PMID- 17333521 OWN - NLM STAT- MEDLINE DCOM- 20080325 LR - 20181113 IS - 0301-1623 (Print) IS - 0301-1623 (Linking) VI - 39 IP - 4 DP - 2007 TI - Safety and tolerability of extended-release oxybutynin once daily in urinary incontinence: combined results from two phase 4 controlled clinical trials. PG - 1069-77 AB - Early studies of extended-release oxybutynin in patients with overactive bladder used adjusted-dose regimens ranging from 5 to 30 mg/day to achieve an optimal balance of efficacy and tolerability. The safety and tolerability of extended-release oxybutynin at a fixed dose of 10 mg once daily (commonly prescribed in clinical practice) is reported using pooled data from 2 multicenter, randomized, double-blind, parallel-group trials with a similar study design. One study compared extended-release oxybutynin with immediate-release tolterodine 2 mg bid. The other study compared extended-release oxybutynin with extended-release tolterodine 4 mg qd. In total, 576 patients received extended-release oxybutynin, 399 received extended-release tolterodine, and 193 received immediate-release tolterodine. The incidence of adverse events (AEs) was similar in the three treatment groups (extended-release oxybutynin, 70%; extended-release tolterodine, 64%; and immediate-release tolterodine, 79%). The most common adverse event was dry mouth (extended-release oxybutynin, 29%; extended-release tolterodine, 22%; and immediate-release tolterodine, 33%). Other AEs occurring in more than 5% of patients in any treatment group included constipation, diarrhea, headache, urinary tract infection, pain, dyspepsia, and peripheral edema, with no apparent difference across treatment groups. Most AEs (>90%) were mild or moderate in intensity in all treatment groups. The proportion of patients who discontinued study medication due to AEs was 6.1, 4.8, and 7.8% in the extended-release oxybutynin, extended-release tolterodine, and immediate-release tolterodine groups, respectively. In total, 1.2, 1.0, and 1.6% of patients in the extended-release oxybutynin, extended-release tolterodine, and immediate-release tolterodine groups, respectively, discontinued study medication due to dry mouth. FAU - Armstrong, Robert B AU - Armstrong RB AD - Ortho-McNeil Neurologics, Inc., 1125 Trenton-Harbourton Road, Titusville, NJ 08560-0200, USA. rarmstro@ompus.jnj.com FAU - Dmochowski, Roger R AU - Dmochowski RR FAU - Sand, Peter K AU - Sand PK FAU - Macdiarmid, Scott AU - Macdiarmid S LA - eng PT - Clinical Trial, Phase IV PT - Journal Article PT - Multicenter Study PT - Randomized Controlled Trial PT - Research Support, Non-U.S. Gov't DEP - 20070302 PL - Netherlands TA - Int Urol Nephrol JT - International urology and nephrology JID - 0262521 RN - 0 (Benzhydryl Compounds) RN - 0 (Cresols) RN - 0 (Delayed-Action Preparations) RN - 0 (Mandelic Acids) RN - 0 (Muscarinic Antagonists) RN - 33RU150WUN (Phenylpropanolamine) RN - 5T619TQR3R (Tolterodine Tartrate) RN - K9P6MC7092 (oxybutynin) SB - IM MH - Adolescent MH - Adult MH - Aged MH - Aged, 80 and over MH - Benzhydryl Compounds/*administration & dosage/*adverse effects MH - Cresols/*administration & dosage/*adverse effects MH - Delayed-Action Preparations MH - Double-Blind Method MH - Female MH - Humans MH - Male MH - Mandelic Acids/*administration & dosage/*adverse effects MH - Middle Aged MH - Muscarinic Antagonists/*administration & dosage/*adverse effects MH - Phenylpropanolamine/*administration & dosage/*adverse effects MH - Prospective Studies MH - Tolterodine Tartrate MH - Treatment Outcome MH - Urinary Incontinence/*drug therapy EDAT- 2007/03/03 09:00 MHDA- 2008/03/26 09:00 CRDT- 2007/03/03 09:00 PHST- 2006/07/25 00:00 [received] PHST- 2006/11/13 00:00 [accepted] PHST- 2007/03/03 09:00 [pubmed] PHST- 2008/03/26 09:00 [medline] PHST- 2007/03/03 09:00 [entrez] AID - 10.1007/s11255-006-9157-7 [doi] PST - ppublish SO - Int Urol Nephrol. 2007;39(4):1069-77. doi: 10.1007/s11255-006-9157-7. Epub 2007 Mar 2.