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NCT05685433ClinicalTrials.gov

A Real World Study of eCoin for Urgency Urinary Incontinence: Post Approval Evaluation (RECIPE)

قيد التجنيديقبل مشاركين الآن، وفقاً لسجل السجل.
التواصل مع هذه الدراسة

باختصار

A prospective, multicenter, single-arm study to evaluate the safety and effectiveness of the eCoin® implanted tibial nerve stimulator in subjects with urgency urinary incontinence (UUI).

تدخّليةمطلوب 200 مشارك22 موقعاًدولة واحدة

الفئات

مسجَّلة في سجل واحد

يمكن أن تُسجَّل دراسة واحدة في عدة سجلات. نعرضها مرة واحدة ونربط بكل سجل نحتفظ به.

تُعرض معلومات التجربة كما نشرها السجل، بلغتها الأصلية.

هل أنت مهتم بهذه الدراسة؟

تسجيل الدخول أو أنشئ حسابًا لتسجيل اهتمامك ومتابعة هذه الدراسة.

How this study is set up

The points below are drawn from the public registry record for this study. Each one cites the field or sentence it came from. A dash (—) means the record does not state something — not that it is missing or wrong. Many well-run studies, especially small ones, leave some of these blank.

  • Present: Registered before enrolment beganFirst posted 2023-01-17; recorded start 2023-01-26
  • Present: Has a defined primary outcomeA primary outcome measure is listed in the record
  • Present: The primary outcome states a time frameThe primary outcome measure records a time frame
  • Not stated: Participants are not randomly assignedAllocation is recorded as non-randomised
  • Not stated: A comparison group is not stated in the registry recordThe record describes a single study arm
  • Not stated: Open label (no blinding)Masking is recorded as none (open label)
  • Not stated: An ethics committee is not stated in the registry recordThis registry's ingested record has no ethics-committee field
  • Not stated: Regulatory oversight (such as an IND or IDE) is not stated in the registry recordThis registry's ingested record has no regulatory-authorisation field
  • Not stated: A data monitoring committee is not stated in the registry recordThis registry's ingested record has no data-monitoring-committee fieldA data monitoring committee is not required for many smaller studies, and its absence here is not unusual.
  • Present: No cost to participants is mentioned in the recordChecked the summary, description and eligibility text; no cost-to-participant phrase found
  • Not stated: No other studies from this sponsor are in this databaseCounted from the lead sponsor named in the record (Valencia Technologies Corporation)
  • Not stated: No posted results from this sponsor are in this database yetBased on the sponsor’s studies in this database
  • The record lists 4 conditions.
  • Lead sponsor type recorded as: industry.

Trial stature

Three independent measures of this study, described from its registry record — not a recommendation about it. A rigorous study by investigators nobody has heard of is better evidence than a weak study led by a famous one. How these are scored.

Methodological rigourEXPLORATORY

An exploratory-stage design for a study of this type, judged from its ClinicalTrials.gov record.

How this score is built
  • Randomised allocation0/20

    Allocation not stated in the record

  • Blinding0/20

    Open-label

  • Control arm0/15

    No comparator arm stated in the record

  • Primary-outcome specificity10/10

    Named primary outcome with a defined time frame

  • Endpoint type3/10

    Surrogate or intermediate endpoint (conservative default)

  • Multi-centre8/8

    Multi-centre: 22 sites

  • Data monitoring committee7/7

    A data monitoring committee is in place

  • Prospective registration5/5

    Registered before the study start date

  • Protocol / SAP posted0/5

    No protocol or SAP posted to the registry

ScaleMEDIUM

A medium-sized study: 200 participants (target), run at 22 sites.

How this score is built
  • Enrolment22/40

    200 participants (target)

  • Site count16/25

    22 sites

  • Country count0/15

    Single country

  • Planned duration10/10

    Planned over about 108 months

  • Sponsor scale0/10

    Valencia Technologies Corporation has led 1 trials in our corpus

Investigator standingUNKNOWN

We have no verifiable track record for the investigator named on this trial. That is common for early-career investigators and for records held outside ClinicalTrials.gov — it is not a negative signal.

How this score is built
  • Investigator standing0/100

    No investigator recorded in the registry for this trial

These describe the registry record only, and today we hold ClinicalTrials.gov data. Absent fields lower a score, and absence often reflects registration practice rather than study quality. A high-stature trial is not necessarily safer or a better choice for you — enrolling in a large definitive trial can mean a higher chance of receiving placebo, while a small early-phase study may be the only route to a new therapy.

