Clinical Investigation to Assess a New Artificial Urinary Sphincter to Treat Urinary Incontinence in Women (TRANSITION)
Feasibility sTudy to Assess the URoMems Artificial uriNary Sphincter In the Treatment of Stress Incontinence in wOmeN
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Detailed Description
Study Type
Study Type
Enrollment (Estimated)
Enrollment
Phase
Phase
- Not Applicable
Contacts and Locations
Study Contact
Study Contact
- Name: Caroline Soufflet
- Phone Number: +33480420240
- Email: caroline.soufflet@uromems.com
Study Locations
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Nantes, France
- CHU Nantes
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Paris, France
- Groupe Hospitalier Pitie-Salpetriere
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Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
- Adult
- Older Adult
Accepts Healthy Volunteers
Description
Inclusion Criteria:
- Aged >18 years old
- Female patient
- Cognitively able and willing to sign an informed consent
- Stable medication regimen (including prescription, over the counter, and supplements) for the past 3 months
- Use of medically acceptable contraception, if of childbearing potential
- Able and willing to comply with follow-up investigations, including maintaining consistent medication use and fluid intake through the primary endpoints
- Has adequate cognitive and manual capabilities to operate the UroMems eAUS System as assessed by the investigator
- Is an appropriate surgical candidate and has no medical or mental condition that would interfere with study procedures or confound study outcomes as assessed by the investigator
- Life expectancy ≥ 5 years as assessed by the investigator
- Affiliated with an appropriate social security system
- Has failed or is not a candidate for other treatments for urinary incontinence, either surgical or conservative, including slings, ACT, etc. (excluding other AUS devices)
- Negative urine culture prior to the procedure
- Urinary incontinence assessed by investigator with at least ≥ 50 g in 24-hour pad-weight tests
- Clinically insignificant post-void residual (PVR) urine defined as < 50 ml and/or no greater than 10% of the voided volume
- Complains of urine leakage on coughing, laughing, and/or moving and/or presence of orthostatic urine leakage by self-report as recorded in baseline bladder diary
Exclusion Criteria:
- Currently enrolled or plans to enroll in another investigational device or clinical drug trial or has completed an investigational study within 3 months
- Vulnerable patient (patient deprived of their liberty due to a judicial or administrative decision, patient suffering from psychiatry troubles preventing her from giving her consent, patients hospitalized for reason other than the current clinical investigation, patient under 18 years of age, patient under tutelage, patient having withdrawn her consent)
- Patients whom the investigator determines to be poor candidate for surgical procedures and/or anesthesia due to physical or mental conditions
- Pregnant patient, or patient planning pregnancy during the study duration
- Patient presenting one or several contraindications of the device
- Any planned procedure requiring urethral catheterization 12 months after implant procedure (include intermittent catheterization) except for diagnostic purposes
- Known allergy to UroMems eAUS implantable components
- History of pelvic irradiation (external beam therapy or brachytherapy)
- Uncontrolled diabetes mellitus defined as persistent blood sugar level recordings of >12 mmol/l (216 mg/dl) and a glycosylated hemoglobin (HbA1C) of >9% (75 mmol/mol) over the preceding 3 months
- History of bleeding diathesis or cannot stop usage of an anti-coagulant until the International Normalized Ratio (INR) is below 1.5 or quick value >70
- Any genito-urinary malignancies which are not in remission for at least 2 years or considered cured
- Previous AUS implant
- Currently has another Active Implantable Medical Device (AIMD) implanted
- Urge incontinence, mixed incontinence (MI) with a predominant urgency component
- Overflow urinary incontinence
- Neurogenic bladder dysfunction that is not treatable or controllable by pharmacological or any alternative methods
- Abnormal or poor bladder compliance defined as being <30 ml/ cm H2O
- Bladder neck or urethral stricture that may require any long-term instrumental treatment
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: N/A
- Interventional Model: Single Group Assignment
- Masking: None (Open Label)
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
|
Experimental: UroMems artificial urinary sphincter
Female adults (18+) with urinary incontinence with reduced outlet resistance due to intrinsic sphincter deficiency.
