PMID- 30350884 OWN - NLM STAT- MEDLINE DCOM- 20200123 LR - 20200123 IS - 1520-6777 (Electronic) IS - 0733-2467 (Linking) VI - 38 IP - 1 DP - 2019 Jan TI - Meta-analysis of the efficacy and safety of mirabegron and solifenacin monotherapy for overactive bladder. PG - 22-30 LID - 10.1002/nau.23863 [doi] AB - AIM: We conducted a meta-analysis to evaluate the safety and efficacy of mirabegron (50 mg) and solifenacin (5 mg) monotherapy for overactive bladder (OAB) during a 12-week cycle. METHODS: Randomized controlled trials (RCTs) of mirabegron and solifenacin for OAB were searched systematically by using MEDLINE, EMBASE, and the Cochrane Controlled Trials Register. The reference lists of retrieved studies were also perused. RESULTS: Five RCTs which compared solifenacin with mirabegron were studied. Mirabegron achieved the same effect as solifenacin in treating OAB. The mean number of incontinence episodes per 24 h (P = 0.20), mean number of micturitions per 24 h (P = 0.11), mean number of urgency episodes per 24 h (P = 0.23), and mean volume voided per micturition (P = 0.05) suggested that mirabegron and solifenacin had no significant differences in terms of OAB treatment. With regard to drug-related treatment-emergent adverse events (DR-TEAEs) and dry mouth, mirabegron showed better tolerance than solifenacin. Post-voiding residual volume showed a distinct difference in the two groups. Hypertension and tachycardia did not show a significant difference between the two groups, but the pulse rate did. CONCLUSION: The therapeutic effect of mirabegron is similar to that of solifenacin, and mirabegron does not increase the risk of adverse events (AEs). CI - (c) 2018 Wiley Periodicals, Inc. FAU - Wang, Jipeng AU - Wang J AUID- ORCID: 0000-0002-3240-7863 AD - Department of Urology, The Affiliated Yantai Yuhuangding Hospital of Qingdao University, Yantai, Shandong, China. FAU - Zhou, Zhongbao AU - Zhou Z AUID- ORCID: 0000-0002-9810-8145 AD - Department of Urology, The Affiliated Yantai Yuhuangding Hospital of Qingdao University, Yantai, Shandong, China. FAU - Cui, Yuanshan AU - Cui Y AD - Department of Urology, The Affiliated Yantai Yuhuangding Hospital of Qingdao University, Yantai, Shandong, China. FAU - Li, Yongwei AU - Li Y AD - Department of Urology, The Affiliated Yantai Yuhuangding Hospital of Qingdao University, Yantai, Shandong, China. FAU - Yuan, Hejia AU - Yuan H AD - Department of Urology, The Affiliated Yantai Yuhuangding Hospital of Qingdao University, Yantai, Shandong, China. FAU - Gao, Zhenli AU - Gao Z AD - Department of Urology, The Affiliated Yantai Yuhuangding Hospital of Qingdao University, Yantai, Shandong, China. FAU - Zhu, Zhe AU - Zhu Z AD - Department of Stem Cell Biology and Regenerative Medicine, Lerner Research Institute, Cleveland Clinic, Cleveland, Ohio. FAU - Wu, Jitao AU - Wu J AD - Department of Urology, The Affiliated Yantai Yuhuangding Hospital of Qingdao University, Yantai, Shandong, China. LA - eng PT - Journal Article PT - Meta-Analysis PT - Review DEP - 20181023 PL - United States TA - Neurourol Urodyn JT - Neurourology and urodynamics JID - 8303326 RN - 0 (Acetanilides) RN - 0 (Thiazoles) RN - 0 (Urological Agents) RN - KKA5DLD701 (Solifenacin Succinate) RN - MVR3JL3B2V (mirabegron) SB - IM CIN - Neurourol Urodyn. 2019 Aug;38(6):1792. PMID: 31157924 MH - Acetanilides/adverse effects/*therapeutic use MH - Humans MH - Randomized Controlled Trials as Topic MH - Solifenacin Succinate/adverse effects/*therapeutic use MH - Thiazoles/adverse effects/*therapeutic use MH - Urinary Bladder, Overactive/*drug therapy MH - Urological Agents/adverse effects/*therapeutic use OTO - NOTNLM OT - meta-analysis OT - mirabegron OT - overactive bladder OT - randomized controlled trials OT - solifenacin EDAT- 2018/10/24 06:00 MHDA- 2020/01/24 06:00 CRDT- 2018/10/24 06:00 PHST- 2018/05/19 00:00 [received] PHST- 2018/09/12 00:00 [accepted] PHST- 2018/10/24 06:00 [pubmed] PHST- 2020/01/24 06:00 [medline] PHST- 2018/10/24 06:00 [entrez] AID - 10.1002/nau.23863 [doi] PST - ppublish SO - Neurourol Urodyn. 2019 Jan;38(1):22-30. doi: 10.1002/nau.23863. Epub 2018 Oct 23.