ClinicalTrials.gg
CompletedNCT03492281EmpowurUpdated Mar 4, 2021Results posted

A Study to Examine the Safety and Efficacy of a New Drug in Patients With Symptoms of Overactive Bladder (OAB)

A Phase 3 interventional study of vibegron and Vibegron placebo in Overactive Bladder, sponsored by Urovant Sciences GmbH. Completed at 215 sites in 6 countries. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2021-03-04.

Sponsored by Urovant Sciences GmbH (part of Sumitomo Pharma Co., Ltd.) · Phase 3, Interventional, and Treatment

Help build ClinicalTrials.gg — short surveys, remote interviews or testing, in your language. Take part →

Phase
Phase 3
Study type
Interventional
Enrollment
1,530
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

Where this study stands

Counted across the records on this site · 2026-11-13

Among 333 studies in Urinary Bladder, Overactive with a site in United States — 40 open to participants now, 48 under way, 2 of them phase 3. Urinary Bladder, Overactive · United States.

Enrollment
14th of 288
1,530 · median 66
Started
2018
with 19 others
Phase 3
49 of 333
1 open now
Registered
189th of 333
by date
Lead sponsor
8 of 333
Urovant Sciences GmbH

Among the 333 studies in Urinary Bladder, Overactive with a site in United States, this one is the 14th largest by enrollment of the 288 interventional ones that give a count, is one of 20 that started in 2018, is one of 49 in phase 3, and was the 189th registered.

Urinary Bladder, Overactive

858 studies on the registry are indexed under Urinary Bladder, Overactive; 126 are open to participants now.

Browse Urinary Bladder, Overactive studies →

Open to participants now

40 of the 333 studies in Urinary Bladder, Overactive with a site in United States are open now. Recruiting first, the newest first:

35 more — sign in →

All 40 open studies →

A study can be open while its sites in United States have not opened yet or have stopped. Only those recruiting at a site in United States →

Who these studies take

Of the 73 Urinary Bladder, Overactive studies recruiting now, 44 (60%) set no upper age limit and 15 (21%) stop at 75 or younger; 6 take children under 18; 8 take healthy volunteers.

This study: 18 Years and older · all sexes · no healthy volunteers.

The full table on the hub →

This tab as a report to print or save as PDF → With an account.

Was this useful?
Watch this landscapeDownload CSVNarrow it in search →With an account: a weekly mail of what changed among 333 studies in Urinary Bladder, Overactive with a site in United States, or all of them as a file.
02

Study summary

This study is designed to evaluate the safety, tolerability, and efficacy of vibegron administered once daily in patients with OAB.

03

Conditions studied

  • Overactive Bladder

Keywords

  • Beta-3 adrenergic receptor (β3-AR) agonists
  • Incontinence
  • OAB
  • Vibegron
  • Urge urinary incontinence
  • Urinary bladder, overactive
  • Urologic Diseases
  • Lower Urinary Tract Symptoms
  • Urological Agents
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

  1. Has a history of OAB for at least 3 months prior to the Screening Visit.
  2. Meets either the OAB Wet or OAB Dry criteria.

Exclusion criteria

Exclusion Criteria:

Urology Medical History

  1. Patient had an average total daily urine volume > 3000 mL in the past 6 months or during the 14-day Run-in Period.
  2. Has lower urinary tract pathology that could, in the opinion of the Investigator, be responsible for urgency, frequency, or incontinence.
  3. Has a history of surgery to correct stress urinary incontinence, pelvic organ prolapse, or procedural treatments for BPH within 6 months of Screening.
  4. Has current history or evidence of Stage 2 or greater pelvic organ prolapse (prolapse extends beyond the hymenal ring).
  5. Patient is currently using a pessary for the treatment of pelvic organ prolapse.
  6. Has a known history of elevated post-void residual volume defined as greater than 150 mL.
  7. Has undergone bladder training or electrostimulation within 28 days prior to Screening or plans to initiate either during the study.
  8. Has an active or recurrent (> 3 episodes per year) urinary tract infection by clinical symptoms or pre-defined laboratory criteria.
  9. Has a requirement for an indwelling catheter or intermittent catheterization.
  10. Has received an intradetrusor injection of botulinum toxin within 9 months prior to Screening.
  11. Has uncontrolled hyperglycemia (defined as fasting blood glucose > 150 mg/dL or 8.33 mmol/L and/or non-fasting blood glucose > 200 mg/dL or 11.1 mmol/L) or, if in the opinion of the Investigator, is uncontrolled.
  12. Has evidence of diabetes insipidus.
  13. Is pregnant, breast-feeding, or is planning to conceive within the projected duration of the study.
  14. Has a concurrent or history of any malignancy within 5 years prior to signing , except for adequately treated basal cell or squamous cell skin cancer or in situ cervical cancer.
  15. Has uncontrolled hypertension (systolic blood pressure of ≥ 180 mmHg and/or diastolic blood pressure of ≥ 100 mmHg) or has a resting heart rate (by pulse) > 100 beats per minute.
  16. Has narrow angle glaucoma (primary open angle glaucoma is not excluded).
  17. Has a history of cerebral vascular accident, , unstable angina, myocardial infarction, coronary artery interventions (e.g., coronary artery bypass grafting or percutaneous coronary interventions [e.g., angioplasty, stent insertion]), or neurovascular interventions (e.g., carotid artery stenting) within 6 months prior to the Screening Visit. Has a known history of liver disease.
  18. Has a history of injury, surgery, or neurodegenerative diseases (e.g., multiple sclerosis, Parkinson's) that could affect the lower urinary tract or its nerve supply.
  19. Has hematuria, including microscopic hematuria according to pre-defined criteria.
  20. Has (ECG) abnormality.
  21. Has or aspartate aminotransferase > 2.0 times the (ULN), or (total bilirubin) > 1.5 x ULN (or > 2.0 x ULN if secondary to Gilbert syndrome or pattern consistent with Gilbert syndrome).
  22. Has an estimated (eGFR) \< 30 mL/min/1.73 m2.
  23. Has an allergy, intolerance, or a history of a significant clinical or laboratory adverse experience associated with any of the active or inactive components of the vibegron formulation or tolterodine formulation.
  24. Is currently participating or has participated in a study with an compound or device within 28 days prior to signing informed consent, or has participated in any previous study with vibegron.
Terms in these criteria, in plain language(10)

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.

Cancer (malignancy)

Malignancy means cancer. Criteria about another or earlier malignancy ask whether you have had a different cancer, usually within a set number of years.

Some are commonly allowed, such as treated skin cancers other than melanoma and early cancers removed completely — check the exceptions this study lists.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

TIA (transient ischaemic attack)

A “mini-stroke”: temporary stroke-like symptoms caused by reduced blood flow to part of the brain, spinal cord or eye, without signs of a new stroke on a scan.

Stroke symptoms need emergency care at once, even if they go away.

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.

ECG (electrocardiogram)

A recording of the heart’s electrical activity, taken with stickers on the chest, arms and legs. It takes a few minutes and does not hurt.

ALT and AST (liver enzymes)

Two enzymes measured in a routine blood test of the liver. Higher levels can mean the liver is under strain or damaged. SGPT and SGOT are older names for ALT and AST.

Criteria usually give a limit as a multiple of the upper limit of normal (ULN), often higher when cancer has spread to the liver.

ULN (upper limit of normal)

The top of the normal range for a blood test, as set by the laboratory that runs it. Each lab prints its own range next to your result.

“≤ 2.5 × ULN” means the result can be up to two and a half times that top value.

Bilirubin

A yellow substance made when red blood cells are broken down, which the liver clears. A high level can mean a problem with the liver or the bile ducts.

Criteria often allow more for people with Gilbert’s syndrome, a harmless inherited condition that raises bilirubin.

GFR and eGFR (kidney filtering)

GFR (glomerular filtration rate) is how much blood the kidneys filter each minute. It is usually estimated from a blood test — eGFR, by formulas such as CKD-EPI or MDRD — and some studies ask for it to be measured directly instead. Usually given in mL/min/1.73 m².

