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出境医 / 临床实验 / Study Evaluating the Efficacy and Safety of Yoni.Fit in Women With Stress Urinary Incontinence

Study Evaluating the Efficacy and Safety of Yoni.Fit in Women With Stress Urinary Incontinence

Study Description
Brief Summary:
Study to evaluate the safety and effectiveness of Yoni.Fit for the temporary management of stress urinary incontinence (SUI) in women.

Condition or disease Intervention/treatment Phase
Urinary Incontinence Device: Yōni.Fit Test Device Device: Yōni.Fit Comparator Device Not Applicable

Detailed Description:
Randomized, comparator-controlled, single blinded, multicenter study to demonstrate the effectiveness, user acceptance, safety and tolerability of Yoni.Fit in the temporary management of stress urinary incontinence (SUI) in women.
Study Design
Layout table for study information
Study Type : Interventional  (Clinical Trial)
Estimated Enrollment : 48 participants
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Single (Participant)
Primary Purpose: Treatment
Official Title: Randomized, Comparator-controlled, Single Blinded, Multi-center Study Evaluating the Efficacy and Safety of Yoni.Fit in Women With Stress Urinary Incontinence
Actual Study Start Date : January 3, 2020
Estimated Primary Completion Date : June 2021
Estimated Study Completion Date : June 2021
Arms and Interventions
Arm Intervention/treatment
Experimental: Test Device
Yōni.Fit Test Device
Device: Yōni.Fit Test Device
The Yōni.Fit Test Device is a silicone pressary.

Active Comparator: Comparator Device
Yōni.Fit Comparator Device
Device: Yōni.Fit Comparator Device
The Yōni.Fit Comparator Device is a silicone pressary.

Outcome Measures
Primary Outcome Measures :
  1. Responder rate at Day 21 [ Time Frame: 21 Days ]
    Responder rate at Day 21, where responder is defined as a subject who has at least 50% reduction in mean 12-hour pad weight test through assessment period of treatment phase (the last 7 days of 14-day device usage period), when compared to the mean pad weight test during the 7-day baseline phase


Secondary Outcome Measures :
  1. Percent Change in mean pad weight [ Time Frame: 7 Days, 14 Days ]
    Percent change in mean pad weight during assessment period of treatment phase (the last 7 days of 14-day device usage period), from the mean pad weight during the 7-day baseline phase

  2. Percent change in the frequency of SUI events per the patient diary [ Time Frame: 7 Days, 14 Days ]
    Percent change in the frequency of SUI events per the patient diary, defined as average number of incontinence episodes per 12 hours during assessment period of treatment phase (the last 7 days of 14-day device usage period), from the average of baseline phase

  3. Responder rate for frequency of SUI events per the patient diary at Day 21, [ Time Frame: 21 Days ]
    Where responder is defined as a subject who has at least 50% reduction in the number of incontinence episodes per day during the last 7 days of

  4. Percent change in Incontinence Impact Questionnaire (IIQ-7) score [ Time Frame: 21 Days ]
    7 questions about how urinary incontinence has affected a subjects life. Questions cover physical activity, travel, social relationships and emotional health. The questionnaire asks whether the subjects life has been greatly affected, moderately, slightly or not affected at all.

  5. Percent change in Patient Global Impression of Change (PGIC) score [ Time Frame: 21 Days ]
    It gives a patient reported assessment of change after intervention. The higher the score, the greater the severity (1 being "very much improved"; 7 "very much worse").

  6. Percent change in Incontinence-Quality of Life (I-QOL) Assessment Questionnaire [ Time Frame: 21 Days ]
    The I -QOL consists of 22 items, all of which use a five - point ordinal response scale in which 1 = extremely, 2 = quite a bit, 3 = moderately, 4 = a little, and 5 = not at all. The 22 items can be further grouped into 3 sub-scales: Avoidance and Limiting Behaviour (8 ite ms), Psychosocial Impacts (9 items), and Social Embarrassment (5 items). The total I -QOL and 3 sub scale scores are calculated by summing the unweighted item score and transforming them to a 100 point scale where 0 = mo st severe, and 100 = no problem .

