Virtue® European Study
- Conditions
- Stress Urinary Incontinence
- Interventions
- Device: Virtue® Male Sling
- Registration Number
- NCT01608789
- Lead Sponsor
- Coloplast A/S
- Brief Summary
This study is a prospective, single arm, non-randomized, multi-center clinical study that will be conducted in Europe. It is designed to assess efficacy and safety of the Virtue® Male Sling in post-prostatectomy urinary incontinence.
- Detailed Description
This study is a prospective, single arm, non-randomized, multi-center clinical study that will be conducted at up to thirteen centers in Europe. It is designed to assess efficacy and safety of the Virtue® Male Sling. One hundred and twenty-one subjects, satisfying criteria for selection, will be implanted with no more than 15 implanted per site. The study's primary end point will be evaluated at 12 months with continued data collection through 36 months.
Recruitment & Eligibility
- Status
- COMPLETED
- Sex
- Male
- Target Recruitment
- 123
-
The subject has an estimated life expectancy of more than 5 years
- The subject has confirmed stress urinary incontinence (SUI) through medical history, urodynamics, and/or physical exam for at least 6 months
- The subject has intrinsic sphincter deficiency due to radical prostatectomy completed at least 1 year prior to implantation date
- The subject has a good bladder function
- The subject has failed non-invasive therapies, eg. Pelvic Floor/Kegel exercises, behavioral modification, or biofeedback, for at least 6 months
- The subject is willing to have the Virtue® Male Sling implanted
- The subject is able and willing to complete all follow-up visits and procedures indicated in this protocol
-
The subject is unable or unwilling to comply with all follow-up requirements according to the study protocol
- The subject has an active urinary tract infection or active skin infection in region of surgery (temporary exclusion)
- The subject has compromised immune systems or any other conditions that affect healing
- The subject has serious bleeding disorders
- The subject has an urinary incontinence that is not mainly a stress urinary incontinence
- The subject has a stress urinary incontinence due to TransUrethral Resection or laser surgery of the Prostate (TURP)
- The subject has incontinence due to neurogenic causes defined as multiple sclerosis, spinal cord/brain injury, CVA, detrusor-external sphincter dyssynergia, Parkinson's disease, or similar conditions
- The subject had a previous implant (male sling, Artificial Urinary Sphincter) to treat stress urinary incontinence (previous implanted bulking agents are allowed)
- The subject has undergone radiation, cryosurgery, or brachy therapy to treat prostate or other pelvic cancer within 6 months
- The subject is likely to undergo radiation therapy within the next 3 months
- The subject has a postvoid residual (PVR) > or = 150mL
- The subject has recently required transurethral instrumentation for urethral or urethro-vesical anatomosis stricture within the previous 6 months
- The subject is enrolled in a concurrent clinical study of any treatment (drug or device) that could affect continence function without the sponsors' approval
- The subject is deemed unfit for male sling implantation or participation in a research protocol as determined by the attending physician
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- SINGLE_GROUP
- Arm && Interventions
Group Intervention Description Virtue® Male Sling Virtue® Male Sling Patient implanted Virtue® Male Sling
- Primary Outcome Measures
Name Time Method Improvement of urinary incontinence based on 24-hour pad test 1 year The primary effectiveness end point will be improvement in pad weight defined as at least a 50% reduction in 24-hour pad weight from baseline to 12-months.
Safety of the device characterized by reported adverse events 1 year Safety of the device, including the implant procedure.
- Secondary Outcome Measures
Name Time Method Assessment of the frequency, severity and impact on quality of life of urinary incontinence based on ICIQ-UI short form baseline, 1 months, 3 months, 6 months, 1 year, 2 years and 3 years Base on International Consultation on Incontinence questionnaire-Urinary Incontinence short-form
Safety of the device characterized by reported adverse events Intraoperative, 1 month, 3 months, 6 months, 2 years, 3 years Safety of the device, including the implant procedure.
Improvement of urinary incontinence based on 24-hour pad test Baseline, 1 month, 3 months, 6 months, 2 years, 3 years 24 hour pad weight tests will be administered at baseline, 1, 3, 6, 12, 24 and 36 months and the difference reported. Outcomes reported will include mean paired change from baseline as well as the proportion or patients improving by at least 50% from baseline
Improvement of urinary incontinence based on number of pad used baseline,1 month, 3 months, 6 months, 1 year, 2 years and 3 years Number and types of pads used will be collected at baseline,1, 3, 6, 12, 24 and 36 months and the difference reported.
Improvement of urinary incontinence based on PGI-I 1 month, 3 months, 6 months, 1 year, 2 years, 3 years Patient global Impression of improvement
Patient satisfaction questionaire 1 month, 3 months, 6 months, 1 year, 2 years, 3 years the patient reported level of satisfaction in implantation sling procedure.
Trial Locations
- Locations (14)
Istituto europeo di Oncologia
🇮🇹Milan, Italy
Hôpital Erasme
🇧🇪Brussels, Belgium
Groupe Hospitalo Universitaire Carémeau
🇫🇷Nîmes, France
Heilig Geist Krankenhaus
🇩🇪Köln, Germany
Hospital Universitario Puerta del Mar
🇪🇸Cádiz, Spain
Fundacio Puigvert - Universitat Autonoma de Barcelona
🇪🇸Barcelona, Spain
Hôpital de la Pitié-Salpêtrière
🇫🇷Paris, France
Universitair Ziekenhuis Gent
🇧🇪Gent, Belgium
Hospital Santa Maria della Misericordia
🇮🇹Udine, Italy
Centre Hospitalier Universitaire Henri Mondor
🇫🇷Créteil, France
Mater Private Hospital
🇮🇪Dublin, Ireland
Universitätsklinikum Schleswig-Holstein
🇩🇪Kiel, Germany
Leiden University Medical Center
🇳🇱Leiden, Netherlands
Guy's Hospital
🇬🇧London, United Kingdom