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NCT05491525ClinicalTrials.gov

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, Open-label, Baseline-controlled, Multicenter, Long-term Study to Evaluate the Safety, Efficacy, and Pharmacokinetics of Vibegron in Pediatric Subjects 2 Years to < 18 Years of Age With Neurogenic Detrusor Overactivity (NDO) on Clean Intermittent Catheterization (CIC)

En recrutementAccepte des participants actuellement, selon la fiche du registre.
Contacter cette étude

En bref

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

Phase 2 / Phase 371 participants recherchés38 sites16 pays

Catégories

Enregistré dans 1 registre

Une même étude peut être enregistrée dans plusieurs registres. Nous l'affichons une seule fois et renvoyons vers chaque fiche que nous détenons.

Les informations de l'essai sont affichées telles que publiées par le registre, dans leur langue d'origine.

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How this study is set up

The points below are drawn from the public registry record for this study. Each one cites the field or sentence it came from. A dash (—) means the record does not state something — not that it is missing or wrong. Many well-run studies, especially small ones, leave some of these blank.

  • Present: Registered before enrolment beganFirst posted 2022-08-08; recorded start 2022-10-12
  • Present: Has a defined primary outcomeA primary outcome measure is listed in the record
  • Present: The primary outcome states a time frameThe primary outcome measure records a time frame
  • Not stated: Participants are not randomly assignedAllocation is recorded as non-randomised
  • Present: Has a comparison groupThe record lists a placebo or comparator arm, or more than one study arm
  • Not stated: Open label (no blinding)Masking is recorded as none (open label)
  • Not stated: An ethics committee is not stated in the registry recordThis registry's ingested record has no ethics-committee field
  • Not stated: Regulatory oversight (such as an IND or IDE) is not stated in the registry recordThis registry's ingested record has no regulatory-authorisation field
  • Not stated: A data monitoring committee is not stated in the registry recordThis registry's ingested record has no data-monitoring-committee fieldA data monitoring committee is not required for many smaller studies, and its absence here is not unusual.
  • Present: No cost to participants is mentioned in the recordChecked the summary, description and eligibility text; no cost-to-participant phrase found
  • Not stated: No other studies from this sponsor are in this databaseCounted from the lead sponsor named in the record (Urovant Sciences GmbH)
  • Not stated: No posted results from this sponsor are in this database yetBased on the sponsor’s studies in this database
  • The record lists 1 condition.
  • Lead sponsor type recorded as: industry.
  • Intervention regulatory context: investigational, within a phased regulatory pathway.

Trial stature

Three independent measures of this study, described from its registry record — not a recommendation about it. A rigorous study by investigators nobody has heard of is better evidence than a weak study led by a famous one. How these are scored.

Methodological rigourEXPLORATORY

An exploratory-stage design for a phase 3 study, judged from its ClinicalTrials.gov record.

How this score is built
  • Randomised allocation0/20

    Non-randomised allocation

  • Blinding0/20

    Open-label

  • Control arm0/15

    No comparator arm stated in the record

  • Primary-outcome specificity10/10

    Named primary outcome with a defined time frame

  • Endpoint type3/10

    Surrogate or intermediate endpoint (conservative default)

  • Multi-centre8/8

    Multi-centre: 38 sites

  • Data monitoring committee7/7

    A data monitoring committee is in place

  • Prospective registration5/5

    Registered before the study start date

  • Protocol / SAP posted0/5

    No protocol or SAP posted to the registry

ScaleSMALL

A small study, international in scope: 71 participants (target), run at 38 sites, across 16 countries.

How this score is built
  • Enrolment17/40

    71 participants (target)

  • Site count19/25

    38 sites

  • Country count15/15

    16 countries

  • Planned duration10/10

    Planned over about 96 months

  • Sponsor scale0/10

    Urovant Sciences GmbH has led 1 trials in our corpus

Investigator standingUNKNOWN

We have no verifiable track record for the investigator named on this trial. That is common for early-career investigators and for records held outside ClinicalTrials.gov — it is not a negative signal.

