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Trial to Assess the Efficacy of the Comfort Plug™in Preventing Urinary Incontinence (COMFORT STUDY)

Primary Purpose

Urinary Incontinence

Status
Completed
Phase
Not Applicable
Locations
Canada
Study Type
Interventional
Intervention
Comfort Plug™
Sponsored by
CMX Research
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Urinary Incontinence

Eligibility Criteria

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

Inclusion Criteria:

  1. Male 18 years of age or older
  2. At least 6 months post radical prostatectomy for localized prostate cancer
  3. Cystoscopic evaluation of the lower urinary tract within 12 months of screening
  4. Eastern Cooperative Oncology Group (ECOG) 0 or 1 performance status
  5. Evidence of moderate to severe urinary incontinence as assessed by the investigator, requiring protective garments or pads
  6. Post-surgical Prostate Specific Antigen (PSA) <0.04

Exclusion Criteria:

  1. Inability to insert the Comfort Plug™ into his own urethra and remove it
  2. History of significant incontinence prior to radical prostatectomy
  3. Evidence of incomplete bladder emptying post radical prostatectomy
  4. Recurrent , refractory bacteruria
  5. Urethral stricture disease.
  6. History of meatal stenosis or phimosis
  7. History of any other malignancy except basal cell skin cancer
  8. Planned radiotherapy for post prostatectomy residual disease within the next 90 days
  9. Evidence of neurogenic bladder dysfunction
  10. Multiple sclerosis or previous spinal cord trauma/pathology resulting in any neurologic deficit that, in the opinion of the investigator, might compromise the outcome
  11. Ongoing constipation
  12. Use of anticoagulant or antiplatelet medications excluding low-dose Acetylsalicylic acid (ASA)
  13. Hemophilia
  14. Any cardiac condition that requires the use of pre-procedure antibiotic prophylaxis such as a mechanical valve
  15. Currently receiving successful medical treatment for incontinence.
  16. The usage of male urethral slings
  17. Planning to travel by airplane during the course of the study

Sites / Locations

  • Southern Interior Medical Research
  • The Fe/Male Health Centres
  • 643094 Ontario Inc.
  • Dr. Dean Elterman Medicine Professional Corporation

Arms of the Study

Arm 1

Arm Type

Experimental

Arm Label

Device use

Arm Description

Only one treatment arm; the "Comfort Plug™" is a device designed to control urinary incontinence in male subjects by being placed in the urethra to stop urine leakage.

Outcomes

Primary Outcome Measures

To establish safety of the Comfort Plug
Safety is characterized by the absence of complications and adverse events
International Consultation on Incontinence Questionnaire - Short Form (ICIQ-SF)
The ICIQ is a psychometrically robust patient-completed questionnaire for evaluating the frequency, severity and impact of urinary incontinence (UI) on Quality of Life in men and women. The ICIQ-SF is scored from 0 to 21, with greater scores indicating increased severity of UI. The change from baseline (Visit Day 0) in the ICIQ-SF score at Visit Days 7 and 30 (cohort 1) or Visit Days 14 and 30 (subsequent cohorts) will be examined.
Weight of protective pads
Change from baseline (Visit Day 0) in the weight of the protective pads a Visit Days 7 and 30 (cohort 1) or Visit Days 14 and 30 (subsequent cohorts).

Secondary Outcome Measures

Incontinence Quality of Life Questionnaire (I-QOL)
The questionnaire has a scale of 22-110; The higher the score, the less incontinence is having a negative impact on the subject's Quality of Life. Change from baseline (Visit Day 0) in the I-QOL instrument scores at Visit Days 14 and 30 for i) avoidance and limiting behavior ii) psychosocial impacts iii) social embarrassment will be examined.

Full Information

First Posted
February 7, 2014
Last Updated
June 9, 2020
Sponsor
CMX Research
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1. Study Identification

Unique Protocol Identification Number
NCT03605459
Brief Title
Trial to Assess the Efficacy of the Comfort Plug™in Preventing Urinary Incontinence (COMFORT STUDY)
Official Title
Validation Study: A Prospective, Non-Randomized, Single Arm Trial to Assess the Efficacy of the Comfort Plug™ in Preventing Urinary Incontinence in Male Subjects With Post Prostatectomy Urinary Incontinence (COMFORT STUDY)
Study Type
Interventional

2. Study Status

Record Verification Date
June 2020
Overall Recruitment Status
Completed
Study Start Date
February 4, 2014 (Actual)
Primary Completion Date
March 8, 2018 (Actual)
Study Completion Date
April 3, 2018 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
CMX Research

4. Oversight

Data Monitoring Committee
No

5. Study Description

Brief Summary
Validation Study: A Prospective, Non-Randomized, Single Arm Trial to Assess the Efficacy of the Comfort Plug™ in Preventing Urinary Incontinence in Male Subjects with Post Prostatectomy Urinary Incontinence (COMFORT STUDY)
Detailed Description
This is a first-in-human, device assessment, feasibility study to assess the safety, effectiveness, comfort and usability of the prototype Comfort Plug™ for controlling urinary incontinence in male subjects. No drug treatment will be administered.

