Study of 30-Minute Stimulation With the Neuspera Sacral Neuromodulation (SNM) System
For patients and families
In plain language
An automatic summary of structured registry data. It is an orientation aid, not a substitute for the official protocol or a physician assessment.
- What is being studied
- The protocol lists: Neuspera Implantable Sacral Neuromodulation System.
- Who it may be relevant to
- Registry conditions: Urinary Urge Incontinence. Basic parameters: from 22 years · All.
- What needs checking
- Age, condition and sex are only basic indicators. Prior treatment, laboratory values and other mandatory requirements appear in the eligibility criteria below.
- Where it takes place
- United States
- Next step
- Save the trial, show it to the treating physician, and confirm current recruitment with the study center. Costs, documents and travel →
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Official title
Study of 30-Minute Stimulation With the Neuspera Sacral Neuromodulation (SNM) System in Patients With Symptoms of Urinary Urgency Incontinence (UUI)
Overview
Single-arm study conducted in participants for the treatment of urinary urge incontinence in patients who have failed, could not tolerate, or were not a candidate for more conservative treatments. The objective of the study is to assess the effectiveness of 30-minutes daily therapeutic stimulation with the Neuspera System.
Detailed description
The study is intended to investigate the potential for controlling UUI symptoms with thirty minutes of stimulation per day.
Subjects will be enrolled in a single-arm study and followed for 6 months post implant. Subjects will undergo a trial stimulation period, followed by a permanent implant. If subjects do not receive appropriate benefits with the shorter duration of stimulation, they can increase the duration of stimulation anytime as needed. Subjects may also decrease stimulation after one month to 15 minutes per day if desired.
Up to 30 subjects will be implanted.
Interventions
- Device Neuspera Implantable Sacral Neuromodulation System
Stimulation of the Sacral Nerve
Primary outcome measures
- Primary Safety Endpoint- Proportion of Subjects experiencing a device- and/or procedure-related AEs [Time frame: 6 months]
- Primary Effectiveness Endpoint-Percentage of all implanted subjects who experience an improvement in UUI episodes. [Time frame: 1, 3 and 6 months post implant]
Eligibility criteria
Inclusion criteria
- Is male or female 22 years of age or older.
- Has a diagnosis of UUI for greater than or equal to 6 months prior to the screening baseline visit date.
- Has failed, could not tolerate (stopped taking medication due to lack of efficacy or intolerable side effects), or not a good candidate for (as determined by treating physician) at least one (1) antimuscarinic or β3 adrenoceptor agonist medication.
- Is willing and able to washout (at least five half-lives) from OAB medications for a period determined appropriate based on type of OAB medication prior to the baseline bladder diary and remain off OAB medications through the study duration OR must be willing to maintain medication through the study duration.
- Has a diagnosis of UUI with at least 4 UUI episodes on a 72-hour diary.
- Has a positive stimulation trial with a 50% reduction in UUI episodes.
Exclusion criteria
- Has a contraindication for the Neuspera SNM System per the device labeling.
- Has a hemoglobin A1c of >8%.
- Has glucosuria.
- Has diabetic neuropathy.
- Has interstitial cystitis or bladder pain syndrome as defined by either American Urological Association (AUA) or European Association of Urology (EAU) guidelines, chronic pelvic pain, or recurrent symptomatic urinary tract infections.
- Has skin, orthopedic, neurological, or hematological (bleeding disorder) or anatomical limitations that could prevent successful placement of the neurostimulator.
- Has broken, blistered skin or compromised circulation in the area of the neurostimulator implant.
- Has neurogenic bladder dysfunction such as traumatic or atraumatic myelopathy, multiple sclerosis, Parkinsonism, or history of cerebrovascular accident.
- Has documented urinary retention within 6 months prior to the screening baseline visit date.
- Has clinically significant bladder outlet obstruction.
- Is currently undergoing or has previously undergone pelvic irradiation.
- Is a subject with a mechanical obstruction such as benign prostatic hypertrophy, urethral stricture, or cancer.
- Has current grade 3 or 4 pelvic organ prolapse including cystocele, rectocele, enterocele, procidentia or vaginal vault prolapse.
- Has received tibial nerve stimulation (TNS) in the past 3 months for the treatment of overactive bladder or unwilling to stay off TNS therapy for the study duration.
- Has received treatment of urinary symptoms with any botulinum neurotoxin type-A (BoNT-A) agent in the past 6 months; (e.g. obotulinumtoxinA, Botox,® abobotulinumtoxinA, Dysport® IncobotulinumtoxinA, Xeomin®).
- Is a woman who is pregnant or planning to become pregnant during this clinical study or is a woman of child-bearing potential who is not using a medically acceptable method of birth control. Women of child-bearing potential must undergo a pregnancy test, with clear negative result.
- Has previously had SNM therapy.
- Has active implantable medical devices such as neurostimulators, drug pumps, pacemakers, or internal defibrillators since compatibility has not been assessed.
Criteria are shown verbatim from the registry (in English). Final eligibility is always assessed by the study center.
Healthy volunteers: No
Study design
- Allocation
- N/A
- Model
- Single group
- Masking
- Open label
- Primary purpose
- Treatment
Study locations
United States · 1 center
- Southern Urogynecology, LLC — West Columbia
Identifiers
NCT: NCT07247136 · Neuspera Medical (NSM-006)