ClinicalTrials.gg
CompletedNCT02045862SYNERGY IIUpdated Oct 31, 2024Results posted

A Multinational Study Comparing the Long-term Efficacy and Safety of Two Medicines, Solifenacin Succinate and Mirabegron Taken Together, or Separately, in Subjects With Symptoms of Overactive Bladder

A Phase 3 interventional study of Solifenacin succinate and Mirabegron in Urinary Bladder Overactive, Overactive Bladder and Urgency Incontinence, sponsored by Astellas Pharma Europe B.V.. Completed at 251 sites in 32 countries. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2024-10-31.

Sponsored by Astellas Pharma Europe B.V. (part of Astellas Pharma Inc) · Phase 3, Interventional, and Treatment

Phase
Phase 3
Study type
Interventional
Enrollment
1,829
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

Study summary

The purpose of this study was to examine how well the combination of two medicines (solifenacin succinate and mirabegron) worked compared to each medicine alone in the treatment of bladder problems, and how safe they were for long term use.

02

Conditions studied

  • Urinary Bladder Overactive
  • Overactive Bladder
  • Urgency Incontinence
  • Urinary Bladder Diseases\Urologic Diseases

Keywords

  • Solifenacin Succinate
  • Mirabegron
  • Urinary Incontinence
  • Combination Therapy
  • Urgency
  • Nocturia
  • Overactive Bladder
03

In context

Urinary Bladder, Overactive

858 studies on the registry are indexed under Urinary Bladder, Overactive; 127 are open to participants now.

This study's enrollment of 1,829 is above the median of 70 across 649 interventional studies indexed under Urinary Bladder, Overactive.

Browse Urinary Bladder, Overactive studies →

Lead sponsor

Astellas Pharma Europe B.V. is the lead sponsor of 94 studies on the registry; none are open to participants now.

Of its 5 completed or terminated interventional studies of FDA-regulated products, 4 (80%) have results posted.

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

04

Who can participate

Ages eligible
18 Years and older
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

Main Inclusion at Screening (Visit 1):

  • Subject had completed study 178-CL-101 or study 905-EC-012 (This inclusion criterion would no longer apply once the recruitment for study 178-CL-101 and study 905-EC-012 had been completed. In that case the subject had to have symptoms of "wet" OAB (urinary frequency and urgency with incontinence) for at least 3 months);
  • Subject was willing and able to complete the micturition diary and questionnaires correctly and able to measure his/her vital signs at home at stipulated time points, using the device provided by the study personnel, and to adequately record the readings;

Main Inclusion at Randomization (Visit 2):

  • Subject had a micturition frequency of on average ≥ 8 times per 24-hour period during the last 7 days of the micturition diary period (incontinence episode should not be counted as a micturition).
  • Subject had experienced at least 3 incontinence episodes during the last 7 days of the micturition diary period.
  • Subject had experienced on average at least 1 urgency episode (grade 3 or 4 on Patient Perception of Intensity of Urgency Scale [PPIUS]) per 24-hour period during the 7-day micturition diary period.

Exclusion criteria

Exclusion Criteria:

Main Exclusion at Screening (Visit 1):

  • Subject had bladder outflow obstruction at risk of urinary retention;
  • Subject had significant PVR volume (> 150 mL);
  • Subject had significant stress incontinence or mixed stress/urgency incontinence where stress is the predominant factor;
  • Subject has an indwelling catheter or practices intermittent self-catheterization;
  • Subject had evidence of a UTI (urine culture containing > 100,000 cfu/mL), chronic inflammation such as interstitial cystitis, bladder stones, previous pelvic radiation therapy or previous or current malignant disease of the pelvic organs;
  • Subject had intravesical treatment in the past 12 months with e.g., botulinum toxin, resiniferatoxin, capsaicin;

Main Exclusion at Randomization (Visit 2):

  • Subject had evidence of a urinary tract infection (UTI) (urine culture containing > 100,000 cfu/mL) as assessed in the Screening visit (V1) samples. The subject could be rescreened after successful treatment of the UTI (confirmed by a dipstick negative for nitrite).
  • Subject had an average total daily urine volume > 3000 mL as recorded in the micturition diary period.
Terms in these criteria, in plain language(1)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Clinically significant

Judged by the study doctor to matter for your health or for the study. It is a doctor’s decision, so ask the study team if you are unsure whether something counts.

05

Study design

Phase
Phase 3
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Quadruple (Participant, Care provider, Investigator, Outcomes assessor)
Enrollment
1,829 participants (actual)

Study arms

  • Active comparator
    Mirabegron 50 mg

    Participants received mirabegron 50 mg once a day for 52 weeks.

    Drug: Mirabegron · Drug: Placebo to match solifenacin

  • Active comparator
    Solifenacin 5 mg

    Participants received solifenacin 5 mg once a day for 52 weeks.

    Drug: Solifenacin succinate · Drug: Placebo to match mirabegron

  • Experimental
    Solifenacin 5 mg + Mirabegron 50 mg

    Participants received solifenacin 5 mg and mirabegron 50 mg once a day for 52 weeks.

    Drug: Solifenacin succinate · Drug: Mirabegron

Interventions

  • Participants received solifenacin 5 mg orally once a day at the same time each day.

    Also known as: Vesicare, Vesitrim, YM905, Vesikur

  • Participants received mirabegron 50 mg orally once a day at the same time each day.

    Also known as: Myrbetriq, YM178, Betmiga, Betanis

  • DrugPlacebo to match solifenacin

    Participants received placebo to match solifenacin 5 mg orally once a day at the same time each day. This intervention was given to maintain the blind during the study.

  • DrugPlacebo to match mirabegron

    Participants received placebo to match mirabegron 50 mg orally once a day at the same time each day. This intervention was given to maintain the blind during the study.

06

What researchers measure

Primary outcomes

  1. Number of Participants With Treatment-Emergent Adverse Events (TEAEs)

    A TEAE was defined as an adverse event (AE) observed after taking the first dose of double-blind treatment until 14 days after taking the last dose of double-blind treatment for non-serious AEs and until 30 days after taking the last dose of double-blind treatment for serious adverse events (SAEs). This included abnormal laboratory tests, vital signs or electrocardiogram data that were defined as AEs if the abnormality induced clinical signs or symptoms, required active intervention, interruption or discontinuation of study drug or was clinically significant in the investigator's opinion. The severity of each AE was defined according to the following: Mild (No disruption of normal daily activities); Moderate (Affected normal daily activities) and Severe (Inability to perform daily activities).

    Time frame: From first dose of double-blind study drug up to 30 days after last dose of double-blind study drug (up to 56 weeks)

  2. Change From Baseline to End of Treatment (EoT) in Mean Number of Incontinence Episodes Per 24 Hours

    An incontinence episode was defined as the complaint of any involuntary leakage of urine. The mean number of incontinence episodes per 24 hours was calculated from data recorded by the participant in a micturition diary for 7 days prior to the baseline and week 52 clinic visits.

    Time frame: Baseline and Week 52

  3. Change From Baseline to EoT in Mean Number of Micturitions Per 24 Hours

    A micturition was defined as any voluntary urination (excluding incontinence only episodes). The mean number of micturitions per 24 hours was calculated from data recorded by the participant in a micturition diary for 7-days before the baseline and week 52 clinic visits.

    Time frame: Baseline and Week 52

Secondary outcomes

  1. Change From Baseline to EoT in Mean Volume Voided Per Micturition

    The mean volume voided per micturition was calculated from the data recorded by the participant during 3 consecutive days with volume measurements during the 7-day micturition diary period.

    Time frame: Baseline and Week 52

  2. Change From Baseline to EoT in Overactive Bladder Questionnaire (OAB-q) Symptom Bother Score

    The OAB-q is a self-reported questionnaire with items relating to symptom bother and health-related quality of life (HRQoL). The symptom bother portion consists of 8 items, rated on a 6-point Likert scale (1 through 6). The total symptom bother score was calculated from the 8 answers and then transformed to range from 0 (least severity) to 100 (worst severity). A negative change from baseline indicated an improvement.

    Time frame: Baseline and Week 52

  3. Change From Baseline to EoT in the Patient's Assessment of Treatment Satisfaction-Visual Analogue Scale (TS-VAS)

    The TS-VAS is a visual analogue scale which asks participants to rate their satisfaction with the treatment by placing a vertical mark on a line that runs from 0 (No, not at all) on the left to 10 (Yes, completely) on the right. A positive change from baseline indicated improvement.

    Time frame: Baseline and Week 52

  4. Change From Baseline to Months 1, 3, 6, 9 and 12 in Mean Number of Incontinence Episodes Per 24 Hours

    An incontinence episode was defined as the complaint of any involuntary leakage of urine. The mean number of incontinence episodes per 24 hours was calculated from data recorded by the participant in a micturition diary for 7 days prior to the baseline and prior to each visit.

    Time frame: Baseline and Months 1, 3, 6, 9, 12

  5. Number of Incontinence Episodes During the 7-Day Micturition Diary Period Prior to Each Visit

    An incontinence episode was defined as the complaint of any involuntary leakage of urine. The number of incontinence episodes was the total number of times a participant records an incontinence episode during the 7-day micturition diary period prior to each visit.

    Time frame: Months 1, 3, 6, 9, 12

  6. Change From Baseline to Months 1, 3, 6, 9, 12 and EoT in Number of Incontinence Episodes During the 7-Day Micturition Diary Period Prior to Each Visit

    An incontinence episode was defined as the complaint of any involuntary leakage of urine. The number of incontinence episodes was the total number of times a participant records an incontinence episode during the 7-day micturition diary period prior to each visit.

    Time frame: Baseline and Months 1, 3, 6, 9, 12

  7. Number of Incontinence-Free Days During the 7-Day Micturition Diary Period Prior to Each Visit

    The number of incontinence-free days was the number of valid diary days during the 7-day micturition diary period prior to each visit with no incontinence episodes recorded.

    Time frame: Months 1, 3, 6, 9, 12

  8. Number of Incontinence-Free Days With < 8 Micturitions Per Day During the 7-Day Micturition Diary Period Prior to Each Visit

    The number of incontinence-free days with \< 8 micturitions per day was the number of valid diary days during the 7-day micturition diary period with no incontinence episodes recorded and with \< 8 micturitions per day.

    Time frame: Months 1, 3, 6, 9, 12

  9. Change From Baseline to Months 1, 3, 6, 9, 12 and EoT in Mean Number of Urgency Incontinence Episodes Per 24 Hours

    An urgency incontinence episode was defined as the involuntary leakage of urine accompanied by or immediately preceded by urgency. The mean number of urgency incontinence episodes was calculated from data recorded by the participant in a micturition diary for 7 days prior to each visit.

    Time frame: Baseline and Months 1, 3, 6, 9, 12

  10. Number of Urgency Incontinence Episodes During the 7-Day Micturition Diary Period Prior to Each Visit

    An urgency incontinence episode was defined as the involuntary leakage of urine accompanied by or immediately preceeded by urgency. The number of urgency incontinence episodes was the total number of urgency incontinence episodes recorded by the participant during the 7-day micturition diary period prior to each visit.

    Time frame: Months 1, 3, 6, 9, 12

  11. Change From Baseline to Months 1, 3, 6, 9, 12 and EoT in Number of Urgency Incontinence Episodes During the 7-Day Micturition Diary Period Prior to Each Visit

    An urgency incontinence episode was defined as the involuntary leakage of urine accompanied by or immediately preceded by urgency. The number of urgency incontinence episodes was the total number of urgency incontinence episodes recorded by the participant during the 7-day micturition diary period prior to each visit.

    Time frame: Baseline and Months 1, 3, 6, 9, 12

  12. Change From Baseline to Months 1, 3, 6, 9 and 12 in Mean Number of Micturitions Per 24 Hours

    A micturition was defined as any voluntary urination (excluding incontinence only episodes). The mean number of micturitions per 24 hours was calculated from data recorded by the participant in a micturition diary for 7-days before the baseline and prior to each visit.

    Time frame: Baseline and Months 1, 3, 6, 9, 12

  13. Number of Days With < 8 Micturitions Per Day During the 7-Day Micturition Diary Period Prior to Each Visit (at Months 1, 3, 6, 9, 12 and EoT)

    The number of days with \< 8 micturitions was the number of valid diary days during the 7-day micturition diary period with with less than 8 micturitions per day.

    Time frame: Months 1, 3, 6, 9, 12

  14. Change From Baseline to EoT in Corrected Micturition Frequency

    Corrected micturition frequency was defined as the mean number of micturitions per 24 hours that participants had at end of treatment if their fluid intake had remained unchanged since baseline. Corrected micturition frequency was calculated as the baseline mean volume voided per micturition multiplied by the baseline mean number of micturitions per 24 hours divided by the mean volume voided per micturition at EoT.

    Time frame: Baseline and Month 12

  15. Change From Baseline to Months 3, 6 and 12 in Mean Volume Voided Per Micturition

    The mean volume voided per micturition was calculated from the data recorded by the participant during 3 consecutive days with volume measurements during the 7-day micturition diary period prior to each visit.

    Time frame: Baseline and Months 3, 6, 12

  16. Change From Baseline to Months 1, 3, 6, 9, 12 and EoT in Mean Number of Urgency Episodes (Grade 3 or 4) Per 24 Hours

    Urgency was defined as a complaint of a sudden, compelling desire to pass urine, which is difficult to defer. An urgency episode was defined as any micturition or incontinence episode recorded by the participant in the micturition diary for 7 days prior to each visit as 3 or 4 on the Patient Perception of Intensity of Urgency Scale (PPIUS), where 0 = No urgency; 1 = Mild urgency; 2 = Moderate urgency, could delay voiding a short while; 3 = Severe urgency, could not delay voiding; 4 = Urge incontinence, leaked before arriving to the toilet.

    Time frame: Baseline and Months 1, 3, 6, 9, 12

  17. Change From Baseline to Months 1, 3, 6, 9, 12 and EoT in Mean Number of Nocturia Episodes Per 24 Hours

    A nocturia episode was defined as waking at night 1 or more times to void (i.e., any voiding associated with sleep disturbance between the time the participant goes to bed with the intention to sleep until the time the participant gets up in the morning with the intention to stay awake). The mean number of nocturia episodes was calculated from data recorded by the participant in the micturition diary for 7 days prior to each visit."

    Time frame: Baseline and Months 1, 3, 6, 9, 12

  18. Number of Nocturia Episodes Reported During the 7-Day Micturition Diary Period Prior to Each Visit

    A nocturia episode was defined as waking at night 1 or more times to void (i.e., any voiding associated with sleep disturbance between the time the participant goes to bed with the intention to sleep until the time the participant gets up in the morning with the intention to stay awake). The number of nocturia episodes was the number of times a participant recorded a nocturia episode during the 7-day micturition diary period prior to each visit.

    Time frame: Months 1, 3, 6, 9, 12

  19. Change From Baseline to Months 1, 3, 6, 9, 12 and EoT in Number of Nocturia Episodes During the 7-Day Micturition Diary Period Prior to Each Visit

    A nocturia episode was defined as waking at night 1 or more times to void (i.e., any voiding associated with sleep disturbance between the time the participant goes to bed with the intention to sleep until the time the participant gets up in the morning with the intention to stay awake). The number of nocturia episodes was the number of times a participant recorded a nocturia episode during the 7-day micturition diary period prior to each visit

    Time frame: Baseline and Months 1, 3, 6, 9, 12

  20. Change From Baseline to Months 1, 3, 6, 9, 12 and EoT in Mean Number of Pads Used Per 24 Hours

    The mean number of pads used per 24 hours was calculated from data recorded by the participant in the micturition diary for 7 days prior to each visit.

    Time frame: Baseline and Months 1, 3, 6, 9, 12

  21. Number of Pads Used During the 7-Day Micturition Diary Period Prior to Each Visit

    The number of pads used was the number of times a participant recorded a new pad used during the 7-day micturition diary period prior to each visit.

    Time frame: Months 1, 3, 6, 9, 12

  22. Change From Baseline to Months 1, 3, 6, 9, 12 and EoT in Number of Pads Used During the 7-Day Micturition Diary Period Prior to Each Visit

    The number of pads used was the number of times a participant recorded a new pad used during the 7-day micturition diary period prior to each visit.

    Time frame: Baseline and Months 1, 3, 6, 9, 12

  23. Change From Baseline to Months 1, 3, 6, 9 and 12 in the OAB-q Symptom Bother Score

    The OAB-q is a self-reported questionnaire with items relating to symptom bother and health-related quality of life (HRQoL). The symptom bother portion consists of 8 items, rated on a 6-point Likert scale (1 through 6). The total symptom bother score was calculated from the 8 answers and then transformed to range from 0 (least severity) to 100 (worst severity). A negative change from baseline indicated an improvement.

    Time frame: Baseline and Months 1, 3, 6, 9, 12

  24. Change From Baseline to Months 1, 3, 6, 9, 12 and EoT in Health-Related Quality of Life Questionnaire (HRQoL): Total Score

    The OAB-q is a self-reported questionnaire with items relating to symptom bother and HRQoL. The HRQoL portion consists of 25 HRQoL items comprising 4 HRQoL subscales (Coping, Concern, Sleep, and Social Interaction), each item was scored 1-6. The total score was calculated by adding the 4 HRQoL subscale scores and transforming to a scale from 0 to 100, with higher scores indicating better quality of life. A positive change from baseline indicated an improvement.

    Time frame: Baseline and Months 1, 3, 6, 9, 12

  25. Change From Baseline to Months 1, 3, 6, 9, 12 and EoT in HRQoL Subscale Score: Coping

    The OAB-q is a self-reported questionnaire with items relating to symptom bother and HRQoL. The HRQoL portion consists of 25 HRQoL items comprising 4 HRQoL subscales (Coping, Concern, Sleep, and Social Interaction), each item was scored 1-6. HRQoL subscales (coping, concern, sleep and social) and total score were transformed to range from 0 (worst quality of life) to 100 (best quality of life), with higher scores indicating better quality of life. A positive change from baseline indicated an improvement.

