Get Inside the Comfort Zone

NOW for the treatment of overactive bladder

Keep the power...

Calm the symptoms.

Continue the delivery.

Get inside...

The Comfort Zone for calm continuous relief

The most commonly reported adverse events were application site reactions, dry mouth, constipation, diarrhea, dysuria, and abnormal vision.

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Calm. Continuous. Relief.

EFFICACY

elieve symptoms R with powerful efficacy

OXYTROL™ achieved a 75% reduction in incontinence episodes in Study 21 Reduction (%) in daily incontinence episodes in second phase 3 study1§ Median number of daily episodes

61% and 75% reduction in incontinence episodes1

Median number of weekly episodes

In Study 1, OXYTROL™ achieved a 61% reduction in incontinence episodes1 Reduction (%) in weekly incontinence episodes in first phase 3 study1* 40 30

4

3

75%

4

reduction P=.0137†

2

2

1 0

1 Baseline

Week 12 Study 2 (n=121)ll OXYTROL™ 3.9 mg/day

Baseline

Week 12 Study 2 (n=117)ll Placebo

61% 31

reduction P=.0265†

30

• 39% of OXYTROL™ patients reported no incontinence episodes at study end point 2

20 10 0

4

12 Baseline

Week 12 ‡

Study 1 (n=120) OXYTROL™ 3.9 mg/day

• 100% of patients had received a beneficial response from prior anticholinergic therapy at time of study entry1

15 Baseline

New OXYTROL™—Proven efficacy of oxybutynin delivered in a whole new way

Week 12

Study 1 (n=127)‡ Placebo

Transdermal OXYTROL™ 3.9 mg/day is indicated for the treatment of overactive bladder with symptoms of 1 —Urge urinary incontinence —Urgency —Frequency

• 15% of OXYTROL™ patients reported no incontinence episodes at study end point2 • Only 22% of patients had received prior anticholinergic therapy at study entry3

2 2% of patients in the placebo group reported no incontinence episodes at study end point.2­ ll Median change from baseline to end of treatment in a second 12-week, multicenter, randomized study of OXYTROL™ 3.9 mg/day (n=121); placebo (n=117) vs active and placebo controls. All patients had prior beneficial responses to pharmacologic treatment of overactive bladder. §

*8.6% of patients in the placebo group reported no incontinence episodes at study end point. † Comparison significant if P<.05. ‡ Median change from baseline to end of treatment: OXYTROL™ 3.9 mg/day (n=120); placebo (n=127). Study was a phase 3, 12-week, randomized, double-blind, placebo-controlled trial of OXYTROL™ (1.3, 2.6, and 3.9 mg/day) vs placebo. Throughout the study, patients were instructed to continue nonpharmacologic treatment measures; eg, pelvic floor exercise, timed voiding, or other behavioral techniques consistent with standard practices.

2

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Calm. Continuous. Relief.

A favorable safety profile • Dry mouth, constipation, and dizziness were not significantly different than placebo1,2*

No serious treatment-related adverse events reported with OXYTROL™1

SAFETY

Low incidence of anticholinergic adverse events1,2

†

• 49% of patients enrolled in clinical safety studies were ≥65 years of age1 —19% were ≥75 years of age2

Adverse events occurring in 2% of OXYTROL™–treated patients and greater in OXYTROL™ group than in placebo group1†

Study 1‡ Placebo OXYTROL™ Pruritus Dry mouth Erythemall Constipation Rashll Diarrhea Vesiclesll Abnormal vision Maculesll Dysuria ll

(n=132)

(n=125)

6.1% 8.3% 2.3% — — 2.3% 0.0% — — 0.0%

16.8% 9.6% 5.6% — — 3.2% 3.2% — — 2.4%

Study 2 § Placebo OXYTROL™ (n=117)

(n=121)

4.3% 1.7% 1.7% 0.0% 0.9% — — 0.0% 0.0% —

14.0% 4.1% 8.3% 3.3% 3.3% — — 2.5% 2.5% —

• Most treatment-related adverse events were mild or moderate in intensity.

Severe application site reactions were reported by 6.4% and 5.0% of OXYTROL™-treated patients in studies 1 and 2, respectively1

*Comparison significant if P<.05. †

The safety of OXYTROL™ was evaluated in a total of 417 patients from 2 clinical efficacy and safety studies and an open-label extension. Includes all patients receiving OXYTROL™ 3.9 mg/day. ‡ 78% of patients in Study 1 had no prior pharmacologic treatment for overactive bladder. § 100% of patients in Study 2 had a prior beneficial response to pharmacologic treatment for overactive bladder. ll These adverse events were localized to application site.

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• Overall, approximately 11% of patients discontinued treatment due to adverse events1 — Most were secondary to application site reactions —No patients discontinued due to dry mouth

Up to 92% of patients chose to continue to the open-label extension study of OXYTROL™3¶ OXYTROL™ is contraindicated in patients with urinary retention, gastric retention, or uncontrolled narrow-angle glaucoma and in patients who are at risk for these conditions. OXYTROL™ is also contraindicated in patients who have demonstrated hypersensitivity to oxybutynin or other components of the product. OXYTROL™ should be administered with caution in the following patients: those with hepatic or renal impairment; clinically significant bladder outflow obstruction; gastrointestinal obstructive disorders because of the risk of gastric retention; patients with gastroesophageal reflux.

Proportion of patients continuing to open-label extensions of the 2 studies. Following week 12 of the studies, all eligible patients were allowed to continue treatment for an additional 12 weeks in open-label extensions.

¶

Calm. Continuous. Relief.

