- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT04120545
Effectiveness of Microcurrents Therapy in Overactive Bladder.
Effectiveness of Microcurrents Therapy in Overactive Bladder : Controlled and Randomized Triple Blind Clinical Trial
Study Overview
Status
Conditions
Intervention / Treatment
Detailed Description
The design of this study is a multicentric, parallel, randomised, triple blind clinical trial with placebo control.
The size of the sample will be 56 participants who come to referral hospitals. They will be randomized in two groups: control or experimental.
The variables of the study will be collected at three time points: before the intervention, during the intervention and at the end of the intervention.
The statistical analysis will be an intention-to-treat analysis. For the main outcomes variables a two factor ANOVA will-be performed (intervention-time) with a post-hoc analysis with kruskal wallis correction correction. Statistical significance will be defined as p <0.05
Study Type
Enrollment (Actual)
Phase
- Not Applicable
Contacts and Locations
Study Locations
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Las Palmas
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Las Palmas de Gran Canaria, Las Palmas, Spain, 35016
- Aníbal Báez-Suárez
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Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
- Women, over 18 years of age and with urinary incontinence (3 or more times per week) or overactive bladder (8 or more emptied per day, and / or 2 or more at night) who have received, or not, active / alternative treatment for this pathology.
- Under competent cognitive conditions to participate in the study and trained to complete the study questionnaires.
- Without contraindications for a treatment with microcurrents: Pacemakers, pregnant women, internal bleeding, do not apply electrodes on skin in poor condition, with ulcerations or wounds, acute febrile processes, acute thrombophlebitis and / or electricity phobia.
Exclusion Criteria:
- People with lifestyle habits (diet, amount of fluid ingested) extreme or singular (eg person who consumes 5 liters of water a day).
- Presence of urinary fistula.
- Men. Men will be excluded to avoid the potential influence of prostate problems, the main causes of the symptoms described.
- Urinary tract infection, or relapses: 5 or more infections in the last 12 months.
- Participants with bladder stones.
- Hematuria during the trial period.
- Pregnancy or plans for it during the study.
- The patient has had a hysterectomy.
- Pathology of the central or peripheral nervous system.
- Diabetes without controlled and guaranteed medical treatment its stabilization.
- Diabetes that affects the peripheral nerves.
- Treated with anticoagulant.
- Current use of anticholinergics and beta adrenergic use in the last 4 weeks.
- Currently treated with botox injections for the bladder or in the last year.
- Current treatment with interstim or interstim device currently implanted.
- Obstruction of the bladder outlet.
- Urinary retention.
- Painful bladder syndrome / interstitial cystitis.
- Treatment with more than two antidepressants and / or multiple benzodiazepines, as well as anti-epileptics.
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: Quadruple
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
|---|---|
|
Experimental: Microcurrents
Intervention with microcurrents: application of 6 electrodes per extremity and an adhesive electrode at C7, L3 or S1 level depending on the session number.
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The electrodes will be placed with the help of gloves and adapted socks for 1 hour, twice a week, until 10 intervention sessions are completed. In addition, depending on the session, an adhesive electrode will be placed at the level of C7, L3 or S1. Characteristics of microcurrents: pulsed monophasic rectangular wave with a pulse of 1.3 s and pause of 300 ms, voltage 3 mV and intensity 0.5 μA. |
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Placebo Comparator: Placebo microcurrents
Intervention with microcurrents: application of 6 electrodes per extremity and an adhesive electrode at C7, L3 or S1 level depending on the session number.
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The same protocol described for the experimental group will be applied, but microcurrents device which will be previously manipulated and tested with an oscilloscope so that they do not emit electrical currents
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What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Urinary Incontinence
Time Frame: Through study completion, an average of 1 year
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The reduction of at least 25% urination will be considered successful.
This result is measured objectively from the voiding diary.
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Through study completion, an average of 1 year
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Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
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Urinary Incontinence II
Time Frame: Between the first and the fourth week of intervention.
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Change in the number of urination / day compared to baseline, at the fourth week.
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Between the first and the fourth week of intervention.
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Urinary Incontinence III
Time Frame: Between the fourth and the eighth week of intervention.
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Change in the number of urinary incontinence episodes / day at 4 weeks and 8.
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Between the fourth and the eighth week of intervention.
|
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Nocturia
Time Frame: Average number of nocturia episodes measured in a diary of 3 days before each visit.
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Change in the number of nocturia episodes every 24 hours
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Average number of nocturia episodes measured in a diary of 3 days before each visit.
