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NCT01852058

A Long-Term Extension Study of OnabotulinumtoxinA (BOTOX®) for Urinary Incontinence Due to Neurogenic Detrusor Overactivity

Completed Phase 3 Results posted Last updated 12 May 2020
What this trial tests

Phase 3 trial testing OnabotulinumtoxinA in Urinary Incontinence in 95 participants. Completed in 3 October 2019.

Timeline
11 January 2014
Primary endpoint
22 November 2018
3 October 2019

Quick facts

Lead sponsorAllergan
PhasePhase 3
StatusCompleted
Study typeINTERVENTIONAL
Allocationnon randomized
Designparallel
Maskingquadruple
Primary purposetreatment
Enrollment95
Start date11 January 2014
Primary completion22 November 2018
Estimated completion3 October 2019
Sites30 locations across France, Italy, Belgium, Poland, Canada, United States, Turkey (Türkiye), Czechia

Drugs / interventions tested

Conditions studied

Sponsor

Allergan — full company profile →

Who can join

Adults 5 to 17, any sex, with Urinary Incontinence. Patients with the condition only — healthy volunteers not accepted.

Results — posted to ClinicalTrials.gov

Per-arm endpoint measurements with 95% confidence intervals where reported. Source: trial results section.

Change From Study Baseline in the Daily Normalized Daytime Average Number of Urinary Incontinence Episodes in Treatment Cycle 1 Primary · Study Baseline (Prior to Day 1 in Study 120) to 2 consecutive days in the week prior to Week 6 in Treatment Cycle 1

Urinary incontinence was defined as involuntary loss of urine as recorded by the participant in a bladder diary during 2 consecutive days in the week prior to the study visit (normalized to a 12 hour daytime period). Daytime is defined as the time between waking up to start the day and going to bed to sleep for the night. The number of daily daytime incontinence episodes were averaged during the 2-day period. A negative change from Baseline indicates improvement. Data are summarized under the respective treatments that participants received in the corresponding treatment cycle.

Baseline
GroupValue95% CI
OnabotulinumtoxinA 50 U (Treatment Cycle 1)2.66± 0.876
OnabotulinumtoxinA 100 U (Treatment Cycle 1)2.97± 1.135
OnabotulinumtoxinA 200 U (Treatment Cycle 1)3.99± 5.492
Change from Baseline to Week 6
GroupValue95% CI
OnabotulinumtoxinA 50 U (Treatment Cycle 1)-1.19± 1.156
OnabotulinumtoxinA 100 U (Treatment Cycle 1)-1.39± 1.585
OnabotulinumtoxinA 200 U (Treatment Cycle 1)-2.19± 5.738
Change From Study Baseline in the Daily Normalized Daytime Average Number of Urinary Incontinence Episodes in Treatment Cycle 2 Primary · Study Baseline (Prior to Day 1 in Study 120) to 2 consecutive days in the week prior to Week 6 in Treatment Cycle 2

Urinary incontinence was defined as involuntary loss of urine as recorded by the participant in a bladder diary during 2 consecutive days in the week prior to the study visit (normalized to a 12 hour daytime period). Daytime is defined as the time between waking up to start the day and going to bed to sleep for the night. The number of daily daytime incontinence episodes were averaged during the 2-day period. A negative change from Baseline indicates improvement. Data are summarized under the respective treatments that participants received in the corresponding treatment cycle.

Baseline
GroupValue95% CI
OnabotulinumtoxinA 50 U (Treatment Cycle 2)2.57± 0.937
OnabotulinumtoxinA 100 U (Treatment Cycle 2)2.80± 0.915
OnabotulinumtoxinA 200 U (Treatment Cycle 2)3.83± 4.623
Change from Baseline to Week 6
GroupValue95% CI
OnabotulinumtoxinA 50 U (Treatment Cycle 2)-1.07± 2.092
OnabotulinumtoxinA 100 U (Treatment Cycle 2)-1.70± 1.331
OnabotulinumtoxinA 200 U (Treatment Cycle 2)-1.64± 1.906
Change From Study Baseline in the Daily Normalized Daytime Average Number of Urinary Incontinence Episodes in Treatment Cycle 3 Primary · Study Baseline (Prior to Day 1 in Study 120) to 2 consecutive days in the week prior to Week 6 in Treatment Cycle 3

Urinary incontinence was defined as involuntary loss of urine as recorded by the participant in a bladder diary during 2 consecutive days in the week prior to the study visit (normalized to a 12 hour daytime period). Daytime is defined as the time between waking up to start the day and going to bed to sleep for the night. The number of daily daytime incontinence episodes were averaged during the 2-day period. A negative change from Baseline indicates improvement. Data are summarized under the respective treatments that participants received in the corresponding treatment cycle.

