Evidence map›Paper›PMID 34537953›Full record

SynthesisAdvances in therapy2021

Efficacy of Vibegron and Mirabegron for Overactive Bladder: A Systematic Literature Review and Indirect Treatment Comparison.

Michael J Kennelly, Thomas Rhodes, Cynthia J Girman, Elizabeth Thomas, Denise Shortino, Paul N Mudd

Abstract readSystematic Review
In one paragraph

Synthesis in Advances in therapy, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed, 2 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

14 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Review
  4. βNeurourology and urodynamics · 2025
    Review
  5. Article
  6. Article
  7. Article
  8. Is the βBiomolecules · 2023
    Review
  9. Article
  10. Review
  11. Review
  12. Review
  13. Article
  14. Pharmacological Management of Urinary Incontinence: Current and Emerging Treatment.Clinical pharmacology : advances and applications · 2021
    Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Michael J KennellyDepartment of Urology, Obstetrics and Gynecology, Carolinas Medical Center, 2001 Vail Ave, Suite 360, Charlotte, NC, 28207, USA. Michael.Kennelly@atriumhealth.org.ORCID http://orcid.org/0000-0002-7044-506X
Thomas RhodesCERobs Consulting, LLC, Chapel Hill, NC, USA.
Cynthia J GirmanCERobs Consulting, LLC, Chapel Hill, NC, USA.
Elizabeth ThomasUrovant Sciences, Irvine, CA, USA.
Denise ShortinoUrovant Sciences, Irvine, CA, USA.
Paul N MuddUrovant Sciences, Irvine, CA, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundIn the absence of head-to-head trials, we performed an indirect treatment comparison of the β

methodsPubMed, Embase, and Cochrane Library were searched for articles related to phase 3, double-blind, controlled trials of vibegron 75 mg and mirabegron 25/50 mg in patients with OAB. Efficacy outcomes included change from baseline at weeks 4, 12, and 52 in mean daily number of total urinary incontinence episodes and micturitions and mean volume voided/micturition. Effect size was computed as placebo-subtracted change from baseline (weeks 4, 12) or active control (tolterodine)-subtracted change from baseline (week 52) for each treatment group. Adverse events (AEs) are presented descriptively.

resultsAfter removal of duplicates, 49 records were identified, and after screening 9 met inclusion criteria for analysis. Vibegron showed significantly greater reduction in mean daily number of total incontinence episodes than mirabegron 25 mg at week 4, mirabegron 50 mg (weeks 4, 52), and tolterodine (weeks 4, 12) (P < 0.05, each) and significantly greater improvement in volume voided versus mirabegron 25 mg (week 12), mirabegron 50 mg (weeks 12, 52), and tolterodine (week 4) (P < 0.05, each). Confidence intervals of point estimates overlapped zero for all other comparisons of vibegron and mirabegron (25 or 50 mg) or tolterodine, indicating no significant differences between treatments for these time/endpoints. Urinary tract infection, hypertension, and dry mouth were the most commonly occurring AEs for vibegron, mirabegron, and tolterodine, respectively, in the short-term trials; hypertension was the most commonly occurring AE with all three treatments in the long-term trials.

conclusionsVibegron was associated with significant improvement in total incontinence episodes versus mirabegron at 4 and 52 weeks and volume voided at 12 and 52 weeks. Improvement in micturitions was similar between vibegron and mirabegron or tolterodine. Incidence of AEs was generally comparable between vibegron and mirabegron.

Indexed as

Adrenergic beta-3 Receptor AgonistsUrinary Bladder, OveractiveAcetanilidesClinical Trials, Phase III as TopicDouble-Blind MethodHumansMuscarinic AntagonistsPyrimidinonesPyrrolidinesRandomized Controlled Trials as TopicThiazolesTreatment OutcomeAcetanilidesAdrenergic beta-3 Receptor AgonistsmirabegronMuscarinic AntagonistsN-(4-((5-(hydroxy(phenyl)methyl)pyrrolidin-2-yl)methyl)phenyl)-4-oxo-4,6,7,8-tetrahydropyrrolo(1,2-a)pyrimidine-6-carboxamidePyrimidinonesPyrrolidinesThiazolesAdrenergic agonistsOveractiveUrinary bladderUrinary incontinence

Identifiers

PMID34537953
PMCPMC8520873

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.