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Urinary Incontinence, StressNCT04115605

A 3 Years Naturalistic Cohort Survey of Altis Single Incision Sling System For Female Stress Urinary Incontinence

An observational study of Urinary Incontinence, Stress, run by Coloplast A/S at 33 sites in 5 countries.

Terminated

Stopped early. The study ended before it was planned to and will not resume.

Official record
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Trial summary

The purpose of this study is to monitor the use of Altis Single Incision Sling (SIS) in a real world population and collect medical data on effectiveness and to monitor safety of Altis SIS at 12 and 36 months post device implantation in women with stress urinary incontinence. Read more about this study

Who is it for?
Ages 18 years and older, women only
Conditions the study is for
Urinary Incontinence, Stress
What is being tested?
Altis Single Incision Sling
Type of treatment
Medical device
How many people
598 participants
Where
33 sitesin 5 countries
Study dates
23 May 2015to 24 Jun 2022
How long will I take part?
3 Years
Phase
Observational
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 18 years and older
  • Women only
  • No healthy volunteers
  • Adult, Older adult

Study population: Female implanted with Altis Single Incision Sling System to treat stress urinary incontinence

Who may be able to join

  • Implanted with Altis Single Incision Sling System

Who cannot join

  • Refuses to be included in the survey or that their medical data will be used for research purposes
  • Indication for Altis Single Incision Sling System implantation is not for the treatment of female urinary incontinence.

Trial locations and contacts

33 sites in 5 countries.

33 sites in 5 countries

France24 sites
  • CHRU Hotel Dieu

    Angers, 49933

  • Clinique Rhône Durance

    Avignon, 84082

  • Clinique Champeau Mediterranée

    Béziers, 34535

  • CHU Pellegrin-Urology Departement

    Bordeaux, 33076

  • CHU Pellegrin_Gyneacology Departement

    Bordeaux, 33076

  • Polyclinique Jean Villars

    Bruges, 33523

  • Hôpital du Pays d'Autan

    Castres, 81108

  • Pôle Santé Léonard de Vinci

    Chambray-lès-Tours, 37170

  • CHU Clermont Ferrand

    Clermont-Ferrand, 63003

  • Hôpital Victor Jousselin

    Dreux, 28102

  • CH Paul Ardier

    Issoire, 63503

  • Clinique Saint-Charles

    La Roche-sur-Yon, 85106

  • Centre Hospitalier Saint Louis

    La Rochelle, 17019

  • Clinique du Mail La Rochelle

    La Rochelle, 17087

  • Clinique Saint-Amé

    Lambres-lez-Douai, 59552

  • CH Libourne

    Libourne, 33500

  • Clinique Mutualiste de la Porte de l'Orient

    Lorient, 56100

  • Hôpital privé Jacques Cartier

    Massy, 91349

  • Armand Brillart Hospital

    Nogent-sur-Marne, 94130

  • CHI Poissy Saint Germain en Laye

    Poissy, 78303

  • Clinique St Hilaire

    Rouen, 76044

  • Centre Clinical

    Soyaux, 16800

  • Clinique Saint Jean Languedoc

    Toulouse, 31077

  • Clinique Ambroise Paré

    Toulouse, 31082

Other trials in France

Spain4 sites
  • Hospital Vall d'Hebron

    Barcelona, 08035

  • Hospital Univeritario Joan XXIII

    Tarragona, 43005

  • Hospital la Fé

    Valencia, 46026

  • Hosital Clinico de Valladolid

    Valladolid, 47003

Other trials in Spain

Germany3 sites
  • Frauenärzte im Seenland

    Gunzenhausen, 91710

  • Klinikum Memmingen

    Memmingen, 87700

  • Klinikum Worms gGmbH

    Worms, 67550

Other trials in Germany

Belgium1 site
  • UZ Leuven

    Leuven, 3000

Other trials in Belgium

Italy1 site
  • Azienda USL Valle d'Aosta

    Aosta, 11100

Other trials in Italy

About this study

Official title: A 3 Years Naturalistic Cohort Survey of Altis Single Incision Sling System For Female Stress Urinary Incontinence A Post-marketing and Multicenter Prospective Observational Cohort Study in Subjects With Female Stress Urinary Incontinence

The purpose of this study is to monitor the use of Altis Single Incision Sling (SIS) in a real world population and collect medical data on effectiveness and to monitor safety of Altis SIS at 12 and 36 months post device implantation in women with stress urinary incontinence.