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Implantation of the device
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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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Rate of explants and revisions at 6 months after device activation
Time Frame: 6 months after device activation
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Rate of explants and revisions
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6 months after device activation
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Rate of device activation successes
Time Frame: 5 weeks after device implantation
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Rate of device activation successes
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5 weeks after device implantation
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Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
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Number of subjects with 50% reduction or greater in 24-hour pad weight test
Time Frame: 90, 185 days and annually up to 5-years after activation
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Number of subjects with 50% reduction or greater in 24-hour pad weight test
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90, 185 days and annually up to 5-years after activation
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Number of subjects with 75% reduction or greater in 24-hour pad weight test
Time Frame: 90, 185 days and annually up to 5-years after activation
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Number of subjects with 75% reduction or greater in 24-hour pad weight test
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90, 185 days and annually up to 5-years after activation
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3-day bladder diary
Time Frame: at baseline, at device activation, and 90-days, 185-days and annually up to 5-years after activation
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Bladder diary will be filled in during 3 consecutive days
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at baseline, at device activation, and 90-days, 185-days and annually up to 5-years after activation
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General quality of life questionnaire
Time Frame: at baseline, at device activation and 90-days, 185-days and annually up to 5-years after activation
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General quality of life questionnaire
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at baseline, at device activation and 90-days, 185-days and annually up to 5-years after activation
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Disease specific questionnaire (level of incontinence)
Time Frame: at baseline, at device activation and 90-days, 185-days and annually up to 5-years after activation
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Disease specific questionnaire (level of incontinence)
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at baseline, at device activation and 90-days, 185-days and annually up to 5-years after activation
|
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Disease specific questionnaire (symptoms and quality of life)
Time Frame: at baseline, at device activation and 90-days, 185-days and annually up to 5-years after activation
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Disease specific questionnaire (symptoms and quality of life)
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at baseline, at device activation and 90-days, 185-days and annually up to 5-years after activation
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Disease specific questionnaire (sexual activity)
Time Frame: at baseline, at device activation and 90-days, 185-days and annually up to 5-years after activation
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Disease specific questionnaire (sexual activity)
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at baseline, at device activation and 90-days, 185-days and annually up to 5-years after activation
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Disease specific questionnaire (quality of life)
Time Frame: at baseline, at device activation and 90-days, 185-days and annually up to 5-years after activation
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Disease specific questionnaire (quality of life)
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at baseline, at device activation and 90-days, 185-days and annually up to 5-years after activation
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Disease specific questionnaire (type of incontinence)
Time Frame: at baseline, at device activation and 90-days, 185-days and annually up to 5-years after activation
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Disease specific questionnaire (type of incontinence)
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at baseline, at device activation and 90-days, 185-days and annually up to 5-years after activation
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Post void residuals
Time Frame: Baseline, within 45 days after baseline (device implantation), 14 days after implantation, 5 weeks after implantation (device activation), and 14, 30, 90, 185 days and annually up to 5-years after activation
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Post void residuals will be measured to assess the bladder function
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Baseline, within 45 days after baseline (device implantation), 14 days after implantation, 5 weeks after implantation (device activation), and 14, 30, 90, 185 days and annually up to 5-years after activation
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Patient satisfaction
Time Frame: 5 weeks after device implantation (device activation), and 14, 30, 90, 185 days and annually up to 5-years after activation
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Patient satisfaction questionnaire
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5 weeks after device implantation (device activation), and 14, 30, 90, 185 days and annually up to 5-years after activation
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Physician satisfaction questionnaire
Time Frame: Within 45 days after baseline (device implantation), 5 weeks after implantation (device activation), and 14, 30, 90, 185 days and annually up to 5-years after activation
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Questionnaire to assess the physician satisfaction regarding the procedure and the device
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Within 45 days after baseline (device implantation), 5 weeks after implantation (device activation), and 14, 30, 90, 185 days and annually up to 5-years after activation
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Rate of adverse events
Time Frame: Baseline, within 45 days after baseline (device implantation), 14 days after implantation, 5 weeks after implantation (device activation), and 14, 30, 90, 185 days and annually up to 5-years after activation
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All categories: serious/not serious events and device- and procedure-related effects
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Baseline, within 45 days after baseline (device implantation), 14 days after implantation, 5 weeks after implantation (device activation), and 14, 30, 90, 185 days and annually up to 5-years after activation
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Collaborators and Investigators
Sponsor
Sponsor
Investigators
Investigators
- Principal Investigator: Emmanuel Chartier-Kastler, Groupe Hospitalier Pitie-Salpetriere
Study record dates
Study Major Dates
Study Start (Actual)
Study Start
Primary Completion (Actual)
Primary Completion
Study Completion (Estimated)
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 (Actual)
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
- CIP CCH2211240956
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
product manufactured in and exported from the U.S.
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