Persistence in the treatment of overactive bladder syndrome (OAB) with mirabegron in a multicenter clinical study

The objective of this project was to evaluate treatment persistence in patients being treated for overactive bladder syndrome (OAB) with mirabegron, employing clinical follow-up in a prospective, multicenter study.

This is an analysis of patients who started treatment with mirabegron between May and September 2014 and were evaluated 1year after treatment commenced. During this evaluation we determined how many patients stopped treatment and established their reasons for discontinuation.

206 patients being treated for OAB with mirabegron were evaluated a year after starting treatment. It emerged that 60 patients (29.1%) had discontinued the treatment, citing the following reasons: 24/60 insufficient treatment efficacy, 26/60 other reasons, while 10 members of the group discontinued treatment because of side effects. 75 out of 206 patients were ≤60 years old and 28% terminated the study prematurely: 131 out of 206 were >60years old and 29.2% terminated the study prematurely. In the group of patients without previous OAB treatment 35.7% discontinued treatment with mirabegron, while 28.1% of patients with previous anticholinergic treatment discontinued treatment.

In our clinical prospective multicenter study, persistence in treatment with mirabegron reached a figure of 71%.

European journal of obstetrics, gynecology, and reproductive biology. 2016 Dec 23 [Epub ahead of print]

Alois Martan, Jaromir Masata, Jan Krhut, Roman Zachoval, Tomas Hanus, Kamil Svabik

Department of Obstetrics and Gynecology, 1st Faculty of Medicine, Charles University and General University Hospital in Prague, Czechia. Electronic address: ., Department of Obstetrics and Gynecology, 1st Faculty of Medicine, Charles University and General University Hospital in Prague, Czechia. Electronic address: ., Department of Urology, University Hospital in Ostrava, Czechia. Electronic address: ., Department of Urology, Thomayer Hospital in Prague, Czechia. Electronic address: ., Department of Urology, 1st Faculty of Medicine, Charles University and General University Hospital in Prague, Czechia. Electronic address: ., Department of Obstetrics and Gynecology, 1st Faculty of Medicine, Charles University and General University Hospital in Prague, Czechia. Electronic address: .

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