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Fesoterodine

Phase 3

Overactive Bladder | Small molecule | Nephrology |Pfizer, Inc.|Last Updated: Dec 5, 2018

Success Probability
Approval Probability 71%
TA Base Rate26%
Adjusted LOA41%
ML RiskLOW_RISK
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Market & Valuation
rNPV $3.2B
Market Size $9.4B
Revenue Basis $1.6B
Competitors 6
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Trial Design
RandomizedDouble-BlindPLACEBO_CONTROLLEDDMCBiomarker
Total Trials6
Total Enrollment4,249
FDA Designations
No designations recorded
Clinical Trials (6)
NCT IDTitlePhaseStatusEnrollmentVelocityDesignStartCompletionLast UpdatedSitesCountries
NCT00658684Long Term Study To Evaluate the Safety, Tolerability and Efficacy of Fesoterodine for Overactive Bladder.PHASE3 COMPLETED 153Feb 1, 2008Aug 1, 2009Oct 13, 201012 Japan
NCT00536484Fesoterodine Flexible Dose StudyPHASE3 COMPLETED 896Aug 1, 2007Mar 1, 2008Sep 15, 200995 United States
NCT00444925Clinical Trial to Evaluate the Efficacy and Safety of Fesoterodine in Comparison to Tolterodine for Overactive Bladder (OAB)PHASE3 COMPLETED 1,712Apr 1, 2007Jul 1, 2008Mar 24, 2015178 United States, Belgium +27
NCT00425100A Clinical Trial To Assess Fesoterodine On Treatment Satisfaction And Symptom Improvement In Overactive Bladder PatientsPHASE3 COMPLETED 516Jan 1, 2007Oct 1, 2007Dec 5, 201860 United States, Belgium +7
NCT00857896Study Of Fesoterodine In Pediatric Overactive Bladder Patients Aged 8-17 YearsPHASE2 COMPLETED 21Mar 1, 2009Dec 1, 2010Nov 24, 20119 United States
NCT00561951Dose-Finding Study To Evaluate The Efficacy, Tolerability And Safety Of Fesoterodine In Comparison To Placebo For Overactive Bladder.PHASE2 COMPLETED 951Nov 1, 2007Jan 1, 2009Jul 14, 201165 Hong Kong, Japan +2
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Study Endpoints
Primary Endpoints
Safety Measurement Based on Adverse Events (AEs), Vital Signs, Clinical Laboratory Test, 12-lead ECG and Residual Urine Volume
52 Weeks

The number of subjects who experienced AEs (all causality and treatment-related ) based on safety assessment during the study were summarized. The severity and seriousness of treatment-emergent AEs as well as discontinuations, dose reductions and temporary discontinuations (DR/TD) due to treatment-emergent AEs were also summarized.

Change in Mean Number of Micturition Episodes Per 24 Hours at Week 12 Relative to Baseline.
Baseline and Week 12

The number of micturitions per 24 hours was calculated as the sum of all micturitions divided by the total number of diary days collected at that visit. Change: mean at Week 12 minus mean at Baseline

Change From Baseline in Mean Number of Urgency Urinary Incontinence (UUI) Episodes Per 24 Hours at Week 12 (End of Treatment).
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). Change: mean at observation minus mean at baseline.

Mean Number of Micturition Episodes Per 24 Hours
Baseline and Week 12

The mean number of micturitions per 24 hours is calculated as the total number of micturitions divided by the total number of diary days collected at that visit.

Mean Number of Urgency Urinary Incontinence (UUI) Episodes Per 24 Hours
Baseline and Week 12

The mean number of UUI episodes per 24 hours is calculated as the total number of micturitions with Bladder Sensation Scale (BSS) = 5 divided by the total number of diary days collected at that visit. BSS: 5 point scale measuring need to urinate from 1=no urgency to 5=unable to hold; leak urine.

Mean Number of Urgency Episodes Per 24 Hours
Baseline and Week 12

The mean number of urgency episodes per 24 hours is calculated as the total number of micturitions with Bladder Sensation Scale (BSS) \>= 3 divided by the total number of diary days collected at that visit. BSS: 5 point scale measuring need to urinate from 1=no urgency to 5=unable to hold; leak urine.

Number of Participants Reporting Satisfaction With Current Overactive Bladder (OAB) Treatment
Week 12

Number of Participants who responded satisfied = (very satisfied or somewhat satisfied) and dissatisfied = (somewhat dissatisfied or very dissatisfied) to the treatment satisfaction question.