Read the detailed description

This project has been launched after the introduction of Altis in Europe. This study is a multicenter prospective, observational (i.e. naturalistic) post-marketing clinical follow-up of women for who stress urinary incontinence was diagnosed and will be treated with Altis Single Incision Sling System. Therefore these patients will be asked to allow to use their clinical data and answer some questionnaires. The patients'data will be collected in routine clinical practice before, during and after surgery until 12 months. Then, questionnaires will be mailed to the participants annually during 2 additional years.

Being tested
Altis Single Incision Sling
Keywords
Single Incision Sling
Medical subject headings
Urinary Incontinence, Stress

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Altis Single Incision SlingDevice

    Minimally invasive system including permanently implantable synthetic suburethral sling for the surgical treatment of female Stress Urinary Incontinence

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Treatment Success

    Treatment success is a composite criterion defined in the protocol as condition improvement by Patient Global Impression of Improvement (PGI-I) reported as "a little better", "much better" or "very much better" and absence of serious or severe related Adverse Events (AEs) one year after implantation. As this definition of success was not restrictive enough, the Scientific Committee proposed a new definition for the treatment success for the statistical analysis, which was defined by PGI-I reported as "very much better" or "much better" and absence of any severe or serious or grade ≥ III of the Clavien-Dindo classification related AEs one year after implantation.

    Measured: 12 months

  2. Patient Global Impression of Improvement (PGI-I)

    PGI-I is one of the two outcome measures of the composite primary endpoint. It is a validated question that collects the patients' impression of improvement after the surgery. Among this 7 point-scale ("very much better", "much better", "a little better", "no change", "a little worse", "much worse" and "very much worse"), the patients are asked to check the one number that describes how their urinay tract condition is now, compared with how it's was before the surgery. The percentage of patients who describes "very much better" or "much better" or "little better" and the percentage of patients who describes "very much better" or "much better" were measured.

    Measured: 12 months

  3. Related Adverse Events

    Related Adverse Events (AEs) are one of the two outcome measures of the composite primary endpoint. All AEs related or judged related to the procedure or the device were reported. The percentage of patients without any severe or serious related AEs and the percentage of patients without any severe or serious or grade ≥ III of the Clavien-Dindo classification related AEs were measured.

    Measured: 12 months

Secondary outcomes (9)
  1. Treatment Success

    Treatment success is a composite criterion defined in the protocol as condition improvement by Patient Global Impression of Improvement (PGI-I) reported as "a little better", "much better" or "very much better" and absence of serious or severe related adverse events one year after implantation. As this definition of success was not restrictive enough, the Scientific Committee proposed a new definition for the treatment success for the statistical analysis, which was defined by PGI-I reported as "very much better" or "much better" and absence of any severe or serious or grade ≥ III of the Clavien-Dindo classification related adverse event one year after implantation.

    Measured: 8 weeks, 24, 36 months

  2. Cough Stress Test (CST)

    CST provides the means for documenting stress urinary incontinence. CST is considered "positive" if any leakage is noted with cough or valsava. The percentage of patients with negative test was calculated at baseline, at the post-operative visit and at one year.

    Measured: Baseline, 8 weeks and 12 months

  3. Post-void Residual (PVR) Volume

    Post-void residual (PVR) volume was collected pre- and post implant procedure up to 12 months. If the PVR volume was considered normal by the physician after the procedure, it was not necessary to collect this data at the subsequent follow-up visits.

    Measured: Baseline, 8 weeks and 12 months

  4. Pad Use

    The number of pads used per patient per day was collected. Patients were considered to be pad free if they reported never wearing pads or wear pads just for a sense of security.