Check the method, the units and the minimum the study states. A value of 90 or above is in the normal-or-high range, but kidney damage can show in other tests too.

Investigational drug or device

A drug or device being studied in a clinical trial.

It may be new, or already approved and being studied for another use, dose or form. Criteria often leave out people who took part in another study of one within a recent period, commonly 30 days or five half-lives.

05

Study design

Phase
Phase 3
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Quadruple (Participant, Care provider, Investigator, Outcomes assessor)
Enrollment
1,530 participants (actual)

Study arms

  • Experimental
    Vibegron + Placebo to match Tolterodine

    Drug: vibegron · Drug: Tolterodine placebo

  • Placebo comparator
    Placebo to match vibegron + Placebo to match Tolterodine

    Drug: Vibegron placebo · Drug: Tolterodine placebo

  • Active comparator
    Tolterodine + Placebo to match vibegron

    Drug: Vibegron placebo · Drug: Tolterodine Tartrate ER

Interventions

  • single daily oral dose of vibegron 75 mg for 12 weeks

    Also known as: RVT-901, MK4618, KRP114V, URO-901

  • DrugVibegron placebo

    placebo to match vibegron (experimental drug)

  • single daily oral dose of tolterodine tartrate ER 4 mg for 12 weeks

    Also known as: Mariosea XL

  • DrugTolterodine placebo

    placebo to match tolterodine (active comparator)

06

What researchers measure

Primary outcomes

  1. Change From Baseline (CFB) at Week 12 in the Average Number of Micturitions Per 24 Hours in All Overactive Bladder (OAB) Participants

    A micturition/void is defined as "Urinated in Toilet" as indicated on the Patient Voiding Diary (PVD). The number of micturitions is defined as the number of times a participant voided in the toilet as indicated on the PVD. The average daily number of micturitions was calculated using the daily entries in the PVD (which was to be completed prior to each study visit) as the total number of micturitions that occurred on a Complete Diary Day (CDD) divided by the number of CDDs in the PVD. CFB was calculated as the post-BL value minus the BL value. "Per 24 hours" corresponds to one Diary Day (i.e., time between when the participant got up for the day each morning and time the participant got up for the day the next morning as recorded in the PVD). Covariates included in the mixed model for repeated measures are study visit (Weeks 2, 4, 8, and 12), OAB type (wet/dry), sex, region (U.S./non-U.S.), BL number of micturitions, and treatment by study visit interaction. FAS=Full Analysis Set.

    Time frame: Baseline (BL); Week 12

  2. CFB at Week 12 in the Average Number of Urge Urinary Incontinence (UUI) Episodes Per 24 Hours in OAB Wet Participants

    The number of UUI episodes is defined as the number of times a participant had checked "urge" as the main reason for the leakage in the PVD, regardless of whether more than one reason for leakage in addition to "urge" was checked. The average daily number of UUI episodes was calculated using the daily entries in the PVD (which was to be completed prior to each study visit) as the total number of UUI episodes that occurred on a CDD divided by the number of CCDs in the PVD. CFB was calculated as the post-BL value minus the BL value. "Per 24 hours" corresponds to one Diary Day (i.e., time between when participant got up for the day each morning and time participant got up for the day the next morning as recorded in the PVD). Covariates included in the mixed model for repeated measures were study visit (Weeks 2, 4, 8, and 12), sex, region (U.S./non-U.S.), BL number of UUI episodes and treatment by study visit interaction. FAS-I=Full Analysis Set for Incontinence.

    Time frame: Baseline; Week 12

Secondary outcomes

  1. CFB at Week 12 in the Average Number of Urgency Episodes Over 24 Hours in All OAB Participants

    An urgency episode is defined as the "Need to Urinate Immediately" as indicated on the PVD. CFB is calculated as the post-BL value minus the BL value. "Over 24 hours" corresponds to one Diary Day (i.e., time between when the participant got up for the day each morning and time the participant got up for the day the next morning as recorded in the PVD). Covariates included in the mixed model for repeated measures were study visit (Weeks 2, 4, 8, and 12), OAB type (wet/dry), sex, region (U.S./non-U.S.), BL number of urgency episodes, and treatment by study visit interaction.

    Time frame: Baseline; Week 12

  2. Percentage of OAB Wet Participants With at Least a 75% Reduction From Baseline in UUI Episodes Per 24 Hours at Week 12

    The number of UUI episodes is defined as the number of times a participant had checked "urge" as the main reason for the leakage in the PVD, regardless of whether more than one reason for leakage in addition to "urge" was checked. The average daily number of UUI episodes was calculated using the daily entries in the PVD (which was to be completed prior to each study visit) as the total number of UUI episodes that occurred on a CDD divided by the number of CCDs in the PVD. CFB was calculated as the post-BL value minus the BL value. "Per 24 hours" corresponds to one Diary Day (i.e., time between when participant got up for the day each morning and time participant got up for the day the next morning as recorded in the PVD).

    Time frame: Baseline; Week 12

  3. Percentage of OAB Wet Participants With a 100% Reduction From Baseline in UUI Episodes Per 24 Hours at Week 12

    The number of UUI episodes is defined as the number of times a participant had checked "urge" as the main reason for the leakage in the PVD, regardless of whether more than one reason for leakage in addition to "urge" was checked. The average daily number of UUI episodes was calculated using the daily entries in the PVD (which was to be completed prior to each study visit) as the total number of UUI episodes that occurred on a CDD divided by the number of CCDs in the PVD. CFB was calculated as the post-BL value minus the BL value. "Per 24 hours" corresponds to one Diary Day (i.e., time between when participant got up for the day each morning and time participant got up for the day the next morning as recorded in the PVD).

    Time frame: Baseline; Week 12

  4. Percentage of All OAB Participants With at Least a 50% Reduction From Baseline in Urgency Episodes Per 24 Hours at Week 12

    An urgency episode is defined as the "Need to Urinate Immediately" as indicated on the PVD. CFB is calculated as the post-BL value minus the BL value. "Per 24 hours" corresponds to one Diary Day (i.e., time between when the participant got up for the day each morning and time the participant got up for the day the next morning as recorded in the PVD).

    Time frame: Baseline; Week 12

  5. CFB at Week 12 in the Average Number of Total Incontinence Episodes Over 24 Hours in OAB Wet Participants

    Total incontinence is defined as having any reason for "Accidental Urine Leakage" and/or "Accidental Urine Leakage" checked, as indicated on the PVD. It is assumed that if the participant recorded a reason for leakage then the accidental urine leakage occurred. CFB is calculated as the post-BL value minus the BL value. "Over 24 hours" corresponds to one Diary Day (i.e., time between when the par. got up for the day each morning and time the par. got up for the day the next morning as recorded in the PVD). Covariates included in the mixed model for repeated measures were study visit (Weeks 2, 4, 8, and 12), sex, region (U.S./non-U.S.), BL number of incontinence episodes, and treatment by study visit interaction. hr = hours.

    Time frame: Baseline; Week 12

  6. CFB at Week 12 in the Coping Score From the Overactive Bladder Questionnaire Long Form (OAB-q LF, 1-week Recall) in All OAB Participants

    The OAB-q LF is a validated patient-reported outcome. 8 questions of the OAB-q LF ask participants how well they have coped with their bladder symptoms during the previous week, as a measure of quality of life. Each question has a response ranging from "not coping" (= 1) to "coping well" (= 6). These questions make up the coping scale. The raw score (sum of question scores \[ranging from 8 to 48\]) is transformed to a unified score, ranging from 0 to 100. Higher scores correspond to a higher quality of life, and lower scores represent a lower quality of life. CFB is calculated as the post-BL value minus the BL value. Covariates included in the mixed model for repeated measures were study visit (Weeks 2, 4, 8, and 12), sex, region (U.S./non-U.S.), OAB type (wet/dry), BL score, and treatment by study visit interaction.

