Personalizing bladder treatment: could your other pills determine which drug works best?
NCT ID NCT07711808
First seen Jul 17, 2026 · Last updated Jul 17, 2026
Summary
This study compares two common medications for overactive bladder (OAB): solifenacin, which blocks nerve signals in the bladder, and mirabegron, which helps the bladder muscle relax. Researchers want to see if a person's 'anticholinergic burden'—the combined effect of other medications that also block those nerve signals—affects how well each drug works. Adults with newly diagnosed OAB who have not yet been treated will take one of the two drugs for two months, and their symptom improvement will be tracked.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- solifenacin or mirabegron
- What this could lead to
- If successful, this study could help doctors choose the most effective first-line OAB treatment based on a person's existing medications, improving symptom relief and quality of life.
- What could go wrong
- This is a relatively small, short-term study (2 months) and results may not apply to everyone. The findings depend on accurate measurement of anticholinergic burden, which can vary.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Phase
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Phase 4
Runs after approval, following long-term safety and how well the treatment works in everyday use.
- Participants
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About 208 people
The number the study aims to enrol. It can still change while the study runs.
- Expected to start
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Jul 2026
An estimate. Start dates often move.
- Expected to finish
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Aug 2027
An estimate. End dates often move.
- Lead sponsor
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Other sponsor
The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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18 years and older
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: * Adult patients with a clinical diagnosis of overactive bladder syndrome. * Treatment-naïve for OAB pharmacotherapy (no prior antimuscarinic or mirabegron for OAB). * Able to complete the ICIQ-OAB questionnaire and a frequency-volume chart. * Written informed consent. Exclusion Criteria: * Neurogenic bladder. * Previous treatment with anticholinergics or mirabegron for OAB. * History of pelvic radiotherapy or bladder cancer. * Post-void residual volume \> 200 mL. * Clinically significant stress urinary incontinence. * Chronic pelvic pain syndrome. * Congenital urinary tract malformations. * Prior bladder surgery; history of mid-urethral sling or prostate surgery. * Contraindication to solifenacin or mirabegron. * End-stage renal disease on dialysis.
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
How to take part
Only the study team decides who joins. These are the ways to reach them.
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The official record
The full official record for this study. This one lists no contact details, but it is the first place any would appear.
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A doctor treating you
A doctor who knows your case can contact a study site on your behalf, and can tell you whether this study is worth pursuing at all.
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Other studies related to the condition(s) this trial covers.
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