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It was decided to discontinue the study due to insufficient recruitment
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This study aims to identify differences in bladder contractions during the storage phase (non voiding activities) between OAB subjects and healthy subjects, using high resolution urodynamics.
The study is divided into two parts:
Part 1 subjects will be enrolled followed by part 2 subjects. The data from part 1 subjects will be reviewed and analysed by a group of experts before starting the second part (part 2) of the study.
The subjects will complete a total of 2 visits and a follow up telephone call (or visit at the investigator's discretion).
Upon meeting eligibility criteria subjects will be screened and complete visit at hospital (Visit 1). They will then be asked to complete procedures such micturition diary, questionnaires and if applicable discontinued their ongoing OAB medication. Upon confirmation of eligibility criteria subjects will then be enrolled and complete visit 2 within 6 to 31 days post V1. At Visit 2 subjects will complete high resolution urodynamic assessment followed by the conventional urodynamic assessment. The visit will take approximately half a day. Safety follow up phone call (or visit at investigator's discretion) will take place 4 to 6 days post visit 2.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Part 1: OAB subjects | Experimental |
| |
| Part 2: Healthy subjects | Experimental |
| |
| Part 2: OAB subjects | Experimental |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| High resolution urodynamic assessment | Procedure |
| ||
| Measure | Description | Time Frame |
|---|---|---|
| Identify objective parameters to characterize Non Voiding Activity (NVA) in healthy and OAB subjects using high resolution urodynamic assessment | NVA is defined as changes of pressure in the bladder lumen. These changes are measured as detrusor pressure (Pdet) calculated from substraction of intra-abdominal pressure (Pabd) from intra-vesical pressure (Pves). All Pdet with an amplitude of at least 1cm of water, frequency below 0.2 Hz and pulse duration between 5 and 60 seconds qualify as NVA. | During the High resolution urodynamics (Day 1) |
| Measure | Description | Time Frame |
|---|---|---|
| Identify NVA in healthy and OAB subjects using conventional urodynamic assessment | During High resolution and conventional urodynamic (Day 1) assessments | |
| Assess the subjects bladder sensations measured by visual analogue scale (VAS) and 5-points categorical scale (Appendix 8 & 7) during the high resolution urodynamic and conventional assessments |
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Inclusion Criteria:
OAB Subjects
Has history of signs and symptoms of OAB including urinary frequency, urgency or urge incontinence for greater than or equal to 3 months
At enrolment visit (V2) the subjects must have:
At the screening visit, the subject should be either naïve to OAB treatment (e.g no prior history of medications to treat lower urinary tract symptoms (LUTS), including OAB) or currently on treatment for LUTS (including OAB) and is willing to undergo a washout period for 3 weeks
Main Exclusion criteria:
Healthy subjects
Main exclusion criteria OAB subjects
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| Name | Affiliation | Role |
|---|---|---|
| Clinical Study Manager | Astellas Pharma Europe Ltd. | Study Chair |
| Principal Investigator | Maastricht University Medical Center, Maastricht | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Maastricht University Medical Center | Maastricht | 6202 | Netherlands |
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| Conventional urodynamic assessment |
| Procedure |
|
| During High resolution and conventional urodynamic assessments (Day 1) |
| Assess the correlation between NVA and subjects bladder sensations | During High resolution and conventional urodynamic assessments (Day 1) |
| Explore NVA in a subgroup of subjects defined by the severity of OAB symptoms collected as background information (3-days bladder diary) | During High resolution and conventional urodynamic assessments (Day 1) |
| Illustrate the amount of NVA detected with high resolution urodynamic test methodology compared to NVA detected with conventional urodynamic assessments | During High resolution and conventional urodynamic assessments (Day 1) |
| Assess symptoms severity, bother and its impact on quality of life using: OAB-Q short form and Urogenital Distress Inventory (UDI-6) questionnaires and a 3-Day micturition bladder diary as background information to characterize the study population | During High resolution and conventional urodynamic assessments (Day 1) |
| ID | Term |
|---|---|
| D053201 | Urinary Bladder, Overactive |
| ID | Term |
|---|---|
| D001745 | Urinary Bladder Diseases |
| D014570 | Urologic Diseases |
| D052776 | Female Urogenital Diseases |
| D005261 | Female Urogenital Diseases and Pregnancy Complications |
| D000091642 | Urogenital Diseases |
| D052801 | Male Urogenital Diseases |
| D059411 | Lower Urinary Tract Symptoms |
| D020924 | Urological Manifestations |
| D012816 | Signs and Symptoms |
| D013568 | Pathological Conditions, Signs and Symptoms |
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