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To evaluate the efficacy and safety of non-invasive tibial nerve stimulator for the treatment of overactive bladder under the premise of ensuring the safety of the subjects and ensuring the scientific nature of the clinical trial. The primary safety endpoint will be device-related adverse events. The primary effectiveness endpoint will be the improvement value of overactive bladder symptom score (OABSS) after 12-week treatment.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Active | Active Comparator | Device: Non-invasive low-frequency tibial nerve stimulator |
|
| Sham | Sham Comparator | Device: Non-invasive low-frequency tibial nerve stimulator (same device operation without real current output) |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Non-invasive low-frequency tibial nerve stimulator (TNS-01) | Device | The investigational device is a transcutaneous electrical nerve stimulation (TENS) device that is designed to provide stimulation to the nerves at the site of application via surface electrodes temporarily adhered to the skin. |
| Measure | Description | Time Frame |
|---|---|---|
| The change of overactive bladder symptom score (OABSS) after 12-week treatment compared with baseline | OABSS is evaluated via 3-day voiding diary and urinary voiding events of the previous week at week 0, 4, 8 and 12 after treatment. Evaluate OABSS improvement from baseline after 12 weeks of treatment and compared between the Treatment and the Control groups | 12 weeks |
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Inclusion Criteria:
Women and men aged between 18 and 80 years old (including 18 and 80 years old)ï¼›
Individual with primary OAB, or with OAB symptoms, satisfies one of the following conditions:
â‘ Urinary urgency: sudden and strong desire to urinate, and it is difficult to be subjectively suppressed and delayed urination ;
â‘¡ Urge urinary incontinence: accompanied with urinary urgency or immediately after urinary urgency ;
③ Urination frequency: adults urination frequency ≥8 times during the daytime,≥2 times at night, and each urine volume <200 ml .
Individual meets the diagnostic criteria of OAB: According to the OABSS questionnaire, urgency score ≥2 points, total score ≥3 points, and symptoms duration ≥3 months;
Individual newly diagnosed with OAB have not been medicated, or is able to stop taking OAB-related drugs (M receptor block, β3 receptor agonists) for at least 2 weeks prior to enrollment;
The subject has autonomy and can go to the toilet independently;
Individual is ambulatory and able to use the toilet independently;
Individual is capable and willing to participate in the study and provide the written informed consent.
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Yaoguang Zhang, MD | Beijing Hospital | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Beijing Hospital | Beijing | Beijing Municipality | China | |||
| West China Hospital |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 39833952 | Derived | Zhang Z, Liu M, Wang Y, Wu P, Zhu Y, Han B, Xu Z, Li X, Shi C, Zhang J, Luo D, Shi G, Zhang Y. Efficacy and safety of non-invasive low-frequency tibial nerve stimulator in overactive bladder. Eur J Med Res. 2025 Jan 20;30(1):40. doi: 10.1186/s40001-024-02262-z. |
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| 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 |
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|
| Chengdu |
| China |
| Nan Fang Hospital | Guangzhou | China |
| Zhejiang Provincial People's Hospital | Hangzhou | China |
| Shanghai Fifth People's Hospital | Shanghai | China |
| Shanghai General Hospital | Shanghai | China |
| The First Affiliated Hospital of XI'AN JiaoTong University | Xi'an | China |
| 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 |