BOTOX® at the Time of Prolapse Surgery for OAB

NCT ID: NCT04807920

Last Updated: 2021-10-14

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

UNKNOWN

Clinical Phase

PHASE4

Total Enrollment

138 participants

Study Classification

INTERVENTIONAL

Study Start Date

2021-09-23

Study Completion Date

2023-06-30

Brief Summary

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The purpose of the study will be to assess the efficacy and safety of bladder BOTOX® for overactive bladder symptoms, such as urinary urgency and frequency, given at the time of prolapse surgery.

Detailed Description

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After being informed about the study and the potential risks, women scheduled for prolapse surgery will be screened for bothersome overactive bladder symptoms. Those that qualify and choose to enroll will be randomized to receive either bladder BOTOX® or a placebo at the time of their surgery. Neither the patient nor the investigators will know if the patient receives BOTOX® or a placebo. Subjects will complete questionnaires and bladder diaries both before and after surgery to determine efficacy and patient satisfaction. Potential adverse events, such as urinary tract infections and urinary retention, will be monitored throughout the study.

Conditions

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Urinary Bladder, Overactive Pelvic Organ Prolapse

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

TRIPLE

Participants Caregivers Investigators

Study Groups

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Intravesical OnabotulinumtoxinA

The treatment group will receive 100 units of BOTOX® reconstituted in 10mL of injectable preservative-free normal saline at the time of cystoscopy. An injection cystoscopy needle will be set to 3mm and used to inject 0.5mL reconstituted OnabotulinumtoxinA at each injection site, approximately 1cm apart along the posterior bladder wall, for a total of 20 injection sites (4 rows of 5 injection sites). This will be the only treatment.

Group Type EXPERIMENTAL

OnabotulinumtoxinA 100 UNT

Intervention Type DRUG

Intravesical injection

Placebo

Subjects randomized to the placebo group will undergo the same procedure but will only receive 10mL of injectable preservative-free normal saline. This will be the only treatment.

Group Type PLACEBO_COMPARATOR

Injectable saline

Intervention Type OTHER

Intravesical injection

Interventions

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OnabotulinumtoxinA 100 UNT

Intravesical injection

Intervention Type DRUG

Injectable saline

Intravesical injection

Intervention Type OTHER

Other Intervention Names

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Placebo

Eligibility Criteria

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Inclusion Criteria

* Women scheduled for prolapse surgery
* Bothersome OAB symptoms determined by a score of \>20 on the OAB-q SF
* Willingness to perform clean intermittent catheterization (CIC)
* Ability to follow study instructions and complete required follow up

Exclusion Criteria

* Contraindications or allergy to Onabotulinumtoxin A
* Intravesical Onabotulinumtoxin A within 3 months of the planned surgery date
* Total body Onabotulinumtoxin A dose of ≥ 400 Units in the 3 months prior to the scheduled surgery date.
* Inability or unwillingness to self-catheterize
* Post-void residual ≥ 200mL
* Neurogenic bladder or other neurological diseases that may cause voiding dysfunction
* Concurrent use of other pharmacological treatment for the treatment of OAB symptoms at the time of prolapse repair surgery.
* Females who are pregnant, think they may be pregnant at the start of the study, planning a pregnancy during the active treatment phase of the study, or who are unwilling or unable to use a reliable form of contraception during the active treatment phase of the study.
* Inability to speak or read English
Minimum Eligible Age

18 Years

Eligible Sex

FEMALE

Accepts Healthy Volunteers

No

Sponsors

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Walter Reed National Military Medical Center

FED

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Locations

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Walter Reed National Military Medical Center

Bethesda, Maryland, United States

Site Status RECRUITING

Countries

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United States

Central Contacts

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Joy E Wheat, MD

Role: CONTACT

201-710-5109

Christine Vaccaro, DO

Role: CONTACT

301-400-2468

Facility Contacts

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Walter Reed National Military M Center

Role: primary

References

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Other Identifiers

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3-2021

Identifier Type: -

Identifier Source: org_study_id