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This feasibility study will explore the effects of three different InterStim amplitude settings on overactive bladder symptoms (OAB).
This is a prospective, randomized, multicenter, single-blinded study to explore the efficacy and quality of life (QoL) of 3 different amplitude settings.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Amplitude Setting #1 | Experimental | InterStim Therapy will be set to amplitude parameter #1. |
|
| Amplitude Setting #2 | Experimental | InterStim Therapy will be set to amplitude parameter #2. |
|
| Amplitude Setting #3 | Experimental | InterStim Therapy will be set to amplitude parameter #3. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| InterStim Therapy | Device | Device Programming |
|
| Measure | Description | Time Frame |
|---|---|---|
| Change in Urinary Urge Incontinence (UUI) Episodes Per Day From Baseline to 12 Weeks. | Symptoms related to OAB were evaluated using paper voiding diaries. Subjects were trained to complete the urinary voiding diaries for 3-days. | 12 weeks |
| Measure | Description | Time Frame |
|---|---|---|
| Change in QoL Using ICIQ-OAB QOL From Baseline to 12 Weeks. | International Consultation on Incontinence Modular Questionnaire - Overactive Bladder Symptoms Quality of Life Questionnaire The questionnaire consists of 4 subscales and a single item on urinary symptom interference. The four subscales of Concern (7 items), Coping (8 items), Sleep (5 items), and Social (5 items) are measured on a scale from 0-100 using a range percentile transformation on the summed value from individual listed items. The Health-Related Quality of Life (HRQL) score is a calculated score with a range from 0 to 100 using a range percentile transformation on the summed value from the subscales. Subjects were asked a urinary symptom interference question. "Interference" was measured on a scale from 0-10. A positive change in Concern, Coping, Sleep, Social, and HRQL indicates improvement in Quality of Life; a negative change in Interference indicates improvement in Quality of Life. |
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Inclusion Criteria:
Exclusion Criteria:
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Academic Urology & Urogynecology of Arizona | Phoenix | Arizona | 85027 | United States | ||
| East Coast Institute for Research |
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Out of 97 subjects enrolled in the study, 48 were randomized, 46 were implanted with a neurostimulator device, and 43 completed their 12 week follow-up visit before exiting the study. Nineteen were randomized to 50% of sensory threshold, 14 were randomized to 80% of sensory threshold, and 15 were randomized to sensory threshold.
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| ID | Title | Description |
|---|---|---|
| FG000 | Amplitude Setting #1 = 50% Sensory Threshold | InterStim Therapy will be set to amplitude parameter #1 (50% Sensory Threshold) InterStim Therapy: Device Programming |
| FG001 | Amplitude Setting #2 = 80% Sensory Threshold | InterStim Therapy will be set to amplitude parameter #2 (80% Sensory Threshold) InterStim Therapy: Device Programming |
| FG002 | Amplitude Setting #3 = Sensory Threshold | InterStim Therapy will be set to amplitude parameter #3 (Sensory Threshold) InterStim Therapy: Device Programming |
| Title | Milestones | Reasons Not Completed | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Overall Study |
|
This summarizes demographics for subjects in the Randomized Subject Set.
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| ID | Title | Description |
|---|---|---|
| BG000 | Amplitude Setting #1 = 50% Sensory Threshold | InterStim Therapy will be set to amplitude parameter #1 (50% Sensory Threshold) InterStim Therapy: Device Programming |
| BG001 | Amplitude Setting #2 = 80% Sensory Threshold |
| Units | Counts |
|---|---|
| Participants |
|
| Title | Description | Population Description | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Denominator Units Selected | Denominators | Classes |
|---|---|---|---|---|---|---|---|---|---|
| Age, Continuous | Mean |
| Type | Title | Description | Population Description | Reporting Status | Anticipated Posting Date | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Time Frame | Units Analyzed | Denominator Units Selected | Arm/Group Information | Denominators | Classes | Analyses | ||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Primary | Change in Urinary Urge Incontinence (UUI) Episodes Per Day From Baseline to 12 Weeks. | Symptoms related to OAB were evaluated using paper voiding diaries. Subjects were trained to complete the urinary voiding diaries for 3-days. | Complete Case Subject Set | Posted | Mean | Standard Deviation | UUI episodes/day | 12 weeks |
|
From Post-Neurostimulator device implant to 12 weeks follow-up visit
Serious, device related, procedure related, and/or therapy related adverse events are considered reportable for this study
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| ID | Title | Description | Deaths (Affected) | Deaths (At Risk) | Serious Events (Affected) | Serious Events (At Risk) | Other Events (Affected) | Other Events (At Risk) |
|---|---|---|---|---|---|---|---|---|
| EG000 | Amplitude Setting #1 = 50% Sensory Threshold | InterStim Therapy will be set to amplitude parameter #1 (50% Sensory Threshold) InterStim Therapy: Device Programming |
| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Dyspnoea | Respiratory, thoracic and mediastinal disorders | MedDRA 21.0 | Systematic Assessment |
| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Medical device site pain | General disorders | MedDRA 21.0 | Systematic Assessment |
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| Title | Organization | Phone | Extension | |
|---|---|---|---|---|
| Mylène Champs (Sr Clinical Research Specialist) | Medtronic | +17635261627 | mylene.champs@medtronic.com |
