Desara ® One Single Incision Sling 522 Study

NCT ID: NCT04772131

Last Updated: 2025-09-19

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

RECRUITING

Clinical Phase

NA

Total Enrollment

300 participants

Study Classification

INTERVENTIONAL

Study Start Date

2021-11-01

Study Completion Date

2026-11-30

Brief Summary

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A post-market study to compare the safety and effectiveness of the Desara® One Single Incision Sling (SIS), when compared to that of an FDA cleared transobturator sling over a period of 36 months.

Detailed Description

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This study is a prospective, non-randomized, parallel cohort, multi-center study of Desara® One single incision sling (SIS) compared to Desara® Blue sling systems implanted via the transobturator-route (TOR) for the treatment of women with stress urinary incontinence (SUI). The study will compare results from SIS patients (N=150) and TOR patients (N=150) at up to 40 sites for a total period of 36 months, with follow-up visits at 2 and 6 weeks, 6, 12, 18, 24 and 36 months. This study will enroll adult females who are clinically indicated for a mid-urethral implant for the treatment of female stress urinary incontinence (SUI) resulting from urethral hypermobility and/or intrinsic sphincter deficiency (ISD).

Conditions

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Stress Urinary Incontinence

Study Design

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Allocation Method

NON_RANDOMIZED

Intervention Model

PARALLEL

Adult female subjects, who in the opinion of their physician require surgical treatment or who have already been diagnosed with stress urinary incontinence, will be eligible for study participation. Subjects who provide informed consent will undergo screening and baseline assessments. Subjects who successfully meet the study's inclusion and exclusion criteria will be eligible to undergo a Desara SIS or Desara Blue implant procedure, with subsequent follow-up assessments. The choice of implant, Desara One or Desara Blue, will be determined by the investigator based upon patient pathology and surgical preference.
Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Desara® One

Single Incision Sling

Group Type EXPERIMENTAL

Desara® One Single Incision Sling

Intervention Type DEVICE

Single incision sling

Desara® Blue

Transobturator Sling

Group Type ACTIVE_COMPARATOR

Desara® Blue Transobturator Sling

Intervention Type DEVICE

Standard mid-urethral sling

Interventions

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Desara® One Single Incision Sling

Single incision sling

Intervention Type DEVICE

Desara® Blue Transobturator Sling

Standard mid-urethral sling

Intervention Type DEVICE

Eligibility Criteria

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Inclusion Criteria

1. Female ≥ 18 of age.
2. Subject agrees that she is willing and able to return for all study related procedures and evaluations.
3. Subject has provided signed informed consent.
4. Subject has stress urinary incontinence (SUI) confirmed by either supine or standing cough stress test (CST) with bladder pre-fill to subjective fullness with 200-300 mL, or with bladder fullness confirmed via ultrasound.
5. Subject has confirmed stress incontinence greater than urge incontinence per MESA questionnaire.
6. Subject no longer has childbearing capacity or has a negative pregnancy test and has decided to cease childbearing. Childbearing capacity to be confirmed by documented history of:

1. A hysterectomy or
2. Tubal ligation or
3. Is otherwise incapable of pregnancy or has
4. Negative pregnancy test prior to study entry and has decided to cease childbearing
7. Subject has been offered and either failed or refused alternative non-invasive SUI treatment options and has elected to proceed with a surgical intervention.
8. Subject is eligible to undergo laparoscopic/robotic (with or without mesh) or vaginal (with or without mesh) apical, anterior or posterior prolapse concomitant surgical repair procedures (non-mesh).

Exclusion Criteria

1. Subject reports baseline pelvic pain ≥ 2 on 10 point Numeric Rating Scale (NRS).
2. Subject has a known neurological disease (with or without signs/symptoms of neurogenic bladder).
3. Subject has known pre-existing pain syndrome and/or has been evaluated by an interventional pain management physician.
4. Subject has a history of chronic opioid, or narcotic use for:

1. pain or
2. any other specified reason
5. Subject is on anti-coagulation therapy that cannot be suspended or adjusted for a minimum of 24-48 hours prior to planned sling implantation surgery.
6. Subject is on chronic (\> 3 months) systemic steroid treatment (except for inhalational use as indicated for pulmonary conditions).
7. Subject has uncontrolled diabetes defined as A1c ≥ 7% or fasting serum glucose \> 130mg/dl at screening/baseline.
8. Subject has an active lesion or skin infection of the perineum, urethra, or vagina as noted per visual pelvic exam.
9. Subject has active UTI which requires treatment, as determined by the Investigator.
10. Subject has pattern of recurrent UTIs, defined as ≥ 3 culture-proven UTIs during the 6-month period prior to surgery.
11. Subject has a urethral obstruction or other anatomic defects of the urethra (inclusive of urethral diverticulum or stricture or bladder neck contracture).
12. The subject has had:

