- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT04448171
TENS Used for Pain Management During Office Cystoscopy Botox Injections
Transcutaneous Electric Nerve Stimulation For Pain Control During Office Intra-detrusor Onabotulinumtoxin A Cystoscopy Injection for Overactive Bladder: A Phase III Randomized Controlled Trial
Study Overview
Status
Conditions
Intervention / Treatment
Detailed Description
Overactive bladder (OAB) is a symptom complex pronounced by urinary urgency, affecting up to 12% of the adult population, with a significant negative impact quality on the life. Cystoscopic intra-detrusor onabotulinumtoxin A is used for the treatment of OAB in participants who do not tolerate or adequately respond to oral anticholinergic medications. The response to the onabotulinumtoxin A injection is transient and requires repeat injections roughly every 6-7 months. Adequate pain control during this procedure is essential for success in the office setting.
Options for adequate pain control during office-based cystoscopy procedures are limited. Currently, varying pain control strategies are being used including local anesthesia (intra-urethral lidocaine, intra-vesicular lidocaine solution), distraction techniques (conversation/music/'squeeze balls'), aromatherapy, intramuscular analgesia, sedation and a combination of these techniques. Despite this, participants often experience pain during the procedure. Trans-cutaneous Electrical Nerve Stimulation (TENS) is a non-pharmacologic, non-invasive and safe method of pain control that involves delivery of electrical impulses to the skin, resulting in a reduction in perceived pain. TENS units have been successfully used for procedural pain management during office hysteroscopy and office colonoscopy. TENS may also help reduce pain during office cystoscopy.
The study is a two arm phase III double-blind, randomized, placebo-controlled trial looking at the effect of TENS unit on pain in participants receiving office based cystoscopic onabotulinum toxin A injection for overactive bladder at the Mayo Clinic in Rochester, Minnesota.
Study Type
Enrollment (Estimated)
Phase
- Not Applicable
Contacts and Locations
Study Contact
- Name: Karen P Ishitani, MSN
- Phone Number: 507-538-5355
- Email: ishitani.karen@mayo.edu
Study Contact Backup
- Name: Maureen A Lemens, BSN
- Phone Number: 507-293-1487
- Email: lemens.maureen@mayo.edu
Study Locations
-
-
Minnesota
-
Rochester, Minnesota, United States, 55905
- Recruiting
- Mayo Clinic in Rochester
-
Contact:
- Karen P Ishitani, MSN
- Phone Number: 507-538-5355
- Email: ishitani.karen@mayo.edu
-
Contact:
- Maureen A Lemens, BSN
- Phone Number: 507-293-1487
- Email: lemens.maureen@mayo.edu
-
Principal Investigator:
- John A Occhino, MD, MS
-
-
Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Description
Inclusion Criteria:
- Females age 18 years or older
- Scheduled to receive intra-detrusor Onabotulinumtoxin-A injection for Overactive Bladder in the outpatient clinic
- Reads, speaks, and understands the English language
- Able to understand the requirements of the study, including randomization
- Willing and able to provide written informed consent
Exclusion Criteria:
- Previous use of TENS therapy within one year prior to study enrollment
- Has a spouse or first degree relative who has previously used TENS therapy within one year prior to study enrollment
- Currently has an implanted pacemaker or automatic cardiac defibrillator
- History of epilepsy
- Currently pregnant or within 12 weeks postpartum
- Unwilling to be randomized
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: Triple
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Active Comparator: Activated TENS Unit with standard pain control measures
Activated TENS Unit with standard pain control measures during Office Based Cystoscopic Intra-detrusor Onabotulinumtoxin A Injection
|
Standard TENS unit with four pads affixed to the lower back area, will be used in this arm.
The TENS device will be set to an active setting.
|
Placebo Comparator: Sham TENS Unit with standard pain control measures
Sham TENS Unit with standard pain control measures during Office Based Cystoscopic Intra-detrusor Onabotulinumtoxin A Injection
|
Standard TENS unit with four pads affixed to the lower back area, will be used in this arm.
The TENS device will be set to an inactive setting.
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Assess whether the TENS units is effective over standard pain control measures for intra-procedure pain management during office cystoscopic Intra-detrusor Onabotulinumtoxin A in women with OAB.
Time Frame: Baseline to intra-procedure
|
Compare the change in participant-reported numerical pain score using a 0-10 numerical pain scale at baseline and intra-procedure.
|
Baseline to intra-procedure
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Evaluate the effect of TENS units on participant satisfaction following cystoscopic intra-detrusor onabotulinumtoxin A injection in women with OAB.
Time Frame: Postprocedure, 10 minutes following completion of cystoscopy
|
Evaluate participant satisfaction using a 10 point Likert scale (1=complete dissatisfaction and 10=complete satisfaction)
|
Postprocedure, 10 minutes following completion of cystoscopy
|
Collaborators and Investigators
Sponsor
Investigators
- Principal Investigator: John A Occhino, MD, MS, Mayo Clinic
Publications and helpful links
Helpful Links
Study record dates
Study Major Dates
Study Start (Actual)
Primary Completion (Estimated)
Study Completion (Estimated)
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
Additional Relevant MeSH Terms
Other Study ID Numbers
- 20-003510
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.
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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