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* Full Prescribing Information * Important Safety Information * Urology Resources * Patient Site * Request a Rep Menu * Home * Mechanism of Action * Efficacy * Study Design * Efficacy Results * Adults ≥65 (PILLAR): Study Design * Adults ≥65 (PILLAR): Efficacy Results * Safety * Safety Results * Adults ≥65 (PILLAR): Safety Results * Dosing & Administration * Dosing * Drug-to-Drug Interactions * Combination Treatment * MOA * Combination Therapy * Add-on Therapy * Safety * Dosing * Support * Patient Support * Savings & Support * Physician Support * Full Prescribing Information * Important Safety Information * Urology Resources * Patient Site * Request a Rep Request Samples Study Design Efficacy Results Adults ≥65 (PILLAR): Study Design Adults ≥65 (PILLAR): Efficacy Results Safety Results Adults ≥65 (PILLAR): Safety Results Dosing Drug-to-Drug Interactions MOA Combination Therapy Add-on Therapy Safety Dosing Patient Resources Savings & Support Physician Resources Safety and efficacy Medicare Part D coverage Previous section Mechanism of Action Next section Safety Efficacy GO WITH EFFICACY FOR INCONTINENCE AND MICTURITION FREQUENCY1 STUDY DESIGN: MONOTHERAPY Myrbetriq was evaluated in three 12‑week, double‑blind, randomized, placebo‑controlled, parallel‑group, multicenter clinical trials in adult patients with overactive bladder (OAB) with symptoms of urge urinary incontinence, urgency, and urinary frequency (Studies 1, 2, and 3). ENTRY CRITERIA * OAB symptoms for ≥3 months * ≥8 micturitions per day * ≥3 episodes of urgency with or without incontinence over a 3 day period EFFICACY ENDPOINTS IN STUDIES 1, 2, AND 3 Change from baseline to end of treatment (Week 12) in: * Mean number of incontinence episodes per 24 hours (co‑primary) * Mean number of micturitions per 24 hours, based on a 3 day micturition diary (co‑primary) * Mean volume voided per micturition (secondary) CLINICAL STUDIES: MONOTHERAPY EFFICACY DEMONSTRATED IN THREE 12-WEEK, DOUBLE-BLIND, PLACEBO-CONTROLLED PHASE III STUDIES1 Fewer episodes of incontinence Reduced micturition frequency Greater volume voided Reduced Incontinence MYRBETRIQ SIGNIFICANTLY REDUCED INCONTINENCE EPISODES PER 24 HOURS1 CO-PRIMARY ENDPOINT Mean change from baseline to end treatment (Week 12) in number of incontinence episodes per 24 hours (Full Analysis Set-Incontinence [FAS-I])1-5*†‡ * Study 1 * Study 2 * Study 3 Study 1 - View More Data Study 2 - View More Data Study 3 - View More Data MYRBETRIQ WAS EFFECTIVE IN TREATING THE SYMPTOMS OF OVERACTIVE BLADDER (OAB): * Myrbetriq 25 mg: Within 8 weeks * Myrbetriq 50 mg: Within 4 weeks The efficacy of Myrbetriq 25 mg and 50 mg was maintained through the 12-week treatment period.1 *For incontinence episodes per 24 hours, the analysis population is restricted to patients with ≥1 episode of incontinence at baseline. †Adjusted mean for baseline, gender, and geographic region. ‡This population includes patients randomized to placebo and Myrbetriq 50 mg in Studies 1 and 2. §Statistically significant vs placebo at the 0.05 level with multiplicity adjustment. Reduced Micturition Frequency MYRBETRIQ SIGNIFICANTLY REDUCED MICTURITION FREQUENCY PER 24 HOURS1 CO-PRIMARY ENDPOINT Mean change from baseline to end of treatment (Week 12) in number of micturitions per 24 hours1-5* * Study 1 * Study 2 * Study 3 Study 1 - View More Data Study 2 - View More Data Study 3 - View More Data MYRBETRIQ WAS EFFECTIVE IN TREATING THE SYMPTOMS OF OVERACTIVE BLADDER (OAB): * Myrbetriq 25 mg: Within 8 weeks * Myrbetriq 50 mg: Within 4 weeks The efficacy of Myrbetriq 25 mg and 50 mg was maintained through the 12-week treatment period.1 *Adjusted mean for baseline, gender, and geographic region. †Statistically significant vs placebo at the 0.05 level with multiplicity adjustment. Increased Volume Voided MYRBETRIQ INCREASED THE MEAN VOLUME OF URINE VOIDED PER MICTURITION1 SECONDARY ENDPOINT Mean change from baseline