Efficacy of Transcutaneous Nerve Stimulation on Improvement of Overactive Bladder Symptoms (TENSOAB)
Primary Purpose
Overactive Bladder
Status
Withdrawn
Phase
Phase 2
Locations
Israel
Study Type
Interventional
Intervention
Sports TENS 2
Sponsored by
About this trial
This is an interventional treatment trial for Overactive Bladder focused on measuring overactive bladder, transcutaneous electric stimulation, posterior tibial nerve stimulation
Eligibility Criteria
Inclusion Criteria:
- male and female patients
- age above 18
- OAB symptoms more than 6 months before run into the study
- OAB symptoms refractory to medical oral and cognitive treatments
- Adverse events or unwillingness to continue with abovementioned treatments
- patients with OAB symptoms with no evidence of neuropathic nature
- patients who signed informed consent fully understanding the treatment and study design
Exclusion Criteria:
- children
- patients who unable or did not sign an informed consent or do not understand the study design and the treatment
- patients who have implanted electric devices (eg. cardiac stimulators etc.)
- patients who have post voiding residual more than 100ml
- patients who have neuropathic OAB or pelvic ongoing malignancy or prior pelvic radiation
- patients who were treated in the last 6 months with SNM, PTNS or intravesical Botox injections
- patients with denovo OAB after recent implantation of tension-free vaginal tape (TVT) procedure
- stress urinary incontinence predominant complaints in mixed incontinence patients
- significant pelvic organ prolapse in women or an evidence of significant bladder outlet obstruction in male patients
- patients with a history of recurrent urinary tract infections (UTIs) during the last 2 years
- any medical condition that involves skin on the lower extremity
- bilateral leg amputation
- any medical condition that on investigator's mind could have an adverse impact on the patient during the study
- participation in a clinical study at the last 6 months
Sites / Locations
- Meir Medical Center
Arms of the Study
Arm 1
Arm 2
Arm Type
Active Comparator
Sham Comparator
Arm Label
TENS 1
TENS 2
Arm Description
TENS at posterior tibial nerve area
TENS at shoulder area
Outcomes
Primary Outcome Measures
Change in day and night-time frequency of micturitions
change in OAB-q (overactive bladder questionnaire) score bladder diary: change in a frequency of micturitions during the day and night. change in a mean volume of micturitions.
Change in a number of urgency and urge incontinence episodes
change in OAB-q (overactive bladder questionnaire) score bladder diary: change in a number of urgency and urge incontinence episodes
Secondary Outcome Measures
Change in quality of life in patients with overactive bladder syndrome at the end of TENS treatment
Filling of questionnaires: OAB-q (overactive bladder questionnaire), Patient perception of bladder condition (PPBC), Patient perception of global improvement (PPGI), Quality of life 5 dimensions (EQ5D)
Full Information
1. Study Identification
Unique Protocol Identification Number
NCT02110680
Brief Title
Efficacy of Transcutaneous Nerve Stimulation on Improvement of Overactive Bladder Symptoms
Acronym
TENSOAB
Official Title
Efficacy of Transcutaneous Nerve Stimulation on Improvement of Overactive Bladder Symptoms
Study Type
Interventional
2. Study Status
Record Verification Date
March 2016
Overall Recruitment Status
Withdrawn
Study Start Date
March 2016 (undefined)
Primary Completion Date
December 2016 (Anticipated)
Study Completion Date
December 2016 (Anticipated)
3. Sponsor/Collaborators
Responsible Party, by Official Title
Principal Investigator
Name of the Sponsor
Meir Medical Center
4. Oversight
5. Study Description
Brief Summary
Overactive bladder (OAB) is a very common problem that impairs the quality of life of about 17% of adult population in USA above the age of 40. The issues becomes more prominent with getting older. OAB was determined by International Continence Society as urgency (immediate desire to urinate that could not be postponed) with or without incontinence usually associated with increased frequency and nocturia (urination at night). In 2012, American Urologic Association published clinical guidelines for the treatment of OAB of non neurogenic origin. Neuromodulation was proposed as the third line of treatment and two treatments were recommended: sacral nerve neuromodulation (SNM) and posterior tibial nerve stimulation (PTNS). Each of above mentioned procedures are invasive. SNM involves lead implantation in operating room using X-ray guidance and anesthesia. PTNS involves needle insertion on the low extremity.