    Time frame: Baseline; Week 12

  7. CFB at Week 12 in the Average Volume Voided Per Micturition in All OAB Participants

    A micturition/void is defined as "Urinated in Toilet" as indicated on the PVD. The number of micturitions is defined as the number of times a participant voided in the toilet as indicated on the PVD. CFB is calculated as the post-BL value minus the BL value. Covariates included in the mixed model for repeated measures were study visit (Weeks 2, 4, 8, and 12), OAB type (wet/dry), sex, region (U.S./non-U.S.), BL volume (milliliters \[mL\]), and treatment by study visit interaction.

    Time frame: Baseline; Week 12

  8. CFB at Week 12 in the Health-related Quality of Life (HRQL) Total Score From the OAB-q LF (1-week Recall) in All OAB Participants

    The OAB-q LF is a validated patient-reported outcome. The 25 questions comprising the Coping, Concern, Sleep and Social Interaction subscales of the OAB-q LF ask participants how much their symptoms have affected their life over the last week. Each question has a response ranging from "None of the time" (= 1) to "All of the time" (= 6). The raw score (sum of question scores for the 4 subscales \[ranging from 25 to 150\]) is transformed to a unified score, ranging from 0 to 100. Higher scores correspond to a higher quality of life, and lower scores represent a lower quality of life. CFB is calculated as the post-BL value minus the BL value. Covariates included in the mixed model for repeated measures were study visit (Weeks 2, 4, 8, and 12), sex, region (U.S./non-U.S.), OAB type (wet/dry), BL score, and treatment by study visit interaction.

    Time frame: Baseline; Week 12

  9. CFB at Week 12 in the Symptom Bother Score From the OAB-q LF (1-week Recall) in All OAB Participants

    The OAB-q LF is a validated patient-reported outcome. The first 8 questions of the OAB-q LF ask participants how much they were bothered by their bladder symptoms during the previous week. Each question has a response ranging from "Not at all" (= 1) to "A very great deal" (= 6). These questions make up the symptom bother scale. The raw score (sum of question scores \[ranging from 8 to 48\]) is transformed to a unified score, ranging from 0 to 100. Higher scores correspond to the symptoms having a larger bother, and lower scores represent a lower amount of bother due to symptoms. CFB is calculated as the post-BL value minus the BL value. Covariates included in the mixed model for repeated measures were study visit (Weeks 2, 4, 8, and 12), sex, region (U.S./non-U.S.), OAB type (wet/dry), BL score, and treatment by study visit interaction.

    Time frame: Baseline; Week 12

  10. Percentage of All OAB Participants With an Average Number of Micturitions < 8 Per 24 Hours at Week 12

    A micturition/void is defined as "Urinated in Toilet" as indicated on the PVD. The number of micturitions is defined as the number of times a participant voided in the toilet as indicated on the PVD. A participant was defined as having an average of \< 8 daily micturitions if the arithmetic mean of the number of micturitions per day in the PVD was less than 8 . "Per 24 hours" corresponds to one Diary Day (i.e., time between when the participant got up for the day each morning and time the participant got up for the day the next morning as recorded in the PVD).

    Time frame: Week 12

  11. Percentage of OAB Wet Participants With at Least a 50% Reduction From Baseline in Total Incontinence Episodes Per 24 Hours at Week 12

    Total incontinence is defined as having any reason for "Accidental Urine Leakage" and/or "Accidental Urine Leakage" checked, as indicated on the PVD. It is assumed that if the participant recorded a reason for leakage then the accidental urine leakage occurred. All events marked as having leakage, regardless of cause, or where "Accidental Leakage" was checked. were used in the analysis. "Per 24 hours" corresponds to one Diary Day (i.e., time between when the participant got up for the day each morning and time the participant got up for the day the next morning as recorded in the PVD.

    Time frame: Baseline; Week 12

  12. CFB at Week 12 in Overall Bladder Symptoms Based on Patient Global Impression of Severity (PGI-Severity) in All OAB Participants

    The Patient Global Impression (PGI) questions are designed to assess a participant's overall impression of OAB. For the PGI-Severity score, participants are asked to rate their OAB symptoms over the previous week with one of the following responses: 1 = none, 2 = mild, 3 = moderate, 4 = severe. CFB is calculated as the post-BL value minus the BL value. Covariates included in the mixed model for repeated measures were study visit (Weeks 2, 4, 8, and 12), OAB type (wet/dry), sex, region (U.S./non-U.S.), BL score, and treatment by study visit interaction.

    Time frame: Baseline; Week 12

  13. CFB at Week 12 in Overall Control Over Bladder Symptoms Based on Patient Global Impression of Control (PGI-Control) in All OAB Participants

    The Patient Global Impression (PGI) questions are designed to assess a participant's overall impression of OAB. For the PGI-Control score, participants were asked to rate how much control they had over their OAB symptoms over the previous week with one of the following responses: 1 = complete control, 2 = a lot of control, 3 = some control, 4 = only a little control, 5 = no control. CFB is calculated as the post-BL value minus the BL value. Covariates included in the mixed model for repeated measures were study visit (Weeks 2, 4, 8, and 12), OAB type (wet/dry), sex, region (U.S./non-U.S.), BL score, and treatment by study visit interaction.

    Time frame: Baseline; Week 12

07

Results

Posted Mar 4, 2021

Participant flow

Participant flow — Overall Study
MilestonePlaceboVibegron 75 mgTolterodine ER 4 mg
Started540547431
Completed486502385
Not completed544546
Withdrew: Withdrawal by subject211413
Withdrew: Lost to follow-up141510
Withdrew: Adverse event6813
Withdrew: Lack of efficacy301
Withdrew: Physician decision103
Withdrew: Protocol violation021
Withdrew: Withdrawn due to sponsor101
Withdrew: Death001
Withdrew: Captured as other in database863

Outcome measures

PrimaryChange From Baseline (CFB) at Week 12 in the Average Number of Micturitions Per 24 Hours in All Overactive Bladder (OAB) Participants

A micturition/void is defined as "Urinated in Toilet" as indicated on the Patient Voiding Diary (PVD). The number of micturitions is defined as the number of times a participant voided in the toilet as indicated on the PVD. The average daily number of micturitions was calculated using the daily entries in the PVD (which was to be completed prior to each study visit) as the total number of micturitions that occurred on a Complete Diary Day (CDD) divided by the number of CDDs in the PVD. CFB was calculated as the post-BL value minus the BL value. "Per 24 hours" corresponds to one Diary Day (i.e., time between when the participant got up for the day each morning and time the participant got up for the day the next morning as recorded in the PVD). Covariates included in the mixed model for repeated measures are study visit (Weeks 2, 4, 8, and 12), OAB type (wet/dry), sex, region (U.S./non-U.S.), BL number of micturitions, and treatment by study visit interaction. FAS=Full Analysis Set.

Time frame:
Baseline (BL); Week 12
Reported as:
Least squares mean · micturitions per 24 hours
Change From Baseline (CFB) at Week 12 in the Average Number of Micturitions Per 24 Hours in All Overactive Bladder (OAB) Participants
micturitions per 24 hoursPlaceboVibegron 75 mgTolterodine ER 4 mg
Change From Baseline (CFB) at Week 12 in the Average Number of Micturitions Per 24 Hours in All Overactive Bladder (OAB) Participants-1.3 ± 0.14-1.8 ± 0.14-1.6 ± 0.15
Statistical analysis
  • Placebo vs Vibegron 75 mg · Mixed Model for Repeated Measures (MMRM) · p = <0.001 (Hypothesis testing was performed for vibegron minus placebo.) · Least squares mean difference: -0.5 · 95% CI -0.8 to -0.2
  • Placebo vs Tolterodine ER 4 mg · MMRM · p = =0.0988 (Comparisons between tolterodine ER and placebo are considered descriptive.) · Least squares mean difference: -0.3 · 95% CI -0.6 to 0.1
PrimaryCFB at Week 12 in the Average Number of Urge Urinary Incontinence (UUI) Episodes Per 24 Hours in OAB Wet Participants

The number of UUI episodes is defined as the number of times a participant had checked "urge" as the main reason for the leakage in the PVD, regardless of whether more than one reason for leakage in addition to "urge" was checked. The average daily number of UUI episodes was calculated using the daily entries in the PVD (which was to be completed prior to each study visit) as the total number of UUI episodes that occurred on a CDD divided by the number of CCDs in the PVD. CFB was calculated as the post-BL value minus the BL value. "Per 24 hours" corresponds to one Diary Day (i.e., time between when participant got up for the day each morning and time participant got up for the day the next morning as recorded in the PVD). Covariates included in the mixed model for repeated measures were study visit (Weeks 2, 4, 8, and 12), sex, region (U.S./non-U.S.), BL number of UUI episodes and treatment by study visit interaction. FAS-I=Full Analysis Set for Incontinence.

