Trial Outcomes & Findings for Effectiveness of Bilateral PTNS Compared to Unilateral PTNS for the Treatment of Overactive Bladder/Urge Incontinence (NCT NCT03535857)

NCT ID: NCT03535857

Last Updated: 2025-04-15

Results Overview

Overactive Bladder questionnaire short form (OABqSF) symptom severity questionnaire was administered at baseline, 4 weeks, 8 weeks then 12 weeks. The OABqSF score ranges from 0 to 100. Those with more bothersome symptoms have higher scores. The investigators expected more improvement in symptoms from participants receiving bilateral stimulation compared to those with unilateral stimulation.

Recruitment status

TERMINATED

Study phase

NA

Target enrollment

36 participants

Primary outcome timeframe

12 weeks or last measurement

Results posted on

2025-04-15

Participant Flow

Participant milestones

Participant milestones
Measure
Unilateral PTNS
34 gauge needle inserted 3cm above the medial ankle on the ankle, and cables are connected to the PTNS stimulator device. Stimulation is provided, per manufacturer directions, over a 30-minute treatment period PTNS: Use of PTNS on the ankle for 30 minutes
Bilateral PTNS
34 gauge needle inserted 3cm above the medial ankle on both ankles, and cables are connected to the PTNS stimulator device. Stimulation is provided, per manufacturer directions, over a 30-minute treatment period PTNS: Use of PTNS on the ankle for 30 minutes
Overall Study
STARTED
18
18
Overall Study
COMPLETED
13
16
Overall Study
NOT COMPLETED
5
2

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Race and Ethnicity were not collected from any participant.

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Unilateral PTNS
n=18 Participants
PTNS: Use of PTNS on the ankle for 30 minutes
Bilateral PTNS
n=18 Participants
PTNS: Use of PTNS on both ankles for 30 minutes
Total
n=36 Participants
Total of all reporting groups
Age, Customized
Age
68.1 years
STANDARD_DEVIATION 13.8 • n=18 Participants
69.4 years
STANDARD_DEVIATION 11.4 • n=18 Participants
68.7 years
STANDARD_DEVIATION 12.5 • n=36 Participants
Sex: Female, Male
Female
18 Participants
n=18 Participants
18 Participants
n=18 Participants
36 Participants
n=36 Participants
Sex: Female, Male
Male
0 Participants
n=18 Participants
0 Participants
n=18 Participants
0 Participants
n=36 Participants
Race and Ethnicity Not Collected
0 Participants
Race and Ethnicity were not collected from any participant.
On Overactive bladder (OAB) Medications
6 participants
n=18 Participants
4 participants
n=18 Participants
10 participants
n=36 Participants
History of Diabetes mellitus
2 participants
n=18 Participants
7 participants
n=18 Participants
9 participants
n=36 Participants
Overactive bladder questionnaire short form (OABq SF) Score
64.6 units on a scale
STANDARD_DEVIATION 21.6 • n=17 Participants • Missing data
56.1 units on a scale
STANDARD_DEVIATION 26.2 • n=18 Participants • Missing data
60.4 units on a scale
STANDARD_DEVIATION 24.1 • n=35 Participants • Missing data
Incontinence Impact Questionnaire (IIQ) Score
49.5 units on a scale
STANDARD_DEVIATION 29.7 • n=17 Participants • Missing data
59.8 units on a scale
STANDARD_DEVIATION 23.6 • n=18 Participants • Missing data
54.8 units on a scale
STANDARD_DEVIATION 26.9 • n=35 Participants • Missing data
Daily Incontinence Episodes
2.3 Incontinence episodes
STANDARD_DEVIATION 2.4 • n=16 Participants • Missing data
2.6 Incontinence episodes
STANDARD_DEVIATION 2.0 • n=17 Participants • Missing data
2.5 Incontinence episodes
STANDARD_DEVIATION 2.2 • n=33 Participants • Missing data
Nocturia Episodes
1.7 Nocturia episodes
STANDARD_DEVIATION 1.4 • n=8 Participants • Missing data
1.7 Nocturia episodes
STANDARD_DEVIATION 1.9 • n=9 Participants • Missing data
1.7 Nocturia episodes
STANDARD_DEVIATION 1.6 • n=17 Participants • Missing data
Daily voids
9.8 Daily voids
STANDARD_DEVIATION 3.2 • n=16 Participants • Missing data
9.6 Daily voids
STANDARD_DEVIATION 4.1 • n=17 Participants • Missing data
9.7 Daily voids
STANDARD_DEVIATION 3.7 • n=33 Participants • Missing data

PRIMARY outcome

Timeframe: 12 weeks or last measurement

Population: Analysis was performed on all enrolled participants data available even if the participant withdrew from study prior to completion of study.

Overactive Bladder questionnaire short form (OABqSF) symptom severity questionnaire was administered at baseline, 4 weeks, 8 weeks then 12 weeks. The OABqSF score ranges from 0 to 100. Those with more bothersome symptoms have higher scores. The investigators expected more improvement in symptoms from participants receiving bilateral stimulation compared to those with unilateral stimulation.

