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Safety and Performance of UCon for the Treatment of the Symptoms of Overactive Bladder (OAB) / Bowel Dysfunction (BD)

Primary Purpose

Urinary Incontinence, Fecal Incontinence, Urge Incontinence

Status
Recruiting
Phase
Not Applicable
Locations
Denmark
Study Type
Interventional
Intervention
UCon
Sponsored by
InnoCon Medical
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Urinary Incontinence focused on measuring Urinary Incontinence, Fecal Incontinence, Urge incontinence, Neurostimulation, Dorsal Genital Nerve, Nocturia

Eligibility Criteria

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

Inclusion Criteria:

  1. Subject is ≥ 18 years of age.
  2. Subject is diagnosed with OAB or BD.
  3. Subject is able to communicate, provide feedback, understand and follow instructions during the course of the study.
  4. Subject has signed an informed consent.

Exclusion Criteria:

  1. Subject is medically unstable.
  2. Subject has an active infection in the genital area.
  3. Subject has an implanted pacemaker, implantable drug pump or other active medical device (any medical device that uses electrical energy or other source of power to make it function).
  4. Subject is pregnant, nursing or planning a pregnancy (to be confirmed with a negative pregnancy test within 14 days prior to enrolment). Women of childbearing potential must maintain effective contraception* during the study period judged by the investigator.
  5. Subject is enrolled or planning to enrol in another investigational study or was enrolled in an investigational drug or medical device trial within four weeks to enrolment.
  6. Subject has neuropathy to a degree that is presumed to diminish the effect of the electrical stimulation.
  7. Subject has a history of cancer in the pelvic region, are currently receiving cancer treatment, or has radiation-induced damage to the pelvic region.
  8. Subject has addictive behaviour defined as abuse of cannabis, opioids, or other intoxicating drugs.
  9. Subject does not speak and understand Danish.

Sites / Locations

  • Aarhus University HospitalRecruiting
  • Herlev HospitalRecruiting
  • Odense University HospitalRecruiting

Arms of the Study

Arm 1

Arm Type

Experimental

Arm Label

Interventional arm

Arm Description

Electrical stimulation to the dorsal genital nerve.

Outcomes

Primary Outcome Measures

Characterization of adverse events related to the risks and anticipated adverse device effects associated with the use of UCon.
Characterization of adverse events related to the risks and anticipated adverse device effects associated with the use of UCon during the study period.
Ratio of subjects with at least 50% improvement of their OAB/BD symptoms from baseline associated with the use of UCon.
Urinary urgency is measured by number of urgency episodes/day. Urinary frequency is measured by number of voidings/day. Urgency urinary incontinence is measured by number of leaks preceded by urgency/day. Nocturia is measured by number of voidings/night. Faecal urgency is measured by number of urgency episodes/day. Frequent bowel movements are measured by number of voidings/day. Faecal incontinence (urge/passive) is measured by number of leaks/day.

Secondary Outcome Measures

Frequency and severity of all adverse events related to the risks and anticipated adverse device effects associated with the use of UCon.
Number of subjects experiencing adverse events related to the risks and anticipated adverse device effects associated with the use of UCon during the study period. Number and severity of adverse events related to the risks and anticipated adverse device effects associated with the use of UCon during the study period.
Ratio of subjects with improvement in their OAB/BD specific quality-of-life measures from baseline.
For OAB the following is used to assess QoL: "International Consultation on Incontinence Questionnaire Overactive Bladder Module". It contains 4 questions and a higher total score means a worse outcome. For BD a combination of the following is used to assess QoL: "St. Marks incontinence score" and "Rockwood Fecal Incontinence Quality of Life Scale". St. Marks incontinence score contains 7 questions, and a higher total score means a worse outcome. The Rockwood Fecal Incontinence Quality of Life Scale contains 29 questions and a higher total score means a worse outcome.