Time frame:
Baseline; Week 12
Reported as:
Least squares mean · UUI episodes per 24 hours
CFB at Week 12 in the Average Number of Urge Urinary Incontinence (UUI) Episodes Per 24 Hours in OAB Wet Participants
UUI episodes per 24 hoursPlacebo: OAB WetVibegron 75 mg: OAB WetTolterodine ER 4 mg: OAB Wet
CFB at Week 12 in the Average Number of Urge Urinary Incontinence (UUI) Episodes Per 24 Hours in OAB Wet Participants-1.4 ± 0.13-2.0 ± 0.13-1.8 ± 0.14
Statistical analysis
  • Placebo: OAB Wet vs Vibegron 75 mg: OAB Wet · MMRM · p = <0.0001 (Hypothesis testing was performed for vibegron minus placebo.) · Least squares mean difference: -0.6 · 95% CI -0.9 to -0.3
  • Placebo: OAB Wet vs Tolterodine ER 4 mg: OAB Wet · MMRM · p = =0.0123 (Comparisons between tolterodine ER and placebo are considered descriptive.) · Least squares mean difference: -0.4 · 95% CI -0.7 to -0.1
SecondaryCFB at Week 12 in the Average Number of Urgency Episodes Over 24 Hours in All OAB Participants

An urgency episode is defined as the "Need to Urinate Immediately" as indicated on the PVD. CFB is calculated as the post-BL value minus the BL value. "Over 24 hours" corresponds to one Diary Day (i.e., time between when the participant got up for the day each morning and time the participant got up for the day the next morning as recorded in the PVD). Covariates included in the mixed model for repeated measures were study visit (Weeks 2, 4, 8, and 12), OAB type (wet/dry), sex, region (U.S./non-U.S.), BL number of urgency episodes, and treatment by study visit interaction.

Time frame:
Baseline; Week 12
Reported as:
Least squares mean · urgency episodes over 24 hours
CFB at Week 12 in the Average Number of Urgency Episodes Over 24 Hours in All OAB Participants
urgency episodes over 24 hoursPlaceboVibegron 75 mgTolterodine ER 4 mg
CFB at Week 12 in the Average Number of Urgency Episodes Over 24 Hours in All OAB Participants-2.0 ± 0.19-2.7 ± 0.19-2.5 ± 0.21
Statistical analysis
  • Placebo vs Vibegron 75 mg · MMRM · p = =0.0020 (Hypothesis testing was performed for vibegron minus placebo.) · Least squares mean difference: -0.7 · 95% CI -1.1 to -0.2
  • Placebo vs Tolterodine ER 4 mg · MMRM · p = =0.0648 (Comparisons between tolterodine ER and placebo are considered descriptive.) · Least squares mean difference: -0.4 · 95% CI -0.9 to 0.0
SecondaryPercentage of OAB Wet Participants With at Least a 75% Reduction From Baseline in UUI Episodes Per 24 Hours at Week 12

The number of UUI episodes is defined as the number of times a participant had checked "urge" as the main reason for the leakage in the PVD, regardless of whether more than one reason for leakage in addition to "urge" was checked. The average daily number of UUI episodes was calculated using the daily entries in the PVD (which was to be completed prior to each study visit) as the total number of UUI episodes that occurred on a CDD divided by the number of CCDs in the PVD. CFB was calculated as the post-BL value minus the BL value. "Per 24 hours" corresponds to one Diary Day (i.e., time between when participant got up for the day each morning and time participant got up for the day the next morning as recorded in the PVD).

Time frame:
Baseline; Week 12
Reported as:
Number · percentage of participants
Percentage of OAB Wet Participants With at Least a 75% Reduction From Baseline in UUI Episodes Per 24 Hours at Week 12
percentage of participantsPlacebo: OAB WetVibegron 75 mg: OAB WetTolterodine ER 4 mg: OAB Wet
Unadjusted36.852.447.6
Adjusted for sex32.849.342.2
Statistical analysis
  • Placebo: OAB Wet vs Vibegron 75 mg: OAB Wet · Cochran-Mantel-Haenszel · p = <0.0001 · Difference in percentage: 16.5 · 95% CI 9.7 to 23.4The Cochran-Mantel-Haenszel risk difference estimate was stratified by sex (female/male), with weights proposed by Greenland and Robins.
  • Placebo: OAB Wet vs Tolterodine ER 4 mg: OAB Wet · Cochran-Mantel-Haenszel · p = =0.0120 · Difference in percentage: 9.4 · 95% CI 2.1 to 16.7The Cochran-Mantel-Haenszel risk difference estimate was stratified by sex (female/male), with weights proposed by Greenland and Robins.
SecondaryPercentage of OAB Wet Participants With a 100% Reduction From Baseline in UUI Episodes Per 24 Hours at Week 12

The number of UUI episodes is defined as the number of times a participant had checked "urge" as the main reason for the leakage in the PVD, regardless of whether more than one reason for leakage in addition to "urge" was checked. The average daily number of UUI episodes was calculated using the daily entries in the PVD (which was to be completed prior to each study visit) as the total number of UUI episodes that occurred on a CDD divided by the number of CCDs in the PVD. CFB was calculated as the post-BL value minus the BL value. "Per 24 hours" corresponds to one Diary Day (i.e., time between when participant got up for the day each morning and time participant got up for the day the next morning as recorded in the PVD).

Time frame:
Baseline; Week 12
Reported as:
Number · percentage of participants
Percentage of OAB Wet Participants With a 100% Reduction From Baseline in UUI Episodes Per 24 Hours at Week 12
percentage of participantsPlacebo: OAB WetVibegron 75 mg: OAB WetTolterodine ER 4 mg: OAB Wet
Unadjusted22.528.826.6
Adjusted for sex19.025.320.9
Statistical analysis
  • Placebo: OAB Wet vs Vibegron 75 mg: OAB Wet · Cochran-Mantel-Haenszel · p = =0.0360 · Difference in percentage: 6.3 · 95% CI 0.4 to 12.1The Cochran-Mantel-Haenszel risk difference estimate was stratified by sex (female/male), with weights proposed by Greenland and Robins.
  • Placebo: OAB Wet vs Tolterodine ER 4 mg: OAB Wet · Cochran-Mantel-Haenszel · p = =0.5447 · Difference in percentage: 1.9 · 95% CI -4.1 to 7.8The Cochran-Mantel-Haenszel risk difference estimate was stratified by sex (female/male), with weights proposed by Greenland and Robins.
SecondaryPercentage of All OAB Participants With at Least a 50% Reduction From Baseline in Urgency Episodes Per 24 Hours at Week 12

An urgency episode is defined as the "Need to Urinate Immediately" as indicated on the PVD. CFB is calculated as the post-BL value minus the BL value. "Per 24 hours" corresponds to one Diary Day (i.e., time between when the participant got up for the day each morning and time the participant got up for the day the next morning as recorded in the PVD).

