Discover the benefits of GEMTESA for long-term care (LTC) residents with overactive bladder (OAB)

GEMTESA (vibegron) offers symptom improvement, simple dosing, and a demonstrated safety and tolerability profile for patients with OAB1

No overall differences in safety or effectiveness of GEMTESA have been observed between patients aged 65+ and younger adult patients2

PROVEN EFFICACY
IN OLDER ADULTS

  • First and only beta-3 agonist with proven urgency reduction data in its label1
  • Statistically significant reduction in all 3 key OAB symptoms* vs placebo at 12 weeks—including urgency1,3†
  • Reductions in 3 key OAB symptoms* at 12 weeks in patients aged 65+ and 75+2

ONE
CRUSHABLE DOSE

  • First and only beta-3 agonist with a once-daily 75-mg dose with no titration, to be taken with or without food, and swallowed whole with a glass of water1
  • Crushability. In adults, GEMTESA tablets may be crushed, mixed with a tablespoon (~15 mL) of applesauce and taken immediately with a glass of water1

ESTABLISHED SAFETY
FOR OLDER ADULTS

  • First and only beta-3 agonist with no blood pressure warning in its label1
  • First and only beta-3 agonist with no drug interaction with CYP2D6 substrates (medications commonly taken by LTC residents)1
    • Digoxin drug interaction was identified with GEMTESA. Measure serum digoxin concentrations before initiating GEMTESA. Monitor serum digoxin concentrations to titrate digoxin dose to desired clinical effect. Continue monitoring digoxin concentration upon discontinuation of GEMTESA and adjust digoxin dose as needed1
  • No known association with cognitive decline, including dementia, for the beta-3 agonist class4,5

*The 3 key symptoms of OAB are urgency, micturition frequency, and urge urinary incontinence (UUI)/leakage.3

The efficacy of GEMTESA was evaluated in a pivotal 12-week, double-blind, randomized, placebo- and active-controlled trial in patients with OAB (UUI, urgency, and urinary frequency). For study entry, patients had to have symptoms of OAB for at least 3 months, with an average of 8 or more micturitions per day and at least 1 UUI per day, or an average of 8 or more micturitions per day and an average of at least 3 urgency episodes per day. A total of 1515 patients received at least 1 daily dose of placebo (n=540), GEMTESA 75 mg (n=545), or an active-control treatment (n=430). The majority of patients were Caucasian (78%) and female (85%) with a mean age of 60 (range 18 to 93) years.1,5

GEMTESA was evaluated at 12 weeks and 52 weeks in the overall study population1,6,7

  CHANGE FROM BASELINE AT
EFFICACY ANALYSIS Adjusted least squares mean decrease in frequency of: 12 WEEKS1,7
(pivotal study)
52 WEEKS6
(extension study)
URGE URINARY INCONTINENCE EPISODES (UUI)
GEMTESA 75 mg
(n=403)
-2.0*
Placebo
(n=405)
-1.4
GEMTESA 75 mg
(n=143)
-2.2
Active Control
(n=106)
-1.7
MICTURITION EPISODES
GEMTESA 75 mg
(n=526)
-1.8
Placebo
(n=520)
-1.3
GEMTESA 75 mg
(n=176)
-2.4
Active Control
(n=136)
-2.0
URGENCY EPISODES
GEMTESA 75 mg
(n=526)
-2.7
Placebo
(n=520)
-2.0
GEMTESA 75 mg
(n=176)
-3.4
Active Control
(n=136)
-3.2
EXPLORATORY RESPONDER ANALYSIS % of patients achieving 100% reduction in UUI episodes4,6§
GEMTESA 75 mg
(n=403)
28.8%
Placebo
(n=405)
22.5%
GEMTESA 75 mg
(n=143)
40.8%
Active Control
(n=106)
34.2%

Efficacy analyses were performed using the FAS-EXT, except for incontinence episode endpoints, which used the FAS-EXT-I.7

*P<0.0001 vs placebo.1

P<0.001 vs placebo.1

P=0.002 vs placebo.1

§Data were based on an exploratory endpoint analysis of patients with 100% reduction in UUI from baseline at week 52 (n=143).7

In the older adult subpopulation, reductions in all 3 key OAB symptoms* were consistent with the overall study population at 12 weeks1-3

No overall differences in safety or effectiveness of GEMTESA have been observed between patients aged 65+ and younger adult patients2

This post hoc subpopulation analysis was not powered to detect differences within subgroups and is therefore limited by the small sample sizes, particularly in the subgroup of patients aged 75 years

In patients aged 65+ years2

GEMTESA demonstrated significant reductions in average daily UUI episodes at 12 weeks (co-primary endpoint) vs placebo2†

*The 3 key symptoms of OAB are urgency, micturition frequency, and urge urinary incontinence (UUI)/leakage.3

P<0.001 vs placebo.2

Urge urinary incontinence (UUI)2

Graph showing reductions in urge urinary incontinence (UUI) episodes at 12 weeks for patients aged 65 years and older.

