NL-OMON56302RecruitingNot Applicable
A Prospective, Randomized Clinical Trial Evaluating INTIBIA (TM), an Investigational Implantable Tibial Nerve Stimulator, Through 24-Months - INTIBIA Pivotal Study
Conditions
Trial Snapshot
- Phase
- Not Applicable
- Status
- Recruiting
- Sponsor
- Coloplast Corp.
- Enrollment
- 36
Study Overview
Brief Summary
No summary available.
Study Design
- Study Type
- Interventional
Eligibility Criteria
- Ages
- 18 to 99 (—)
Inclusion Criteria
- •1. Women or men 22-80 years of age
- •2. Symptoms of overactive bladder with urgency urinary incontinence (UUI)
- •demonstrated on a 72-hour voiding diary defined as a minimum of four (4)
- •leaking episodes associated with urgency, and at least one leaking episode each
- •24-hour period
- •3. Greater than or equal to 6-month history of UUI diagnosis
- •4. Failure of conservative or behavioral therapy (e.g., bladder diet, timed
- •voiding, bladder training, bladder control strategies, pelvic floor muscle
- •training, fluid management)
- •5. Willing to abstain from OAB medications for the duration of the study
- •6. Willing to maintain a stable dose of all other medications that affect
- •bladder function (e.g., tricyclic antidepressants) for at least four (4) weeks
- •prior to beginning the baseline voiding diary and baseline questionnaires
- •7. Ambulatory and able to use the toilet independently and without difficulty
- •8. Willing and capable of providing informed consent
- •9. Willing and able to complete all procedures and follow-up visits indicated
- •in the protocol
Exclusion Criteria
- •1. Diagnosis of stress urinary incontinence or mixed urinary incontinence, as
- •confirmed by cough stress test and with a response of Yes to Q3 on the UDI-6
- •questionnaire
- •2. Current symptomatic urinary tract infection (UTI), urethritis, or more than
- •three (3) UTIs in past year
- •3. Have post-void residual urine volume >30% of total voided volume
- •4. Inadequate skin integrity or any evidence of an infection, edema or
- •inflammation in either lower leg
- •5. Evidence of anatomic abnormalities that could jeopardize the placement of
- •the device or pose a hazard to the subject
- •6. Prior treatment of urinary symptoms with nerve stimulation (e.g.,
- •percutaneous tibial nerve stimulation [PTNS] or sacral nerve stimulation [SNS])
- •7. History of chronic pain (e.g., chronic pelvic pain, fibromyalgia, Lyme
- •disease, chronic back pain)
- •8. An active implantable electronic device regardless of whether stimulation is
- •9. Treatment of urinary symptoms with botulinum toxin therapy within twelve
- •(12) months
- •Anyneurologicalconditionthatcouldinterferewithnormalbladderortibialnervefunction
- •,including stroke, epilepsy, multiple sclerosis, Parkinson*s disease,
- •peripheral neuropathy, fibromyalgia, or spinal cord injury (e.g., paraplegia)
- •11. Current urinary tract mechanical obstruction (e.g.,benign prostatic
- •enlargement or urethral stricture)
- •12. Other urinary tract dysfunction (e.g.,abnormal upper urinary tract
- •function, vesicoureteral reflux, bladder stone or tumor, urinary fistula)
- •13. Endstage renal failure,GFR<35, or dialysis
- •14. History of pelvic cancer within the past two years
- •15. Pelvic organ prolapse at or beyond the hymenal ring
- •InterstitialcystitisorbladderpainsyndromeasdefinedbyeitherAmericanUrologicalAsso
- •ciation (AUA) or European Association of Urology (EAU) guidelines prior to
- •INTIBIA implant date
- •17. Diabetes with peripheral nerve compromise or uncontrolled diabetes
- •18. Pregnant as confirmed by urine or serum pregnancy test, plans to become
- •pregnant over the study period, is less than one-year post-partum, is
- •breast-feeding
- •19. Current active or a chronic systemic infection
- •20. Condition requiring magnetic resonance imaging(MRI) of lower leg
- •21. Condition requiring diathermy
- •22. Allergy to polyethylene terephthalate, silicone rubber, platinum, iridium,
- •or polyurethane
- •23. Allergy to local anesthetic or adhesives
- •Deemedunsuitableforenrollmentbytheinvestigatorbasedonhistoryorphysicalexaminatio
- •n(e.g., bleeding disorders, current anticoagulant medications)
- •25. Enrolled in another investigational or interventional device or drug trial
- •over the study period
Investigators
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