  7. Ease of use per the USE Questionnaire: Usefulness, Satisfaction, and Ease of Use [ Time Frame: 21 Days ]
    The USE questionnaire is meant to be used to assess the Subjective reactions to the usability of the Yōni.Fit ® device. The "Usefulness" section of the questionnaire consists of 19 questions regarding usability of the device scaled from 1- "strongly disagree" to 7- "strongly agree."

  8. Ease of use per the USE Questionnaire: Satisfaction [ Time Frame: 21 Days ]
    The USE questionnaire is meant to be used to assess the Subjective reactions to the usability of the Yōni.Fit ® device. The "Usefulness" section of the questionnaire consists of 7 questions regarding Satisfaction with the device scaled from 1-"strongly disagree" to 7-"Strongly Agree."

  9. Ease of use per the USE Questionnaire:Ease of Use [ Time Frame: 21 Days ]
    The USE questionnaire is meant to be used to assess the Subjective reactions to the usability of the Yōni.Fit ® device. The "Usefulness" section of the questionnaire consists of 11 questions regarding Ease of Use with the device scaled from 1-"strongly disagree" to 7-"Strongly Agree."


Eligibility Criteria
Layout table for eligibility information
Ages Eligible for Study:   18 Years to 100 Years   (Adult, Older Adult)
Sexes Eligible for Study:   Female
Accepts Healthy Volunteers:   No
Criteria

Inclusion Criteria:

  1. Participants must be female,
  2. Must be 18 years of age or older at the time of signing the informed consent
  3. With BMI < 35
  4. Must meet the following 2 criteria for diagnosis of stress urinary incontinence (SUI) :

    1. SUI clinical diagnosis via the cough supine test, AND
    2. ≥ 3 month history of experiencing Stress Urinary Incontinence (SUI) symptoms per the patient
  5. Women of childbearing potential not intending to become pregnant for the duration of study participation. Subject must agree for the duration of the study to use one of the following forms of contraception

    1. Systemic hormonal treatment including oral pills, patches and injections OR
    2. "Single-barrier" contraception (condom, diaphragm and spermicide are each considered a barrier) OR
    3. Essure® procedure done at least three month prior to screening
  6. Willing to comply with study requirements, including capable of performing the activities required for the pad weight test and return for follow-up visits.
  7. Must be able to speak, understand and read English and sign study specific Informed Consent Form

Exclusion Criteria:

  1. Women having predominantly urge or mixed incontinence as defined by:

    1. QUID Urge score >6, OR
    2. MESA percentage Urge Score > MESA percentage Stress Score Note: the questionnaires above will be self-administered and results interpreted by the subjects as per instructions in the questionnaires.
  2. Current pregnancy, lactation or planning for pregnancy in the next 6 months
  3. Women at postpartum for 3 months or less prior to screening
  4. Women currently have an intrauterine device (IUD) as a contraception method placement less than 6 months or have an IUD over 6 month but may replace it next 14 weeks
  5. Women currently use, have used an intra-vaginal device as contraception method for the past 6 months
  6. Women currently using a pessary or treated previously with any device for UI
  7. Women who have been treated with pharmacologic medications for UI within the past 4 months prior to screening, including any antidiuretic or diuretic medications (both over the counter and prescription medications)
  8. Women who have been previously treated with any surgical or electrical interventions for UI
  9. Women who have been previously treated with pelvic floor muscle training (PFMT) for UI within the past 4 months prior to screening
  10. Women who have difficulty inserting or wearing an intra-vaginal device, including a tampon
  11. Women who participated in a clinical trial within the 12 months prior to screening
  12. Any of the following known conditions deemed prohibitory:

    1. Abnormal kidney function, including kidney stone
    2. Abnormal post void residual (e.g. greater than 150cc) or self-reported difficulty emptying bladder
    3. Allergy to silicon products and materials
    4. Acute febrile illness of any cause in the 14 days prior to screening
    5. Bladder stones or Bladder tumors
    6. Chronic pelvic pain within the past 4 months prior to screening
    7. Coagulation abnormalities
    8. Experience pain or burning sensation during sexual intercourse or urination
    9. Infections of the vagina, bladder and/or urethra within previous 3 months such as urinary tract infection (UTI)
    10. Interstitial cystitis
    11. Neurological disorders such as multiple sclerosis, spina bifida, Parkinson's disease which may interfere with nerve function of the bladder.
    12. Toxic shock syndrome (TSS) history or symptoms consistent with TSS
    13. Uncontrolled diabetes
    14. Undiagnosed vaginal bleeding or hematuria
    15. Vaginal discharge with a strong odor and irritation within previous 3 months
    16. Vaginal soreness or pain or fibromyalgia or paravaginal defect
  13. Any other medical reason that the Investigator determines that the subject should not participate in the study
  14. Known history of previous pelvic organ prolapse greater than the POP-Q Stage 2 as defined by the international continence society (ICS).
Contacts and Locations

