Efficacy and safety of oxybutynin chloride topical gel for women with overactive bladder syndrome

Am J Obstet Gynecol. 2012 Feb;206(2):168.e1-6. doi: 10.1016/j.ajog.2011.08.005. Epub 2011 Aug 11.

Abstract

Objective: This subgroup analysis of a phase-3 study evaluated the efficacy and safety of oxybutynin chloride topical gel (OTG) in women with overactive bladder syndrome (OAB).

Study design: Women (n = 704) with urgency-predominant urinary incontinence received OTG or placebo for 12 weeks. The primary endpoint was change from baseline to last observation in number of daily incontinence episodes. Treatments were compared with the use of analysis of covariance.

Results: OTG significantly reduced the number (mean ± standard deviation) of daily incontinence episodes (OTG, -3.0 ± 2.8 episodes; placebo, -2.5 ± 3.0 episodes; P < .0001), reduced urinary frequency (P = .0013), increased voided volume (P = .0006), and improved select health-related quality-of-life domains (P ≤ .0161) vs placebo. Dry mouth was the only drug-related adverse event significantly more common with OTG (7.4%) than with placebo (2.8%; P = .0062).

Conclusion: OTG was well tolerated and provided significant improvement in urinary symptoms and health-related quality of life in women with OAB.

Publication types

  • Clinical Trial, Phase III
  • Randomized Controlled Trial
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Administration, Cutaneous
  • Aged
  • Double-Blind Method
  • Female
  • Gels
  • Humans
  • Mandelic Acids / administration & dosage
  • Mandelic Acids / adverse effects
  • Mandelic Acids / therapeutic use*
  • Middle Aged
  • Muscarinic Antagonists / administration & dosage
  • Muscarinic Antagonists / adverse effects
  • Muscarinic Antagonists / therapeutic use*
  • Quality of Life
  • Treatment Outcome
  • Urinary Bladder, Overactive / drug therapy*

Substances

  • Gels
  • Mandelic Acids
  • Muscarinic Antagonists
  • oxybutynin