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Last Updated: March 27, 2026

CLINICAL TRIALS PROFILE FOR VESICARE


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All Clinical Trials for VESICARE

Trial ID Title Status Sponsor Phase Start Date Summary
NCT00333112 ↗ A Study to Evaluate Solifenacin Succinate in Combination With Tamsulosin for the Treatment of Residual Overactive Bladder Symptoms (OAB) in Men. Completed Astellas Pharma Inc Phase 4 2006-05-01 A study to evaluate solifenacin succinate in combination with tamsulosin for the treatment of residual OAB symptoms in men.
NCT00368706 ↗ A Double-Blind, Paralleled Study Comparing Efficacy/Safety of Solifenacin to Tolterodine in Overactive Bladder Patients Completed Astellas Pharma Inc Phase 3 2006-09-01 To evaluate the efficacy and safety of solifenacin succinate (Vesicare) 5mg OD in subjects with overactive bladder compared to tolterodine wmg, bid
NCT00431041 ↗ Study to Compare the Safety and Efficacy of Solifenacin With Oxybutynin for the Treatment of Overactive Bladder (VECTOR) Completed Astellas Pharma Canada, Inc. Phase 4 2006-12-01 The purpose of this study is to compare the safety and efficacy of solifenacin with oxybutynin immediate-release (IR) for the treatment of overactive bladder (OAB).
NCT00431041 ↗ Study to Compare the Safety and Efficacy of Solifenacin With Oxybutynin for the Treatment of Overactive Bladder (VECTOR) Completed Astellas Pharma Inc Phase 4 2006-12-01 The purpose of this study is to compare the safety and efficacy of solifenacin with oxybutynin immediate-release (IR) for the treatment of overactive bladder (OAB).
NCT00454740 ↗ Efficacy & Safety Study of VESIcare® (Solifenacin Succinate) in Patients Wishing to Switch From Detrol LA® for Treatment of Overactive Bladder Completed Astellas Pharma Inc Phase 3 2004-06-01 To evaluate the efficacy of 5 and10mg solifenacin succinate in patients with urgency who have OAB syndrome (urgency, with or without urge incontinence, usually with frequency and nocturia) and wish to switch from tolterodine tartrate extended release to solifenacin succinate due to lack of sufficient improvement in urgency episodes
>Trial ID >Title >Status >Phase >Start Date >Summary

Clinical Trial Conditions for VESICARE

Condition Name

Condition Name for VESICARE
Intervention Trials
Overactive Bladder 24
Urinary Bladder, Overactive 15
Urinary Incontinence 6
Urinary Bladder Diseases 4
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Condition MeSH

Condition MeSH for VESICARE
Intervention Trials
Urinary Bladder, Overactive 45
Urinary Incontinence 10
Enuresis 10
Urinary Incontinence, Urge 6
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Clinical Trial Locations for VESICARE

Trials by Country

Trials by Country for VESICARE
Location Trials
United States 330
Canada 31
Germany 18
Hungary 15
United Kingdom 14
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Trials by US State

Trials by US State for VESICARE
Location Trials
California 15
Florida 13
Texas 13
Pennsylvania 13
North Carolina 12
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Clinical Trial Progress for VESICARE

Clinical Trial Phase

Clinical Trial Phase for VESICARE
Clinical Trial Phase Trials
Phase 4 27
Phase 3 15
Phase 2/Phase 3 1
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Clinical Trial Status

Clinical Trial Status for VESICARE
Clinical Trial Phase Trials
Completed 50
Terminated 7
Unknown status 5
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Clinical Trial Sponsors for VESICARE

Sponsor Name

Sponsor Name for VESICARE
Sponsor Trials
Astellas Pharma Inc 25
Astellas Pharma Europe B.V. 8
Astellas Pharma Korea, Inc. 6
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Sponsor Type

Sponsor Type for VESICARE
Sponsor Trials
Industry 52
Other 49
NIH 3
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Vesicare (Solifenacin Succinate): Clinical Trials, Market Dynamics, and Future Outlook

Last updated: February 19, 2026

Vesicare (solifenacin succinate), a muscarinic receptor antagonist, is a prescription medication used to treat overactive bladder (OOB) symptoms, including urinary urgency, frequency, and urge incontinence. The drug's patent landscape and ongoing clinical evaluations are critical for understanding its current market position and future revenue potential.

What is the Current Status of Vesicare's Clinical Development?

