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RecruitingNCT05491525KANGUROOUpdated Jun 15, 2026

Open-label, Long-term Safety, Efficacy, and Pharmacokinetics Study of Vibegron in Pediatric Subjects 2 Years to < 18 Years of Age With NDO and on CIC

A Phase 2/3 interventional study of Vibegron in Neurogenic Detrusor Overactivity, sponsored by Urovant Sciences GmbH. Recruiting at 38 sites in 16 countries. Open to participants aged 2 Years to 17 Years. Per ClinicalTrials.gov, last updated 2026-06-15.

Sponsored by Urovant Sciences GmbH (part of Sumitomo Pharma Co., Ltd.) · Phase 2/3, Interventional, and Treatment

From the registry’s dates

  • Started Oct 2022; still recruiting 4 years later.
Phase
Phase 2/3
Study type
Interventional
Enrollment
71
Allocation
Non-randomized
Ages
2 Years to 17 Years
Sex
All
01

Study summary

The purpose of this study is to evaluate the safety, efficacy, and PK of Vibegron in pediatric participants with NDO who are regularly using CIC

02

Conditions studied

  • Neurogenic Detrusor Overactivity

Keywords

  • Neurogenic Detrusor Overactivity
  • Vibegron
  • Clean Intermittent Catheterization
  • Beta-3 Adrenergic Receptor Agonist
  • Maximum Cystometric Capacity
  • Spinal Dysraphism
  • Spina Bifida
  • Myelomeningocele
  • Meningocele
  • Spinal cord injury
  • Transverse myelitis
03

In context

Spinal Dysraphism

142 studies on the registry are indexed under Spinal Dysraphism; 39 are open to participants now.

This study's planned enrollment of 71 is above the median of 30 across 91 interventional studies indexed under Spinal Dysraphism.

Browse Spinal Dysraphism studies →

Lead sponsor

Urovant Sciences GmbH is the lead sponsor of 11 studies on the registry; 1 is open to participants now.

Of its 6 completed or terminated interventional studies of FDA-regulated products, 6 (100%) have results posted.

First submitted after Urovant Sciences GmbH became part of Sumitomo Pharma Co., Ltd..

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

04

Who can participate

Ages eligible
2 Years to 17 Years
Sexes eligible
All
Accepts healthy volunteers
No

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

Inclusion criteria

  • Male or female participants, age 2 years to \< 18 years and weighing at least 11 kg at the Screening Visit.
  • Participant has been diagnosed with NDO due to one of the following: spinal dysraphism, which includes spina bifida (eg, myelomeningocele, meningocele) and all forms of tethered cord; or acquired NDO from a spinal cord injury or spinal cord surgery, with the injury/surgery having occurred at least 6 months prior to the Screening Visit; or acquired NDO due to transverse myelitis with diagnosis at least 12 months prior to the Screening Visit.
  • Participant undergoes CIC at least 3 times per 24 hours (with the last CIC performed prior to going to sleep for the night) for at least 4 weeks prior to the Screening Visit.

Exclusion criteria

Exclusion Criteria:

  • Participant has cerebral palsy, uncontrolled epilepsy, diabetes insipidus, or Stage 2 hypertension
  • Participant has an active in the 12 months prior to the Screening Visit.
  • Participant has been administered intravesical botulinum toxin within 9 months prior to the Screening Visit and should remain off this therapy during the study.
  • Participant is taking digoxin or lithium within 10 days prior to Screening Visit or plans to start taking either during the study.
  • Participant currently uses or plans to use a baclofen pump during the study.
  • Participant has had urethral dilatation or urethral surgery in the 3 months prior to the Screening Visit.
  • Participant has undergone bladder augmentation surgery.
  • Participant has a known genitourinary condition (other than NDO) that may cause overactive contractions or incontinence (bladder exstrophy, urinary tract obstruction, urethral diverticulum or fistula) or bladder stones or another persistent urinary tract pathology that may cause symptoms.
  • Participant has an insufficient urethral sphincter, has had implantation of an artificial sphincter, has a surgically-treated underactive urethral sphincter, or, in the 6 months prior to the Screening Visit, has undergone pelvic gender reassignment surgery.
  • Participant has one of the following gastrointestinal problems: partial or complete obstruction, decreased motility such as paralytic ileus, risk of gastric retention, or malabsorption syndrome of any form.
  • Participant has acute fecal impaction or, within the 3 months prior to the Screening Visit, had fecal impaction that required hospitalization or ambulatory surgical treatment.
  • Participant had a urinary indwelling catheter in the 4 weeks prior to the Screening Visit.
  • Participant has moderate to severe dilating vesicoureteral reflux (Grade IV to V) or severe renal failure.
  • Participant started electrostimulation/neuromodulation therapy in the 4 weeks before the Screening Visit, or is expected to start this therapy during the study period.
  • Participant has participated in another clinical trial and/or has taken an drug within 4 weeks prior to the Screening Visit.
  • Participant is unable, or parent/caregiver is not willing, to washout any medication for the management of NDO.
  • Participant is a female of who is unwilling or unable to use a highly effective method of for the duration of the study.
  • Female participants who are currently breastfeeding or plan to breastfeed any time from the Screening Visit until 28 days after the final study drug administration.
Terms in these criteria, in plain language(4)