    Time frame: Baseline and Months 1, 3, 6, 9, 12

  26. Change From Baseline to Months 1, 3, 6, 9, 12 and EoT in HRQoL Subscale Score: Concern

    The OAB-q is a self-reported questionnaire with items relating to symptom bother and HRQoL. The HRQoL portion consists of 25 HRQoL items comprising 4 HRQoL subscales (Coping, Concern, Sleep, and Social Interaction), each item was scored 1-6. HRQoL subscales (coping, concern, sleep and social) and total score were transformed to range from 0 (worst quality of life) to 100 (best quality of life), with higher scores indicating better quality of life. A positive change from baseline indicated an improvement.

    Time frame: Baseline and Months 1, 3, 6, 9, 12

  27. Change From Baseline to Months 1, 3, 6, 9, 12 and EoT in HRQoL Subscale Score: Sleep

    The OAB-q is a self-reported questionnaire with items relating to symptom bother and HRQoL. The HRQoL portion consisted of 25 HRQoL items comprising 4 HRQoL subscales (Coping, Concern, Sleep, and Social Interaction), each time was scored 1-6. HRQoL subscales (coping, concern, sleep and social) and total score were transformed to range from 0 (worst quality of life) to 100 (best quality of life), with higher scores indicating better quality of life. A positive change from baseline indicated an improvement.

    Time frame: Baseline and Months 1, 3, 6, 9, 12

  28. Change From Baseline to Months 1, 3, 6, 9, 12 and EoT in HRQL Subscale Score: Social

    The OAB-q is a self-reported questionnaire with items relating to symptom bother and HRQoL. The HRQoL portion consists of 25 HRQoL items comprising 4 HRQoL subscales (Coping, Concern, Sleep, and Social Interaction), each item was scored 1-6. HRQoL subscales (coping, concern, sleep and social) and total score were transformed to range from 0 (worst quality of life) to 100 (best quality of life), with higher scores indicating better quality of life. A positive change from baseline indicated an improvement.

    Time frame: Baseline and Months 1, 3, 6, 9, 12

  29. Change From Baseline to Months 1, 3, 6, 9 and 12 in the Patient's Assessment of TS-VAS

    The TS-VAS is a visual analogue scale which asks participants to rate their satisfaction with the treatment by placing a vertical mark on a line that runs from 0 (No, not at all) on the left to 10 (Yes, completely) on the right. A positive change from baseline indicated improvement.

    Time frame: Baseline and Months 1, 3, 6, 9, 12

  30. Change From Baseline to Months 1, 3, 6, 9, 12 and EoT in Patient Perception of Bladder Condition (PPBC)

    The PPBC is a validated, global assessment tool using a 6-point Likert scale on which participants rated their subjective impression of their current bladder condition. Participants assessed their bladder condition using this scale: 1. Does not cause me any problems at all; 2. Causes me some very minor problems; 3. Causes me some minor problems; 4. Causes me (some) moderate problems; 5. Causes me severe problems; 6. Causes me many severe problems.

    Time frame: Baseline and Months 1, 3, 6, 9, 12

  31. Percentage of Participants in Each Category of Patient's Global Impression of Change (PGIC) Scale: Impression in Bladder Symptoms at Month 12 and EoT

    The PGIC is a 2-part questionnaire, assessing both the change in the patient's overall condition and change in bladder condition since the start of the study (from very much worse to very much improved).

    Time frame: Month 12

  32. Percentage of Participants in Each Category of PGIC Scale: Impression in General Health at Month 12 and EoT

    The PGIC is a 2-part questionnaire, assessing both the change in the patient's overall condition and change in bladder condition since the start of the study (from very much worse to very much improved).

    Time frame: Month 12

  33. Number of Participants With Change From Baseline to EoT in European Quality of Llife in 5 Dimensions (EQ-5D) Questionnaire Subscale Score: Mobility

    The EQ-5D questionnaire is an international, standardized, nondisease specific instrument for describing and valuing health status, and has 5 dimensions: Mobility, Self-care, Usual Activities, Pain/Discomfort, and Anxiety/Depression. Each dimension has 5 response levels ranging from level 1 (no problem or none) to level 5 (unable to perform activity).

    Time frame: Baseline and 12 Months

  34. Number of Participants With Change From Baseline to EoT in EQ-5D Questionnaire Subscale Score: Self-care

    The EQ-5D questionnaire is an international, standardized, nondisease specific instrument for describing and valuing health status, and has 5 dimensions: Mobility, Self-care, Usual Activities, Pain/Discomfort, and Anxiety/Depression. Each dimension has 5 response levels ranging from level 1 (no problem or none) to level 5 (unable to perform activity).

    Time frame: Baseline and Month 12

  35. Number of Participants With Change From Baseline to EoT in EQ-5D Questionnaire Subscale Score: Usual Activities

    The EQ-5D questionnaire is an international, standardized, nondisease specific instrument for describing and valuing health status, and has 5 dimensions: Mobility, Self-care, Usual Activities, Pain/Discomfort, and Anxiety/Depression. Each dimension has 5 response levels ranging from level 1 (no problem or none) to level 5 (unable to perform activity).

    Time frame: Baseline and Month 12

  36. Number of Participants With Change From Baseline to EoT in EQ-5D Questionnaire Subscale Score: Pain/Discomfort

    The EQ-5D questionnaire is an international, standardized, nondisease specific instrument for describing and valuing health status, and had 5 dimensions: Mobility, Self-care, Usual Activities, Pain/Discomfort, and Anxiety/Depression. Each dimension has 5 response levels ranging from level 1 (no problem or none) to level 5 (unable to perform activity).

    Time frame: Baseline and Month 12

  37. Number of Participants With Change From Baseline to EoT in EQ-5D Questionnaire Subscale Score: Anxiety/Depression

    The EQ-5D questionnaire is an international, standardized, nondisease specific instrument for describing and valuing health status, and had 5 dimensions: Mobility, Self-care, Usual Activities, Pain/Discomfort, and Anxiety/Depression. Each dimension has 5 response levels ranging from level 1 (no problem or none) to level 5 (unable to perform activity).

    Time frame: Baseline and Month 12

  38. Change From Baseline to Months 6, 12 and EoT in Work Productivity and Activity Impairment: Specific Health Problem Questionnaire (WPAI:SHP) Score: Percent Work Time Missed

    The WPAI:SHP is a self-administered questionnaire with 6 questions (Q1=Employment status; Q2=Hours absent from work due to the bladder condition; Q3=Hours absent from work due to other reasons; Q4=Hours actually worked; Q5=Impact of the bladder condition on productivity while working; Q6=Impact of the bladder condition on productivity while doing regular daily activities other than work) and a 1-week recall period. WPAI outcomes are expressed as impairment percentages, with higher numbers indicating greater impairment and less productivity, i.e., worse outcomes. A negative change from baseline indicated improvement.

    Time frame: Baseline and Months 6,12

  39. Change From Baseline to Months 6, 12 and EoT in WPAI:SHP Score: Percent Impairment While Working

    The WPAI:SHP is a self-administered questionnaire with 6 questions (Q1=Employment status; Q2=Hours absent from work due to the bladder condition; Q3=Hours absent from work due to other reasons; Q4=Hours actually worked; Q5=Impact of the bladder condition on productivity while working; Q6=Impact of the bladder condition on productivity while doing regular daily activities other than work) and a 1-week recall period. WPAI outcomes are expressed as impairment percentages, with higher numbers indicating greater impairment and less productivity, i.e., worse outcomes. A negative change from baseline indicated improvement.

    Time frame: Baseline and Months 6, 12

  40. Change From Baseline to Months 6, 12 in WPAI:SHP Score: Percent Overall Work Impairment

    The WPAI:SHP is a self-administered questionnaire with 6 questions (Q1=Employment status; Q2=Hours absent from work due to the bladder condition; Q3=Hours absent from work due to other reasons; Q4=Hours actually worked; Q5=Impact of the bladder condition on productivity while working; Q6=Impact of the bladder condition on productivity while doing regular daily activities other than work) and a 1-week recall period. WPAI outcomes arre expressed as impairment percentages, with higher numbers indicating greater impairment and less productivity, i.e., worse outcomes. A negative change from baseline indicated improvement.

    Time frame: Baseline and Months 6, 12

  41. Change From Baseline to Months 6, 12 in WPAI:SHP Score: Percent Activity Impairment

    The WPAI:SHP is a self-administered questionnaire with 6 questions (Q1=Employment status; Q2=Hours absent from work due to the bladder condition; Q3=Hours absent from work due to other reasons; Q4=Hours actually worked; Q5=Impact of the bladder condition on productivity while working; Q6=Impact of the bladder condition on productivity while doing regular daily activities other than work) and a 1-week recall period. WPAI outcomes are expressed as impairment percentages, with higher numbers indicating greater impairment and less productivity, i.e., worse outcomes. A negative change from baseline indicated improvement.

    Time frame: Baseline and Months 6, 12

  42. Percentage of Participants With Zero Incontinence Episodes Per 24 Hours Using the Last 3 Diary Days at Months 1, 3, 6, 9, 12 and EoT

    An incontinence episode was defined as the complaint of any involuntary leakage of urine. The percentage of participants with no incontinence episodes recorded during the last 3 days of the 7-day micturition diary is reported.

    Time frame: Months 1, 3, 6, 9, 12

  43. Percentage of Participants With ≥ 10 Points Improvement From Baseline in the OAB-q Symptom Bother Score at Months 1, 3, 6, 9, 12 and EoT

    The OAB-q is a self-reported questionnaire with items relating to symptom bother and HRQoL. The symptom bother portion consists of 8 items, rated on a 6-point Likert scale (1 through 6). The total symptom bother score was calculated from the 8 answers and then transformed to range from 0 (least severity) to 100 (worst severity). A negative change from baseline indicated an improvement.

    Time frame: Baseline and Months 1, 3, 6, 9, 12

  44. Percentage of Participants With ≥ 10 Points Improvement From Baseline in HRQoL Total Score at Months 1, 3, 6, 9, 12 and EoT

    The OAB-q is a self-reported questionnaire with items relating to symptom bother and HRQoL. The HRQoL portion consists of 25 HRQoL items comprising 4 HRQoL subscales (Coping, Concern, Sleep, and Social Interaction), each item was scored 1-6. The total score was calculated by adding the 4 HRQoL subscale scores and transforming to a scale from 0 to 100, with higher scores indicating better quality of life. A positive change from baseline indicated an improvement.

    Time frame: Baseline and Months 1, 3, 6, 9, 12

  45. Percentage of Participants With 50% Reduction in Mean Number of Incontinence Episodes Per 24 Hours at Months 1, 3, 6, 9, 12 and EoT

    An incontinence episode was defined as the complaint of any involuntary leakage of urine. The mean number of incontinence episodes per 24 hours was calculated from data recorded by the participant in a micturition diary for 7 days prior to each visit.

    Time frame: Baseline and Months 1, 3, 6, 9, 12

  46. Percentage of Participants With Zero Incontinence Episodes Per 24 Hours Using the Last 7 Diary Days at Months 1, 3, 6, 9, 12 and EoT

    An incontinence episode was defined as the complaint of any involuntary leakage of urine. The percentage of participants with no incontinence episodes recorded during the 7-day micturition diary is reported.

    Time frame: Months 1, 3, 6, 9, 12

  47. Percentage of Participants With Micturition Frequency Normalization at Months 1, 3, 6, 9, 12 and EoT

    The percentage of participants with micturition frequency normalization was defined as participants who had ≥ 8 micturitions/24 hours at baseline and \< 8 micturitions/24 hours postbaseline at months 1, 3, 6, 9, 12 and EoT.

    Time frame: Baseline and Months 1, 3, 6, 9, 12

  48. Percentage of Participants With ≥ 1 Point Improvement From Baseline in PPBC at Months 1, 3, 6, 9, 12 and EoT

    The PPBC is a validated, global assessment tool using a 6-point Likert scale on which participants rated their subjective impression of their current bladder condition. Participants assessed their bladder condition using this scale: 1. Does not cause me any problems at all; 2. Causes me some very minor problems; 3. Causes me some minor problems; 4. Causes me (some) moderate problems; 5. Causes me severe problems; 6. Causes me many severe problems.

    Time frame: Baseline and Months 1, 3, 6, 9, 12

  49. Percentage of Participants With Major (≥ 2 Points) Improvement From Baseline in PPBC at Months 1, 3, 6, 9, 12 and EoT

    The PPBC is a validated, global assessment tool using a 6-point Likert scale on which participants rated their subjective impression of their current bladder condition. Participants assessed their bladder condition using this scale: 1. Does not cause me any problems at all; 2. Causes me some very minor problems; 3. Causes me some minor problems; 4. Causes me (some) moderate problems; 5. Causes me severe problems; 6. Causes me many severe problems.

    Time frame: Baseline and Months 1, 3, 6, 9, 12

  50. Percentage of Participants Who Were Double Responders (≥ 50% Reduction in Mean Number of Incontinence Episodes Per 24 Hours and at Least 10 Points Improvement on OAB-q Symptom Bother Scale) at Months 1, 3, 6, 9, 12 and EoT

    An incontinence episode was defined as the complaint of any involuntary leakage of urine. The mean number of incontinence episodes per 24 hours was calculated from data recorded by the participant in a micturition diary for 7 days prior to each visit. The OAB-q is a self-reported questionnaire with items relating to symptom bother and HRQoL. The symptom bother portion consists of 8 items, rated on a 6-point Likert scale (1 through 6). The total symptom bother score was calculated from the 8 answers and then transformed to range from 0 (least severity) to 100 (worst severity). A negative change from baseline indicated an improvement.

    Time frame: Baseline and Months 1, 3, 6, 9, 12

  51. Percentage of Participants Who Were Double Responders (≥ 50% Reduction in Mean Number of Incontinence Episodes Per 24 Hours and at Least 10 Points Improvement on OAB-q HRQL Total Score) at Months 1, 3, 6, 9, 12 and EoT

    An incontinence episode was defined as the complaint of any involuntary leakage of urine. The mean number of incontinence episodes per 24 hours was calculated from data recorded by the participant in a micturition diary for 7 days prior to each visit. The OAB-q is a self-reported questionnaire with items relating to symptom bother and HRQoL. The HRQoL portion consists of 25 HRQoL items comprising 4 HRQoL subscales (Coping, Concern, Sleep, and Social Interaction), each item was scored 1-6. The total score was calculated by adding the 4 HRQoL subscale scores and transforming to a scale from 0 to 100, with higher scores indicating better quality of life. A positive change from baseline indicated an improvement.

    Time frame: Baseline and Months 1, 3, 6, 9, 12

  52. Percentage of Participants Who Were Double Responders (≥ 50% Reduction in Mean Number of Incontinence Episodes Per 24 Hours and at Least 1 Point Improvement on PPBC) at Months 1, 3, 6, 9, 12 and EoT

    An incontinence episode was defined as the complaint of any involuntary leakage of urine. The mean number of incontinence episodes per 24 hours was calculated from data recorded by the participant in a micturition diary for 7 days prior to each visit. The PPBC is a validated, global assessment tool using a 6-point Likert scale on which participants rated their subjective impression of their current bladder condition. Participants assessed their bladder condition using this scale: 1. Does not cause me any problems at all; 2. Causes me some very minor problems; 3. Causes me some minor problems; 4. Causes me (some) moderate problems; 5. Causes me severe problems; 6. Causes me many severe problems.

    Time frame: Baseline and Months 1, 3, 6, 9, 12

  53. Percentage of Participants Who Were Triple Responders (≥ 50% Reduction in Mean Number of Incontinence Episodes Per 24 Hours, ≥ 10 Points Improvement on OAB-q Symptom Bother Scale and ≥1 Point Improvement on PPBC) at Months 1, 3, 6, 9, 12 and EoT

    The mean number of incontinence episodes per 24 hours was calculated from data recorded by the participant in a micturition diary for 7 days prior to each visit. The symptom bother portion of the OAB-q consists of 8 items, rated on a 6-point Likert scale (1 through 6). The total symptom bother score was calculated from the 8 answers and then transformed to range from 0 (least severity) to 100 (worst severity). A negative change from baseline indicated an improvement.The PPBC is a validated, global assessment tool using a 6-point Likert scale on which participants rated their subjective impression of their current bladder condition. Participants assessed their bladder condition using this scale: 1. Does not cause me any problems at all; 2. Causes me some very minor problems; 3. Causes me some minor problems; 4. Causes me (some) moderate problems; 5. Causes me severe problems; 6. Causes me many severe problems.

    Time frame: Baseline and Months 1, 3, 6, 9, 12

  54. Participants Who Were Triple Responders (≥ 50% Reduction in Mean Number of Incontinence Episodes Per 24 Hours, ≥ 10 Points Improvement on OAB-q HRQL Total Score and ≥ 1 Point Improvement on PPBC) at Months 1, 3, 6, 9, 12 and EoT

    The mean number of incontinence episodes per 24 hours was calculated from data recorded by the participant in a micturition diary for 7 days prior to each visit. The HRQoL portion of the OAB-q consists of 25 HRQoL items comprising 4 HRQoL subscales, each item was scored 1-6. The total score was calculated by adding the 4 HRQoL subscale scores and transforming to a scale from 0 to 100, with higher scores indicating better quality of life. A positive change from baseline indicated an improvement.The PPBC is a validated, global assessment tool using a 6-point Likert scale on which participants rated their subjective impression of their current bladder condition. Participants assessed their bladder condition using this scale: 1. Does not cause me any problems at all; 2. Causes me some very minor problems; 3. Causes me some minor problems; 4. Causes me (some) moderate problems; 5. Causes me severe problems; 6. Causes me many severe problems.

    Time frame: Baseline and Months 1, 3, 6, 9, 12

  55. Change From Baseline to Months 1, 3, 6, 9, 12 and EoT in Postvoid Residual (PVR) Volume

    PVR volume was assessed by ultrasonography or a bladder scanner.