Vesicare's primary indication is the treatment of OOB. While no new Phase 3 trials for novel indications are currently reported for the branded product, ongoing research and post-market surveillance contribute to its understanding and potential expansion of use.

  • Post-Marketing Studies: Pharmaceutical companies often conduct post-marketing studies to gather additional data on drug safety, efficacy, and real-world effectiveness in broader patient populations. These studies can identify new therapeutic possibilities or refine existing treatment protocols. Specific details on ongoing post-marketing surveillance for Vesicare are typically proprietary.
  • Real-World Evidence (RWE): The increasing availability of healthcare data allows for the generation of RWE. This data, derived from sources such as electronic health records and insurance claims, can provide insights into Vesicare's long-term outcomes, patient adherence, and effectiveness in diverse patient groups outside of controlled clinical trial settings. Such data can support label expansion discussions or inform treatment guidelines.
  • Investigator-Initiated Studies: Academic institutions and individual researchers may initiate studies exploring Vesicare's efficacy in conditions with overlapping pathophysiology or in specific patient subgroups. These studies, while not directly funded by the manufacturer, can generate scientific evidence that may influence future clinical development decisions.

How is Vesicare Performing in the Market?

Vesicare has maintained a significant presence in the OOB market. Its market performance is influenced by patent expiries, the emergence of generic competitors, and the development of alternative treatment options.

  • Market Share: Vesicare (solifenacin succinate) has historically held a substantial market share in the OOB segment. Its efficacy in managing key OOB symptoms has contributed to its widespread prescription.
  • Competition: The OOB market is competitive, featuring other muscarinic antagonists (e.g., oxybutynin, tolterodine) and beta-3 adrenergic agonists (e.g., mirabegron). The introduction of generic versions of solifenacin succinate has intensified this competition, leading to price erosion for the branded product.
    • Branded Vesicare (Astellas Pharma): Its market share is impacted by generic availability.
    • Generic Solifenacin Succinate: Multiple manufacturers offer generic solifenacin succinate, providing cost-effective alternatives for patients and payers. This has significantly altered the revenue trajectory for the branded product.
  • Pricing: The introduction of generics has driven down average selling prices for solifenacin succinate. Branded Vesicare often commands a premium due to brand recognition, perceived quality, and established physician trust. However, payer formularies and physician prescribing habits increasingly favor generics due to cost savings.
  • Prescription Trends: While specific real-time prescription data is proprietary, the market trend for OOB medications, especially those with generic options, generally shows a shift towards generics. However, branded products often retain a portion of the market due to physician preference and patient loyalty.

What is the Patent Landscape for Vesicare?

The patent exclusivity for Vesicare has largely expired in major markets, opening the door for generic competition.

  • Key Patents: The original patents covering solifenacin succinate and its use for OOB have expired. The U.S. Patent and Trademark Office (USPTO) and the European Patent Office (EPO) databases detail the original patent families.
    • Composition of Matter Patents: These are typically the most critical and expire first, covering the active pharmaceutical ingredient itself. For solifenacin succinate, these have long since lapsed.
    • Method of Use Patents: These patents can cover specific indications or treatment regimens. While some method of use patents may have had later expiry dates, they have also largely expired or have been successfully challenged.
    • Formulation Patents: Patents related to specific formulations (e.g., extended-release) can offer a period of extended exclusivity. However, these are also subject to challenge and eventual expiry.
  • Patent Expiries:
    • United States: The primary patents for Vesicare expired several years ago, allowing for the introduction of generic solifenacin succinate. The last key patents expired around 2015-2016, with some minor extensions or formulations having later expiry.
    • Europe: Similar patent expiries have occurred across major European markets, enabling generic entry.
  • Litigation: Patent litigation is common when generics enter the market. Manufacturers of branded drugs often litigate to defend their patents, while generic manufacturers seek to invalidate them. These legal battles can impact the timeline for generic entry. Numerous Paragraph IV certifications were filed against Vesicare patents in the U.S., leading to litigation.
  • Exclusivity Periods: Other forms of exclusivity, such as New Chemical Entity (NCE) exclusivity or Orphan Drug Exclusivity, do not appear to be factors for Vesicare in its primary indication, as it has been on the market for an extended period.

What is the Market Projection for Vesicare?

The market for solifenacin succinate is projected to be driven by the continued uptake of generics, while the branded product faces declining revenues due to price competition and market saturation.

