Neuromodulation Implantation Settings Variation for Overactive Bladder
Intermittent Versus Continuous Stimulation in Bilateral Sacral Neuromodulation for Overactive Bladder
2 other identifiers
interventional
N/A
1 country
1
Brief Summary
Participants receiving neuromodulation treatment for overactive bladder symptoms will be routinely fitted with an impulse generator. However, the setting on the impulse generator will be set to either intermittent or continuous stimulation. Participants will complete voiding logs and surveys for a month. Battery life will be interrogated.After a one week period were the device is turned off, the impulse generator will be turned to the opposite setting (intermittent or continuous) and the one month period will be repeated. Again, voiding logs, surveys, and battery life will be collected. The purpose of this project is to investigate the outcomes of intermittent versus continuous stimulation in patients treated with sacral neuromodulation (SNM) for refractory overactive bladder (OAB) syndrome. In addition, the potential for an improved battery life with intermittent stimulation will be quantified.
Trial Health
Trial Health Score
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Started Jan 2015
1 active site
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Trial Relationships
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Study Timeline
Key milestones and dates
First Submitted
Initial submission to the registry
April 9, 2014
CompletedFirst Posted
Study publicly available on registry
April 14, 2014
CompletedStudy Start
First participant enrolled
January 1, 2015
CompletedPrimary Completion
Last participant's last visit for primary outcome
January 1, 2015
CompletedStudy Completion
Last participant's last visit for all outcomes
January 1, 2015
CompletedJanuary 26, 2015
January 1, 2015
Same day
April 9, 2014
January 22, 2015
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
Overactive Bladder Symptoms
Symptom improvement with be tracked for overactive bladder symptoms through voiding logs and questionnaires.
Week 0, 2, 12, 13, 15, 25
Secondary Outcomes (1)
Battery Life
Week 0, 1, 12, 13, 15, 25
Study Arms (2)
Intermittent then Continuous
ACTIVE COMPARATORThis group will be set to intermittent stimulation first, then after the wash out period they will be switched to continuous stimulation.
Continuous Then Intermitent
ACTIVE COMPARATORThis group will be set to continuous stimulation first, then switch to intermittent after the wash out time period.
Interventions
This is a routine procedure already performed, we are simply changing a post surgical setting to observe for improvement.
Eligibility Criteria
You may qualify if:
- patients age 18 to 85 with overactive bladder symptoms refractory to behavioral and anticholinergic therapy, detrusor overactivity on urodynamic study, surgically fit with ability to complete study forms, use patient programmer, and return for follow-up.
- Patients must have attempted and failed noninvasive therapy for overactive bladder symptoms for at least 6 months prior to enrollment; previous treatments will be recorded. In addition, patients must be fluent in the English language to complete informed consent paperwork and study questionnaires.
You may not qualify if:
- dementia,
- neurological conditions (spinal cord injury, multiple sclerosis),
- non-English speaking,
- acute urinary tract infection,
- primary pelvic pain,
- pregnancy or breast-feeding,
- urinary retention (postvoid residual greater than 100mL),
- history of bladder cancer in the past 5 years,
- history of nephrolithiasis or ureterolithiasis,
- anticoagulant therapy,
- implanted pacemaker/defibrillator, or
- anticipated need for future MRI.
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
Loma Linda University Faculty Medical Offices
Loma Linda, California, 92354, United States
Related Publications (2)
Hu TW, Wagner TH, Bentkover JD, Leblanc K, Zhou SZ, Hunt T. Costs of urinary incontinence and overactive bladder in the United States: a comparative study. Urology. 2004 Mar;63(3):461-5. doi: 10.1016/j.urology.2003.10.037.
PMID: 15028438BACKGROUNDNitti VW. Clinical impact of overactive bladder. Rev Urol. 2002;4 Suppl 4(Suppl 4):S2-6.
PMID: 16986018BACKGROUND
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Andrea Staack, MD, Phd
Loma LindaUniversity Medical Center
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- RANDOMIZED
- Masking
- SINGLE
- Who Masked
- PARTICIPANT
- Purpose
- TREATMENT
- Intervention Model
- CROSSOVER
- Sponsor Type
- OTHER
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
April 9, 2014
First Posted
April 14, 2014
Study Start
January 1, 2015
Primary Completion
January 1, 2015
Study Completion
January 1, 2015
Last Updated
January 26, 2015
Record last verified: 2015-01