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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.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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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

Other trials in United States

Canada1 site
  • Sunnybrook Health Sciences Centre

    Toronto, Ontario, M4N 3M5

Other trials in Canada

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.

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 groups in NCT00904969
Study groupRoleWhat they receive
AMS Transobturator Male Sling SystemExperimentalNot 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.

  1. Procedural Endpoint: Procedure Time From First Incision to Closing.

    Characterize procedure time from first incision to closing.

    Measured: During Procedure, Approximately 60 Minutes

  2. Procedural Endpoint: Type of Anesthesia Used

    Describe the type of anesthesia used.

    Measured: During Procedure, Approximately 60 Minutes

  3. 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

  4. 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

  5. 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

  6. Procedural Endpoint: Descriptive Procedural Parameters - Use of Tack Sutures

    Characterize procedural parameters including the use of tack sutures.

    Measured: During Procedure, Approximately 60 Minutes

  7. Procedural Endpoint: Descriptive Procedural Parameters - Muscle Dissection

    Characterize procedural parameters, including muscle dissection across all participants.

    Measured: During Procedure, Approximately 60 Minutes

  8. 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

  9. 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)
  1. Subject Satisfaction Endpoint: 1-Hour Pad Weight

    Summarize subject satisfaction of 1-hour pad weight for participants.

    Measured: Baseline to 24 month

  2. Subject Satisfaction Endpoint: 24-Hour Pad Weight

    Summarize subject satisfaction with 24-hour pad weight across participants.

    Measured: Baseline to 24 month

  3. 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

  4. 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

  5. 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

  6. 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

  7. 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

  8. 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

  9. 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

  10. 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.

  1. First posted20 May 2009 (estimated)
  2. Study startSep 2005
  3. Primary completionMay 2009
  4. Study completionNov 2009

Resources

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)
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
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.

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.

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