Darifenacin x Parasacral Transcutaneous Electric Nerve Stimulation for OAB in Patients Infected With Human T-Lymphotropic Virus 1

NCT ID: NCT06616675

Last Updated: 2024-10-01

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

COMPLETED

Clinical Phase

PHASE4

Total Enrollment

42 participants

Study Classification

INTERVENTIONAL

Study Start Date

2022-03-16

Study Completion Date

2023-12-20

Brief Summary

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In this study the investigators compare the parasacral transcutaneous electric nerve stimulation (PTENS) treatment with Darifenacin to improve OAB symptoms in patients infected with HTLV-1.

Detailed Description

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Subjects presenting OAB according to ICS, associated with the HTLV-1 infection were invited by the investigators to participate in the study according inclusion criteria . Participants who accepted were randomly allocated to two groups (G1 and G2) by the free randomization website. Group 1 was treated with Darifenacin, and group 2 with the PTENS protocol.

Drug Treatment Protocol:

The anticholinergic Fenazic (Adium) was used in a single dose of 15mg/day for 2 months.

PTENS Protocol:

The treatment consisted of PTENS with the Neurodyn Portable TENS FES(21) neuromuscular stimulation device in an outpatient clinic. Two self-adhesive electrodes (5x9cm) were used, positioned one in each gluteal region, below the iliac spine to apply low-frequency biphasic current with 10 Hz. Pulse duration of 0.5 milliseconds was applied for 40 minutes with continuous stimulation, 3 times a week, for 20 sessions.

Conditions

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HTLV-1 Overactive Bladder Syndrome

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Darifenacin Group

Anticholinergic treatment for OAB

Group Type ACTIVE_COMPARATOR

Darifenacin

Intervention Type DRUG

Anticholinergic drug therapy for OAB treatment - Darifenacin, 15mg/day

PTENS Group

Neuromodulation using transcutaneous electrical sacral nerves stimulation

Group Type EXPERIMENTAL

Neuromodulation - Sacral nerve stimulation

Intervention Type DEVICE

Neurodyn Portable TENS FES neuromuscular stimulation device in an outpatient clinic. Two self-adhesive electrodes (5x9cm) were used, positioned one in each gluteal region, below the iliac spine to apply low-frequency biphasic current with 10 Hz. Pulse duration of 0.5 milliseconds was applied for 40 minutes with continuous stimulation, 3 times a week, for 20 sessions.

Interventions

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Darifenacin

Anticholinergic drug therapy for OAB treatment - Darifenacin, 15mg/day

Intervention Type DRUG

Neuromodulation - Sacral nerve stimulation

Neurodyn Portable TENS FES neuromuscular stimulation device in an outpatient clinic. Two self-adhesive electrodes (5x9cm) were used, positioned one in each gluteal region, below the iliac spine to apply low-frequency biphasic current with 10 Hz. Pulse duration of 0.5 milliseconds was applied for 40 minutes with continuous stimulation, 3 times a week, for 20 sessions.

Intervention Type DEVICE

Eligibility Criteria

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Inclusion Criteria

* HTLV-1 infection
* Overactive bladder symptom
* 18 years of age or older

Exclusion Criteria

* HTLV-1 infected subjects with HAM
* Stroke
* Parkinson
* HIV infection
* Prostatic hyperplasia
* Pacemaker use
* Genitourinary tract infection
* Glaucoma
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Hospital Universitário Professor Edgard Santos

OTHER

Sponsor Role lead

Responsible Party

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Tatiane Souza Soares de Oliveira

Physiotherapist

Responsibility Role PRINCIPAL_INVESTIGATOR

Locations

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Ambulatório de HTLV-1 - Com HUPES

Salvador, Estado de Bahia, Brazil

Site Status

Countries

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Brazil

References

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Liu Y, Xu G, Geng J. Efficacy of Transcutaneous Electrical Nerve Stimulation in the Management of Neurogenic Overactive Bladder: A Randomized Controlled Trial. Am J Phys Med Rehabil. 2022 Jan 1;101(1):2-10. doi: 10.1097/PHM.0000000000001836.

Reference Type RESULT
PMID: 34225282 (View on PubMed)

Slovak M, Chapple CR, Barker AT. Non-invasive transcutaneous electrical stimulation in the treatment of overactive bladder. Asian J Urol. 2015 Apr;2(2):92-101. doi: 10.1016/j.ajur.2015.04.013. Epub 2015 Apr 16.

Reference Type RESULT
PMID: 29264126 (View on PubMed)

Andrade RC, Neto JA, Andrade L, Oliveira TS, Santos DN, Oliveira CJ, Prado MJ, Carvalho EM. Effects of Physiotherapy in the Treatment of Neurogenic Bladder in Patients Infected With Human T-Lymphotropic Virus 1. Urology. 2016 Mar;89:33-8. doi: 10.1016/j.urology.2015.09.036. Epub 2015 Dec 24.

Reference Type RESULT
PMID: 26724409 (View on PubMed)

Other Identifiers

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CAAE: 59171022.9.0000.0049

Identifier Type: -

Identifier Source: org_study_id

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