Time frame:
Baseline; Week 12
Reported as:
Number · percentage of participants
Percentage of All OAB Participants With at Least a 50% Reduction From Baseline in Urgency Episodes Per 24 Hours at Week 12
percentage of participantsPlaceboVibegron 75 mgTolterodine ER 4 mg
Unadjusted38.343.241.2
Adjusted for sex32.839.536.4
Statistical analysis
  • Placebo vs Vibegron 75 mg · Cochran-Mantel-Haenszel · p = =0.0235 · Difference in percentage: 6.8 · 95% CI 0.9 to 12.7The Cochran-Mantel-Haenszel risk difference estimate was stratified by sex and OAB type (wet/dry), with weights proposed by Greenland and Robins.
  • Placebo vs Tolterodine ER 4 mg · Cochran-Mantel-Haenszel · p = =0.2400 · Difference in percentage: 3.7 · 95% CI -2.5 to 10.0The Cochran-Mantel-Haenszel risk difference estimate was stratified by sex and OAB type (wet/dry), with weights proposed by Greenland and Robins.
SecondaryCFB at Week 12 in the Average Number of Total Incontinence Episodes Over 24 Hours in OAB Wet Participants

Total incontinence is defined as having any reason for "Accidental Urine Leakage" and/or "Accidental Urine Leakage" checked, as indicated on the PVD. It is assumed that if the participant recorded a reason for leakage then the accidental urine leakage occurred. CFB is calculated as the post-BL value minus the BL value. "Over 24 hours" corresponds to one Diary Day (i.e., time between when the par. got up for the day each morning and time the par. got up for the day the next morning as recorded in the PVD). Covariates included in the mixed model for repeated measures were study visit (Weeks 2, 4, 8, and 12), sex, region (U.S./non-U.S.), BL number of incontinence episodes, and treatment by study visit interaction. hr = hours.

Time frame:
Baseline; Week 12
Reported as:
Least squares mean · total incontinence episodes over 24 hr
CFB at Week 12 in the Average Number of Total Incontinence Episodes Over 24 Hours in OAB Wet Participants
total incontinence episodes over 24 hrPlacebo: OAB WetVibegron 75 mg: OAB WetTolterodine ER 4 mg: OAB Wet
CFB at Week 12 in the Average Number of Total Incontinence Episodes Over 24 Hours in OAB Wet Participants-1.6 ± 0.15-2.3 ± 0.15-2.0 ± 0.16
Statistical analysis
  • Placebo: OAB Wet vs Vibegron 75 mg: OAB Wet · MMRM · p = <0.0001 (Hypothesis testing was performed for vibegron minus placebo.) · Least squares mean difference: -0.7 · 95% CI -1.0 to -0.4
  • Placebo: OAB Wet vs Tolterodine ER 4 mg: OAB Wet · MMRM · p = =0.0074 (Comparisons between tolterodine ER and placebo are considered descriptive.) · Least squares mean difference: -0.5 · 95% CI -0.8 to -0.1
SecondaryCFB at Week 12 in the Coping Score From the Overactive Bladder Questionnaire Long Form (OAB-q LF, 1-week Recall) in All OAB Participants

The OAB-q LF is a validated patient-reported outcome. 8 questions of the OAB-q LF ask participants how well they have coped with their bladder symptoms during the previous week, as a measure of quality of life. Each question has a response ranging from "not coping" (= 1) to "coping well" (= 6). These questions make up the coping scale. The raw score (sum of question scores \[ranging from 8 to 48\]) is transformed to a unified score, ranging from 0 to 100. Higher scores correspond to a higher quality of life, and lower scores represent a lower quality of life. CFB is calculated as the post-BL value minus the BL value. Covariates included in the mixed model for repeated measures were study visit (Weeks 2, 4, 8, and 12), sex, region (U.S./non-U.S.), OAB type (wet/dry), BL score, and treatment by study visit interaction.

Time frame:
Baseline; Week 12
Reported as:
Least squares mean · units on a scale
CFB at Week 12 in the Coping Score From the Overactive Bladder Questionnaire Long Form (OAB-q LF, 1-week Recall) in All OAB Participants
units on a scalePlaceboVibegron 75 mgTolterodine ER 4 mg
CFB at Week 12 in the Coping Score From the Overactive Bladder Questionnaire Long Form (OAB-q LF, 1-week Recall) in All OAB Participants12.9 ± 1.3216.5 ± 1.3116.0 ± 1.39
Statistical analysis
  • Placebo vs Vibegron 75 mg · MMRM · p = =0.0039 (Hypothesis testing was performed for vibegron minus placebo.) · Least squares mean difference: 3.6 · 95% CI 1.2 to 6.0
  • Placebo vs Tolterodine ER 4 mg · MMRM · p = =0.0210 (Comparisons between tolterodine ER and placebo are considered descriptive.) · Least squares mean difference: 3.1 · 95% CI 0.5 to 5.7
SecondaryCFB at Week 12 in the Average Volume Voided Per Micturition in All OAB Participants

A micturition/void is defined as "Urinated in Toilet" as indicated on the PVD. The number of micturitions is defined as the number of times a participant voided in the toilet as indicated on the PVD. CFB is calculated as the post-BL value minus the BL value. Covariates included in the mixed model for repeated measures were study visit (Weeks 2, 4, 8, and 12), OAB type (wet/dry), sex, region (U.S./non-U.S.), BL volume (milliliters \[mL\]), and treatment by study visit interaction.

Time frame:
Baseline; Week 12
Reported as:
Least squares mean · mL per micturition
CFB at Week 12 in the Average Volume Voided Per Micturition in All OAB Participants
mL per micturitionPlaceboVibegron 75 mgTolterodine ER 4 mg
CFB at Week 12 in the Average Volume Voided Per Micturition in All OAB Participants2.2 ± 3.2823.5 ± 3.2615.5 ± 3.52
Statistical analysis
  • Placebo vs Vibegron 75 mg · MMRM · p = <0.0001 (Hypothesis testing was performed for vibegron minus placebo.) · Least squares mean difference: 21.2 · 95% CI 14.3 to 28.1
  • Placebo vs Tolterodine ER 4 mg · MMRM · p = <0.001 (Comparisons between tolterodine ER and placebo are considered descriptive.) · Least squares mean difference: 13.3 · 95% CI 5.9 to 20.7
SecondaryCFB at Week 12 in the Health-related Quality of Life (HRQL) Total Score From the OAB-q LF (1-week Recall) in All OAB Participants

The OAB-q LF is a validated patient-reported outcome. The 25 questions comprising the Coping, Concern, Sleep and Social Interaction subscales of the OAB-q LF ask participants how much their symptoms have affected their life over the last week. Each question has a response ranging from "None of the time" (= 1) to "All of the time" (= 6). The raw score (sum of question scores for the 4 subscales \[ranging from 25 to 150\]) is transformed to a unified score, ranging from 0 to 100. Higher scores correspond to a higher quality of life, and lower scores represent a lower quality of life. CFB is calculated as the post-BL value minus the BL value. Covariates included in the mixed model for repeated measures were study visit (Weeks 2, 4, 8, and 12), sex, region (U.S./non-U.S.), OAB type (wet/dry), BL score, and treatment by study visit interaction.

