Transcutaneous Tibial Nerve Stimulation for Urgency Urinary Incontinence

NCT ID: NCT04936464

Last Updated: 2023-10-23

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

NA

Total Enrollment

99 participants

Study Classification

INTERVENTIONAL

Study Start Date

2021-09-20

Study Completion Date

2024-06-30

Brief Summary

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This is a single-center, double-blinded, randomized controlled trial evaluating the efficacy of TTNS versus a sham intervention. Both interventions will be performed by participants in their homes after standardized instruction. The primary outcome is a comparison of the mean change in OAB-q scores before and after treatment between the intervention and control groups. Changes in the number of urgency incontinence episodes and an estimation of cost effectiveness will additionally be measured. Intention to treat analysis will be performed.

Detailed Description

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Conditions

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Urge Incontinence Overactive Bladder

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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Intervention Group

30-minute treatments, twice weekly x12 weeks

Group Type EXPERIMENTAL

transcutaneous tibial nerve stimulation (TTNS)

Intervention Type DEVICE

TTNS is a non-invasive, surface electrode therapeutic stimulation technique available for home administration that has been proposed as a treatment for overactive bladder.

Sham Group

30-minute treatments, twice weekly x12 weeks

Group Type SHAM_COMPARATOR

transcutaneous electrical stimulation (TENS)

Intervention Type DEVICE

The sham intervention is designed to appear almost identical to the TTNS intervention.

Interventions

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transcutaneous tibial nerve stimulation (TTNS)

TTNS is a non-invasive, surface electrode therapeutic stimulation technique available for home administration that has been proposed as a treatment for overactive bladder.

Intervention Type DEVICE

transcutaneous electrical stimulation (TENS)

The sham intervention is designed to appear almost identical to the TTNS intervention.

Intervention Type DEVICE

Eligibility Criteria

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Inclusion Criteria

* ≥ 6 episodes urgency incontinence on 3-day voiding diary
* Duration of symptoms ≥ 3 months
* Off antimuscarinic or 3-adrenoreceptor agonist therapy for 2 weeks
* No known neurologic disease
* Ability to complete home sessions and clinic follow up
* Ability to complete voiding diaries
* Internet access and proficiency
* English or Spanish-speaking

Exclusion Criteria

* Pregnant
* Known or suspected urinary retention
* Symptomatic urinary tract infection unresolved at the time of randomization
* Recurrent urinary tract infection (≥ 3/12 months)
* Bladder pain syndrome
* Known or suspected advanced (stage III or IV) pelvic organ prolapse
* Neurogenic bladder
* Current or prior bladder malignancy
* Current or previous use of bladder Botox injections, percutaneous tibial nerve stimulation, or sacral neuromodulation
* Pacemaker or other implantable device
* Disease affecting lower extremities
* Bilateral metallic lower limb implant
* Incarceration
Minimum Eligible Age

18 Years

Eligible Sex

FEMALE

Accepts Healthy Volunteers

No

Sponsors

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American Urogynecologic Society

OTHER

Sponsor Role collaborator

Kaiser Permanente

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Nemi M Shah, MD

Role: PRINCIPAL_INVESTIGATOR

University of California San Diego/Kaiser Permanente San Diego

Locations

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Kaiser Permanente San Diego

San Diego, California, United States

Site Status

Countries

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United States

References

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Shah NM, Lukacz ES, Ferrante KL, Menefee SA. Transcutaneous Tibial Nerve Stimulation for Urge Incontinence: A Randomized Clinical Trial. Urogynecology (Phila). 2025 Mar 1;31(3):225-233. doi: 10.1097/SPV.0000000000001616. Epub 2024 Dec 13.

Reference Type DERIVED
PMID: 39621424 (View on PubMed)

Other Identifiers

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12791

Identifier Type: -

Identifier Source: org_study_id

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