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Tolterodine

Phase 3

Overactive Bladder | Small molecule | Nephrology |Pfizer, Inc.|Last Updated: Jan 27, 2021

Success Probability

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Market & Valuation

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Trial Design

RandomizedDouble-BlindPLACEBO_CONTROLLEDBiomarker
Total Trials2
Total Enrollment2,445

FDA Designations

No designations recorded

Clinical trial landscape

Tolterodine · 4 trials · 3 indications

Phase 3 2Phase 1 2
NCT00139724Evaluate Efficacy and Safety Of Tolterodine Extended Release Capsule Compared With Tolterodine Immediate Release TabletUrinary Incontinence
COMPLETED260 Analytics
NCT00611026Clinical Trial to Evaluate the Efficacy and Safety of Fesoterodine in Comparison to Tolterodine Extended Release(ER)in Patients With Overactive Bladder.Overactive Bladder
COMPLETED2,417 Analytics
PHASE3COMPLETED
Evaluate Efficacy and Safety Of Tolterodine Extended Release Capsule Compared With Tolterodine Immediate Release Tablet
Urinary IncontinenceUnlock trial analytics
PHASE3COMPLETED
Clinical Trial to Evaluate the Efficacy and Safety of Fesoterodine in Comparison to Tolterodine Extended Release(ER)in Patients With Overactive Bladder.
Overactive BladderUnlock trial analytics

Study Endpoints

Primary Endpoints

To evaluate the efficacy of tolterodine extended release formulation compared with immediate release formulation after 8 weeks of treatment in subjects with symptoms of overactive bladder
Change From Baseline in Mean Number of Urgency Urinary Incontinence (UUI) Episodes Per 24 Hours at Week 12
Baseline, Week 12

UUI per 24 hours: total number of micturitions with Urinary Sensation Scale (USS) of 5 divided by total number of diary days collected at visit. USS: 5-item scale to measure urinary urgency; range: 1 (no feeling of urgency) to 5 (unable to hold; leak urine).

Area Under the Curve From Time Zero to Last Quantifiable Concentration (AUClast) of tolterodine
0, 0.5, 1, 1.5, 2, 3, 4, 6, 9, 12, 16, 24, 30, 36 hours post-dose
Maximum Observed Plasma Concentration (Cmax) of tolterodine
0, 0.5, 1, 1.5, 2, 3, 4, 6, 9, 12, 16, 24, 30, 36 hours post-dose
Heart rate variability evoked by filling cystometry and intravesical neurostimulation and sympathetic skin response evoked by intravesical neurostimulation in healthy volunteers and OAB patients

Secondary Endpoints

To evaluate the safety of tolterodine extended release formulation compared with immediate release formulation after 8 weeks of treatment in subjects with symptoms of overactive bladder.
Change From Baseline in Mean Voided Volume Per Micturition
Baseline, Week 1, Week 4, Week 12
Change From Baseline in Mean Number of Micturitions Per 24 Hours
Baseline, Week 1, Week 4, Week 12
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Study Design & Arms

AllocationRANDOMIZED
MaskingDOUBLE
ModelPARALLEL
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
1ACTIVE_COMPARATOR -
2PLACEBO_COMPARATOR -
3EXPERIMENTAL -
AEXPERIMENTAL4 mg tolterodine extended release capsules, administered with water and under fasting condition.
BEXPERIMENTAL4 mg microspheres in powder blend release rate 2 (MPB-RR2), administered without water and under fasting condition.
CEXPERIMENTAL4 mg microspheres in powder blend release rate 1 (MPB-RR1), administered without water and under fasting condition.
DEXPERIMENTAL4 mg MPB-RR1, administered without water and under fed condition.
EEXPERIMENTAL4 mg MPB-RR1, administered with water and under fasting condition.
TolterodineEXPERIMENTAL -

Interventions

NameTypeDescription
tolterodine extended release capsuleDRUG -
Tolterodine ERDRUGThe tolterodine treatment will be 4 mg once daily(QD) for 12 weeks.
PlaceboDRUGPlacebo treatment will be once daily(QD) for 12 weeks.
FesoterodineDRUGThe fesoterodine treatment will start with 4 mg once daily(QD) for 1 week followed by a forced dose-escalation to 8mg once daily(QD) for 11 weeks.
tolterodine tartrateDRUG4 mg single dose of extended release capsules
TolterodineDRUGSingle dose per patient as determined by protocol.
Filling cystometryPROCEDUREThis is a procedure.
Intravesical neurostimulationPROCEDUREThis is a procedure.
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Eligibility Criteria

Age Range18 Years to 75 Years
SexALL
Healthy VolunteersNo
Study Sites7

Inclusion Criteria: * Subjects with a diagnosis of overactive bladder. Exclusion Criteria: * Subjects with significant stress incontinence as determined by the investigator. * Subjects with recurrent urinary tract infections defined as treated for UTI; 5 times in the last year.

Countries:ChinaUnited StatesBrazilBulgariaCanadaColombiaCosta RicaEstoniaGermanyGreeceHungaryIndiaIrelandLatviaLithuaniaMalaysiaPolandRomaniaRussiaSingaporeSlovakiaSouth AfricaSouth KoreaSpainSwedenUkraineSwitzerland
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Frequently asked questions about Tolterodine

What is Tolterodine used for?

Tolterodine is used for overactive bladder, a condition marked by a sudden urge to urinate. It is being studied in patients with overactive bladder and urinary bladder overactivity. The drug is currently in Phase 3 clinical development for this indication.

Who makes Tolterodine?

Tolterodine is being developed by Pfizer, Inc., a biopharmaceutical company traded on the New York Stock Exchange under the ticker symbol PFE. Pfizer is conducting clinical trials to evaluate the drug's safety and efficacy in treating overactive bladder.

What phase is Tolterodine in?

Tolterodine is in Phase 3 clinical development. It is an investigational drug, meaning it has not yet been approved by regulatory authorities. The Phase 3 trial is a completed study comparing Tolterodine Extended Release to another medication in patients with overactive bladder.

What clinical trials is Tolterodine in?

Tolterodine has been studied in two completed clinical trials. The Phase 3 trial, NCT00611026, enrolled 2,417 patients with overactive bladder across multiple countries. A Phase 1 trial, NCT00481728, examined bladder sensation in 28 female healthy volunteers in Switzerland.

Is Tolterodine the same as Fesoterodine?

Tolterodine is not the same as Fesoterodine, though they are related. A clinical trial, NCT00611026, evaluated the efficacy and safety of Fesoterodine in comparison to Tolterodine Extended Release in patients with overactive bladder, indicating they are distinct medications being compared.