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CompletedNCT00224016Updated Feb 9, 2012Results posted

Safety and Efficacy Study of Transdermal Oxybutynin to Treat Overactive Bladder With a Neurological Condition

A Phase 4 interventional study of Oxybutynin and Oxybutynin in Detrusor Hyperreflexia, sponsored by Watson Pharmaceuticals. Completed at 23 sites in United States. Open to participants aged 6 Years to 15 Years. Per ClinicalTrials.gov, last updated 2012-02-09.

Sponsored by Watson Pharmaceuticals (part of AbbVie) · Phase 4, Interventional, and Treatment

Phase
Phase 4
Study type
Interventional
Enrollment
57
Allocation
Randomized
Ages
6 Years to 15 Years
Sex
All
01

Study summary

This study will evaluate the safety and effectiveness of an anticholinergic drug treatment administered by transdermal patch to treat overactive bladder in children who have a neurological condition (e.g. spina bifida) that contributes to their overactive bladder.

Read the detailed description

This study will use a multicenter, randomized, open-label, active-controlled, dose-titration, parallel group design, in approximately pediatric patients with detrusor overactivity associated with a neurological condition.

02

Conditions studied

  • Detrusor Hyperreflexia

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03

In context

Reflex, Abnormal

18 studies on the registry are indexed under Reflex, Abnormal; 1 is open to participants now.

This study's enrollment of 57 is above the median of 16 across 13 interventional studies indexed under Reflex, Abnormal.

Browse Reflex, Abnormal studies →

Lead sponsor

Watson Pharmaceuticals is the lead sponsor of 30 studies on the registry; none are open to participants now.

First submitted before Watson Pharmaceuticals became part of AbbVie.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
6 Years to 15 Years
Sexes eligible
All
Accepts healthy volunteers
No

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • Pediatric patient with a diagnosis of detrusor overactivity associated with a neurological condition;
  • Use clean intermittent catheterization
  • On stable dose of oral oxybutynin before participation

Exclusion criteria

Exclusion Criteria:

  • Have one or more treatable conditions, other than neurogenic bladder dysfunction, that may cause urinary incontinence or urgency
  • Have any medical condition that precludes their participation in the study or may confound the outcome of the study
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Study design

Phase
Phase 4
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
57 participants (actual)

Study arms

  • Experimental
    Oxybutynin Transdermal System

    Oxybutynin Transdermal System 1.3 mg/day, 2.6 mg/day, or 3.9 mg/day

    Drug: Oxybutynin

  • Active comparator
    Oral oxybutynin

    5 to 15 mg/day immediate release or extended release tablets, or syrup

    Drug: Oxybutynin

Interventions

  • 1.3, 2.6, 3.9 mg/day transdermal

    Also known as: Oxytrol

  • 5 to 15 mg/day immediate release or extended release tablets, or syrup

    Also known as: Ditropan, Ditropan XL, Oxybutynin

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What researchers measure

Primary outcomes

  1. Average Catheterization Urine Volume

    Change from baseline in average volume of urine collected by catheterization

    Time frame: 14 weeks

Secondary outcomes

  1. Catheterizations Without Leakage

    Percentage of catherizations without leakage

    Time frame: 14 weeks

  2. Urine Volume After First Awakening

    Change from baseline in average volume of urine collected after first morning awakening

    Time frame: 14 weeks

07

Results

Posted Dec 23, 2009
Limitations and caveats
The transdermal groups included more males and younger subjects. The study was not designed to compare the transdermal and oral groups. Advserse event data reported for the titration and maintenance periods.

Participant flow

Titration Period
Participant flow — Titration Period
MilestoneOxybutynin TDSOral Oxybutynin
Started3916
Completed3815
Not completed11
Withdrew: Withdrawal by subject01
Withdrew: Lost to follow-up10
Maintenance Period
Participant flow — Maintenance Period
MilestoneOxybutynin TDSOral Oxybutynin
Started3815
Completed3614
Not completed21
Withdrew: Withdrawal by subject20
Withdrew: Lost to follow-up01
Follow-Up Period
Participant flow — Follow-Up Period
MilestoneOxybutynin TDSOral Oxybutynin
Started350
Completed350
Not completed00

Outcome measures

PrimaryAverage Catheterization Urine Volume

Change from baseline in average volume of urine collected by catheterization

Time frame:
14 weeks
Reported as:
Mean · mL
Average Catheterization Urine Volume
mLOxybutynin TDSOral Oxybutynin
Baseline Catheterization Volume95.3 ± 63.88114.0 ± 74.67
Change from Baseline in Cath Volume30.0 ± 46.2052.4 ± 50.45
SecondaryCatheterizations Without Leakage

Percentage of catherizations without leakage

Time frame:
14 weeks
Reported as:
Mean · % of participants
Catheterizations Without Leakage
% of participantsOxybutynin TDSOral Oxybutynin
Baseline % Catheterizations without leakage28.7 ± 34.8538.1 ± 41.86
Endpoint % Catheterizations without leakage53.8 ± 36.0572.6 ± 26.44
SecondaryUrine Volume After First Awakening

Change from baseline in average volume of urine collected after first morning awakening

Time frame:
14 weeks
Reported as:
Mean · mL

Results for this outcome have not been posted.

