Urinary Incontinence, StressAMS051NCT00904969
A Pre-Market Study of the American Medical Systems (AMS) Transobturator Male Sling System for the Treatment of Male Stress Urinary Incontinence
A study testing The AMS Male Transobturator Sling System and AdVance Male Sling in people with Urinary Incontinence, Stress, run by American Medical Systems at 11 sites in 2 countries.
Trial summary
The purpose of this study is to obtain surgical technique data for use in physician education and training and to collect early clinical outcomes data for future publication. Read more about this study
- Who is it for?
- Ages 40 years and older, men only
- Conditions the study is for
- Urinary Incontinence, Stress
- What is being tested?
- The AMS Male Transobturator Sling System and AdVance Male Sling
- Type of treatment
- Medical device
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 55 participants
- Where
- 11 sitesin 2 countries
- Study dates
- Sep 2005to Nov 2009
- Phase
- Interventional
- Are there results?
- Yes, posted in the registrySummary in the doctors' view
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 40 years and older
- Men only
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- The subject has agreed to be implanted with the AMS Male Transobturator Sling System.
- The subject is willing and able to give valid informed consent.
- The subject is > 40 years of age.
- The subject has confirmed stress urinary incontinence for at least 6 months and uses no more than 8 pads per day for incontinence management.
- The subject has any of the following: an observable degree of incontinence during stress related activities, more than one pad is used in a 24 hour period, has more than two episodes of incontinence per day.
- Internal sphincter contractility confirmed by endoscopic view.
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- The subject's primary etiology is TUR, TURP, radical prostatectomy, open prostatectomy, or suprapubic prostatectomy
- Pre-existing urological conditions, other than incontinence have been treated and are under control.
- The subject is willing and able to return for follow-up evaluations and questionnaire completion according to the study protocol.
- The subject is a good surgical candidate.
Who cannot join
- The subject has a neurogenic bladder condition that is not treatable or controllable by pharmacological or alternative methods.
- The subject has an atonic bladder.
- The subject has a post-void residual > 75 cc.
- The subject has detrusor-external sphincter dyssynergia.
- The subject has a urinary tract infection (UTI).
- The subject was treated with pelvic radiation within the last 6 months.
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- The subject currently has an inflatable penile prosthesis.
- The subject self-catheterizes.
- The subject has symptomatic or unstable bladder neck stricture disease.
- The subject has a history of urethral strictures that may require repetitive instrumentation.
- The subject has previously had a urethral Sling System, an AMS Sphincter 800™, or any implanted device for the treatment of urinary incontinence (not including bulking agents).
- The subject has a history of connective tissue or autoimmune conditions.
- The subject has a compromised immune system.
- The subject has renal insufficiency, and upper and/or lower urinary tract relative obstruction.
- The subject's reading level is judged inadequate for reading and understanding the quality of life questionnaires and other study materials.
Trial locations and contacts
11 sites in 2 countries.
11 sites in 2 countries
United States10 sites
The University of Michigan HS
Ann Arbor, Michigan, 48109
CHCS - Carolinas Medical Center
Charlotte, North Carolina, 28203
University of Colorado Health
Denver, Colorado, 80262
Baylor College of Medicine
Houston, Texas, 77030
Century City Docotrs Hospital
Los Angeles, California, 90067
Medical College of Wisconsin
Milwaukee, Wisconsin, 53226
Carolina Urologic Research Center
Myrtle Beach, South Carolina, 29572
Centennial Hospital
Nashville, Tennessee, 37203
Norfolk General
Norfolk, Virginia, 23502
Christus Santa Rosa Hospital
San Antonio, Texas, 78229
About this study
Official title: A Pre-Market Study of the AMS Transobturator Male Sling System for the Treatment of Male Stress Urinary Incontinence
The purpose of this study is to obtain surgical technique data for use in physician education and training and to collect early clinical outcomes data for future publication.
Read the detailed description
A multi-center study conducted under a common implant and follow-up protocol. The study will collect pre-operative urologic testing, medical history and subject quality of life (Incontinence Quality of Life Questionnaire). Intra-operative procedural data will be collected.