to end of treatment (Week 12) in volume of urine (mL) voided per micturition1-5* * Study 1 * Study 2 * Study 3 *Adjusted mean for baseline, gender, and geographic region. †Statistically significant vs placebo at the 0.05 level with multiplicity adjustment. ‡Myrbetriq 25 mg did not demonstrate statistical significance for change in volume voided per micturition. ELDERLY PATIENT SUBGROUP ANALYSIS OVERACTIVE BLADDER (OAB) PREVALENCE * The prevalence of OAB symptoms increases with age in both men and women6 * OAB has a prevalence of ~15% among those aged ≥65 and 30–40% among those aged ≥757 MYRBETRIQ MONOTHERAPY IN ELDERLY PATIENT POPULATIONS * No overall differences in safety or effectiveness were observed between patients <65 years and those ≥65 years of age in the Phase II and III studies of Myrbetriq1* * The pharmacokinetics of Myrbetriq were similar in elderly and younger volunteers1† *Of 5648 patients who received Myrbetriq monotherapy in the Phase II and III studies for OAB, 2029 (35.9%) were 65 years of age or older, and 557 (9.9%) were 75 years of age or older. All patients were ≥18 years of age.1 †The Cmax and area under curve (AUC) of Myrbetriq following multiple oral doses in elderly volunteers (≥65 years) were similar to those in younger volunteers (18 to 45 years).1 To see the safety results, including a subset analysis of elderly patients, click here STUDY DESIGN: PILLAR, THE FIRST PROSPECTIVE STUDY OF MYRBETRIQ IN ADULTS ≥65 EFFICACY DEMONSTRATED IN A DOUBLE-BLIND, RANDOMIZED, PLACEBO-CONTROLLED, PARALLEL-GROUP, MULTICENTER PHASE IV STUDY8 ENTRY CRITERIA * Male and female community-dwelling patients ≥65 years of age * Wet OAB symptoms (defined as urgency, urinary frequency, and urinary incontinence) for ≥3 months * ≥8 micturition episodes per 24 hours * ≥3 urgency episodes * ≥1 urinary incontinence episode EFFICACY ENDPOINTS * Co-primary Endpoint: Change from baseline to end of treatment (EoT) in the mean number of urinary incontinence episodes per 24 hours * Co-primary Endpoint: Change from baseline to EoT in the mean number of micturitions per 24 hours * Secondary Endpoint: Change from baseline to EoT in mean volume voided per micturition TREATMENT ARMS AND TIMELINE After a 2-week placebo run-in period, those who entered the 12-week treatment period were randomized to Myrbetriq 25 mg or placebo and were given the option to increase to 50 mg at Week 4 or Week 8 based on individual efficacy, tolerability, and investigator discretion. This study was designed to detect a difference between placebo and total mirabegron groups and not for each individual mirabegron dosing group. EoT = End of Treatment PILLAR EFFICACY RESULTS Reduced Incontinence MYRBETRIQ SIGNIFICANTLY REDUCED THE MEAN NUMBER OF INCONTINENCE EPISODES PER 24 HOURS IN PATIENTS ≥65 YEARS OF AGE8 CO-PRIMARY ENDPOINT Change from baseline to end of treatment (EoT) in mean number of urinary incontinence episodes per 24 hours8 * 38% of elderly patients receiving Myrbetriq achieved zero incontinence vs 30% in the placebo group (OR 1.50, 95% CI 1.09, 2.06). * 38% of elderly patients receiving Myrbetriq achieved zero incontinence vs 30% in the placebo group (OR 1.50, 95% CI 1.09, 2.06). Reduced Micturition Frequency MYRBETRIQ SIGNIFICANTLY REDUCED THE MEAN NUMBER OF MICTURITIONS PER 24 HOURS IN PATIENTS ≥65 YEARS OF AGE8 CO-PRIMARY ENDPOINT Change from baseline to EoT in the mean number of micturitions per 24 hours8 Increased Volume Voided MYRBETRIQ INCREASED THE MEAN VOLUME OF URINE VOIDED PER MICTURITION IN PATIENTS ≥65 YEARS OF AGE8 SECONDARY ENDPOINT Change from baseline to EoT in mean volume voided per micturition8 To see PILLAR safety results in patients ≥65 years of age, click here INTERESTED IN LEARNING MORE? You can request a visit from one of our sales representatives to learn more about Myrbetriq. Submit your request here Previous section Mechanism of Action Next section Safety STUDY 1 – INCONTINENCE DATA Mean change from baseline