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Autologous Muscle Derived Cells for Female Urinary Sphincter Repair

Primary Purpose

Stress Urinary Incontinence

Status
Completed
Phase
Phase 3
Locations
International
Study Type
Interventional
Intervention
Placebo
Iltamiocel
Sponsored by
Cook MyoSite
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Stress Urinary Incontinence focused on measuring Urinary Incontinence, Stress, Tissue Therapy (Cell Therapy), Transplantation, Autologous

Eligibility Criteria

18 Years - undefined (Adult, Older Adult)FemaleDoes not accept healthy volunteers

Inclusion Criteria:

  • Female patient has primary symptoms of SUI, as confirmed by patient medical history and clinical symptoms, including a focused incontinence evaluation.

Exclusion Criteria:

  • Patient has symptoms of pure urge incontinence as confirmed by basic evaluation of etiology from a patient medical history, including a focused incontinence history.
  • Patient has symptoms of mixed urinary incontinence where urge incontinence is the predominant factor.
  • Patient has had stress urinary incontinence symptoms less than 6 months prior to signing the informed consent.
  • Patient has not previously attempted conservative treatment prior to signing the informed consent. (Examples of conservative treatment include behavior modifications, bladder exercises, biofeedback, etc.)
  • Patient has more than 2 episode of awakening to void during normal sleeping hours.
  • Patient cannot be maintained on a stable dose and/or frequency of medication (including diuretics) known to affect lower urinary tract function, including but not limited to, anticholinergics, tricyclic antidepressants or alpha-adrenergic blockers, for at least 2 weeks prior to screening or is likely to change during the course of the study.
  • Patient is pregnant, lactating, or plans to become pregnant during the course of the study.
  • Patient refuses to provide written informed consent.
  • Patient is not at least 18 years of age.
  • Patient is not available for the follow-up evaluations as required by the protocol.

Sites / Locations

  • Mayo Clinic Arizona Phoenix Campus
  • The American Association of Female Pelvic Medicine Specialists
  • Ronald Reagan UCLA Medical Center
  • Stanford University
  • Cleveland Clinic Florida
  • Emory University
  • NorthShore University HealthSystem
  • IU Health Physicians Urogynecology
  • Female Pelvic Medicine & Urogynecology Institute of Michigan
  • Mercy Health Saint Mary's Campus
  • William Beaumont Hospital
  • Montefiore Medical Center
  • NYU Urology Associates
  • Premier Medical Group of the Hudson Valley PC
  • McKay Urology
  • The Carl and Edyth Lindner Center for Research and Education at The Christ Hospital
  • Cleveland Clinic
  • University of Oklahoma Health Sciences Center
  • University of Pittsburgh Medical Center
  • Medical University of South Carolina
  • Greenville Health System
  • Sanford Female Pelvic Medicine and Reconstructive Surgery Clinic
  • Vanderbilt University Medical Center
  • Methodist Urology Associates
  • Inova Fairfax Hospital
  • Benaroya Research Institute at Virginia Mason
  • University Hospital Leuven
  • Universitätsklinikum Essen
  • Praxisklinik Urologie Rhein-Ruhr (PUR/R)

Arms of the Study

Arm 1

Arm 2

Arm Type

Placebo Comparator

Experimental

Arm Label

Placebo

Iltamiocel

Arm Description

Placebo control is the vehicle solution used for the study product.

AMDC is the study product (autologous muscle-derived cells). The generic name is iltamiocel. Single intraurethral injection of 150 x 10^6 cells.

Outcomes

Primary Outcome Measures

Participants With ≥ 50% Reduction in Stress Incontinence Episode Frequency From Baseline to 12 Months Post-treatment; as Assessed by 3 Day Diary

Secondary Outcome Measures

Participants With at ≥ 75% Reduction in Stress Incontinence Episodes From Baseline at 12 Months
Participants With 0 or 1 Stress Incontinence Episodes Based on 3 Day Diary Records at 12 Months
Change in the Frequency of Stress Incontinence Episodes From Baseline at 12 Months

Full Information

First Posted
July 2, 2013
Last Updated
December 12, 2022
Sponsor
Cook MyoSite
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1. Study Identification

Unique Protocol Identification Number
NCT01893138
Brief Title
Autologous Muscle Derived Cells for Female Urinary Sphincter Repair
Official Title
A Double-blind, Randomized, Controlled Trial Comparing the Safety and Efficacy of AMDC-USR With Placebo in Female Subjects With Stress Urinary Incontinence
Study Type
Interventional

2. Study Status

Record Verification Date
December 2022
Overall Recruitment Status
Completed
Study Start Date
November 21, 2013 (Actual)
Primary Completion Date
November 1, 2019 (Actual)
Study Completion Date
November 10, 2020 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Cook MyoSite