Outcome measures

Outcome measures
Measure
Unilateral PTNS Change in Overactive Bladder Questionnaire Short Form Score
n=17 Participants
Change in overactive bladder symptom severity was measured by comparing last overactive bladder questionnaire score to overactive bladder questionnaire score at baseline for one ankle stimulation
Bilateral PTNS Change in Overactive Bladder Questionnaire Short Form Score
n=17 Participants
Change in overactive bladder symptom severity was measured by comparing last overactive bladder questionnaire score to overactive bladder questionnaire score at baseline for two ankle stimulation
Change in Overactive Bladder Questionnaire Score From Baseline to 12 Weeks or Last Measurement
-17.8 score on a scale
Standard Deviation 24.7
-23.5 score on a scale
Standard Deviation 29.3

SECONDARY outcome

Timeframe: 12 weeks or last measurement

Population: Analysis was performed on all enrolled participants data available even if the participant withdrew from study prior to completion of study.

The change in number of voids was obtained by comparing number of voids at 12 weeks or last measurement compared to baseline number of voids.

Outcome measures

Outcome measures
Measure
Unilateral PTNS Change in Overactive Bladder Questionnaire Short Form Score
n=16 Participants
Change in overactive bladder symptom severity was measured by comparing last overactive bladder questionnaire score to overactive bladder questionnaire score at baseline for one ankle stimulation
Bilateral PTNS Change in Overactive Bladder Questionnaire Short Form Score
n=17 Participants
Change in overactive bladder symptom severity was measured by comparing last overactive bladder questionnaire score to overactive bladder questionnaire score at baseline for two ankle stimulation
Change in Daily Number of Voids From Baseline to 12 Weeks or Last Measurement
-0.2 Number of daytime voids
Standard Deviation 3.3
-1.3 Number of daytime voids
Standard Deviation 2.6

SECONDARY outcome

Timeframe: 12 weeks or last measurement

Population: Analysis was performed on all enrolled participants data available even if the participant withdrew from study prior to completion of study.

Change in number of incontinence episodes defined as number of incontinence episodes at completion of PTNS (12 weeks or last measurement) compared to baseline number of incontinence episodes.

Outcome measures

Outcome measures
Measure
Unilateral PTNS Change in Overactive Bladder Questionnaire Short Form Score
n=16 Participants
Change in overactive bladder symptom severity was measured by comparing last overactive bladder questionnaire score to overactive bladder questionnaire score at baseline for one ankle stimulation
Bilateral PTNS Change in Overactive Bladder Questionnaire Short Form Score
n=17 Participants
Change in overactive bladder symptom severity was measured by comparing last overactive bladder questionnaire score to overactive bladder questionnaire score at baseline for two ankle stimulation
Change in Number of Incontinence Episodes Per 24 Hours From Baseline to 12 Weeks or Last Measurement
-0.3 Number of incontinence episodes
Standard Deviation 3.6
-1.2 Number of incontinence episodes
Standard Deviation 1.3

SECONDARY outcome

Timeframe: 12 weeks or last measurement

Population: Analysis was performed on all enrolled participants data available even if the participant withdrew from study prior to completion of study.

Change in number of nocturia episodes defined as number of nighttime voids at completion of PTNS (12 weeks or last measurement) compared to baseline number of nighttime voids.

Outcome measures

Outcome measures
Measure
Unilateral PTNS Change in Overactive Bladder Questionnaire Short Form Score
n=10 Participants
Change in overactive bladder symptom severity was measured by comparing last overactive bladder questionnaire score to overactive bladder questionnaire score at baseline for one ankle stimulation
Bilateral PTNS Change in Overactive Bladder Questionnaire Short Form Score
n=9 Participants
Change in overactive bladder symptom severity was measured by comparing last overactive bladder questionnaire score to overactive bladder questionnaire score at baseline for two ankle stimulation
Change in Nocturia Episodes From Baseline to 12 Weeks or Last Measurement
-0.1 Number of nighttime voids
Standard Deviation 1.1
-0.8 Number of nighttime voids
Standard Deviation 1.4

SECONDARY outcome

Timeframe: 12 weeks or last measurement

Population: Analysis was performed on all enrolled participants data available even if the participant withdrew from study prior to completion of study.

The incontinence impact questionnaire was used to measure the impact on quality of life. The questionnaire score ranges from 0 to 100 with higher scores indicating worse quality of life.

Outcome measures

Outcome measures
Measure
Unilateral PTNS Change in Overactive Bladder Questionnaire Short Form Score
n=16 Participants
Change in overactive bladder symptom severity was measured by comparing last overactive bladder questionnaire score to overactive bladder questionnaire score at baseline for one ankle stimulation
Bilateral PTNS Change in Overactive Bladder Questionnaire Short Form Score
n=17 Participants
Change in overactive bladder symptom severity was measured by comparing last overactive bladder questionnaire score to overactive bladder questionnaire score at baseline for two ankle stimulation
Impact of Treatment on Quality of Life From Baseline to 12 Weeks or Last Measurement
-12.8 score on a scale
Standard Deviation 24.7
-19.3 score on a scale
Standard Deviation 18.9

Adverse Events

Unilateral PTNS

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Bilateral PTNS

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Adverse event data not reported

Additional Information

Dr, Gnankang Sarah Napoe

University of Pittsburgh

Phone: 412-641-7850

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place