How this score is built
  • Investigator standing0/100

    No investigator recorded in the registry for this trial

These describe the registry record only, and today we hold ClinicalTrials.gov data. Absent fields lower a score, and absence often reflects registration practice rather than study quality. A high-stature trial is not necessarily safer or a better choice for you — enrolling in a large definitive trial can mean a higher chance of receiving placebo, while a small early-phase study may be the only route to a new therapy.

Résumé

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

Affections

  • Neurogenic Detrusor Overactivity

Éligibilité

Éligibilité
SexeTous
Âges2 Years17 Years
Volontaires sainsNon

Éligibilité telle qu'elle figure dans le registre

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: * Participant has cerebral palsy, uncontrolled epilepsy, diabetes insipidus, or Stage 2 hypertension * Participant has an active malignancy 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 investigational 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 childbearing potential who is unwilling or unable to use a highly effective method of contraception 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.

Éligibilité en énoncés simples

Les critères de cette fiche n'ont pas encore été décomposés en énoncés distincts. Le texte du registre ci-dessus est complet et fait foi.

Conception de l'étude

Conception de l'étude
Type d'étudeInterventionnelle
PhasePhase 2 / Phase 3
RépartitionNon randomisée
Modèle d'interventionPARALLEL
Objectif principalTREATMENT
InsuNONE (0)
Recrutement71 participants recherchés

Promoteur et collaborateurs

  • Urovant Sciences GmbH Promoteur
  • Sumitomo Pharma America, Inc. Collaborateurs

Groupes et interventions

  • Cohort 1: Weight >=41.5kgEXPERIMENTAL

    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.

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

    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.

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

    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.

Interventions

  • Médicament Vibegron

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

Critères de jugement

  1. Critère de jugement principal

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

    Délai Optimized Treatment Week 24

  2. Critère de jugement secondaire

    Change from Baseline in MCC

    Délai Optimized Week 12

  3. Critère de jugement secondaire

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

    Délai Optimized Treatment Weeks 12 and 24

  4. Critère de jugement secondaire

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

    Délai Optimized Treatment Weeks 12 and 24

  5. Critère de jugement secondaire

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

    Délai Optimized Treatment Weeks 12 and 24

  6. Critère de jugement secondaire

    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

    Délai Optimized Treatment Weeks 12 and 24

  7. Critère de jugement secondaire

    Change from Baseline in average first morning catheterized volume

    Délai through study completion, an average of 52 weeks

  8. Critère de jugement secondaire

    Change from Baseline in average catheterized volume per catheterization

    Délai through study completion, an average of 52 weeks

  9. Critère de jugement secondaire

    Change from Baseline in average maximum catheterized volume per day

    Délai through study completion, an average of 52 weeks

  10. Critère de jugement secondaire

    Change from Baseline in average maximum catheterized daytime volume

    Délai through study completion, an average of 52 weeks

  11. Critère de jugement secondaire

    Change from Baseline in average number of leakage episodes per day

    Délai through study completion, an average of 52 weeks

  12. Critère de jugement secondaire

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

    Délai through study completion, an average of 52 weeks

  13. Critère de jugement secondaire

    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.

    Délai through study completion, an average of 52 weeks

  14. Critère de jugement secondaire

    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.

    Délai through study completion, an average of 52 weeks

  15. Critère de jugement secondaire

    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.

    Délai through study completion, an average of 52 weeks

Dates

Dates
Date de début12 octobre 2022 (réelle)
Achèvement principal1 mars 2030 (estimée)
Achèvement1 septembre 2030 (estimée)
Première publication8 août 2022 (réelle)
Dernière mise à jour15 juin 2026
Résultats publiésNon précisé dans la fiche du registre
Statut vérifié pour la dernière foisjuin 2026

Réelle signifie que l'événement a eu lieu. Estimée signifie que le promoteur s'y attend. Les deux ont un sens différent.