    Time frame: Baseline and Months 1, 3, 6, 9, 12

07

Results

Posted Jun 6, 2018
Limitations and caveats
Due to lack of data integrity, one site's data were not included in the efficacy and safety analysis, and another site's data for 5 patients were not included in the efficacy analysis.

Participant flow

Participants who had symptoms of "wet" overactive bladder (OAB) (urgency, urinary frequency and urgency incontinence) for ≥ 3 months were enrolled in 251 centers globally. A majority of the participants were recruited from participants who enrolled and completed studies 178-CL-101 (NCT01972841) or 905-EC-012 (NCT01908829).

Participant flow — Overall Study
MilestoneMirabegron 50 mgSolifenacin 5 mgSolifenacin 5 mg + Mirabegron 50 mg
Started3063051218
Treated3063031210
Completed2672651092
Not completed3940126
Withdrew: Death001
Withdrew: Miscellaneous508
Withdrew: Withdrawal by patient182757
Withdrew: Protocol violation006
Withdrew: Lack of efficacy8413
Withdrew: Randomized but not received study drug028
Withdrew: Adverse event7527
Withdrew: Lost to follow-up126

Outcome measures

PrimaryNumber of Participants With Treatment-Emergent Adverse Events (TEAEs)

A TEAE was defined as an adverse event (AE) observed after taking the first dose of double-blind treatment until 14 days after taking the last dose of double-blind treatment for non-serious AEs and until 30 days after taking the last dose of double-blind treatment for serious adverse events (SAEs). This included abnormal laboratory tests, vital signs or electrocardiogram data that were defined as AEs if the abnormality induced clinical signs or symptoms, required active intervention, interruption or discontinuation of study drug or was clinically significant in the investigator's opinion. The severity of each AE was defined according to the following: Mild (No disruption of normal daily activities); Moderate (Affected normal daily activities) and Severe (Inability to perform daily activities).

Time frame:
From first dose of double-blind study drug up to 30 days after last dose of double-blind study drug (up to 56 weeks)
Reported as:
Count of participants · Participants
Number of Participants With Treatment-Emergent Adverse Events (TEAEs)
ParticipantsMirabegron 50 mgSolifenacin 5 mgSolifenacin 5 mg + Mirabegron 50 mg
Any TEAEs126134596
Mild TEAEs6169306
Moderate TEAEs5258238
Severe TEAEs13752
Drug-related TEAEs3542200
Serious TEAEs8851
Drug-related Serious TEAEs100
TEAEs Leading to Discontuation of Study Drug7525
Drug-related TEAEs Leading to Discont. of Drug4417
TEAEs Leading to Death001
PrimaryChange From Baseline to End of Treatment (EoT) in Mean Number of Incontinence Episodes Per 24 Hours

An incontinence episode was defined as the complaint of any involuntary leakage of urine. The mean number of incontinence episodes per 24 hours was calculated from data recorded by the participant in a micturition diary for 7 days prior to the baseline and week 52 clinic visits.

Time frame:
Baseline and Week 52
Reported as:
Least squares mean · incontinence episodes
Change From Baseline to End of Treatment (EoT) in Mean Number of Incontinence Episodes Per 24 Hours
incontinence episodesMirabegron 50 mgSolifenacin 5 mgSolifenacin 5 mg + Mirabegron 50 mg
Change From Baseline to End of Treatment (EoT) in Mean Number of Incontinence Episodes Per 24 Hours-1.58 ± 0.11-1.90 ± 0.11-2.03 ± 0.05
Statistical analysis
  • Mirabegron 50 mg vs Solifenacin 5 mg + Mirabegron 50 mg · Stratified Rank ANCOVA · p = <0.001 (The 2-sided P value was for pairwise comparisons between the combination therapy group and the corresponding monotherapy group from the stratified rank ANCOVA.) · Least squares mean difference: -0.45 · 95% CI -0.69 to -0.21
  • Solifenacin 5 mg vs Solifenacin 5 mg + Mirabegron 50 mg · Stratified Rank ANCOVA · p = 0.002 (The 2-sided P value was for pairwise comparisons between the combination therapy group and the corresponding monotherapy group from the stratified rank ANCOVA.) · Least squares mean difference: -0.13 · 95% CI -0.37 to 0.11
PrimaryChange From Baseline to EoT in Mean Number of Micturitions Per 24 Hours

A micturition was defined as any voluntary urination (excluding incontinence only episodes). The mean number of micturitions per 24 hours was calculated from data recorded by the participant in a micturition diary for 7-days before the baseline and week 52 clinic visits.

Time frame:
Baseline and Week 52
Reported as:
Least squares mean · micturitions
Change From Baseline to EoT in Mean Number of Micturitions Per 24 Hours
micturitionsMirabegron 50 mgSolifenacin 5 mgSolifenacin 5 mg + Mirabegron 50 mg
Change From Baseline to EoT in Mean Number of Micturitions Per 24 Hours-2.10 ± 0.13-2.16 ± 0.13-2.58 ± 0.07
Statistical analysis
  • Mirabegron 50 mg vs Solifenacin 5 mg + Mirabegron 50 mg · ANCOVA · p = <0.001 (The 2-sided P value was for pairwise comparisons between the combination therapy group and the corresponding monotherapy group from the ANCOVA model.) · Least squares mean difference: -0.48 · 95% CI -0.77 to -0.20
  • Solifenacin 5 mg vs Solifenacin 5 mg + Mirabegron 50 mg · ANCOVA · p = 0.004 (The 2-sided P value was for pairwise comparisons between the combination therapy group and the corresponding monotherapy group from the ANCOVA model.) · Least squares mean difference: -0.42 · 95% CI -0.71 to -0.13
SecondaryChange From Baseline to EoT in Mean Volume Voided Per Micturition

The mean volume voided per micturition was calculated from the data recorded by the participant during 3 consecutive days with volume measurements during the 7-day micturition diary period.

Time frame:
Baseline and Week 52
Reported as:
Least squares mean · mL
Change From Baseline to EoT in Mean Volume Voided Per Micturition
mLMirabegron 50 mgSolifenacin 5 mgSolifenacin 5 mg + Mirabegron 50 mg
Change From Baseline to EoT in Mean Volume Voided Per Micturition21.83 ± 3.1224.90 ± 3.1037.67 ± 1.55
Statistical analysis
  • Mirabegron 50 mg vs Solifenacin 5 mg + Mirabegron 50 mg · ANCOVA · p = <0.001 · Least squares mean difference: 15.84 · 95% CI 8.99 to 22.69
  • Solifenacin 5 mg vs Solifenacin 5 mg + Mirabegron 50 mg · ANCOVA · p = <0.001 · Least squares mean difference: 12.77 · 95% CI 5.98 to 19.57
SecondaryChange From Baseline to EoT in Overactive Bladder Questionnaire (OAB-q) Symptom Bother Score

The OAB-q is a self-reported questionnaire with items relating to symptom bother and health-related quality of life (HRQoL). The symptom bother portion consists of 8 items, rated on a 6-point Likert scale (1 through 6). The total symptom bother score was calculated from the 8 answers and then transformed to range from 0 (least severity) to 100 (worst severity). A negative change from baseline indicated an improvement.

Time frame:
Baseline and Week 52
Reported as:
Least squares mean · units on a scale
Change From Baseline to EoT in Overactive Bladder Questionnaire (OAB-q) Symptom Bother Score
units on a scaleMirabegron 50 mgSolifenacin 5 mgSolifenacin 5 mg + Mirabegron 50 mg
Change From Baseline to EoT in Overactive Bladder Questionnaire (OAB-q) Symptom Bother Score-21.96 ± 1.14-24.91 ± 1.13-29.51 ± 0.57
Statistical analysis
  • Mirabegron 50 mg vs Solifenacin 5 mg + Mirabegron 50 mg · ANCOVA · p = <0.001 · Least squares mean difference: -7.55 · 95% CI -10.05 to -5.05
  • Solifenacin 5 mg vs Solifenacin 5 mg + Mirabegron 50 mg · ANCOVA · p = <0.001 · Least squares mean difference: -4.60 · 95% CI -7.09 to -2.12
SecondaryChange From Baseline to EoT in the Patient's Assessment of Treatment Satisfaction-Visual Analogue Scale (TS-VAS)

The TS-VAS is a visual analogue scale which asks participants to rate their satisfaction with the treatment by placing a vertical mark on a line that runs from 0 (No, not at all) on the left to 10 (Yes, completely) on the right. A positive change from baseline indicated improvement.

Time frame:
Baseline and Week 52
Reported as:
Least squares mean · units on a scale
Change From Baseline to EoT in the Patient's Assessment of Treatment Satisfaction-Visual Analogue Scale (TS-VAS)
units on a scaleMirabegron 50 mgSolifenacin 5 mgSolifenacin 5 mg + Mirabegron 50 mg
Change From Baseline to EoT in the Patient's Assessment of Treatment Satisfaction-Visual Analogue Scale (TS-VAS)2.19 ± 0.122.15 ± 0.122.73 ± 0.06
Statistical analysis
  • Mirabegron 50 mg vs Solifenacin 5 mg + Mirabegron 50 mg · ANCOVA · p = <0.001 · Least squares mean difference: 0.55 · 95% CI 0.28 to 0.82
  • Solifenacin 5 mg vs Solifenacin 5 mg + Mirabegron 50 mg · ANCOVA · p = <0.001 · Least squares mean difference: 0.59 · 95% CI 0.32 to 0.86
SecondaryChange From Baseline to Months 1, 3, 6, 9 and 12 in Mean Number of Incontinence Episodes Per 24 Hours

An incontinence episode was defined as the complaint of any involuntary leakage of urine. The mean number of incontinence episodes per 24 hours was calculated from data recorded by the participant in a micturition diary for 7 days prior to the baseline and prior to each visit.

Time frame:
Baseline and Months 1, 3, 6, 9, 12
Reported as:
Least squares mean · incontinence episodes
Change From Baseline to Months 1, 3, 6, 9 and 12 in Mean Number of Incontinence Episodes Per 24 Hours
incontinence episodesMirabegron 50 mgSolifenacin 5 mgSolifenacin 5 mg + Mirabegron 50 mg
Month 1-0.97 ± 0.10-1.29 ± 0.11-1.45 ± 0.05
Month 3-1.31 ± 0.11-1.71 ± 0.11-1.78 ± 0.05
Month 6-1.42 ± 0.11-1.78 ± 0.11-1.93 ± 0.05
Month 9-1.53 ± 0.11-1.90 ± 0.11-2.00 ± 0.06
Month 12-1.67 ± 0.11-1.92 ± 0.11-2.06 ± 0.06
SecondaryNumber of Incontinence Episodes During the 7-Day Micturition Diary Period Prior to Each Visit

An incontinence episode was defined as the complaint of any involuntary leakage of urine. The number of incontinence episodes was the total number of times a participant records an incontinence episode during the 7-day micturition diary period prior to each visit.

Time frame:
Months 1, 3, 6, 9, 12
Reported as:
Mean · incontinence episodes
Number of Incontinence Episodes During the 7-Day Micturition Diary Period Prior to Each Visit
incontinence episodesMirabegron 50 mgSolifenacin 5 mgSolifenacin 5 mg + Mirabegron 50 mg
Month 114.88 ± 1.5212.41 ± 1.2210.80 ± 0.58
Month 312.23 ± 1.129.23 ± 1.028.33 ± 0.52
Month 610.62 ± 1.088.18 ± 1.017.28 ± 0.48
Month 910.53 ± 1.197.28 ± 0.916.74 ± 0.45
Month 129.09 ± 1.107.06 ± 0.946.10 ± 0.46
EoT10.32 ± 1.088.09 ± 0.946.85 ± 0.47
Statistical analysis
  • Mirabegron 50 mg vs Solifenacin 5 mg + Mirabegron 50 mg · Mixed Effects Poisson-Negative Binomial · p = <0.001 · Rate ratio: 0.67 · 95% CI 0.54 to 0.84
  • Solifenacin 5 mg vs Solifenacin 5 mg + Mirabegron 50 mg · Mixed Effects Poisson-Negative Binomial · p = 0.029 · Rate ratio: 0.77 · 95% CI 0.61 to 0.97
SecondaryChange From Baseline to Months 1, 3, 6, 9, 12 and EoT in Number of Incontinence Episodes During the 7-Day Micturition Diary Period Prior to Each Visit

An incontinence episode was defined as the complaint of any involuntary leakage of urine. The number of incontinence episodes was the total number of times a participant records an incontinence episode during the 7-day micturition diary period prior to each visit.

Time frame:
Baseline and Months 1, 3, 6, 9, 12
Reported as:
Least squares mean · incontinence episodes
Change From Baseline to Months 1, 3, 6, 9, 12 and EoT in Number of Incontinence Episodes During the 7-Day Micturition Diary Period Prior to Each Visit
incontinence episodesMirabegron 50 mgSolifenacin 5 mgSolifenacin 5 mg + Mirabegron 50 mg
Month 1-6.77 ± 0.73-9.17 ± 0.73-10.31 ± 0.36
Month 3-9.21 ± 0.76-12.05 ± 0.75-12.55 ± 0.38
Month 6-10.36 ± 0.76-12.50 ± 0.75-13.49 ± 0.37
Month 9-10.62 ± 0.76-13.51 ± 0.77-14.06 ± 0.38
Month 12-11.84 ± 0.77-13.47 ± 0.77-14.43 ± 0.38
EoT-11.17 ± 0.75-13.37 ± 0.75-14.29 ± 0.37
Statistical analysis
  • Mirabegron 50 mg vs Solifenacin 5 mg + Mirabegron 50 mg · Stratified Rank ANCOVA · p = <0.001 (The two-sided p-value is for pairwise comparisons between the combination therapy group and the mirabegron monotherapy group from stratified rank ANCOVA.) · Least squares mean difference: -3.12 · 95% CI -4.76 to -1.49
  • Solifenacin 5 mg vs Solifenacin 5 mg + Mirabegron 50 mg · Stratified Rank ANCOVA · p = <0.001 (The two-sided p-value is for pairwise comparisons between the combination therapy group and the solifenacin monotherapy group from stratified rank ANCOVA.) · Least squares mean difference: -0.93 · 95% CI -2.57 to 0.72
SecondaryNumber of Incontinence-Free Days During the 7-Day Micturition Diary Period Prior to Each Visit

The number of incontinence-free days was the number of valid diary days during the 7-day micturition diary period prior to each visit with no incontinence episodes recorded.

Time frame:
Months 1, 3, 6, 9, 12
Reported as:
Mean · incontinence-free days
Number of Incontinence-Free Days During the 7-Day Micturition Diary Period Prior to Each Visit
incontinence-free daysMirabegron 50 mgSolifenacin 5 mgSolifenacin 5 mg + Mirabegron 50 mg
Month 12.73 ± 0.153.35 ± 0.173.46 ± 0.08
Month 33.30 ± 0.173.98 ± 0.174.17 ± 0.08
Month 63.64 ± 0.174.08 ± 0.174.44 ± 0.08
Month 93.97 ± 0.184.33 ± 0.174.56 ± 0.08
Month 124.23 ± 0.184.5 ± 0.184.81 ± 0.08
EoT3.98 ± 0.174.29 ± 0.164.64 ± 0.08
Statistical analysis
  • Mirabegron 50 mg vs Solifenacin 5 mg + Mirabegron 50 mg · Overdispersed Binomial Regression · p = <0.001 · Odds ratio (or): 1.60 · 95% CI 1.26 to 2.01
  • Solifenacin 5 mg vs Solifenacin 5 mg + Mirabegron 50 mg · Overdispersed Binomial Regression · p = 0.009 · Odds ratio (or): 1.38 · 95% CI 1.08 to 1.75
SecondaryNumber of Incontinence-Free Days With < 8 Micturitions Per Day During the 7-Day Micturition Diary Period Prior to Each Visit

The number of incontinence-free days with \< 8 micturitions per day was the number of valid diary days during the 7-day micturition diary period with no incontinence episodes recorded and with \< 8 micturitions per day.

Time frame:
Months 1, 3, 6, 9, 12
Reported as:
Mean · days
Number of Incontinence-Free Days With < 8 Micturitions Per Day During the 7-Day Micturition Diary Period Prior to Each Visit
daysMirabegron 50 mgSolifenacin 5 mgSolifenacin 5 mg + Mirabegron 50 mg
Month 11.03 ± 0.101.01 ± 0.101.33 ± 0.06
Month 31.24 ± 0.121.48 ± 0.131.91 ± 0.07
Month 61.56 ± 0.141.66 ± 0.142.13 ± 0.08
Month 91.56 ± 0.141.64 ± 0.142.20 ± 0.08
Month 121.87 ± 0.151.92 ± 0.152.54 ± 0.08
EoT1.75 ± 0.141.90 ± 0.142.43 ± 0.07
Statistical analysis
  • Mirabegron 50 mg vs Solifenacin 5 mg + Mirabegron 50 mg · Overdispersed Binomial Regression · p = <0.001 · Odds ratio (or): 1.61 · 95% CI 1.26 to 2.05
  • Solifenacin 5 mg vs Solifenacin 5 mg + Mirabegron 50 mg · Overdispersed Binomial Regression · p = 0.002 · Odds ratio (or): 1.45 · 95% CI 1.14 to 1.85
SecondaryChange From Baseline to Months 1, 3, 6, 9, 12 and EoT in Mean Number of Urgency Incontinence Episodes Per 24 Hours

An urgency incontinence episode was defined as the involuntary leakage of urine accompanied by or immediately preceded by urgency. The mean number of urgency incontinence episodes was calculated from data recorded by the participant in a micturition diary for 7 days prior to each visit.