ملخص

A prospective, multicenter, single-arm study to evaluate the safety and effectiveness of the eCoin® implanted tibial nerve stimulator in subjects with urgency urinary incontinence (UUI).

The goal of this prospective, multicenter, single-arm study is to assess the long-term safety and effectiveness of the FDA approved eCoin® implanted tibial nerve stimulator in a real world setting. Eligible subjects having overactive bladder (OAB) with urgency urinary incontinence (UUI) will be implanted with the eCoin® implanted tibial stimulator and complete voiding diaries and questionnaires at follow-up visits through 5 years.

الحالات

  • Overactive Bladder
  • Urge Incontinence
  • Incontinence, Urinary
  • Urinary Urge Incontinence

الأهلية

الأهلية
الجنسالجميع
الأعمار18 Yearsلا حد أقصى
المتطوعون الأصحّاءلا

الأهلية كما كُتبت في السجل

Inclusion Criteria: * Women and men above 18 years old with gender percentages reflective of disease prevalence in the U.S. population * Individual with diagnosis of overactive bladder with urgency urinary incontinence. * Individual has at least one urgency urinary incontinence episode on each of three days as determined on a 3-day voiding diary. * Individual gives written informed consent. * Individual is mentally competent and able to understand all study requirements. * Individual is willing and able to complete a 3-day voiding diary and quality of life questionnaire. * Individual is without pharmacological treatment of overactive bladder (anticholinergic and β3-adrenoceptor agonists) for 2 weeks prior to baseline or longer if the physician judges that the therapeutic effect is still present. * Individual is intolerant of or has an inadequate response to any of anticholinergics, β3-adrenoceptor agonists, onabotulinumtoxinA, or who have undergone percutaneous tibial nerve stimulation (PTNS). * Individual is determined to be a suitable surgical candidate by physician. * Individual is appropriate for eCoin treatment based on the US FDA-approved IFU requirements. Exclusion Criteria: * Individual is not appropriate for eCoin therapy based upon the US FDA-approved IFU requirements. * Individual has clinically significant bladder outlet obstruction. (Suspected bladder outlet obstruction will be initially assessed by uroflow study with those having a maximum flow rate \< 15mL/s requiring additional evaluation.) * Individual has predominantly stress urinary incontinence (greater than 1/3 of leaks on baseline diary are stress). * Individual has an active urinary tract infection at time of enrollment. * Individual has known polyuria. * Individual has significant lower urinary tract pain or has been diagnosed with interstitial cystitis or bladder pain syndrome. * Individual has abnormal post void residual (i.e. greater than 200 cc initially and on repeat testing after double voiding) * Individual has clinically significant urethral stricture disease or bladder neck contracture. (Suspected disease or contracture will be initially assessed by uroflow study with those having a maximum flow rate \< 15mL/s requiring additional evaluation.) * Individual has chronic venous insufficiency with a history of skin change (hyperpigmentation, lipodermatosclerosis, ulceration) in the ankle region. * Individual has morbid obesity and in the opinion of the investigator is not a good candidate for the study. * Individual has had diagnosis of bladder, urethral, or prostate cancer. * Individual has had a prior anti-stress incontinence sling surgery within the last year. * Individual is pregnant or intends to become pregnant during the study. * Individual has the presence of urinary fistula, bladder stone, or interstitial cystitis. * Individual has uncontrolled diabetes mellitus (Hemoglobin A1C\>7) or diabetes with significant peripheral complications. (Uncontrolled diabetes will be ruled out by blood test excluding those with Hemoglobin A1C\>7). * Individual has an implantable neurostimulator, pacemaker, or implantable cardiac defibrillator (ICD). * Individual has been treated with onabotulinumtoxinA in the previous 9 months prior to enrollment, or more time if the principal investigator judges that the therapeutic effect is present. * Individual has been treated with percutaneous tibial nerve stimulation (PTNS) within the previous 4 weeks prior to enrollment or more time if the principal investigator judges that the therapeutic effect is present. * Individual is currently using transcutaneous electrical nerve stimulation (TENS) in the pelvic region, back, or legs. * Individual is aware that he or she will need an MRI scan other than a head/neck/shoulder MRI during the study period. * Individual has a clotting or bleeding disorder or is using anticoagulant therapies and in the opinion of the investigator is not a good candidate for the study (antiplatelet and anticoagulant therapy may be continued or held at the discretion of the investigator). * Individual is neutropenic or immune-compromised. * Individual has had previous surgery and/or significant scarring at the implant location. * Individual has ongoing dermatologic condition at the implant site, including but not limited to dermatitis and autoimmune disorders. * Individual has a clinically significant peripheral neuropathy in the lower extremities. * Individual has neurogenic bladder dysfunction. * Individual has pitting edema at implant location (≥ 2+ is excluded). * Individual has inadequate skin integrity or any evidence of an infection or inflammation in either lower leg. * Individual has varicose veins and is symptomatic. * Individual has open wounds, trauma, or prior surgery in the lower extremities. * Individual has arterial disease in the lower extremities. * Individual has vasculitis in the lower extremities. * Individual has bladder stones or neoplasia. (Suspected bladder stones or neoplasia will be ruled out with a urine dipstick showing no more than trace blood, and microscopic analysis (which should be done in that case) shows ≥3 PBC's /HPF unless that subject has been worked up and found negative for clinically significant disease such as malignant neoplasm or stones.) * In the opinion of the investigator, Individual is not a good candidate for participation in the study.