4. Oversight

Studies a U.S. FDA-regulated Drug Product
Yes
Studies a U.S. FDA-regulated Device Product
No

5. Study Description

Brief Summary
This randomized, double-blind, placebo-controlled, multicenter, confirmatory study will evaluate the efficacy and safety of Cook MyoSite Incorporated Autologous Muscle-Derived Cells (generic name Iltamiocel) compared to a placebo (vehicle) control dose in the treatment of stress urinary incontinence (SUI) in adult female patients.
Detailed Description
Study comparing intrasphincteric injection of iltamiocel with placebo. Subjects unblinded after 12 month visits, but followed for up to 2 years. Subjects randomized to placebo could elect to receive open-label iltamiocel after completing 12 month visit.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Stress Urinary Incontinence
Keywords
Urinary Incontinence, Stress, Tissue Therapy (Cell Therapy), Transplantation, Autologous

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 3
Interventional Study Model
Parallel Assignment
Masking
ParticipantCare ProviderInvestigatorOutcomes Assessor
Allocation
Randomized
Enrollment
311 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Placebo
Arm Type
Placebo Comparator
Arm Description
Placebo control is the vehicle solution used for the study product.
Arm Title
Iltamiocel
Arm Type
Experimental
Arm Description
AMDC is the study product (autologous muscle-derived cells). The generic name is iltamiocel. Single intraurethral injection of 150 x 10^6 cells.
Intervention Type
Other
Intervention Name(s)
Placebo
Intervention Description
Placebo control is the vehicle solution used for the study product.
Intervention Type
Biological
Intervention Name(s)
Iltamiocel
Other Intervention Name(s)
Autologous muscle-derived cells (AMDC)
Intervention Description
AMDC is the study product (autologous muscle-derived cells). The generic name is iltamiocel. Single intraurethral injection of 150 x 10^6 cells.
Primary Outcome Measure Information:
Title
Participants With ≥ 50% Reduction in Stress Incontinence Episode Frequency From Baseline to 12 Months Post-treatment; as Assessed by 3 Day Diary
Time Frame
Baseline and 12 months
Secondary Outcome Measure Information:
Title
Participants With at ≥ 75% Reduction in Stress Incontinence Episodes From Baseline at 12 Months
Time Frame
Baseline and 12 months
Title
Participants With 0 or 1 Stress Incontinence Episodes Based on 3 Day Diary Records at 12 Months
Time Frame
Baseline and 12 months
Title
Change in the Frequency of Stress Incontinence Episodes From Baseline at 12 Months
Time Frame
Baseline and 12 months
Other Pre-specified Outcome Measures:
Title
Association of Change in Quality of Life Scores With Change in Stress Incontinence Episode Frequency
Description
Spearman's correlation used for analysis
Time Frame
Baseline and 12 months
Title
Treatment Durability at 24 Months
Description
Treatment durability defined as iltamiocel-treated participants with reduction in stress incontinence episode frequency (SIEF) at 12 months who maintained that response at 24 months
Time Frame
Baseline, 12 months, and 24 months after injection with iltamiocel