Time frame:
Baseline and Months 1, 3, 6, 9, 12
Reported as:
Least squares mean · urgency incontinence episodes
Change From Baseline to Months 1, 3, 6, 9, 12 and EoT in Mean Number of Urgency Incontinence Episodes Per 24 Hours
urgency incontinence episodesMirabegron 50 mgSolifenacin 5 mgSolifenacin 5 mg + Mirabegron 50 mg
Month 1-0.93 ± 0.10-1.25 ± 0.10-1.43 ± 0.05
Month 3-1.30 ± 0.10-1.64 ± 0.10-1.71 ± 0.05
Month 6-1.40 ± 0.10-1.67 ± 0.10-1.86 ± 0.05
Month 9-1.60 ± 0.11-1.78 ± 0.11-1.92 ± 0.05
Month 12-1.60 ± 0.10-1.82 ± 0.10-1.98 ± 0.05
EoT-1.51 ± 0.10-1.81 ± 0.10-1.94 ± 0.05
Statistical analysis
  • Mirabegron 50 mg vs Solifenacin 5 mg + Mirabegron 50 mg · Stratified Rank ANCOVA · p = <0.001 (The two-sided p-value is for pairwise comparisons between the combination therapy group and the mirabegron monotherapy group from stratified rank ANCOVA.) · Least squares mean difference: -0.43 · 95% CI -0.65 to -0.21
  • Solifenacin 5 mg vs Solifenacin 5 mg + Mirabegron 50 mg · Stratified Rank ANCOVA · p = 0.009 (The two-sided p-value is for pairwise comparisons between the combination therapy group and the solifenacin monotherapy group from stratified rank ANCOVA.) · Least squares mean difference: -0.13 · 95% CI -0.36 to 0.09
SecondaryNumber of Urgency Incontinence Episodes During the 7-Day Micturition Diary Period Prior to Each Visit

An urgency incontinence episode was defined as the involuntary leakage of urine accompanied by or immediately preceeded by urgency. The number of urgency incontinence episodes was the total number of urgency incontinence episodes recorded by the participant during the 7-day micturition diary period prior to each visit.

Time frame:
Months 1, 3, 6, 9, 12
Reported as:
Mean · urgency incontinence episodes
Number of Urgency Incontinence Episodes During the 7-Day Micturition Diary Period Prior to Each Visit
urgency incontinence episodesMirabegron 50 mgSolifenacin 5 mgSolifenacin 5 mg + Mirabegron 50 mg
Month 113.14 ± 1.4211.21 ± 1.198.99 ± 0.47
Month 310.37 ± 1.008.12 ± 0.986.95 ± 0.44
Month 68.97 ± 0.957.31 ± 0.965.88 ± 0.41
Month 98.08 ± 1.016.51 ± 0.895.47 ± 0.40
Month 127.73 ± 1.006.06 ± 0.854.88 ± 0.38
EoT8.86 ± 0.987.04 ± 0.865.57 ± 0.40
Statistical analysis
  • Mirabegron 50 mg vs Solifenacin 5 mg + Mirabegron 50 mg · Negative Binomial Regression · p = <0.001 · Rate ratio: 0.62 · 95% CI 0.48 to 0.79
  • Solifenacin 5 mg vs Solifenacin 5 mg + Mirabegron 50 mg · Negative Binomial Regression · p = 0.023 · Rate ratio: 0.75 · 95% CI 0.58 to 0.96
SecondaryChange From Baseline to Months 1, 3, 6, 9, 12 and EoT in Number of Urgency Incontinence Episodes During the 7-Day Micturition Diary Period Prior to Each Visit

An urgency incontinence episode was defined as the involuntary leakage of urine accompanied by or immediately preceded by urgency. The number of urgency incontinence episodes was the total number of urgency incontinence episodes recorded by the participant during the 7-day micturition diary period prior to each visit.

Time frame:
Baseline and Months 1, 3, 6, 9, 12
Reported as:
Least squares mean · urgency incontinence episodes
Change From Baseline to Months 1, 3, 6, 9, 12 and EoT in Number of Urgency Incontinence Episodes During the 7-Day Micturition Diary Period Prior to Each Visit
urgency incontinence episodesMirabegron 50 mgSolifenacin 5 mgSolifenacin 5 mg + Mirabegron 50 mg
Month 1-6.45 ± 0.69-8.77 ± 0.69-10.1 ± 0.34
Month 3-9.06 ± 0.72-11.48 ± 0.71-11.99 ± 0.36
Month 6-10.09 ± 0.72-11.71 ± 0.71-13.0 ± 0.35
Month 9-11.1 ± 0.72-12.6 ± 0.73-13.44 ± 0.36
Month 12-11.27 ± 0.71-12.8 ± 0.71-13.8 ± 0.35
EoT-10.61 ± 0.712.66 ± 0.7-13.59 ± 0.35
Statistical analysis
  • Mirabegron 50 mg vs Solifenacin 5 mg + Mirabegron 50 mg · Stratified Rank ANCOVA · p = <0.001 (The two-sided p-value is for pairwise comparisons between the combination therapy group and the mirabegron monotherapy group from stratified rank ANCOVA.) · Least squares mean difference: -2.98 · 95% CI -4.51 to -1.46
  • Solifenacin 5 mg vs Solifenacin 5 mg + Mirabegron 50 mg · Stratified Rank ANCOVA · p = 0.006 (The two-sided p-value is for pairwise comparisons between the combination therapy group and the solifenacin monotherapy group from stratified rank ANCOVA.) · Stratified rank ancova: -0.93 · 95% CI -2.47 to 0.61
SecondaryChange From Baseline to Months 1, 3, 6, 9 and 12 in Mean Number of Micturitions Per 24 Hours

A micturition was defined as any voluntary urination (excluding incontinence only episodes). The mean number of micturitions per 24 hours was calculated from data recorded by the participant in a micturition diary for 7-days before the baseline and prior to each visit.

Time frame:
Baseline and Months 1, 3, 6, 9, 12
Reported as:
Least squares mean · micturitions
Change From Baseline to Months 1, 3, 6, 9 and 12 in Mean Number of Micturitions Per 24 Hours
micturitionsMirabegron 50 mgSolifenacin 5 mgSolifenacin 5 mg + Mirabegron 50 mg
Month 1-1.09 ± 0.12-1.36 ± 0.12-1.64 ± 0.06
Month 3-1.63 ± 0.13-1.87 ± 0.122.16 ± 0.06
Month 6-1.85 ± 0.13-2.04 ± 0.13-2.39 ± 0.06
Month 9-2.03 ± 0.13-2.03 ± 0.13-2.42 ± 0.06
Month 12-2.20 ± 0.13-2.13 ± 0.14-2.64 ± 0.07
SecondaryNumber of Days With < 8 Micturitions Per Day During the 7-Day Micturition Diary Period Prior to Each Visit (at Months 1, 3, 6, 9, 12 and EoT)

The number of days with \< 8 micturitions was the number of valid diary days during the 7-day micturition diary period with with less than 8 micturitions per day.

Time frame:
Months 1, 3, 6, 9, 12
Reported as:
Mean · days
Number of Days With < 8 Micturitions Per Day During the 7-Day Micturition Diary Period Prior to Each Visit (at Months 1, 3, 6, 9, 12 and EoT)
daysMirabegron 50 mgSolifenacin 5 mgSolifenacin 5 mg + Mirabegron 50 mg
Month 11.90 ± 0.131.60 ± 0.122.08 ± 0.07
Month 32.07 ± 0.142.14 ± 0.142.66 ± 0.08
Month 62.35 ± 0.152.34 ± 0.152.87 ± 0.08
Month 92.38 ± 0.162.33 ± 0.152.93 ± 0.08
Month 122.61 ± 0.162.58 ± 0.163.17 ± 0.08
EoT2.52 ± 0.152.58 ± 0.153.10 ± 0.08
Statistical analysis
  • Mirabegron 50 mg vs Solifenacin 5 mg + Mirabegron 50 mg · Overdispersed Binomial Regression · p = 0.002 · Odds ratio (or): 1.44 · 95% CI 1.14 to 1.8
  • Solifenacin 5 mg vs Solifenacin 5 mg + Mirabegron 50 mg · Overdispersed Binomial Regression · p = 0.007 · Odds ratio (or): 1.37 · 95% CI 1.09 to 1.73
SecondaryChange From Baseline to EoT in Corrected Micturition Frequency

Corrected micturition frequency was defined as the mean number of micturitions per 24 hours that participants had at end of treatment if their fluid intake had remained unchanged since baseline. Corrected micturition frequency was calculated as the baseline mean volume voided per micturition multiplied by the baseline mean number of micturitions per 24 hours divided by the mean volume voided per micturition at EoT.

Time frame:
Baseline and Month 12
Reported as:
Least squares mean · micturitions
Change From Baseline to EoT in Corrected Micturition Frequency
micturitionsMirabegron 50 mgSolifenacin 5 mgSolifenacin 5 mg + Mirabegron 50 mg
Change From Baseline to EoT in Corrected Micturition Frequency-0.72 ± 0.17-1.11 ± 0.17-1.51 ± 0.08
Statistical analysis
  • Mirabegron 50 mg vs Solifenacin 5 mg + Mirabegron 50 mg · ANCOVA · p = <0.001 · Least squares mean difference: -0.78 · 95% CI -1.16 to -0.41
  • Solifenacin 5 mg vs Solifenacin 5 mg + Mirabegron 50 mg · ANCOVA · p = 0.037 · Least squares mean difference: -0.40 · 95% CI -0.77 to -0.02
SecondaryChange From Baseline to Months 3, 6 and 12 in Mean Volume Voided Per Micturition

The mean volume voided per micturition was calculated from the data recorded by the participant during 3 consecutive days with volume measurements during the 7-day micturition diary period prior to each visit.

Time frame:
Baseline and Months 3, 6, 12
Reported as:
Least squares mean · mL
Change From Baseline to Months 3, 6 and 12 in Mean Volume Voided Per Micturition
mLMirabegron 50 mgSolifenacin 5 mgSolifenacin 5 mg + Mirabegron 50 mg
Month 315.34 ± 2.9623.71 ± 2.9234.89 ± 1.45
Month 620.87 ± 3.2127.08 ± 3.1938.56 ± 1.57
Month 1221.85 ± 3.4224.05 ± 3.3738.72 ± 1.67
SecondaryChange From Baseline to Months 1, 3, 6, 9, 12 and EoT in Mean Number of Urgency Episodes (Grade 3 or 4) Per 24 Hours

Urgency was defined as a complaint of a sudden, compelling desire to pass urine, which is difficult to defer. An urgency episode was defined as any micturition or incontinence episode recorded by the participant in the micturition diary for 7 days prior to each visit as 3 or 4 on the Patient Perception of Intensity of Urgency Scale (PPIUS), where 0 = No urgency; 1 = Mild urgency; 2 = Moderate urgency, could delay voiding a short while; 3 = Severe urgency, could not delay voiding; 4 = Urge incontinence, leaked before arriving to the toilet.

Time frame:
Baseline and Months 1, 3, 6, 9, 12
Reported as:
Least squares mean · urgency episodes
Change From Baseline to Months 1, 3, 6, 9, 12 and EoT in Mean Number of Urgency Episodes (Grade 3 or 4) Per 24 Hours
urgency episodesMirabegron 50 mgSolifenacin 5 mgSolifenacin 5 mg + Mirabegron 50 mg
Month 1-1.93 ± 0.17-2.31 ± 0.17-2.68 ± 0.09
Month 3-2.68 ± 0.17-3.02 ± 0.17-3.36 ± 0.08
Month 6-2.93 ± 0.17-3.17 ± 0.17-3.72 ± 0.08
Month 9-3.40 ± 0.18-3.55 ± 0.18-3.87 ± 0.09
Month 12-3.40 ± 0.17-3.56 ± 0.17-3.95 ± 0.09
EoT-3.11 ± 0.17-3.45 ± 0.17-3.84 ± 0.08
Statistical analysis
  • Mirabegron 50 mg vs Solifenacin 5 mg + Mirabegron 50 mg · ANCOVA · p = <0.001 · Least squares mean difference: -0.73 · 95% CI -1.10 to -0.37
  • Solifenacin 5 mg vs Solifenacin 5 mg + Mirabegron 50 mg · ANCOVA · p = 0.036 · Least squares mean difference: -0.39 · 95% CI -0.76 to -0.03
SecondaryChange From Baseline to Months 1, 3, 6, 9, 12 and EoT in Mean Number of Nocturia Episodes Per 24 Hours

A nocturia episode was defined as waking at night 1 or more times to void (i.e., any voiding associated with sleep disturbance between the time the participant goes to bed with the intention to sleep until the time the participant gets up in the morning with the intention to stay awake). The mean number of nocturia episodes was calculated from data recorded by the participant in the micturition diary for 7 days prior to each visit."

Time frame:
Baseline and Months 1, 3, 6, 9, 12
Reported as:
Least squares mean · nocturia episodes
Change From Baseline to Months 1, 3, 6, 9, 12 and EoT in Mean Number of Nocturia Episodes Per 24 Hours
nocturia episodesMirabegron 50 mgSolifenacin 5 mgSolifenacin 5 mg + Mirabegron 50 mg
Month 1-0.20 ± 0.04-0.22 ± 0.04-0.34 ± 0.02
Month 3-0.34 ± 0.04-0.38 ± 0.04-0.46 ± 0.02
Month 6-0.41 ± 0.05-0.39 ± 0.05-0.49 ± 0.02
Month 9-0.42 ± 0.05-0.44 ± 0.05-0.50 ± 0.02
Month 12-0.46 ± 0.05-0.44 ± 0.05-0.56 ± 0.02
EoT-0.45 ± 0.04-0.45 ± 0.04-0.55 ± 0.02
Statistical analysis
  • Mirabegron 50 mg vs Solifenacin 5 mg + Mirabegron 50 mg · ANCOVA · p = 0.059 · Least squares mean difference: -0.09 · 95% CI -0.19 to 0.00
  • Solifenacin 5 mg vs Solifenacin 5 mg + Mirabegron 50 mg · ANCOVA · p = 0.068 · Least squares mean difference: -0.09 · 95% CI -0.19 to 0.01
SecondaryNumber of Nocturia Episodes Reported During the 7-Day Micturition Diary Period Prior to Each Visit

A nocturia episode was defined as waking at night 1 or more times to void (i.e., any voiding associated with sleep disturbance between the time the participant goes to bed with the intention to sleep until the time the participant gets up in the morning with the intention to stay awake). The number of nocturia episodes was the number of times a participant recorded a nocturia episode during the 7-day micturition diary period prior to each visit.

Time frame:
Months 1, 3, 6, 9, 12
Reported as:
Mean · nocturia episodes
Number of Nocturia Episodes Reported During the 7-Day Micturition Diary Period Prior to Each Visit
nocturia episodesMirabegron 50 mgSolifenacin 5 mgSolifenacin 5 mg + Mirabegron 50 mg
Month 18.76 ± 0.419.23 ± 0.448.00 ± 0.20
Month 37.93 ± 0.397.92 ± 0.407.17 ± 0.19
Month 67.12 ± 0.357.86 ± 0.436.96 ± 0.20
Month 97.40 ± 0.387.48 ± 0.416.84 ± 0.20
Month 126.88 ± 0.387.39 ± 0.446.33 ± 0.19
EoT7.13 ± 0.377.47 ± 0.426.51 ± 0.19
Statistical analysis
  • Mirabegron 50 mg vs Solifenacin 5 mg + Mirabegron 50 mg · Negative Binomial Regression · p = 0.067 · Rate ratio: 0.90 · 95% CI 0.81 to 1.01
  • Solifenacin 5 mg vs Solifenacin 5 mg + Mirabegron 50 mg · Negative Binomial Regression · p = 0.131 · Rate ratio: 0.92 · 95% CI 0.82 to 1.03
SecondaryChange From Baseline to Months 1, 3, 6, 9, 12 and EoT in Number of Nocturia Episodes During the 7-Day Micturition Diary Period Prior to Each Visit

A nocturia episode was defined as waking at night 1 or more times to void (i.e., any voiding associated with sleep disturbance between the time the participant goes to bed with the intention to sleep until the time the participant gets up in the morning with the intention to stay awake). The number of nocturia episodes was the number of times a participant recorded a nocturia episode during the 7-day micturition diary period prior to each visit

Time frame:
Baseline and Months 1, 3, 6, 9, 12
Reported as:
Least squares mean · nocturia episodes
Change From Baseline to Months 1, 3, 6, 9, 12 and EoT in Number of Nocturia Episodes During the 7-Day Micturition Diary Period Prior to Each Visit
nocturia episodesMirabegron 50 mgSolifenacin 5 mgSolifenacin 5 mg + Mirabegron 50 mg
Month 1-1.56 ± 0.29-1.58 ± 0.29-2.39 ± 0.15
Month 3-2.45 ± 0.29-2.78 ± 0.30-3.26 ± 0.15
Month 6-3.08 ± 0.33-2.81 ± 0.33-3.44 ± 0.16
Month 9-2.91 ± 0.32-3.13 ± 0.32-3.55 ± 0.16
Month 12-3.29 ± 0.32-3.08 ± 0.33-3.97 ± 0.16
EoT-3.24 ± 0.31-3.20 ± 0.32-3.90 ± 0.16
Statistical analysis
  • Mirabegron 50 mg vs Solifenacin 5 mg + Mirabegron 50 mg · ANCOVA · p = 0.055 · Least squares mean difference: -0.67 · 95% CI -1.34 to 0.01
  • Solifenacin 5 mg vs Solifenacin 5 mg + Mirabegron 50 mg · ANCOVA · p = 0.048 · Least squares mean difference: -0.70 · 95% CI -1.39 to -0.01
SecondaryChange From Baseline to Months 1, 3, 6, 9, 12 and EoT in Mean Number of Pads Used Per 24 Hours

The mean number of pads used per 24 hours was calculated from data recorded by the participant in the micturition diary for 7 days prior to each visit.