Pad weight and incontinence severity rating (using the International Consultation on Incontinence Questionnaire (ICIQ)) will be used to characterize continence status.
Post-operative complications, urologic testing, and subject quality of life will be collected at six weeks and three, six, 12, and 24 months.
- Conditions
- Urinary Incontinence, Stress
- Being tested
- The AMS Male Transobturator Sling System, AdVance Male Sling
- Keywords
- Urinary Incontinence, Stress, Intrinsic sphincter deficiency, Secondary, Transurethral Resection (TUR), Transurethral Resection of the Prostate (TURP), Radical prostatectomy, Open prostatectomy, Post-suprapubic prostatectomy
- Medical subject headings
- Urinary Incontinence, Stress, Neoplasm Metastasis
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
The AMS Male Transobturator Sling SystemDevice
The AMS Male Transobturator Sling System was developed to treat urinary stress incontinence in men resulting from intrinsic sphincter deficiency (ISD) secondary to radical prostatectomy. The Male Transobturator Sling System procedure is minimally invasive and consists of using two single-use needle passers and passing them through two small incisions over the obturator foramen. The needles are pushed in an arc through the tissue and exited at a perineal incision. Once the passers are through the perineal incision, the Sling System mesh arms are attached to the needles which are then pulled back through the needle track to their points of origin over the obturator foramen. The Sling System is subsequently tensioned and all incisions are closed.
AdVance Male SlingDevice
Also called Male TO, transobturator sling, suburethral sling, retrourethral sling
A transobturator sling for the treatment of post-prostatectomy incontinence
| Study group | Role | What they receive |
|---|---|---|
| AMS Transobturator Male Sling System | Experimental | Not described Receives: Device: The AMS Male Transobturator Sling System; Device: AdVance Male Sling |
What is being measured
The primary outcome is the main question the study is designed to answer.
Procedural Endpoint: Procedure Time From First Incision to Closing.
Characterize procedure time from first incision to closing.
Measured: During Procedure, Approximately 60 Minutes
Procedural Endpoint: Type of Anesthesia Used
Describe the type of anesthesia used.
Measured: During Procedure, Approximately 60 Minutes
Procedural Endpoint: Rate of Foley Catheter Use - Intraoperative
Number of participants requiring the use of a foley catheter intra-operatively.
Measured: During Procedure, Approximately 60 Minutes
Procedural Endpoint: Rate of Foley Catheter Use - Post-operative
Number of participants requiring the use of a foley catheter who were able to void prior to discharge.
Measured: post-operative to discharge
Procedural Endpoint: Rate of Foley Catheter Use - Post-discharge
Number of participants requiring the use of a foley catheter post-discharge following Bladder Management instructions.
Measured: post discharge
Procedural Endpoint: Descriptive Procedural Parameters - Use of Tack Sutures
Characterize procedural parameters including the use of tack sutures.
Measured: During Procedure, Approximately 60 Minutes
Procedural Endpoint: Descriptive Procedural Parameters - Muscle Dissection
Characterize procedural parameters, including muscle dissection across all participants.
Measured: During Procedure, Approximately 60 Minutes
Procedural Endpoint: Descriptive Procedural Parameters - Movement of Urethral Bulb While Tensioning
Characterize procedural parameters, including the movement of urethral bulb while tensioning in all participants.
Measured: During Procedure, Approximately 60 Minutes
Device Success as Defined as Successful Placement of the Device in Desired Position Peri-operatively
Summarize device success as defined as a successful placement of the device in a desired position, peri-operatively, in participants.
Measured: During Procedure, Approximately 60 Minutes
Secondary outcomes (10)
Subject Satisfaction Endpoint: 1-Hour Pad Weight
Summarize subject satisfaction of 1-hour pad weight for participants.
Measured: Baseline to 24 month
Subject Satisfaction Endpoint: 24-Hour Pad Weight
Summarize subject satisfaction with 24-hour pad weight across participants.
