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. 2014 Dec 30;13(6):313–329. doi: 10.5114/pm.2014.47984

Tab. VIII.

Adverse events (AEs) associated with antimuscarinic agents: incidence with mirabegron, placebo and tolterodine ER (4 mg). A) Data from SCORPIO, ARIES and CAPROCORN pooled analysis [69]. B) Summary of mirabegron clinical safety in two phase III studies [71, 79]. C) Selected AEs from 12 months mirabegron trial [58]

A)
Adverse event Placebo Mirabegron Tolterodine ER (4 mg) Systematic therapy and meta-analysis
25 mg 50 mg 100 mg Total
n = 1380 n = 432 n = 1375 n = 929 n = 2736 n = 495 Antimuscarinic therapy Placebo
%
Any adverse event 47.7 48.6 47.1 43.3 46.0 46.7 53.4 39.9
Dry mouth 2.1 1.9 1.7 2.5 2.0 10.1 29.6 7.9
Pruritus 0.4 0/2 0.2 0.3 0.3 1.4 15.4 5.2
Constipation 1.4 1.6 1.6 1.6 1.6 2.0 7.7 3.9
Erythema 0.1 0 0.1 0.1 0.1 0.2 6.9 2.0
Vision blurred 0.2 0 0.1 0.4 0.2 0 3.8 2.6
Fatigue 1.0 1.4 1.2 0.8 1.1 1.8 1.6 0.6
Urinary retention 0.4 0 0.1 0 <0.1 0.6 1.1 0.2
B)
Phase III studies Adverse events Placebo Mirabegron Tolterodine ER (4 mg)
50 mg 100 mg
%
European-Australian study Dry mouth 2.6 2.8 2.8 10.1
Constipation 1.4 1.6 1.6 2.0
Hypertension 7.7 5.9 5.4 8.1
Headache 2.8 3.7 1.8 3.6
Urinary tract infections 1.4 1.4 1.8 2.0
Any adverse events 43.3 42.8 40.1 46.7
American study Dry mouth 1.5 0.5 2.1
Constipation 1.8 1.4 1.6
Hypertension 6.6 6.1 4.9
Headache 2 3.2 3.0
Urinary tract infections 1.8 2.7 3.7
Any adverse events 50.1 51.6 46.9
C)
Adverse event Mirabegron Tolterodine ER (4 mg)
50 mg 100 mg
%
Any adverse event 59.7 61.3 62.6
Hypertension 11.0 10.1 10.6
Cardiac arrhythmia 3.9 4.1 6.0
Corrected QT interval prolongation 0.4 0.2 0.4
Constipation 2.8 3.0 2.7
Dry mouth 2.8 2.3 8.6
Urinary tract infections 5.9 5.5 6.4
Dizziness 2.7 1.6 2.6