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Bladder Control Self-Assessment Hyperactive
Time Frame: After 5 weeks of intervention.
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Changes in the value of the Hyperactive Bladder Control Self-Assessment Questionnaire
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After 5 weeks of intervention.
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International Consultation on Incontinence questionnaire
Time Frame: It will be completed at the beginning of the study, at week 4 and at 8 of the treatment
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It is a questionnaire in which the experience is answered daily individual urination and incontinence
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It will be completed at the beginning of the study, at week 4 and at 8 of the treatment
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Spanish Short Version of the Functional Outcomes of Sleep Questionnaire (FOSQ-10SV).
Time Frame: Through study completion, an average of 1 year
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This questionnaire measures the impact of daily sleep in daily activity
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Through study completion, an average of 1 year
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Quality of life II ( EuroQol-5D)
Time Frame: Through study completion, an average of 1 year
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The main problems or difficulties are collected by patients in 5 dimensions (mobility, self-care, daily activities, pain / discomfort level and anxiety / depression level).
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Through study completion, an average of 1 year
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Other Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
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Blinding effectiveness evaluation
Time Frame: At 2 weeks after the start of the intervention
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The participants, evaluators and those who apply the intervention will be asked if they know the research group to which the study subject belongs through a questionnaire prepared by one of the principal investigators.
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At 2 weeks after the start of the intervention
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Collaborators and Investigators
Publications and helpful links
General Publications
- Irwin DE, Milsom I, Hunskaar S, Reilly K, Kopp Z, Herschorn S, Coyne K, Kelleher C, Hampel C, Artibani W, Abrams P. Population-based survey of urinary incontinence, overactive bladder, and other lower urinary tract symptoms in five countries: results of the EPIC study. Eur Urol. 2006 Dec;50(6):1306-14; discussion 1314-5. doi: 10.1016/j.eururo.2006.09.019. Epub 2006 Oct 2.
- Eapen RS, Radomski SB. Review of the epidemiology of overactive bladder. Res Rep Urol. 2016 Jun 6;8:71-6. doi: 10.2147/RRU.S102441. eCollection 2016.
- Ganz ML, Smalarz AM, Krupski TL, Anger JT, Hu JC, Wittrup-Jensen KU, Pashos CL. Economic costs of overactive bladder in the United States. Urology. 2010 Mar;75(3):526-32, 532.e1-18. doi: 10.1016/j.urology.2009.06.096. Epub 2009 Dec 29.
- Lightner DJ, Gomelsky A, Souter L, Vasavada SP. Diagnosis and Treatment of Overactive Bladder (Non-Neurogenic) in Adults: AUA/SUFU Guideline Amendment 2019. J Urol. 2019 Sep;202(3):558-563. doi: 10.1097/JU.0000000000000309. Epub 2019 Aug 8.
- Wein AJ, Rovner ES. Definition and epidemiology of overactive bladder. Urology. 2002 Nov;60(5 Suppl 1):7-12; discussion 12. doi: 10.1016/s0090-4295(02)01784-3.
- Tubaro A. Defining overactive bladder: epidemiology and burden of disease. Urology. 2004 Dec;64(6 Suppl 1):2-6. doi: 10.1016/j.urology.2004.10.047.
- de Groat WC, Tai C. Impact of Bioelectronic Medicine on the Neural Regulation of Pelvic Visceral Function. Bioelectron Med. 2015 Jan 22;2015:25-36.
- Jaqua K, Powell CR. Where Are We Headed with Neuromodulation for Overactive Bladder? Curr Urol Rep. 2017 Aug;18(8):59. doi: 10.1007/s11934-017-0711-x.
- Janssen DA, Martens FM, de Wall LL, van Breda HM, Heesakkers JP. Clinical utility of neurostimulation devices in the treatment of overactive bladder: current perspectives. Med Devices (Auckl). 2017 Jun 1;10:109-122. doi: 10.2147/MDER.S115678. eCollection 2017.
- Timmermans L, Falez F, Melot C, Wespes E. Validation of use of the International Consultation on Incontinence Questionnaire-Urinary Incontinence-Short Form (ICIQ-UI-SF) for impairment rating: a transversal retrospective study of 120 patients. Neurourol Urodyn. 2013 Sep;32(7):974-9. doi: 10.1002/nau.22363. Epub 2012 Dec 31.
Study record dates
Study Major Dates
Study Start (Actual)
Primary Completion (Actual)
Study Completion (Actual)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Actual)
Study Record Updates
Last Update Posted (Actual)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Keywords
Additional Relevant MeSH Terms
Other Study ID Numbers
- NESAob
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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