Time frame:
Baseline and Months 1, 3, 6, 9, 12
Reported as:
Least squares mean · pads
Change From Baseline to Months 1, 3, 6, 9, 12 and EoT in Mean Number of Pads Used Per 24 Hours
padsMirabegron 50 mgSolifenacin 5 mgSolifenacin 5 mg + Mirabegron 50 mg
Month 1-0.67 ± 0.10-0.96 ± 0.11-1.25 ± 0.05
Month 3-1.12 ± 0.11-1.30 ± 0.11-1.49 ± 0.06
Month 6-1.30 ± 0.12-1.24 ± 0.12-1.59 ± 0.06
Month 9-1.38 ± 0.12-1.31 ± 0.13-1.65 ± 0.06
Month 12-1.35 ± 0.12-1.37 ± 0.13-1.67 ± 0.06
EoT-1.23 ± 0.12-1.38 ± 0.12-1.66 ± 0.06
Statistical analysis
  • Mirabegron 50 mg vs Solifenacin 5 mg + Mirabegron 50 mg · ANCOVA · p = 0.002 · Least squares mean difference: -0.42 · 95% CI -0.69 to -0.16
  • Solifenacin 5 mg vs Solifenacin 5 mg + Mirabegron 50 mg · ANCOVA · p = 0.039 · Least squares mean difference: -0.28 · 95% CI -0.55 to -0.01
SecondaryNumber of Pads Used During the 7-Day Micturition Diary Period Prior to Each Visit

The number of pads used was the number of times a participant recorded a new pad used during the 7-day micturition diary period prior to each visit.

Time frame:
Months 1, 3, 6, 9, 12
Reported as:
Mean · pads
Number of Pads Used During the 7-Day Micturition Diary Period Prior to Each Visit
padsMirabegron 50 mgSolifenacin 5 mgSolifenacin 5 mg + Mirabegron 50 mg
Month 112.67 ± 1.9812.55 ± 1.598.75 ± 0.50
Month 39.61 ± 1.129.47 ± 1.287.23 ± 0.5
Month 67.99 ± 1.039.16 ± 1.286.51 ± 0.47
Month 97.65 ± 1.088.91 ± 1.286.18 ± 0.46
Month 127.60 ± 1.058.09 ± 1.235.70 ± 0.44
EoT9.09 ± 1.078.54 ± 1.106.33 ± 0.45
Statistical analysis
  • Mirabegron 50 mg vs Solifenacin 5 mg + Mirabegron 50 mg · Negative Binomial Regression · p = <0.001 · Rate ratio: 0.58 · 95% CI 0.45 to 0.76
  • Solifenacin 5 mg vs Solifenacin 5 mg + Mirabegron 50 mg · Negative Binomial Regression · p = 0.044 · Rate ratio: 0.76 · 95% CI 0.58 to 0.99
SecondaryChange From Baseline to Months 1, 3, 6, 9, 12 and EoT in Number of Pads Used During the 7-Day Micturition Diary Period Prior to Each Visit

The number of pads used was the number of times a participant recorded a new pad used during the 7-day micturition diary period prior to each visit.

Time frame:
Baseline and Months 1, 3, 6, 9, 12
Reported as:
Least squares mean · pads
Change From Baseline to Months 1, 3, 6, 9, 12 and EoT in Number of Pads Used During the 7-Day Micturition Diary Period Prior to Each Visit
padsMirabegron 50 mgSolifenacin 5 mgSolifenacin 5 mg + Mirabegron 50 mg
Month 1-4.74 ± 0.71-6.72 ± 0.72-8.89 ± 0.36
Month 3-7.83 ± 0.77-9.21 ± 0.7810.47 ± 0.39
Month 6-9.09 ± 0.85-8.86 ± 0.85-11.12 ± 0.42
Month 9-9.59 ± 0.87-9.33 ± 0.89-11.44 ± 0.43
Month 12-9.39 ± 0.85-9.92 ± 0.87-11.66 ± 0.42
EoT-8.59 ± 0.82-9.89 ± 0.84-11.58 ± 0.42
Statistical analysis
  • Mirabegron 50 mg vs Solifenacin 5 mg + Mirabegron 50 mg · ANCOVA · p = 0.001 · Least squares mean difference: -2.98 · 95% CI -4.78 to -1.18
  • Solifenacin 5 mg vs Solifenacin 5 mg + Mirabegron 50 mg · ANCOVA · p = 0.072 · Least squares mean difference: -1.68 · 95% CI -3.52 to 0.15
SecondaryChange From Baseline to Months 1, 3, 6, 9 and 12 in the OAB-q Symptom Bother Score

The OAB-q is a self-reported questionnaire with items relating to symptom bother and health-related quality of life (HRQoL). The symptom bother portion consists of 8 items, rated on a 6-point Likert scale (1 through 6). The total symptom bother score was calculated from the 8 answers and then transformed to range from 0 (least severity) to 100 (worst severity). A negative change from baseline indicated an improvement.

Time frame:
Baseline and Months 1, 3, 6, 9, 12
Reported as:
Least squares mean · units on a scale
Change From Baseline to Months 1, 3, 6, 9 and 12 in the OAB-q Symptom Bother Score
units on a scaleMirabegron 50 mgSolifenacin 5 mgSolifenacin 5 mg + Mirabegron 50 mg
Month 1-16.37 ± 1.08-20.82 ± 1.07-22.86 ± 0.54
Month 3-19.69 ± 1.08-23.13 ± 1.07-26.88 ± 0.53
Month 6-20.97 ± 1.14-24.27 ± 1.12-27.73 ± 0.55
Month 9-21.41 ± 1.15-25.82 ± 1.14-28.45 ± 0.56
Month 12-23.41 ± 1.19-25.38 ± 1.18-30.18 ± 0.58
SecondaryChange From Baseline to Months 1, 3, 6, 9, 12 and EoT in Health-Related Quality of Life Questionnaire (HRQoL): Total Score

The OAB-q is a self-reported questionnaire with items relating to symptom bother and HRQoL. The HRQoL portion consists of 25 HRQoL items comprising 4 HRQoL subscales (Coping, Concern, Sleep, and Social Interaction), each item was scored 1-6. The total score was calculated by adding the 4 HRQoL subscale scores and transforming to a scale from 0 to 100, with higher scores indicating better quality of life. A positive change from baseline indicated an improvement.

Time frame:
Baseline and Months 1, 3, 6, 9, 12
Reported as:
Least squares mean · units on a scale
Change From Baseline to Months 1, 3, 6, 9, 12 and EoT in Health-Related Quality of Life Questionnaire (HRQoL): Total Score
units on a scaleMirabegron 50 mgSolifenacin 5 mgSolifenacin 5 mg + Mirabegron 50 mg
Month 111.67 ± 0.9214.01 ± 0.9115.69 ± 0.45
Month 315.25 ± 0.9516.41 ± 0.9419.26 ± 0.47
Month 616.63 ± 1.0217.96 ± 1.0020.03 ± 0.49
Month 916.69 ± 1.0218.53 ± 1.0120.75 ± 0.50
Month 1217.33 ± 1.0418.80 ± 1.0321.82 ± 0.51
EoT16.57 ± 1.0018.47 ± 0.9921.33 ± 0.50
Statistical analysis
  • Mirabegron 50 mg vs Solifenacin 5 mg + Mirabegron 50 mg · ANCOVA · p = <0.001 · Least squares mean difference: 4.76 · 95% CI 2.56 to 6.96
  • Solifenacin 5 mg vs Solifenacin 5 mg + Mirabegron 50 mg · ANCOVA · p = 0.010 · Least squares mean difference: 2.86 · 95% CI 0.68 to 5.04
SecondaryChange From Baseline to Months 1, 3, 6, 9, 12 and EoT in HRQoL Subscale Score: Coping

The OAB-q is a self-reported questionnaire with items relating to symptom bother and HRQoL. The HRQoL portion consists of 25 HRQoL items comprising 4 HRQoL subscales (Coping, Concern, Sleep, and Social Interaction), each item was scored 1-6. HRQoL subscales (coping, concern, sleep and social) and total score were transformed to range from 0 (worst quality of life) to 100 (best quality of life), with higher scores indicating better quality of life. A positive change from baseline indicated an improvement.

Time frame:
Baseline and Months 1, 3, 6, 9, 12
Reported as:
Least squares mean · units on a scale
Change From Baseline to Months 1, 3, 6, 9, 12 and EoT in HRQoL Subscale Score: Coping
units on a scaleMirabegron 50 mgSolifenacin 5 mgSolifenacin 5 mg + Mirabegron 50 mg
Month 113.05 ± 1.0915.40 ± 1.0817.58 ± 0.54
Month 317.57 ± 1.1418.38 ± 1.1321.64 ± 0.56
Month 619.68 ± 1.2220.53 ± 1.1922.73 ± 0.59
Month 919.54 ± 1.2121.21 ± 1.2023.58 ± 0.59
Month 1219.47 ± 1.2521.90 ± 1.2324.86 ± 0.61
EoT18.54 ± 1.1921.13 ± 1.1824.14 ± 0.59
Statistical analysis
  • Mirabegron 50 mg vs Solifenacin 5 mg + Mirabegron 50 mg · ANCOVA · p = <0.001 · Least squares mean difference: 5.60 · 95% CI 2.99 to 8.20
  • Solifenacin 5 mg vs Solifenacin 5 mg + Mirabegron 50 mg · ANCOVA · p = 0.022 · Least squares mean difference: 3.01 · 95% CI 0.43 to 5.60
SecondaryChange From Baseline to Months 1, 3, 6, 9, 12 and EoT in HRQoL Subscale Score: Concern

The OAB-q is a self-reported questionnaire with items relating to symptom bother and HRQoL. The HRQoL portion consists of 25 HRQoL items comprising 4 HRQoL subscales (Coping, Concern, Sleep, and Social Interaction), each item was scored 1-6. HRQoL subscales (coping, concern, sleep and social) and total score were transformed to range from 0 (worst quality of life) to 100 (best quality of life), with higher scores indicating better quality of life. A positive change from baseline indicated an improvement.

Time frame:
Baseline and Months 1, 3, 6, 9, 12
Reported as:
Least squares mean · units on a scale
Change From Baseline to Months 1, 3, 6, 9, 12 and EoT in HRQoL Subscale Score: Concern
units on a scaleMirabegron 50 mgSolifenacin 5 mgSolifenacin 5 mg + Mirabegron 50 mg
Month 113.24 ± 1.0315.49 ± 1.0217.60 ± 0.51
Month 316.37 ± 1.0517.64 ± 1.0421.23 ± 0.52
Month 617.77 ± 1.1019.05 ± 1.0721.73 ± 0.53
Month 918.15 ± 1.1119.74 ± 1.1022.30 ± 0.54
Month 1219.10 ± 1.1219.40 ± 1.1023.30 ± 0.54
EoT17.98 ± 1.0819.22 ± 1.0723.00 ± 0.54
Statistical analysis
  • Mirabegron 50 mg vs Solifenacin 5 mg + Mirabegron 50 mg · ANCOVA · p = <0.001 · Least squares mean difference: 5.01 · 95% CI 2.65 to 7.38
  • Solifenacin 5 mg vs Solifenacin 5 mg + Mirabegron 50 mg · ANCOVA · p = 0.002 · Least squares mean difference: 3.78 · 95% CI 1.43 to 6.13
SecondaryChange From Baseline to Months 1, 3, 6, 9, 12 and EoT in HRQoL Subscale Score: Sleep

The OAB-q is a self-reported questionnaire with items relating to symptom bother and HRQoL. The HRQoL portion consisted of 25 HRQoL items comprising 4 HRQoL subscales (Coping, Concern, Sleep, and Social Interaction), each time was scored 1-6. HRQoL subscales (coping, concern, sleep and social) and total score were transformed to range from 0 (worst quality of life) to 100 (best quality of life), with higher scores indicating better quality of life. A positive change from baseline indicated an improvement.

Time frame:
Baseline and Months 1, 3, 6, 9, 12
Reported as:
Least squares mean · units on a scale
Change From Baseline to Months 1, 3, 6, 9, 12 and EoT in HRQoL Subscale Score: Sleep
units on a scaleMirabegron 50 mgSolifenacin 5 mgSolifenacin 5 mg + Mirabegron 50 mg
Month 110.96 ± 1.0814.24 ± 1.0715.82 ± 0.54
Month 314.09 ± 1.1216.71 ± 1.1019.75 ± 0.55
Month 614.84 ± 1.2217.70 ± 1.1920.09 ± 0.59
Month 914.86 ± 1.2217.73 ± 1.2121.15 ± 0.60
Month 1216.53 ± 1.2918.28 ± 1.2722.17 ± 0.63
EoT16.44 ± 1.2218.32 ± 1.2121.59 ± 0.61
Statistical analysis
  • Mirabegron 50 mg vs Solifenacin 5 mg + Mirabegron 50 mg · ANCOVA · p = <0.001 · Least squares mean difference: 5.15 · 95% CI 2.47 to 7.83
  • Solifenacin 5 mg vs Solifenacin 5 mg + Mirabegron 50 mg · ANCOVA · p = 0.016 · Least squares mean difference: 3.27 · 95% CI 0.62 to 5.93
SecondaryChange From Baseline to Months 1, 3, 6, 9, 12 and EoT in HRQL Subscale Score: Social

The OAB-q is a self-reported questionnaire with items relating to symptom bother and HRQoL. The HRQoL portion consists of 25 HRQoL items comprising 4 HRQoL subscales (Coping, Concern, Sleep, and Social Interaction), each item was scored 1-6. HRQoL subscales (coping, concern, sleep and social) and total score were transformed to range from 0 (worst quality of life) to 100 (best quality of life), with higher scores indicating better quality of life. A positive change from baseline indicated an improvement.

Time frame:
Baseline and Months 1, 3, 6, 9, 12
Reported as:
Least squares mean · units on a scale
Change From Baseline to Months 1, 3, 6, 9, 12 and EoT in HRQL Subscale Score: Social
units on a scaleMirabegron 50 mgSolifenacin 5 mgSolifenacin 5 mg + Mirabegron 50 mg
Month 17.99 ± 0.849.41 ± 0.839.89 ± 0.42
Month 311.14 ± 0.8511.19 ± 0.8412.22 ± 0.42
Month 611.89 ± 0.8912.54 ± 0.8713.30 ± 0.43
Month 911.92 ± 0.9013.33 ± 0.8913.64 ± 0.44
Month 1212.25 ± 0.9013.47 ± 0.8914.52 ± 0.44
EoT11.57 ± 0.8713.22 ± 0.8714.25 ± 0.43
Statistical analysis
  • Mirabegron 50 mg vs Solifenacin 5 mg + Mirabegron 50 mg · ANCOVA · p = 0.006 · Least squares mean difference: 2.68 · 95% CI 0.77 to 4.59
  • Solifenacin 5 mg vs Solifenacin 5 mg + Mirabegron 50 mg · ANCOVA · p = 0.287 · Least squares mean difference: 1.03 · 95% CI -0.87 to 2.93
SecondaryChange From Baseline to Months 1, 3, 6, 9 and 12 in the Patient's Assessment of TS-VAS

The TS-VAS is a visual analogue scale which asks participants to rate their satisfaction with the treatment by placing a vertical mark on a line that runs from 0 (No, not at all) on the left to 10 (Yes, completely) on the right. A positive change from baseline indicated improvement.

Time frame:
Baseline and Months 1, 3, 6, 9, 12
Reported as:
Least squares mean · units on a scale
Change From Baseline to Months 1, 3, 6, 9 and 12 in the Patient's Assessment of TS-VAS
units on a scaleMirabegron 50 mgSolifenacin 5 mgSolifenacin 5 mg + Mirabegron 50 mg
Month 11.88 ± 0.121.95 ± 0.122.27 ± 0.06
Month 32.10 ± 0.112.06 ± 0.112.57 ± 0.06
Month 62.22 ± 0.122.25 ± 0.122.72 ± 0.06
Month 92.24 ± 0.122.28 ± 0.122.74 ± 0.06
Month 122.33 ± 0.122.34 ± 0.122.89 ± 0.06
SecondaryChange From Baseline to Months 1, 3, 6, 9, 12 and EoT in Patient Perception of Bladder Condition (PPBC)

The PPBC is a validated, global assessment tool using a 6-point Likert scale on which participants rated their subjective impression of their current bladder condition. Participants assessed their bladder condition using this scale: 1. Does not cause me any problems at all; 2. Causes me some very minor problems; 3. Causes me some minor problems; 4. Causes me (some) moderate problems; 5. Causes me severe problems; 6. Causes me many severe problems.

Time frame:
Baseline and Months 1, 3, 6, 9, 12
Reported as:
Least squares mean · units on a scale
Change From Baseline to Months 1, 3, 6, 9, 12 and EoT in Patient Perception of Bladder Condition (PPBC)
units on a scaleMirabegron 50 mgSolifenacin 5 mgSolifenacin 5 mg + Mirabegron 50 mg
Month 1-0.84 ± 0.07-0.89 ± 0.07-1.05 ± 0.03
Month 3-1.09 ± 0.07-1.08 ± 0.07-1.33 ± 0.03
Month 6-1.11 ± 0.07-1.18 ± 0.07-1.42 ± 0.04
Month 9-1.25 ± 0.07-1.31 ± 0.07-1.48 ± 0.04
Month 12-1.29 ± 0.08-1.36 ± 0.07-1.59 ± 0.04
EoT-1.22 ± 0.07-1.34 ± 0.07-1.54 ± 0.04
Statistical analysis
  • Mirabegron 50 mg vs Solifenacin 5 mg + Mirabegron 50 mg · ANCOVA · p = <0.001 · Least squares mean difference: -0.32 · 95% CI -0.47 to -0.16
  • Solifenacin 5 mg vs Solifenacin 5 mg + Mirabegron 50 mg · ANCOVA · p = 0.011 · Least squares mean difference: -0.20 · 95% CI -0.36 to -0.05
SecondaryPercentage of Participants in Each Category of Patient's Global Impression of Change (PGIC) Scale: Impression in Bladder Symptoms at Month 12 and EoT

The PGIC is a 2-part questionnaire, assessing both the change in the patient's overall condition and change in bladder condition since the start of the study (from very much worse to very much improved).

