Trospium 60 mg once daily (QD) for overactive bladder syndrome: results from a placebo-controlled interventional study.
OBJECTIVE
A once-daily (QD) formulation of trospium chloride has been developed for the management of overactive bladder syndrome (OAB). This randomized controlled trial evaluated the efficacy and tolerability of this new extended-release formulation, trospium chloride 60 mg QD.


METHODS
Adults with OAB with urinary urgency, frequency, and urgency urinary incontinence (UUI) were eligible for inclusion. Subjects received trospium 60 mg QD or placebo for 12 weeks. Change in the mean number of toilet voids per day and UUI episodes per day were the primary outcome variables. Changes in urgency severity were also assessed and adverse events (AEs) were recorded.


RESULTS
Overall, 564 subjects participated in the study (trospium QD 280; placebo 284). Trospium QD demonstrated significant improvement in both primary outcome variables. The mean number of toilet voids per day was reduced from approximately 13 at baseline to 10.3 for trospium QD versus 11.1 for placebo (P <0.001) at week 12, whereas the number of UUI episodes per day was reduced from approximately 4 at baseline to 1.7 at week 12 with trospium QD versus 2.4 for placebo (P <0.001). Trospium QD also reduced urgency severity (P <0.001) and increased voided volume (P <0.01) compared with placebo. Benefits over placebo were apparent within the first week of treatment. Trospium QD was well tolerated; the most frequent AEs being dry mouth (trospium QD 12.9%; placebo 4.6%) and constipation (7.5% versus 1.8%, respectively). Central nervous system side effects were rarely observed and were comparable between groups.


CONCLUSIONS
Trospium QD represents a convenient, effective, and well-tolerated treatment option for OAB.
Dmochowski
Roger R
RR
Department of Urology, Vanderbilt University School of Medicine, Nashville, Tennessee 37232, USA. roger.dmochowski@vanderbilt.edu
Sand
Peter K
PK
Zinner
Norman R
NR
Staskin
David R
DR
D001561:Benzilates; D004311:Double-Blind Method; D004334:Drug Administration Schedule; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D009662:Nortropanes / Q000008:administration & dosage*; D011446:Prospective Studies; D053201:Urinary Bladder, Overactive / Q000188:drug therapy*
D001561:Benzilates; D009662:Nortropanes; C003330:trospium chloride