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| Type | Includes Protocol | Includes SAP | Includes ICF | Document Label | Document Date | Document Uploaded Date | Document File Name |
|---|---|---|---|---|---|---|---|
| Prot | Yes | No | No | Study Protocol | Aug 23, 2018 | Oct 30, 2020 | Prot_000.pdf |
| SAP | No | Yes | No | Statistical Analysis Plan | Mar 5, 2019 | Oct 30, 2020 | SAP_001.pdf |
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| ID | Term |
|---|---|
| D053202 | Urinary Incontinence, Urge |
| ID | Term |
|---|---|
| D014549 | Urinary Incontinence |
| D014555 | Urination Disorders |
| D014570 | Urologic Diseases |
| D052776 | Female Urogenital Diseases |
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| 12 weeks |
| Jacksonville |
| Florida |
| 32216 |
| United States |
| Pinellas Urology | St. Petersburg | Florida | 33710 | United States |
| Florida Urology Partners | Tampa | Florida | 33606 | United States |
| Minnesota Urology Fridley | Fridley | Minnesota | 55432 | United States |
| Minnesota Urology Woodbury | Woodbury | Minnesota | 55125 | United States |
| Adult Pediatric Urology and Urogynecology | Omaha | Nebraska | 68114 | United States |
| Urologic Research & Consulting | Englewood | New Jersey | 07631 | United States |
| Carolina Urology Partners | Concord | North Carolina | 28025 | United States |
| Chattanooga Hamilton County Hospital Authority d/b/a Erlanger Health System | Chattanooga | Tennessee | 37421 | United States |
| Vanderbilt University Medical Center | Nashville | Tennessee | 37232-2765 | United States |
| Aurora Research Institute - Aurora West Allis Women's Pavilion | West Allis | Wisconsin | 53227 | United States |
| UZ Leuven - Campus Gasthuisberg - Department Urology | Leuven | 3000 | Belgium |
| University Urology Associates, Toronto Western Hospital | Toronto | Ontario | M5T 2S8 | Canada |
| CHU Hôpitaux de Rouen - Hôpital Charles Nicolle | Rouen | France |
| Azienda Ospedaliera Universitaria Integrata Verona | Verona | 37126 | Italy |
| Erasmus MC | Rotterdam | 3015 GD | Netherlands |
| University College London Hospitals NHS Foundation Trust - University College Hospital | London | W1G 8PH | United Kingdom |
InterStim Therapy will be set to amplitude parameter #2 (80% Sensory Threshold)
InterStim Therapy: Device Programming
| BG002 | Amplitude Setting #3 = Sensory Threshold | InterStim Therapy will be set to amplitude parameter #3 (Sensory Threshold) InterStim Therapy: Device Programming |
| BG003 | Total | Total of all reporting groups |
| years |
|
| Sex: Female, Male | Count of Participants | Participants |
|
| Race and Ethnicity Not Collected | Race and Ethnicity were not collected from any participant. | Count of Participants | Participants |
|
| BMI | Mean | Standard Deviation | kg/m^2 |
|
| OG002 | Amplitude Setting #3 = Sensory Threshold | InterStim Therapy will be set to amplitude parameter #3 (Sensory Threshold) InterStim Therapy: Device Programming |
|
|
| Secondary | Change in QoL Using ICIQ-OAB QOL From Baseline to 12 Weeks. | International Consultation on Incontinence Modular Questionnaire - Overactive Bladder Symptoms Quality of Life Questionnaire The questionnaire consists of 4 subscales and a single item on urinary symptom interference. The four subscales of Concern (7 items), Coping (8 items), Sleep (5 items), and Social (5 items) are measured on a scale from 0-100 using a range percentile transformation on the summed value from individual listed items. The Health-Related Quality of Life (HRQL) score is a calculated score with a range from 0 to 100 using a range percentile transformation on the summed value from the subscales. Subjects were asked a urinary symptom interference question. "Interference" was measured on a scale from 0-10. A positive change in Concern, Coping, Sleep, Social, and HRQL indicates improvement in Quality of Life; a negative change in Interference indicates improvement in Quality of Life. | Complete Case Subject Set | Posted | Mean | Standard Deviation | units on a scale | 12 weeks |
|
|
|
| 0 |
| 19 |
| 3 |
| 19 |
| 3 |
| 19 |
| EG001 | Amplitude Setting #2 = 80% Sensory Threshold | InterStim Therapy will be set to amplitude parameter #2 (80% Sensory Threshold) InterStim Therapy: Device Programming | 0 | 14 | 1 | 14 | 1 | 14 |
| EG002 | Amplitude Setting #3 = Sensory Threshold | InterStim Therapy will be set to amplitude parameter #3 (Sensory Threshold) InterStim Therapy: Device Programming | 0 | 15 | 3 | 15 | 3 | 15 |
| Sepsis | Infections and infestations | MedDRA 21.0 | Systematic Assessment |
|
| Suicide attempt | Psychiatric disorders | MedDRA 21.0 | Systematic Assessment |
|
| Cerebrovascular accident | Nervous system disorders | MedDRA 21.0 | Systematic Assessment |
|
| Migraine | Nervous system disorders | MedDRA 21.0 | Systematic Assessment |
|
| Gastric ulcer haemorrhage | Gastrointestinal disorders | MedDRA 21.0 | Systematic Assessment |
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| Umbilical hernia | Gastrointestinal disorders | MedDRA 21.0 | Systematic Assessment |
|
| Pain in extremity | Musculoskeletal and connective tissue disorders | MedDRA 21.0 | Systematic Assessment |
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| Pruritus | Skin and subcutaneous tissue disorders | MedDRA 21.0 | Systematic Assessment |
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| Paraesthesia | Nervous system disorders | MedDRA 21.0 | Systematic Assessment |
|
| Dermatitis contact | Skin and subcutaneous tissue disorders | MedDRA 21.0 | Systematic Assessment |
|
| Pain | General disorders | MedDRA 21.0 | Systematic Assessment |
|
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| 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 |
| Male |
|
|
| Change in Sleep from baseline to 12 weeks |
|
| Change in Social from baseline to 12 weeks |
|
| Change in HRQL from baseline to 12 weeks |
|
| Change in Interference from baseline to 12 weeks |
|