Full Information

First Posted
April 25, 2022
Last Updated
October 16, 2023
Sponsor
InnoCon Medical
Collaborators
Aarhus University Hospital, Herlev Hospital, Odense University Hospital
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1. Study Identification

Unique Protocol Identification Number
NCT05368246
Brief Title
Safety and Performance of UCon for the Treatment of the Symptoms of Overactive Bladder (OAB) / Bowel Dysfunction (BD)
Official Title
Safety and Performance of UCon for the Treatment of the Symptoms of Overactive Bladder (OAB) / Bowel Dysfunction (BD) - An Early Feasibility Study
Study Type
Interventional

2. Study Status

Record Verification Date
May 2023
Overall Recruitment Status
Recruiting
Study Start Date
February 28, 2023 (Actual)
Primary Completion Date
February 28, 2024 (Anticipated)
Study Completion Date
February 28, 2024 (Anticipated)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
InnoCon Medical
Collaborators
Aarhus University Hospital, Herlev Hospital, Odense University Hospital

4. Oversight

Studies a U.S. FDA-regulated Drug Product
No
Studies a U.S. FDA-regulated Device Product
No
Data Monitoring Committee
No

5. Study Description

Brief Summary
This clinical investigation is a single-arm, prospective, multicentre, early feasibility study, which is used to evaluate the device design of UCon with respect to initial clinical safety and device performance in a small number of subjects. UCon is a medical device for treatment of the symptoms of overactive bladder (OAB) and bowel disorders (BD). It electrically stimulates the dorsal genital nerve (DGN) through the skin to obtain modulated behaviour of the bladder/bowel musculature e.g., suppress undesired bladder/bowel activity to relieve the symptoms of the patient.
Detailed Description
The study is conducted at multiple hospitals in Denmark (Aarhus University Hospital, Odense University Hospital and Herlev Hospital). It is estimated that 20 subjects with OAB and 20 subjects with BD will need to be enrolled at the investigational sites to account for screening attrition and dropouts. Screening and baseline measurements includes a 7-days bladder diary (OAB) / 14-days bowel diary (BD) and quality-of-life measures. Following the screening and baseline measurements, the subjects will be introduced and trained on how to set up and use UCon. For 1 month the subjects will use UCon at home and complete a daily bladder/bowel diary and a stimulation diary. After completion of the interventional period, subjects will fill out the quality-of-life measures once again.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Urinary Incontinence, Fecal Incontinence, Urge Incontinence, Nocturia, Urinary Frequency More Than Once at Night, Bowel Disorders Functional, Urinary Incontinence, Urge, Incontinence, Nighttime Urinary
Keywords
Urinary Incontinence, Fecal Incontinence, Urge incontinence, Neurostimulation, Dorsal Genital Nerve, Nocturia

7. Study Design

Primary Purpose
Treatment
Study Phase
Not Applicable
Interventional Study Model
Single Group Assignment
Masking
None (Open Label)
Allocation
N/A
Enrollment
80 (Anticipated)