in mean number of incontinence episodes per 24 hours1* *Efficacy statements cannot be derived from this analysis and can only be made from the ANCOVA analysis of the co‑primary endpoints at final visit. STUDY 2 – INCONTINENCE DATA Mean change from baseline in mean number of incontinence episodes per 24 hours1* *Efficacy statements cannot be derived from this analysis and can only be made from the ANCOVA analysis of the co‑primary endpoints at final visit. STUDY 3 – INCONTINENCE DATA Mean change from baseline in mean number of incontinence episodes per 24 hours1* *Efficacy statements cannot be derived from this analysis and can only be made from the ANCOVA analysis of the co‑primary endpoints at final visit. STUDY 1 – MICTURITION FREQUENCY DATA Mean change from baseline in mean number of micturitions per 24 hours1* *Efficacy statements cannot be derived from this analysis and can only be made from the ANCOVA analysis of the co‑primary endpoints at final visit. STUDY 2 – MICTURITION FREQUENCY DATA Mean change from baseline in mean number of micturitions per 24 hours1* *Efficacy statements cannot be derived from this analysis and can only be made from the ANCOVA analysis of the co‑primary endpoints at final visit. STUDY 3 – MICTURITION FREQUENCY DATA Mean change from baseline in mean number of micturitions per 24 hours1* *Efficacy statements cannot be derived from this analysis and can only be made from the ANCOVA analysis of the co‑primary endpoints at final visit. Important Safety Information, Indications and Usage Show more Show less Show less INDICATIONS AND USAGE MYRBETRIQ® (mirabegron extended-release tablets), either alone or in combination with the muscarinic antagonist solifenacin succinate, is indicated for the treatment of overactive bladder (OAB) in adult patients with symptoms of urge urinary incontinence, urgency, and urinary frequency. IMPORTANT SAFETY INFORMATION Myrbetriq® (mirabegron extended-release tablets) is contraindicated in patients with known hypersensitivity reactions to mirabegron or any inactive ingredients of the tablet. MYRBETRIQ monotherapy or in combination with solifenacin succinate can increase blood pressure in adults. Periodic blood pressure determinations are recommended, especially in hypertensive patients. MYRBETRIQ is not recommended for use in patients with severe uncontrolled hypertension (defined as systolic blood pressure ≥ 180mm Hg and/or diastolic blood pressure ≥ 110mm Hg). Worsening of pre-existing hypertension was reported infrequently in patients taking MYRBETRIQ. MYRBETRIQ® (mirabegron extended-release tablets) is contraindicated in patients with known hypersensitivity reactions to mirabegron or any inactive ingredients of the tablet. MYRBETRIQ monotherapy or in combination with solifenacin succinate can increase blood pressure in adults. Periodic blood pressure determinations are recommended, especially in hypertensive patients. MYRBETRIQ is not recommended for use in patients with severe uncontrolled hypertension (defined as systolic blood pressure ≥ 180mm Hg and/or diastolic blood pressure ≥ 110mm Hg). Worsening of pre-existing hypertension was reported infrequently in patients taking MYRBETRIQ. In patients taking MYRBETRIQ, urinary retention has been reported in patients with bladder outlet obstruction (BOO) and in patients taking muscarinic antagonist medications for the treatment of OAB. A controlled clinical safety study in patients with BOO did not demonstrate increased urinary retention in patients treated with mirabegron; however, MYRBETRIQ should still be administered with caution to patients with clinically significant BOO. For example, monitor these patients for signs and symptoms of urinary retention. MYRBETRIQ should also be administered with caution to patients taking muscarinic antagonist medications for the treatment of OAB, including solifenacin succinate. Angioedema of the face, lips, tongue and/or larynx has been reported with MYRBETRIQ. In