Study Evaluating the Efficacy and Safety of Yoni.Fit in Women With Stress Urinary Incontinence
Primary Purpose
Urinary Incontinence
Status
Completed
Phase
Not Applicable
Locations
United States
Study Type
Interventional
Intervention
Yōni.Fit Test Device
Yōni.Fit Comparator Device
Sponsored by
About this trial
This is an interventional treatment trial for Urinary Incontinence
Eligibility Criteria
Inclusion Criteria:
- Participants must be female,
- Must be 18 years of age or older at the time of signing the informed consent
- With BMI < 35
Must meet the following 2 criteria for diagnosis of stress urinary incontinence (SUI) :
- SUI clinical diagnosis via the cough supine test, AND
- ≥ 3 month history of experiencing Stress Urinary Incontinence (SUI) symptoms per the patient
Women of childbearing potential not intending to become pregnant for the duration of study participation. Subject must agree for the duration of the study to use one of the following forms of contraception
- Systemic hormonal treatment including oral pills, patches and injections OR
- "Single-barrier" contraception (condom, diaphragm and spermicide are each considered a barrier) OR
- Essure® procedure done at least three month prior to screening
- Willing to comply with study requirements, including capable of performing the activities required for the pad weight test and return for follow-up visits.
- Must be able to speak, understand and read English and sign study specific Informed Consent Form
Exclusion Criteria:
Women having predominantly urge or mixed incontinence as defined by:
- QUID Urge score >6, OR
- MESA percentage Urge Score > MESA percentage Stress Score Note: the questionnaires above will be self-administered and results interpreted by the subjects as per instructions in the questionnaires.
- Current pregnancy, lactation or planning for pregnancy in the next 6 months
- Women at postpartum for 3 months or less prior to screening
- Women currently have an intrauterine device (IUD) as a contraception method placement less than 6 months or have an IUD over 6 month but may replace it next 14 weeks
- Women currently use, have used an intra-vaginal device as contraception method for the past 6 months
- Women currently using a pessary or treated previously with any device for UI
- Women who have been treated with pharmacologic medications for UI within the past 4 months prior to screening, including any antidiuretic or diuretic medications (both over the counter and prescription medications)
- Women who have been previously treated with any surgical or electrical interventions for UI
- Women who have been previously treated with pelvic floor muscle training (PFMT) for UI within the past 4 months prior to screening
- Women who have difficulty inserting or wearing an intra-vaginal device, including a tampon
- Women who participated in a clinical trial within the 12 months prior to screening
Any of the following known conditions deemed prohibitory:
- Abnormal kidney function, including kidney stone
- Abnormal post void residual (e.g. greater than 150cc) or self-reported difficulty emptying bladder
- Allergy to silicon products and materials
- Acute febrile illness of any cause in the 14 days prior to screening
- Bladder stones or Bladder tumors
- Chronic pelvic pain within the past 4 months prior to screening
- Coagulation abnormalities
- Experience pain or burning sensation during sexual intercourse or urination
- Infections of the vagina, bladder and/or urethra within previous 3 months such as urinary tract infection (UTI)
- Interstitial cystitis
- Neurological disorders such as multiple sclerosis, spina bifida, Parkinson's disease which may interfere with nerve function of the bladder.
- Toxic shock syndrome (TSS) history or symptoms consistent with TSS
- Uncontrolled diabetes
- Undiagnosed vaginal bleeding or hematuria
- Vaginal discharge with a strong odor and irritation within previous 3 months
- Vaginal soreness or pain or fibromyalgia or paravaginal defect
- Any other medical reason that the Investigator determines that the subject should not participate in the study
- Known history of previous pelvic organ prolapse greater than the POP-Q Stage 2 as defined by the international continence society (ICS).