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.

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.

Childbearing potential

Able to become pregnant: from the first period until menopause, unless permanently unable to through surgery (removal of the womb, or of both ovaries or both fallopian tubes).

Criteria for people of childbearing potential usually ask for a negative pregnancy test and for contraception during the study and for a time after it.

Contraception

Ways of preventing pregnancy. “Highly effective” methods fail less than 1% of the time a year when used correctly — for example an IUD or an implant.

Criteria usually say which methods count and how long to keep using them after the last dose, sometimes for male participants too. Some studies accept a partner’s vasectomy if it was confirmed successful and that person is the participant’s only sexual partner.

05

Study design

Phase
Phase 2 / Phase 3
Primary purpose
Treatment
Allocation
Non-randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
71 participants (estimated)

Study arms

  • Experimental
    Cohort 1: Weight >=41.5kg

    Part A: Participants will receive a dose of Vibegron based on their weight, with dose reduction based on individual clinical condition, PK, and safety/tolerability data. Participants may be dose-reduced up to 2 times. Part B: Participants will receive a Data and Safety Monitoring Board (DSMB)-selected Vibegron dose for their weight determined from participants in their respective cohort and weight band of Part A.

    Drug: Vibegron

  • Experimental
    Cohort 2: Weight Range >=29.5 kg to <=41.4 kg

    Part A: participants will receive a dose of Vibegron based on their weight, with dose reduction based on individual clinical condition, PK, and safety/tolerability data. Participants may be dose-reduced up to 2 times. Part B: Participants will receive a DSMB-selected Vibegron dose for their weight determined from participants in their respective cohort and weight band of Part A.

    Drug: Vibegron

  • Experimental
    Cohort 3: Weight range >=11 kg to <=29.4 kg

    Part A: Participants will receive a dose of Vibegron based on their weight, with dose reduction based on individual clinical condition, PK, and safety/tolerability data. Participants may be dose-reduced up to 2 times. Part B: Participants will receive a DSMB-selected Vibegron dose for their weight determined from participants in their respective cohort and weight band of Part A.

    Drug: Vibegron

Interventions

  • Participants will be administered Vibegron orally, once daily (QD)

06

What researchers measure

Primary outcomes

  1. Change from Baseline in maximum cystometric capacity (MCC) based on bladder filling urodynamics

    Time frame: Optimized Treatment Week 24

Secondary outcomes

  1. Change from Baseline in MCC

    Time frame: Optimized Week 12

  2. Change from Baseline in number of overactive detrusor contractions until the end of bladder filling

    Time frame: Optimized Treatment Weeks 12 and 24

  3. Change from Baseline in detrusor pressure at the end of bladder filling

    Time frame: Optimized Treatment Weeks 12 and 24

  4. Change from Baseline in bladder filling volume until first involuntary/hyperactive detrusor contraction

    Time frame: Optimized Treatment Weeks 12 and 24

  5. Change from Baseline in bladder compliance (mL/cm H2O)

    Bladder compliance is calculated by dividing the change in volume by the change in detrusor pressure during the filling of the bladder