some cases, angioedema occurred after the first dose. Cases have been reported to occur hours after the first dose or after multiple doses. Angioedema, associated with upper airway swelling, may be life threatening. If involvement of the tongue, hypopharynx, or larynx occurs, promptly discontinue MYRBETRIQ and initiate appropriate therapy and/or measures necessary to ensure a patent airway. Since MYRBETRIQ is a moderate CYP2D6 inhibitor, the systemic exposure to CYP2D6 substrates is increased when co‐administered with MYRBETRIQ. Therefore, appropriate monitoring and dose adjustment may be necessary, especially with narrow therapeutic index drugs metabolized by CYP2D6. In clinical trials, the most commonly reported adverse reactions in adults (> 2% and > placebo) for MYRBETRIQ 25mg and 50mg versus placebo, respectively, were hypertension (11.3%, 7.5% vs. 7.6%), nasopharyngitis (3.5%, 3.9% vs. 2.5%), urinary tract infection (4.2%, 2.9% vs. 1.8%), and headache (2.1%, 3.2% vs. 3.0%). In clinical trials, the most commonly reported adverse reactions in adults (> 2% and > placebo and > comparator) for MYRBETRIQ in combination with solifenacin succinate 25mg + 5mg and 50mg + 5mg versus MYRBETRIQ 25mg, MYRBETRIQ 50mg, solifenacin succinate 5mg, and placebo, respectively, were dry mouth (9.3%, 7.2% vs. 3.8%, 3.6%, 6.5%, 2.2%), urinary tract infection (7.0%, 4.0% vs. 4.0%, 4.2%, 3.6%, 5.3%), constipation (4.2%, 3.9% vs. 1.2%, 2.8%, 2.4%, 1.2%), and tachycardia (2.2%, 0.9% vs. 1.6%, 1.6%, 0.7%, 0.8%). In postmarketing experience with mirabegron, the following events have also occurred: atrial fibrillation, nausea, diarrhea, and dizziness. Please refer to prescribing information for solifenacin succinate when prescribing MYRBETRIQ in combination with solifenacin succinate. Please click here for complete Prescribing Information for Myrbetriq® (mirabegron extended-release tablets) REFERENCES 1. Myrbetriq [package insert]. Northbrook, IL: Astellas Pharma US, Inc. 2. Khullar V, Amarenco G, Angulo JC, et al. Efficacy and tolerability of mirabegron, a β3-adrenoceptor agonist, in patients with overactive bladder: results from a randomised European-Australian phase 3 trial. Eur Urol 2013;63(2):283-95. 3. Nitti VW, Auerbach S, Martin N, Calhoun A, Lee M, Herschorn S. Results of a randomized phase III trial of mirabegron in patients with overactive bladder. J Urol 2013;189(4):1388-95. 4. Astellas. Myrbetriq. Data on File. 5. Herschorn S, Barkin J, Castro-Diaz D, et al. A phase III, randomized, double-blind, parallel-group, placebo-controlled, multicentre study to assess the efficacy and safety of the β3 adrenoceptor agonist, mirabegron, in patients with symptoms of overactive bladder. Urology 2013;82(2):313-20. Erratum in: Urology 2013;82(6):1457. 6. Coyne KS, Sexton CC, Vats V, Thompson C, Kopp ZS, Milsom I. National community prevalence of overactive bladder in the United States stratified by sex and age. Urology 2011;77(5):1081-7. 7. Wagg A, Cardozo L, Nitti VW, et al. The efficacy and tolerability of the β3-adrenoceptor agonist mirabegron for the treatment of symptoms of overactive bladder in older patients. Age Ageing 2014;43(5):666-75. 8. Wagg A, Staskin D, Engel E, Herschorn S, Kristy RM, Schermer CR. Efficacy, safety, and tolerability of mirabegron in patients aged ≥65yr with overactive bladder wet: a phase IV, double-blind, randomised, placebo-controlled study (PILLAR). Eur Urol 2020;77(2):211-20. * Home * Mechanism of Action * Efficacy * Study Design * Efficacy Results * Adults ≥65 (PILLAR): Study Design * Adults ≥65 (PILLAR): Efficacy Results * Safety * Safety Results * Adults ≥65 (PILLAR): Safety Results * Dosing & Administration * Dosing * Drug-to-Drug Interactions * Combination Treatment * MOA * Combination Therapy * Add-on Therapy * Safety * Dosing * Support * Patient Support * Savings & Support * Physician Support To learn more about patient assistance programs for Myrbetriq, please call Astellas Pharma Support