Daily pill aims to improve bladder function in children with spinal conditions
NCT ID NCT05491525
First seen Jun 27, 2026 · Last updated Jun 27, 2026
Summary
This study tests a daily pill called vibegron to see if it safely improves bladder control in children aged 2 to 18 with neurogenic detrusor overactivity (NDO), a condition where the bladder contracts too often due to nerve damage. Participants must already use a catheter to empty their bladder. The trial measures changes in bladder capacity and pressure during filling, aiming to reduce leakage and improve quality of life.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- vibegron
- What this could lead to
- If successful, vibegron could offer a new oral treatment option to help children with neurogenic bladder hold more urine and reduce involuntary bladder contractions.
- What could go wrong
- This is an early-to-mid-stage trial with no placebo group, so results may be less definitive. Side effects or lack of efficacy could limit its use.
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 2/3
Runs two stages together: whether the treatment works, then large-scale confirmation.
- Participants
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About 71 people
The number the study aims to enrol. It can still change while the study runs.
- Started
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Oct 2022
- Expected to finish
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Sep 2030
An estimate. End dates often move.
- Lead sponsor
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A company
The lead sponsor is a pharmaceutical, biotech, or medical-device company.
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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2 to 17 years
- 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: * Male or female participants, age 2 years to \< 18 years and weighing at least 11 kg at the Screening Visit. * Participant has been diagnosed with NDO due to one of the following: spinal dysraphism, which includes spina bifida (eg, myelomeningocele, meningocele) and all forms of tethered cord; or acquired NDO from a spinal cord injury or spinal cord surgery, with the injury/surgery having occurred at least 6 months prior to the Screening Visit; or acquired NDO due to transverse myelitis with diagnosis at least 12 months prior to the Screening Visit. * Participant undergoes CIC at least 3 times per 24 hours (with the last CIC performed prior to going to sleep for the night) for at least 4 weeks prior to the Screening Visit. Exclusion Criteria: * Participant has cerebral palsy, uncontrolled epilepsy, diabetes insipidus, or Stage 2 hypertension * Participant has an active malignancy in the 12 months prior to the Screening Visit. * Participant has been administered intravesical botulinum toxin within 9 months prior to the Screening Visit and should remain off this therapy during the study. * Participant is taking digoxin or lithium within 10 days prior to Screening Visit or plans to start taking either during the study. * Participant currently uses or plans to use a baclofen pump during the study. * Participant has had urethral dilatation or urethral surgery in the 3 months prior to the Screening Visit. * Participant has undergone bladder augmentation surgery. * Participant has a known genitourinary condition (other than NDO) that may cause overactive contractions or incontinence (bladder exstrophy, urinary tract obstruction, urethral diverticulum or fistula) or bladder stones or another persistent urinary tract pathology that may cause symptoms. * Participant has an insufficient urethral sphincter, has had implantation of an artificial sphincter, has a surgically-treated underactive urethral sphincter, or, in the 6 months prior to the Screening Visit, has undergone pelvic gender reassignment surgery. * Participant has one of the following gastrointestinal problems: partial or complete obstruction, decreased motility such as paralytic ileus, risk of gastric retention, or malabsorption syndrome of any form. * Participant has acute fecal impaction or, within the 3 months prior to the Screening Visit, had fecal impaction that required hospitalization or ambulatory surgical treatment. * Participant had a urinary indwelling catheter in the 4 weeks prior to the Screening Visit. * Participant has moderate to severe dilating vesicoureteral reflux (Grade IV to V) or severe renal failure. * Participant started electrostimulation/neuromodulation therapy in the 4 weeks before the Screening Visit, or is expected to start this therapy during the study period. * Participant has participated in another clinical trial and/or has taken an investigational drug within 4 weeks prior to the Screening Visit. * Participant is unable, or parent/caregiver is not willing, to washout any medication for the management of NDO. * Participant is a female of childbearing potential who is unwilling or unable to use a highly effective method of contraception for the duration of the study. * Female participants who are currently breastfeeding or plan to breastfeed any time from the Screening Visit until 28 days after the final study drug administration.
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Get notified about this study
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Genom att skicka in godkänner du våra Användarvillkor
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 study's own enquiry address
This study publishes an address for enquiries. See it below .
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The places running it
32 sites in 15 countries. The list below names each one and where it is.
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The official record
ClinicalTrials.gov lists the study team's own contact details, including names and phone numbers. We don't republish those.