Time frame:
Month 12
Reported as:
Number · percentage of participants
Percentage of Participants in Each Category of Patient's Global Impression of Change (PGIC) Scale: Impression in Bladder Symptoms at Month 12 and EoT
percentage of participantsMirabegron 50 mgSolifenacin 5 mgSolifenacin 5 mg + Mirabegron 50 mg
Month 12: Very much improved25.523.433.8
Month 12: Much improved30.535.834.0
Month 12: Minimally improved21.919.716.1
Month 12: No change5.06.44.5
Month 12: Minimally worse0.70.70.4
Month 12: Much worse1.00.30.1
Month 12: Very much worse0.30.30.5
EoT: Very much improved25.824.434.1
EoT: Much improved31.537.134.7
EoT: Minimally improved22.220.416.6
EoT: No change6.37.05.1
EoT: Minimally worse0.70.70.4
EoT: Much worse1.30.70.1
EoT: Very much worse0.30.30.5
SecondaryPercentage of Participants in Each Category of PGIC Scale: Impression in General Health at Month 12 and EoT

The PGIC is a 2-part questionnaire, assessing both the change in the patient's overall condition and change in bladder condition since the start of the study (from very much worse to very much improved).

Time frame:
Month 12
Reported as:
Number · percentage of participants
Percentage of Participants in Each Category of PGIC Scale: Impression in General Health at Month 12 and EoT
percentage of participantsMirabegron 50 mgSolifenacin 5 mgSolifenacin 5 mg + Mirabegron 50 mg
Month 12: Very much improved12.914.718.0
Month 12: Much improved23.826.828.7
Month 12: Minimally improved18.917.118.7
Month 12: No change24.224.720.7
Month 12: Minimally worse3.62.72.7
Month 12: Much worse0.700.4
Month 12: Very much worse0.70.70.3
EoT: Very much improved13.215.118.3
EoT: Much improved24.527.828.9
EoT: Minimally improved19.218.119.1
EoT: No change25.825.821.6
EoT: Minimally worse3.63.02.8
EoT: Much worse1.00.30.5
EoT: Very much worse0.70.70.3
SecondaryNumber of Participants With Change From Baseline to EoT in European Quality of Llife in 5 Dimensions (EQ-5D) Questionnaire Subscale Score: Mobility

The EQ-5D questionnaire is an international, standardized, nondisease specific instrument for describing and valuing health status, and has 5 dimensions: Mobility, Self-care, Usual Activities, Pain/Discomfort, and Anxiety/Depression. Each dimension has 5 response levels ranging from level 1 (no problem or none) to level 5 (unable to perform activity).

Time frame:
Baseline and 12 Months
Reported as:
Count of participants · Participants
Number of Participants With Change From Baseline to EoT in European Quality of Llife in 5 Dimensions (EQ-5D) Questionnaire Subscale Score: Mobility
ParticipantsMirabegron 50 mgSolifenacin 5 mgSolifenacin 5 mg + Mirabegron 50 mg
No problems -> no problems164164675
No problems -> slight problems151556
No problems -> moderate problems10426
No problems -> severe problems112
No problems -> unable to walk about100
No problems -> no data307
Slight problems -> no problems192483
Slight problems -> slight problems182987
Slight problems -> moderate problems4626
Slight problems -> severe problems312
Slight problems -> unable to walk about000
Slight problems -> no data210
Moderate problems -> no problems141138
Moderate problems -> slight problems131747
Moderate problems -> moderate problems9550
Moderate problems -> severe problems248
Moderate problems -> unable to walk about000
Moderate problems -> no data001
Severe problems -> no problems2415
Severe problems -> slight problems2213
Severe problems -> moderate problems6416
Severe problems -> severe problems5315
Severe problems -> unable to walk about102
Severe problems -> no data000
Unable to walk about -> no problems001
Unable to walk about -> slight problems001
Unable to walk about -> moderate problems000
Unable to walk about -> severe problems000
Unable to walk about -> unable to walk about000
Unable to walk about -> no data000
No data -> no problems4319
No data -> slight problems413
No data -> moderate problems000
No data -> severe problems000
No data -> unable to walk about000
No data -> no data000
SecondaryNumber of Participants With Change From Baseline to EoT in EQ-5D Questionnaire Subscale Score: Self-care

The EQ-5D questionnaire is an international, standardized, nondisease specific instrument for describing and valuing health status, and has 5 dimensions: Mobility, Self-care, Usual Activities, Pain/Discomfort, and Anxiety/Depression. Each dimension has 5 response levels ranging from level 1 (no problem or none) to level 5 (unable to perform activity).

Time frame:
Baseline and Month 12
Reported as:
Count of participants · Participants
Number of Participants With Change From Baseline to EoT in EQ-5D Questionnaire Subscale Score: Self-care
ParticipantsMirabegron 50 mgSolifenacin 5 mgSolifenacin 5 mg + Mirabegron 50 mg
No problems -> no problems223232906
No problems -> slight problems12940
No problems -> moderate problems8012
No problems -> severe problems012
No problems -> unable to wash/dress myself000
No problems -> no data517
Slight problems -> no problems161864
Slight problems -> slight problems91444
Slight problems -> moderate problems0412
Slight problems -> severe problems011
Slight problems -> unable to wash/dress myself000
Slight problems -> no data001
Moderate problems -> no problems5418
Moderate problems -> slight problems5620
Moderate problems -> moderate problems5321
Moderate problems -> severe problems002
Moderate problems -> unable to wash/dress myself000
Moderate problems -> no data000
Severe problems -> no problems018
Severe problems -> slight problems103
Severe problems -> moderate problems314
Severe problems -> severe problems105
Severe problems -> unable to wash/dress myself000
Severe problems -> no data000
Unable to wash/dress myself -> no problems000
Unable to wash/dress myself -> slight problems001
Unable to wash/dress myself -> moderate problems000
Unable to wash/dress myself -> severe problems000
Unable to wash/dress myself -> unable to wash/dres100
Unable to wash/dress myself -> no data000
No data -> no problems6322
No data -> slight problems210
No data -> moderate problems000
No data -> severe problems000
No data -> unable to wash/dress myself000
No data -> no data000
SecondaryNumber of Participants With Change From Baseline to EoT in EQ-5D Questionnaire Subscale Score: Usual Activities

The EQ-5D questionnaire is an international, standardized, nondisease specific instrument for describing and valuing health status, and has 5 dimensions: Mobility, Self-care, Usual Activities, Pain/Discomfort, and Anxiety/Depression. Each dimension has 5 response levels ranging from level 1 (no problem or none) to level 5 (unable to perform activity).

Time frame:
Baseline and Month 12
Reported as:
Count of participants · Participants
Number of Participants With Change From Baseline to EoT in EQ-5D Questionnaire Subscale Score: Usual Activities
ParticipantsMirabegron 50 mgSolifenacin 5 mgSolifenacin 5 mg + Mirabegron 50 mg
No problems -> No problems165160672
No problems -> Slight problems131665
No problems -> Moderate problems8415
No problems -> Severe problems101
No problems -> unable to do usual activities000
No problems -> no data407
Slight problems -> no problems2739131
Slight problems -> slight problems283385
Slight problems -> moderate problems5626
Slight problems -> severe problems211
Slight problems ->unable to do usual activities000
Slight problems -> no data100
Moderate problems -> no problems121240
Moderate problems -> slight problems11944
Moderate problems -> moderate problems7443
Moderate problems -> severe problems202
Moderate problems ->unable to do usual activities000
Moderate problems -> no data011
Severe problems -> no problems2110
Severe problems -> slight problems029
Severe problems -> moderate problems067
Severe problems -> severe problems416
Severe problems -> unable to do usual activities001
Severe problems -> no data000
Unable to do usual activities -> no problems000
Unable to do usual activities -> slight problems001
Unable to do usual activities -> moderate problems104
Unable to do usual activities -> severe problems000
Unable to do usual activities -> unable to do100
Unable to do usual activities -> no data000
No data -> no problems6220
No data -> slight problems122
No data -> moderate problems100
No data -> severe problems000
No data -> unable to do usual activities000
No data -> no data000
SecondaryNumber of Participants With Change From Baseline to EoT in EQ-5D Questionnaire Subscale Score: Pain/Discomfort

The EQ-5D questionnaire is an international, standardized, nondisease specific instrument for describing and valuing health status, and had 5 dimensions: Mobility, Self-care, Usual Activities, Pain/Discomfort, and Anxiety/Depression. Each dimension has 5 response levels ranging from level 1 (no problem or none) to level 5 (unable to perform activity).

Time frame:
Baseline and Month 12
Reported as:
Count of participants · Participants
Number of Participants With Change From Baseline to EoT in EQ-5D Questionnaire Subscale Score: Pain/Discomfort
ParticipantsMirabegron 50 mgSolifenacin 5 mgSolifenacin 5 mg + Mirabegron 50 mg
No pain/discomfort -> no pain/discomfort120119495
No pain/discomfort -> slight pain/discomfort211970
No pain/discomfort -> moderate pain/discomfort7120
No pain/discomfort -> severe pain/discomfort103
No pain/discomfort -> extreme pain/discomfort000
No pain/discomfort -> no data216
Slight pain/discomfort -> no pain/discomfort4437132
Slight pain/discomfort -> slight pain/discomfort2448152
Slight pain/discomfort -> moderate pain/discomfort11926
Slight pain/discomfort -> severe pain/discomfort215
Slight pain/discomfort -> extreme pain/discomfort001
Slight pain/discomfort -> no data001
Moderate pain/discomfort -> no pain/discomfort91149
Moderate pain/discomfort -> slight pain/discomfort191778
Moderate pain/discomfort -> moderate pain/discomf161065
Moderate pain/discomfort -> severe pain/discomfort238
Moderate pain/discomfort -> extreme pain/discomf001
Moderate pain/discomfort -> no data101
Severe pain/discomfort -> no pain/discomfort3615
Severe pain/discomfort -> slight pain/discomfort239
Severe pain/discomfort -> moderate pain/discomfort5513
Severe pain/discomfort -> severe pain/discomfort2311
Severe pain/discomfort -> extreme pain/discomfort001
Severe pain/discomfort -> no data100
Extreme pain/discomfort -> no pain/discomfort000
Extreme pain/discomfort -> slight pain/discomfort003
Extreme pain/discomfort -> moderate pain/discomf102
Extreme pain/discomfort -> severe pain/discomfort022
Extreme pain/discomfort -> extreme pain/discomfort002
Extreme pain/discomfort -> no data100
No data -> no pain/discomfort5111
No data -> slight pain/discomfort3311
No data -> moderate pain/discomfort000
No data -> extreme pain/discomfort000
No data -> severe pain/discomfort000
No data -> no data000
SecondaryNumber of Participants With Change From Baseline to EoT in EQ-5D Questionnaire Subscale Score: Anxiety/Depression

The EQ-5D questionnaire is an international, standardized, nondisease specific instrument for describing and valuing health status, and had 5 dimensions: Mobility, Self-care, Usual Activities, Pain/Discomfort, and Anxiety/Depression. Each dimension has 5 response levels ranging from level 1 (no problem or none) to level 5 (unable to perform activity).

Time frame:
Baseline and Month 12
Reported as:
Count of participants · Participants
Number of Participants With Change From Baseline to EoT in EQ-5D Questionnaire Subscale Score: Anxiety/Depression
ParticipantsMirabegron 50 mgSolifenacin 5 mgSolifenacin 5 mg + Mirabegron 50 mg
Not anxious -> not anxious137142588
Not anxious -> slightly anxious221868
Not anxious -> moderately anxious417
Not anxious -> severely anxious101
Not anxious -> extremely anxious000
Not anxious -> no data315
Slightly anxious -> not anxious3543177
Slightly anxious -> slightly anxious3033106
Slightly anxious -> moderately anxious4821
Slightly anxious -> severely anxious310
Slightly anxious -> extremely anxious011
Slightly anxious -> no data101
Moderately anxious -> not anxious151137
Moderately anxious -> slightly anxious111455
Moderately anxious -> moderately anxious12835
Moderately anxious -> severely anxious115
Moderately anxious -> extremely anxious000
Moderately anxious -> no data001
Severely anxious -> not anxious2210
Severely anxious -> slightly anxious3214
Severely anxious -> moderately anxious5313
Severely anxious -> severely anxious217
Severely anxious -> extremely anxious101
Severely anxious -> no data101
Extremely anxious -> not anxious014
Extremely anxious -> slightly anxious022
Extremely anxious -> moderately anxious108
Extremely anxious -> severely anxious022
Extremely anxious -> extremely anxious001
Extremely anxious -> no data000
No data -> not anxious6314
No data -> slightly anxious117
No data -> moderately anxious100
No data -> severely anxious000
No data -> extremely anxious001
No data -> no data000
SecondaryChange From Baseline to Months 6, 12 and EoT in Work Productivity and Activity Impairment: Specific Health Problem Questionnaire (WPAI:SHP) Score: Percent Work Time Missed

The WPAI:SHP is a self-administered questionnaire with 6 questions (Q1=Employment status; Q2=Hours absent from work due to the bladder condition; Q3=Hours absent from work due to other reasons; Q4=Hours actually worked; Q5=Impact of the bladder condition on productivity while working; Q6=Impact of the bladder condition on productivity while doing regular daily activities other than work) and a 1-week recall period. WPAI outcomes are expressed as impairment percentages, with higher numbers indicating greater impairment and less productivity, i.e., worse outcomes. A negative change from baseline indicated improvement.

Time frame:
Baseline and Months 6,12
Reported as:
Mean · percentage of work time missed
Change From Baseline to Months 6, 12 and EoT in Work Productivity and Activity Impairment: Specific Health Problem Questionnaire (WPAI:SHP) Score: Percent Work Time Missed
percentage of work time missedMirabegron 50 mgSolifenacin 5 mgSolifenacin 5 mg + Mirabegron 50 mg
Month 6-0.49 ± 17.12-0.59 ± 15.67-3.11 ± 20.68
Month 120.39 ± 15.55-1.95 ± 18.51-3.74 ± 23.83
EoT-0.45 ± 18.51-1.30 ± 18.04-3.26 ± 22.88
SecondaryChange From Baseline to Months 6, 12 and EoT in WPAI:SHP Score: Percent Impairment While Working

The WPAI:SHP is a self-administered questionnaire with 6 questions (Q1=Employment status; Q2=Hours absent from work due to the bladder condition; Q3=Hours absent from work due to other reasons; Q4=Hours actually worked; Q5=Impact of the bladder condition on productivity while working; Q6=Impact of the bladder condition on productivity while doing regular daily activities other than work) and a 1-week recall period. WPAI outcomes are expressed as impairment percentages, with higher numbers indicating greater impairment and less productivity, i.e., worse outcomes. A negative change from baseline indicated improvement.

Time frame:
Baseline and Months 6, 12
Reported as:
Mean · percentage of impairment while working
Change From Baseline to Months 6, 12 and EoT in WPAI:SHP Score: Percent Impairment While Working
percentage of impairment while workingMirabegron 50 mgSolifenacin 5 mgSolifenacin 5 mg + Mirabegron 50 mg
Month 6-16.94 ± 24.10-12.97 ± 21.05-13.41 ± 24.37
Month 12-19.16 ± 23.38-14.72 ± 27.32-16.68 ± 24.16
EoT-17.81 ± 23.45-13.90 ± 27.18-15.63 ± 25.61
SecondaryChange From Baseline to Months 6, 12 in WPAI:SHP Score: Percent Overall Work Impairment

The WPAI:SHP is a self-administered questionnaire with 6 questions (Q1=Employment status; Q2=Hours absent from work due to the bladder condition; Q3=Hours absent from work due to other reasons; Q4=Hours actually worked; Q5=Impact of the bladder condition on productivity while working; Q6=Impact of the bladder condition on productivity while doing regular daily activities other than work) and a 1-week recall period. WPAI outcomes arre expressed as impairment percentages, with higher numbers indicating greater impairment and less productivity, i.e., worse outcomes. A negative change from baseline indicated improvement.

Time frame:
Baseline and Months 6, 12
Reported as:
Mean · percentage of overall work impairment
Change From Baseline to Months 6, 12 in WPAI:SHP Score: Percent Overall Work Impairment
percentage of overall work impairmentMirabegron 50 mgSolifenacin 5 mgSolifenacin 5 mg + Mirabegron 50 mg
Month 6-16.33 ± 27.58-12.09 ± 22.26-13.99 ± 26.04
Month 12-17.83 ± 26.90-15.38 ± 27.97-17.27 ± 27.25
EoT-16.83 ± 27.63-14.16 ± 27.51-16.15 ± 28.51
SecondaryChange From Baseline to Months 6, 12 in WPAI:SHP Score: Percent Activity Impairment

The WPAI:SHP is a self-administered questionnaire with 6 questions (Q1=Employment status; Q2=Hours absent from work due to the bladder condition; Q3=Hours absent from work due to other reasons; Q4=Hours actually worked; Q5=Impact of the bladder condition on productivity while working; Q6=Impact of the bladder condition on productivity while doing regular daily activities other than work) and a 1-week recall period. WPAI outcomes are expressed as impairment percentages, with higher numbers indicating greater impairment and less productivity, i.e., worse outcomes. A negative change from baseline indicated improvement.

