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Trial details imported from ClinicalTrials.gov
For full trial details, please see the original record at
https://clinicaltrials.gov/study/NCT01784588
Registration number
NCT01784588
Ethics application status
Date submitted
4/02/2013
Date registered
6/02/2013
Date last updated
10/02/2021
Titles & IDs
Public title
Post Market Study Of Single Incision Sling Versus Transobturator Sling for Stress Urinary Incontinence
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Scientific title
A Prospective, Non-Randomized, Parallel Cohort, Multi-center Study of the Solyx™ Single Incision Sling System vs. the Obtryx™ II Sling System for the Treatment of Women With Stress Urinary Incontinence
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Secondary ID [1]
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U9915-Solyx
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Universal Trial Number (UTN)
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Trial acronym
Solyx
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Stress Urinary Incontinence
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Condition category
Condition code
Renal and Urogenital
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Other renal and urogenital disorders
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Treatment: Devices - Solyx Single Incision Sling System
Treatment: Devices - Obtryx II Sling System
Active comparator: Solyx Single Incision Sling System - Solyx Single Incision Sling System
Active comparator: Obtryx II Sling System - Obtryx II Sling System
Treatment: Devices: Solyx Single Incision Sling System
Solyx Single Incision Sling System
Treatment: Devices: Obtryx II Sling System
Standard outside-in transobturator sling
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Intervention code [1]
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Treatment: Devices
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Comparator / control treatment
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Control group
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Outcomes
Primary outcome [1]
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Number of Subjects Meeting Definition of Treatment Success at 36 Months, by a Composite of Objective and Subjective Measures
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Assessment method [1]
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An assessment of improvement in stress urinary incontinence at 36 months, by a composite of objective (negative cough stress test with protocol required bladder fill procedure) and subjective measures (subject self reported improvement in their condition, through the Patient Global Impression of Improvement (PGI-I)). The PGI-I scale rates the patient's improvement or worsening of SUI symptoms relative to baseline. The scale is as follows: 1 - Very much better; 2 - Much better; 3 - A little better; 4 - No change' 5 - A little worse; 6 - Much worse; 7 - Very much worse, with the unit of measure being scores on a scale (lower scores indicate a more positive impression of change). Subjects met the definition of treatment success at 36 months if they had an answer of "No" to the item "Direct observation of urine loss with cough provocation" and an Improvement per the PGI-I (a response of "A little better", "Much better", or "Very much better").
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Timepoint [1]
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Data presented is for 36 months
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Eligibility
Key inclusion criteria
1. Female = 18 years of age
2. Willing and able to comply with the study procedures and provide written informed consent to participate in the study (subject or legal representative)
3. Diagnosed with predominant SUI confirmed by positive cough stress test during the protocol required bladder fill procedure (see manual of operations)
4. Confirmed SUI is greater than urge incontinence with the Medical Epidemiologic Social Aspect (MESA) questionnaire
5. Cystometric capacity = 300 cc
6. Post-void residual (PVR) of = 150 cc
7. Medically approved for general, regional or monitored anesthesia
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Minimum age
18
Years
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Maximum age
No limit
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Sex
Females
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Can healthy volunteers participate?
No
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Key exclusion criteria
1. Subjects who are pregnant, lactating, or planning future pregnancies
2. Subjects with a chief complaint of overactive bladder
3. Subjects with a pattern of recurrent urinary tract infections, defined as = 2 culture-proven urinary tract infections during a 6-month period prior to surgery or = 3 in a 12-month period
4. Subjects with previous surgical procedures for SUI including bulking, urethral sling, bone anchor, Burch procedure, pubo-vaginal sling, and Marshall-Marchetti-Krantz (MMK) procedure. Excluding Kelly plication, Botox, anterior repair, or Inter-Stim
5. Subjects with prior pelvic organ prolapse surgery who experienced mesh complications
6. Subjects with previous radiation therapy to the pelvis
7. Subjects with known or suspected hypersensitivity to polypropylene mesh
8. Subjects with any of the following confounding conditions:
1. Neurogenic bladder
2. Urethral stricture and bladder neck contracture
3. Bladder stones or tumors
4. Urinary tract fistula or diverticula
5. Pathology which would compromise implant placement including subjects currently taking anticoagulation therapy
6. Pathology that would limit blood supply or infections that would compromise healing including chemotherapy, systemic steroids and systemic immunosuppressants
9. Subjects with diabetes and an A1c = 7%
10. Non-English speaking subjects
11. Subjects who have participated in an investigational study (medical device or drug) within 30 days of study entry that may impact analysis of this device or have previously participated in the current study
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Study design
Purpose of the study
Treatment
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Allocation to intervention
Non-randomised trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
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Masking / blinding
Open (masking not used)
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Who is / are masked / blinded?
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Intervention assignment
Parallel
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Other design features
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Phase
NA
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Type of endpoint/s
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Statistical methods / analysis
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Recruitment
Recruitment status
Completed
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Data analysis
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Reason for early stopping/withdrawal
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Other reasons
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Date of first participant enrolment
Anticipated
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Actual
1/06/2013
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Date of last participant enrolment
Anticipated
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Actual
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Date of last data collection
Anticipated
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Actual
17/01/2018
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Sample size
Target
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Accrual to date
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Final
281
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Recruitment in Australia
Recruitment state(s)
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Recruitment hospital [1]
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Cabrini Medical Centre - Malvern
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Recruitment postcode(s) [1]
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- Malvern
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Recruitment outside Australia
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United States of America
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State/province [1]
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California
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United States of America
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Connecticut
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United States of America
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Delaware
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United States of America
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Florida
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Country [5]
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United States of America
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Georgia
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United States of America
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Maryland
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United States of America
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North Carolina
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North Dakota
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United States of America
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Ohio
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United States of America
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Tennessee
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United States of America
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Texas
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Country [12]
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United States of America
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Washington
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Funding & Sponsors
Primary sponsor type
Commercial sector/industry
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Name
Boston Scientific Corporation
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Address
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Ethics approval
Ethics application status
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Summary
Brief summary
The purpose of this research study is to compare the treatment device (Solyx) to a different mesh sling or control device (Obtryx II) for the treatment of symptoms for Stress Urinary Incontinence (SUI). Safety information and patient outcomes will be collected for three (3) years and evaluated.
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Trial website
https://clinicaltrials.gov/study/NCT01784588
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Trial related presentations / publications
White AB, Anger JT, Eilber K, Kahn BS, Gonzalez RR, Rosamilia A. Female Sexual Function following Sling Surgery: A Prospective Parallel Cohort, Multi-Center Study of the Solyx Single Incision Sling System versus the Obtryx II Sling System. J Urol. 2021 Sep;206(3):696-705. doi: 10.1097/JU.0000000000001830. Epub 2021 May 6.
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Public notes
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Contacts
Principal investigator
Name
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Amanda White, MD
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Address
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University of Texas
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Country
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Phone
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Fax
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Email
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Contact person for public queries
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Address
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Contact person for scientific queries
No information has been provided regarding IPD availability
What supporting documents are/will be available?
No Supporting Document Provided
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Other Details
Attachment
Study protocol
https://cdn.clinicaltrials.gov/large-docs/88/NCT01784588/Prot_000.pdf
Statistical analysis plan
https://cdn.clinicaltrials.gov/large-docs/88/NCT01784588/SAP_001.pdf
Results publications and other study-related documents
No documents have been uploaded by study researchers.
Results are available at
https://clinicaltrials.gov/study/NCT01784588
Download to PDF