The primary purpose of this study is to demonstrate the safety and effectiveness of Bulkamid® in the treatment of stress urinary incontinence (SUI) due to intrinsic sphincter deficiency (ISD) in adult women who have SUI or stress predominant mixed incontinence
The study is a single-masked, randomized, comparative multi-center, 2-arm parallel study intended to demonstrate the safety and effectiveness of Bulkamid® vs. Contigen® for the treatment of stress urinary incontinence (SUI)due to intrinsic sphincter deficiency (ISD) in adult women who have SUI or stress predominant mixed incontinence. Subjects will be randomized to receive either a polyacrylamide hydrogel (Bulkamid®) treatment, or a collagen treatment (Contigen®) using a 2:1 ratio and will be masked to the treatment. Screening baseline evaluations and collagen skin testing will be completed to determine eligible subjects. Following a negative skin test, a subject will be randomized and treated with Bulkamid® or the comparator device at the Treatment Visit. Subjects that are not continent will be considered for re-injection. A maximum of 3 injections (initial + 2 re-injections) are allowed. After the last injection, subjects will attend the 3-Month, 6-Month and 12-Month Follow-up Visits plus a telephone contact at 9 months. The study will record objective incontinence measurements, subject's perception of effectiveness and quality of life assessments. Adverse events will be recorded throughout the study. Each subject will be followed for 12 months from the last injection.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
SINGLE
Enrollment
345
Primary Effectiveness Endpoint
The number of subjects with at least a 50% reduction from baseline in both leakage, as measured by the 24h Pad Test, and daily number of incontinence episodes
Time frame: 12 Months
The Number of Participants With Device- and Procedure-related Serious Adverse Events Through 12 Months Follow-up.
The number of participants with device- and procedure-related serious adverse events through 12 months follow-up.
Time frame: 12 months
24hr Pad Test
A measure of urine leaked during a 24-hour period on a known weight and quantity of pads at the 12-month endpoint.
Time frame: 12 months
Number of Subjects Reporting as a Responder
At the 12-month primary endpoint follow-up visit, the subject was asked to provide her perception of treatment effectiveness by circling the most accurate description of her condition: cured/dry; much improved; improved; no change; worse. The response was dichotomized into responder or non-responder. A subject was classified as a responder if she reported that the treatment had cured, much improved, or improved her incontinence condition.
Time frame: 12 months
IQoL
The IQoL is a validated instrument consisting of 22 questions grouped into three subscales: avoidance and limiting behaviors; psychosocial impacts, and social embarrassment. It is a subject self-reported quality-of-life measure specific to urinary problems that is used to assess the impact of urinary incontinence and urinary problems and their treatment. The subject scores each question on a scale of 1 to 5 with higher scores indicating more positive responses. The maximum score was 110 points and the minimum score was 22.
Time frame: 12 months
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Incontinence Research Institute
Encinitas, California, United States
Tower Urology - Institute for Continence - Cedars-Sinai Medical Office
Los Angeles, California, United States
Sherif Aboseif, MD
Oxnard, California, United States
South California Permanente Medical Group
Pasadena, California, United States
Stanford UniveritySchool of Medicine - Departmert of OB/GYN
Stanford, California, United States
Genitourinary Surgical Consultants
Denver, Colorado, United States
Mayo Clinic - Department of Urology
Jacksonville, Florida, United States
University of Miami and Jackson Memorial Hospital
Miami, Florida, United States
Specialists in Urology
Naples, Florida, United States
Discovery Clinical Trials
Winter Haven, Florida, United States
...and 24 more locations
ICIQ-UI Short Form
The ICIQ-UI Short Form assesses the impact of symptoms of incontinence on quality of life and outcome of treatment. The questionnaire consists of three questions with a maximum score of 21 and a minimum score of zero (0). A lower score represents a decrease in the severity of symptoms (i.e., improvement).
Time frame: 12 months
Number of Incontinence Episodes
The total number of incontinence episodes experienced by the subject over three consecutive days.
Time frame: 12 months