Time frame:
Baseline and Months 6, 12
Reported as:
Mean · percentage of activity Impairment
Change From Baseline to Months 6, 12 in WPAI:SHP Score: Percent Activity Impairment
percentage of activity ImpairmentMirabegron 50 mgSolifenacin 5 mgSolifenacin 5 mg + Mirabegron 50 mg
Month 6-15.04 ± 27.08-16.25 ± 24.78-16.94 ± 28.49
Month 12-16.85 ± 27.57-14.12 ± 29.87-18.91 ± 29.26
EoT-16.02 ± 27.63-14.02 ± 30.29-18.75 ± 29.14
SecondaryPercentage of Participants With Zero Incontinence Episodes Per 24 Hours Using the Last 3 Diary Days at Months 1, 3, 6, 9, 12 and EoT

An incontinence episode was defined as the complaint of any involuntary leakage of urine. The percentage of participants with no incontinence episodes recorded during the last 3 days of the 7-day micturition diary is reported.

Time frame:
Months 1, 3, 6, 9, 12
Reported as:
Number · percentage of participants
Percentage of Participants With Zero Incontinence Episodes Per 24 Hours Using the Last 3 Diary Days at Months 1, 3, 6, 9, 12 and EoT
percentage of participantsMirabegron 50 mgSolifenacin 5 mgSolifenacin 5 mg + Mirabegron 50 mg
Month 124.439.938.3
Month 340.144.849.6
Month 640.650.554.7
Month 947.054.455.8
Month 1251.655.561.2
EoT47.853.258.8
Statistical analysis
  • Mirabegron 50 mg vs Solifenacin 5 mg + Mirabegron 50 mg · Regression, Logistic · p = <0.001 · Odds ratio (or): 1.65 · 95% CI 1.26 to 2.15
  • Solifenacin 5 mg vs Solifenacin 5 mg + Mirabegron 50 mg · Regression, Logistic · p = 0.080 · Odds ratio (or): 1.27 · 95% CI 0.97 to 1.67
SecondaryPercentage of Participants With ≥ 10 Points Improvement From Baseline in the OAB-q Symptom Bother Score at Months 1, 3, 6, 9, 12 and EoT

The OAB-q is a self-reported questionnaire with items relating to symptom bother and HRQoL. The symptom bother portion consists of 8 items, rated on a 6-point Likert scale (1 through 6). The total symptom bother score was calculated from the 8 answers and then transformed to range from 0 (least severity) to 100 (worst severity). A negative change from baseline indicated an improvement.

Time frame:
Baseline and Months 1, 3, 6, 9, 12
Reported as:
Number · percentage of participants
Percentage of Participants With ≥ 10 Points Improvement From Baseline in the OAB-q Symptom Bother Score at Months 1, 3, 6, 9, 12 and EoT
percentage of participantsMirabegron 50 mgSolifenacin 5 mgSolifenacin 5 mg + Mirabegron 50 mg
Month 163.767.572.8
Month 369.171.381.8
Month 670.474.680.5
Month 970.176.182.9
Month 1272.874.184.4
EoT70.772.482.9
Statistical analysis
  • Mirabegron 50 mg vs Solifenacin 5 mg + Mirabegron 50 mg · Regression, Logistic · p = <0.001 · Odds ratio (or): 2.03 · 95% CI 1.49 to 2.78
  • Solifenacin 5 mg vs Solifenacin 5 mg + Mirabegron 50 mg · Regression, Logistic · p = <0.001 · Odds ratio (or): 1.87 · 95% CI 1.37 to 2.57
SecondaryPercentage of Participants With ≥ 10 Points Improvement From Baseline in HRQoL Total Score at Months 1, 3, 6, 9, 12 and EoT

The OAB-q is a self-reported questionnaire with items relating to symptom bother and HRQoL. The HRQoL portion consists of 25 HRQoL items comprising 4 HRQoL subscales (Coping, Concern, Sleep, and Social Interaction), each item was scored 1-6. The total score was calculated by adding the 4 HRQoL subscale scores and transforming to a scale from 0 to 100, with higher scores indicating better quality of life. A positive change from baseline indicated an improvement.

Time frame:
Baseline and Months 1, 3, 6, 9, 12
Reported as:
Number · percentage of participants
Percentage of Participants With ≥ 10 Points Improvement From Baseline in HRQoL Total Score at Months 1, 3, 6, 9, 12 and EoT
percentage of participantsMirabegron 50 mgSolifenacin 5 mgSolifenacin 5 mg + Mirabegron 50 mg
Month 146.653.857.0
Month 353.659.464.6
Month 656.962.966.1
Month 957.162.967.7
Month 1258.462.469.0
EoT56.261.668.4
Statistical analysis
  • Mirabegron 50 mg vs Solifenacin 5 mg + Mirabegron 50 mg · Regression, Logistic · p = <0.001 · Odds ratio (or): 1.82 · 95% CI 1.36 to 2.43
  • Solifenacin 5 mg vs Solifenacin 5 mg + Mirabegron 50 mg · Regression, Logistic · p = 0.014 · Odds ratio (or): 1.44 · 95% CI 1.08 to 1.92
SecondaryPercentage of Participants With 50% Reduction in Mean Number of Incontinence Episodes Per 24 Hours at Months 1, 3, 6, 9, 12 and EoT

An incontinence episode was defined as the complaint of any involuntary leakage of urine. The mean number of incontinence episodes per 24 hours was calculated from data recorded by the participant in a micturition diary for 7 days prior to each visit.

Time frame:
Baseline and Months 1, 3, 6, 9, 12
Reported as:
Number · percentage of participants
Percentage of Participants With 50% Reduction in Mean Number of Incontinence Episodes Per 24 Hours at Months 1, 3, 6, 9, 12 and EoT
percentage of participantsMirabegron 50 mgSolifenacin 5 mgSolifenacin 5 mg + Mirabegron 50 mg
Month 146.755.262.0
Month 358.267.073.3
Month 663.271.876.6
Month 967.073.677.8
Month 1272.975.481.3
EoT69.173.179.5
Statistical analysis
  • Mirabegron 50 mg vs Solifenacin 5 mg + Mirabegron 50 mg · Regression, Logistic · p = <0.001 · Odds ratio (or): 1.80 · 95% CI 1.34 to 2.41
  • Solifenacin 5 mg vs Solifenacin 5 mg + Mirabegron 50 mg · Regression, Logistic · p = 0.019 · Odds ratio (or): 1.44 · 95% CI 1.06 to 1.95
SecondaryPercentage of Participants With Zero Incontinence Episodes Per 24 Hours Using the Last 7 Diary Days at Months 1, 3, 6, 9, 12 and EoT

An incontinence episode was defined as the complaint of any involuntary leakage of urine. The percentage of participants with no incontinence episodes recorded during the 7-day micturition diary is reported.

Time frame:
Months 1, 3, 6, 9, 12
Reported as:
Number · percentage of participants
Percentage of Participants With Zero Incontinence Episodes Per 24 Hours Using the Last 7 Diary Days at Months 1, 3, 6, 9, 12 and EoT
percentage of participantsMirabegron 50 mgSolifenacin 5 mgSolifenacin 5 mg + Mirabegron 50 mg
Month 117.226.427.9
Month 327.035.140.0
Month 632.339.944.7
Month 937.143.746.9
Month 1241.947.352.5
EoT38.945.149.7
Statistical analysis
  • Mirabegron 50 mg vs Solifenacin 5 mg + Mirabegron 50 mg · Regression, Logistic · p = <0.001 · Odds ratio (or): 1.67 · 95% CI 1.26 to 2.19
  • Solifenacin 5 mg vs Solifenacin 5 mg + Mirabegron 50 mg · Regression, Logistic · p = 0.133 · Odds ratio (or): 1.23 · 95% CI 0.94 to 1.62
SecondaryPercentage of Participants With Micturition Frequency Normalization at Months 1, 3, 6, 9, 12 and EoT

The percentage of participants with micturition frequency normalization was defined as participants who had ≥ 8 micturitions/24 hours at baseline and \< 8 micturitions/24 hours postbaseline at months 1, 3, 6, 9, 12 and EoT.

Time frame:
Baseline and Months 1, 3, 6, 9, 12
Reported as:
Number · percentage of participants
Percentage of Participants With Micturition Frequency Normalization at Months 1, 3, 6, 9, 12 and EoT
percentage of participantsMirabegron 50 mgSolifenacin 5 mgSolifenacin 5 mg + Mirabegron 50 mg
Month 134.529.336.8
Month 336.736.646.6
Month 642.343.451.4
Month 944.541.952.5
Month 1246.344.756.4
EoT46.046.355.9
Statistical analysis
  • Mirabegron 50 mg vs Solifenacin 5 mg + Mirabegron 50 mg · Regression, Logistic · p = 0.002 · Odds ratio (or): 1.55 · 95% CI 1.18 to 2.03
  • Solifenacin 5 mg vs Solifenacin 5 mg + Mirabegron 50 mg · Regression, Logistic · p = 0.006 · Odds ratio (or): 1.48 · 95% CI 1.12 to 1.95
SecondaryPercentage of Participants With ≥ 1 Point Improvement From Baseline in PPBC at Months 1, 3, 6, 9, 12 and EoT

The PPBC is a validated, global assessment tool using a 6-point Likert scale on which participants rated their subjective impression of their current bladder condition. Participants assessed their bladder condition using this scale: 1. Does not cause me any problems at all; 2. Causes me some very minor problems; 3. Causes me some minor problems; 4. Causes me (some) moderate problems; 5. Causes me severe problems; 6. Causes me many severe problems.

Time frame:
Baseline and Months 1, 3, 6, 9, 12
Reported as:
Number · percentage of participants
Percentage of Participants With ≥ 1 Point Improvement From Baseline in PPBC at Months 1, 3, 6, 9, 12 and EoT
percentage of participantsMirabegron 50 mgSolifenacin 5 mgSolifenacin 5 mg + Mirabegron 50 mg
Month 153.059.264.1
Month 361.965.772.5
Month 664.668.873.8
Month 965.568.975.1
Month 1269.773.776.9
EoT66.271.476.0
Statistical analysis
  • Mirabegron 50 mg vs Solifenacin 5 mg + Mirabegron 50 mg · Regression, Logistic · p = <0.001 · Odds ratio (or): 1.68 · 95% CI 1.24 to 2.29
  • Solifenacin 5 mg vs Solifenacin 5 mg + Mirabegron 50 mg · Regression, Logistic · p = 0.109 · Odds ratio (or): 1.29 · 95% CI 0.94 to 1.77
SecondaryPercentage of Participants With Major (≥ 2 Points) Improvement From Baseline in PPBC at Months 1, 3, 6, 9, 12 and EoT

The PPBC is a validated, global assessment tool using a 6-point Likert scale on which participants rated their subjective impression of their current bladder condition. Participants assessed their bladder condition using this scale: 1. Does not cause me any problems at all; 2. Causes me some very minor problems; 3. Causes me some minor problems; 4. Causes me (some) moderate problems; 5. Causes me severe problems; 6. Causes me many severe problems.

Time frame:
Baseline and Months 1, 3, 6, 9, 12
Reported as:
Number · percentage of participants
Percentage of Participants With Major (≥ 2 Points) Improvement From Baseline in PPBC at Months 1, 3, 6, 9, 12 and EoT
percentage of participantsMirabegron 50 mgSolifenacin 5 mgSolifenacin 5 mg + Mirabegron 50 mg
Month 124.928.230.7
Month 331.333.942.8
Month 635.038.245.4
Month 937.540.947.0
Month 1240.640.451.9
EoT38.339.850.3
Statistical analysis
  • Mirabegron 50 mg vs Solifenacin 5 mg + Mirabegron 50 mg · Regression, Logistic · p = <0.001 · Odds ratio (or): 1.69 · 95% CI 1.26 to 2.25
  • Solifenacin 5 mg vs Solifenacin 5 mg + Mirabegron 50 mg · Regression, Logistic · p = <0.001 · Odds ratio (or): 1.62 · 95% CI 1.22 to 2.16
SecondaryPercentage of Participants Who Were Double Responders (≥ 50% Reduction in Mean Number of Incontinence Episodes Per 24 Hours and at Least 10 Points Improvement on OAB-q Symptom Bother Scale) at Months 1, 3, 6, 9, 12 and EoT

An incontinence episode was defined as the complaint of any involuntary leakage of urine. The mean number of incontinence episodes per 24 hours was calculated from data recorded by the participant in a micturition diary for 7 days prior to each visit. The OAB-q is a self-reported questionnaire with items relating to symptom bother and HRQoL. The symptom bother portion consists of 8 items, rated on a 6-point Likert scale (1 through 6). The total symptom bother score was calculated from the 8 answers and then transformed to range from 0 (least severity) to 100 (worst severity). A negative change from baseline indicated an improvement.

Time frame:
Baseline and Months 1, 3, 6, 9, 12
Reported as:
Number · percentage of participants
Percentage of Participants Who Were Double Responders (≥ 50% Reduction in Mean Number of Incontinence Episodes Per 24 Hours and at Least 10 Points Improvement on OAB-q Symptom Bother Scale) at Months 1, 3, 6, 9, 12 and EoT
percentage of participantsMirabegron 50 mgSolifenacin 5 mgSolifenacin 5 mg + Mirabegron 50 mg
Month 136.146.652.6
Month 347.855.565.1
Month 650.456.965.8
Month 953.161.969.2
Month 1259.260.973.2
EoT55.758.270.8
Statistical analysis
  • Mirabegron 50 mg vs Solifenacin 5 mg + Mirabegron 50 mg · Regression, Logistic · p = <0.001 · Odds ratio (or): 1.99 · 95% CI 1.50 to 2.62
  • Solifenacin 5 mg vs Solifenacin 5 mg + Mirabegron 50 mg · Regression, Logistic · p = <0.001 · Odds ratio (or): 1.79 · 95% CI 1.35 to 2.36
SecondaryPercentage of Participants Who Were Double Responders (≥ 50% Reduction in Mean Number of Incontinence Episodes Per 24 Hours and at Least 10 Points Improvement on OAB-q HRQL Total Score) at Months 1, 3, 6, 9, 12 and EoT

An incontinence episode was defined as the complaint of any involuntary leakage of urine. The mean number of incontinence episodes per 24 hours was calculated from data recorded by the participant in a micturition diary for 7 days prior to each visit. The OAB-q is a self-reported questionnaire with items relating to symptom bother and HRQoL. The HRQoL portion consists of 25 HRQoL items comprising 4 HRQoL subscales (Coping, Concern, Sleep, and Social Interaction), each item was scored 1-6. The total score was calculated by adding the 4 HRQoL subscale scores and transforming to a scale from 0 to 100, with higher scores indicating better quality of life. A positive change from baseline indicated an improvement.

Time frame:
Baseline and Months 1, 3, 6, 9, 12
Reported as:
Number · percentage of participants
Percentage of Participants Who Were Double Responders (≥ 50% Reduction in Mean Number of Incontinence Episodes Per 24 Hours and at Least 10 Points Improvement on OAB-q HRQL Total Score) at Months 1, 3, 6, 9, 12 and EoT
percentage of participantsMirabegron 50 mgSolifenacin 5 mgSolifenacin 5 mg + Mirabegron 50 mg
Month 128.536.640.9
Month 339.643.852.3
Month 641.647.955.3
Month 943.751.257.6
Month 1246.950.460.6
EoT44.349.059.2
Statistical analysis
  • Mirabegron 50 mg vs Solifenacin 5 mg + Mirabegron 50 mg · Regression, Logistic · p = <0.001 · Odds ratio (or): 1.93 · 95% CI 1.46 to 2.54
  • Solifenacin 5 mg vs Solifenacin 5 mg + Mirabegron 50 mg · Regression, Logistic · p = 0.001 · Odds ratio (or): 1.59 · 95% CI 1.20 to 2.09
SecondaryPercentage of Participants Who Were Double Responders (≥ 50% Reduction in Mean Number of Incontinence Episodes Per 24 Hours and at Least 1 Point Improvement on PPBC) at Months 1, 3, 6, 9, 12 and EoT

An incontinence episode was defined as the complaint of any involuntary leakage of urine. The mean number of incontinence episodes per 24 hours was calculated from data recorded by the participant in a micturition diary for 7 days prior to each visit. The PPBC is a validated, global assessment tool using a 6-point Likert scale on which participants rated their subjective impression of their current bladder condition. Participants assessed their bladder condition using this scale: 1. Does not cause me any problems at all; 2. Causes me some very minor problems; 3. Causes me some minor problems; 4. Causes me (some) moderate problems; 5. Causes me severe problems; 6. Causes me many severe problems.

Time frame:
Baseline and Months 1, 3, 6, 9, 12
Reported as:
Number · percentage of participants
Percentage of Participants Who Were Double Responders (≥ 50% Reduction in Mean Number of Incontinence Episodes Per 24 Hours and at Least 1 Point Improvement on PPBC) at Months 1, 3, 6, 9, 12 and EoT
percentage of participantsMirabegron 50 mgSolifenacin 5 mgSolifenacin 5 mg + Mirabegron 50 mg
Month 132.137.146.0
Month 343.347.757.6
Month 646.852.160.6
Month 949.653.263.0
Month 1257.660.167.0
EoT52.957.565.1
Statistical analysis
  • Mirabegron 50 mg vs Solifenacin 5 mg + Mirabegron 50 mg · Regression, Logistic · p = <0.001 · Odds ratio (or): 1.70 · 95% CI 1.28 to 2.26
  • Solifenacin 5 mg vs Solifenacin 5 mg + Mirabegron 50 mg · Regression, Logistic · p = 0.019 · Odds ratio (or): 1.40 · 95% CI 1.06 to 1.86
SecondaryPercentage of Participants Who Were Triple Responders (≥ 50% Reduction in Mean Number of Incontinence Episodes Per 24 Hours, ≥ 10 Points Improvement on OAB-q Symptom Bother Scale and ≥1 Point Improvement on PPBC) at Months 1, 3, 6, 9, 12 and EoT

The mean number of incontinence episodes per 24 hours was calculated from data recorded by the participant in a micturition diary for 7 days prior to each visit. The symptom bother portion of the OAB-q consists of 8 items, rated on a 6-point Likert scale (1 through 6). The total symptom bother score was calculated from the 8 answers and then transformed to range from 0 (least severity) to 100 (worst severity). A negative change from baseline indicated an improvement.The PPBC is a validated, global assessment tool using a 6-point Likert scale on which participants rated their subjective impression of their current bladder condition. Participants assessed their bladder condition using this scale: 1. Does not cause me any problems at all; 2. Causes me some very minor problems; 3. Causes me some minor problems; 4. Causes me (some) moderate problems; 5. Causes me severe problems; 6. Causes me many severe problems.