Time frame:
Baseline; Week 12
Reported as:
Least squares mean · units on a scale
CFB at Week 12 in the Health-related Quality of Life (HRQL) Total Score From the OAB-q LF (1-week Recall) in All OAB Participants
units on a scalePlaceboVibegron 75 mgTolterodine ER 4 mg
CFB at Week 12 in the Health-related Quality of Life (HRQL) Total Score From the OAB-q LF (1-week Recall) in All OAB Participants10.8 ± 1.1314.6 ± 1.1213.7 ± 1.19
Statistical analysis
  • Placebo vs Vibegron 75 mg · MMRM · p = <0.001 (Hypothesis testing was performed for vibegron minus placebo.) · Least squares mean difference: 3.8 · 95% CI 1.7 to 5.8
  • Placebo vs Tolterodine ER 4 mg · MMRM · p = =0.0114 · Least squares mean difference: 2.9 · 95% CI 0.6 to 5.1
SecondaryCFB at Week 12 in the Symptom Bother Score From the OAB-q LF (1-week Recall) in All OAB Participants

The OAB-q LF is a validated patient-reported outcome. The first 8 questions of the OAB-q LF ask participants how much they were bothered by their bladder symptoms during the previous week. Each question has a response ranging from "Not at all" (= 1) to "A very great deal" (= 6). These questions make up the symptom bother scale. The raw score (sum of question scores \[ranging from 8 to 48\]) is transformed to a unified score, ranging from 0 to 100. Higher scores correspond to the symptoms having a larger bother, and lower scores represent a lower amount of bother due to symptoms. CFB is calculated as the post-BL value minus the BL value. Covariates included in the mixed model for repeated measures were study visit (Weeks 2, 4, 8, and 12), sex, region (U.S./non-U.S.), OAB type (wet/dry), BL score, and treatment by study visit interaction.

Time frame:
Baseline; Week 12
Reported as:
Least squares mean · units on a scale
CFB at Week 12 in the Symptom Bother Score From the OAB-q LF (1-week Recall) in All OAB Participants
units on a scalePlaceboVibegron 75 mgTolterodine ER 4 mg
CFB at Week 12 in the Symptom Bother Score From the OAB-q LF (1-week Recall) in All OAB Participants-12.8 ± 1.25-19.6 ± 1.24-17.4 ± 1.31
Statistical analysis
  • Placebo vs Vibegron 75 mg · MMRM · p = <0.0001 (Hypothesis testing was performed for vibegron minus placebo.) · Least squares mean difference: -6.9 · 95% CI -9.2 to -4.6
  • Placebo vs Tolterodine ER 4 mg · MMRM · p = <0.001 (Comparisons between tolterodine ER and placebo are considered descriptive.) · Least squares mean difference: -4.6 · 95% CI -7.1 to -2.2
SecondaryPercentage of All OAB Participants With an Average Number of Micturitions < 8 Per 24 Hours at Week 12

A micturition/void is defined as "Urinated in Toilet" as indicated on the PVD. The number of micturitions is defined as the number of times a participant voided in the toilet as indicated on the PVD. A participant was defined as having an average of \< 8 daily micturitions if the arithmetic mean of the number of micturitions per day in the PVD was less than 8 . "Per 24 hours" corresponds to one Diary Day (i.e., time between when the participant got up for the day each morning and time the participant got up for the day the next morning as recorded in the PVD).

Time frame:
Week 12
Reported as:
Number · percentage of participants
Percentage of All OAB Participants With an Average Number of Micturitions < 8 Per 24 Hours at Week 12
percentage of participantsPlaceboVibegron 75 mgTolterodine ER 4 mg
Unadjusted28.740.135.0
Adjusted for sex24.837.231.6
Statistical analysis
  • Placebo vs Vibegron 75 mg · Cochran-Mantel-Haenszel · p = <0.0001 (CMH=Cochran-Mantel-Haenszel) · Difference in percentage: 12.4 · 95% CI 6.7 to 18.1The CMH risk difference estimate was stratified by OAB type (wet/dry) and sex (female/male), with weights proposed by Greenland and Robins.
  • Placebo vs Tolterodine ER 4 mg · Cochran-Mantel-Haenszel · p = =0.0236 · Difference in percentage: 6.9 · 95% CI 0.9 to 12.8The CMH risk difference estimate was stratified by OAB type (wet/dry) and sex (female/male), with weights proposed by Greenland and Robins.
SecondaryPercentage of OAB Wet Participants With at Least a 50% Reduction From Baseline in Total Incontinence Episodes Per 24 Hours at Week 12

Total incontinence is defined as having any reason for "Accidental Urine Leakage" and/or "Accidental Urine Leakage" checked, as indicated on the PVD. It is assumed that if the participant recorded a reason for leakage then the accidental urine leakage occurred. All events marked as having leakage, regardless of cause, or where "Accidental Leakage" was checked. were used in the analysis. "Per 24 hours" corresponds to one Diary Day (i.e., time between when the participant got up for the day each morning and time the participant got up for the day the next morning as recorded in the PVD.

Time frame:
Baseline; Week 12
Reported as:
Number · percentage of participants
Percentage of OAB Wet Participants With at Least a 50% Reduction From Baseline in Total Incontinence Episodes Per 24 Hours at Week 12
percentage of participantsPlacebo: OAB WetVibegron 75 mg: OAB WetTolterodine ER 4 mg: OAB Wet
Unadjusted53.864.066.5
Adjusted for sex49.961.661.5
Statistical analysis
  • Placebo: OAB Wet vs Vibegron 75 mg: OAB Wet · Cochran-Mantel-Haenszel · p = <0.001 · Difference in percentage: 11.7 · 95% CI 4.7 to 18.6The Cochran-Mantel-Haenszel risk difference estimate was stratified by sex (female/male), with weights proposed by Greenland and Robins.
  • Placebo: OAB Wet vs Tolterodine ER 4 mg: OAB Wet · Cochran-Mantel-Haenszel · p = =0.0022 · Difference in percentage: 11.5 · 95% CI 4.2 to 18.9The Cochran-Mantel-Haenszel risk difference estimate was stratified by sex (female/male), with weights proposed by Greenland and Robins.
SecondaryCFB at Week 12 in Overall Bladder Symptoms Based on Patient Global Impression of Severity (PGI-Severity) in All OAB Participants

The Patient Global Impression (PGI) questions are designed to assess a participant's overall impression of OAB. For the PGI-Severity score, participants are asked to rate their OAB symptoms over the previous week with one of the following responses: 1 = none, 2 = mild, 3 = moderate, 4 = severe. CFB is calculated as the post-BL value minus the BL value. Covariates included in the mixed model for repeated measures were study visit (Weeks 2, 4, 8, and 12), OAB type (wet/dry), sex, region (U.S./non-U.S.), BL score, and treatment by study visit interaction.

Time frame:
Baseline; Week 12
Reported as:
Least squares mean · units on a scale
CFB at Week 12 in Overall Bladder Symptoms Based on Patient Global Impression of Severity (PGI-Severity) in All OAB Participants
units on a scalePlaceboVibegron 75 mgTolterodine ER 4 mg
CFB at Week 12 in Overall Bladder Symptoms Based on Patient Global Impression of Severity (PGI-Severity) in All OAB Participants-0.5 ± 0.04-0.8 ± 0.04-0.7 ± 0.04
Statistical analysis
  • Placebo vs Vibegron 75 mg · MMRM · p = <0.0001 (Hypothesis testing was performed for vibegron minus placebo.) · Least squares mean difference: -0.2 · 95% CI -0.3 to -0.1
  • Placebo vs Tolterodine ER 4 mg · MMRM · p = =0.0055 (Hypothesis testing was performed for vibegron minus placebo.) · Least squares mean difference: -0.1 · 95% CI -0.2 to 0.0
SecondaryCFB at Week 12 in Overall Control Over Bladder Symptoms Based on Patient Global Impression of Control (PGI-Control) in All OAB Participants

The Patient Global Impression (PGI) questions are designed to assess a participant's overall impression of OAB. For the PGI-Control score, participants were asked to rate how much control they had over their OAB symptoms over the previous week with one of the following responses: 1 = complete control, 2 = a lot of control, 3 = some control, 4 = only a little control, 5 = no control. CFB is calculated as the post-BL value minus the BL value. Covariates included in the mixed model for repeated measures were study visit (Weeks 2, 4, 8, and 12), OAB type (wet/dry), sex, region (U.S./non-U.S.), BL score, and treatment by study visit interaction.

