Bulking Agents for the Treatment of Stress Urinary Incontinence in Females

NCT ID: NCT00629083

Last Updated: 2020-02-07

Study Results

Results available

Outcome measurements, participant flow, baseline characteristics, and adverse events have been published for this study.

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

345 participants

Study Classification

INTERVENTIONAL

Study Start Date

2008-04-30

Study Completion Date

2013-05-31

Brief Summary

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The primary purpose of this study is to demonstrate the safety and effectiveness of Bulkamid® in the treatment of stress urinary incontinence (SUI) due to intrinsic sphincter deficiency (ISD) in adult women who have SUI or stress predominant mixed incontinence

Detailed Description

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The study is a single-masked, randomized, comparative multi-center, 2-arm parallel study intended to demonstrate the safety and effectiveness of Bulkamid® vs. Contigen® for the treatment of stress urinary incontinence (SUI)due to intrinsic sphincter deficiency (ISD) in adult women who have SUI or stress predominant mixed incontinence.

Subjects will be randomized to receive either a polyacrylamide hydrogel (Bulkamid®) treatment, or a collagen treatment (Contigen®) using a 2:1 ratio and will be masked to the treatment. Screening baseline evaluations and collagen skin testing will be completed to determine eligible subjects. Following a negative skin test, a subject will be randomized and treated with Bulkamid® or the comparator device at the Treatment Visit.

Subjects that are not continent will be considered for re-injection. A maximum of 3 injections (initial + 2 re-injections) are allowed. After the last injection, subjects will attend the 3-Month, 6-Month and 12-Month Follow-up Visits plus a telephone contact at 9 months.

The study will record objective incontinence measurements, subject's perception of effectiveness and quality of life assessments. Adverse events will be recorded throughout the study.

Each subject will be followed for 12 months from the last injection.

Conditions

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Stress Urinary Incontinence

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

SINGLE

Participants

Study Groups

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1

Bulkamid Hydrogel injection

Group Type EXPERIMENTAL

Bulkamid

Intervention Type DEVICE

Bulking injection with Bulkamid injection device

2

Contigen injection

Group Type ACTIVE_COMPARATOR

Contigen

Intervention Type DEVICE

Transurethral bulking injection

Interventions

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Bulkamid

Bulking injection with Bulkamid injection device

Intervention Type DEVICE

Contigen

Transurethral bulking injection

Intervention Type DEVICE

Eligibility Criteria

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Inclusion Criteria

* Be female 18 or more years of age.
* Females of childbearing potential or \<2 years post-menopausal must be using 2 forms of contraception.
* Suffer from SUI for at least 6 months.
* Have failed 2 previous non-invasive therapies for 3 months each.
* Have at least 3 incontinence episodes measured over 3 days.
* Have a baseline 24h pad test weight greater than or equal to 5 gm.
* Have VLPP ≤ 100 cm H2O.
* Have maximum cystometric capacity equal or higher than (≥) 250 mL.
* Have PVR urine ≤ 100 mL.
* Have a life expectancy of more than 2 years.

Exclusion Criteria

* Has urethral hypermobility \>30 deg.
* Has predominant urge incontinence.
* Has detrusor overactivity.
* Regularly or intermittently users of urethral catheter.
* Has had previous radiation treatment in the pelvic floor.
* Has had previous urethral surgery (i.e. fistula, diverticula)or urethral bulking. Failed sling or colposuspension procedure for at least 6 months may be included.
* Suffers from known polyuria.
* Has had three (3) or more culture-proven bacterial UTIs in the last 12 months.
* Has a current infection (urethritis, cystitis or vaginitis).
* Has unevaluated hematuria.
* Has a Prolapse Stage greater than II.
* Has a BMI\>35 kg/m2.
* Is taking pharmacological treatment for stress urinary incontinence, 4 weeks prior to screening.
* Is allergic to bovine collagen.
* Is known to suffer from severe allergies or anaphylaxis.
* Suffers from autoimmune diseases (e.e. connective tissue diseases) that could confound the treatment.
* Is currently taking or has taken systemic corticosteroids within the past 3 months.
* Currently has cancer or has a history of any cancer within the past 5 years (skin cancer with no evidence of skin malignancy, for at least 2 years, can be included).
* Currently suffering from unstable cardiovascular disease, cancer or uncontrolled diabetes.
* Has active herpes genitalis.
* Is currently participating in any other clinical trial or has participated in another clinical trial within 3 months of screening/baseline visit.
* Is pregnant, lactating or intending to become pregnant.
* Is not physically able to perform study procedure.
* Has a neurogenic bladder
* Had a vaginal delivery within 3 months prior to screening.
Minimum Eligible Age