Contacts
Layout table for location contacts
Contact: Allison Wakins-Conti (405) 330-3550 allison@watkinscontiproducts.com

Locations
Layout table for location information
United States, New York
NYU Langone Health Recruiting
New York, New York, United States, 10016
Contact: Nirit Rosenblum, MD    646-825-6311    Nirit.Rosenblum@nyulangone.org   
Contact: Christine Escobar, MD    (212) 263-5506    Christina.Escobar@nyulangone.org   
Principal Investigator: Nirit Rosenblum, MD         
Sub-Investigator: Christine Escobar, MD         
United States, Pennsylvania
Thomas Jefferson University Hospital Recruiting
Philadelphia, Pennsylvania, United States, 19107
Contact: Brandy Firman, RN    215-955-8401    Brandy.Firman@jefferson.edu   
Contact: Reneita Ross, MD    (855) 544-7997    Reneita.Ross@jefferson.edu   
Principal Investigator: Karolynn Echols, MD         
Sub-Investigator: Reneita Ross, MD         
Sponsors and Collaborators
Watkins Conti Products. Inc.
Investigators
Layout table for investigator information
Study Director: Allsion Watkins-Conti Watkins Conti Products. Inc.
Tracking Information
First Submitted Date  ICMJE May 8, 2019
First Posted Date  ICMJE June 7, 2019
Last Update Posted Date March 2, 2021
Actual Study Start Date  ICMJE January 3, 2020
Estimated Primary Completion Date June 2021   (Final data collection date for primary outcome measure)
Current Primary Outcome Measures  ICMJE
 (submitted: June 5, 2019)
Responder rate at Day 21 [ Time Frame: 21 Days ]
Responder rate at Day 21, where responder is defined as a subject who has at least 50% reduction in mean 12-hour pad weight test through assessment period of treatment phase (the last 7 days of 14-day device usage period), when compared to the mean pad weight test during the 7-day baseline phase
Original Primary Outcome Measures  ICMJE Same as current
Change History
Current Secondary Outcome Measures  ICMJE
 (submitted: June 5, 2019)
  • Percent Change in mean pad weight [ Time Frame: 7 Days, 14 Days ]
    Percent change in mean pad weight during assessment period of treatment phase (the last 7 days of 14-day device usage period), from the mean pad weight during the 7-day baseline phase
  • Percent change in the frequency of SUI events per the patient diary [ Time Frame: 7 Days, 14 Days ]
    Percent change in the frequency of SUI events per the patient diary, defined as average number of incontinence episodes per 12 hours during assessment period of treatment phase (the last 7 days of 14-day device usage period), from the average of baseline phase
  • Responder rate for frequency of SUI events per the patient diary at Day 21, [ Time Frame: 21 Days ]
    Where responder is defined as a subject who has at least 50% reduction in the number of incontinence episodes per day during the last 7 days of
  • Percent change in Incontinence Impact Questionnaire (IIQ-7) score [ Time Frame: 21 Days ]
    7 questions about how urinary incontinence has affected a subjects life. Questions cover physical activity, travel, social relationships and emotional health. The questionnaire asks whether the subjects life has been greatly affected, moderately, slightly or not affected at all.
  • Percent change in Patient Global Impression of Change (PGIC) score [ Time Frame: 21 Days ]
    It gives a patient reported assessment of change after intervention. The higher the score, the greater the severity (1 being "very much improved"; 7 "very much worse").
  • Percent change in Incontinence-Quality of Life (I-QOL) Assessment Questionnaire [ Time Frame: 21 Days ]
    The I -QOL consists of 22 items, all of which use a five - point ordinal response scale in which 1 = extremely, 2 = quite a bit, 3 = moderately, 4 = a little, and 5 = not at all. The 22 items can be further grouped into 3 sub-scales: Avoidance and Limiting Behaviour (8 ite ms), Psychosocial Impacts (9 items), and Social Embarrassment (5 items). The total I -QOL and 3 sub scale scores are calculated by summing the unweighted item score and transforming them to a 100 point scale where 0 = mo st severe, and 100 = no problem .
  • Ease of use per the USE Questionnaire: Usefulness, Satisfaction, and Ease of Use [ Time Frame: 21 Days ]
    The USE questionnaire is meant to be used to assess the Subjective reactions to the usability of the Yōni.Fit ® device. The "Usefulness" section of the questionnaire consists of 19 questions regarding usability of the device scaled from 1- "strongly disagree" to 7- "strongly agree."
  • Ease of use per the USE Questionnaire: Satisfaction [ Time Frame: 21 Days ]
    The USE questionnaire is meant to be used to assess the Subjective reactions to the usability of the Yōni.Fit ® device. The "Usefulness" section of the questionnaire consists of 7 questions regarding Satisfaction with the device scaled from 1-"strongly disagree" to 7-"Strongly Agree."
  • Ease of use per the USE Questionnaire:Ease of Use [ Time Frame: 21 Days ]
    The USE questionnaire is meant to be used to assess the Subjective reactions to the usability of the Yōni.Fit ® device. The "Usefulness" section of the questionnaire consists of 11 questions regarding Ease of Use with the device scaled from 1-"strongly disagree" to 7-"Strongly Agree."
Original Secondary Outcome Measures  ICMJE Same as current
Current Other Pre-specified Outcome Measures Not Provided
Original Other Pre-specified Outcome Measures Not Provided
 