    Time frame: Optimized Treatment Weeks 12 and 24

  6. Change from Baseline in average first morning catheterized volume

    Time frame: through study completion, an average of 52 weeks

  7. Change from Baseline in average catheterized volume per catheterization

    Time frame: through study completion, an average of 52 weeks

  8. Change from Baseline in average maximum catheterized volume per day

    Time frame: through study completion, an average of 52 weeks

  9. Change from Baseline in average maximum catheterized daytime volume

    Time frame: through study completion, an average of 52 weeks

  10. Change from Baseline in average number of leakage episodes per day

    Time frame: through study completion, an average of 52 weeks

  11. Change from Baseline in estimated number of dry (leakage-free) days/ 7 days

    Time frame: through study completion, an average of 52 weeks

  12. Change from Baseline in Pediatric Incontinence Questionnaire (PIN-Q)

    PIN-Q is a 20-item questionnaire addressing quality of life for participants with bladder disorders. Each question was answered on a scale from 0 (no, never) to 4 (all the time). The total score ranged from 0 to 80, with higher scores indicating more impact on the quality of life.

    Time frame: through study completion, an average of 52 weeks

  13. Change from Baseline in Patient Global Impression of Severity (PGI-S) Scale

    PGI-S is a 5 point scale that determines the bladder condition of a participant with 0 being really bad and 4 as really good. Higher score indicates better bladder condition.

    Time frame: through study completion, an average of 52 weeks

  14. Change from Baseline in Clinical Global Impression of Change (CGI-C) Scale

    The CGI-C scale is used to determine the degree of change in participant's overall bladder symptoms since the start of the study on Day 1. The scale will be filled by the investigator by ticking on any of the following options: very much improved, much improved, minimally improved, no change, minimally worse, much worse and very much worse.

    Time frame: through study completion, an average of 52 weeks

07

Study locations

32 of 38 sites recruiting
  • Arkansas Childrens Hospital
    Little Rock, Arkansas 72202, United States
    Recruiting
    • Ashay Patel · Principal investigator
  • Children's Hospital of Orange County
    Orange, California 92868-4568, United States
    Terminated

    Not enrolling at this site — choose another above.

  • Children's Hospital Colorado
    Aurora, Colorado 800045, United States
    Recruiting
    • Kyle Rove · Principal investigator
  • Nemours Childrens Health, Jacksonville
    Jacksonville, Florida 32207, United States
    Recruiting
    • Andrew Stec · Principal investigator
  • Wichita Urology Group
    Wichita, Kansas 67226, United States
    Recruiting
    • Kahlil N Saad · Principal investigator
  • Childrens Hospital New Orleans
    New Orleans, Louisiana 70118, United States
    Withdrawn

    Not enrolling at this site — choose another above.

  • Albany Medical College
    Albany, New York 12208, United States
    Recruiting
    • Alexandra Rehfuss · Principal investigator
  • SUNY Upstate Medical University
    Syracuse, New York 13210, United States
    Recruiting
    • Jeffery Villanueva · Principal investigator
  • Duke University Medical Center
    Durham, North Carolina 27710, United States
    Terminated

    Not enrolling at this site — choose another above.

  • University of Oklahoma
    Oklahoma City, Oklahoma 73104, United States
    Recruiting
    • Dominic Frimberger · Principal investigator
  • Oregon Health & Science University
    Portland, Oregon 97239, United States
    Withdrawn

    Not enrolling at this site — choose another above.

  • Universitair Ziekenhuis Antwerpen
    Edegem, Antwerpen 2650, Belgium
    Withdrawn

    Not enrolling at this site — choose another above.

  • UZ Gent
    Ghent, East Flanders 9000, Belgium
    Recruiting
    • Erik Van Laecke · Principal investigator
  • Alberta Children's Hospital
    Calgary, Alberta T3B 6A8, Canada
    Recruiting
    • Bryce Weber · Principal investigator
  • The Hospital for Sick Children
    Toronto, Ontario M5G 1E8, Canada
    Recruiting
    • Michael Chua · Principal investigator
  • University Hospital Split - KBC Split
    Split, 21000, Croatia
    Recruiting
    • Tanja Kovacevic · Principal investigator
  • Aarhus University Hospital - Department of Paediatrics and Adolescent Medicine
    Aarhus, 8200, Denmark
    Recruiting
    • Kostas Kamperis · Principal investigator
  • JSC Evex Hospital M. lashvili Childrens Central Hospital
    Tbilisi, 0159, Georgia
    Recruiting
    • Tinatin Davitaia · Principal investigator
  • Istiklal Hospital
    Amman, 11821, Jordan
    Recruiting
    • Mohammad Al-Zubi · Principal investigator
  • Jordan University Hospital
    Amman, 11942, Jordan
    Recruiting
    • Raed Altaher · Principal investigator
  • Irbid Specialty Hospital
    Irbid, 21110, Jordan
    Recruiting
    • Osama Bani-Hani · Principal investigator
  • Childrens Clinical University Hospital
    Riga, LV-1004, Latvia
    Withdrawn

    Not enrolling at this site — choose another above.

