Artificial Urinary Sphincter Clinical Outcomes (AUSCO)
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Detailed Description
Study Type
Study Type
Enrollment (Actual)
Enrollment
Contacts and Locations
Study Locations
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New South Wales
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Concord, New South Wales, Australia, 2139
- Concord Repatriation General Hospital
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Victoria
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Melbourne, Victoria, Australia, 3144
- Australian Urology Associates
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California
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San Francisco, California, United States, 94110
- University of California, San Francisco
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Colorado
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Aurora, Colorado, United States, 80045
- University of Colorado Hospital
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Iowa
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Iowa City, Iowa, United States, 52242
- University of Iowa Hospitals and Clinics
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Kansas
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Kansas City, Kansas, United States, 66160-7234
- University of Kansas Hospital
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Louisiana
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Bossier City, Louisiana, United States, 71111
- Willis-Knighton Bossier Medical Center
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Maryland
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Baltimore, Maryland, United States, 21287
- Johns Hopkins Hospital
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Massachusetts
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Burlington, Massachusetts, United States, 01805
- Lahey Clinic Hospital
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Minnesota
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Minneapolis, Minnesota, United States, 55455
- University of Minnesota Medical Center
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North Carolina
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Durham, North Carolina, United States, 27710
- Duke University Medical Center
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Winston-Salem, North Carolina, United States, 27103
- Wake Forest University School of Medicine
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Ohio
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Cleveland, Ohio, United States, 44195
- Cleveland Clinic Foundation
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Tennessee
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Nashville, Tennessee, United States, 37232
- Vanderbilt University Medical Center
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Texas
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Houston, Texas, United States, 77030
- Md Anderson Cancer Center
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Houston, Texas, United States, 77030
- The Methodist Hospital Research Institute
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San Antonio, Texas, United States, 78229
- Urology San Antonio Research, PA.
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Utah
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Salt Lake City, Utah, United States, 84132
- University of Utah
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Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Sampling Method
Study Population
Description
Inclusion Criteria:
- Male
- ≥ 18 years of age
- Has undergone either a radical prostatectomy, transurethral resection of the prostate or other invasive prostate surgery
- Demonstrates primary stress urinary incontinence
- Positive screening 24-hour pad weight test (≥100 grams)
- Experiences at least 3 incontinence episodes per day during baseline diary or presents with continuous incontinence
- Negative urine culture
- Willing and able to undergo surgical implantation of the AUS device
- Willing and able to comply with the follow-up requirements
- Willing and able to forego any other surgical urinary incontinence treatments while participating in the study
- Willing and able to sign the informed consent
Exclusion Criteria:
- Previously had or currently has a device implanted (AUS/Sling, or otherwise) for treatment of SUI or urge incontinence
- Primary urgency incontinence
- Postvoid residual volume greater that 150 ml or a history of difficulty emptying the bladder
- Recurrent vesicourethral anastomotic stricture or urethral stricture disease within the past 6 months
- Known urogenital malignancy other than previously treated prostate cancer
- Recurrent prostate cancer that is expected to require intervention during the study follow-up period
- History of recurrent bladder stones within the past 12 months prior to signing the informed consent
- Neurogenic bladder
- Need for intermittent catheterization
- Known history of bleeding diathesis or coagulopathy
- Immunosuppressed or on medical therapy which would impact the immune system
- Uncontrolled diabetes, defined as (HbA1c>10)
- Has a genitourinary mechanical prosthesis that was implanted within 3 months from the date of consent
- Had a post-implantation infection associated with the device after genitourinary mechanical prosthesis was implanted
- Undergone bulking procedure within 6 months of the baseline assessment
- Poor candidate for surgical procedures and/or anesthesia due to physical or mental conditions
- Urinary incontinence due to or complicated by an irreversibly obstructed lower urinary tract
- Irresolvable detrusor hyperreflexia or bladder instability
- Currently enrolled or plans to enroll in another device or drug clinical trial
- Currently using an indwelling catheter or condom catheter for treatment of incontinence and is not willing to discontinue use at least 4 weeks prior to baseline assessment
- Known allergy or sensitivity to rifampin or to minocycline HCl or other tetracyclines (only applicable when implanting with InhibiZone version of this device)
- Systemic lupus erythematosus because minocycline HCl has been reported to aggravate this condition (only applicable when implanting with InhibiZone version of this device)
Study Plan
How is the study designed?
