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OXYTROL
Clinical Results
Clinical Studies
The efficacy and safety of OXYTROL
were evaluated in patients with urge urinary incontinence in two
Phase 3 controlled studies and one open-label extension. Study 1
was a Phase 3, placebo controlled study, comparing the safety and
efficacy of OXYTROL at dose levels of 1.3, 2.6, and 3.9 mg/day to
placebo in 520 patients. Open-label treatment was available for
patients completing the study. Study 2 was a Phase 3 study, comparing
the safety and efficacy of OXYTROL 3.9 mg/day versus active and
placebo controls in 361 patients.
Study 1 was a randomized, double-blind,
placebo-controlled, parallel group study of three dose levels of
OXYTROL conducted in 520 patients. The 12-week double-blind treatment
included OXYTROL doses of 1.3, 2.6, and 3.9 mg/day with matching
placebo. An open-label, dose titration treatment extension allowed
continued treatment for up to an additional 40 weeks for patients
completing the double-blind period. The majority of patients were
Caucasian (91%) and female (92%) with a mean age of 61 years (range,
20 to 88 years). Entry criteria required that patients have urge
or mixed incontinence (with a predominance of urge), urge incontinence
episodes of ≥ 10 per week, and ≥ 8 micturitions per day. The patient’s
medical history and a urinary diary during the treatment-free baseline
period confirmed the diagnosis of urge incontinence. Approximately
80% of patients had no prior pharmacological treatment for incontinence.
Reductions in weekly incontinence episodes, urinary frequency, and
urinary void volume between placebo and active treatment groups are
summarized in Table 2.
Table 2: Mean and median change from baseline to end of treatment
(Week 12 or last observation carried forward) in incontinence episodes,
urinary frequency, and urinary void volume in patients treated with
OXYTROL 3.9 mg/day or placebo for 12 weeks (Study 1).

Study 2 was a randomized, double-blind,
double-dummy, study of OXYTROL 3.9 mg/day versus active and placebo
controls conducted in 361 patients. The 12-week double-blind treatment
included an OXYTROL dose of 3.9 mg/day, an active comparator, and
placebo. The majority of patients were Caucasian (95%) and female
(93%) with a mean age of 64 years (range, 18 to 89 years). Entry
criteria required that all patients have urge or mixed incontinence
(with a predominance of urge) and had achieved a beneficial response
from the anticholinergic treatment they were using at the time of
study entry. The average duration of prior pharmacological treatment
was greater than 2 years. The patient’s medical history and
a urinary diary during the treatment-free baseline period confirmed
the diagnosis of urge incontinence. Reductions in daily incontinence
episodes, urinary frequency, and urinary void volume betweenplacebo
and active treatment groups are summarized in Table 3.
Table 3: Mean and median change from baseline
to end of treatment (Week 12 or last observation carried forward)
inincontinence episodes, urinary frequency, and urinary void volume
in patients treated with OXYTROL 3.9 mg/day or placebo for 12 weeks
(Study 2).

Additional information on the clinical results of OXYTROL can be found
in:
- Appell RA, Chancellor MB, Zobrist RH, Thomas H, Sanders SW. Pharmacokinetics,
Metabolism, and Saliva Output During Transdermal and Extended-Release
Oral Oxybutynin Administration in Healthy Subjects. Mayo Clin
Proc. 2003;78:696-702.
- Dmochowski RR, Davila GW, Zinner NR, et al. Efficacy and safety
of transdermal oxybutynin in patients with urge and mixed urinary
incontinence. Journal of Urology. 2002; 168:580-586.
- Zobrist RH, Quan D, Thomas HM, Stanworth S, Sanders SW. Pharmacokinetics
and metabolism of transdermal oxybutynin: in vitro and in vivo
performance of a novel delivery system. Pharmaceutical Research.
2003;103-109.
- Zobrist RH, Schmid B, Feick A, Quan D, Sanders S. Pharmacokinetics
of the R- and S-enantiomers of oxybutynin and N-desethyloxybutynin
following oral and transdermal administration of the racemate
in healthy volunteers. Pharmaceutical Research. 2001;18:1029-1033.
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