    Measured: Baseline, 8 weeks, 12, 24 and 36 months

  5. International Consultation on Incontinence Questionnaire (ICIQ-UI)

    The ICIQ-UI Short Form is a seft-administred questionnaire to evaluate the frequency, severity and impact on quality of life of urinary incontinence. Question 1 asked, "How often do you leak urine?" Subjects were instructed to select among "none" (0), "about once a week or less often" (1), "2 or 3 times a week" (2), "about once a day" (3), "several times a day" (4), and "all the time" (5). Question 2 asked, "How much urine do you usually leak (whether you wear protection or not)?" Patients responded with "none" (0), "a small amount" (2), "a moderate amount" (4) or "a large amount (6). Question 3 asked, "Overall, how much does leaking urine interfere with your everyday life?" Participants chose a number from 0 (not at all) to 10 (a great deal). Question 1, 2 and 3 are summed to compute the total ICIQ score.The total score range is then a minimum of 0 to a maximum of 21.

    Measured: Baseline, 8 weeks, 12, 24 and 36 months

  6. Subject Global Satisfaction Questionnaire

    This non-validated questionnaire provides additional information concerning patient satisfaction. This survey consists of two questions: Question 1 "how satisfied are you with your surgery?". Among 5 point-scale (very satisfied, satisfied, not satisfied-not dissatisfied, dissatisfied and very dissatified), patient check the one items that best describes the subject satisfaction. We measured the percentage of patients who were very satisfied and satisfied. The patients answer the question "Do you recommend this operation to a friend?" by "yes" or "no". We measured the percentage of patients who answered "yes".

    Measured: 8 weeks, 12, 24, 36 months

  7. Incontinence Quality of Life Questionnaire (I-QoL)

    The Incontinence quality of life questionnaire (I-QoL) is a validated survey questionnaire with 22 items that are scored on a 5-point Likert scale. The I-QOL and its subcale scores are computed by adding each item response, subtracting the lowest possible score and diving that sum by the possible raw score range. The scores are then transformed to have a range from 0 (maximum problem) to 100 (no problem at all).

    Measured: Baseline, 8 weeks, 12, 24, 36 months

  8. Impact on Sexual Function Assessed by the Pelvic Organ/Urinary Incontinence Sexual Questionnaire (PISQ 12)

    The Pelvic organ/urinary incontinence sexual questionnaire (PISQ-12) is a validated and reliable short form questionnaire including 12 questions that evaluates sexual function in heterosexual women with urinary incontinence and/or pelvic organ prolapse. Reponses are graded on a 5-point Likert scale from "never" to "always". The scores were calculated at each assessment visit.

    Measured: Baseline, 8 weeks, 12, 24, 36 months

  9. Patient Global Impression of Improvement (PGI-I)

    PGI-I is a validated question that collects the patients' impression of improvement after the surgery. Among this 7 point-scale ("very much better", "much better", "a little better", "no change", "a little worse", "much worse" and "very much worse"), the patients are asked to check the one number that describes how their urinay tract condition is now, compared with how it's was before the surgery. The percentage of patients who describes "very much better" or "much better" or "little better" was measured.

    Measured: 8 weeks, 24, 36 months

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted4 Oct 2019
  2. Study start23 May 2015
  3. Primary completion22 Sep 2021
  4. Study completion24 Jun 2022

Why it stopped: The minimum of enrolled subject defined in the protocol was 180 patients and it was greatly exceeded. Therefore the study was terminated by the sponsor to perform the study analysis.

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Observational
Observational model
Case only
Time perspective
Prospective
Enrolment
598 participants (actual)
Target duration
3 Years
IDs, dates and publications
ClinicalTrials.gov ID
NCT04115605
Sponsor's protocol ID
SU017
Status last verified
May 2026
First submitted
23 Jul 2015
Last updated
26 May 2026
Data monitoring committee
No

Questions about this trial

What is this clinical trial studying?

An observational study of Urinary Incontinence, Stress, run by Coloplast A/S at 33 sites in 5 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 1 inclusion and 2 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: stopped early, as of the sponsor's last update on 26 May 2026. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 33 sites in France, Spain, Germany, Belgium, Italy. 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 26 May 2026). 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?

Treatment Success (time frame: 12 months). The study lists 3 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 26 May 2026.

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