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Sacral Neuromodulation for Male Overactive Bladder (MOAB)

Not Applicable
Recruiting
Conditions
Prostatectomy
Overactive Bladder
Benign Prostatic Hyperplasia
Prostate Cancer
Urinary Urgency Incontinence
Interventions
Device: Axonics SNM System
Registration Number
NCT06511141
Lead Sponsor
Axonics, Inc.
Brief Summary

To assess the post-market clinical outcomes of the Axonics SNM System for treatment of overactive bladder in male patients.

Detailed Description

To assess the post-market clinical outcomes of the Axonics SNM System for treatment of overactive bladder in male patients who have a prior history of radical prostatectomy or radiation for prostate cancer or who have a history of cytoreductive surgical intervention for benign prostatic hyperplasia (BPH).

Recruitment & Eligibility

Status
RECRUITING
Sex
Male
Target Recruitment
150
Inclusion Criteria
  1. Participants aged ≥ 18 years at the time of enrollment
  2. Able to complete bladder diaries and patient questionnaires
  3. Primary diagnosis of Urinary Urgency Incontinence (UUI)
  4. 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
  5. Underwent prostatectomy for prostate cancer at least 6 months prior to enrollment
  6. Underwent radiation therapy for prostate cancer at least 6 months prior to enrollment
  7. Underwent cytoreductive surgical intervention for BPH at least 6 months prior to enrollment

Key

Exclusion Criteria
  1. Any patient that is not a suitable candidate per investigator discretion
  2. Recent prostate therapy or procedure within the last 6 months at the time of enrollment
  3. Any neurological condition that could interfere with normal bladder function, including stroke, epilepsy, multiple sclerosis, Parkinson's disease, clinically significant peripheral neuropathy, or spinal cord injury (e.g., paraplegia)
  4. Previously implanted with a sacral neuromodulation device, including inactive SNM devices
  5. Any prior treatment with an Implantable Tibial Nerve Stimulation (ITNS)
  6. Percutaneous Tibial Nerve Stimulation (PTNS) within the last 3 months at the time of enrollment
  7. Underwent an external trial with any sacral neuromodulation device and was deemed a non-responder by a physician
  8. Any significant medical condition that is likely to interfere with study procedures, device operation, or likely to confound evaluation of study objectives (e.g. Crohn's disease, moderate to severe fibromyalgia, chronic pain)
  9. Uncontrolled diabetes
  10. Known allergic reactions to components of the Axonics SNM System, including titanium, zirconia, polyurethane, epoxy, or silicone

Study & Design

Study Type
INTERVENTIONAL
Study Design
SINGLE_GROUP
Arm && Interventions
GroupInterventionDescription
Single ArmAxonics SNM SystemClinical outcomes with use of Axonics SNM system for the male OAB population.
Primary Outcome Measures
NameTimeMethod
Performance/Effectiveness - Improvement in Qualify of Life scoring6 months, 1 year

International Consultation of Incontinence Questionnaire Overactive Bladder Qualify 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.

Adverse event reporting (Safety)6 months, 1 year

Device related, procedure-related and all serious adverse events

Performance/Effectiveness - Reduction in UUI episodes6 months, 1 year

Demonstrate a ≥ 50% reduction in the number of UUI episodes on a 3-day diary

Secondary Outcome Measures
NameTimeMethod

Trial Locations

Locations (6)

University of Alabama at Birmingham

🇺🇸

Birmingham, Alabama, United States

University Hospitals Cleveland

🇺🇸

Cleveland, Ohio, United States

Urology Partners of North Texas (UPNT)

🇺🇸

Arlington, Texas, United States

El Camino Health

🇺🇸

Mountain View, California, United States

WK Clinical Research

🇺🇸

Shreveport, Louisiana, United States

Potomac Urology

🇺🇸

Woodbridge, Virginia, United States

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