The investigators would like to examine the efficacy of transcutaneous nerve stimulation (TENS) in refractory to the first two lines of OAB treatment patients.
6. Conditions and Keywords
Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Overactive Bladder
Keywords
overactive bladder, transcutaneous electric stimulation, posterior tibial nerve stimulation
7. Study Design
Primary Purpose
Treatment
Study Phase
Phase 2
Interventional Study Model
Factorial Assignment
Masking
Participant
Allocation
Randomized
Enrollment
0 (Actual)
8. Arms, Groups, and Interventions
Arm Title
TENS 1
Arm Type
Active Comparator
Arm Description
TENS at posterior tibial nerve area
Arm Title
TENS 2
Arm Type
Sham Comparator
Arm Description
TENS at shoulder area
Intervention Type
Device
Intervention Name(s)
Sports TENS 2
Other Intervention Name(s)
Sports TENS 2 by TensCare Ltd, United Kingdom.
Intervention Description
transcutaneous electric stimulation
Primary Outcome Measure Information:
Title
Change in day and night-time frequency of micturitions
Description
change in OAB-q (overactive bladder questionnaire) score bladder diary: change in a frequency of micturitions during the day and night. change in a mean volume of micturitions.
Time Frame
12 weeks
Title
Change in a number of urgency and urge incontinence episodes
Description
change in OAB-q (overactive bladder questionnaire) score bladder diary: change in a number of urgency and urge incontinence episodes
Time Frame
12 weeks
Secondary Outcome Measure Information:
Title
Change in quality of life in patients with overactive bladder syndrome at the end of TENS treatment
Description
Filling of questionnaires: OAB-q (overactive bladder questionnaire), Patient perception of bladder condition (PPBC), Patient perception of global improvement (PPGI), Quality of life 5 dimensions (EQ5D)
Time Frame
12 weeks
10. Eligibility
Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria:
male and female patients
age above 18
OAB symptoms more than 6 months before run into the study
OAB symptoms refractory to medical oral and cognitive treatments
Adverse events or unwillingness to continue with abovementioned treatments
patients with OAB symptoms with no evidence of neuropathic nature
patients who signed informed consent fully understanding the treatment and study design
Exclusion Criteria:
children
patients who unable or did not sign an informed consent or do not understand the study design and the treatment
patients who have implanted electric devices (eg. cardiac stimulators etc.)
patients who have post voiding residual more than 100ml
patients who have neuropathic OAB or pelvic ongoing malignancy or prior pelvic radiation
patients who were treated in the last 6 months with SNM, PTNS or intravesical Botox injections
patients with denovo OAB after recent implantation of tension-free vaginal tape (TVT) procedure
stress urinary incontinence predominant complaints in mixed incontinence patients
significant pelvic organ prolapse in women or an evidence of significant bladder outlet obstruction in male patients
patients with a history of recurrent urinary tract infections (UTIs) during the last 2 years
any medical condition that involves skin on the lower extremity
bilateral leg amputation
any medical condition that on investigator's mind could have an adverse impact on the patient during the study
participation in a clinical study at the last 6 months
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Michael Vainrib, M.D.
Organizational Affiliation
Meir Medical Center
Official's Role
Principal Investigator
Facility Information:
Facility Name
Meir Medical Center
City
Kfar Saba
ZIP/Postal Code
44410
Country
Israel
12. IPD Sharing Statement
Learn more about this trial
Efficacy of Transcutaneous Nerve Stimulation on Improvement of Overactive Bladder Symptoms
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