A unique pharmacokinetic profile

• Transdermal oxybutynin is passively diffused into the systemic circulation1

— Achieves therapeutic plasma concentrations at less than half the daily dose of oral immediaterelease oxybutynin4

Parent drug (oxybutynin) and metabolite (N-DEO) concentrations: OXYTROL™ vs immediate-release oxybutynin1,3* 25 Parent drug (oxybutynin)

20

19.8

Metabolite (N-DEO)

PHARMACOKINETICS

• OXYTROL™ 3.9 mg/day delivers more parent drug with less metabolite1,2

OXYTROL™ provides 80% lower metabolite concentrations than oral immediate-release oxybutynin1

Plasma concentration (ng/mL)

Transdermal delivery bypasses first-pass gastric and hepatic metabolism1

15

10

5

0

2.5

3.9 OXYTROL™

1.8 Immediate Release

* Average plasma concentrations measured after a single 96-hour application of OXYTROL™ 3.9 mg/day and a single 5 mg oral immediate-release dose of oxybutynin in 16 healthy volunteers.

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Calm. Continuous. Relief.

Long lasting and consistent delivery OXYTROL™ provides ALL-DAY and ALL-NIGHT delivery of oxybutynin for 4 DAYS (up to 96 hours)1 • Allows for convenient twice-weekly dosing

1

Unique matrix transdermal technology ✓ Thin ✓ Flexible

• Steady-state plasma concentrations achieved within 1 week1

✓ Virtually transparent

• Plasma concentrations decline within 1 to 2 hours following complete removal of patch1

The OXYTROL™ transdermal system • Each 39 cm2 system contains 36 mg of oxybutynin for

Steady-state plasma concentrations of oxybutynin following application of OXYTROL™ 3.9 mg/day1*

nominal delivery of 3.9 mg/day1

4

3

Placebo Patch Goes Here

2

Not for patient use. This system is for demonstration purposes only and contains no active ingredients.

1

0

0

12

24

36

48

60

72

84

96

Hours (post second application) Day 1

Day 2

Day 3

Day 4

*Plasma oxybutynin concentrations measured during a multiple-dose, randomized, crossover study in 13 healthy volunteers.

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Calm. Continuous. Relief.

TRANSDERMAL SYSTEM

Plasma concentration (ng/mL)

5

Relief with convenience OXYTROL™—Easy to wear

Easy to dose

• Consistent adhesion observed in more than 4700 evaluations1*†

• Choose any 2-day combination for convenient twice-weekly dosing

— System falloff was observed in 0.4% of evaluations

• Remind patients to change their patch on the same 2 days each week

— Partial detachment was observed in 0.7% of evaluations

❍ ❍ ❍ ❍ ❍ ❍ ❍

• Bathing, swimming, and exercise should not affect adhesion5 • Apply OXYTROL™ to dry, intact skin on the abdomen, hip, or buttock— absorption is equivalent1 —Choose a new site with each application —Avoid reapplication to the same site within 7 days

abdomen

hip

Sunday/Wednesday Monday/Thursday Tuesday/Friday Wednesday/Saturday Thursday/Sunday Friday/Monday Saturday/Tuesday

buttock

The most common application site adverse events were pruritus and erythema.

Easy to write • 1-month supply (8 patches per box)

Oxytrol #8

TM

Sig: Apply 1 patch twice weekly as directed Refills x 5

DOSING

* In 2 clinical studies, consistent adhesion was defined as ≥75% of the surface of the transdermal system being in contact with the patient’s skin as evaluated during a clinic visit. † Patients who participated in the studies were not bound by any restrictions in activity.

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Calm. Continuous. Relief.

NOW for the treatment of overactive bladder

Get inside…

The Comfort Zone

for calm continuous relief

Keep the power • Oxybutynin delivered through unique transdermal technology — Bypasses first-pass metabolism to provide more drug with less metabolite1 • Provides ALL-DAY, ALL-NIGHT delivery for up to 4 days1 —Allows for convenient twice-weekly dosing

Calm the symptoms • 61% and 75% reduction in incontinence episodes in 2 major clinical trials1

A favorable safety profile • Low incidence of anticholinergic side effects1,2 — Dry mouth, constipation, and dizziness not significantly different than placebo1,2* • No patients discontinued due to dry mouth1

Oxytrol #8

TM

Sig: Apply 1 patch twice weekly as directed

The most commonly reported adverse events were application site reactions, Refills x 5 dry mouth, constipation, diarrhea, dysuria, and abnormal vision. OXYTROL™ is contraindicated in patients with urinary retention, gastric retention, or uncontrolled narrow-angle glaucoma and in patients who are at risk for these conditions. OXYTROL™ is also contraindicated in patients who have demonstrated hypersensitivity to oxybutynin or other components of the product. OXYTROL™ should be administered with caution in the following patients: those with hepatic or renal impairment; clinically significant bladder outflow obstruction; gastrointestinal obstructive disorders because of the risk of gastric retention; patients with gastroesophageal reflux. *Comparison significant if P<.05.

References: 1. OXYTROL™ Prescribing Information. 2. Data on file, Watson Pharma, Inc. 3. Dmochowski RR, Davila GW, Zinner NR, et al, for the Transdermal Oxybutynin Study Group. Efficacy and safety of transdermal oxybutynin in patients with urge and mixed urinary incontinence. J Urol.

2002;168:580-586. 4. Zobrist RH, Schmid B, Feick A, Quan D, Sanders SW. Pharmacokinetics of the R- and S-enantiomers of oxybutynin and N-desethyloxybutynin following oral and transdermal administration of the racemate in healthy volunteers. Pharm Res. 2001;18:1029-1034.

5. OXYTROL™ Patient Prescribing Information.

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Calm. Continuous. Relief.