18 Years

Eligible Sex

FEMALE

Accepts Healthy Volunteers

No

Sponsors

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Regulatory and Clinical Research Institute Inc

OTHER

Sponsor Role collaborator

Contura

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Silvia Garcia-Codony

Role: STUDY_DIRECTOR

Contura

Locations

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Incontinence Research Institute

Encinitas, California, United States

Site Status

Tower Urology - Institute for Continence - Cedars-Sinai Medical Office

Los Angeles, California, United States

Site Status

Sherif Aboseif, MD

Oxnard, California, United States

Site Status

South California Permanente Medical Group

Pasadena, California, United States

Site Status

Stanford UniveritySchool of Medicine - Departmert of OB/GYN

Stanford, California, United States

Site Status

Genitourinary Surgical Consultants

Denver, Colorado, United States

Site Status

Mayo Clinic - Department of Urology

Jacksonville, Florida, United States

Site Status

University of Miami and Jackson Memorial Hospital

Miami, Florida, United States

Site Status

Specialists in Urology

Naples, Florida, United States

Site Status

Discovery Clinical Trials

Winter Haven, Florida, United States

Site Status

North Shore University Health System

Evanston, Illinois, United States

Site Status

Ochsner Clinic

New Orleans, Louisiana, United States

Site Status

LSU Health Science Center

New Orleans, Louisiana, United States

Site Status

Michigan Urology

Troy, Michigan, United States

Site Status

Northeast Urogynecology

Albany, New York, United States

Site Status

McKay Urology

Charlotte, North Carolina, United States

Site Status

The Urology Group

Cincinnati, Ohio, United States

Site Status

Midwest Institute for Research & Education

West Chester, Ohio, United States

Site Status

St. Lukes Hospital and Health Network

Allentown, Pennsylvania, United States

Site Status

Hospital for the University of Pennsylvannia - Penn Center for Continence and Public Health: Division of Urology

Philadelphia, Pennsylvania, United States

Site Status

Medical University of South Carolina - Department of Urology

Charleston, South Carolina, United States

Site Status

Urology Clinics of North Texas

Dallas, Texas, United States

Site Status

UT Southwestern Medical Center at Dallas - Department of Urology

Dallas, Texas, United States

Site Status

Vanguard Urologic Research Foundation

Houston, Texas, United States

Site Status

Urology San Antonio

San Antonio, Texas, United States

Site Status

Scott & White Memorial Hospital

Temple, Texas, United States

Site Status

University of Vermont - The Continence Center

Burlington, Vermont, United States

Site Status

Virgina Mason Medical Center - Section of Urology and Renal Transplantation

Seattle, Washington, United States

Site Status

Can-Med Clinical Research, Inc.

Victoria, British Columbia, Canada

Site Status

Gary Steinhoff Clinical Research

Victoria, British Columbia, Canada

Site Status

Sunnybrook Health Sciences Centre

Toronto, Ontario, Canada

Site Status

Jewish General Hospital

Montreal, Quebec, Canada

Site Status

University of Sherbrooke

Sherbrooke, Quebec, Canada

Site Status

Hopital Tenon

Paris, , France

Site Status

Countries

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United States Canada France

Other Identifiers

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CONSUI-US01

Identifier Type: -

Identifier Source: org_study_id

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