Measured: Baseline to 24 month
Subject Satisfaction Endpoint: Percentage of Subjects Having a Decrease of Pad Weight of 25%, 50%, or 75% at Follow-Up. (1 Hour Pad Weight Test)
Summarize the percent of subjects that have a decrease of pad weight of 25%, 50%, or 75% at follow-up (1-hour pad weight test used).
Measured: Baseline to 24 month
Subject Satisfaction Endpoint: Percentage of Subjects Having a Decrease of Pad Weight of 25%, 50%, or 75% at Follow-Up. (24 Hour Pad Weight Test)
Summarize the percent of subjects that have a decrease of pad weight of 25%, 50%, or 75% at follow-up (24-hour pad weight test used).
Measured: Baseline to 24 Month
Subject Satisfaction Endpoint: Pads Per Day Use
Summarize the subject satisfaction using pads per day use collected in follow-up in participants.
Measured: Baseline to 24 Months
Subject Satisfaction Endpoint: Quality of Life I-QOL Scores
The Incontinence Quality of Life (I-QOL) questionnaire contains 22 items, each with a 5-point Likert-type response scale, evaluating a subject's quality of life with respect to his urinary problems or incontinence. A possible total score can be 0-100, with a higher score meaning less problems.
Measured: Baseline to 24 Months
Subject Satisfaction Endpoint: Quality of Life International Consultation on Incontinence Questionnaire Short-Form (ICIQ-SF) Scores
The ICIQ-SF questionnaire evaluates the impact of urinary incontinence on quality of life through four questions that evaluate the frequency, severity and impact of urinary incontinence. A set of eight self-diagnosis items related to the causes or situations of urinary incontinence experienced by the subject are also assessed. Scores may range from 0 to 21. Improvement in the subject's quality of life from baseline to follow-up is indicated by a decrease in the ICIQ-SF score.
Measured: Baseline to 24 Months
Subject Satisfaction Endpoint: Quality of Life UCLA (University of California Los Angeles) / RAND (RAND Corporation) Scores
Improvement in the subject's quality of life from baseline to follow-up is indicated by an increase in the UCLA/RAND urinary function score. Scores may range from 0 to 100.
Measured: Baseline to 24 Months
Subject Satisfaction Endpoint: Physician Evaluation of Subject's Incontinence Status
Physician evaluation of subject's incontinence status at 6 weeks and subsequent follow-up evaluations
Measured: 6 Weeks post implant to 24 Months
Procedural and Device Complication Rates
Percentage of participants with serious and non-serious adverse events.
Measured: Procedure to 24 Months Post implant
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted20 May 2009 (estimated)
- Study startSep 2005
- Primary completionMay 2009
- Study completionNov 2009
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Posted resultsParticipant flow, outcome measures and adverse events reported by the sponsor.
- Other trials for Urinary Incontinence, StressStudies of the same condition, open and under way.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase N/A
- Primary purpose
- Treatment
- Allocation
- Not applicable
- Intervention model
- Single group
- Masking
- None (open label)
- Enrolment
- 55 participants (actual)
Sponsor and investigators
- Lead sponsor
- American Medical Systems
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
- Investigators
- Gregory Bales, M.D., Principal investigator, University of Chicago HospitalTimothy Boone, M.D., Principal investigator, Baylor College of MedicineKaryn Eilber, M.D., Principal investigator, Century City Doctors HospitalBrian J. Flynn, M.D., Principal investigator, University of Colorado HealthMichael Guralnick, M.D., Principal investigator, Medical College of WisconsinSender Herschorn, M.D., Principal investigator, Sunnybrook Health Sciences CentreLeRoy Jones, M.D., Principal investigator, CHRISTUS HealthGerald Jordan, M.D., Principal investigator, Norfolk General
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT00904969
- Sponsor's protocol ID
- AMS051
- Acronym
- AMS051
- Status last verified
- Jan 2017
- First submitted
- 18 May 2009
- Last updated
- 30 Jan 2018
- Results posted
- Yes, on ClinicalTrials.gov
- Data monitoring committee
- No
- Individual data sharing
- Yes: Data generated from this study may be used to support clinical publications, internal device documents for marketing and/or instructional manuals, etc.