Values

LEAST SQUARES (LS) MEAN CHANGE FROM BASELINE
Week 2 4 8 12
Placebo (n=168) -0.9 -1.1 -1.2 -1.2
GEMTESA 75 mg (n=192) -1.5 -1.8 -1.8 -2.0

*The 3 key symptoms of OAB are urgency, micturition frequency, and urge urinary incontinence (UUI)/leakage.3

P<0.001 vs placebo.2

In patients aged 75+ years2

GEMTESA demonstrated significant reductions in average daily UUI episodes at 12 weeks (co-primary endpoint) vs placebo2*

*P<0.001 vs placebo.

Please see older adults data analysis above.

UUI2

Graph showing reductions in urge urinary incontinence (UUI) episodes at 12 weeks for patients aged 75 years and older.

Values

LS MEAN CHANGE FROM BASELINE
Week 2 4 8 12
Placebo (n=44) -0.5 -0.6 -0.3 -0.4
GEMTESA 75 mg (n=59) -1.6 -1.7 -1.8 -2.0*

*P<0.001 vs placebo.

In patients aged 65+ years2

GEMTESA demonstrated significant reductions in average daily micturition frequency at 12 weeks (co-primary endpoint) vs placebo2*

*P<0.001 vs placebo.

Please see older adults data analysis above.

Micturition frequency2

Graph showing reductions in average daily micturition frequency at 12 weeks for patients aged 65 years and older.

Values

LS MEAN CHANGE FROM BASELINE
Week 2 4 8 12
Placebo (n=220) -0.3 -0.5 -0.7 -1.0
GEMTESA 75 mg (n=242) -1.1 -1.4 -1.8 -1.9*

*P<0.001 vs placebo.

In patients aged 75+ years2

GEMTESA demonstrated significant reductions in average daily micturition frequency at 12 weeks (co-primary endpoint) vs placebo2*

*P<0.05 vs placebo.

Please see older adults data analysis above.

Micturition frequency2

Graph showing reductions in average daily micturition frequency at 12 weeks for patients aged 75 years and older.

Values

LS MEAN CHANGE FROM BASELINE
Week 2 4 8 12
Placebo (n=57) -0.7 -0.7 -1.0 -1.2
GEMTESA 75 mg (n=75) -1.3 -1.8 -2.1 -2.1*

*P<0.05 vs placebo.

Urgency is the hallmark OAB symptom8,9

While urgency is a critical factor in the diagnosis of OAB, the symptom often remains unreported and undiagnosed8,9

In a recently published study:
  • Urgency progressed in severity in older patients
  • Identifying and treating urgency in female individuals with lower urinary tract symptoms could help delay or possibly prevent progression as they age8

GEMTESA is the first and only beta-3 agonist with urgency reduction data in its label1

In patients aged 65+ years2

GEMTESA demonstrated significant reductions in average daily urgency episodes—need to urinate immediately—at 12 weeks vs placebo2*

*P<0.01 vs placebo.

Please see older adults data analysis above.

Urgency episodes2

Graph showing reductions in average daily urgency episodes at 12 weeks for patients aged 65 years and older.

Values

LS MEAN CHANGE FROM BASELINE
Week 2 4 8 12
Placebo (n=220) -0.9 -1.2 -1.3 -1.7
GEMTESA 75 mg (n=242) -1.6 -2.1 -2.5 -2.7*

*P<0.01 vs placebo.

In patients aged 75+ years2

GEMTESA demonstrated significant reductions in average daily urgency episodes—need to urinate immediately—at 12 weeks vs placebo2*

*P<0.01 vs placebo.

Please see older adults data analysis above.

Urgency episodes2

Graph showing reductions in average daily urgency episodes at 12 weeks for patients aged 75 years and older.

Values

LS MEAN CHANGE FROM BASELINE
Week 2 4 8 12
Placebo (n=57) -0.7 -0.8 -0.7 -0.9
GEMTESA 75 mg (n=75) -1.3 -1.7 -2.2 -2.6*

*P<0.01 vs placebo.