Baseline
GroupValue95% CI
OnabotulinumtoxinA 50 U (Treatment Cycle 3)2.48± 0.228
OnabotulinumtoxinA 100 U (Treatment Cycle 3)2.94± 0.923
OnabotulinumtoxinA 200 U (Treatment Cycle 3)3.80± 4.678
Change from Baseline to Week 6
GroupValue95% CI
OnabotulinumtoxinA 50 U (Treatment Cycle 3)-1.92± 0.858
OnabotulinumtoxinA 100 U (Treatment Cycle 3)-1.73± 1.057
OnabotulinumtoxinA 200 U (Treatment Cycle 3)-2.74± 4.833
Number of Participants With Treatment Emergent Adverse Events (TEAEs) and Serious Treatment Emergent Adverse Events (STEAEs) Secondary · First injection on Day 1 in Study 120 through completion of Study 121 (Up to 108 weeks)

An adverse event is any untoward medical occurrence in a patient or clinical investigation participant administered a pharmaceutical product and which does not necessarily have a causal relationship with this treatment. An adverse event can therefore be any unfavorable and unintended sign (including an abnormal laboratory finding), symptom, or disease temporally associated with use of a medicinal (investigational) product, whether or not related to medicinal (investigational) product. A serious adverse event (SAE) is any AE that resulted in death, inpatient hospitalization or prolongation of e

TEAEs
GroupValue95% CI
OnabotulinumtoxinA 50 U (Treatment Cycle 1)23
OnabotulinumtoxinA 100 U (Treatment Cycle 1)31
OnabotulinumtoxinA 200 U (Treatment Cycle 1)19
OnabotulinumtoxinA 50 U (Treatment Cycle 2)7
OnabotulinumtoxinA 100 U (Treatment Cycle 2)34
OnabotulinumtoxinA 200 U (Treatment Cycle 2)31
OnabotulinumtoxinA 50 U (Treatment Cycle 3)4
OnabotulinumtoxinA 100 U (Treatment Cycle 3)10
OnabotulinumtoxinA 200 U (Treatment Cycle 3)21
OnabotulinumtoxinA 50 U (Treatment Cycle 4)3
OnabotulinumtoxinA 100 U (Treatment Cycle 4)2
OnabotulinumtoxinA 200 U (Treatment Cycle 4)4
STEAEs
GroupValue95% CI
OnabotulinumtoxinA 50 U (Treatment Cycle 1)2
OnabotulinumtoxinA 100 U (Treatment Cycle 1)3
OnabotulinumtoxinA 200 U (Treatment Cycle 1)1
OnabotulinumtoxinA 50 U (Treatment Cycle 2)0
OnabotulinumtoxinA 100 U (Treatment Cycle 2)5
OnabotulinumtoxinA 200 U (Treatment Cycle 2)6
OnabotulinumtoxinA 50 U (Treatment Cycle 3)0
OnabotulinumtoxinA 100 U (Treatment Cycle 3)1
OnabotulinumtoxinA 200 U (Treatment Cycle 3)2
OnabotulinumtoxinA 50 U (Treatment Cycle 4)0
OnabotulinumtoxinA 100 U (Treatment Cycle 4)0
OnabotulinumtoxinA 200 U (Treatment Cycle 4)0
Percentage of Participants With ≥ 50%, ≥ 75%, ≥ 90%, and ≥ 100% Reduction From Baseline in the Number of Normalized Daytime Urinary Incontinence Episodes in Treatment Cycle 1 Secondary · Study Baseline (Prior to Day 1 in Study 120) to 2 consecutive days in the week prior to Week 6 in Treatment Cycle 1

Urinary incontinence was defined as involuntary loss of urine as recorded by the participant in a bladder diary during 2 consecutive days in the week prior to the study visit (normalized to a 12 hour daytime period). Daytime is defined as the time between waking up to start the day and going to bed to sleep for the night. The number of daily incontinence episodes were averaged during the 2-day period. Data are summarized under the respective treatments that participants received in the corresponding treatment cycle.