Lieux

32 sites sont en recrutement

Belgium

Belgium
ÉtablissementVilleÉtat ou régionStatut
Universitair Ziekenhuis AntwerpenEdegemAntwerpenRetiré
UZ GentGhentEast FlandersEn recrutement

Canada

Canada
ÉtablissementVilleÉtat ou régionStatut
Alberta Children's HospitalCalgaryAlbertaEn recrutement
The Hospital for Sick ChildrenTorontoOntarioEn recrutement

Croatia

Croatia
ÉtablissementVilleÉtat ou régionStatut
University Hospital Split - KBC SplitSplitEn recrutement

Denmark

Denmark
ÉtablissementVilleÉtat ou régionStatut
Aarhus University Hospital - Department of Paediatrics and Adolescent MedicineAarhusEn recrutement

Georgia

Georgia
ÉtablissementVilleÉtat ou régionStatut
JSC Evex Hospital M. lashvili Childrens Central HospitalTbilisiEn recrutement

Jordan

Jordan
ÉtablissementVilleÉtat ou régionStatut
Jordan University HospitalAmmanEn recrutement
Istiklal HospitalAmmanEn recrutement
Irbid Specialty HospitalIrbidEn recrutement

Latvia

Latvia
ÉtablissementVilleÉtat ou régionStatut
Childrens Clinical University HospitalRigaRetiré

Lithuania

Lithuania
ÉtablissementVilleÉtat ou régionStatut
Hospital of Lithuanian University of Health Sciences Kauno klinikosKaunasEn recrutement
Vilnius University Hospital Santaros KlinikosVilniusEn recrutement

Malaysia

Malaysia
ÉtablissementVilleÉtat ou régionStatut
Kuala Lumpur HospitalKuala LumpurKuala LumpurEn recrutement
Hospital Umum SarawakKuchingSarawakEn recrutement

Philippines

Philippines
ÉtablissementVilleÉtat ou régionStatut
National Children's HospitalQuezon CityNational Capital RegionEn recrutement

Poland

Poland
ÉtablissementVilleÉtat ou régionStatut
Uniwersytecki Dzieciecy Szpital Kliniczny im. L. ZamenhofaBialystokEn recrutement
Uniwersyteckie Centrum KliniczneGdanskEn recrutement
Instytut Pomnik - Centrum Zdrowia DzieckaWarsawEn recrutement

Romania

Romania
ÉtablissementVilleÉtat ou régionStatut
Institutul Clinic FundeniBucharestBucharestEn recrutement
Maria Sklodowska Curie Childrens Clinical Emergency HospitalBucharestBucharestEn recrutement

Serbia

Serbia
ÉtablissementVilleÉtat ou régionStatut
University Children's Hospital TirsovaBelgradeEn recrutement
Children and Youth Health Care Institute of VojvodinaNovi SadEn recrutement

Slovakia

Slovakia
ÉtablissementVilleÉtat ou régionStatut
Detská fakultná nemocnica s poliklinikou/Národný ústav detských chorôb (NÚDCH)BratislavaEn recrutement
Urologická ambulancia J. BREZA MEDICAL s.r.o.BratislavaEn recrutement

Turkey (Türkiye)

Turkey (Türkiye)
ÉtablissementVilleÉtat ou régionStatut
Ankara University Faculty of Medicine Ibni Sina HospitalAnkaraAltindagEn recrutement
Mersin University, Dept. of UrologyYenişehirEn recrutement

United States

United States
ÉtablissementVilleÉtat ou régionStatut
Albany Medical CollegeAlbanyNew YorkEn recrutement
Children's Hospital ColoradoAuroraColoradoEn recrutement
Duke University Medical CenterDurhamNorth CarolinaArrêté prématurément
Nemours Childrens Health, JacksonvilleJacksonvilleFloridaEn recrutement
Arkansas Childrens HospitalLittle RockArkansasEn recrutement
Childrens Hospital New OrleansNew OrleansLouisianaRetiré
University of OklahomaOklahoma CityOklahomaEn recrutement
Children's Hospital of Orange CountyOrangeCaliforniaArrêté prématurément
Oregon Health & Science UniversityPortlandOregonRetiré
SUNY Upstate Medical UniversitySyracuseNew YorkEn recrutement
Wichita Urology GroupWichitaKansasEn recrutement

Documents de l'étude

Aucun document n'est lié dans cette fiche du registre.

Évolution au fil du temps

Aucun changement n'a été enregistré depuis que nous avons intégré cette fiche pour la première fois.

Un changement est enregistré chaque fois que le promoteur met à jour la fiche du registre. Le statut, les dates, le recrutement et les sites apparaissent ici au fur et à mesure de leur évolution.