Neurotech Vital Compact Versus Itouch Sure Pelvic Floor Exerciser US
Primary Purpose
Stress Urinary Incontinence
Status
Completed
Phase
Not Applicable
Locations
United States
Study Type
Interventional
Intervention
Neurotech Vital Compact
itouch Sure Pelvic Floor Exerciser
Sponsored by
About this trial
This is an interventional treatment trial for Stress Urinary Incontinence focused on measuring Stress urinary incontinence, Neurotech Vital Compact, 1h Provacative Pad Test, Neuroelectrical Muscle Stimulation (NEMS)
Eligibility Criteria
Inclusion Criteria:
- Subjects who are female and at least 18 years of age, and not more than 65 years of age.
- Subjects who have signed the informed consent form prior to any study related activity.
- Subjects who have previously tried and failed to improve their condition using Kegel exercises.
- Subjects who have been clinically diagnosed with stress urinary incontinence and demonstrate a greater than or equal to 3g urine leakage and a less than or equal to 90g urine leakage (>3g and < 90g) following a bladder-filling protocol and then a standardised stress test (provocative pad weight test) at the baseline assessment.
- Subjects who score 9 or less (<9) out of 18 for the Urge Incontinence Questions and are confirmed as having predominant stress urinary incontinence on the Medical, Epidemiologic and Social Aspects of Aging Urinary Incontinence (MESA) Questionnaire completed at the screening assessment.
- Subjects with a Body Mass Index of ≤ 35 kg/m2.
- Subjects of child-bearing potential who are using a highly effective contraceptive method (established use of oral, injected, implanted hormonal method of contraception or barrier method of contraception with spermicide).
- Subjects who are willing not to seek any other treatment for stress incontinence during the study period.
- Subjects who are able to give voluntary, written informed consent to participate in this study and from whom consent has been obtained.
- Subjects who are able to understand this study and are willing to complete all the study assessments.
Exclusion Criteria:
- Subjects who have an existing medical condition that would compromise their participation in the study, e.g. reduced sensory perception in the contact area of the stimulation electrodes; scars or vaginal tissue wounds, lesions or inflamed/infected areas in the contact area of the stimulation electrodes; vaginal bleeding between menstrual periods; uncontrolled diabetes.
- Subjects who have a physical condition that would make them unable to perform the study procedures, e.g. pelvic or hip surgery within the past 6 weeks.
- Subjects who have been diagnosed with Chronic Obstructive Pulmonary Disease (COPD).
- Subjects with a history of an underlying neurological condition, e.g. Multiple Sclerosis, Parkinson's disease, epilepsy.
- Subjects with any bladder abnormality that would affect the urinary flow through the lower urinary tract including signs or symptoms of an active urinary tract infection, abnormal bladder capacity (e.g., >300 cc), post void residual volume >200 cc, spastic bladder, vesico-ureteral reflux or bladder stones.
- Subjects with a blood clotting disorder or who are taking anti-coagulant medications.
- Subjects who have previously had any uro-gynaecological related surgery that would affect the pelvic floor muscles or urinary flow through the urethra (excluding hysterectomy).
- Subjects who have previously had pelvic floor radiation.
- Subjects who have previously been treated for stress incontinence with injectable bulking agents and/or vaginal probes within the past 6 months.
- Subjects with a clinical diagnosis of prolapse greater than Stage 2.
- Subjects who are pregnant or could be pregnant.
- Subjects who are less than 6 months post-partum or who are lactating.
- Subjects who have any conductive intra-uterine devices or metal implants in the pelvic area, including hip and lumbar spine.
- Subjects with pelvic pain or fibromyalgia or paravaginal defect.
- Subjects with an active implanted medical device (i.e. pacemaker, insulin pump etc.) or conditions that may be adversely affected by electrical stimulation (e.g. cardiac arrhythmias).
- Subjects with a current or active history of pelvic cancer and/or subjects with a life expectancy of less than 12 months.
- Subjects who are currently involved in any injury litigation claims.
