NCT05301335
Completed
Not Applicable
Spinal Cord Neuromodulator by SpineX and Scone to Treat Neurogenic Bladder
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Neurogenic Bladder
- Sponsor
- SpineX Inc.
- Enrollment
- 126
- Locations
- 12
- Primary Endpoint
- Neurogenic Bladder Symptom Score (NBSS)
- Status
- Completed
- Last Updated
- last year
Overview
Brief Summary
The purpose of this study is to evaluate the effectiveness and safety of SCONE neuromodulation therapy after 12 weeks of therapy in comparison to inactive sham control in improving symptoms of Neurogenic Lower Urinary Tract Dysfunction
Investigators
Eligibility Criteria
Inclusion Criteria
- •Subject is ≥ 18 and ≤ 70 years old (male subjects) or ≥ 18 and ≤ 75 years (female subjects) at the time of enrollment/consent.
- •Subject has a diagnosis of NLUTD due to:
- •Chronic, spinal cord injury at C3 to T8 classified as ASIA A-B on the AIS scale OR
- •Chronic, spinal cord injury at C3 to L1 classified as ASIA C-D on the AIS scale OR
- •Multiple sclerosis; OR
- •Subject has symptoms of urinary urgency (\> 50% high urge voids) or increased frequency of micturition/self-catheterization (more than once every 2 hours) or incontinence between voids or catheterizations (\> 5/day).
- •Subject has sterile urine or asymptomatic bacteriuria.
- •Subject's score is \> 28 on NBSS survey.
- •Subject is at least one year post initial diagnosis of NLUTD at the time of enrollment (consent).
- •Subject's medical condition is stable.
Exclusion Criteria
- •Subject relies on an indwelling catheter (urethral or suprapubic) for bladder drainage.
- •Subject has a history of bladder augmentation or continent or incontinent urinary stoma or prior bladder surgery.
- •Subject has congestive heart failure, pulmonary disease necessitating supplemental oxygen use, chronic kidney disease (Stage III or higher), chronic liver disease (Child Pugh class B or C) or poorly controlled diabetes (if diabetic, HbA1c \> 8.0 within the preceding 6 months).
- •Subject has a concurrent neurological disease affecting the central nervous system, other than spinal cord injury or multiple sclerosis or stroke.
- •Subject has an implanted central or peripheral neuromodulator.
- •Subject has symptomatic, clinically significant autonomic dysreflexia attacks (characterized by headache and systolic blood pressure greater than 180 mmHg) more than once a week.
- •Subject is dependent on an electromagnetic medical implant (e.g., cardiac pacemaker or implanted drug pump), ventilation support, or other external device.
- •Subject has received intravesical botulinum toxin injection within 12 months preceding enrollment.
- •Subject's BMI is \>
- •Subject has history of morphologic bladder outlet obstruction (e.g., due to benign prostatic hyperplasia, urethral stricture and /or bladder neck contracture).
Outcomes
Primary Outcomes
Neurogenic Bladder Symptom Score (NBSS)
Time Frame: 12 weeks
Lower score represents improvements
Secondary Outcomes
- Urge Urinary Incontinence Episodes(12 weeks)
- Patient Global Improvement Index (PGI-I)(12 weeks)
Study Sites (12)
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