- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT01957969
French Post-Inscription Study on Sacral Neuromodulation in the Treatment of Fecal Incontinence
The aim of this observational study is to evaluate the utilization in the clinical practice, effectiveness, explantation and re-intervention rate, complications and adverse events of InterStim system in patients indicated to Sacral Neuromodulation therapy for fecal incontinence.
This study will provide additional data about safety and effectiveness of the usage of InterStim system in fecal incontinence environment and at the same time will confirm that results from clinical trials can be transposed to clinical practice.
Study Overview
Status
Conditions
Intervention / Treatment
Study Type
Enrollment (Actual)
Contacts and Locations
Study Locations
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Clermont Ferrand, France
- Chu Estaing
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Grenoble, France
- CHU Grenoble - Hopital Michallon
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Lille, France
- CHRU LILLE - Hôpital Claude Huriez
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Limoges, France
- CHU Dupuytren
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Lyon, France
- Hôpital Edouard Herriot
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Marseille, France
- APM Hopital Nord
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Nantes, France
- CHU Nantes - Hôtel Dieu
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Paris, France
- Hôpital Saint Joseph
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Paris, France
- GH Diaconesses Croix St Simon
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Poitiers, France, 86021
- CHU La Miletrie
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Rennes, France
- CHU Rennes - Hopital Pontchaillou
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Rouen, France
- Chu Charles Nicolle
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St Jean de Luz, France
- Polyclinique Pays Basque Sud
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Strasbourg, France
- CHU HautePierre
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Toulouse, France
- CHU Toulouse - Hotel Dieu PURPAN
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Toulouse, France
- Clinique St Jean du Languedoc
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Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Sampling Method
Study Population
Description
Inclusion Criteria:
- Patient willing to sign the Data Release Form stating the non opposition to the study conduct;
- Patient able to understand information given by the investigator in terms of data collection and publication;
- At least 18 years old or older.
- Patient indicated to sacral neuromodulation testing with InterStim® system.
Exclusion Criteria:
- Replacement of an existing sacral neuromodulation system (implanted before inclusion period) without any evidence of benefits during a testing period.
- Patient unwilling to comply to data collection and publication rules.
Study Plan
How is the study designed?
Design Details
- Observational Models: Cohort
- Time Perspectives: Prospective
Cohorts and Interventions
Group / Cohort |
Intervention / Treatment |
---|---|
Principal Population
Patients who undergo a definitive neuro-stimulator implantation.
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Other Names:
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Annex Population
Patients who do not respond to the temporary test for the neurostimulator implantation
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Other Names:
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What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Proportion of implanted patients with a reduction of at least 50% of incontinence episodes per week, compared to baseline.
Time Frame: 6 months (4-8 months)
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The primary objective will evaluate the proportion of implanted patients that do not experience any serious adverse event or serious adverse device effect at 4-8 months of follow-up and show a reduction of at least 50% of incontinence episodes per week at the same timeframe, compared to baseline.
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6 months (4-8 months)
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Secondary Outcome Measures
Outcome Measure |
Time Frame |
---|---|
Reduction of incontinence episodes per week
Time Frame: 12 months (9-15 months)
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12 months (9-15 months)
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Reduction of evacuations per week
Time Frame: 6 months (4-8 months) and 12 months (9-15 months)
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6 months (4-8 months) and 12 months (9-15 months)
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Reduction of urgency episodes per week
Time Frame: 6 months (4-8 months) and 12 months (9-15 months)
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6 months (4-8 months) and 12 months (9-15 months)
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Retention delay
Time Frame: 3 months (1-4 months), 6 months (5-8 months), 12 months (9-15 months)
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3 months (1-4 months), 6 months (5-8 months), 12 months (9-15 months)
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Complications and Adverse Events
Time Frame: 3 months (1-4 months), 6 months (5-8 months), 12 months (9-15 months)
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3 months (1-4 months), 6 months (5-8 months), 12 months (9-15 months)
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Fecal Incontinence severity
Time Frame: 3 months (1-4 months), 6 months (5-8 months), 12 months (9-15 months)
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3 months (1-4 months), 6 months (5-8 months), 12 months (9-15 months)
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Quality of Life
Time Frame: 3 months (1-4 months), 6 months (5-8 months), 12 months (9-15 months)
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3 months (1-4 months), 6 months (5-8 months), 12 months (9-15 months)
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Patient Satisfaction
Time Frame: 6 months (5-8 months) and 12 months (9-15 months)
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6 months (5-8 months) and 12 months (9-15 months)
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Collaborators and Investigators
Sponsor
Publications and helpful links
General Publications
- Tan E, Ngo NT, Darzi A, Shenouda M, Tekkis PP. Meta-analysis: sacral nerve stimulation versus conservative therapy in the treatment of faecal incontinence. Int J Colorectal Dis. 2011 Mar;26(3):275-94. doi: 10.1007/s00384-010-1119-y. Epub 2011 Jan 29.