Time frame:
Baseline; Week 12
Reported as:
Least squares mean · units on a scale
CFB at Week 12 in Overall Control Over Bladder Symptoms Based on Patient Global Impression of Control (PGI-Control) in All OAB Participants
units on a scalePlaceboVibegron 75 mgTolterodine ER 4 mg
CFB at Week 12 in Overall Control Over Bladder Symptoms Based on Patient Global Impression of Control (PGI-Control) in All OAB Participants-0.7 ± 0.05-1.0 ± 0.05-0.9 ± 0.05
Statistical analysis
  • Placebo vs Vibegron 75 mg · MMRM · p = <0.0001 (Hypothesis testing was performed for vibegron minus placebo.) · Least squares mean difference: -0.3 · 95% CI -0.4 to -0.2
  • Placebo vs Tolterodine ER 4 mg · MMRM · p = <0.001 (Comparisons between tolterodine ER and placebo are considered descriptive.) · Least squares mean difference: -0.2 · 95% CI -0.3 to -0.1

Adverse events

Collected over from the time the participant provided informed consent to participate in the study at the Screening Visit until completion of the Follow-up Visit (up to Day 113 or Early Withdrawal plus 28 days). Non-serious events are listed at a 5% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
Placebo0/540 (0%)6/540 (1.1%)38/540 (7%)
Vibegron 75 mg0/545 (0%)8/545 (1.5%)36/545 (6.6%)
Tolterodine ER 4 mg1/430 (0.2%)10/430 (2.3%)50/430 (11.6%)
Most frequent serious events
Showing 10 of 35
Most frequent serious events
EventPlaceboVibegron 75 mgTolterodine ER 4 mg
Vertigo positionalEar and labyrinth disorders0/5400/5451/430
SepsisInfections and infestations0/5400/5451/430
Urinary tract infectionInfections and infestations0/5400/5451/430
Post procedural complicationInjury, poisoning and procedural complications0/5400/5451/430
Muscular weaknessMusculoskeletal and connective tissue disorders0/5400/5451/430
Ovarian adenomaNeoplasms benign, malignant and unspecified (incl cysts and polyps)0/5400/5451/430
Prostate cancerNeoplasms benign, malignant and unspecified (incl cysts and polyps)0/5400/5451/430
Cerebrovascular accidentNervous system disorders0/5401/5451/430
EncephalopathyNervous system disorders0/5400/5451/430
Loss of consciousnessNervous system disorders0/5400/5451/430
Most frequent other events
Most frequent other events
EventPlaceboVibegron 75 mgTolterodine ER 4 mg
Dry mouthGastrointestinal disorders5/5409/54528/430
Urinary tract infectionInfections and infestations33/54027/54524/430

Baseline characteristics

Baseline data are reported for members of the Safety Set, comprised of all participants who received at least 1 dose of study treatment. Participants were included in the treatment group corresponding to the study treatment they actually received for the analysis of safety data.

Age, Continuous
Age, Continuous(years)PlaceboVibegron 75 mgTolterodine ER 4 mgTotal
Mean59.9 ± 13.3560.4 ± 13.4959.8 ± 13.2760.0 ± 13.37
Sex: Female, Male
Sex: Female, Male(Participants)PlaceboVibegron 75 mgTolterodine ER 4 mgTotal
Female4594633641286
Male818266229
Race/Ethnicity, Customized
Race/Ethnicity, Customized(Participants)PlaceboVibegron 75 mgTolterodine ER 4 mgTotal
American Indian or Alaska3205
Asian30282785
Black or African American857872235
White4184353261179
Puerto Rican1113
White and Black or African American1001
Hispanic2103
Filipino0011
Morrocan0011
Multiracial0011
White, Black or African American0011
Average number of micturitions per 24 hours in all overactive bladder (OAB) participants
Average number of micturitions per 24 hours in all overactive bladder (OAB) participants(micturitions per 24 hours)PlaceboVibegron 75 mgTolterodine ER 4 mgTotal
Mean11.72 ± 3.97111.38 ± 3.50811.53 ± 3.18411.54 ± 3.595
Average number of urge urinary incontinence (UUI) episodes per 24 hours in OAB Wet participants
Average number of urge urinary incontinence (UUI) episodes per 24 hours in OAB Wet participants(UUI episodes)PlaceboVibegron 75 mgTolterodine ER 4 mgTotal
Mean2.80 ± 2.9782.78 ± 3.1052.72 ± 2.6162.77 ± 2.926
08