10. Eligibility

Sex
Female
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Female patient has primary symptoms of SUI, as confirmed by patient medical history and clinical symptoms, including a focused incontinence evaluation. Exclusion Criteria: Patient has symptoms of pure urge incontinence as confirmed by basic evaluation of etiology from a patient medical history, including a focused incontinence history. Patient has symptoms of mixed urinary incontinence where urge incontinence is the predominant factor. Patient has had stress urinary incontinence symptoms less than 6 months prior to signing the informed consent. Patient has not previously attempted conservative treatment prior to signing the informed consent. (Examples of conservative treatment include behavior modifications, bladder exercises, biofeedback, etc.) Patient has more than 2 episode of awakening to void during normal sleeping hours. Patient cannot be maintained on a stable dose and/or frequency of medication (including diuretics) known to affect lower urinary tract function, including but not limited to, anticholinergics, tricyclic antidepressants or alpha-adrenergic blockers, for at least 2 weeks prior to screening or is likely to change during the course of the study. Patient is pregnant, lactating, or plans to become pregnant during the course of the study. Patient refuses to provide written informed consent. Patient is not at least 18 years of age. Patient is not available for the follow-up evaluations as required by the protocol.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Melissa Kaufman, M.D., Ph.D.
Organizational Affiliation
Vanderbilt University Medical Center, Department of Urologic Surgery
Official's Role
Principal Investigator
Facility Information:
Facility Name
Mayo Clinic Arizona Phoenix Campus
City
Phoenix
State/Province
Arizona
ZIP/Postal Code
85054
Country
United States
Facility Name
The American Association of Female Pelvic Medicine Specialists
City
Agoura Hills
State/Province
California
ZIP/Postal Code
91301
Country
United States
Facility Name
Ronald Reagan UCLA Medical Center
City
Los Angeles
State/Province
California
ZIP/Postal Code
90024
Country
United States
Facility Name
Stanford University
City
Stanford
State/Province
California
ZIP/Postal Code
94304
Country
United States
Facility Name
Cleveland Clinic Florida
City
Weston
State/Province
Florida
ZIP/Postal Code
33331
Country
United States
Facility Name
Emory University
City
Atlanta
State/Province
Georgia
ZIP/Postal Code
30033
Country
United States
Facility Name
NorthShore University HealthSystem
City
Skokie
State/Province
Illinois
ZIP/Postal Code
60076
Country
United States
Facility Name
IU Health Physicians Urogynecology
City
Indianapolis
State/Province
Indiana
ZIP/Postal Code
46202
Country
United States
Facility Name
Female Pelvic Medicine & Urogynecology Institute of Michigan
City
Grand Rapids
State/Province
Michigan
ZIP/Postal Code
49503
Country
United States
Facility Name
Mercy Health Saint Mary's Campus
City
Grand Rapids
State/Province
Michigan
ZIP/Postal Code
49503
Country
United States
Facility Name
William Beaumont Hospital
City
Royal Oak
State/Province
Michigan
ZIP/Postal Code
48073
Country
United States
Facility Name
Montefiore Medical Center
City
Bronx
State/Province
New York
ZIP/Postal Code
10467
Country
United States
Facility Name
NYU Urology Associates
City
New York
State/Province
New York
ZIP/Postal Code
10016
Country
United States
Facility Name
Premier Medical Group of the Hudson Valley PC
City
Poughkeepsie
State/Province
New York
ZIP/Postal Code
12601
Country
United States
Facility Name
McKay Urology
City
Charlotte
State/Province
North Carolina
ZIP/Postal Code
28207
Country
United States
Facility Name
The Carl and Edyth Lindner Center for Research and Education at The Christ Hospital
City
Cincinnati
State/Province
Ohio
ZIP/Postal Code
45242
Country
United States
Facility Name
Cleveland Clinic
City
Cleveland
State/Province
Ohio
ZIP/Postal Code
44195
Country
United States
Facility Name
University of Oklahoma Health Sciences Center
City
Oklahoma City
State/Province
Oklahoma
ZIP/Postal Code
73104
Country
United States
Facility Name
University of Pittsburgh Medical Center
City
Pittsburgh
State/Province
Pennsylvania
ZIP/Postal Code
15213
Country
United States
Facility Name
Medical University of South Carolina
City
Charleston
State/Province
South Carolina
ZIP/Postal Code
29425
Country
United States
Facility Name
Greenville Health System
City
Greenville
State/Province
South Carolina
ZIP/Postal Code
29607
Country
United States
Facility Name
Sanford Female Pelvic Medicine and Reconstructive Surgery Clinic
City
Sioux Falls
State/Province
South Dakota
ZIP/Postal Code
57105
Country
United States
Facility Name
Vanderbilt University Medical Center
City
Nashville
State/Province
Tennessee
ZIP/Postal Code
37232
Country
United States
Facility Name
Methodist Urology Associates
City
Houston
State/Province
Texas
ZIP/Postal Code
77030
Country
United States
Facility Name
Inova Fairfax Hospital
City
Falls Church
State/Province
Virginia
ZIP/Postal Code
22042
Country
United States
Facility Name
Benaroya Research Institute at Virginia Mason
City
Seattle
State/Province
Washington
ZIP/Postal Code
98101
Country
United States
Facility Name
University Hospital Leuven
City
Leuven
ZIP/Postal Code
3000
Country
Belgium
Facility Name
Universitätsklinikum Essen
City
Essen
ZIP/Postal Code
45147
Country
Germany
Facility Name
Praxisklinik Urologie Rhein-Ruhr (PUR/R)
City
Mülheim
ZIP/Postal Code
45468
Country
Germany

12. IPD Sharing Statement

Plan to Share IPD
No
Citations:
PubMed Identifier
28734829
Citation
Antosh DD, High R, Brown HW, Oliphant SS, Abed H, Philip N, Grimes CL. Feasibility of prophylactic salpingectomy during vaginal hysterectomy. Am J Obstet Gynecol. 2017 Nov;217(5):605.e1-605.e5. doi: 10.1016/j.ajog.2017.07.017. Epub 2017 Jul 20.
Results Reference
derived

Learn more about this trial

Autologous Muscle Derived Cells for Female Urinary Sphincter Repair

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