- Subjects who have participated in a clinical study in the last 3 months or any previous clinical study with Bio-Medical Research Ltd.
- Subjects who have been committed to an institution by virtue of an order issued either by the courts or by an authority.
Sites / Locations
- Maricopa Integrated Health Systems
- University of California Irvine Medical Center
- Hartford Hospital
- Altus Research
- University of South Florida Medical Center
- Boston Clinical Trials
- AccuMed Research Associates
- Lyndhurst Gynecological Associates
- Temple University
- Medical University of South Carolina
- The Jackson Clinic
- Renaissance Health & Surgical Associates
Arms of the Study
Arm 1
Arm 2
Arm Type
Experimental
Active Comparator
Arm Label
Neurotech Vital Compact
itouch Sure Pelvic Floor Exerciser
Arm Description
The Neurotech Vital Compact will be used by subjects with Stress Urinary Incontinence 5 days per week for 30 minutes per session for 12 weeks followed by 14 weeks of Kegel exercises.
The itouch Sure Pelvic Floor Exerciser will be used by subjects with Stress Urinary Incontinence 7 days per week for 20 minutes per session for 12 weeks followed by 14 weeks of Kegel exercises.
Outcomes
Primary Outcome Measures
Proportion of subjects who have achieved >50% improvement on the provocative pad weight test.
Subjects will complete an in-office 1 hour provocative pad test to determine volume of urine leaked during the test.
Secondary Outcome Measures
Between group comparison of mean change in urine leakage in a provocative pad weight test
Comparison of change on 1 hour pad test for Vital Compact vs. itouch Sure
Within group comparison of mean change in urine leakage in the 1 hour pad weight test
Comparison of change in urine leakage for each treatment arm
Between group comparison of the mean improvement in the Incontinence Quality of Life Questionnaire (I-QOL) score
Comparison of change in I-QOL score between groups
Between group comparison of the proportion of subjects achieving dryness
The treatment arms will be compared regarding the proportion of subjects who leak less than 1 g at the 12 week 1 hour pad test.
Between group comparison of mean change in the number of incontinence episodes per day.
Between group comparison of mean change in the number of incontinence episodes per day using a 7-day voiding diary.
Between group mean change in urine leakage in the 24-hour pad weight test
Between group comparison of mean change, with respect to baseline, in urine leakage in the 24-hour pad weight test
Within Neurotech Vital Compact group estimate of mean change in urine leakage in the 24-hour pad weight
• Within Neurotech Vital Compact group estimate of mean change, with respect to baseline, in urine leakage in the 24-hour pad weight
Within Neurotech Vital Compact group estimate of mean improvement in Incontinence Quality of Life Questionnaire (I-QOL) score
Within Neurotech Vital Compact group estimate of mean improvement, with respect to baseline, in Incontinence Quality of Life Questionnaire (I-QOL) score
Between group comparison of mean change in the number of pads used/day
Between group comparison of mean change, with respect to baseline, in the number of pads used/day recorded using a 7-day voiding diary
Within Neurotech Vital Compact group estimate of mean change in the number of pads used/day
Within Neurotech Vital Compact group estimate of mean change, with respect to baseline, in the number of pads used/day recorded using a 7-day voiding diary
Between group comparison of the proportion of subjects achieving dryness at Week 12 (<1g on the provocative pad weight test)
Between group comparison of the proportion of subjects achieving dryness at Week 12 (<1g on the provocative pad weight test)
Comparison of adverse events
Comparison between groups of adverse events reported throughout the study.
Full Information
NCT ID
NCT02423005
First Posted
April 17, 2015
Last Updated
February 1, 2018
Sponsor
Atlantic Therapeutics
Collaborators
Bio-Medical Research, Ltd.
