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To assess the ability of the Silq ClearTract™ 100% Silicone 2-Way Foley Catheter to reduce catheter associated complications in subjects that require a long-term indwelling Foley catheter when compared to other commercially available Foley catheters.
A prospective, randomized, multi-center, post-market study in subjects that require a long-term indwelling Foley catheter.
Neurogenic bladder is commonly managed with indwelling catheters (urethral or suprapubic). Indwelling catheters are associated with multiple complications, including recurrent urinary tract infections and catheter obstruction. A randomly assigned catheter will be inserted using standard techniques. The assigned catheters will either be the SILQ ClearTract 100% Silicone 2-Way Foley Catheter or the current standard of care catheter. Subjects will continue to use the assigned catheter for a period of approximately 3 months following regular standard of care. Subjects will then be assigned the alternative catheter for an additional 3 month period after which they will be exited from the study
The purpose of the study is to compare the incidence of catheter-related complications between the SILQ treated catheter and the current standard of care catheter(s). Because these complications lead to more frequent interventions and associated treatment costs, the study will also calculate the economic impact of the use of SILQ treated catheters compared to standard of care catheters. Patient-reported outcomes will also be measured via questionnaires upon each study visit. Explanted catheter samples will also be sent to a core lab for quantification of the calcification present on the catheter surface.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| SILQ ClearTract 100% Silicone 2-Way Foley Catheter | Active Comparator | Subjects in this arm will receive the SILQ ClearTract 100% Silicone 2-Way Foley Catheter for approximately the first 3 month period of enrollment. In a subsequent period of approximately 3 months subjects in this arm will receive their current standard of care catheter. |
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| Standard of Care Catheter | Active Comparator | Subjects in this arm will receive their current Standard of Care Catheter for the first 3 month period of enrollment. In a subsequent period of approximately 3 months subjects in this arm will receive the SILQ ClearTract 100% Silicone 2-Way Foley Catheter |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| SILQ ClearTract 100% Silicone 2-Way Foley Catheter | Device | A foley catheter is assigned and used according to regular standard of care |
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| Measure | Description | Time Frame |
|---|---|---|
| Number of Catheter Related Complications | Catheter Related Complications can be classified as: i. Symptomatic Catheter Associated Urinary Tract Infection ii. Catheter Blockage iii. General Premature Interventions: Patient sought care for a catheter-related issue prior to their scheduled catheter exchange | 6 months |
| Measure | Description | Time Frame |
|---|---|---|
| Catheter Related Complication Treatment Costs | All data related to complications and associated treatments will be tabulated. Corresponding treatment costs for each complication will be tabulated. | 6 months |
| Catheter Encrustation |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Evgeniy Kreydin, M.D. | Rancho Los Amigos National Rehabilitation Center | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Rancho Los Amigos National Rehabilitation Center | Downey | California | 90242 | United States |
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Quantitative chemical and gravimetric analysis of encrustation of removed catheters
| 6 months |
| Patient Preference | During the first exchange after the crossover, subjects will be asked which catheter they would prefer to continue to use | 4 months |
| Patient Satisfaction | Pain and discomfort will be assessed upon each foley catheter removal using a 5 point scale. A score of 1 indicates no pain or discomfort and a score of 5 indicates severe pain or discomfort. | 6 months |