Time frame:
Baseline and Months 1, 3, 6, 9, 12
Reported as:
Number · percentage of participants
Percentage of Participants Who Were Triple Responders (≥ 50% Reduction in Mean Number of Incontinence Episodes Per 24 Hours, ≥ 10 Points Improvement on OAB-q Symptom Bother Scale and ≥1 Point Improvement on PPBC) at Months 1, 3, 6, 9, 12 and EoT
percentage of participantsMirabegron 50 mgSolifenacin 5 mgSolifenacin 5 mg + Mirabegron 50 mg
Month 129.935.542.8
Month 338.944.854.1
Month 642.446.155.9
Month 946.550.859.2
Month 1251.453.663.7
EoT47.451.461.7
Statistical analysis
  • Mirabegron 50 mg vs Solifenacin 5 mg + Mirabegron 50 mg · Regression, Logistic · p = <0.001 · Odds ratio (or): 1.86 · 95% CI 1.40 to 2.46
  • Solifenacin 5 mg vs Solifenacin 5 mg + Mirabegron 50 mg · Regression, Logistic · p = 0.001 · Odds ratio (or): 1.58 · 95% CI 1.19 to 2.09
SecondaryParticipants Who Were Triple Responders (≥ 50% Reduction in Mean Number of Incontinence Episodes Per 24 Hours, ≥ 10 Points Improvement on OAB-q HRQL Total Score and ≥ 1 Point Improvement on PPBC) at Months 1, 3, 6, 9, 12 and EoT

The mean number of incontinence episodes per 24 hours was calculated from data recorded by the participant in a micturition diary for 7 days prior to each visit. The HRQoL portion of the OAB-q consists of 25 HRQoL items comprising 4 HRQoL subscales, each item was scored 1-6. The total score was calculated by adding the 4 HRQoL subscale scores and transforming to a scale from 0 to 100, with higher scores indicating better quality of life. A positive change from baseline indicated an improvement.The PPBC is a validated, global assessment tool using a 6-point Likert scale on which participants rated their subjective impression of their current bladder condition. Participants assessed their bladder condition using this scale: 1. Does not cause me any problems at all; 2. Causes me some very minor problems; 3. Causes me some minor problems; 4. Causes me (some) moderate problems; 5. Causes me severe problems; 6. Causes me many severe problems.

Time frame:
Baseline and Months 1, 3, 6, 9, 12
Reported as:
Number · percentage of participants
Participants Who Were Triple Responders (≥ 50% Reduction in Mean Number of Incontinence Episodes Per 24 Hours, ≥ 10 Points Improvement on OAB-q HRQL Total Score and ≥ 1 Point Improvement on PPBC) at Months 1, 3, 6, 9, 12 and EoT
percentage of participantsMirabegron 50 mgSolifenacin 5 mgSolifenacin 5 mg + Mirabegron 50 mg
Month 125.229.035.5
Month 333.339.145.9
Month 636.841.249.6
Month 939.044.051.3
Month 1244.147.654.6
EoT40.145.253.3
Statistical analysis
  • Mirabegron 50 mg vs Solifenacin 5 mg + Mirabegron 50 mg · Regression, Logistic · p = <0.001 · Odds ratio (or): 1.76 · 95% CI 1.33 to 2.34
  • Solifenacin 5 mg vs Solifenacin 5 mg + Mirabegron 50 mg · Regression, Logistic · p = 0.012 · Odds ratio (or): 1.43 · 95% CI 1.08 to 1.89
SecondaryChange From Baseline to Months 1, 3, 6, 9, 12 and EoT in Postvoid Residual (PVR) Volume

PVR volume was assessed by ultrasonography or a bladder scanner.

Time frame:
Baseline and Months 1, 3, 6, 9, 12
Reported as:
Mean · mL
Change From Baseline to Months 1, 3, 6, 9, 12 and EoT in Postvoid Residual (PVR) Volume
mLMirabegron 50 mgSolifenacin 5 mgSolifenacin 5 mg + Mirabegron 50 mg
Month 13.179 ± 27.4914.549 ± 33.9737.894 ± 38.369
Month 34.686 ± 29.3543.233 ± 32.6797.033 ± 37.328
Month 61.596 ± 29.3993.418 ± 31.8646.708 ± 35.881
Month 93.074 ± 32.8973.436 ± 32.1708.229 ± 40.313
Month 122.002 ± 32.4534.818 ± 33.7647.946 ± 38.118
EoT1.747 ± 32.4007.382 ± 42.9168.522 ± 39.501

Adverse events

Collected over From first dose of double-blind study drug up to 30 days after last dose of double-blind study drug (up to 56 weeks). Non-serious events are listed at a 5% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
Mirabegron 50 mg1/305 (0.3%)8/305 (2.6%)27/305 (8.9%)
Solifenacin 5 mg0/303 (0%)8/303 (2.6%)33/303 (10.9%)
Solifenacin 5 mg + Mirabegron 50 mg1/1,206 (0.1%)51/1,206 (4.2%)115/1,206 (9.5%)
Most frequent serious events
Showing 10 of 73
Most frequent serious events
EventMirabegron 50 mgSolifenacin 5 mgSolifenacin 5 mg + Mirabegron 50 mg
Abdominal pain upperGastrointestinal disorders0/3051/3030/1206
Pancreatitis acuteGastrointestinal disorders0/3051/3031/1206
ErysipelasInfections and infestations0/3051/3030/1206
Incisional herniaInjury, poisoning and procedural complications0/3051/3030/1206
Sternal fractureInjury, poisoning and procedural complications0/3051/3030/1206
Blood glucose increasedInvestigations0/3051/3030/1206
ExostosisMusculoskeletal and connective tissue disorders0/3051/3030/1206
Lumbar spinal stenosisMusculoskeletal and connective tissue disorders0/3051/3030/1206
HypertensionVascular disorders0/3051/3030/1206
Atrial fibrillationCardiac disorders1/3050/3032/1206
Most frequent other events
Most frequent other events
EventMirabegron 50 mgSolifenacin 5 mgSolifenacin 5 mg + Mirabegron 50 mg
Dry mouthGastrointestinal disorders12/30518/30374/1206
NasopharyngitisInfections and infestations16/30515/30343/1206

Baseline characteristics

The analysis population was the randomized analysis set (RAS), which comprised of all randomized participants.

Age, Continuous
Age, Continuous(years)Mirabegron 50 mgSolifenacin 5 mgSolifenacin 5 mg + Mirabegron 50 mgTotal
Mean58.8 ± 12.759.0 ± 13.358.3 ± 13.058.5 ± 13.0
Sex: Female, Male
Sex: Female, Male(Participants)Mirabegron 50 mgSolifenacin 5 mgSolifenacin 5 mg + Mirabegron 50 mgTotal
Female2432459731461
Male6360245368
Race/Ethnicity, Customized
Race/Ethnicity, Customized(Participants)Mirabegron 50 mgSolifenacin 5 mgSolifenacin 5 mg + Mirabegron 50 mgTotal
White26626510661597
Black or African American542736
Asian3133119183
Other43613
Race/Ethnicity, Customized
Race/Ethnicity, Customized(Participants)Mirabegron 50 mgSolifenacin 5 mgSolifenacin 5 mg + Mirabegron 50 mgTotal
Hispanic or Latino15155484
Not Hispanic or Latino29129011641745
Mean Number of Incontinence Episodes per 24 Hours
Mean Number of Incontinence Episodes per 24 Hours(incontinence episodes/24 hours)Mirabegron 50 mgSolifenacin 5 mgSolifenacin 5 mg + Mirabegron 50 mgTotal
Mean3.15 ± 3.563.10 ± 3.583.04 ± 3.173.07 ± 3.31
Mean Number of Micturitions per 24 Hours
Mean Number of Micturitions per 24 Hours(micturitions/24 hours)Mirabegron 50 mgSolifenacin 5 mgSolifenacin 5 mg + Mirabegron 50 mgTotal
Mean10.51 ± 2.4110.76 ± 2.8310.55 ± 2.7310.58 ± 2.70
Mean Volume Voided per Micturition
Mean Volume Voided per Micturition(mL)Mirabegron 50 mgSolifenacin 5 mgSolifenacin 5 mg + Mirabegron 50 mgTotal
Mean161.00 ± 60.16160.70 ± 58.49159.29 ± 58.40159.82 ± 58.69
Number of Incontinence Episodes per Week
Number of Incontinence Episodes per Week(incontinence episodes/week)Mirabegron 50 mgSolifenacin 5 mgSolifenacin 5 mg + Mirabegron 50 mgTotal
Mean21.8 ± 24.821.6 ± 25.020.9 ± 21.921.2 ± 22.9

7 further baseline measures are reported on the registry.

08

Study locations

251 sites
  • Site US10049
    Mobile, Alabama 36608, United States
  • Site US10112
    Mobile, Alabama 36608, United States
  • Site US10104
    Chandler, Arizona 85224, United States
  • Site US10021
    Phoenix, Arizona 85051, United States
  • Site US10122
    Anaheim, California 92801, United States
  • Site US10082
    Hawaiian Gardens, California 90716, United States
  • Site US10132
    Los Angeles, California 90017, United States
  • Site US10133
    Los Angeles, California 90036, United States
  • Site US10149
    Paramount, California 90723, United States
  • Site US10003
    San Diego, California 92120, United States
  • Site US10106
    Tarzana, California 91356, United States
  • Site US10595
    Valley Village, California 91607, United States
  • Site US10053
    Wheat Ridge, Colorado 80033, United States
  • Site US10060
    Bradenton, Florida 34208, United States
  • Site US10097
    Hialeah, Florida 33012, United States
  • Site US10148
    Hialeah, Florida 33016, United States
  • Site US10153
    Hialeah, Florida 33016, United States
  • Site US10091
    Jupiter, Florida 33458, United States
  • Site US10150
    New Port Richey, Florida 34652, United States
  • Site US10124
    Orlando, Florida 32803, United States
  • Site US10134
    Orlando, Florida 32806, United States
  • Site US10009
    Pembroke Pines, Florida 33027, United States
  • Site US10554
    Plantation, Florida 33317, United States
  • Site US10037
    Alpharetta, Georgia 30005, United States
  • Site US10127
    Roswell, Georgia 30076, United States
  • Site US10120
    Sandy Springs, Georgia 30328, United States
  • Site US10078
    Wichita, Kansas 67205, United States
  • Site US10088
    Lake Charles, Louisiana 70601, United States
  • Site US10025
    Shreveport, Louisiana 71106, United States
  • Site US10558
    Hanover, Maryland 21076, United States
  • Site US10282
    Boston, Massachusetts 02131, United States
  • Site US10114
    Watertown, Massachusetts 02472, United States
  • Site US10110
    Billings, Montana 59102, United States
  • Site US10154
    Missoula, Montana 59801, United States
  • Site US10553
    Lincoln, Nebraska 68510, United States
  • Site US10002
    Englewood, New Jersey 07631, United States
  • Site US10047
    Lawrenceville, New Jersey 08648, United States
  • Site US10011
    Albuquerque, New Mexico 87102, United States
  • Site US10015
    Albuquerque, New Mexico 87109, United States
  • Site US10026
    Garden City, New York 11530, United States
  • Site US10040
    Kingston, New York 12401, United States
  • Site US10168
    New York, New York 10065, United States
  • Site US10126
    Newburgh, New York 12550, United States
  • Site US10028
    Poughkeepsie, New York 12601, United States
  • Site US10076
    Concord, North Carolina 28025, United States
  • Site US10129
    Raleigh, North Carolina 27609, United States
  • Site US10062
    Winston-Salem, North Carolina 27103, United States
  • Site US10050
    Cleveland, Ohio 44122, United States
  • Site US10067
    Wadsworth, Ohio 44281, United States
  • Site US10109
    Oklahoma City, Oklahoma 73112, United States
  • Site US10541
    Medford, Oregon 97504, United States
  • Site US10008
    Bala-Cynwyd, Pennsylvania 19004, United States
  • Site US10017
    Philadelphia, Pennsylvania 19114, United States
  • Site US10167
    Pittsburgh, Pennsylvania 15213, United States
  • Site US10250
    Pittsburgh, Pennsylvania 15236, United States
  • Site US10248
    Pittsburgh, Pennsylvania 15243, United States
  • Site US10063
    Uniontown, Pennsylvania 15401, United States
  • Site US10012
    West Reading, Pennsylvania 19611, United States
  • Site US10166
    Charleston, South Carolina 29425, United States
  • Site US10079
    Mount Pleasant, South Carolina 29464, United States
  • Site US10023
    Simpsonville, South Carolina 29681, United States
  • Site US10101
    Summerville, South Carolina 29485, United States
  • Site US10006
    Kingsport, Tennessee 37660, United States
  • Site US10065
    Corpus Christi, Texas 78414, United States
  • Site US10085
    Houston, Texas 77058, United States
  • Site US10219
    Houston, Texas 77094, United States
  • Site US10093
    Houston, Texas 77099, United States
  • Site US10090
    Hurst, Texas 76054, United States
  • Site US10105
    San Antonio, Texas 78229, United States
  • Site US10111
    San Antonio, Texas 78229, United States
  • Site US10083
    Virginia Beach, Virginia 23462, United States
  • Site US10013
    Burien, Washington 98166, United States
  • Site US10004
    Mountlake Terrace, Washington 98043, United States
  • Site US10155
    Seattle, Washington 98105, United States
  • Site US10135
    Walla Walla, Washington 99362, United States
  • Site AU61005
    Broadmeadow, New South Wales 2292, Australia
  • Site AU61007
    Randwick, New South Wales 2031, Australia
  • Site AU61021
    Randwick, New South Wales 2031, Australia
  • Site AU61011
    Wollongong, New South Wales 2522, Australia
  • Site AU61022
    Brisbane, Queensland 4152, Australia
  • Site AU61010
    Nambour, Queensland 4560, Australia
  • Site AU61019
    Sherwood, Queensland 4075, Australia
  • Site AU61015
    Daw Park, South Australia 5041, Australia
  • Site AU61025
    Footscray, Victoria 3011, Australia
  • Site AU61002
    Parkville, Victoria 3052, Australia
  • Site AU61004
    Perth, Western Australia 6009, Australia
  • Site BE32004
    Gent, 9000, Belgium
  • Site BE32014
    Roeselare, 8800, Belgium
  • Site BE32012
    Sint-Truiden, 3800, Belgium
  • Site BG35908
    Plovdiv, 4003, Bulgaria
  • Site BG35902
    Ruse, 7000, Bulgaria
  • Site BG35905
    Sofia, 1431, Bulgaria
  • Site BG35903
    Sofia, 1606, Bulgaria
  • Site CA15035
    Edmonton, Alberta T5G 0B7, Canada
  • Site CA15033
    Vancouver, British Columbia V5Z 4E1, Canada
  • Site CA15008
    Saint John, New Brunswick E2L 3J8, Canada
  • Site CA15001
    Barrie, Ontario L4M 7G1, Canada
  • Site CA15006
    Brampton, Ontario L6T 4S5, Canada
  • Site CA15003
    Brantford, Ontario N3S 6T6, Canada
  • Site CA15007
    Kitchener, Ontario N2N 2B9, Canada

Showing the first 100 of 251 sites across 32 countries. Choose a country and city above to see the rest.

09

References and documents

Publications

  • Gratzke C, van Maanen R, Chapple C, Abrams P, Herschorn S, Robinson D, Ridder A, Stoelzel M, Paireddy A, Yoon SJ, Al-Shukri S, Rechberger T, Mueller ER. Long-term Safety and Efficacy of Mirabegron and Solifenacin in Combination Compared with Monotherapy in Patients with Overactive Bladder: A Randomised, Multicentre Phase 3 Study (SYNERGY II). Eur Urol. 2018 Oct;74(4):501-509. doi: 10.1016/j.eururo.2018.05.005. Epub 2018 Jun 1. PubMed 29866467 ↗

Individual participant data

Plan to share: Yes — Access to anonymized individual participant level data collected during the study, in addition to study-related supporting documentation, is planned for studies conducted with approved product indications and formulations, as well as products terminated during development. Studies conducted with product indications or formulations that remain active in development are assessed after study completion to determine if Individual Participant Data can be shared. Further details on Astellas' data sharing policy can be found at https://www.clinicaltrials.astellas.com/transparency/.

Supporting information: Study protocol, Statistical analysis plan, Clinical study report

Time frame: Access to participant level data is offered to researchers after publication of the primary manuscript (if applicable) and is available as long as Astellas has legal authority to provide the data.

Access criteria: Researchers must submit a proposal to conduct a scientifically relevant analysis of the study data. The research proposal is reviewed by an Independent Research Panel. If the proposal is approved, access to the study data is provided in a secure data sharing environment after receipt of a signed Data Sharing Agreement.

Data sharing details ↗ · www.clinicaltrials.astellas.com

10

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Oct 31, 2024, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
11

Registry details

Key details

Study ID
NCT02045862
Responsible party
Sponsor
First posted
Jan 27, 2014
Start date
Mar 17, 2014
Primary completion
Sep 8, 2016
Completion
Sep 8, 2016
Results posted
Jun 6, 2018
Last update
Oct 31, 2024

Study contacts

Medical Director
study director · Astellas Pharma Europe B.V.

Oversight

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

Not currently enrolling

This study is completed, as verified in Oct 2024. You cannot join it, but the record below documents what was studied.

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Discussion

Questions and observations about this study, from anyone following it. Not medical advice, and not a channel to the study team — their contact details are on the registry record.

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Studies of the drugs tested here: Solifenacin · Mirabegron

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