1. Study Identification
Unique Protocol Identification Number
NCT02423005
Brief Title
Neurotech Vital Compact Versus Itouch Sure Pelvic Floor Exerciser US
Official Title
A Single-blind, Multi-centre, Randomised, Controlled, Non-inferiority, Clinical Study to Assess the Safety and Performance of the Neurotech Vital Compact Device Compared to the Itouch Sure Pelvic Floor Exerciser for the Treatment of Stress Urinary Incontinence in Female Patients
Study Type
Interventional
2. Study Status
Record Verification Date
February 2018
Overall Recruitment Status
Completed
Study Start Date
April 2015 (Actual)
Primary Completion Date
April 2017 (Actual)
Study Completion Date
April 2017 (Actual)
3. Sponsor/Collaborators
Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Atlantic Therapeutics
Collaborators
Bio-Medical Research, Ltd.
4. Oversight
Studies a U.S. FDA-regulated Device Product
No
Data Monitoring Committee
No
5. Study Description
Brief Summary
A prospective, randomised, controlled, single-blind, multi-site clinical study employing Neuromuscular Electrical Stimulation (NMES) to stimulate the pelvic floor muscles of women suffering from stress urinary incontinence.
Approximately one-hundred and eighty (180) female patients diagnosed with stress urinary incontinence will be enrolled in this study. All patients who are considered eligible to participate in the clinical study and give consent will be randomised to complete either a 12-week treatment programme with the Neurotech Vital Compact device or a 12-week treatment programme with the itouch Sure Pelvic Floor Exerciser. The 12-week treatment programme will be completed by the subjects at home with treatment with the device in accordance with the device Instructions for Use.
Detailed Description
This is a prospective, randomised, controlled, single-blind, multi-site clinical study to be conducted in the United States of America (USA) employing Neuromuscular Electrical Stimulation (NMES) to stimulate the pelvic floor muscles of women suffering from stress urinary incontinence.
Approximately one-hundred and eighty (180) female patients diagnosed with stress urinary incontinence will be enrolled in this study. All patients who are considered eligible to participate in the clinical study and give consent will be randomised to complete either a 12-week treatment programme with the Neurotech Vital Compact device or a 12-week treatment programme with the itouch Sure Pelvic Floor Exerciser. The 12-week treatment programme will be completed by the subjects at home with treatment with the device in accordance with the device Instructions for Use.
Subjects included in the clinical study will be evaluated at screening, on enrolment into the study (baseline) and during the 12-week treatment programme at 4 and 12 weeks. A telephone call will be made at 1 week to check on the patient's progress. In addition, subjects will be evaluated at 26 week following their commencement of the treatment.
6. Conditions and Keywords
Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Stress Urinary Incontinence
Keywords
Stress urinary incontinence, Neurotech Vital Compact, 1h Provacative Pad Test, Neuroelectrical Muscle Stimulation (NEMS)
7. Study Design
Primary Purpose
Treatment
Study Phase
Not Applicable
Interventional Study Model
Parallel Assignment
Masking
Outcomes Assessor
Allocation
Randomized
Enrollment
180 (Actual)
8. Arms, Groups, and Interventions
Arm Title
Neurotech Vital Compact
Arm Type
Experimental
Arm Description
The Neurotech Vital Compact will be used by subjects with Stress Urinary Incontinence 5 days per week for 30 minutes per session for 12 weeks followed by 14 weeks of Kegel exercises.
Arm Title
itouch Sure Pelvic Floor Exerciser
Arm Type
Active Comparator
Arm Description
The itouch Sure Pelvic Floor Exerciser will be used by subjects with Stress Urinary Incontinence 7 days per week for 20 minutes per session for 12 weeks followed by 14 weeks of Kegel exercises.
Intervention Type
Device
Intervention Name(s)
Neurotech Vital Compact
Intervention Description
Neuromuscular electrical stimulation of the pelvic floor via an arrangement of external electrodes held in place by a garment.
Intervention Type
Device
Intervention Name(s)
itouch Sure Pelvic Floor Exerciser
Other Intervention Name(s)
EmbaGYN
Intervention Description
Vaginal probe with electrodes designed to deliver electrical stimulation to the pelvic floor muscles.
Primary Outcome Measure Information:
Title
Proportion of subjects who have achieved >50% improvement on the provocative pad weight test.
