986

87.0
participants

120mg Dose of SMP-986

90.0
participants

Total

550
Participants

Age, Continuous

61.4
years (Mean)
Standard Deviation: 9.96

Age, Categorical

Race (NIH/OMB)

Region of Enrollment

Sex: Female, Male

Overall Study

Placebo

20mg Dose of SMP-986

40mg Dose of SMP-986

80mg Dose of SMP-986

120mg Dose of SMP-986