8. Arms, Groups, and Interventions

Arm Title
Interventional arm
Arm Type
Experimental
Arm Description
Electrical stimulation to the dorsal genital nerve.
Intervention Type
Device
Intervention Name(s)
UCon
Intervention Description
The subjects self-administer electrical stimulation to the dorsal genital nerve (DGN) for 4 weeks using UCon
Primary Outcome Measure Information:
Title
Characterization of adverse events related to the risks and anticipated adverse device effects associated with the use of UCon.
Description
Characterization of adverse events related to the risks and anticipated adverse device effects associated with the use of UCon during the study period.
Time Frame
After 4 and 12 weeks of stimulation (end of study).
Title
Ratio of subjects with at least 50% improvement of their OAB/BD symptoms from baseline associated with the use of UCon.
Description
Urinary urgency is measured by number of urgency episodes/day. Urinary frequency is measured by number of voidings/day. Urgency urinary incontinence is measured by number of leaks preceded by urgency/day. Nocturia is measured by number of voidings/night. Faecal urgency is measured by number of urgency episodes/day. Frequent bowel movements are measured by number of voidings/day. Faecal incontinence (urge/passive) is measured by number of leaks/day.
Time Frame
Change from baseline OAB/BD symptoms at 4 and 12 weeks.
Secondary Outcome Measure Information:
Title
Frequency and severity of all adverse events related to the risks and anticipated adverse device effects associated with the use of UCon.
Description
Number of subjects experiencing adverse events related to the risks and anticipated adverse device effects associated with the use of UCon during the study period. Number and severity of adverse events related to the risks and anticipated adverse device effects associated with the use of UCon during the study period.
Time Frame
After 4 and 12 weeks of stimulation (end of study).
Title
Ratio of subjects with improvement in their OAB/BD specific quality-of-life measures from baseline.
Description
For OAB the following is used to assess QoL: "International Consultation on Incontinence Questionnaire Overactive Bladder Module". It contains 4 questions and a higher total score means a worse outcome. For BD a combination of the following is used to assess QoL: "St. Marks incontinence score" and "Rockwood Fecal Incontinence Quality of Life Scale". St. Marks incontinence score contains 7 questions, and a higher total score means a worse outcome. The Rockwood Fecal Incontinence Quality of Life Scale contains 29 questions and a higher total score means a worse outcome.
Time Frame
Change from baseline QoL at 4 and 12 weeks.

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Subject is ≥ 18 years of age. Subject is diagnosed with OAB or BD. Subject is able to communicate, provide feedback, understand and follow instructions during the course of the study. Subject has signed an informed consent. Exclusion Criteria: Subject is medically unstable. Subject has an active infection in the genital area. Subject has an implanted pacemaker, implantable drug pump or other active medical device (any medical device that uses electrical energy or other source of power to make it function). Subject is pregnant, nursing or planning a pregnancy (to be confirmed with a negative pregnancy test within 14 days prior to enrolment). Women of childbearing potential must maintain effective contraception* during the study period judged by the investigator. Subject is enrolled or planning to enrol in another investigational study or was enrolled in an investigational drug or medical device trial within four weeks to enrolment. Subject has neuropathy to a degree that is presumed to diminish the effect of the electrical stimulation. Subject has a history of cancer in the pelvic region, are currently receiving cancer treatment, or has radiation-induced damage to the pelvic region. Subject has addictive behaviour defined as abuse of cannabis, opioids, or other intoxicating drugs. Subject does not speak and understand Danish.
Central Contact Person:
First Name & Middle Initial & Last Name or Official Title & Degree
Dianna Mærsk Knudsen
Phone
40517712
Ext
+45
Email
dmk@innoconmedical.dk
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Peter Christensen
Organizational Affiliation
Palle Juul Jensens Boulevard 99 DK-8200 Aarhus N
Official's Role
Principal Investigator
Facility Information:
Facility Name
Aarhus University Hospital
City
Aarhus
State/Province
Aarhus N
ZIP/Postal Code
8200
Country
Denmark
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Peter Christensen
Phone
24661393
Ext
+ 45
Email
petchris@rm.dk
First Name & Middle Initial & Last Name & Degree
Jakob Jakobsen
Phone
29 72 56 80
Ext
+ 45
Email
jajakob@rm.dk
Facility Name
Herlev Hospital
City
Herlev
State/Province
Zealand
ZIP/Postal Code
2730
Country
Denmark
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Niels Klarskov
Phone
38681406
Ext
+45
Email
Niels.Klarskov@regionh.dk
Facility Name
Odense University Hospital
City
Odense
ZIP/Postal Code
5000
Country
Denmark
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Niels Quest, MD
Phone
29 69 46 25
Ext
+45
Email
niels.qvist@rsyd.dk

12. IPD Sharing Statement

Plan to Share IPD
No

Learn more about this trial

Safety and Performance of UCon for the Treatment of the Symptoms of Overactive Bladder (OAB) / Bowel Dysfunction (BD)

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