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+30 YEARS' GLOBAL EXPERIENCE
ACROSS MULTIPLE INDICATIONS1-4

 

UROLOGY

BOTOX® is indicated for the management of bladder dysfunctions in adult patients who are not adequately managed with anticholinergics: neurogenic detrusor overactivity with urinary incontinence due to subcervical spinal cord injury (traumatic or non-traumatic), or multiple sclerosis.5

+30 YEARS' GLOBAL EXPERIENCE ACROSS MULTIPLE INDICATIONS1-4

UROLOGY

BOTOX® is indicated for the management of bladder dysfunctions in adult patients who are not adequately managed with anticholinergics: neurogenic detrusor overactivity with urinary incontinence due to subcervical spinal cord injury (traumatic or non-traumatic), or multiple sclerosis.5

BOTOX® has safety and tolerability experience from +30 years of use in a range of conditions5-7

BOTOX® is generally well-tolerated in NDO5

Adapted from BOTOX® Summary of Product Characteristics. Accessed April 20245

§Procedure-related adverse reactions. **Elevated PVR not requiring catheterisation. Only in multiple sclerosis. aAdverse reactions occurring in the Phase 2 and pivotal Phase 3 clinical trials. bAdverse reactions occurring in the post-approval study of BOTOX® 100U in MS patients not catheterising at baseline. Please note, BOTOX® 100U is not licensed for NDO.


Clean intermittent catheterisation (CIC) rates in NDO5

Adapted from BOTOX® Summary of Product Characteristics. Accessed April 20245

Study context: Two double-blind, placebo controlled, randomised phase 3 clinical studies, in 691 patients with urinary incontinence due to NDO. To compare the change in baseline for BOTOX® versus placebo. The primary endpoint was the mean change at week 6 in weekly frequency of urinary incontinence.5


CIC rates are higher in NDO than OAB5, however QoL was still improved in de novo catheterisers8

BOTOX® in NDO: Urinary retention 17% BOTOX® (n=227) vs 3% placebo (n=241)5

MS – 29% BOTOX® vs 4% placebo5; SCI – 5% BOTOX® vs 1% placebo5

QoL scores improved with BOTOX® regardless of whether patients needed to CIC or not8

Adapted from Allergan Ltd. Data on File 0408

Study context: The pooled results of two multicenter, double-blind, randomised, placebo-controlled, parallel group phase 3 clinical studies, in 142 patients with urinary incontinence due to NDO, to compare the safety and efficacy of BOTOX® versus placebo. The primary endpoint for both studies was the number of weekly episodes of urinary incontinence.8

Mean baseline scores: BOTOX® 200U non-CIC 31.33, BOTOX® 200U CIC 34.85.


CIC: clean intermittent catheterisation; I-QoL: incontinence quality of life; MS: multiple sclerosis; NDO: neurogenic detrusor overactivity; OAB: overactive bladder; QoL: quality of life; SCI: spinal cord injury; UI: urinary incontinence.

 

References

  1. Allergan. Data on file. INT/0423/2016
  2. Aurora S K, Winner P et al. Onabotulinum toxin A for treatment of chronic migraine: pooled analyses of the 56-week PREEMPT clinical program. Headache. 2011;51(9):1358-1373
  3. Blumenfeld A M, Stark R J et al. Long-term study of the efficacy and safety of Onabotulinum toxin A for the prevention of chronic migraine: COMPEL study. J Headache Pain. 2018;19(1):13
  4. AbbVie Data on file. Approval Dates for BOTOX® in UK. UK-BTX-230044. April 2023
  5. BOTOX® Summary of Product Characteristics. Available from: https://www.medicines.org.uk/emc/product/859/smpc. Accessed April 2024
  6. Allergan. Data on file. INT/0423/2016(1). 2018
  7. Allergan. Data on file. INT/0572/2016(2). 2019
  8. Allergan Ltd. Data on File 040

 

References

  1. Allergan. Data on file. INT/0423/2016
  2. Aurora S K, Winner P et al. Onabotulinum toxin A for treatment of chronic migraine: pooled analyses of the 56-week PREEMPT clinical program. Headache. 2011;51(9):1358-1373
  3. Blumenfeld A M, Stark R J et al. Long-term study of the efficacy and safety of Onabotulinum toxin A for the prevention of chronic migraine: COMPEL study. J Headache Pain. 2018;19(1):13
  4. AbbVie Data on file. Approval Dates for BOTOX® in UK. UK-BTX-230044. April 2023
  5. BOTOX® Summary of Product Characteristics. Available from: https://www.medicines.org.uk/emc /product/859/smpc. Accessed April 2024
  6. Allergan. Data on file. INT/0423/2016(1). 2018
  7. Allergan. Data on file. INT/0572/2016(2). 2019
  8. Allergan Ltd. Data on File 040

Please refer to the BOTOX® Summary of Product Characteristics for further information on adverse events, contraindications and special warnings and precautions for use.

 

Adverse events should be reported. Reporting forms and information can be found at https://yellowcard.mhra.gov.uk/

Adverse events should also be reported to AbbVie on GBPV@abbvie.com 

 

Date of preparation: April 2024. UK-BUO-240014.