  • Hospital of Lithuanian University of Health Sciences Kauno klinikos
    Kaunas, LT-50161, Lithuania
    Recruiting
    • Sarunas Rudaitis · Principal investigator
  • Vilnius University Hospital Santaros Klinikos
    Vilnius, LT-08406, Lithuania
    Recruiting
    • Beata Vincel · Principal investigator
  • Kuala Lumpur Hospital
    Kuala Lumpur, Kuala Lumpur 50586, Malaysia
    Recruiting
    • Poongkodi Nagappan · Principal investigator
  • Hospital Umum Sarawak
    Kuching, Sarawak 93586, Malaysia
    Recruiting
    • Ing Soon Ngu · Principal investigator
  • National Children's Hospital
    Quezon City, National Capital Region 1102, Philippines
    Recruiting
    • Carlo Bisnar · Principal investigator
  • Uniwersytecki Dzieciecy Szpital Kliniczny im. L. Zamenhofa
    Bialystok, 15-274, Poland
    Recruiting
    • Anna Wasilewska · Principal investigator
  • Uniwersyteckie Centrum Kliniczne
    Gdansk, 80-952, Poland
    Recruiting
    • Michal Maternik · Principal investigator
  • Instytut Pomnik - Centrum Zdrowia Dziecka
    Warsaw, 04-736, Poland
    Recruiting
    • Piotr Gastol · Principal investigator
  • Institutul Clinic Fundeni
    Bucharest, Bucharest 22328, Romania
    Recruiting
    • Robert Stoica · Principal investigator
  • Maria Sklodowska Curie Childrens Clinical Emergency Hospital
    Bucharest, Bucharest 41451, Romania
    Recruiting
    • Beatrice Bunea · Principal investigator
  • University Children's Hospital Tirsova
    Belgrade, 11000, Serbia
    Recruiting
    • Dusan Parapovic · Principal investigator
  • Children and Youth Health Care Institute of Vojvodina
    Novi Sad, 21000, Serbia
    Recruiting
    • Dragan Sarac · Principal investigator
  • Detská fakultná nemocnica s poliklinikou/Národný ústav detských chorôb (NÚDCH)
    Bratislava, 83301, Slovakia
    Recruiting
    • Peter Barton · Principal investigator
  • Urologická ambulancia J. BREZA MEDICAL s.r.o.
    Bratislava, 85101, Slovakia
    Recruiting
    • Jan Breza · Principal investigator
  • Ankara University Faculty of Medicine Ibni Sina Hospital
    Ankara, Altindag 6230, Turkey (Türkiye)
    Recruiting
    • Berk Burgu · Principal investigator
  • Mersin University, Dept. of Urology
    Yenişehir, 33343, Turkey (Türkiye)
    Recruiting
    • Erim Erdem · Principal investigator
08

References and documents

Individual participant data

Plan to share: Yes — Urovant is committed to sharing patient-level data and supporting clinical documents from eligible studies with qualified external researchers. Data requests will be reviewed and approved on the basis of scientific merit. All data provided will be anonymized according to applicable laws and regulations.

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

Time frame: The data will be made available within 24 months after study completion and will be accessible for a time frame appropriate for the approved proposal.

Access criteria: Access to these clinical trial data can be requested by emailing medinfo@urovant.com and will be provided following Urovant review and approval of a research proposal and execution of a Data Sharing Agreement (DSA).

No publications or documents are linked to this record.

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Jun 15, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT05491525
Responsible party
Sponsor
First posted
Aug 8, 2022
Start date
Oct 12, 2022
Primary completion
Mar 2030 (estimated)
Completion
Sep 2030 (estimated)
Last update
Jun 15, 2026

Study contacts

Study Director
Contact
clinicaltrials@us.sumitomo-pharma.com
833-876-8268
Janet Owens-Grillo
study director · Sumitomo Pharma America

Oversight

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

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Studies of the drug tested here: Vibegron

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