Sites / Locations
- Stanford University School of Medicine
- NYU Langone Health
- Thomas Jefferson University Hospital
Arms of the Study
Arm 1
Arm 2
Arm Type
Experimental
Active Comparator
Arm Label
Test Device
Comparator Device
Arm Description
Yōni.Fit Test Device
Yōni.Fit Comparator Device
Outcomes
Primary Outcome Measures
Responder rate at Day 21
Responder rate at Day 21, where responder is defined as a subject who has at least 50% reduction in mean 12-hour pad weight test through assessment period of treatment phase (the last 7 days of 14-day device usage period), when compared to the mean pad weight test during the 7-day baseline phase
Secondary Outcome Measures
Percent Change in mean pad weight
Percent change in mean pad weight during assessment period of treatment phase (the last 7 days of 14-day device usage period), from the mean pad weight during the 7-day baseline phase
Percent change in the frequency of SUI events per the patient diary
Percent change in the frequency of SUI events per the patient diary, defined as average number of incontinence episodes per 12 hours during assessment period of treatment phase (the last 7 days of 14-day device usage period), from the average of baseline phase
Responder rate for frequency of SUI events per the patient diary at Day 21,
Where responder is defined as a subject who has at least 50% reduction in the number of incontinence episodes per day during the last 7 days of
Percent change in Incontinence Impact Questionnaire (IIQ-7) score
7 questions about how urinary incontinence has affected a subjects life. Questions cover physical activity, travel, social relationships and emotional health. The questionnaire asks whether the subjects life has been greatly affected, moderately, slightly or not affected at all.
Percent change in Patient Global Impression of Change (PGIC) score
It gives a patient reported assessment of change after intervention. The higher the score, the greater the severity (1 being "very much improved"; 7 "very much worse").
Percent change in Incontinence-Quality of Life (I-QOL) Assessment Questionnaire
The I -QOL consists of 22 items, all of which use a five - point ordinal response scale in which 1 = extremely, 2 = quite a bit, 3 = moderately, 4 = a little, and 5 = not at all. The 22 items can be further grouped into 3 sub-scales: Avoidance and Limiting Behaviour (8 ite ms), Psychosocial Impacts (9 items), and Social Embarrassment (5 items). The total I -QOL and 3 sub scale scores are calculated by summing the unweighted item score and transforming them to a 100 point scale where 0 = mo st severe, and 100 = no problem .
Ease of use per the USE Questionnaire: Usefulness, Satisfaction, and Ease of Use
The USE questionnaire is meant to be used to assess the Subjective reactions to the usability of the Yōni.Fit ® device. The "Usefulness" section of the questionnaire consists of 19 questions regarding usability of the device scaled from 1- "strongly disagree" to 7- "strongly agree."
Ease of use per the USE Questionnaire: Satisfaction
The USE questionnaire is meant to be used to assess the Subjective reactions to the usability of the Yōni.Fit ® device. The "Usefulness" section of the questionnaire consists of 7 questions regarding Satisfaction with the device scaled from 1-"strongly disagree" to 7-"Strongly Agree."
Ease of use per the USE Questionnaire:Ease of Use
The USE questionnaire is meant to be used to assess the Subjective reactions to the usability of the Yōni.Fit ® device. The "Usefulness" section of the questionnaire consists of 11 questions regarding Ease of Use with the device scaled from 1-"strongly disagree" to 7-"Strongly Agree."
Full Information
1. Study Identification
Unique Protocol Identification Number
NCT03978741
Brief Title
Study Evaluating the Efficacy and Safety of Yoni.Fit in Women With Stress Urinary Incontinence
Official Title
Randomized, Comparator-controlled, Single Blinded, Multi-center Study Evaluating the Efficacy and Safety of Yoni.Fit in Women With Stress Urinary Incontinence
Study Type
Interventional
2. Study Status
Record Verification Date
May 2023
Overall Recruitment Status
Completed
Study Start Date
January 3, 2020 (Actual)
Primary Completion Date
May 5, 2022 (Actual)
Study Completion Date
August 26, 2022 (Actual)
3. Sponsor/Collaborators
Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Watkins Conti Products. Inc.
4. Oversight
Studies a U.S. FDA-regulated Drug Product
No
Studies a U.S. FDA-regulated Device Product
Yes
Device Product Not Approved or Cleared by U.S. FDA
Yes
Product Manufactured in and Exported from the U.S.
No
Data Monitoring Committee
No
5. Study Description
Brief Summary
Study to evaluate the safety and effectiveness of Yoni.Fit for the temporary management of stress urinary incontinence (SUI) in women.
