Autologous Muscle Derived Cells Compared to Placebo for Urinary Sphincter Repair in Post-surgical Female Stress Incontinence

NCT ID: NCT03104517

Last Updated: 2025-07-31

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

ACTIVE_NOT_RECRUITING

Clinical Phase

PHASE3

Total Enrollment

96 participants

Study Classification

INTERVENTIONAL

Study Start Date

2019-04-23

Study Completion Date

2027-09-30

Brief Summary

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This study evaluates the efficacy and safety of Autologous Muscle Derived Cells for Urinary Sphincter Repair (AMDC-USR; generic name: iltamiocel) compared to a placebo in the reduction of stress incontinence episode frequency in adult female patients with post-surgical persistent or recurrent stress urinary incontinence (SUI). Half of the participants will receive AMDC-USR (injections with cells) and the other half will receive placebo.

Detailed Description

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Stress urinary incontinence (SUI) is the accidental loss of urine due to physical activity, such as laughing, coughing, or sneezing. Autologous Muscle Derived Cells for Urinary Sphincter Repair (AMDC-USR; generic name: iltamiocel) involves a medical procedure in which a participant's own muscle cells are collected, processed, and then injected into the tissues of the urinary passage.

This is a double-blind randomized study, which means neither the participant, nor the study doctor will know which treatment group the participant will be in. Participants who are randomly chosen to receive injection with placebo will have the option to receive an injection with their cells after completion of the blinded portion of their study participation (12 months).

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

QUADRUPLE

Participants Caregivers Investigators Outcome Assessors

Study Groups

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AMDC-USR (iltamiocel)

Autologous muscle-derived cells for urinary sphincter repair (AMDC-USR; generic name: iltamiocel) is the study product.

Group Type EXPERIMENTAL

AMDC-USR (iltamiocel)

Intervention Type BIOLOGICAL

Autologous Muscle Derived Cells for Urinary Sphincter Repair (generic name: iltamiocel)

Placebo

Placebo control is the vehicle solution used for the study product.

Group Type PLACEBO_COMPARATOR

Placebo

Intervention Type OTHER

Placebo control is the vehicle solution used for the study product.

Interventions

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AMDC-USR (iltamiocel)

Autologous Muscle Derived Cells for Urinary Sphincter Repair (generic name: iltamiocel)

Intervention Type BIOLOGICAL

Placebo

Placebo control is the vehicle solution used for the study product.

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* Adult female patient ≥ 18 years of age who has primary and moderate-to-severe symptoms of SUI for at least 6 months, as confirmed by patient medical history and clinical symptoms, including a focused incontinence evaluation.
* History of previous surgery for treatment of SUI. Previous surgery could include midurethral sling, retropubic suspension, or bladder neck sling. Bulking agents alone are not considered previous surgery for treatment of SUI.
* Must be willing and able to comply with the study procedures, be mentally competent and able to understand all study requirements, and must agree to read and sign the informed consent form prior to any study-related procedures.
* Must have completed 100% of the screening 3-day diary evening reports.

Exclusion Criteria

* Patient has symptoms of only urge incontinence as confirmed by basic evaluation of etiology from a patient medical history, including a focused incontinence history.
* Patient has symptoms of mixed urinary incontinence where urge incontinence is the predominant factor.
* Patient has had stress urinary incontinence symptoms less than 6 months prior to signing the informed consent.
* Patient has not previously attempted conservative treatment prior to signing the informed consent. (Examples of conservative treatment include behavior modifications, bladder exercises, biofeedback, pelvic floor muscle therapy, etc.)
* Patient BMI ≥ 35.
* Patient routinely has more than 2 episodes of awakening to void during normal sleeping hours.
* If taking a medication known to affect lower urinary tract function, including but not limited to, anticholinergics, beta 3 adrenergic receptor agonists, tricyclic antidepressants, serotonin-norepinephrine reuptake inhibitor (SNRI) or selective serotonin reuptake inhibitor (SSRI) antidepressants, diuretics, or alpha-adrenergic blockers, patient cannot be maintained on a stable dose and/or frequency of medication (including diuretics), cannot be maintained on a stable dose and/or frequency for at least 2 weeks prior to screening or is likely to change during the course of the study.
* History of cancer in pelvic organs, ureters, or kidneys.
* Patient is pregnant, lactating, or plans to become pregnant during the course of the study.
Minimum Eligible Age

18 Years

Eligible Sex

FEMALE

Accepts Healthy Volunteers

No

Sponsors

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Cook MyoSite

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Melissa Kaufman, M.D., Ph.D.

Role: PRINCIPAL_INVESTIGATOR

Vanderbilt University Medical Center, Department of Urologic Surgery

Locations

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Arizona Urology Specialists

Tucson, Arizona, United States

Site Status

San Diego Clinical Trials

La Mesa, California, United States

Site Status

UCLA Women's Health Clinical Research Unit/Department of OBGYN

Los Angeles, California, United States

Site Status

Stanford Hospital and Clinics

Stanford, California, United States

Site Status

American Association of Female Pelvic Medicines Research Institute

Westlake Village, California, United States

Site Status

MedStar Georgetown Hospital Department of Urology

Washington D.C., District of Columbia, United States

Site Status

University of Kansas Health System

Kansas City, Kansas, United States

Site Status

Bennett Institute of Urogynecology and Incontinence

Grand Rapids, Michigan, United States

Site Status

University of New Mexico Women's Care Clinic

Albuquerque, New Mexico, United States

Site Status

AccuMed Research Associates

Garden City, New York, United States

Site Status

Northwell Health/The Arthur Smith Institute for Urology

Lake Success, New York, United States

Site Status

Columbia University Irving Medical Center

New York, New York, United States

Site Status

Atrium Health

Charlotte, North Carolina, United States

Site Status

Cleveland Clinic/Glickman Institute-Q10

Cleveland, Ohio, United States

Site Status

Magee Women's Hospital of UPMC

Pittsburgh, Pennsylvania, United States

Site Status

Sanford Female Pelvic Medicine and Reconstructive Surgery Clinic

Sioux Falls, South Dakota, United States

Site Status

Vanderbilt University Medical Center, Dept. of Urologic Surgery

Nashville, Tennessee, United States

Site Status

Houston Methodist Hospital

Houston, Texas, United States

Site Status

Cedar Health Research

Irving, Texas, United States

Site Status

Virginia Mason Medical Center

Seattle, Washington, United States

Site Status

Derriford Hospital

Plymouth, Devon, United Kingdom

Site Status

Countries

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United States United Kingdom

Related Links

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https://www.suiclinicalstudy.com/

https://www.suiclinicalstudy.com/

Other Identifiers

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15-06

Identifier Type: -

Identifier Source: org_study_id

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