PMID- 28120446 OWN - NLM STAT- MEDLINE DCOM- 20170606 LR - 20170606 IS - 1757-5672 (Electronic) IS - 1757-5664 (Linking) VI - 9 IP - 1 DP - 2017 Jan TI - Phase III Study to Assess Long-Term (52-Week) Safety and Efficacy of Mirabegron, a beta(3) -Adrenoceptor Agonist, in Japanese Patients with Overactive Bladder. PG - 38-45 LID - 10.1111/luts.12107 [doi] AB - OBJECTIVES: To investigate safety, tolerability and efficacy of long-term (52 weeks) open-label treatment with mirabegron 50 mg, with an optional dose increase to 100 mg, in patients with overactive bladder (OAB). METHODS: Patients received mirabegron 50 mg once daily for 52 weeks. If efficacy was insufficient at week 8, the dose could be increased to 100 mg. Safety was evaluated based on vital signs, adverse events (AEs), laboratory findings, electrocardiogram and post-void residual volume. Treatment efficacy was assessed with a 3-day micturition diary and the King's Health Questionnaire (KHQ). RESULTS: Two hundred and four patients were enrolled; mirabegron dose was maintained at 50 mg in 153 patients and increased to 100 mg in 50 patients. Mirabegron was well tolerated at both doses. Incidences of AEs and treatment-related AEs were 91.4% and 33.6% in patients on 50 mg, and 100% and 30.0% in patients on 100 mg, respectively. Time course changes in systolic or diastolic blood pressure and pulse rate were not considered clinically significant. At the end of treatment (EOT), patients on 50 mg and 100 mg showed improvement in frequency and urgency. Improvements from baseline to EOT in quality of life scores were observed for all KHQ domains. CONCLUSIONS: There were no safety or tolerability concerns associated with mirabegron 50 mg (with an optional dose increase to 100 mg) over 52 weeks. Improvement in micturition variables was maintained with mirabegron 50 mg from weeks 8 to 52. CI - (c) 2015 Wiley Publishing Asia Pty Ltd. FAU - Yamaguchi, Osamu AU - Yamaguchi O AD - Division of Bioengineering and LUTD Research, Nihon University, School of Engineering, Koriyama, Japan. FAU - Ikeda, Yasushi AU - Ikeda Y AD - Astellas Pharma Inc, Tokyo, Japan. FAU - Ohkawa, Sumito AU - Ohkawa S AD - Astellas Pharma Inc, Tokyo, Japan. LA - eng PT - Clinical Trial, Phase III PT - Journal Article PT - Multicenter Study PT - Randomized Controlled Trial DEP - 20150707 PL - Australia TA - Low Urin Tract Symptoms JT - Lower urinary tract symptoms JID - 101506777 RN - 0 (Acetanilides) RN - 0 (Adrenergic beta-3 Receptor Agonists) RN - 0 (Thiazoles) RN - MVR3JL3B2V (mirabegron) SB - IM MH - Acetanilides/*administration & dosage/adverse effects MH - Adrenergic beta-3 Receptor Agonists/*administration & dosage/adverse effects MH - Adult MH - Aged MH - Aged, 80 and over MH - Drug Administration Schedule MH - Female MH - Humans MH - Male MH - Middle Aged MH - Quality of Life MH - Thiazoles/*administration & dosage/adverse effects MH - Treatment Outcome MH - Urinary Bladder, Overactive/*drug therapy MH - Urinary Incontinence, Urge/drug therapy MH - Young Adult OTO - NOTNLM OT - dose titration OT - long-term OT - mirabegron OT - overactive bladder EDAT- 2017/01/26 06:00 MHDA- 2017/06/07 06:00 CRDT- 2017/01/26 06:00 PHST- 2015/03/12 00:00 [received] PHST- 2015/04/28 00:00 [revised] PHST- 2015/05/07 00:00 [accepted] PHST- 2017/01/26 06:00 [entrez] PHST- 2017/01/26 06:00 [pubmed] PHST- 2017/06/07 06:00 [medline] AID - 10.1111/luts.12107 [doi] PST - ppublish SO - Low Urin Tract Symptoms. 2017 Jan;9(1):38-45. doi: 10.1111/luts.12107. Epub 2015 Jul 7.