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Results of a Randomized Phase III Trial of Mirabegron in Patients with Overactive Bladder

Nitti, Victor W., Auerbach, Stephen, Martin, Nancy, Calhoun, Alaina, Lee, Misun, Herschorn, Sender·2013·Journal of Urology

Abstract

PURPOSE: Many patients with overactive bladder discontinue pharmacotherapy due to suboptimal efficacy or side effects. Mirabegron, a β3-adrenoceptor agonist, may offer an effective and well tolerated alternative treatment for overactive bladder. MATERIALS AND METHODS: A randomized, double-blind, placebo controlled trial was conducted in the United States and Canada. After a 2-week placebo run-in period, adults with overactive bladder symptoms for 3 or more months were randomized 1:1:1 to receive placebo, 50 or 100 mg mirabegron once daily for 12 weeks. Efficacy data were collected via patient completed diaries and quality of life assessments. Co-primary efficacy end points were changes from baseline to final visit in mean number of incontinence episodes per 24 hours and micturitions per 24 hours. Key secondary micturition and incontinence end points were also evaluated. Safety assessments included treatment emergent adverse events, laboratory assessments, vital signs, electrocardiograms and post-void residual volume. RESULTS: Compared to placebo, 50 and 100 mg mirabegron groups demonstrated statistically significantly greater mean decreases (95% CI) from baseline for incontinence episodes (-1.13 [-1.35, -0.91], -1.47 [-1.69, -1.25] and -1.63 [-1.86, -1.40]) and micturitions (-1.05 [-1.31, -0.79], -1.66 [-1.92, -1.40] and -1.75 [-2.01, -1.48]) per 24 hours (p <0.05). Significant improvements in all key secondary end points were observed for both mirabegron doses vs placebo. The incidence of frequently reported treatment emergent adverse events (hypertension, urinary tract infection, headache, nasopharyngitis) was similar in the mirabegron and placebo groups. Dry mouth was reported for 1.5%, 0.5% and 2.1% of patients in the placebo, 50 and 100 mg mirabegron groups, respectively. CONCLUSIONS: Once daily mirabegron in a 50 or 100 mg dose is an effective treatment for overactive bladder symptoms with a low occurrence of side effects.

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Metadata

Authors
Nitti, V. W., Auerbach, S., Martin, N., Calhoun, A., Lee, M., & Herschorn, S.
Venue
Journal of Urology
Published
2013-04
Volume
189
Issue
4
Pages
1388-1395
ISSN
  • 0022-5347 (ISSN-L)
  • 1527-3792
OpenAlex
W2110991424
Cited by
375
References
10
FWCI
46.26
Type
journal article
Language
en
Open access
closed

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CoChat. (2026). Citation check: Results of a Randomized Phase III Trial of Mirabegron in Patients with Overactive Bladder. https://app.cochat.ai/papers/10.1016/j.juro.2012.10.017
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Nitti, V. W., Auerbach, S., Martin, N., Calhoun, A., Lee, M., & Herschorn, S. (2013). Results of a Randomized Phase III Trial of Mirabegron in Patients with Overactive Bladder. Journal of Urology. https://doi.org/10.1016/j.juro.2012.10.017

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Contains information from the Semantic Scholar Academic Graph Datasets, made available under the ODC Attribution License (ODC-BY 1.0).

Semantic Scholar’s data is described in: Kinney, R., et al. (2023). The Semantic Scholar Open Data Platform. arXiv:2301.10140.