Design Details
- Observational Models: Cohort
- Time Perspectives: Prospective
Number of groups / cohorts
Cohorts and Interventions
Group / CohortGroup / Cohort |
Intervention / TreatmentIntervention / Treatment |
|---|---|
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AMS 800 Artificial Urinary Sphincter Recipients
Adult males with moderate to severe primary stress urinary incontinence (as assessed by a baseline pad weight test) due to ISD who meet the indications for surgical correction of urinary incontinence.
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The AMS 800 Artificial Urinary Sphincter (AUS) is an implantable, fluid filled, solid silicone elastomer device used to treat stress urinary incontinence due to reduced urethral/bladder outlet resistance (intrinsic sphincter deficiency).
It is designed to restore the natural process of urinary control.
The device simulates normal sphincter function by opening and closing the urethra under the control of the patient.
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What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
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Number of Subjects With Reduction in 24 Hour Pad Weight Test at 12 Months
Time Frame: 12 months
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Number of subjects achieving 50% reduction or greater in baseline urinary incontinence as measured by 24-hour pad weight test at 12 months post device activation
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12 months
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Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
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Percentage of Participants That Required Revision (Revision Rates), Had Serious Adverse Events, and Had Serious Adverse Events That Are Device and/or Procedure Related
Time Frame: 3 months, 6 months, and 12 months
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Percentage of Participants that Required Revision (Revision Rates), had Serious Adverse Events, and had Serious Adverse Events that are Device and/or Procedure Related at 3 months, 6 months, and 12 months.
Adverse event and revision rates are summarized by the Kaplan-Meier estimate with revision/event timing relative to the index procedure.
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3 months, 6 months, and 12 months
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Number of Subjects Achieving ≥ 50% Reduction in 24 Hour Pad Weight Test at Device Activation
Time Frame: Device Activation
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Number of subjects achieving ≥ 50% reduction in urinary incontinence as measured by 24-hour pad weight test at device activation compared to baseline
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Device Activation
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Number of Subjects Achieving ≥ 75% Reduction in 24 Hour Pad Weight Test at Device Activation
Time Frame: Device Activation
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≥ 75% reduction in urinary incontinence as measured by 24-hour pad weight test at device activation compared to baseline
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Device Activation
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Change in Number of Pads Per Day at 3 Months
Time Frame: 3 months
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Change in number of pads per day at 3 months compared to baseline.
Change was calculated by subtracting the number of pads per day at baseline from the number of pads per day at 3 months.
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3 months
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Number of Subjects Achieving ≥ 50% Reduction in 24 Hour Pad Weight Test at 6 Months
Time Frame: 6 months
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Number of subjects achieving ≥ 50% reduction in urinary incontinence as measured by 24-hour pad weight test at 6 months post device activation compared to baseline
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6 months
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Number of Subjects Achieving ≥ 75% Reduction in 24 Hour Pad Weight Test at 6 Months
Time Frame: 6 months
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≥ 75% reduction in urinary incontinence as measured by 24-hour pad weight test at 6 months post device activation compared to baseline
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6 months
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Number of Subjects Achieving ≥ 75% Reduction in 24 Hour Pad Weight Test at 12 Months
Time Frame: 12 months
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≥ 75% reduction in urinary incontinence as measured by 24-hour pad weight test at 12 months post device activation compared to baseline
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12 months
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Change in Number of Pads Per Day at 6 Months
Time Frame: 6 months
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Change in number of pads per day at 6 months post-device activation compared to baseline.
Change was calculated by subtracting the number of pads per day at baseline from the number of pads per day at 6 months.
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6 months
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Change in Number of Pads Per Day at 12 Months
Time Frame: 12 months
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Change in number of pads per day at 12 months post-device activation compared to baseline.
Change was calculated by subtracting the number of pads per day at baseline from the number of pads per day at 12 months.
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12 months
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Collaborators and Investigators
Sponsor
Sponsor
Investigators
Investigators
- Principal Investigator: Melissa Kaufman, MD, Vanderbilt Urology
Publications and helpful links
Study record dates
Study Major Dates
Study Start (Actual)
Study Start
Primary Completion (Actual)
Primary Completion
Study Completion (Actual)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Actual)
First Posted
Study Record Updates
Last Update Posted (Estimated)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
- Urogenital Diseases
- Male Urogenital Diseases
- Urologic Diseases
- Female Urogenital Diseases
- Female Urogenital Diseases and Pregnancy Complications
- Urination Disorders
- Lower Urinary Tract Symptoms
- Urological Manifestations
- Urinary Incontinence
- Pathological Conditions, Signs and Symptoms
- Signs and Symptoms
- Urinary Incontinence, Stress
Other Study ID Numbers
Other Study ID Numbers
- U0669
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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