≥50% Reduction from Baseline to Week 6
GroupValue95% CI
OnabotulinumtoxinA 50 U (Treatment Cycle 1)53.334.33 – 71.66
OnabotulinumtoxinA 100 U (Treatment Cycle 1)55.638.10 – 72.06
OnabotulinumtoxinA 200 U (Treatment Cycle 1)52.230.59 – 73.18
≥75% Reduction from Baseline to Week 6
GroupValue95% CI
OnabotulinumtoxinA 50 U (Treatment Cycle 1)30.014.73 – 49.40
OnabotulinumtoxinA 100 U (Treatment Cycle 1)41.725.51 – 59.24
OnabotulinumtoxinA 200 U (Treatment Cycle 1)39.119.71 – 61.46
≥90% Reduction from Baseline to Week 6
GroupValue95% CI
OnabotulinumtoxinA 50 U (Treatment Cycle 1)26.712.28 – 45.89
OnabotulinumtoxinA 100 U (Treatment Cycle 1)30.616.35 – 48.11
OnabotulinumtoxinA 200 U (Treatment Cycle 1)30.413.21 – 52.92
≥100% Reduction from Baseline to Week 6
GroupValue95% CI
OnabotulinumtoxinA 50 U (Treatment Cycle 1)26.712.28 – 45.89
OnabotulinumtoxinA 100 U (Treatment Cycle 1)27.814.20 – 45.19
OnabotulinumtoxinA 200 U (Treatment Cycle 1)26.110.23 – 48.41
Percentage of Participants With ≥ 50%, ≥ 75%, ≥ 90%, and ≥ 100% Reduction From Baseline in the Number of Normalized Daytime Urinary Incontinence Episodes in Treatment Cycle 2 Secondary · Study Baseline (Prior to Day 1 in Study 120) to 2 consecutive days in the week prior to Week 6 in Treatment Cycle 2

Urinary incontinence was defined as involuntary loss of urine as recorded by the participant in a bladder diary during 2 consecutive days in the week prior to the study visit (normalized to a 12 hour daytime period). Daytime is defined as the time between waking up to start the day and going to bed to sleep for the night. The number of daily incontinence episodes were averaged during the 2-day period. Data are summarized under the respective treatments that participants received in the corresponding treatment cycle.

≥50% Reduction from Baseline to Week 6
GroupValue95% CI
OnabotulinumtoxinA 50 U (Treatment Cycle 2)66.722.28 – 95.67
OnabotulinumtoxinA 100 U (Treatment Cycle 2)65.950.08 – 79.51
OnabotulinumtoxinA 200 U (Treatment Cycle 2)58.840.70 – 75.35
≥75% Reduction from Baseline to Week 6
GroupValue95% CI
OnabotulinumtoxinA 50 U (Treatment Cycle 2)50.011.81 – 88.19
OnabotulinumtoxinA 100 U (Treatment Cycle 2)43.228.35 – 58.97
OnabotulinumtoxinA 200 U (Treatment Cycle 2)47.129.78 – 64.87
≥90% Reduction from Baseline to Week 6
GroupValue95% CI
OnabotulinumtoxinA 50 U (Treatment Cycle 2)50.011.81 – 88.19
OnabotulinumtoxinA 100 U (Treatment Cycle 2)27.314.96 – 42.79
OnabotulinumtoxinA 200 U (Treatment Cycle 2)41.224.65 – 59.30
≥100% Reduction from Baseline to Week 6
GroupValue95% CI
OnabotulinumtoxinA 50 U (Treatment Cycle 2)50.011.81 – 88.19
OnabotulinumtoxinA 100 U (Treatment Cycle 2)25.013.19 – 40.34
OnabotulinumtoxinA 200 U (Treatment Cycle 2)38.222.17 – 56.44
Percentage of Participants With ≥ 50%, ≥ 75%, ≥ 90%, and ≥ 100% Reduction From Baseline in the Number of Normalized Daytime Urinary Incontinence Episodes in Treatment Cycle 3 Secondary · Study Baseline (Prior to Day 1 in Study 120) to 2 consecutive days in the week prior to Week 6 in Treatment Cycle 3

Urinary incontinence was defined as involuntary loss of urine as recorded by the participant in a bladder diary during 2 consecutive days in the week prior to the study visit (normalized to a 12 hour daytime period). Daytime is defined as the time between waking up to start the day and going to bed to sleep for the night. The number of daily incontinence episodes were averaged during the 2-day period. Data are summarized under the respective treatments that participants received in the corresponding treatment cycle.