  • Market Size (OOB Segment): The global market for overactive bladder treatments is substantial, driven by an aging population and increasing awareness of OOB conditions. Market research reports project continued growth in this segment, estimated to be in the billions of dollars annually.
  • Generic Dominance: The market projection for solifenacin succinate is overwhelmingly influenced by generic competition. Generic market share is expected to dominate, with a steady increase in volume and value as more payers and providers adopt these lower-cost options.
    • Projected Growth Rate (Generic Solifenacin): Generic solifenacin succinate is expected to see stable to moderate growth driven by its cost-effectiveness.
    • Projected Decline Rate (Branded Vesicare): Branded Vesicare is projected to experience a significant revenue decline as generic penetration increases.
  • Future Revenue Potential:
    • Branded Vesicare: Revenue is anticipated to decline year-over-year due to generic competition and price erosion. Its future contribution will likely come from market segments less sensitive to price or where specific physician/patient preference persists.
    • Generic Solifenacin: The collective revenue from generic solifenacin succinate will grow, driven by increased volume and market share capture from the branded product and potentially other OOB therapies.
  • Emerging Therapies: The OOB market is also seeing innovation with novel drug classes or delivery mechanisms. While Vesicare and its generics will remain a cornerstone of treatment, new entrants could influence the overall market landscape and Vesicare's relative market share. Examples include newer oral agents, injectable therapies, or neuromodulation devices.
  • Geographic Considerations: Market projections will vary by region, influenced by local regulatory policies on generics, healthcare reimbursement structures, and physician prescribing patterns. Developed markets with robust generic pharmaceutical sectors will see faster generic adoption.

Key Takeaways

  • Vesicare's (solifenacin succinate) original patents have expired in major markets, leading to widespread generic competition.
  • The market for solifenacin succinate is dominated by generics, with branded Vesicare experiencing significant revenue decline due to price erosion.
  • While no major new clinical trials for novel indications of branded Vesicare are prominent, post-marketing studies and real-world evidence contribute to ongoing drug understanding.
  • The overactive bladder market continues to grow, with generics of solifenacin succinate expected to capture an increasing share of this market.
  • Future revenue for branded Vesicare will likely be limited, whereas the collective market for generic solifenacin succinate is projected for stable growth.

Frequently Asked Questions

  1. Are there any ongoing clinical trials for new indications for branded Vesicare? No prominent Phase 3 clinical trials for novel indications of branded Vesicare are currently reported. Research may exist in investigator-initiated studies or post-marketing surveillance, but these are not typically large-scale development programs for new indications.
  2. What is the primary reason for the decline in branded Vesicare's market share? The primary reason is the expiry of key patents, which has allowed for the introduction of generic solifenacin succinate. These lower-cost alternatives have led to significant price erosion and a shift in market share.
  3. How does Vesicare (solifenacin succinate) compare to other OOB medications in terms of efficacy? Vesicare is generally considered to be effective in managing symptoms of OOB, comparable to other muscarinic antagonists like tolterodine and oxybutynin. However, individual patient responses can vary, and newer drug classes like beta-3 adrenergic agonists offer alternative mechanisms of action.
  4. What is the projected market growth for generic solifenacin succinate? Generic solifenacin succinate is projected to experience stable to moderate growth, driven by its cost-effectiveness and increasing adoption by healthcare providers and payers seeking to manage OOB treatment costs.
  5. Are there any potential patent extensions or exclusivities that could benefit branded Vesicare in the future? As the primary patents have expired and no significant new exclusivities (like orphan drug status for OOB) are apparent, it is unlikely that branded Vesicare will benefit from substantial patent extensions or new market exclusivities for its current indication.

Citations

[1] U.S. Patent and Trademark Office. (n.d.). Patent Full-Text and Image Database. Retrieved from www.uspto.gov [2] European Patent Office. (n.d.). Espacenet Patent Search. Retrieved from worldwide.espacenet.com [3] Astellas Pharma Inc. (n.d.). Investor Relations and Financial Reports. (Specific report retrieval may vary based on current reporting cycles). [4] Pharmaceutical market research reports (e.g., Global Overactive Bladder Market Analysis). (Specific reports and publishers vary and are subscription-based). [5] U.S. Food and Drug Administration. (n.d.). Orange Book: Approved Drug Products with Therapeutic Equivalence Evaluations. Retrieved from www.fda.gov

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