الأهلية في عبارات بسيطة

لم تُقسَّم معايير هذا السجل إلى عبارات منفصلة بعد. نص السجل أعلاه كامل وهو النسخة المُعتمَدة.

تصميم الدراسة

تصميم الدراسة
نوع الدراسةتدخّلية
المرحلةغير منطبق
التخصيصغير منطبق
نموذج التدخّلSINGLE_GROUP
الغرض الأساسيTREATMENT
التعميةNONE (0)
التجنيدمطلوب 200 مشارك

الجهة الراعية والمتعاونون

  • Valencia Technologies Corporation الجهة الراعية

الأذرع والتدخلات

  • eCoin Tibial Nerve StimulationEXPERIMENTAL

    Subcutaneous stimulation of the tibial nerve using the eCoin device.

التدخلات

  • جهاز eCoin Tibial Nerve Stimulation

    Subcutaneous stimulation of the tibial nerve using the eCoin device.

مقاييس النتائج

  1. مقياس النتيجة الأولي

    Responder Rate

    Proportion of subjects achieving at least a 50% improvement in the number of urgency urinary incontinence episodes on a 3-day voiding diary.

    الإطار الزمني 12 months

  2. مقياس النتيجة الأولي

    Safety: 12 months rate of all device or procedure related AEs.

    Rate of all device or procedure related AEs.

    الإطار الزمني 12 months

  3. مقياس النتيجة الثانوي

    Responder Rate

    Proportion of subjects achieving at least a 50% improvement in the number of urgency urinary incontinence episodes on a 3-day voiding diary.

    الإطار الزمني 24 months

  4. مقياس النتيجة الثانوي

    Safety Data

    Rate of all device or procedure related AEs through 24 months post activation of eCoin.

    الإطار الزمني 24 months

  5. مقياس النتيجة الثانوي

    Safety data through 7 months post-reimplantation.

    Rate of device or procedure-related AEs through 7 months post reimplantation.

    الإطار الزمني 7 months post reimplantation

  6. مقياس نتيجة آخر

    Patient reported overactive bladder condition improvement.

    Improvement in patient reported overactive bladder condition utilizing the Patient Global Impression of Improvement (PGI-I) questionnaire.

    الإطار الزمني 12, 24, 36, 48, and 60 months

  7. مقياس نتيجة آخر

    Patient reported sexual health.

    Assess patient reported sexual health using the PROMIS Sexual Function and Satisfaction survey.

    الإطار الزمني 12 months

  8. مقياس نتيجة آخر

    Proportion of responders (50% improvement) after 12, 24, 36, 48, and 60 months of therapy.

    Proportion of subjects achieving at least a 50% improvement in the number of urgency urinary incontinence episodes on a 3-day voiding diary.

    الإطار الزمني 12, 24, 36, 48, and 60 months

  9. مقياس نتيجة آخر

    Proportion of responders (75% improvement) after 12, 24, 36, 48, and 60 months of therapy.

    Proportion of subjects achieving at least a 75% improvement in the number of urgency urinary incontinence episodes on a 3-day voiding diary.

    الإطار الزمني 12, 24, 36, 48, and 60 months

  10. مقياس نتيجة آخر

    Proportion of responders (100% improvement) after 12, 24, 36, 48, and 60 months of therapy.

    Proportion of subjects achieving at least a 100% improvement in the number of urgency urinary incontinence episodes on a 3-day voiding diary.

    الإطار الزمني 12, 24, 36, 48, and 60 months

  11. مقياس نتيجة آخر

    Reduction in the number of urgency urinary incontinence episodes.

    Reduction in the number of urgency urinary incontinence episodes on a 3-day voiding diary.