Adverse events

Non-serious events are listed at a 5% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
Oxybutynin TDS—6/39 (15.4%)33/39 (84.6%)
Oral Oxybutynin—3/16 (18.8%)12/16 (75%)
Most frequent serious events
Most frequent serious events
EventOxybutynin TDSOral Oxybutynin
Allergic reactionGeneral disorders0/391/16
Worsening abdominal painGeneral disorders0/391/16
ThrombophlebitisCardiac disorders0/391/16
VP shunt malfunctionNervous system disorders2/391/16
Knee wound dehiscenceSkin and subcutaneous tissue disorders1/390/16
Worsening dehydrationMetabolism and nutrition disorders1/390/16
FeverGeneral disorders1/390/16
GastritisGastrointestinal disorders1/390/16
Tethered cordMusculoskeletal and connective tissue disorders1/390/16
Most frequent other events
Showing 10 of 15
Most frequent other events
EventOxybutynin TDSOral Oxybutynin
FeverGeneral disorders6/393/16
HeadacheGeneral disorders7/392/16
InfectionInfections and infestations7/390/16
Urinary tract infectionInfections and infestations6/392/16
PharyngitisRespiratory, thoracic and mediastinal disorders5/391/16
RashSkin and subcutaneous tissue disorders5/391/16
VomitingGastrointestinal disorders5/391/16
Pain abdominalGeneral disorders3/392/16
PainGeneral disorders4/392/16
ConstipationGastrointestinal disorders4/391/16

Baseline characteristics

Age, Categorical
Age, Categorical(Participants)Oxybutynin TDSOral OxybutyninTotal
<=18 years391655
Between 18 and 65 years000
>=65 years000
Age Continuous
Age Continuous(years)Oxybutynin TDSOral OxybutyninTotal
Mean10.2 ± 2.6411.8 ± 2.8210.6 ± 2.76
Sex: Female, Male
Sex: Female, Male(Participants)Oxybutynin TDSOral OxybutyninTotal
Female171128
Male22527
Region of Enrollment
Region of Enrollment(participants)Oxybutynin TDSOral OxybutyninTotal
United States391655
08

Study locations

23 sites
  • Watson Investigational Site
    Little Rock, Arkansas, United States
  • Watson Investigational Site
    Orange County, California, United States
  • Watson Investigational Site
    San Diego, California, United States
  • Watson Investigational Site
    Denver, Colorado, United States
  • Watson Investigational Site
    Washington DC, District of Columbia, United States
  • Watson Investigational Site
    Detroit, Michigan, United States
  • Watson Investigational Site
    Mineapolis, Minnesota, United States
  • Watson Investigational Site
    Jackson, Mississippi, United States
  • Watson Investigational Site
    Kansas City, Missouri, United States
  • Watson Investigational Site
    St. Louis, Missouri, United States
  • Watson Investigational Site
    Voorhees, New Jersey, United States
  • Watson Investigational Site
    Albany, New York, United States
  • Watson Investigational Site
    Buffalo, New York, United States
  • Watson Investigational Site
    Poughkeepsie, New York, United States
  • Watson Investigational Site
    Ashville, North Carolina, United States
  • Watson Investigational Site
    Durham, North Carolina, United States
  • Watson Investigational Site
    Columbus, Ohio, United States
  • Watson Investigational Site
    Oklahoma City, Oklahoma, United States
  • Watson Investigational Site
    Hershy, Pennsylvania, United States
  • Watson Investigational Site
    Dallas, Texas, United States
  • Watson Investigational Site
    Houston, Texas, United States
  • Watson Investigational Site
    Plano, Texas, United States
  • Watson Investigational Site
    Salt Lake City, Utah, United States
09

References and documents

Publications

  • Cartwright PC, Coplen DE, Kogan BA, Volinn W, Finan E, Hoel G. Efficacy and safety of transdermal and oral oxybutynin in children with neurogenic detrusor overactivity. J Urol. 2009 Oct;182(4):1548-54. doi: 10.1016/j.juro.2009.06.058. Epub 2009 Aug 15. Erratum In: J Urol. 2009 Dec;182(6):2985. Dosage error in article text. PubMed 19683731 ↗
10

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Feb 9, 2012, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
11

Registry details

Key details

Study ID
NCT00224016
Responsible party
Sponsor
First posted
Sep 22, 2005
Start date
Dec 2004
Primary completion
Apr 2007
Completion
Sep 2008
Results posted
Dec 23, 2009
Last update
Feb 9, 2012

Study contacts

Gary Hoel, RPh, PhD
study chair · Watson Laboratories, Inc.

Oversight

Data monitoring committee
No
View the source record on ClinicalTrials.gov ↗

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This study is completed, as verified in Feb 2012. You cannot join it, but the record below documents what was studied.

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Studies of the drug tested here: Oxybutynin

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