Detailed Description
Randomized, comparator-controlled, single blinded, multicenter study to demonstrate the effectiveness, user acceptance, safety and tolerability of Yoni.Fit in the temporary management of stress urinary incontinence (SUI) in women.
6. Conditions and Keywords
Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Urinary Incontinence
7. Study Design
Primary Purpose
Treatment
Study Phase
Not Applicable
Interventional Study Model
Parallel Assignment
Masking
Participant
Allocation
Randomized
Enrollment
80 (Actual)
8. Arms, Groups, and Interventions
Arm Title
Test Device
Arm Type
Experimental
Arm Description
Yōni.Fit Test Device
Arm Title
Comparator Device
Arm Type
Active Comparator
Arm Description
Yōni.Fit Comparator Device
Intervention Type
Device
Intervention Name(s)
Yōni.Fit Test Device
Intervention Description
The Yōni.Fit Test Device is a silicone pessary.
Intervention Type
Device
Intervention Name(s)
Yōni.Fit Comparator Device
Intervention Description
The Yōni.Fit Comparator Device is a silicone pessary with a different configuration.
Primary Outcome Measure Information:
Title
Responder rate at Day 21
Description
Responder rate at Day 21, where responder is defined as a subject who has at least 50% reduction in mean 12-hour pad weight test through assessment period of treatment phase (the last 7 days of 14-day device usage period), when compared to the mean pad weight test during the 7-day baseline phase
Time Frame
21 Days
Secondary Outcome Measure Information:
Title
Percent Change in mean pad weight
Description
Percent change in mean pad weight during assessment period of treatment phase (the last 7 days of 14-day device usage period), from the mean pad weight during the 7-day baseline phase
Time Frame
7 Days, 14 Days
Title
Percent change in the frequency of SUI events per the patient diary
Description
Percent change in the frequency of SUI events per the patient diary, defined as average number of incontinence episodes per 12 hours during assessment period of treatment phase (the last 7 days of 14-day device usage period), from the average of baseline phase
Time Frame
7 Days, 14 Days
Title
Responder rate for frequency of SUI events per the patient diary at Day 21,
Description
Where responder is defined as a subject who has at least 50% reduction in the number of incontinence episodes per day during the last 7 days of
Time Frame
21 Days
Title
Percent change in Incontinence Impact Questionnaire (IIQ-7) score
Description
7 questions about how urinary incontinence has affected a subjects life. Questions cover physical activity, travel, social relationships and emotional health. The questionnaire asks whether the subjects life has been greatly affected, moderately, slightly or not affected at all.
Time Frame
21 Days
Title
Percent change in Patient Global Impression of Change (PGIC) score
Description
It gives a patient reported assessment of change after intervention. The higher the score, the greater the severity (1 being "very much improved"; 7 "very much worse").
Time Frame
21 Days
Title
Percent change in Incontinence-Quality of Life (I-QOL) Assessment Questionnaire
Description
The I -QOL consists of 22 items, all of which use a five - point ordinal response scale in which 1 = extremely, 2 = quite a bit, 3 = moderately, 4 = a little, and 5 = not at all. The 22 items can be further grouped into 3 sub-scales: Avoidance and Limiting Behaviour (8 ite ms), Psychosocial Impacts (9 items), and Social Embarrassment (5 items). The total I -QOL and 3 sub scale scores are calculated by summing the unweighted item score and transforming them to a 100 point scale where 0 = mo st severe, and 100 = no problem .
Time Frame
21 Days
Title
Ease of use per the USE Questionnaire: Usefulness, Satisfaction, and Ease of Use
Description
The USE questionnaire is meant to be used to assess the Subjective reactions to the usability of the Yōni.Fit ® device. The "Usefulness" section of the questionnaire consists of 19 questions regarding usability of the device scaled from 1- "strongly disagree" to 7- "strongly agree."
Time Frame
21 Days
Title
Ease of use per the USE Questionnaire: Satisfaction
Description
The USE questionnaire is meant to be used to assess the Subjective reactions to the usability of the Yōni.Fit ® device. The "Usefulness" section of the questionnaire consists of 7 questions regarding Satisfaction with the device scaled from 1-"strongly disagree" to 7-"Strongly Agree."