≥50% Reduction from Baseline at Week 6
GroupValue95% CI
OnabotulinumtoxinA 50 U (Treatment Cycle 3)60.014.66 – 94.73
OnabotulinumtoxinA 100 U (Treatment Cycle 3)75.047.62 – 92.73
OnabotulinumtoxinA 200 U (Treatment Cycle 3)69.751.29 – 84.41
≥75% Reduction from Baseline at Week 6
GroupValue95% CI
OnabotulinumtoxinA 50 U (Treatment Cycle 3)60.014.66 – 94.73
OnabotulinumtoxinA 100 U (Treatment Cycle 3)37.515.20 – 64.57
OnabotulinumtoxinA 200 U (Treatment Cycle 3)39.422.91 – 57.86
≥90% Reduction from Baseline at Week 6
GroupValue95% CI
OnabotulinumtoxinA 50 U (Treatment Cycle 3)60.014.66 – 94.73
OnabotulinumtoxinA 100 U (Treatment Cycle 3)18.84.05 – 45.65
OnabotulinumtoxinA 200 U (Treatment Cycle 3)33.317.96 – 51.83
≥100% Reduction from Baseline at Week 6
GroupValue95% CI
OnabotulinumtoxinA 50 U (Treatment Cycle 3)60.014.66 – 94.73
OnabotulinumtoxinA 100 U (Treatment Cycle 3)18.84.05 – 45.65
OnabotulinumtoxinA 200 U (Treatment Cycle 3)30.315.59 – 48.71
Change From Baseline in Average Urine Volume at First Morning Catheterization in Treatment Cycle 1 Secondary · Baseline (Prior to Day 1 in Study 120) to 2 consecutive days in the week prior to Week 6 in Treatment Cycle 1

The change in urine volume at first morning catherization was recorded by the participant in a bladder diary in the 2 consecutive days during the week prior to the study visit. The daily values were averaged during the 2-day period. A positive change from Baseline indicates improvement. Data are summarized under the respective treatments that participants received in the corresponding treatment cycle.

GroupValue95% CI
OnabotulinumtoxinA 50 U (Treatment Cycle 1)14.68± 88.146
OnabotulinumtoxinA 100 U (Treatment Cycle 1)39.88± 72.787
OnabotulinumtoxinA 200 U (Treatment Cycle 1)96.90± 120.429
Change From Baseline in Average Urine Volume at First Morning Catheterization in Treatment Cycle 2 Secondary · Baseline (Prior to Day 1 in Study 120) to 2 consecutive days in the week prior to Week 6 in Treatment Cycle 2

The change in urine volume at first morning catherization was recorded by the participant in a bladder diary in the 2 consecutive days during the week prior to the study visit. The daily values were averaged during the 2-day period. A positive change from Baseline indicates improvement. Data are summarized under the respective treatments that participants received in the corresponding treatment cycle.

GroupValue95% CI
OnabotulinumtoxinA 50 U (Treatment Cycle 2)7.92± 148.597
OnabotulinumtoxinA 100 U (Treatment Cycle 2)79.53± 106.794
OnabotulinumtoxinA 200 U (Treatment Cycle 2)35.34± 98.209
Change From Baseline in Average Urine Volume at First Morning Catheterization in Treatment Cycle 3 Secondary · Baseline (Prior to Day 1 in Study 120) to 2 consecutive days in the week prior to Week 6 in Treatment Cycle 3

The change in urine volume at first morning catherization was recorded by the participant in a bladder diary in the 2 consecutive days during the week prior to the study visit. The daily values were averaged during the 2-day period. A positive change from Baseline indicates improvement. Data are summarized under the respective treatments that participants received in the corresponding treatment cycle.