Absorption Rate Constant (Ka)
Day 28 and Day 56
Apparent Volume of Distribution (VC/F)
Day 28 and Day 56

The volume necessary to account for the total amount of drug in the body if it were present throughout the body at the same concentration found in the blood. Estimated using non linear mixed effect modeling.

Area Under the Plasma Drug Concentration Time Curve (AUC)
Day 28 and Day 56

AUC is a measure of the serum concentration of the drug over time. It is used to characterize drug absorption.

Maximum Observed Plasma Concentration (Cmax)
Day 28 and Day 56
Time to Reach Maximum Observed Plasma Concentration (Tmax)
Day 28 and Day 56
Plasma Decay Half-Life (t1/2)
Day 28 and Day 56

Plasma decay half-life is the time measured for the plasma concentration to decrease by one half.

Apparent Oral Clearance (CL/F)
Day 28 and Day 56

Clearance of a drug is a measure of the rate at which a drug is metabolized or eliminated by normal biological processes. Clearance obtained after oral dose (apparent oral clearance) is influenced by the fraction of the dose absorbed. Clearance was estimated using non linear mixed effect modeling. Drug clearance is a quantitative measure of the rate at which a drug substance is removed from the blood.

Change From Baseline in Mean Number of Urgency Urinary Incontinence (UUI) Episodes Per 24 Hours at Week 12.
Baseline to Week 12

Number of urgency urinary incontinence episodes was measured by the 3-day micturition diary completed for 3 consecutive days during the 7 days prior to each visit. Urgency urinary incontinence is the complaint of involuntary leakage accompanied by or immediately preceded by urgency. Urgency is the complaint of a sudden compelling desire to pass urine which is difficult to defer. Change: mean at Week 12 minus mean at Baseline.

Secondary Endpoints
Change From Baseline in Mean Number of Urgency Urinary Incontinence (UUI) Episodes Per 24 Hours at Week 4, 8, 28 and 52
Week 4, 8, 28 and 52
Change From Baseline in Mean Number of Micturitions at Week 4, 8, 28 and 52
Week 4, 8, 28 and 52
Change From Baseline in Mean Number of Urgency Episodes Per 24 Hours at Week 4, 8, 28 and 52
Week 4, 8, 28 and 52
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Study Design & Arms
AllocationNON_RANDOMIZED
MaskingNONE
ModelSINGLE_GROUP
PurposeTREATMENT
Treatment Arms
ArmTypeDescription
Fesoterodine fumarateEXPERIMENTAL -
Fesoterodine (Double-Blind)EXPERIMENTAL -
Placebo (Double-Blind)PLACEBO_COMPARATOR -
FesoterodineEXPERIMENTALTablets
PlaceboPLACEBO_COMPARATORTablets and capsules
TolterodineACTIVE_COMPARATORCapsules
Open Label-fesoterodineEXPERIMENTALSingle treatment study arm.
Fesoterodine once dailyEXPERIMENTAL -
Fesoterodine fumarate 4 mg (Double-Blind)EXPERIMENTAL -
Fesoterodine fumarate 8 mg (Double-Blind)EXPERIMENTAL -
Interventions
NameTypeDescription
fesoterodine fumarateDRUG4 mg tablets OD for 4 weeks, then either 4 mg or 8 mg tablets OD for 48 weeks
FesoterodineDRUG4mg tablets once daily for 2 weeks, then either 4mg or 8mg tablets once daily for 10 weeks. Subjects were instructed to take 1 tablet every evening within 4 hours prior to bedtime with water, swallowed whole without chewing.
PlaceboDRUGMatched placebo tablets once daily for 12 weeks. Subjects were instructed to take 1 tablet every evening within 4 hours prior to bedtime with water, swallowed whole without chewing.
tolterodine tartrateDRUG4 mg once daily (OD) for 12 weeks
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Eligibility Criteria
Age Range20 Years — N/A
SexALL
Healthy VolunteersNo
Study Sites12

Inclusion Criteria: * Adult OAB patients who present with OAB symptoms, including micturitions \>= 8 per day and urinary urgency episodes \>=1 per day. Exclusion Criteria: * Patient has known hypersensitivity to the active substance (fesoterodine fumarate) or to peanut or soya or any of the excip...

Countries:JapanUnited StatesBelgiumBrazilCanadaChileColombiaCosta RicaCzechiaDenmarkGermanyGreeceHong KongHungaryIndiaItalyMalaysiaNorwayPeruPolandRomaniaRussiaSingaporeSouth AfricaSouth KoreaSpainSwedenSwitzerlandTaiwanUkraineSlovakia
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