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Clinical Trial Details — Status: Active, not recruiting

Administrative data

NCT number NCT04115605
Other study ID # SU017
Secondary ID
Status Active, not recruiting
Phase
First received
Last updated
Start date April 27, 2015
Est. completion date September 22, 2023

Study information

Verified date March 2022
Source Coloplast A/S
Contact n/a
Is FDA regulated No
Health authority
Study type Observational [Patient Registry]

Clinical Trial Summary

The purpose of this study is to monitor the use of Altis Single Incision Sling (SIS) in a real world population and collect medical data on effectiveness and to monitor safety of Altis SIS at 12 and 36 months post device implantation in women with stress urinary incontinence.


Description:

This project has been launched after the introduction of Altis in Europe. This study is a multicenter prospective, observational (i.e. naturalistic) post-marketing clinical follow-up of women for who stress urinary incontinence was diagnosed and will be treated with Altis Single Incision Sling System. Therefore these patients will be asked to allow to use their clinical data and answer some questionnaires. The patients'data will be collected in routine clinical practice before, during and after surgery until 12 months. Then, questionnaires will be mailed to the participants annually during 2 additional years.


Recruitment information / eligibility

Status Active, not recruiting
Enrollment 599
Est. completion date September 22, 2023
Est. primary completion date September 22, 2021
Accepts healthy volunteers No
Gender Female
Age group 18 Years and older
Eligibility Inclusion Criteria: - Implanted with Altis Single Incision Sling System Exclusion Criteria: - Refuses to be included in the survey or that their medical data will be used for research purposes - Indication for Altis Single Incision Sling System implantation is not for the treatment of female urinary incontinence.

Study Design


Intervention

Device:
Altis Single Incision Sling
Minimally invasive system including permanently implantable synthetic suburethral sling for the surgical treatment of female Stress Urinary Incontinence

Locations

Country Name City State
Belgium UZ Leuven Leuven
France CHRU Hotel Dieu Angers
France Clinique Rhône Durance Avignon
France Clinique Champeau Mediterranée Béziers
France CHU Pellegrin-Urology Departement Bordeaux
France CHU Pellegrin_Gyneacology Departement Bordeaux
France Polyclinique Jean Villars Bruges
France Hôpital du Pays d'Autan Castres
France Pôle Santé Léonard de Vinci Chambray-lès-Tours
France CHU Clermont Ferrand Clermont-Ferrand
France Hôpital Victor Jousselin Dreux
France CH Paul Ardier Issoire
France Clinique Saint-Charles La Roche sur Yon
France Centre Hospitalier Saint Louis La Rochelle
France Clinique du Mail La Rochelle La Rochelle
France Clinique Saint-Amé Lambres lez douai
France CH Libourne Libourne
France Clinique Mutualiste de la Porte de l'Orient Lorient
France Hôpital privé Jacques Cartier Massy
France Armand Brillart Hospital Nogent-sur-Marne
France CHI Poissy Saint Germain en Laye Poissy
France Clinique St Hilaire Rouen
France Centre Clinical Soyaux
France Clinique Ambroise Paré Toulouse
France Clinique Saint Jean Languedoc Toulouse
Germany Frauenärzte im Seenland Gunzenhausen
Germany Klinikum Memmingen Memmingen
Germany Klinikum Worms gGmbH Worms
Italy Azienda USL Valle d'Aosta Aosta
Spain Hospital Vall d'Hebron Barcelona
Spain Hospital Univeritario Joan XXIII Tarragona
Spain Hospital la Fé Valencia
Spain Hosital Clinico de Valladolid Valladolid

Sponsors (1)

