NCT05250908

Brief Summary

Prospective, randomized, double-blind, multicenter study to evaluate the safety and efficacy of an implantable tibial nerve stimulator in subjects with urgency urinary incontinence (UUI).

Trial Health

78
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
208

participants targeted

Target at P75+ for not_applicable

Timeline
1mo left

Started Mar 2022

Longer than P75 for not_applicable

Geographic Reach
2 countries

22 active sites

Status
active not recruiting

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

Study Progress97%
Mar 2022Jun 2026

First Submitted

Initial submission to the registry

February 11, 2022

Completed
11 days until next milestone

First Posted

Study publicly available on registry

February 22, 2022

Completed
13 days until next milestone

Study Start

First participant enrolled

March 7, 2022

Completed
3.2 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

May 12, 2025

Completed
1.1 years until next milestone

Study Completion

Last participant's last visit for all outcomes

June 27, 2026

Expected
Last Updated

March 2, 2026

Status Verified

February 1, 2026

Enrollment Period

3.2 years

First QC Date

February 11, 2022

Last Update Submit

February 28, 2026

Conditions

Outcome Measures

Primary Outcomes (2)

  • Response Rate

    ≥50% reduction in UUI episodes between INTIBIA therapeutic and INTIBIA non-therapeutic

    3 Months

  • Response Rate

    ≥50% reduction in UUUI episodes in the INTIBIA therapeutic group

    12 Months

Secondary Outcomes (2)

  • Urgency Score

    3 Months

  • Daily Voids

    3 Months

Other Outcomes (10)

  • Response Rate

    6 Months

  • Response Rate

    3, 6, and 12 Months

  • Daily Voids

    6 and 12 Months

  • +7 more other outcomes

Study Arms (2)

INTIBIA Therapeutic

EXPERIMENTAL

Implanted with INTIBIA device and programmed to therapeutic stimulation for the duration of the study.

Device: INTIBIA Therapeutic

INTIBIA Non-Therapeutic

EXPERIMENTAL

Implanted with INTIBIA device and programmed to non-therapeutic stimulation for the first 3 months, then to therapeutic stimulation for the duration of the study.

Device: INTIBIA Non-Therapeutic

Interventions

INTIBIA implantable tibial nerve stimulator with therapeutic stimulation

INTIBIA Therapeutic

INTIBIA implantable tibial nerve stimulator with non-therapeutic stimulation for 3 months, then therapeutic stimulation

INTIBIA Non-Therapeutic

Eligibility Criteria

Age22 Years - 80 Years
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • Women or men 22-80 years of age
  • Symptoms of overactive bladder with urgency urinary incontinence (UUI) demonstrated on a 72-hour voiding diary defined as a minimum of four (4) leaking episodes associated with urgency, and at least one leaking episode each 24-hour period
  • Greater than or equal to 6-month history of UUI diagnosis
  • Failure of conservative or behavioral therapy (e.g., bladder diet, timed voiding, bladder training, bladder control strategies, pelvic floor muscle training, fluid management)
  • Willing to abstain from OAB medications for the duration of the study
  • Willing to maintain a stable dose of all other medications that affect bladder function (e.g., tricyclic antidepressants) for at least four (4) weeks prior to beginning the baseline voiding diary and baseline questionnaires
  • Ambulatory and able to use the toilet independently and without difficulty
  • Willing and capable of providing informed consent
  • Willing and able to complete all procedures and follow-up visits indicated in the protocol

You may not qualify if:

  • Diagnosis of stress urinary incontinence or mixed urinary incontinence, as confirmed by cough stress test and with a response of Yes to Q3 on the UDI-6 questionnaire
  • Current symptomatic urinary tract infection (UTI), urethritis, or more than three (3) UTIs in past year
  • Have post-void residual urine volume \>30% of total voided volume
  • Inadequate skin integrity, any evidence of an infection, or lower leg edema limiting placement of device per physician discretion
  • Evidence of anatomic abnormalities that could jeopardize the placement of the device or pose a hazard to the subject
  • Prior treatment of urinary symptoms with nerve stimulation (e.g., percutaneous tibial nerve stimulation \[PTNS\] or sacral nerve stimulation \[SNS\])
  • History of chronic pain (e.g., chronic pelvic pain, fibromyalgia, Lyme disease, chronic back pain)
  • An active implantable electronic device regardless of whether stimulation is ON or OFF
  • Treatment of urinary symptoms with botulinum toxin therapy within six (6) months
  • Any neurological condition that could interfere with normal bladder or tibial nerve function, including debilitating stroke, epilepsy, multiple sclerosis, Parkinson's disease, peripheral neuropathy, fibromyalgia, or spinal cord injury (e.g., paraplegia)
  • Current urinary tract mechanical obstruction (e.g., benign prostatic enlargement or urethral stricture)
  • Other urinary tract dysfunction (e.g., abnormal upper urinary tract function, vesicoureteral reflux, bladder stone or tumor, urinary fistula)
  • End stage renal failure, GFR \< 35, or dialysis
  • History of pelvic cancer requiring radiation or chemotherapy treatment within the past two years
  • Pelvic organ prolapse at or beyond the hymenal ring
  • +10 more criteria