Established safety of GEMTESA for older adults at 12 weeks1,2

Adverse events (AEs) with an incidence of 2% compared with and exceeding placebo up to 12 weeks1,2

  OVERALL STUDY
POPULATION
PATIENTS 65+ PATIENTS 75+
  GEMTESA
(n=545)
Placebo
(n=540)
GEMTESA
(n=246)
Placebo
(n=228)
GEMTESA
(n=75)
Placebo
(n=60)
URINARY TRACT
INFECTION
5.0% 6.1% 5.7% 7.9% 8.0% 6.7%
HEADACHE 4.0% 2.4% 4.5% 2.2% 2.7% 3.3%
NASOPHARYNGITIS 2.8% 1.7% 2.4% 2.2% 2.7% 3.3%
DIARRHEA 2.2% 1.1% 2.4% 0.9% 4.0% 3.3%
NAUSEA 2.2% 1.1% 2.0% 1.3% 2.7% 3.3%
UPPER RESPIRATORY
TRACT INFECTION
2.0% 0.7% 3.3% 0.9% 4.0% 1.7%
DRY MOUTH 1.7% 0.9% 3.3% 0.9% 1.3% 1.7%
RASH 0.7% 0.7% 1.2% 0.4% 2.7% 1.7%
DYSPNEA 0.7% 0.2% 1.6% 0% 4.0% 1.7%
URINARY RETENTION 0.6% 0.4% 1.2% 0.4% 2.7% 0%
FLATULENCE 0.4% 0.6% 0.8% 0.9% 2.7% 0%
SOMNOLENCE 0.4% 0.4% 0.8% 0.4% 2.7% 0%

Safety results to consider for older adults assessed at 12 weeks2

  • No overall differences in safety or effectiveness of GEMTESA have been observed between patients aged 65+ or 75+ and younger adult patients
  • Incidence of cardiovascular-associated AEs, including hypertension (1.3%) and increased blood pressure (0%), was low for elderly patients aged 75+ taking GEMTESA vs placebo (3.3% and 1.7%, respectively)
  • Rates of discontinuation due to AEs were low for patients aged 65+ and 75+ (1.6% and 4%, respectively)
Less than 2% of patients aged 65+ and 75+ taking GEMTESA experienced hypertension (1.2% and 1.3%, respectively) vs placebo (3.1% and 3.3%, respectively)2

Want to know more about efficacy in the overall study population?

Pivotal efficacy data

Did you know there are extension study data available for GEMTESA?

Extension study data
 

References: 1. GEMTESA. Prescribing Information. Marlborough, MA; Sumitomo Pharma America; 2023. 2. Varano S, Staskin D, Frankel J, Shortino D, Jankowich R, Mudd PN Jr. Efficacy and safety of once-daily vibegron for treatment of overactive bladder in patients aged 65 and 75 years: subpopulation analysis from the EMPOWUR randomized, international, phase III study. Drugs Aging. 2021;38(2):137-146. doi:10.1007/s40266-020-00829-z 3. Edmondson SD, Zhu C, Kar NF, et al. Discovery of vibegron: a potent and selective β3 adrenergic receptor agonist for the treatment of overactive bladder. J Med Chem. 2016;59(2):609-623. doi:10.1021/acs.jmedchem.5b01372 4. Welk B, McArthur E. Increased risk of dementia among patients with overactive bladder treated with an anticholinergic medication compared to a beta-3 agonist: a population-based cohort study. BJU Int. 2020;126(1):183-190. doi:10.1111/bju.15040 5. Staskin D, Frankel J, Varano S, Shortino D, Jankowich R, Mudd PN Jr. International phase III, randomized, double-blind, placebo and active controlled study to evaluate the safety and efficacy of vibegron in patients with symptoms of overactive bladder: EMPOWUR. J Urol. 2020;204(2):316-324. doi:10.1097/JU.0000000000000807 6. Staskin D, Frankel J, Varano S, Shortino D, Jankowich R, Mudd PN Jr. Once-daily vibegron 75 mg for overactive bladder: long-term safety and efficacy from a double-blind extension study of the international phase 3 trial (EMPOWUR). J Urol. 2021;205(5):1421-1429. doi:10.1097/JU.0000000000001574 7. Data on file. Sumitomo Pharma America, Inc. 8. Zhou F, Newman DK, Palmer MH. Urinary urgency in working women: what factors are associated with urinary urgency progression? J Womens Health (Larchmt). 2018;27(5):575-583. doi:10.1089/jwh.2017.6555 9. Salvatore S, Espuña-Pons M, Tubaro A. Urinary urgency: a symptom in need of a cure. Res Rep Urol. 2019;11:327-331. doi:10.2147/RRU.S216757