Study locations

215 sites
  • Central Alabama Research
    Birmingham, Alabama 35209, United States
  • Achieve Clinical Research
    Birmingham, Alabama 35216, United States
  • Fundamental Research LLC
    Gulf Shores, Alabama 36542-2856, United States
  • Longwood Research
    Huntsville, Alabama 35801, United States
  • Coastal Clinical Research Inc.
    Mobile, Alabama 36608, United States
  • Clinical Research Consortium
    Tempe, Arizona 85283, United States
  • Noble Clinical Research
    Tucson, Arizona 85704, United States
  • Eclipse Clinical Research
    Tucson, Arizona 85745, United States
  • Dream Team Clinical Research LLC
    Anaheim, California 92801, United States
  • Hope Clinical Research
    Canoga Park, California 91303, United States
  • Core Healthcare Group
    Cerritos, California 90703, United States
  • Research Center of Fresno Inc.
    Fresno, California 93702, United States
  • American Clinical Trials
    Hawaiian Gardens, California 90716, United States
  • Marvel Clinical Research
    Huntington Beach, California 92647, United States
  • Grossmont Center for Clinical Research
    La Mesa, California 91942, United States
  • Prime-Care Clinical Research
    Laguna Hills, California 92653, United States
  • Long Beach Clinical Trial Services Inc.
    Long Beach, California 90806, United States
  • Long Beach Clinical Trials LLC
    Long Beach, California 90806, United States
  • Downtown L.A. Research Center Inc.
    Los Angeles, California 90017, United States
  • Urology Group of Southern California
    Los Angeles, California 90017, United States
  • Tri Valley Urology Medical Group
    Murrieta, California 92562, United States
  • Northern California Research
    Sacramento, California 95821, United States
  • San Bernadino Urological Associates
    San Bernardino, California 92404-4816, United States
  • Artemis Institute for Clinical Research
    San Diego, California 92103, United States
  • WR MCCCR
    San Diego, California 92108, United States
  • Artemis Institute for Clinical Research
    San Marcos, California 92078, United States
  • Empire Clinical Research
    Upland, California 91786, United States
  • Bayview Research Group LLC
    Valley Village, California 91607-3456, United States
  • Horizons Clinical Research Center
    Denver, Colorado 80220, United States
  • Lynn Institute of Denver
    Denver, Colorado 80246, United States
  • Clinical Research Consulting LLC
    Milford, Connecticut 06460, United States
  • Coastal Connecticut Research LLC
    New London, Connecticut 06320, United States
  • Chase Medical Research, LLC
    Waterbury, Connecticut 06708, United States
  • Innovative Medical Research of South Florida Inc.
    Aventura, Florida 33180-1151, United States
  • PAB Clinical Research
    Brandon, Florida 33511, United States
  • Innovative Research of West FL Inc.
    Clearwater, Florida 33756, United States
  • Universal Medical and Research Center LLC
    Coral Gables, Florida 33134, United States
  • Top Medical Research Inc.
    Cutler Bay, Florida 33189, United States
  • Avail Clinical Research
    DeLand, Florida 32720, United States
  • Jesscan Medical Research
    Delray Beach, Florida 33484, United States
  • Revival Research
    Doral, Florida 33122, United States
  • Riverside Clinical Research
    Edgewater, Florida 32132, United States
  • KO Clinical Research
    Fort Lauderdale, Florida 33316-2521, United States
  • A.G.A Clinical Trials
    Hialeah, Florida 33012-3407, United States
  • Indago Research Health Center
    Hialeah, Florida 33012, United States
  • Best Quality Research, Inc.
    Hialeah, Florida 33016, United States
  • Vital Pharm Research Inc.
    Hialeah, Florida 33016, United States
  • Health Awareness, Inc.
    Jupiter, Florida 33458, United States
  • San Marcus Research Clinic Inc.
    Miami, Florida 33015, United States
  • LCC Medical Research Institute Inc.
    Miami, Florida 33126, United States
  • Nuren Medical Research Center
    Miami, Florida 33144, United States
  • AppleMed Research Group LLC
    Miami, Florida 33155, United States
  • Miami Clinical Research
    Miami, Florida 33155, United States
  • Advanced Medical Research Institute
    Miami, Florida 33174, United States
  • Suncoast Clinical Research Inc.
    New Port Richey, Florida 34652, United States
  • Bayside Clinical Research
    New Port Richey, Florida 34655, United States
  • Compass Research LLC
    Orlando, Florida 32806, United States
  • South Broward Research LLC
    Pembroke Pines, Florida 33027, United States
  • Clinical Research Center of Florida
    Pompano Beach, Florida 33060, United States
  • Pinellas Urology
    Saint Petersburg, Florida 33710, United States
  • Meridien Research
    Spring Hill, Florida 34609, United States
  • Clinical Research of West Florida
    Tampa, Florida 33603, United States
  • Bioclinica Research
    The Villages, Florida 32162, United States
  • Asclepes Research Centers
    Weeki Wachee, Florida 34607, United States
  • Clinical Research of Central Florida
    Winter Haven, Florida 33880, United States
  • In-Quest Medical Research, LLC
    Peachtree Corners, Georgia 30071, United States
  • Meridian Clinical Research LLC
    Savannah, Georgia 31406, United States
  • Clinical Research Atlanta
    Stockbridge, Georgia 30281, United States
  • North Georgia Clinical Research
    Woodstock, Georgia 30189-4255, United States
  • Elite Clinical Trials
    Blackfoot, Idaho 83221, United States
  • Advanced Clinical Research
    Meridian, Idaho 83642, United States
  • Evanston Premier Healthcare Research
    Evanston, Illinois 60201, United States
  • Clinical Investigation Specialists Inc.
    Gurnee, Illinois 60031, United States
  • Investigators Research Group LLC
    Brownsburg, Indiana 46112, United States
  • MediSphere Medical Research Center
    Evansville, Indiana 47714, United States
  • Heartland Research Associates LLC
    Wichita, Kansas 67205, United States
  • Heartland Research Associates LLC
    Wichita, Kansas 67207, United States
  • Central Kentucky Research Associates Inc.
    Lexington, Kentucky 40509, United States
  • L-MARC Research Center
    Louisville, Kentucky 40213, United States
  • Centex Studies Inc.
    Lake Charles, Louisiana 70601, United States
  • DelRicht Research
    New Orleans, Louisiana 70115, United States
  • Regional Urology LLC
    Shreveport, Louisiana 71106, United States
  • Chesapeake Urology Research Associates
    Hanover, Maryland 21076, United States
  • Boston Clinical Trials
    Boston, Massachusetts 02131, United States
  • BTC of New Bedford
    New Bedford, Massachusetts 02740-2133, United States
  • Regeneris Medical
    North Attleboro, Massachusetts 02760, United States
  • Infinity Medical Research Inc.
    North Dartmouth, Massachusetts 02747, United States
  • Beacon Clinical Research
    Quincy, Massachusetts 02169, United States
  • Bay State Clinical Trials Inc.
    Watertown, Massachusetts 02472, United States
  • Remidica LLC
    Rochester, Michigan 48307-1318, United States
  • Saginaw Valley Medical Research
    Saginaw, Michigan 48604, United States
  • CentraCare Clinic Adult & Pediatric Urology
    Sartell, Minnesota 56377, United States
  • Poplar Bluff Urology
    Poplar Bluff, Missouri 63901-1908, United States
  • Montana Health Research Institute Inc.
    Billings, Montana 59102, United States
  • Montana Medical Research
    Missoula, Montana 59808, United States
  • Pioneer Clinical Research, LLC
    Bellevue, Nebraska 68005, United States
  • Barrett Clinic P.C.
    La Vista, Nebraska 68128, United States
  • Women's Clinic of Lincoln PC
    Lincoln, Nebraska 68510, United States
  • Meridian Clinical Research LLC
    Norfolk, Nebraska 68701, United States
  • Adult and Pediatric Urology P.C.
    Omaha, Nebraska 68114, United States

Showing the first 100 of 215 sites across 6 countries. Choose a country and city above to see the rest.

09

References and documents

Publications

  • Staskin D, Frankel J, Varano S, Kennelly M, Newman DK, Rosenberg MT, Shortino DD, Jankowich RA, Mudd PN Jr. Vibegron for the Treatment of Patients with Dry and Wet Overactive Bladder: A Subgroup Analysis from the EMPOWUR Trial. Int J Clin Pract. 2022 Apr 13;2022:6475014. doi: 10.1155/2022/6475014. eCollection 2022. PubMed 35685566 ↗
  • Frankel J, Staskin D, Varano S, Kennelly M, Newman DK, Rosenberg MT, Jankowich RA, Shortino D, Mudd PN Jr, Girman CJ. Interpretation of the Meaningfulness of Symptom Reduction with Vibegron in Patients with Overactive Bladder: Analyses from EMPOWUR. Adv Ther. 2022 Feb;39(2):959-970. doi: 10.1007/s12325-021-01972-8. Epub 2021 Dec 18. PubMed 34921665 ↗
  • Varano S, Staskin D, Frankel J, Shortino D, Jankowich R, Mudd PN Jr. Efficacy and Safety of Once-Daily Vibegron for Treatment of Overactive Bladder in Patients Aged >/=65 and >/=75 Years: Subpopulation Analysis from the EMPOWUR Randomized, International, Phase III Study. Drugs Aging. 2021 Feb;38(2):137-146. doi: 10.1007/s40266-020-00829-z. Epub 2021 Jan 20. PubMed 33469832 ↗
  • Frankel J, Varano S, Staskin D, Shortino D, Jankowich R, Mudd PN Jr. Vibegron improves quality-of-life measures in patients with overactive bladder: Patient-reported outcomes from the EMPOWUR study. Int J Clin Pract. 2021 May;75(5):e13937. doi: 10.1111/ijcp.13937. Epub 2021 Jan 22. PubMed 33332699 ↗

Study documents

PDFs hosted by the registry, ClinicalTrials.gov.

Individual participant data

Plan to share: No

10

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Ran from Mar 2018 to primary completion in Jan 2019, 9 months.

Results were first posted in Mar 2021, 2 years 1 month after primary completion. A results delay was requested in Jan 2020.

Of 26 industry-sponsored phase 3 interventional studies under Urinary Bladder, Overactive, half reached primary completion within 16 months of starting (the median); a quarter within 11 and three quarters within 24. This study's 9 months is below that.

Counting every sponsor, half of 33 studies reached it within 18 months; a quarter within 11 and three quarters within 34.

How these figures are worked out, and which studies are left out of them.

Registered
Mar 21, 2018
First posted
Apr 10, 2018
StartActual
Mar 26, 2018
Primary completionActual
Jan 10, 2019
CompletionActual
Feb 4, 2019
Results delay requested
Jan 9, 2020
Results first posted
Mar 4, 2021
Last update
Mar 4, 2021
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Mar 4, 2021, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
11

Registry details

Key details

Study ID
NCT03492281
Responsible party
Sponsor
First posted
Apr 10, 2018
Start date
Mar 26, 2018
Primary completion
Jan 10, 2019
Completion
Feb 4, 2019
Results posted
Mar 4, 2021
Last update
Mar 4, 2021

Oversight

Data monitoring committee
No
FDA-regulated drug
Yes
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Feb 2021. You cannot join it, but the record below documents what was studied.

Follow this study

Get an email when the registry record changes — status, dates, results — or when someone posts here.

Sign in to follow

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.

Sign in to join the discussion. Reading takes no account; posting does. You choose a display name, and a pseudonym is the default.

Nothing here yet. If you are running this trial, taking part in it, or weighing whether to, this is the place to say so.

Studies of the drug tested here: Vibegron

Start the discussion