The purpose of this study is to evaluate the safety, tolerability, and effectiveness of the study product, AOBO-001, when taken by adults with symptoms of overactive bladder. AOBO-001, is experimental, which means that the U. S. Food and Drug Administration (FDA) has not yet approved it for use. AOBO-001 has been approved in China as a prescription drug product to treat bedwetting in children. AOBO-001 is also approved in Hong Kong as a dietary supplement to improve quality of life for people with urinary incontinence. AOBO-001 is a botanical (from a plant) product. It is prepared from the seeds of Xanthoceras sorbifolia bunge plant, which is a flowering tree grown in Northern China. Approximately 60 subjects who are 18 years of age and older are expected to participate in this study at up to 8 investigational sites. Each subject will complete 6 visits to the study site over a 14-week period. Subjects will consume 8 capsules of the assigned test product twice daily (that is, 16 capsules daily). Capsules will be taken with at least 6 ounces of water approximately 30 minutes before breakfast and 30 minutes before dinner. If a subject qualifies, he/she will be randomly (by chance) assigned to one of three study treatment groups. Subjects in one group will consume capsules containing a daily dose of 3.2 grams of AOBO-001; a second group will consume capsules containing a daily dose of 6.4 grams of AOBO-001; and a third group will consume capsules containing a placebo (no active ingredients). Subjects will have a 2 in 3 chance of being assigned to an active study treatment group. Neither the subject nor the study doctor will know to which study treatment group the subject has been assigned, but this information is available in case of a medical emergency. There will be a time during the study dosing schedule when all subjects will consume capsules containing a placebo (no active ingredients). Subjects will not be told when they are receiving the placebo.
This randomized, double-blind, placebo-controlled Phase 2 clinical trial will evaluate the safety and efficacy of AOBO-001 in adults with overactive bladder. The primary objective of this study is to evaluate the efficacy of AOBO 001 compared with placebo on the basis of the change from baseline in average number of micturition episodes per 24 hours from the 3-day diaries and average number of urge urinary incontinence episodes per 24 hours from the 3 day diaries during the double-blind treatment period in adult patients with OAB. Secondary efficacy objectives are to evaluate the efficacy of AOBO-001 compared with placebo on the basis of the number and severity of urgency episodes by using the Patient's Perception of Intensity of Urgency Scale (PPIUS), nocturia episodes, volume voided per micturition, and Patient Perception of Bladder Condition (PPBC) global assessment measure. An additional secondary objective is to evaluate the safety and tolerability of AOBO-001 compared with placebo. Eligible patients will be randomized in equal proportions to double-blind treatment with AOBO 001 1.6 g twice daily (3.2 g daily), AOBO-001 3.2 g twice daily (6.4 g daily) or placebo capsules twice daily. Efficacy assessments include urinary diary assessments, including the number of micturitions (daytime, nighttime), number of urge incontinence episodes, number/grading of urgency episodes (Patient's Perception of Intensity of Urgency Scale or PPIUS), and volume of voided urine; and Patient Perception of Bladder Condition (PPBC) questionnaire. Safety assessments include post-void residual urine volume measured by bladder scan; vital signs, 12-lead ECGs, complete or brief physical examinations, clinical laboratory safety tests, and treatment-emergent adverse events.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
QUADRUPLE
Enrollment
66
Coastal Clinical Research
Mobile, Alabama, United States
Palm Beach Research Center
West Palm Beach, Florida, United States
Heartland Research Associate, LLC
Newton, Kansas, United States
Myron I. Murdock M.D. LLC
Greenbelt, Maryland, United States
Regional Clinical Research, Inc
Endwell, New York, United States
Change in average number of micturitions per 24 hours from 3-day urinary diaries compared to baseline
Change in the average number of micturitions per 24 hours from the 3-day diaries from baseline to endpoint of the 12 week double-blind treatment period.
Time frame: Endpoint (up to 12 weeks of double-blind treatment)
Change in average number of urge incontinence episodes per 24 hours from 3-day urinary diaries compared to baseline
Change in average number of urge urinary incontinence episodes per 24 hours from the 3-day diaries from baseline to endpoint of the 12 week double-blind treatment period.
Time frame: Endpoint (up to 12 weeks of double-blind treatment)
Change in volume voided per micturition compared to baseline
Volume voided per micturition over 24 hours.
Time frame: Endpoint (up to 12 weeks of double-blind treatment)
Change in intensity of urgency episodes compared to baseline
Intensity of urgency episodes, PPIUS grade 3+4, intensity of urgency episodes, PPIUS grades 0-4, and maximum urgency intensity at void episodes (PPIUS grades 0-4) per 24 hours.
Time frame: Endpoint (up to 12 weeks of double-blind treatment)
Change in daytime and sleeptime micturitions compared to baseline
Number of daytime and sleeptime (nocturia) micturition episodes per 24 hours.
Time frame: Endpoint (up to 12 weeks of double-blind treatment)
Change in weekly urge incontinence episodes compared to baseline
Number of urge urinary incontinence episodes per week.
Time frame: Endpoint (up to 12 weeks of double-blind treatment)
Change in PPBC score compared to baseline
Patient Perception of Bladder Condition (PPBC) score.
Time frame: Endpoint (up to 12 weeks of double-blind treatment)
Number of Participants with Adverse Events as a Measure of Safety and Tolerability
Treatment-emergent adverse events including subject reporting, clinical observations, and clinically significant abnormal findings as measured by bladder scan, vital signs, 12-lead ECGs, complete or brief physical examinations and clinical laboratory safety tests.
Time frame: During double-blind treatment phase
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