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (22)

Cedars-Sinai Medical Group

Beverly Hills, California, 90211, United States

Location

Urology Group of Southern California

Los Angeles, California, 90017, United States

Location

MedStar Washington Hospital Center

Washington D.C., District of Columbia, 20010, United States

Location

Advanced Urology Associates

Daytona Beach, Florida, 32114, United States

Location

Southeastern Urogynecology & Pelvic Surgery

Moultrie, Georgia, 31768, United States

Location

Rosemark WomenCare Specialists

Idaho Falls, Idaho, 83402, United States

Location

Cypress Medical Research Center, LLC

Wichita, Kansas, 67226, United States

Location

Baystate Medical Center

Springfield, Massachusetts, 01199, United States

Location

University of Michigan

Ann Arbor, Michigan, 48109, United States

Location

Advanced Urogynecology of Michigan

Dearborn, Michigan, 48124, United States

Location

Specialty Clinical Research of St. Louis

St Louis, Missouri, 63141, United States

Location

Atlantic Health System - AMG Urology (Garden State Urology)

Denville, New Jersey, 07834, United States

Location

Wake Forest University

Winston-Salem, North Carolina, 27103, United States

Location

The Urology Group

Cincinnati, Ohio, 45212, United States

Location

MetroHealth System

Cleveland, Ohio, 44109, United States

Location

The Institute for Female Pelvic Medicine and Reconstructive Surgery- Axia Womens Health

Allentown, Pennsylvania, 18103, United States

Location

MidLantic Urology

Bala-Cynwyd, Pennsylvania, 19004, United States

Location

The Female Pelvic Health Center

Newtown, Pennsylvania, 18940, United States

Location

Thomas Jefferson University

Philadelphia, Pennsylvania, 19107, United States

Location

Houston Metro Urology

Houston, Texas, 77027, United States

Location

Bergman Clinics, Women's Health, Department of Gynecology

Amsterdam, 1081 GG, Netherlands

Location

Isala Zwolle

Zwolle, 8025 AB, Netherlands

Location

MeSH Terms

Conditions

Urinary Incontinence, UrgeUrinary Bladder, OveractiveUrinary Bladder DiseasesUrologic DiseasesLower Urinary Tract SymptomsUrological Manifestations

Condition Hierarchy (Ancestors)

Urinary IncontinenceUrination DisordersFemale Urogenital DiseasesFemale Urogenital Diseases and Pregnancy ComplicationsUrogenital DiseasesMale Urogenital DiseasesSigns and SymptomsPathological Conditions, Signs and Symptoms

Study Officials

  • Catherine Matthews, MD

    Wake Forest University

    PRINCIPAL INVESTIGATOR

Study Design

Study Type
interventional
Phase
not applicable
Allocation
RANDOMIZED
Masking
QUADRUPLE
Who Masked
PARTICIPANT, CARE PROVIDER, INVESTIGATOR, OUTCOMES ASSESSOR
Masking Details
Subjects and investigator/site personnel are blinded until the Month 3 visit.
Purpose
TREATMENT
Intervention Model
PARALLEL
Model Details: All eligible subjects will be implanted with the INTIBIA device. Subjects will be randomized to either INTIBIA therapeutic or INTIBIA non-therapeutic in a 2:1 ratio for the first 3 months of the study, at which point all subjects will receive therapeutic stimulation.
Sponsor Type
INDUSTRY
Responsible Party
SPONSOR

Study Record Dates

First Submitted

February 11, 2022

First Posted

February 22, 2022

Study Start

March 7, 2022

Primary Completion

May 12, 2025

Study Completion (Estimated)

June 27, 2026

Last Updated

March 2, 2026

Record last verified: 2026-02

Data Sharing

IPD Sharing
Will not share

Locations