GroupValue95% CI
OnabotulinumtoxinA 50 U (Treatment Cycle 3)58.50± 22.749
OnabotulinumtoxinA 100 U (Treatment Cycle 3)57.86± 74.762
OnabotulinumtoxinA 200 U (Treatment Cycle 3)92.39± 147.322
Percentage of Participants With Night Time Urinary Incontinence in Treatment Cycle 1 Secondary · Baseline (Prior to Day 1 in Study 120) and 2 consecutive days in the week prior to Week 6 in Treatment Cycle 1

Urinary incontinence was defined as involuntary loss of urine. Night time urinary incontinence was recorded by the participant on the bladder diary as a presence or absence of urinary leakage upon waking, for 2 consecutive days in the week prior to the week 6 visit. Night time was defined as the time between going to bed to sleep for the night and waking up to start the day. The percentage of participants with night time urinary incontinence is presented in categories 0, 1, and 2 nights. Data are summarized under the respective treatments that participants received in the corresponding treatme

0 Nights of Incontinence at Baseline
GroupValue95% CI
OnabotulinumtoxinA 50 U (Treatment Cycle 1)0.0
OnabotulinumtoxinA 100 U (Treatment Cycle 1)15.4
OnabotulinumtoxinA 200 U (Treatment Cycle 1)4.3
0 Nights of Incontinence at Week 6
GroupValue95% CI
OnabotulinumtoxinA 50 U (Treatment Cycle 1)30.0
OnabotulinumtoxinA 100 U (Treatment Cycle 1)37.8
OnabotulinumtoxinA 200 U (Treatment Cycle 1)25.0
1 Night of Incontinence at Baseline
GroupValue95% CI
OnabotulinumtoxinA 50 U (Treatment Cycle 1)12.9
OnabotulinumtoxinA 100 U (Treatment Cycle 1)2.6
OnabotulinumtoxinA 200 U (Treatment Cycle 1)17.4
1 Night of Incontinence at Week 6
GroupValue95% CI
OnabotulinumtoxinA 50 U (Treatment Cycle 1)20.0
OnabotulinumtoxinA 100 U (Treatment Cycle 1)16.2
OnabotulinumtoxinA 200 U (Treatment Cycle 1)29.2
2 Nights of Incontinence at Baseline
GroupValue95% CI
OnabotulinumtoxinA 50 U (Treatment Cycle 1)87.1
OnabotulinumtoxinA 100 U (Treatment Cycle 1)82.1
OnabotulinumtoxinA 200 U (Treatment Cycle 1)78.3
2 Nights of Incontinence at Week 6
GroupValue95% CI
OnabotulinumtoxinA 50 U (Treatment Cycle 1)50.0
OnabotulinumtoxinA 100 U (Treatment Cycle 1)45.9
OnabotulinumtoxinA 200 U (Treatment Cycle 1)45.8
Percentage of Participants With Night Time Urinary Incontinence in Treatment Cycle 2 Secondary · Baseline (Prior to Day 1 in Study 120) and 2 consecutive days in the week prior to Week 6 in Treatment Cycle 2

Urinary incontinence was defined as involuntary loss of urine. Night time urinary incontinence was recorded by the participant on the bladder diary as a presence or absence of urinary leakage upon waking, for 2 consecutive days in the week prior to the week 6 visit. Night time was defined as the time between going to bed to sleep for the night and waking up to start the day. The percentage of participants with night time urinary incontinence is presented in categories 0, 1, and 2 nights. Data are summarized under the respective treatments that participants received in the corresponding treatme

