Park Jee Soo, Jang Won Sik, Kim Jongchan, Park Moon-Hwa, Ham Won Sik
Department of Urology and Urological Science Institute, Yonsei University College of Medicine, Seoul, Korea.
Department of Urology, Yongin Severance Hospital, Yonsei University Health System, Yongin, Korea.
Investig Clin Urol. 2025 Jan;66(1):27-35. doi: 10.4111/icu.20240278.
Mirabegron, the first-in-class beta-3 agonist, is the mainstay medication for overactive bladder (OAB). The aim of this study was to investigate the efficacy and safety of generic drugs of mirabegron (Mirabek) in adults diagnosed with OAB through a multicenter, prospective, non-interventional observational study.
Adult patients with OAB prescribed Mirabek SR Tab. 50 mg for the first time were recruited from hospitals between September 2021 and September 2022. Participants underwent baseline registration followed by two follow-ups at 4- and 8-week intervals. Data on demographics, medical history, OAB symptoms, vital signs, medication administration, and adverse events were collected.
Among 1,714 patients, Mirabek SR Tab. 50 mg effectively improved OAB symptoms over an 8-week treatment period, with significant differences in symptom improvement between baseline and both 4- and 8-week time points as well as between 4 weeks and 8 weeks. The incidence rate of adverse events was 0.70%; most cases were mild with no severe reactions.
This study demonstrated that Mirabek, a generic drug of betmiga, is an effective and safe treatment option for adults with OAB. Furthermore, the introduction of generic drug reduced the costs of prescription drugs and expanded the opportunity for many patients to access mirabegron.
米拉贝隆是首个β-3受体激动剂,是治疗膀胱过度活动症(OAB)的主要药物。本研究旨在通过一项多中心、前瞻性、非干预性观察性研究,调查米拉贝隆仿制药(米拉贝克)在诊断为OAB的成人患者中的疗效和安全性。
2021年9月至2022年9月期间,从医院招募首次开具50mg米拉贝克缓释片的成年OAB患者。参与者进行基线登记,随后每隔4周和8周进行两次随访。收集有关人口统计学、病史、OAB症状、生命体征、药物给药和不良事件的数据。
在1714例患者中,50mg米拉贝克缓释片在8周治疗期内有效改善了OAB症状,基线与4周和8周时间点以及4周和8周之间的症状改善存在显著差异。不良事件发生率为0.70%;大多数病例为轻度,无严重反应。
本研究表明,米拉贝隆仿制药米拉贝克是治疗成人OAB的一种有效且安全的选择。此外,仿制药的引入降低了处方药成本,为许多患者提供了使用米拉贝隆的机会。