Time Frame
21 Days
Title
Ease of use per the USE Questionnaire:Ease of Use
Description
The USE questionnaire is meant to be used to assess the Subjective reactions to the usability of the Yōni.Fit ® device. The "Usefulness" section of the questionnaire consists of 11 questions regarding Ease of Use with the device scaled from 1-"strongly disagree" to 7-"Strongly Agree."
Time Frame
21 Days
10. Eligibility
Sex
Female
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
100 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria:
Participants must be female,
Must be 18 years of age or older at the time of signing the informed consent
With BMI < 35
Must meet the following 2 criteria for diagnosis of stress urinary incontinence (SUI) :
SUI clinical diagnosis via the cough supine test, AND
≥ 3 month history of experiencing Stress Urinary Incontinence (SUI) symptoms per the patient
Women of childbearing potential not intending to become pregnant for the duration of study participation. Subject must agree for the duration of the study to use one of the following forms of contraception
Systemic hormonal treatment including oral pills, patches and injections OR
"Single-barrier" contraception (condom, diaphragm and spermicide are each considered a barrier) OR
Essure® procedure done at least three month prior to screening
Willing to comply with study requirements, including capable of performing the activities required for the pad weight test and return for follow-up visits.
Must be able to speak, understand and read English and sign study specific Informed Consent Form
Exclusion Criteria:
Women having predominantly urge or mixed incontinence as defined by:
QUID Urge score >6, OR
MESA percentage Urge Score > MESA percentage Stress Score Note: the questionnaires above will be self-administered and results interpreted by the subjects as per instructions in the questionnaires.
Current pregnancy, lactation or planning for pregnancy in the next 6 months
Women at postpartum for 3 months or less prior to screening
Women currently have an intrauterine device (IUD) as a contraception method placement less than 6 months or have an IUD over 6 month but may replace it next 14 weeks
Women currently use, have used an intra-vaginal device as contraception method for the past 6 months
Women currently using a pessary or treated previously with any device for UI
Women who have been treated with pharmacologic medications for UI within the past 4 months prior to screening, including any antidiuretic or diuretic medications (both over the counter and prescription medications)
Women who have been previously treated with any surgical or electrical interventions for UI
Women who have been previously treated with pelvic floor muscle training (PFMT) for UI within the past 4 months prior to screening
Women who have difficulty inserting or wearing an intra-vaginal device, including a tampon
Women who participated in a clinical trial within the 12 months prior to screening
Any of the following known conditions deemed prohibitory:
Abnormal kidney function, including kidney stone
Abnormal post void residual (e.g. greater than 150cc) or self-reported difficulty emptying bladder
Allergy to silicon products and materials
Acute febrile illness of any cause in the 14 days prior to screening
Bladder stones or Bladder tumors
Chronic pelvic pain within the past 4 months prior to screening
Coagulation abnormalities
Experience pain or burning sensation during sexual intercourse or urination
Infections of the vagina, bladder and/or urethra within previous 3 months such as urinary tract infection (UTI)
Interstitial cystitis
Neurological disorders such as multiple sclerosis, spina bifida, Parkinson's disease which may interfere with nerve function of the bladder.
Toxic shock syndrome (TSS) history or symptoms consistent with TSS
Uncontrolled diabetes
Undiagnosed vaginal bleeding or hematuria
Vaginal discharge with a strong odor and irritation within previous 3 months
Vaginal soreness or pain or fibromyalgia or paravaginal defect
Any other medical reason that the Investigator determines that the subject should not participate in the study
Known history of previous pelvic organ prolapse greater than the POP-Q Stage 2 as defined by the international continence society (ICS).
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Allsion Watkins-Conti
Organizational Affiliation
Watkins Conti Products. Inc.
Official's Role
Study Director
Facility Information:
Facility Name
Stanford University School of Medicine
City
Stanford
State/Province
California
ZIP/Postal Code
94305
Country
United States
Facility Name
NYU Langone Health
City
New York
State/Province
New York
ZIP/Postal Code
10016
Country
United States
Facility Name
Thomas Jefferson University Hospital
City
Philadelphia
State/Province
Pennsylvania
ZIP/Postal Code
19107
Country
United States
12. IPD Sharing Statement
Learn more about this trial
Study Evaluating the Efficacy and Safety of Yoni.Fit in Women With Stress Urinary Incontinence
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