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
Single Group Assignment
Masking
None (Open Label)
Allocation
N/A
Enrollment
30 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Device use
Arm Type
Experimental
Arm Description
Only one treatment arm; the "Comfort Plug™" is a device designed to control urinary incontinence in male subjects by being placed in the urethra to stop urine leakage.
Intervention Type
Device
Intervention Name(s)
Comfort Plug™
Primary Outcome Measure Information:
Title
To establish safety of the Comfort Plug
Description
Safety is characterized by the absence of complications and adverse events
Time Frame
30 days
Title
International Consultation on Incontinence Questionnaire - Short Form (ICIQ-SF)
Description
The ICIQ is a psychometrically robust patient-completed questionnaire for evaluating the frequency, severity and impact of urinary incontinence (UI) on Quality of Life in men and women. The ICIQ-SF is scored from 0 to 21, with greater scores indicating increased severity of UI. The change from baseline (Visit Day 0) in the ICIQ-SF score at Visit Days 7 and 30 (cohort 1) or Visit Days 14 and 30 (subsequent cohorts) will be examined.
Time Frame
30 days
Title
Weight of protective pads
Description
Change from baseline (Visit Day 0) in the weight of the protective pads a Visit Days 7 and 30 (cohort 1) or Visit Days 14 and 30 (subsequent cohorts).
Time Frame
30 days
Secondary Outcome Measure Information:
Title
Incontinence Quality of Life Questionnaire (I-QOL)
Description
The questionnaire has a scale of 22-110; The higher the score, the less incontinence is having a negative impact on the subject's Quality of Life. Change from baseline (Visit Day 0) in the I-QOL instrument scores at Visit Days 14 and 30 for i) avoidance and limiting behavior ii) psychosocial impacts iii) social embarrassment will be examined.
Time Frame
30 days

10. Eligibility

Sex
Male
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Male 18 years of age or older At least 6 months post radical prostatectomy for localized prostate cancer Cystoscopic evaluation of the lower urinary tract within 12 months of screening Eastern Cooperative Oncology Group (ECOG) 0 or 1 performance status Evidence of moderate to severe urinary incontinence as assessed by the investigator, requiring protective garments or pads Post-surgical Prostate Specific Antigen (PSA) <0.04 Exclusion Criteria: Inability to insert the Comfort Plug™ into his own urethra and remove it History of significant incontinence prior to radical prostatectomy Evidence of incomplete bladder emptying post radical prostatectomy Recurrent , refractory bacteruria Urethral stricture disease. History of meatal stenosis or phimosis History of any other malignancy except basal cell skin cancer Planned radiotherapy for post prostatectomy residual disease within the next 90 days Evidence of neurogenic bladder dysfunction Multiple sclerosis or previous spinal cord trauma/pathology resulting in any neurologic deficit that, in the opinion of the investigator, might compromise the outcome Ongoing constipation Use of anticoagulant or antiplatelet medications excluding low-dose Acetylsalicylic acid (ASA) Hemophilia Any cardiac condition that requires the use of pre-procedure antibiotic prophylaxis such as a mechanical valve Currently receiving successful medical treatment for incontinence. The usage of male urethral slings Planning to travel by airplane during the course of the study
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Richard Casey, MD
Organizational Affiliation
CMX Research
Official's Role
Study Director
Facility Information:
Facility Name
Southern Interior Medical Research
City
Kelowna
State/Province
British Columbia
ZIP/Postal Code
V1W4V5
Country
Canada
Facility Name
The Fe/Male Health Centres
City
Oakville
State/Province
Ontario
ZIP/Postal Code
L6H3P1
Country
Canada
Facility Name
643094 Ontario Inc.
City
Scarborough
State/Province
Ontario
ZIP/Postal Code
M1S4V5
Country
Canada
Facility Name
Dr. Dean Elterman Medicine Professional Corporation
City
Toronto
State/Province
Ontario
ZIP/Postal Code
M5T2S8
Country
Canada

12. IPD Sharing Statement

Plan to Share IPD
Undecided
Links:
URL
https://cuaj.ca/index.php/journal/article/view/6732/4463
Description
Abstract from the CUAJ June 2020 (page S59 & S60)

Learn more about this trial

Trial to Assess the Efficacy of the Comfort Plug™in Preventing Urinary Incontinence (COMFORT STUDY)

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