- Matzel KE, Kamm MA, Stosser M, Baeten CG, Christiansen J, Madoff R, Mellgren A, Nicholls RJ, Rius J, Rosen H. Sacral spinal nerve stimulation for faecal incontinence: multicentre study. Lancet. 2004 Apr 17;363(9417):1270-6. doi: 10.1016/S0140-6736(04)15999-0.
- Jarrett ME, Varma JS, Duthie GS, Nicholls RJ, Kamm MA. Sacral nerve stimulation for faecal incontinence in the UK. Br J Surg. 2004 Jun;91(6):755-61. doi: 10.1002/bjs.4545.
- Uludag O, Koch SM, van Gemert WG, Dejong CH, Baeten CG. Sacral neuromodulation in patients with fecal incontinence: a single-center study. Dis Colon Rectum. 2004 Aug;47(8):1350-7. doi: 10.1007/s10350-004-0589-9.
- Altomare DF, Rinaldi M, Lobascio P, Marino F, Giuliani RT, Cuccia F. Factors affecting the outcome of temporary sacral nerve stimulation for faecal incontinence. The value of the new tined lead electrode. Colorectal Dis. 2011 Feb;13(2):198-202. doi: 10.1111/j.1463-1318.2009.02088.x.
- Mellgren A, Wexner SD, Coller JA, Devroede G, Lerew DR, Madoff RD, Hull T; SNS Study Group. Long-term efficacy and safety of sacral nerve stimulation for fecal incontinence. Dis Colon Rectum. 2011 Sep;54(9):1065-75. doi: 10.1097/DCR.0b013e31822155e9.
- Altomare DF, Ratto C, Ganio E, Lolli P, Masin A, Villani RD. Long-term outcome of sacral nerve stimulation for fecal incontinence. Dis Colon Rectum. 2009 Jan;52(1):11-7. doi: 10.1007/DCR.0b013e3181974444.
- Wexner SD, Coller JA, Devroede G, Hull T, McCallum R, Chan M, Ayscue JM, Shobeiri AS, Margolin D, England M, Kaufman H, Snape WJ, Mutlu E, Chua H, Pettit P, Nagle D, Madoff RD, Lerew DR, Mellgren A. Sacral nerve stimulation for fecal incontinence: results of a 120-patient prospective multicenter study. Ann Surg. 2010 Mar;251(3):441-9. doi: 10.1097/SLA.0b013e3181cf8ed0.
- Tjandra JJ, Chan MK, Yeh CH, Murray-Green C. Sacral nerve stimulation is more effective than optimal medical therapy for severe fecal incontinence: a randomized, controlled study. Dis Colon Rectum. 2008 May;51(5):494-502. doi: 10.1007/s10350-007-9103-5. Epub 2008 Feb 16.
- Leroi AM, Parc Y, Lehur PA, Mion F, Barth X, Rullier E, Bresler L, Portier G, Michot F; Study Group. Efficacy of sacral nerve stimulation for fecal incontinence: results of a multicenter double-blind crossover study. Ann Surg. 2005 Nov;242(5):662-9. doi: 10.1097/01.sla.0000186281.09475.db.
- Matzel KE, Lux P, Heuer S, Besendorfer M, Zhang W. Sacral nerve stimulation for faecal incontinence: long-term outcome. Colorectal Dis. 2009 Jul;11(6):636-41. doi: 10.1111/j.1463-1318.2008.01673.x. Epub 2008 Aug 21.
- Meurette G, Siproudhis L, Leroi AM, Damon H, Urs Josef Keller D, Faucheron JL; French Faecal Registry Study Group. Sacral neuromodulation with the InterStim system for faecal incontinence: results from a prospective French multicentre observational study. Colorectal Dis. 2021 Jun;23(6):1463-1473. doi: 10.1111/codi.15507. Epub 2021 Mar 12.
Study record dates
Study Major Dates
Study Start
Primary Completion (Actual)
Study Completion (Actual)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Estimate)
Study Record Updates
Last Update Posted (Actual)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
- 1.05.8004
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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