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Study of Non-Ablative Radiofrequency Treatment for Stress Urinary Incontinence

Primary Purpose

Stress Urinary Incontinence

Status
Completed
Phase
Not Applicable
Locations
Canada
Study Type
Interventional
Intervention
Viveve SUI treatment
Sponsored by
Dr. Bruce B. Allan
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional other trial for Stress Urinary Incontinence

Eligibility Criteria

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

Inclusion Criteria:

  • Able to understand and has voluntarily signed and dated the informed consent form (ICF) prior to initiation of any screening or study-specific procedures.
  • Willing to comply with study requirements and instructions.
  • Female, ≥ 18 years of age.
  • Normal pelvic exam at Screening.
  • Negative pregnancy test at Screening.
  • Diagnosed with mild or moderate Stress Urinary Incontinence (SUI) by the 1-hour pad weight test ("mild" defined as 1 - 10 g; "moderate" defined as 11 - 50 g; and "severe" defined as >50 g ) at Screening.

Exclusion Criteria:

  • Subject is currently breastfeeding or discontinued breast feeding fewer than 6 months prior to enrollment.
  • Any condition, illness, or surgery that might confound the results of urinary incontinence assessment, including, but not limited to:

    • Categories of urinary incontinence other than the categories being investigated.
    • Prominent (i.e., greater than stage II as defined by the International Continence Society) pelvic organ prolapse (e.g., cystocele, rectocele).
    • Neurological disorders (e.g., multiple sclerosis, Parkinson's disease).
    • Spastic bladder.
    • Concurrent infections (e.g., urinary tract infection [UTI], cystitis, urethritis, active genital herpes flare-up, active genital/pelvic infection).
    • Vesicoureteral reflux.
    • Bladder stones.
    • Bladder tumors.
    • Morbid obesity.
  • Any underlying condition that may pose unreasonable risks to the subject, such as:

    • Coagulation abnormalities.
    • Abnormal kidney function.
    • Uncontrolled diabetes.
    • Has an implantable electrical device [e.g., implantable pacemaker, automatic implantable cardioverter-defibrillator (AICD)] that could potentially be affected by the use of radiofrequency.
  • Taking any new medication (< 3 months) that affects urination, or change in the dosage of any medication that affects urination within the past 3 months.
  • Medical history of keloid formation, genital fistula, thin recto-vaginal septum (defined as a distance of < 2 cm between the vaginal opening and the anal opening, as measured by a flexible tape measure); or history of fourth-degree laceration, hypertrophic scar formation, or mediolateral episiotomy.
  • Active malignancy or undergoing treatment (using chemotherapeutic agents, radiation therapy, and/or cytostatic medications) that may interfere with adequate wound healing response.
  • Previous vaginal, energy-based device treatment for vaginal laxity, urinary incontinence, or sexual function (e.g., radiofrequency treatment, cosmetic, laser, surgical, and/or genital enhancement procedure).
  • Chronic use of anti-inflammatory drugs, including ibuprofen, aspirin, and steroids.
  • Subject has been in another clinical study within 6 months of screening, or is not willing to abstain from participating in other clinical studies for duration of trial.

Sites / Locations

  • Allan Centre

Arms of the Study

Arm 1

Arm 2

Arm Type

Experimental

Experimental

Arm Label

Group 1

Group 2

Arm Description

Single study treatment (Viveve SUI treatment) will be administered.

Two study treatments (Viveve SUI treatments) will be administered approximately 6 weeks apart.

Outcomes

Primary Outcome Measures

reduction in pad weight vs. baseline
pad weight tests to be completed at baseline and at designated study follow-up timepoints

Secondary Outcome Measures

Full Information

First Posted
February 23, 2017
Last Updated
December 18, 2018
Sponsor
Dr. Bruce B. Allan
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1. Study Identification

Unique Protocol Identification Number
NCT03066180
Brief Title
Study of Non-Ablative Radiofrequency Treatment for Stress Urinary Incontinence
Official Title
Pilot Study of Non-Ablative Radiofrequency Treatment for Stress Urinary Incontinence
Study Type
Interventional

2. Study Status

Record Verification Date
December 2018
Overall Recruitment Status
Completed
Study Start Date
May 29, 2017 (Actual)
Primary Completion Date
November 30, 2018 (Actual)
Study Completion Date
November 30, 2018 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor-Investigator
Name of the Sponsor
Dr. Bruce B. Allan

4. Oversight

Studies a U.S. FDA-regulated Drug Product
No
Studies a U.S. FDA-regulated Device Product
Yes
Product Manufactured in and Exported from the U.S.
Yes
Data Monitoring Committee
No

5. Study Description

Brief Summary
This is a prospective, pilot clinical study involving two study groups. This study is designed to demonstrate that the study treatment meets primary efficacy and safety endpoints. The treatment involves radiofrequency treatment to address symptoms of stress urinary incontinence. After receiving the study treatment, subjects will be followed out to 12 months post-treatment. At the Screening Visit, and at each designated follow-up timepoint, subjects will be asked to complete a variety of questionnaires, provide a patient diary, and undergo an objective assessment for urine loss.
Detailed Description
This is a prospective, pilot clinical study involving two study groups. Subjects meeting the all the inclusion criteria and none of the exclusion criteria will be enrolled in the study. Subjects will receive a single SUI treatment; subjects in Group 2 will receive two SUI Treatments. At the Screening Visit, and at each pre-designated study follow-up timepoint, subjects will be asked to complete several quality of life questionnaires related to the treated condition. In addition, subjects will provide a bladder voiding diary for review and data collection, and a pad weight test will be conducted and results collected.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Stress Urinary Incontinence

