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Effects of Fesoterodine and Solifenacin on Gastrointestinal Transit in Healthy Female Subjects
This study is currently recruiting participants.
Verified by Mayo Clinic, May 2009
First Received: May 1, 2009   No Changes Posted
Sponsors and Collaborators: Mayo Clinic
Pfizer
Information provided by: Mayo Clinic
ClinicalTrials.gov Identifier: NCT00892034
  Purpose

This study is being done to evaluate the effect of fesoterodine 4 mg and 8 mg as compared to placebo on the speed at which food travels through the stomach, intestines and colon. Sustained release fesoterodine and solifenacin are both FDA-approved for the treatment of overactive bladder.


Condition Intervention Phase
Healthy Volunteers
Drug: 8 mg Fesoterodine SR tablet and matched 10 mg Solifenacin (Vesicare) placebo tablet
Drug: Matched 8 mg placebo tablet and 10 mg solifenacin (Vesicare) tablets
Drug: Placebo + Placebo tablets
Phase II

Drug Information available for: Solifenacin Solifenacin succinate Fesoterodine Fesoterodine fumarate
U.S. FDA Resources
Study Type: Interventional
Study Design: Treatment, Randomized, Double Blind (Subject, Investigator, Outcomes Assessor), Placebo Control, Parallel Assignment, Safety/Efficacy Study
Official Title: A Randomized, Double-Blind, Placebo-Controlled, Parallel Group, Multiple Dose Study to Investigate the Effects of 8 mg Fesoterodine SR Tablets and 10 mg Solifenacin Tablet on Gastrointestinal Transit in Healthy Female Subjects

Further study details as provided by Mayo Clinic:

Primary Outcome Measures:
  • Geometric Center (GC) [ Time Frame: at 24 hours measured from Day 12 to 14 ] [ Designated as safety issue: No ]

Secondary Outcome Measures:
  • Proximal colonic emptying rate.
  • Geometric center (GC) [ Time Frame: at 48 hours (GC48) measured from Day 12 to 14 ] [ Designated as safety issue: No ]
  • Colonic filling (surrogate marker of small bowel transit time) [ Time Frame: at 6 hours ] [ Designated as safety issue: No ]
  • Gastric emptying time (t 1/2) [ Time Frame: 2 hours and 4 hours ] [ Designated as safety issue: No ]

Estimated Enrollment: 200
Study Start Date: March 2009
Estimated Study Completion Date: December 2009
Estimated Primary Completion Date: December 2009 (Final data collection date for primary outcome measure)
Arms Assigned Interventions
Fesoterodine + placebo: Experimental Drug: 8 mg Fesoterodine SR tablet and matched 10 mg Solifenacin (Vesicare) placebo tablet
8 mg Fesoterodine SR tablet and matched 10 mg Solifenacin (Vesicare) placebo tablet once daily by mouth.
placebo + solifenacin: Experimental Drug: Matched 8 mg placebo tablet and 10 mg solifenacin (Vesicare) tablets
Matched 8 mg placebo tablet and 10 mg solifenacin (Vesicare) tablets once daily by mouth
Placebo + Placebo: Placebo Comparator Drug: Placebo + Placebo tablets
Placebo + Placebo tablets once daily by mouth

Detailed Description:

Constipation is a dose-related side-effect of many antimuscarinic agents used to treat overactive bladder. Data suggests that incidence of constipation is higher with M3 selective (eg, darifenacin) rather than nonselective muscarinic antagonists (eg, tolterodine and/or fesoterodine). Recent evidence suggests that tolterodine does not have clinically significant effects on GI transit in healthy subjects.

However, the effects of fesoterodine on GI transit are unknown. Since chronic constipation is a common symptoms, can significantly impair quality of life, and is associated with urinary urgency, it is important to understand the effects of anticholinergic agents on gastrointestinal transit in healthy subjects.

  Eligibility

Ages Eligible for Study:   18 Years to 55 Years
Genders Eligible for Study:   Female
Accepts Healthy Volunteers:   Yes
Criteria

Inclusion Criteria:

  1. Healthy female subjects, between the ages of 18 and 55 years, inclusive (Healthy is defined as no clinically relevant abnormalities identified by a detailed medical history, full physical examination, including blood pressure and pulse rate measurement, 12-lead ECG and clinical laboratory tests).
  2. Body Mass Index (BMI) of 17.5 to 30.5 kg/m2, and a total body weight of >50 kg (110 lbs).
  3. An informed consent document signed and dated by the subject or a legally acceptable representative.
  4. Subjects who are willing and able to comply with scheduled visits, treatment plan, laboratory tests, and other study procedures.
  5. Females of childbearing potential who are currently taking oral contraceptives may be enrolled but must have a negative pregnancy test prior to enrollment. In the event of a positive pregnancy test during the study conduct period, the Investigator must ensure that the appropriate procedures and actions are undertaken and documentation prepared.