1. any prior surgical stress urinary incontinence treatment or
2. any prior surgery on their urethra or
3. any prior surgery to distal anterior vaginal wall, including fistula repair or prior cystocele repair
4. any previous pelvic floor mesh use or complication
13. Subject has any of the following confounding conditions:

1. bladder stones or tumors
2. pathology that in the opinion of the Investigator would compromise implant placement
3. pathology that would limit pelvic blood supply
4. pathology that would require chemotherapy and systemic use of immunosuppressants
14. Subject has abnormal bladder capacity \<300 mL.
15. Subject has a post void residual volume ≥ 150 mL on two different measurements. (Prolapse reduction during PVR measurement is only allowed if a prolapse repair will be performed concomitantly with the sling implantation)
16. Subject has had previous radiation therapy or brachytherapy to the pelvis.
17. Subject is enrolled in a concurrent clinical trial of any treatment (drug or device) that could affect continence function, interfere with clinical outcomes, or impact analysis of this device.
18. Subject has known reaction, sensitivity or allergy to polypropylene.
Minimum Eligible Age

18 Years

Eligible Sex

FEMALE

Accepts Healthy Volunteers

No

Sponsors

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Caldera Medical, Inc.

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Locations

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Valley Urogynecology Associates, Inc.

Phoenix, Arizona, United States

Site Status RECRUITING

University of Arizona College of Medicine

Tucson, Arizona, United States

Site Status NOT_YET_RECRUITING

Urological Research Center Corp

Hialeah, Florida, United States

Site Status RECRUITING

Women's Health Care Associates P.A. dba Rosemark Women Care Specialists

Idaho Falls, Idaho, United States

Site Status RECRUITING

CMB Research, LLC

Newburgh, Indiana, United States

Site Status RECRUITING

University of Louisville

Louisville, Kentucky, United States

Site Status RECRUITING

Mt. Auburn Hospital Division of Urogynecology

Cambridge, Massachusetts, United States

Site Status RECRUITING

Specialty Clinical Research of St. Louis, LLC

St Louis, Missouri, United States

Site Status RECRUITING

Women's Cancer Center of Nevada

Las Vegas, Nevada, United States

Site Status RECRUITING

University of New Mexico

Albuquerque, New Mexico, United States

Site Status RECRUITING

Novant Health Urogynecology

Charlotte, North Carolina, United States

Site Status RECRUITING

The Lindner Research Center at The Christ Hospital

Cincinnati, Ohio, United States

Site Status RECRUITING

Center for Total Women's Health

Lansdale, Pennsylvania, United States

Site Status RECRUITING

Center for Pelvic Health

Franklin, Tennessee, United States

Site Status RECRUITING

University of Washington Medical Center

Seattle, Washington, United States

Site Status RECRUITING

Countries

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United States

Central Contacts

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Vicki Gail

Role: CONTACT

818-483-7602

Facility Contacts

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Dawn Hill

Role: primary

(602) 788-1521

Mirna Lopez

Role: backup

Shaman Hashim

Role: primary

520-626-5935

Isabel Lopez

Role: primary

786-431-2014

Sydney Nelson

Role: primary

208-557-2924

Laura Holder

Role: primary

812-853-3500

Gena Sayat, LPN

Role: primary

502-588-4400

Kathleen Rogers

Role: primary

617-354-5452

Nicholas Bossaller

Role: primary

314-806-3921

Melissa Agnew

Role: backup

804-307-8298

Thania Escamilla

Role: primary

702-693-6870

Cassandra Darley

Role: primary

505 272-9712

Alanza Ferguson

Role: primary

704-264-1400

Sharon Lamping

Role: primary

513-585-2166

Lorraine Knerr

Role: primary

215-368-1950

Amanda Coffey

Role: primary

(615) 284-4664

Katie Wicklander, CRCC

Role: primary

206-616-8766

Other Identifiers

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PS200005

Identifier Type: -

Identifier Source: org_study_id

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