7. Study Design

Primary Purpose
Other
Study Phase
Not Applicable
Interventional Study Model
Parallel Assignment
Masking
None (Open Label)
Allocation
Randomized
Enrollment
37 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Group 1
Arm Type
Experimental
Arm Description
Single study treatment (Viveve SUI treatment) will be administered.
Arm Title
Group 2
Arm Type
Experimental
Arm Description
Two study treatments (Viveve SUI treatments) will be administered approximately 6 weeks apart.
Intervention Type
Device
Intervention Name(s)
Viveve SUI treatment
Intervention Description
Non-ablative radiofrequency treatment with surface cooling
Primary Outcome Measure Information:
Title
reduction in pad weight vs. baseline
Description
pad weight tests to be completed at baseline and at designated study follow-up timepoints
Time Frame
baseline to 12 months post-treatment

10. Eligibility

Sex
Female
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Able to understand and has voluntarily signed and dated the informed consent form (ICF) prior to initiation of any screening or study-specific procedures. Willing to comply with study requirements and instructions. Female, ≥ 18 years of age. Normal pelvic exam at Screening. Negative pregnancy test at Screening. Diagnosed with mild or moderate Stress Urinary Incontinence (SUI) by the 1-hour pad weight test ("mild" defined as 1 - 10 g; "moderate" defined as 11 - 50 g; and "severe" defined as >50 g ) at Screening. Exclusion Criteria: Subject is currently breastfeeding or discontinued breast feeding fewer than 6 months prior to enrollment. Any condition, illness, or surgery that might confound the results of urinary incontinence assessment, including, but not limited to: Categories of urinary incontinence other than the categories being investigated. Prominent (i.e., greater than stage II as defined by the International Continence Society) pelvic organ prolapse (e.g., cystocele, rectocele). Neurological disorders (e.g., multiple sclerosis, Parkinson's disease). Spastic bladder. Concurrent infections (e.g., urinary tract infection [UTI], cystitis, urethritis, active genital herpes flare-up, active genital/pelvic infection). Vesicoureteral reflux. Bladder stones. Bladder tumors. Morbid obesity. Any underlying condition that may pose unreasonable risks to the subject, such as: Coagulation abnormalities. Abnormal kidney function. Uncontrolled diabetes. Has an implantable electrical device [e.g., implantable pacemaker, automatic implantable cardioverter-defibrillator (AICD)] that could potentially be affected by the use of radiofrequency. Taking any new medication (< 3 months) that affects urination, or change in the dosage of any medication that affects urination within the past 3 months. Medical history of keloid formation, genital fistula, thin recto-vaginal septum (defined as a distance of < 2 cm between the vaginal opening and the anal opening, as measured by a flexible tape measure); or history of fourth-degree laceration, hypertrophic scar formation, or mediolateral episiotomy. Active malignancy or undergoing treatment (using chemotherapeutic agents, radiation therapy, and/or cytostatic medications) that may interfere with adequate wound healing response. Previous vaginal, energy-based device treatment for vaginal laxity, urinary incontinence, or sexual function (e.g., radiofrequency treatment, cosmetic, laser, surgical, and/or genital enhancement procedure). Chronic use of anti-inflammatory drugs, including ibuprofen, aspirin, and steroids. Subject has been in another clinical study within 6 months of screening, or is not willing to abstain from participating in other clinical studies for duration of trial.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Bruce B Allan, PhD, MD
Organizational Affiliation
University of Calgary
Official's Role
Principal Investigator
Facility Information:
Facility Name
Allan Centre
City
Calgary
State/Province
Alberta
ZIP/Postal Code
T2J 6A5
Country
Canada

12. IPD Sharing Statement

Plan to Share IPD
No
Citations:
PubMed Identifier
7780440
Citation
Uebersax JS, Wyman JF, Shumaker SA, McClish DK, Fantl JA. Short forms to assess life quality and symptom distress for urinary incontinence in women: the Incontinence Impact Questionnaire and the Urogenital Distress Inventory. Continence Program for Women Research Group. Neurourol Urodyn. 1995;14(2):131-9. doi: 10.1002/nau.1930140206.
Results Reference
background
PubMed Identifier
7841963
Citation
Shumaker SA, Wyman JF, Uebersax JS, McClish D, Fantl JA. Health-related quality of life measures for women with urinary incontinence: the Incontinence Impact Questionnaire and the Urogenital Distress Inventory. Continence Program in Women (CPW) Research Group. Qual Life Res. 1994 Oct;3(5):291-306. doi: 10.1007/BF00451721.
Results Reference
background
PubMed Identifier
11483899
Citation
Harvey MA, Kristjansson B, Griffith D, Versi E. The Incontinence Impact Questionnaire and the Urogenital Distress Inventory: a revisit of their validity in women without a urodynamic diagnosis. Am J Obstet Gynecol. 2001 Jul;185(1):25-31. doi: 10.1067/mob.2001.116369.
Results Reference
background
PubMed Identifier
31464548
Citation
Allan BB, Bell S, Husarek K. Early Feasibility Study to Evaluate the Viveve System for Female Stress Urinary Incontinence: Interim 6-Month Report. J Womens Health (Larchmt). 2020 Mar;29(3):383-389. doi: 10.1089/jwh.2018.7567. Epub 2019 Aug 29.
Results Reference
derived

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Study of Non-Ablative Radiofrequency Treatment for Stress Urinary Incontinence

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