Efficacy Study of Pudendal Neuromodulation for the Treatment of Neurogenic Overactive Bladder

NCT ID: NCT01023269

Last Updated: 2019-01-31

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

TERMINATED

Clinical Phase

NA

Total Enrollment

17 participants

Study Classification

INTERVENTIONAL

Study Start Date

2009-12-31

Study Completion Date

2012-06-30

Brief Summary

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The study is designed to demonstrate that treatment with low level stimulation of the bladder muscles reduces symptoms of urinary incontinence in comparison with no stimulation.

Detailed Description

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The Medtronic InterStim device delivers stimulation therapy for the treatment of chronic intractable (functional) disorders of the pelvis and lower urinary or intestinal tract through the sacral nerve or the pudendal nerve systems.

This trial is designed to demonstrate that neuromodulation of the pudendal nerve will effectively treat patients with neurogenic overactive bladder. Symptoms of urinary incontinence are compared when stimulation is switched on for 4 weeks to stimulation switched off for 4 weeks. After the eight week crossover period, all patients receive treatment and are followed up within the study for 12 months post implant.

Conditions

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Neurogenic Overactive Bladder Urinary Incontinence Detrusor Overactivity

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

CROSSOVER

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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ON / OFF

Stimulation ON for 4 weeks, followed by stimulation OFF for 4 weeks.

Group Type OTHER

InterStim Therapy

Intervention Type DEVICE

Neuromodulation therapy which delivers low level electrical stimulation to bladder wall for the treatment of overactive bladder with urinary incontinence.

OFF / ON

Stimulation OFF for 4 weeks, followed by stimulation ON for 4 weeks.

Group Type OTHER

InterStim Therapy

Intervention Type DEVICE

Neuromodulation therapy which delivers low level electrical stimulation to bladder wall for the treatment of overactive bladder with urinary incontinence.

Interventions

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InterStim Therapy

Neuromodulation therapy which delivers low level electrical stimulation to bladder wall for the treatment of overactive bladder with urinary incontinence.

Intervention Type DEVICE

Eligibility Criteria

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Inclusion Criteria

* Incomplete upper motor neuron lesion
* Detrusor overactivity
* Two leaks or two notices of leaks per day
* Mean functional bladder capacity (volume voided per episode) of ≥100 ml

Exclusion Criteria

* Complete spinal lesion or complete bilateral lesion of sacral / pudendal nerves.
* Degenerative disease of the central nervous system
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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MedtronicNeuro

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Michele Spinelli, MD

Role: PRINCIPAL_INVESTIGATOR

Ospedale Niguarda Ca' Granda, Milan, Italy

Karel Everaert, MD

Role: PRINCIPAL_INVESTIGATOR

University Ghent

Philip Van Kerrebroeck, MD

Role: PRINCIPAL_INVESTIGATOR

Academisch Ziekenhuis, Maastricht, The Netherlands

Emmanuel Chartier-Kastler, MD

Role: PRINCIPAL_INVESTIGATOR

Hôpital de la Pitié Salpétrière, Paris, France

Arndt Van Ophoven, MD

Role: PRINCIPAL_INVESTIGATOR

Marienhospital Herne Klinikum der Ruhr-Universität, Herne, Germany

Karl Sievert, MD

Role: PRINCIPAL_INVESTIGATOR

Klinik für Urologie Oberarzt-Sekretariat, Tübingen, Germany

Suzy Elneil, MD

Role: PRINCIPAL_INVESTIGATOR

National Hospital for Neurology and Neurosurgery, London, UK

Locations

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Universitair Ziekenhuis Gent

Ghent, , Belgium

Site Status

Centre Hospitalier Universitaire de Lyon-Sud

Lyon, , France

Site Status

Hôpital de la Pitié Salpétrière

Paris, , France

Site Status

Marienhospital Herne, Klinikum der Ruhr-Universitaet Bochum

Herne, , Germany

Site Status

Klinik für Urologie Oberarzt-Sekretaria

Tübingen, , Germany

Site Status

Niguarda Ospedale Ca' Granda

Milan, , Italy

Site Status

Academisch Ziekenhuis

Maastricht, , Netherlands

Site Status

National Hospital for Neurology and Neurosurgery

London, , United Kingdom

Site Status

Countries

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Belgium France Germany Italy Netherlands United Kingdom

Other Identifiers

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1.02.7004

Identifier Type: -

Identifier Source: org_study_id

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