Urinary Incontinence Clinical Trial
Official title:
Double-blind, Randomized, Shame-controlled Multicenter Clinical Study to Evaluate Efficacy and Safety of Low-level Light Therapy Device(Color DNA-WSF) for the Treatment of Overactive Bladder and Urinary Incontinence in Women
This study aims to evaluate the effectiveness of a self-therapeutic approach of skin adhesive low-level light therapy (LLLT) in females with Overactive Bladder (OAB) and Urinary Incontinence (UI)
Study design: This was a prospective, randomized, double-blind, placebo-controlled,
multi-centered trial carried out at two university hospitals. This clinical trial was
approved by the Korea Food and Drug Administration and the Institutional Review Boards of
the two hospitals.
Study process:
All patients gave informed written consent after being informed of the details of the study.
Participants were randomized into either the LLLT or placebo control groups at the third
visit. All participants underwent demographic and history taking, a physical examination,
bladder examination and laboratory tests. All participants were educated on how to use the
device by demonstration and a picture-guided user manual.
During the second visit, the participants conducted a self-evaluation of frequency of
urgency urinary incontinence episode using the OABSS scale and underwent urine examination
(pre-treatment measurement). The third visit occurred 7 days from the date of the second
visit, and a clinical primary nurse described how to use the medical equipment and devices
when they were at home. All subjects filled out self-reported diary and filled out UDI-6 and
IIQ-7 questionnaires in each visit. Subjects carried out the self-treatment in the same way
at home 3 times a day for 12 weeks and then visited the hospital at week 4 and 12 to undergo
examination and filled out OABSS, UDI-6 and IIQ-7 questionnaires (post-treatment
measurement).
Statistical analysis:
All data are summarized as means ± standard deviation or as numbers with proportions. A p <
0.05 was considered to indicate significance. The investigator decided that the therapeutic
effect would be a > 20% reduction in the frequency of urgency urinary incontinence episodes
after treatment. The statistical analysis was conducted using the self-reported micturition
diary after the 12 week visit as the primary endpoint. The investigator used an independent
t-test or Wilcoxon rank sum test depending on the normality of the data to evaluate
differences in each group between frequency of urgency urinary incontinence episodes
measured after the 12 week visit and baseline values. To test for normality, the
investigator performed Shapiro-Wilk's test. The examination of the ratio difference in
nominal variable was carried out using chi-square test or Fisher's exact test. A
per-protocol (PP) and intent to treat (ITT) analyses were used in our clinical trial to
assess efficacy and safety. A Last observation carried forward (LOCF) method was used for
ITT analysis missing data.
;
Allocation: Randomized, Endpoint Classification: Safety/Efficacy Study, Intervention Model: Parallel Assignment, Masking: Double Blind (Subject, Investigator), Primary Purpose: Treatment
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