Lead Sponsor Collaborator
Coloplast A/S

Countries where clinical trial is conducted

Belgium,  France,  Germany,  Italy,  Spain, 

Outcome

Type Measure Description Time frame Safety issue
Primary Patient Global Impression of Improvement (PGI-I) PGI-I is a validated question that collects the patient's impression of improvement after the surgery. Among this 7 point-scale (very much better, much better, a little better, no change, a little worse, much worse and very much worse), the patients are asked to check the one number that describes how their urinay tract condition is now, compared with how it's was before the surgery. Patients who score little or much or very much better without serious or severe related adverse events will be considered a treatment success. The percentage of patients who describe the treatment success is measured 12 months
Primary Adverse events Adverse events are any toward medical occurrence, unintended disease or injury or any untoward clinical signs in subjects. Adverse events will be categorized according to relatedness to device or procedure, severity and frequency. At 12-months, The percentage of patients without any device related severe or serious adverse events is measured. 12 months
Secondary Cough stress test (CST) CST provides the means for documenting stress urinary incontinence. CST is considered "positive" if any leakage is noted with cough or valsava. The percentage of patients with positive and negative test will be calculated at baseline, at the post-operative visit and at one year Baseline, 8 weeks and 12 months
Secondary Post-void residual (PVR) volume PVR volume will be collected pre- and post implant procedure up to 12 months. If the PVR volume is considered normal by the physician after the procedure it is not necessary to collect these data at the subsequent follow-up visits. Baseline, 8 weeks and 12 months
Secondary Pad Use The number of pads used will be collected. Patients will be considered to be pad free if they report never wearing pads or wear pads just for a sense of security. Baseline, 8 weeks, 12, 24 and 36 months
Secondary International Consultation on Incontinence Questionnaire (ICIQ-UI) The ICIQ-UI Short Form is a seft-administred questionnaire to evaluate the frequency, severity and impact on quality of life of urinary incontinence. Question 1 asked, "How often do you leak urine?" Subjects were instructed to select among "none" (0), "about once a week or less often" (1), "2 or 3 times a week" (2), "about once a day" (3), "several times a day" (4), and "all the time" (5). Question 2 asked, "How much urine do you usually leak (whether you wear protection or not)?" Patients responded with "none" (0), "a small amount" (2), "a moderate amount" (4) or "a large amount (6). Question 3 asked, "Overall, how much does leaking urine interfere with your everyday life?" Participants chose a number from 0 (not at all) to 10 (a great deal). Question 1, 2 and 3 are summed to compute the total ICIQ score.The total score range is then a minimum of 0 to a maximum of 21. The mean score, aboslute and relative change compared to baseline will be measure Baseline, 8 weeks, 12, 24 and 36 months
Secondary Subject global satisfaction questionnaire This non-validated questionnaire provides additional information concerning patient satisfaction. This survey consists of two questions: Question 1 "how satisfied are you with your surgery?". Among 5 point-scale (very satisfied, satisfied, not satisfied-not dissatisfied, dissatisfied and very dissatified), patient check the one items that best describes the subject satisfaction. We measure the percentage the patients who very satisfied and satisfied. The patients answer the question "Do you recommend this operation to a friend?" by "yes" or "no". We measure the percentage of patients who answer "yes". 8 weeks, 12, 24, 36 months
Secondary Incontinence quality of life questionnaire (I-QoL) The Incontinence quality of life questionnaire (I-QoL) is a validated survey questionnaire with 22 items that are scored on a 5-point Likert scale. The I-QOL ans its subcale scores are computed by adding each item's reponse, subtracting the lowest possible score and diving that sum by the possible raw score range. The scores are then transformed to have a range from 0 (maximum problem) to 100 (no problem at all). The mean score, absolute and relative change compared to baseline Baseline, 8 weeks, 12, 24, 36 months
Secondary Impact on sexual function assessed by the Pelvic organ/urinary incontinence sexual questionnaire (PISQ 12) The Pelvic organ/urinary incontinence sexual questionnaire (PISQ-12) is a validated and reliable short form questionnaire including 12 questions that evaluates sexual function in heterosexual women with urinary incontinence and/or pelvic oragn prolapse. Reponses are graded on a 5-point Likert scale from "never" to "always". The scores will be calculated at each assessment visit. The mean score, absolute and relative change compared to baseline Baseline, 8 weeks, 12, 24, 36 months
Secondary Patient Global Impression of Improvement (PGI-I) PGI-I is a validated question that collects the patient's impression of improvement after the surgery. Among this 7 point-scale (very much better, much better, a little better, no change, a little worse, much worse and very much worse), the patients are asked to check the one number that describes how their urinay tract condition is now, compared with how it's was before the surgery. The percentage of patients who describe very much better or much better or little better is measured 8 weeks, 24, 36 months
Secondary Adverse events Adverse events are any toward medical occurrence, unintended disease or injury or any untoward clinical signs in subjects. Adverse events will be categorized according to relatedness to device or procedure, severity and frequency. The percentage of patients without any device related severe or serious adverse events is measured. 8 weeks, 24, 36 months
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