Description
Subjects will complete an in-office 1 hour provocative pad test to determine volume of urine leaked during the test.
Time Frame
12 weeks
Secondary Outcome Measure Information:
Title
Between group comparison of mean change in urine leakage in a provocative pad weight test
Description
Comparison of change on 1 hour pad test for Vital Compact vs. itouch Sure
Time Frame
12 Weeks
Title
Within group comparison of mean change in urine leakage in the 1 hour pad weight test
Description
Comparison of change in urine leakage for each treatment arm
Time Frame
12 weeks
Title
Between group comparison of the mean improvement in the Incontinence Quality of Life Questionnaire (I-QOL) score
Description
Comparison of change in I-QOL score between groups
Time Frame
12 weeks
Title
Between group comparison of the proportion of subjects achieving dryness
Description
The treatment arms will be compared regarding the proportion of subjects who leak less than 1 g at the 12 week 1 hour pad test.
Time Frame
12 weeks
Title
Between group comparison of mean change in the number of incontinence episodes per day.
Description
Between group comparison of mean change in the number of incontinence episodes per day using a 7-day voiding diary.
Time Frame
12 weeks
Title
Between group mean change in urine leakage in the 24-hour pad weight test
Description
Between group comparison of mean change, with respect to baseline, in urine leakage in the 24-hour pad weight test
Time Frame
12 weeks
Title
Within Neurotech Vital Compact group estimate of mean change in urine leakage in the 24-hour pad weight
Description
• Within Neurotech Vital Compact group estimate of mean change, with respect to baseline, in urine leakage in the 24-hour pad weight
Time Frame
12 weeks
Title
Within Neurotech Vital Compact group estimate of mean improvement in Incontinence Quality of Life Questionnaire (I-QOL) score
Description
Within Neurotech Vital Compact group estimate of mean improvement, with respect to baseline, in Incontinence Quality of Life Questionnaire (I-QOL) score
Time Frame
12 weeks
Title
Between group comparison of mean change in the number of pads used/day
Description
Between group comparison of mean change, with respect to baseline, in the number of pads used/day recorded using a 7-day voiding diary
Time Frame
12 weeks
Title
Within Neurotech Vital Compact group estimate of mean change in the number of pads used/day
Description
Within Neurotech Vital Compact group estimate of mean change, with respect to baseline, in the number of pads used/day recorded using a 7-day voiding diary
Time Frame
12 weeks
Title
Between group comparison of the proportion of subjects achieving dryness at Week 12 (<1g on the provocative pad weight test)
Description
Between group comparison of the proportion of subjects achieving dryness at Week 12 (<1g on the provocative pad weight test)
Time Frame
12 weeks
Title
Comparison of adverse events
Description
Comparison between groups of adverse events reported throughout the study.
Time Frame
6 months
10. Eligibility
Sex
Female
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
65 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria:
Subjects who are female and at least 18 years of age, and not more than 65 years of age.
Subjects who have signed the informed consent form prior to any study related activity.
Subjects who have previously tried and failed to improve their condition using Kegel exercises.
Subjects who have been clinically diagnosed with stress urinary incontinence and demonstrate a greater than or equal to 3g urine leakage and a less than or equal to 90g urine leakage (>3g and < 90g) following a bladder-filling protocol and then a standardised stress test (provocative pad weight test) at the baseline assessment.
Subjects who score 9 or less (<9) out of 18 for the Urge Incontinence Questions and are confirmed as having predominant stress urinary incontinence on the Medical, Epidemiologic and Social Aspects of Aging Urinary Incontinence (MESA) Questionnaire completed at the screening assessment.
Subjects with a Body Mass Index of ≤ 35 kg/m2.
Subjects of child-bearing potential who are using a highly effective contraceptive method (established use of oral, injected, implanted hormonal method of contraception or barrier method of contraception with spermicide).
Subjects who are willing not to seek any other treatment for stress incontinence during the study period.
Subjects who are able to give voluntary, written informed consent to participate in this study and from whom consent has been obtained.
Subjects who are able to understand this study and are willing to complete all the study assessments.