SolutionsSM at 1‑800‑477‑6472 or go to www.astellaspharmasupportsolutions.com. Myrbetriq, VESIcare, Astellas, and the flying star logo are registered trademarks of Astellas Pharma, Inc. All other trademarks or registered trademarks are the property of their respective owners. This site is intended for US Healthcare Professionals only. ©2021 Astellas Pharma US, Inc. 055-0331-PM * Privacy Policy * Legal Disclaimer * Request a Rep * Contact Us * Medical Information The information contained on this site is intended for healthcare professionals in the United States only. It is not intended for the general public. I AM a US healthcare professional I am NOT a US healthcare professional × YOU ARE NOW LEAVING MYRBETRIQHCP.COM You are now leaving myrbetriqhcp.com. The website you are linking to is neither owned nor controlled by Astellas. Astellas is not responsible for the content or services on the site. Continue to Twitter. Continue Cancel This website is funded and developed by Astellas Pharma US, Inc. Myrbetriq is a registered trademark of Astellas Pharma Inc. YOU ARE NOW LEAVING MYRBETRIQHCP.COM By clicking “Continue,” you will leave MyrbetriqHCP.com and enter astellasmedinfo.com. The information contained on Astellas Medical Information is intended for U.S. healthcare professionals only. Continue Cancel This website is funded and developed by Astellas Pharma US, Inc. Myrbetriq is a registered trademark of Astellas Pharma Inc. ELIGIBILITY RESTRICTIONS, TERMS & CONDITIONS TO THE PATIENT: This offer is not valid for patients whose prescription claims are reimbursed, in whole or in part, by any state or federal government program, including, but not limited to, Medicaid, Medicare, Medigap, Department of Defense (DoD), Veterans Affairs (VA), TRICARE, CHAMPUS, Puerto Rico Government Health Insurance, or any State Patient or Pharmaceutical Assistance Program. This offer is void where prohibited by law. Certain rules and restrictions apply. Note: If you use a mail-order pharmacy, please contact your pharmacy provider to ensure that this offer will be accepted. If the mail-order pharmacy will not process your voucher, please call 1‑866‑666‑8244 (Monday-Friday, 8 a.m.-8 p.m. ET, excluding holidays) and request to speak to an agent. An agent will mail a Direct Member Reimbursement (DMR) form to you. The form should be completed and returned to the address on the form, along with your pharmacy receipt. If you are eligible, you will receive your benefit in the mail. You can also visit www.patientrebateonline.com to obtain a DMR form. TO THE PHARMACIST: By redeeming this coupon, I certify that (i) I have received this coupon from an eligible patient, (ii) I have dispensed the products indicated, (iii) I have not submitted, and will not submit, a claim for reimbursement to Part D of Medicare, Medicaid, or any similar federal or state program, including a state pharmaceutical assistance program, and (iv) I will otherwise comply with the terms hereof. I further certify that my participation in this program is consistent with all applicable state laws and any obligations, contractual or otherwise, that I have as a pharmacy provider. Please submit the amount of co‑pay authorized by the patient's primary insurance as a secondary transaction to McKesson. For pharmacy processing assistance or questions, please call the Help Desk at 1-866-666-8244. HOURS OF OPERATION: Monday-Friday, 8 a.m.