Descriptive Information
Brief Title  ICMJE Study Evaluating the Efficacy and Safety of Yoni.Fit in Women With Stress Urinary Incontinence
Official Title  ICMJE Randomized, Comparator-controlled, Single Blinded, Multi-center Study Evaluating the Efficacy and Safety of Yoni.Fit in Women With Stress Urinary Incontinence
Brief Summary Study to evaluate the safety and effectiveness of Yoni.Fit for the temporary management of stress urinary incontinence (SUI) in women.
Detailed Description Randomized, comparator-controlled, single blinded, multicenter study to demonstrate the effectiveness, user acceptance, safety and tolerability of Yoni.Fit in the temporary management of stress urinary incontinence (SUI) in women.
Study Type  ICMJE Interventional
Study Phase  ICMJE Not Applicable
Study Design  ICMJE Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Single (Participant)
Primary Purpose: Treatment
Condition  ICMJE Urinary Incontinence
Intervention  ICMJE
  • Device: Yōni.Fit Test Device
    The Yōni.Fit Test Device is a silicone pressary.
  • Device: Yōni.Fit Comparator Device
    The Yōni.Fit Comparator Device is a silicone pressary.
Study Arms  ICMJE
  • Experimental: Test Device
    Yōni.Fit Test Device
    Intervention: Device: Yōni.Fit Test Device
  • Active Comparator: Comparator Device
    Yōni.Fit Comparator Device
    Intervention: Device: Yōni.Fit Comparator Device
Publications * Not Provided

*   Includes publications given by the data provider as well as publications identified by ClinicalTrials.gov Identifier (NCT Number) in Medline.
 
Recruitment Information
Recruitment Status  ICMJE Recruiting
Estimated Enrollment  ICMJE
 (submitted: June 5, 2019)
48
Original Estimated Enrollment  ICMJE Same as current
Estimated Study Completion Date  ICMJE June 2021
Estimated Primary Completion Date June 2021   (Final data collection date for primary outcome measure)
Eligibility Criteria  ICMJE

Inclusion Criteria:

  1. Participants must be female,
  2. Must be 18 years of age or older at the time of signing the informed consent
  3. With BMI < 35
  4. Must meet the following 2 criteria for diagnosis of stress urinary incontinence (SUI) :

    1. SUI clinical diagnosis via the cough supine test, AND
    2. ≥ 3 month history of experiencing Stress Urinary Incontinence (SUI) symptoms per the patient
  5. Women of childbearing potential not intending to become pregnant for the duration of study participation. Subject must agree for the duration of the study to use one of the following forms of contraception