Exclusion Criteria:

Subjects presenting with any of the following will not be included in the study:

  1. Functional gastrointestinal disorders as characterized by a symptom questionnaire.
  2. Significant anxiety or depression characterized by the hospital anxiety and depression questionnaire.
  3. Evidence or history of uncontrolled narrow angle glaucoma or clinically significant hematological, renal, endocrine, pulmonary, gastrointestinal, cardiovascular, hepatic, psychiatric, neurologic, or allergic disease. Subjects with drug allergies which are relevant to the study will be excluded but other drug allergies or untreated, asymptomatic, seasonal allergies at time of dosing do not render a subject ineligible.
  4. Subjects with evidence or history of clinically significant urologic diseases (urinary retention, obstructive disturbance of bladder emptying, micturition disturbance, nocturia or pollakisuria, e.g. prostatic hyperplasia, urethral stricture.
  5. History of gastrointestinal surgeries except for appendectomy or abdominal wall hernia repair, cholecystectomy, or hysterectomy performed more than 3 months before study participation.
  6. History of febrile illness within 5 days prior to first dose.
  7. A positive urine drug screen.
  8. History of regular alcohol consumption exceeding 7 drinks/ week (1 drink = 5 ounces (150 mL) of wine or 12 ounces (360) mL of beer or 1.5 ounces (45 mL) of hard liquor) within 6 months of screening.
  9. Use of tobacco- or nicotine containing products in excess of the equivalent of 5 cigarettes per day.
  10. Currently consuming more than 5 caffeinated beverages per day.
  11. Treatment with an investigational drug within 30 days (or as determined by the local requirement, whichever is longer) or 5 half-lives preceding the first dose of study medication.
  12. 12-lead ECG demonstrating QTc > 470 msec at screening. If QTc exceeds 450 msec, the ECG should be repeated two more times and the average of the three QTc values should be used to determine the subject's eligibility.
  13. Use of prescription or nonprescription drugs and (herbal or dietary) supplements within 7 days or 5 half-lives (whichever is longer) prior to the first dose of study medication. Limited use of non-prescription medications that are not believed to affect subject safety or the overall results of the study may be permitted on a case-by-case basis following approval by the sponsor. As an additional exception, acetaminophen/paracetamol may be used at doses of < or = 1 g/day.
  14. Use of the following medication for specified duration prior to enrollment:

    • Anticholinergics or antispasmodic drugs (such as solifenacin, oxybutynin, tolterodine, hyoscyamine, propantheline, trospium or flavoxate) within one month prior to enrollment.
    • Drugs with significant anticholinergic effects such as tricyclic antidepressants (eg, amitriptyline, nortriptyline) within one month prior to enrollment.
    • Selective serotonin reuptake inhibitors (eg, fluoxetine, paroxetine) within six weeks prior to enrollment.

      d. Opiates (eg, oxycodone) or medication containing morphine or codeine within one month prior to enrollment.

    • Calcium channel blockers that modify gastrointestinal motility (verapamil, diltiazem, nifedipine) within one month prior to enrollment.
    • Potent inhibitors of CYP3A4 such as macrolide antibiotics (erythromycin and clarithromycin), antifungal agents (ketoconazole and itraconazole), cimetidine, MAOIs, and protease inhibitors within one month (or 5 half-lives, whichever is longer) prior to enrollment.
    • Drugs and/or herbal preparations capable of inducing hepatic enzyme metabolism (eg, barbiturates, rifampin, carbamazepine, phenytoin, primidone or St. John's Wort) within one month (or 5 half-lives, whichever is longer) prior to enrollment.
  15. Consumption of grapefruit or grapefruit containing products within 7 days prior to the first dose of study medication.
  16. Blood donation of approximately 1 pint (500 mL) within 56 days prior to dosing.
  17. History of hypersensitivity to fesoterodine or solifenacin or any components of its formulation, or to peanut or soya.
  18. Unwilling or unable to comply with the Lifestyle guidelines described in this protocol.
  19. Subject is the investigator or a sub-Investigator, research assistant, pharmacist, study coordinator, other staff, or study personnel directly involved with the conduct of the study.
  20. Other severe acute or chronic medical or psychiatric condition or laboratory abnormality that may increase the risk associated with study participation or investigational product administration or may interfere with the interpretation of study results and, in the judgement of the investigator, would make the subject inappropriate for entry into this study.
  Contacts and Locations
Please refer to this study by its ClinicalTrials.gov identifier: NCT00892034

Contacts
Contact: Adil E Bharucha, M.D. 507-538-5854

Locations
United States, Minnesota
Mayo Clinic Recruiting
Rochester, Minnesota, United States, 55905
Contact: Adil E Bharucha, M.D.     507-538-5854        
Principal Investigator: Adil E Bharucha, M.D.            
Sub-Investigator: Karthik Ravi, M.D.            
Sponsors and Collaborators
Mayo Clinic
Pfizer
Investigators
Principal Investigator: Adil E. Bharucha, M.D. Mayo Clinic
  More Information

No publications provided

Responsible Party: Mayo Clinic ( Adil Bharucha, M.D. )
Study ID Numbers: 09-000944, A0221057
Study First Received: May 1, 2009
Last Updated: May 1, 2009
ClinicalTrials.gov Identifier: NCT00892034     History of Changes
Health Authority: United States: Institutional Review Board

Keywords provided by Mayo Clinic:
healthy volunteer
fesoterodine
solifenacin
gastrointestinal transit

Study placed in the following topic categories:
Muscarinic Antagonists
Neurotransmitter Agents
Cholinergic Antagonists
Quinuclidin-3'-yl-1-phenyl-1,2,3,4-tetrahydroisoquinoline-2-carboxylate monosuccinate
Healthy
Cholinergic Agents

Additional relevant MeSH terms:
Muscarinic Antagonists
Neurotransmitter Agents
Molecular Mechanisms of Pharmacological Action
Cholinergic Antagonists
Physiological Effects of Drugs
Quinuclidin-3'-yl-1-phenyl-1,2,3,4-tetrahydroisoquinoline-2-carboxylate monosuccinate
Cholinergic Agents
Pharmacologic Actions

ClinicalTrials.gov processed this record on May 07, 2009