Study at a glance
From the registry record, last updated by the sponsor on 30 Jan 2018. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Pre-Market Study of the AMS Transobturator Male Sling System for the Treatment of Male Stress Urinary Incontinence
- ClinicalTrials.gov ID
- NCT00904969
- Acronym / sponsor ID
- AMS051 / AMS051
- Conditions
- Urinary Incontinence, Stress
- Keywords
- Urinary Incontinence, Stress, Intrinsic sphincter deficiency, Secondary, Transurethral Resection (TUR), Transurethral Resection of the Prostate (TURP), Radical prostatectomy, Open prostatectomy, Post-suprapubic prostatectomy
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 55 participants (actual)
- Lead sponsor
- American Medical SystemsIndustry (pharma, biotech, devices)
- Study start
- Sep 2005
- Primary completion
- May 2009 (actual)
- Study completion
- Nov 2009 (actual)
- First posted
- 20 May 2009 (estimated)
- Results
- Posted 30 Jan 2018
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
The purpose of this study is to obtain surgical technique data for use in physician education and training and to collect early clinical outcomes data for future publication.
Detailed description
A multi-center study conducted under a common implant and follow-up protocol. The study will collect pre-operative urologic testing, medical history and subject quality of life (Incontinence Quality of Life Questionnaire). Intra-operative procedural data will be collected.
Pad weight and incontinence severity rating (using the International Consultation on Incontinence Questionnaire (ICIQ)) will be used to characterize continence status.
Post-operative complications, urologic testing, and subject quality of life will be collected at six weeks and three, six, 12, and 24 months.
Study design
- Primary purpose
- Treatment
- Allocation
- Not applicable
- Intervention model
- Single group
- Masking
- None (open label)
- Number of arms
- 1
| Arm | Type | Receives |
|---|---|---|
| AMS Transobturator Male Sling System | Experimental | Device: The AMS Male Transobturator Sling System, Device: AdVance Male Sling |
Who may qualify
- Ages
- 40 years and older
- Sex
- Male only
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (10 listed)
- The subject has agreed to be implanted with the AMS Male Transobturator Sling System.
- The subject is willing and able to give valid informed consent.
- The subject is > 40 years of age.
- The subject has confirmed stress urinary incontinence for at least 6 months and uses no more than 8 pads per day for incontinence management.
- The subject has any of the following: an observable degree of incontinence during stress related activities, more than one pad is used in a 24 hour period, has more than two episodes of incontinence per day.
Key exclusion criteria (15 listed)
- The subject has a neurogenic bladder condition that is not treatable or controllable by pharmacological or alternative methods.
- The subject has an atonic bladder.
- The subject has a post-void residual > 75 cc.
- The subject has detrusor-external sphincter dyssynergia.
- The subject has a urinary tract infection (UTI).
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| The AMS Male Transobturator Sling SystemThe AMS Male Transobturator Sling System was developed to treat urinary stress incontinence in men resulting from intrinsic sphincter deficiency (ISD) secondary to radical prostatectomy. The Male Transobturator Sling System procedure is minimally invasive and consists of using two single-use needle passers and passing them through two small incisions over the obturator foramen. The needles are pushed in an arc through the tissue and exited at a perineal incision. Once the passers are through the perineal incision, the Sling System mesh arms are attached to the needles which are then pulled back through the needle track to their points of origin over the obturator foramen. The Sling System is subsequently tensioned and all incisions are closed. | Device | AMS Transobturator Male Sling System |
| AdVance Male SlingAlso: Male TO, transobturator sling, suburethral sling, retrourethral slingA transobturator sling for the treatment of post-prostatectomy incontinence | Device | AMS Transobturator Male Sling System |
Primary outcome
Procedural Endpoint: Procedure Time From First Incision to Closing.
Time frame: During Procedure, Approximately 60 Minutes
Characterize procedure time from first incision to closing.
Procedural Endpoint: Type of Anesthesia Used
Time frame: During Procedure, Approximately 60 Minutes
Describe the type of anesthesia used.