    1. Systemic hormonal treatment including oral pills, patches and injections OR
    2. "Single-barrier" contraception (condom, diaphragm and spermicide are each considered a barrier) OR
    3. Essure® procedure done at least three month prior to screening
  6. Willing to comply with study requirements, including capable of performing the activities required for the pad weight test and return for follow-up visits.
  7. Must be able to speak, understand and read English and sign study specific Informed Consent Form

Exclusion Criteria:

  1. Women having predominantly urge or mixed incontinence as defined by:

    1. QUID Urge score >6, OR
    2. MESA percentage Urge Score > MESA percentage Stress Score Note: the questionnaires above will be self-administered and results interpreted by the subjects as per instructions in the questionnaires.
  2. Current pregnancy, lactation or planning for pregnancy in the next 6 months
  3. Women at postpartum for 3 months or less prior to screening
  4. Women currently have an intrauterine device (IUD) as a contraception method placement less than 6 months or have an IUD over 6 month but may replace it next 14 weeks
  5. Women currently use, have used an intra-vaginal device as contraception method for the past 6 months
  6. Women currently using a pessary or treated previously with any device for UI
  7. Women who have been treated with pharmacologic medications for UI within the past 4 months prior to screening, including any antidiuretic or diuretic medications (both over the counter and prescription medications)
  8. Women who have been previously treated with any surgical or electrical interventions for UI
  9. Women who have been previously treated with pelvic floor muscle training (PFMT) for UI within the past 4 months prior to screening
  10. Women who have difficulty inserting or wearing an intra-vaginal device, including a tampon
  11. Women who participated in a clinical trial within the 12 months prior to screening
  12. Any of the following known conditions deemed prohibitory:

    1. Abnormal kidney function, including kidney stone
    2. Abnormal post void residual (e.g. greater than 150cc) or self-reported difficulty emptying bladder
    3. Allergy to silicon products and materials
    4. Acute febrile illness of any cause in the 14 days prior to screening
    5. Bladder stones or Bladder tumors
    6. Chronic pelvic pain within the past 4 months prior to screening
    7. Coagulation abnormalities
    8. Experience pain or burning sensation during sexual intercourse or urination
    9. Infections of the vagina, bladder and/or urethra within previous 3 months such as urinary tract infection (UTI)
    10. Interstitial cystitis
    11. Neurological disorders such as multiple sclerosis, spina bifida, Parkinson's disease which may interfere with nerve function of the bladder.
    12. Toxic shock syndrome (TSS) history or symptoms consistent with TSS
    13. Uncontrolled diabetes
    14. Undiagnosed vaginal bleeding or hematuria
    15. Vaginal discharge with a strong odor and irritation within previous 3 months
    16. Vaginal soreness or pain or fibromyalgia or paravaginal defect
  13. Any other medical reason that the Investigator determines that the subject should not participate in the study
  14. Known history of previous pelvic organ prolapse greater than the POP-Q Stage 2 as defined by the international continence society (ICS).
Sex/Gender  ICMJE
Sexes Eligible for Study: Female
Ages  ICMJE 18 Years to 100 Years   (Adult, Older Adult)
Accepts Healthy Volunteers  ICMJE No
Contacts  ICMJE
Contact: Allison Wakins-Conti (405) 330-3550 allison@watkinscontiproducts.com
Listed Location Countries  ICMJE United States
Removed Location Countries  
 
Administrative Information
NCT Number  ICMJE NCT03978741
Other Study ID Numbers  ICMJE 18-02041
Has Data Monitoring Committee Yes
U.S. FDA-regulated Product
Studies a U.S. FDA-regulated Drug Product: No
Studies a U.S. FDA-regulated Device Product: Yes
Product Manufactured in and Exported from the U.S.: No
IPD Sharing Statement  ICMJE Not Provided
Responsible Party Watkins Conti Products. Inc.
Study Sponsor  ICMJE Watkins Conti Products. Inc.
Collaborators  ICMJE Not Provided
Investigators  ICMJE
Study Director: Allsion Watkins-Conti Watkins Conti Products. Inc.
PRS Account Watkins Conti Products. Inc.
Verification Date August 2020

ICMJE     Data element required by the International Committee of Medical Journal Editors and the World Health Organization ICTRP