Exclusion Criteria:
Subjects who have an existing medical condition that would compromise their participation in the study, e.g. reduced sensory perception in the contact area of the stimulation electrodes; scars or vaginal tissue wounds, lesions or inflamed/infected areas in the contact area of the stimulation electrodes; vaginal bleeding between menstrual periods; uncontrolled diabetes.
Subjects who have a physical condition that would make them unable to perform the study procedures, e.g. pelvic or hip surgery within the past 6 weeks.
Subjects who have been diagnosed with Chronic Obstructive Pulmonary Disease (COPD).
Subjects with a history of an underlying neurological condition, e.g. Multiple Sclerosis, Parkinson's disease, epilepsy.
Subjects with any bladder abnormality that would affect the urinary flow through the lower urinary tract including signs or symptoms of an active urinary tract infection, abnormal bladder capacity (e.g., >300 cc), post void residual volume >200 cc, spastic bladder, vesico-ureteral reflux or bladder stones.
Subjects with a blood clotting disorder or who are taking anti-coagulant medications.
Subjects who have previously had any uro-gynaecological related surgery that would affect the pelvic floor muscles or urinary flow through the urethra (excluding hysterectomy).
Subjects who have previously had pelvic floor radiation.
Subjects who have previously been treated for stress incontinence with injectable bulking agents and/or vaginal probes within the past 6 months.
Subjects with a clinical diagnosis of prolapse greater than Stage 2.
Subjects who are pregnant or could be pregnant.
Subjects who are less than 6 months post-partum or who are lactating.
Subjects who have any conductive intra-uterine devices or metal implants in the pelvic area, including hip and lumbar spine.
Subjects with pelvic pain or fibromyalgia or paravaginal defect.
Subjects with an active implanted medical device (i.e. pacemaker, insulin pump etc.) or conditions that may be adversely affected by electrical stimulation (e.g. cardiac arrhythmias).
Subjects with a current or active history of pelvic cancer and/or subjects with a life expectancy of less than 12 months.
Subjects who are currently involved in any injury litigation claims.
Subjects who have participated in a clinical study in the last 3 months or any previous clinical study with Bio-Medical Research Ltd.
Subjects who have been committed to an institution by virtue of an order issued either by the courts or by an authority.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Conor Minogue, PhD
Organizational Affiliation
Bio-Medical Research, Ltd.
Official's Role
Study Director
Facility Information:
Facility Name
Maricopa Integrated Health Systems
City
Phoenix
State/Province
Arizona
ZIP/Postal Code
85008
Country
United States
Facility Name
University of California Irvine Medical Center
City
Orange
State/Province
California
ZIP/Postal Code
92868
Country
United States
Facility Name
Hartford Hospital
City
Hartford
State/Province
Connecticut
ZIP/Postal Code
06102
Country
United States
Facility Name
Altus Research
City
Lake Worth
State/Province
Florida
ZIP/Postal Code
33461
Country
United States
Facility Name
University of South Florida Medical Center
City
Tampa
State/Province
Florida
ZIP/Postal Code
33606
Country
United States
Facility Name
Boston Clinical Trials
City
Boston
State/Province
Massachusetts
ZIP/Postal Code
02131
Country
United States
Facility Name
AccuMed Research Associates
City
Garden City
State/Province
New York
ZIP/Postal Code
11530
Country
United States
Facility Name
Lyndhurst Gynecological Associates
City
Winston-Salem
State/Province
North Carolina
ZIP/Postal Code
27103
Country
United States
Facility Name
Temple University
City
Philadelphia
State/Province
Pennsylvania
ZIP/Postal Code
19140
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
The Jackson Clinic
City
Jackson
State/Province
Tennessee
ZIP/Postal Code
38305
Country
United States
Facility Name
Renaissance Health & Surgical Associates
City
South Pittsburg
State/Province
Tennessee
ZIP/Postal Code
37380
Country
United States
12. IPD Sharing Statement
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Neurotech Vital Compact Versus Itouch Sure Pelvic Floor Exerciser US
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