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F15 Recharge Free Axonics SNM System Clinical Study

Not Applicable
Recruiting
Conditions
Urinary Urge Incontinence (UUI)
Urinary Frequency (UF)
Fecal Incontinence (FI)
Interventions
Device: Axonics SNM System (Model 4101)
Registration Number
NCT06186765
Lead Sponsor
Axonics, Inc.
Brief Summary

Multicenter, prospective, non randomized, single arm evaluation of patients with overactive bladder (OAB) and/or fecal incontinence (FI) employing the Axonics recharge free SNM System.

Detailed Description

A clinical evaluation to comply with new European Medical Device Regulations (EU MDR) guidelines. Multicenter, prospective, non-randomized, single arm study for OAB and/or FI to assess the safety and performance of the Food and Drug Administration (FDA) approved Axonics recharge free sacral neuromodulation (SNM) System, model 4101. The product is currently marketed under the name F15 in the United States.

Recruitment & Eligibility

Status
RECRUITING
Sex
All
Target Recruitment
130
Inclusion Criteria
  1. 18 years or older
  2. Primary indication of overactive bladder (OAB) (urinary urgency incontinence (UUI)/ urinary frequency (UF)) or fecal incontinence (FI) who are not candidates for, or who have failed conservative treatment
  3. Willing and capable to provide written informed consent and agrees to comply with specified evaluations at clinical investigational sites and attend all follow-up assessments for up to 1 year.
Exclusion Criteria
  1. Any significant medical condition that is likely to interfere with procedures, device operation, or likely to confound evaluation of endpoints (exclusion of neurological conditions such as multiple sclerosis)
  2. Any psychiatric or personality disorder that is likely to interfere with procedures at the discretion of the participating physician; this may include poor understanding or compliance with requirements
  3. Previously underwent an external sacral neuromodulation (SNM) trial and was deemed a non-responder or was previously implanted with a sacral neuromodulation device and did not get therapeutic benefit (a non-responder)
  4. History of allergic response to titanium, zirconia, polyurethane, epoxy, or silicone
  5. A female who is breastfeeding
  6. A female with a positive urine pregnancy test

Study & Design

Study Type
INTERVENTIONAL
Study Design
SINGLE_GROUP
Arm && Interventions
GroupInterventionDescription
Single Arm - product does not have Communauté Européenne (CE) Mark in EuropeAxonics SNM System (Model 4101)Observational
Primary Outcome Measures
NameTimeMethod
Performance/Effectiveness - Improvement in Quality of Life scoring (OAB)3 months

International Consultation on Incontinence Questionnaire Overactive Bladder Quality of Life (ICIQ-OABqol): questions in each subscale are scored by a summed range of 0 to 100, with a higher score indicating better quality of life. Overall score ≥ 10 points from baseline to follow-up is indicative of a clinically meaningful improvement.

Performance/Effectiveness - Improvement in Fecal Incontinence Survey3 months

Cleveland Clinic Florida - Fecal Incontinence Score (CCF-FIS): includes 5 items (solid, liquid, gas, wears pad and lifestyle alteration) and 5 frequencies (never = 0, rarely = 1, sometimes = 2, usually = 3, always = 4). Scores range from 0 for full continence to 20 for complete incontinence. A higher score is indicative of the severity of fecal incontinence.

Performance/Effectiveness - Improvement in Quality of Life scoring (FI)3 months

Fecal Incontinence Quality of Life (FIQoL): includes four different subscales: lifestyle, coping/behavior, depression/self-perception and embarrassment. Subscale scores range from 1 to 5, with 1 indicating lower functional status of qualify of life.

Adverse event reporting (Safety)3 months

Device-related, procedure-related and all serious adverse events

Secondary Outcome Measures
NameTimeMethod
Performance/Effectiveness - Improvement in Quality of Life scoring (OAB)1 year

International Consultation on Incontinence Questionnaire Overactive Bladder Quality of Life (ICIQ-OABqol): questions in each subscale are scored by a summed range of 0 to 100, with a higher score indicating better quality of life. Overall score ≥ 10 points from baseline to follow-up is indicative of a clinically meaningful improvement.

Performance/Effectiveness - Improvement in Fecal Incontinence Survey1 year

Cleveland Clinic Florida - Fecal Incontinence Score (CCF-FIS): includes 5 items (solid, liquid, gas, wears pad and lifestyle alteration) and 5 frequencies (never = 0, rarely = 1, sometimes = 2, usually = 3, always = 4). Scores range from 0 for full continence to 20 for complete incontinence. A higher score is indicative of the severity of fecal incontinence.

Performance/Effectiveness - Improvement in Quality of Life Survey (FI)1 year

Fecal Incontinence Quality of Life (FIQoL): includes four different subscales: lifestyle, coping/behavior, depression/self-perception and embarrassment. Subscale scores range from 1 to 5, with 1 indicating lower functional status of qualify of life.

Adverse event reporting (Safety)1 year

Device-related, procedure-related and all serious adverse events

Trial Locations

Locations (14)

Bristol Urological Institute

🇬🇧

Bristol, United Kingdom

Hartford Healthcare

🇺🇸

Waterford, Connecticut, United States

Manatee Medical Research Institute

🇺🇸

Bradenton, Florida, United States

East Coast Institute of Research

🇺🇸

Jacksonville, Florida, United States

Florida Bladder Institute

🇺🇸

Naples, Florida, United States

Atrium Health

🇺🇸

Macon, Georgia, United States

Minnesota Urology

🇺🇸

Coon Rapids, Minnesota, United States

Adult Pediatric Urology & Urogynecology

🇺🇸

Omaha, Nebraska, United States

Columbia University Medical Center

🇺🇸

New York, New York, United States

The Oregon Clinic

🇺🇸

Portland, Oregon, United States

Southern Shores Urogynecology

🇺🇸

Myrtle Beach, South Carolina, United States

Houston Colon

🇺🇸

Houston, Texas, United States

Erasmus Medical Center

🇳🇱

Rotterdam, Netherlands

Northern General Hospital

🇬🇧

Sheffield, United Kingdom

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