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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.
Contacts and locations
Show contact details
Enter your email to view the contact information for this study.
Genom att skicka in godkänner du våra Användarvillkor
Study contacts
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Contact
Email: •••••@•••••
Locations
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Aarhus University Hospital - Department of Paediatrics and Adolescent Medicine
RECRUITINGAarhus, 8200, Denmark
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Albany Medical College
RECRUITINGAlbany, New York, 12208, United States
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Alberta Children's Hospital
RECRUITINGCalgary, Alberta, T3B 6A8, Canada
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Ankara University Faculty of Medicine Ibni Sina Hospital
RECRUITINGAnkara, Altindag, 6230, Turkey (Türkiye)
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Arkansas Childrens Hospital
RECRUITINGLittle Rock, Arkansas, 72202, United States
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Children and Youth Health Care Institute of Vojvodina
RECRUITINGNovi Sad, 21000, Serbia
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Children's Hospital Colorado
RECRUITINGAurora, Colorado, 800045, United States
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Children's Hospital of Orange County
TERMINATEDOrange, California, 92868-4568, United States
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Childrens Clinical University Hospital
WITHDRAWNRiga, LV-1004, Latvia
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Childrens Hospital New Orleans
WITHDRAWNNew Orleans, Louisiana, 70118, United States
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Detská fakultná nemocnica s poliklinikou/Národný ústav detských chorôb (NÚDCH)
RECRUITINGBratislava, 83301, Slovakia
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Duke University Medical Center
TERMINATEDDurham, North Carolina, 27710, United States
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Hospital Umum Sarawak
RECRUITINGKuching, Sarawak, 93586, Malaysia
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Hospital of Lithuanian University of Health Sciences Kauno klinikos
RECRUITINGKaunas, LT-50161, Lithuania
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Institutul Clinic Fundeni
RECRUITINGBucharest, Bucharest, 22328, Romania
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Instytut Pomnik - Centrum Zdrowia Dziecka
RECRUITINGWarsaw, 04-736, Poland
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Irbid Specialty Hospital
RECRUITINGIrbid, 21110, Jordan
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Istiklal Hospital
RECRUITINGAmman, 11821, Jordan
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JSC Evex Hospital M. lashvili Childrens Central Hospital
RECRUITINGTbilisi, 0159, Georgia
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Jordan University Hospital
RECRUITINGAmman, 11942, Jordan
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Kuala Lumpur Hospital
RECRUITINGKuala Lumpur, Kuala Lumpur, 50586, Malaysia
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Maria Sklodowska Curie Childrens Clinical Emergency Hospital
RECRUITINGBucharest, Bucharest, 41451, Romania
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Mersin University, Dept. of Urology
RECRUITINGYenişehir, 33343, Turkey (Türkiye)
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National Children's Hospital
RECRUITINGQuezon City, National Capital Region, 1102, Philippines
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Nemours Childrens Health, Jacksonville
RECRUITINGJacksonville, Florida, 32207, United States
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Oregon Health & Science University
WITHDRAWNPortland, Oregon, 97239, United States
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SUNY Upstate Medical University
RECRUITINGSyracuse, New York, 13210, United States
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The Hospital for Sick Children
RECRUITINGToronto, Ontario, M5G 1E8, Canada
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UZ Gent
RECRUITINGGhent, East Flanders, 9000, Belgium
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Universitair Ziekenhuis Antwerpen
WITHDRAWNEdegem, Antwerpen, 2650, Belgium
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University Children's Hospital Tirsova
RECRUITINGBelgrade, 11000, Serbia
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University Hospital Split - KBC Split
RECRUITINGSplit, 21000, Croatia
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University of Oklahoma
RECRUITINGOklahoma City, Oklahoma, 73104, United States
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Uniwersytecki Dzieciecy Szpital Kliniczny im. L. Zamenhofa
RECRUITINGBialystok, 15-274, Poland
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Uniwersyteckie Centrum Kliniczne
RECRUITINGGdansk, 80-952, Poland
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Urologická ambulancia J. BREZA MEDICAL s.r.o.
RECRUITINGBratislava, 85101, Slovakia
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Vilnius University Hospital Santaros Klinikos
RECRUITINGVilnius, LT-08406, Lithuania
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Wichita Urology Group
RECRUITINGWichita, Kansas, 67226, United States
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