0 Nights of Incontinence at Baseline
GroupValue95% CI
OnabotulinumtoxinA 50 U (Treatment Cycle 2)0.0
OnabotulinumtoxinA 100 U (Treatment Cycle 2)8.9
OnabotulinumtoxinA 200 U (Treatment Cycle 2)5.9
0 Nights of Incontinence at Week 6
GroupValue95% CI
OnabotulinumtoxinA 50 U (Treatment Cycle 2)66.7
OnabotulinumtoxinA 100 U (Treatment Cycle 2)34.1
OnabotulinumtoxinA 200 U (Treatment Cycle 2)23.5
1 Night of Incontinence at Baseline
GroupValue95% CI
OnabotulinumtoxinA 50 U (Treatment Cycle 2)22.2
OnabotulinumtoxinA 100 U (Treatment Cycle 2)6.7
OnabotulinumtoxinA 200 U (Treatment Cycle 2)8.8
1 Night of Incontinence at Week 6
GroupValue95% CI
OnabotulinumtoxinA 50 U (Treatment Cycle 2)16.7
OnabotulinumtoxinA 100 U (Treatment Cycle 2)22.7
OnabotulinumtoxinA 200 U (Treatment Cycle 2)8.8
2 Nights of Incontinence at Baseline
GroupValue95% CI
OnabotulinumtoxinA 50 U (Treatment Cycle 2)77.8
OnabotulinumtoxinA 100 U (Treatment Cycle 2)84.4
OnabotulinumtoxinA 200 U (Treatment Cycle 2)85.3
2 Nights of Incontinence at Week 6
GroupValue95% CI
OnabotulinumtoxinA 50 U (Treatment Cycle 2)16.7
OnabotulinumtoxinA 100 U (Treatment Cycle 2)43.2
OnabotulinumtoxinA 200 U (Treatment Cycle 2)67.6

Adverse events — posted to ClinicalTrials.gov

Time frame: First injection on Day 1 in Study 120 through the completion of Study 121 (Up to 108 Weeks). Reporting threshold: 5%. Adverse-event reports describe events observed during the trial — not all are caused by the drug.

OnabotulinumtoxinA 50 U (Treatment Cycle 1)
Serious: 2/31 (6%)
Deaths: 0/31
OnabotulinumtoxinA 100 U (Treatment Cycle 1)
Serious: 3/39 (8%)
Deaths: 0/39
OnabotulinumtoxinA 200 U (Treatment Cycle 1)
Serious: 1/25 (4%)
Deaths: 0/25
OnabotulinumtoxinA 50 U (Treatment Cycle 2)
Serious: 0/9 (0%)
Deaths: 0/9
OnabotulinumtoxinA 100 U (Treatment Cycle 2)
Serious: 5/45 (11%)
Deaths: 0/45
OnabotulinumtoxinA 200 U (Treatment Cycle 2)
Serious: 6/36 (17%)
Deaths: 0/36
OnabotulinumtoxinA 50 U (Treatment Cycle 3)
Serious: 0/5 (0%)
Deaths: 0/5
OnabotulinumtoxinA 100 U (Treatment Cycle 3)
Serious: 1/16 (6%)
Deaths: 0/16
OnabotulinumtoxinA 200 U (Treatment Cycle 3)
Serious: 2/34 (6%)
Deaths: 0/34
OnabotulinumtoxinA 50 U (Treatment Cycle 4)
Serious: 0/3 (0%)
Deaths: 0/3
OnabotulinumtoxinA 100 U (Treatment Cycle 4)
Serious: 0/4 (0%)
Deaths: 0/4
OnabotulinumtoxinA 200 U (Treatment Cycle 4)
Serious: 0/4 (0%)
Deaths: 0/4

Serious adverse events (20 terms)

ReactionSystemOnabotulinumtoxinA 50 U (T…OnabotulinumtoxinA 100 U (…OnabotulinumtoxinA 200 U (…OnabotulinumtoxinA 50 U (T…OnabotulinumtoxinA 100 U (…OnabotulinumtoxinA 200 U (…OnabotulinumtoxinA 50 U (T…OnabotulinumtoxinA 100 U (…OnabotulinumtoxinA 200 U (…OnabotulinumtoxinA 50 U (T…OnabotulinumtoxinA 100 U (…OnabotulinumtoxinA 200 U (…
Urinary tract infectionInfections and infestations
PyelonephritisInfections and infestations
Encephalitis viralInfections and infestations
Arteriovenous fistula thrombosisInjury, poisoning and procedural complications
HydrocephalusNervous system disorders
HypertensionVascular disorders
Bacterial diarrhoeaInfections and infestations
GastroenteritisInfections and infestations
BronchitisInfections and infestations
Febrile infectionInfections and infestations
PneumoniaInfections and infestations
Wound infectionInfections and infestations
Joint dislocationInjury, poisoning and procedural complications
FistulaMusculoskeletal and connective tissue disorders
Hip deformityMusculoskeletal and connective tissue disorders
Foot deformityMusculoskeletal and connective tissue disorders
Device malfunctionProduct Issues
HydronephrosisRenal and urinary disorders
PsoriasisSkin and subcutaneous tissue disorders
EpilepsyNervous system disorders
Other adverse events (41 terms — click to expand)