-8 p.m. ET, excluding holidays. Astellas reserves the right to rescind, revoke, or amend this offer without notice. This program is not insurance. Important Safety Information, Indications and Usage Show more Show less Show less INDICATIONS AND USAGE MYRBETRIQ® (mirabegron extended-release tablets), either alone or in combination with the muscarinic antagonist solifenacin succinate, is indicated for the treatment of overactive bladder (OAB) in adult patients with symptoms of urge urinary incontinence, urgency, and urinary frequency. IMPORTANT SAFETY INFORMATION Myrbetriq® (mirabegron extended-release tablets) is contraindicated in patients with known hypersensitivity reactions to mirabegron or any inactive ingredients of the tablet. MYRBETRIQ monotherapy or in combination with solifenacin succinate can increase blood pressure in adults. Periodic blood pressure determinations are recommended, especially in hypertensive patients. MYRBETRIQ is not recommended for use in patients with severe uncontrolled hypertension (defined as systolic blood pressure ≥ 180mm Hg and/or diastolic blood pressure ≥ 110mm Hg). Worsening of pre-existing hypertension was reported infrequently in patients taking MYRBETRIQ. MYRBETRIQ® (mirabegron extended-release tablets) is contraindicated in patients with known hypersensitivity reactions to mirabegron or any inactive ingredients of the tablet. MYRBETRIQ monotherapy or in combination with solifenacin succinate can increase blood pressure in adults. Periodic blood pressure determinations are recommended, especially in hypertensive patients. MYRBETRIQ is not recommended for use in patients with severe uncontrolled hypertension (defined as systolic blood pressure ≥ 180mm Hg and/or diastolic blood pressure ≥ 110mm Hg). Worsening of pre-existing hypertension was reported infrequently in patients taking MYRBETRIQ. In patients taking MYRBETRIQ, urinary retention has been reported in patients with bladder outlet obstruction (BOO) and in patients taking muscarinic antagonist medications for the treatment of OAB. A controlled clinical safety study in patients with BOO did not demonstrate increased urinary retention in patients treated with mirabegron; however, MYRBETRIQ should still be administered with caution to patients with clinically significant BOO. For example, monitor these patients for signs and symptoms of urinary retention. MYRBETRIQ should also be administered with caution to patients taking muscarinic antagonist medications for the treatment of OAB, including solifenacin succinate. Angioedema of the face, lips, tongue and/or larynx has been reported with MYRBETRIQ. In some cases, angioedema occurred after the first dose. Cases have been reported to occur hours after the first dose or after multiple doses. Angioedema, associated with upper airway swelling, may be life threatening. If involvement of the tongue, hypopharynx, or larynx occurs, promptly discontinue MYRBETRIQ and initiate appropriate therapy and/or measures necessary to ensure a patent airway. Since MYRBETRIQ is a moderate CYP2D6 inhibitor, the systemic exposure to CYP2D6 substrates is increased when co‐administered with MYRBETRIQ. Therefore, appropriate monitoring and dose adjustment may be necessary, especially with narrow therapeutic index drugs metabolized by CYP2D6. In clinical trials, the most commonly reported adverse reactions in adults (> 2% and > placebo) for MYRBETRIQ 25mg and 50mg versus placebo, respectively, were hypertension (11.3%, 7.5% vs. 7.6%), nasopharyngitis (3.5%, 3.9% vs. 2.5%), urinary tract infection (4.2%, 2.9% vs. 1.8%), and headache (2.1%, 3.2% vs. 3.0%). In clinical trials, the most commonly reported adverse reactions in adults (> 2% and > placebo and > comparator) for MYRBETRIQ in combination with solifenacin succinate 25mg + 5mg and 50mg + 5mg versus MYRBETRIQ 25mg, MYRBETRIQ 50mg, solifenacin succinate 5mg, and placebo, respectively, were dry mouth (9.3%, 7.2% vs. 3.8%, 3.6%, 6.5%, 2.2%), urinary tract infection (7.0%, 4.0% vs. 4.0%, 4.2%, 3.6%, 5.3%), constipation (4.2%, 3.9% vs. 1.2%, 2.8%, 2.4%, 1.2%), and tachycardia (2.2%, 0.9% vs. 1.6%, 1.6%, 0.7%, 0.8%). In postmarketing experience with mirabegron, the following events have also occurred: atrial fibrillation, nausea, diarrhea, and dizziness. Please refer to prescribing information for solifenacin succinate when prescribing MYRBETRIQ in combination with solifenacin succinate. Please click here for complete Prescribing Information for Myrbetriq® (mirabegron extended-release tablets)