    الإطار الزمني 12, 24, 36, 48, and 60 months

  12. مقياس نتيجة آخر

    Reduction in the number of urgency urinary incontinence episodes for subjects with 8+ voids per day at baseline.

    Reduction in the number of urgency urinary incontinence episodes on a 3-day voiding diary for subjects who experience more than 8 voids per day at baseline.

    الإطار الزمني 12, 24, 36, 48, and 60 months

  13. مقياس نتيجة آخر

    Reduction in urgency episodes.

    Reduction in the number of urgency episodes on a 3-day voiding diary.

    الإطار الزمني 12, 24, 36, 48, and 60 months

  14. مقياس نتيجة آخر

    Reduction in nocturia episodes

    Reduction in nocturia episodes on a 3-day voiding diary.

    الإطار الزمني 12, 24, 36, 48, and 60 months

  15. مقياس نتيجة آخر

    Patient reported qualify of life

    Improvement in patient reported qualify of life utilizing the Overactive Bladder Symptom Quality of Life Questionnaire (OABq).

    الإطار الزمني 12, 24, 36, 48, and 60 months

  16. مقياس نتيجة آخر

    Patient reported satisfaction with eCoin.

    Assess patient-reported satisfaction with eCoin therapy using the custom patient satisfaction rating survey.

    الإطار الزمني 12, 24, 36, 48, and 60 months

  17. مقياس نتيجة آخر

    Device-related adverse events from implantation.

    Rate of device-related adverse events from implantation.

    الإطار الزمني 12, 24, 36, 48, and 60 months

  18. مقياس نتيجة آخر

    Procedure-related adverse events from implantation.

    Rate of procedure-related adverse events from implantation.

    الإطار الزمني 12, 24, 36, 48, and 60 months

  19. مقياس نتيجة آخر

    Procedure-related adverse events due to suture technique

    Rate of procedure-related adverse events occurring as a result of inappropriate suture technique.

    الإطار الزمني 12, 24, 36, 48, and 60 months

التواريخ

التواريخ
تاريخ البدء26 يناير 2023 (فعلي)
الإتمام الأولي1 مارس 2027 (تقديري)
الإتمام1 ديسمبر 2031 (تقديري)
أول نشر17 يناير 2023 (فعلي)
آخر تحديث28 يناير 2026
النتائج منشورةغير مذكور في سجل السجل
آخر تأكيد للحالةأبريل 2025

فعلي يعني أن الحدث وقع. تقديري يعني أن الجهة الراعية تتوقعه. للكلمتين معنيان مختلفان.

المواقع

19 موقعاً قيد التجنيد

United States

United States
المنشأةالمدينةالولاية أو المنطقةالحالة
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Rush UniversityChicagoIllinoisقيد التجنيد
Urological Research Network CorpHialeahFloridaقيد التجنيد
Urology Centers of AlabamaHomewoodAlabamaقيد التجنيد
The Methodist Hospital Research InstituteHoustonTexasقيد التجنيد
Baylor College of MedicineHoustonTexasقيد التجنيد
University of IowaIowa CityIowaقيد التجنيد
University of California, IrvineIrvineCaliforniaقيد التجنيد
University of Kansas Medical Center Research Institute, IncKansas CityKansasقيد التجنيد
Arkansas UrologyLittle RockArkansasقيد التجنيد
AIR ResearchLos AngelesCaliforniaقيد التجنيد
USA HealthMobileAlabamaمسحوب
Weill Cornell Medicine: Department of UrologyNew YorkNew Yorkقيد التجنيد
The Oregon ClinicPortlandOregonنشط، دون تجنيد
Louisiana State University Health Sciences CenterShreveportLouisianaنشط، دون تجنيد
Specialty Clinical Research of St. LouisSt LouisMissouriقيد التجنيد
Stanford HealthStanfordCaliforniaقيد التجنيد
Southern UrogynecologyWest ColumbiaSouth Carolinaقيد التجنيد
Cypress Medical ResearchWichitaKansasقيد التجنيد
Minnesota UrologyWoodburyMinnesotaقيد التجنيد

مستندات الدراسة

لا تُرتبط أي مستندات في سجل السجل هذا.

التغيّرات عبر الزمن

لم تُسجَّل أي تغييرات منذ أن أدرجنا هذا السجل لأول مرة.

يُسجَّل تغيير في كل مرة تحدّث فيها الجهة الراعية سجل السجل. تظهر هنا الحالة والتواريخ والتجنيد والمواقع كلما تغيّرت.