Procedural Endpoint: Rate of Foley Catheter Use - Intraoperative
Time frame: During Procedure, Approximately 60 Minutes
Number of participants requiring the use of a foley catheter intra-operatively.
Procedural Endpoint: Rate of Foley Catheter Use - Post-operative
Time frame: post-operative to discharge
Number of participants requiring the use of a foley catheter who were able to void prior to discharge.
Procedural Endpoint: Rate of Foley Catheter Use - Post-discharge
Time frame: post discharge
Number of participants requiring the use of a foley catheter post-discharge following Bladder Management instructions.
Procedural Endpoint: Descriptive Procedural Parameters - Use of Tack Sutures
Time frame: During Procedure, Approximately 60 Minutes
Characterize procedural parameters including the use of tack sutures.
Procedural Endpoint: Descriptive Procedural Parameters - Muscle Dissection
Time frame: During Procedure, Approximately 60 Minutes
Characterize procedural parameters, including muscle dissection across all participants.
Procedural Endpoint: Descriptive Procedural Parameters - Movement of Urethral Bulb While Tensioning
Time frame: During Procedure, Approximately 60 Minutes
Characterize procedural parameters, including the movement of urethral bulb while tensioning in all participants.
Device Success as Defined as Successful Placement of the Device in Desired Position Peri-operatively
Time frame: During Procedure, Approximately 60 Minutes
Summarize device success as defined as a successful placement of the device in a desired position, peri-operatively, in participants.
10 secondary outcomes
Subject Satisfaction Endpoint: 1-Hour Pad Weight
Time frame: Baseline to 24 month
Subject Satisfaction Endpoint: 24-Hour Pad Weight
Time frame: Baseline to 24 month
Subject Satisfaction Endpoint: Percentage of Subjects Having a Decrease of Pad Weight of 25%, 50%, or 75% at Follow-Up. (1 Hour Pad Weight Test)
Time frame: Baseline to 24 month
Subject Satisfaction Endpoint: Percentage of Subjects Having a Decrease of Pad Weight of 25%, 50%, or 75% at Follow-Up. (24 Hour Pad Weight Test)
Time frame: Baseline to 24 Month
Subject Satisfaction Endpoint: Pads Per Day Use
Time frame: Baseline to 24 Months
Subject Satisfaction Endpoint: Quality of Life I-QOL Scores
Time frame: Baseline to 24 Months
Subject Satisfaction Endpoint: Quality of Life International Consultation on Incontinence Questionnaire Short-Form (ICIQ-SF) Scores
Time frame: Baseline to 24 Months
Subject Satisfaction Endpoint: Quality of Life UCLA (University of California Los Angeles) / RAND (RAND Corporation) Scores
Time frame: Baseline to 24 Months
Subject Satisfaction Endpoint: Physician Evaluation of Subject's Incontinence Status
Time frame: 6 Weeks post implant to 24 Months
Procedural and Device Complication Rates
Time frame: Procedure to 24 Months Post implant
Results and safety
Loading the posted results from ClinicalTrials.gov…
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 30 Jan 2018.
- Posted resultsParticipant flow, baseline, all outcome measures and adverse events.
- Individual participant dataSharing planned: Yes. Data generated from this study may be used to support clinical publications, internal device documents for marketing and/or instructional manuals, etc.
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Gregory Bales, M.D. principal investigator
University of Chicago Hospital
Timothy Boone, M.D. principal investigator
Baylor College of Medicine
Karyn Eilber, M.D. principal investigator
Century City Doctors Hospital
11 sites in 2 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A study testing The AMS Male Transobturator Sling System and AdVance Male Sling in people with Urinary Incontinence, Stress, run by American Medical Systems at 11 sites in 2 countries.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 10 inclusion and 15 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: finished, as of the sponsor's last update on 30 Jan 2018. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 11 sites in United States, Canada. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
Are results available for this study?
Yes. Results are posted in the registry (first posted 30 Jan 2018). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Procedural Endpoint: Procedure Time From First Incision to Closing. (time frame: During Procedure, Approximately 60 Minutes). The study lists 9 primary outcomes in all. It is what the study was designed to measure, not a finding.
Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 30 Jan 2018.