ReactionSystemOnabotulinumtoxinA 50 U (T…OnabotulinumtoxinA 100 U (…OnabotulinumtoxinA 200 U (…OnabotulinumtoxinA 50 U (T…OnabotulinumtoxinA 100 U (…OnabotulinumtoxinA 200 U (…OnabotulinumtoxinA 50 U (T…OnabotulinumtoxinA 100 U (…OnabotulinumtoxinA 200 U (…OnabotulinumtoxinA 50 U (T…OnabotulinumtoxinA 100 U (…OnabotulinumtoxinA 200 U (…
Urinary tract infectionInfections and infestations
BacteriuriaInfections and infestations
HeadacheNervous system disorders
PyrexiaGeneral disorders
Blood urine presentInvestigations
Oropharyngeal painRespiratory, thoracic and mediastinal disorders
PharyngitisInfections and infestations
NasopharyngitisInfections and infestations
InfluenzaInfections and infestations
DiarrhoeaGastrointestinal disorders
Abdominal painGastrointestinal disorders
ConstipationGastrointestinal disorders
GastroenteritisInfections and infestations
BronchitisInfections and infestations
LeukocyturiaRenal and urinary disorders
NauseaGastrointestinal disorders
VomitingGastrointestinal disorders
Suprapubic painGeneral disorders
Viral infectionInfections and infestations
SinusitisInfections and infestations
Asymptomatic bacteriuriaInfections and infestations
Upper respiratory tract infectionInfections and infestations
Procedural painInjury, poisoning and procedural complications
Protein urine presentInvestigations
Back painMusculoskeletal and connective tissue disorders
HydronephrosisRenal and urinary disorders
CoughRespiratory, thoracic and mediastinal disorders
RhinorrhoeaRespiratory, thoracic and mediastinal disorders
AcneSkin and subcutaneous tissue disorders
CystitisInfections and infestations
Gastroenteritis viralInfections and infestations
Tinea capitisInfections and infestations
EscharInjury, poisoning and procedural complications
Foot fractureInjury, poisoning and procedural complications
Skin lacerationInjury, poisoning and procedural complications
Neck painMusculoskeletal and connective tissue disorders
HaematuriaRenal and urinary disorders
Testicular retractionReproductive system and breast disorders
Nasal congestionRespiratory, thoracic and mediastinal disorders
RashSkin and subcutaneous tissue disorders

Most-reported serious reactions: Urinary tract infection, Pyelonephritis, Encephalitis viral, Arteriovenous fistula thrombosis, Hydrocephalus, Hypertension, Bacterial diarrhoea, Gastroenteritis.

Data from ClinicalTrials.gov NCT01852058 adverse events section.

Sponsor's own description

This study will evaluate the long-term safety and efficacy of onabotulinumtoxinA (botulinum toxin Type A; BOTOX®) for the treatment of urinary incontinence due to neurogenic detrusor overactivity in participants who successfully completed Study 191622-120 (NCT01852045).

Publications & conference data

3 peer-reviewed publications reference this trial (live from Europe PMC):

  1. OnabotulinumtoxinA for the treatment of neurogenic detrusor overactivity in children.
    Austin PF, Franco I, Dobremez E, Kroll P, et al · · 2021 · cited 23× · PMID 33305474 · DOI 10.1002/nau.24588
  2. Long-term Safety and Tolerability of Repeated Treatments With OnabotulinumtoxinA in Children With Neurogenic Detrusor Overactivity.
    Franco I, Hoebeke PB, Dobremez E, Titanji W, et al · · 2023 · cited 11× · PMID 36655470 · DOI 10.1097/ju.0000000000003157
  3. OnabotulinumtoxinA is now an important tool for managing pediatric neurogenic lower urinary tract dysfunction.
    Frainey BT, Clayton DB. · · 2024 · PMID 38887561 · DOI 10.3389/fped.2024.1407009

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Trials by the same sponsor.

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