AzTrials
AzTrials

Urinary Stress IncontinencePhase 3NCT04812574

Hypertonic Saline Injection For Urinary Incontinence

A Phase 3 study testing Periurethral injection and Hypertonic (10%) saline in people with Urinary Stress Incontinence, run by Turgut Ozal University at 2 sites in Turkey (Türkiye).

Completed

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

Official record
Search all trials

Trial summary

The investigators aimed to evaluate the effectiveness and safety of periurethral hypertonic saline (10% NaCl) injection for the treatment of stress urinary incontinence (SUI) and stress-predominant mixed urinary incontinence (MUI) in women. Read more about this study

Who is it for?
Ages 18 years and older, women only
Conditions the study is for
Urinary Stress Incontinence
What is being tested?
Periurethral injection and Hypertonic (10%) saline
Could I receive a placebo?
No, everyone receives an active treatment
How many people
65 participants
Where
2 sitesTurkey (Türkiye)
Study dates
1 Jan 2014to 1 Jun 2020
Phase
Phase 3
Are there results?
None posted in the registry

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

Who may be able to join

  • The patients who described Stress Urinary Incontinence or Mixed Urinary Incontinence, those who had incontinence during the Valsalva maneuver, patients with positive Marshal-Marchetti test, and those with post-void residual urine volume ≤100 mL were included in the study.

Who cannot join

  • Temporary urinary incontinence, delirium, urinary tract infection, urethritis, pure urge incontinence, nocturnal enuresis, decreased bladder compliance and detrusor contraction in the urodynamic study, leakage of urine with low bladder pressure, psychiatric conditions (severe depression and anxiety), body mass index (BMI) >35 kg/m2, and using drugs that may influence bladder storage or emptying

Trial locations and contacts

2 sites in 1 country.

Turkey (Türkiye)2 sites
  • Turgut Ozal University

    Malatya, 44100

  • İnonu University

    Malatya, 44120

Other trials in Turkey (Türkiye)

About this study

Official title: Periurethral Hypertonic Saline (10%) Injection for Female Stress Urinary Incontinence and Stress-Predominant Mixed Urinary Incontinence

The investigators aimed to evaluate the effectiveness and safety of periurethral hypertonic saline (10% NaCl) injection for the treatment of stress urinary incontinence (SUI) and stress-predominant mixed urinary incontinence (MUI) in women.

Read the detailed description

This single-center prospective pre-post interventional study was conducted between January 2014 and April 2018 with 65 women (44 SUI, 21 MUI). Quality of life was evaluated with the Incontinence Quality of Life Scale (I-QoL) and the lower urinary tract symptoms of women were evaluated with the International Consultation on Incontinence Questionnaire Female Lower Urinary Tract Symptoms Modules (ICIQ-FLUTS). Incontinence status was assessed via the Stamey Incontinence Grade scale. Patients with MUI also were evaluated using the Urinary Distress Inventory-6 (UDI-6). The need for additional treatment (re-injection, other surgical approaches, etc.) was recorded.

Participants were followed up to 24 months after intervention. All outcomes of interest and complications were evaluated/recorded at six preplanned visits (postoperative 1st, 3rd, 6th, 12th, 18th, 24th months).

Being tested
Periurethral injection, Hypertonic (10%) saline
Keywords
Female, Stress Urinary Incontinence, Stress-Predominant Mixed Incontinence, Hypertonic Saline Injection, Therapy
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.

  • Periurethral injectionProcedure or surgery

    Patients were in the lithotomy position for the procedure. After preparation, topical Lidocaine gel was instilled around the meatus and a 16 F probe was attached. The catheter balloon was inflated to localize the bladder neck and to ensure that injections were performed in the correct anatomical plane. Hypertonic saline (10% NaCl) was injected to the alignment of the urethral meatus in the order of 3-6-9-12 hours of the clock (5 cc to each site, totaling 20 cc). Syringes with 27 Gauge (0.40 mm) outer diameter were used to ensure controlled injection. Since the female urethra is about 4 cm in length, the needle was advanced about 3 cm. Due to the possibility of significant pain with hypertonic saline, 2 cc of Lidocaine hydrochloride was added into the solution.

  • Hypertonic (10%) salineDrug

    Also called 10% NaCl solution

    Periurethral hypertonic saline (10%)

Study groups in NCT04812574
Study groupRoleWhat they receive
Hypertonic Saline (10%) InjectionExperimentalPeriurethral hypertonic saline (10%) injection was performed in female patients with Stress Urinary Incontinence or Stress-Predominant Mixed Urinary Incontinence.
Receives: Procedure: Periurethral injection; Drug: Hypertonic (10%) saline

What is being measured

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

  1. Change in the Stamey Incontinence Grade at 24 months

    All patients (SUI and MUI) were evaluated as follows: Grade 0: No incontinence; Grade 1: Incontinence with coughing or straining; Grade 2: Incontinence with change in position or walking; Grade 3: Total incontinence at all times

    Measured: Change from baseline at 24 months

  2. Change in the Urinary Distress Inventory-6 (UDI-6) scores at 1 month

    Only MUI patients were evaluated with UDI-6 scale. UDI-6 is a validated 6-item questionnaire that assesses lower urinary tract symptoms, including incontinence, in women.

    Measured: Change from baseline at 1 month

  3. Change in the Urinary Distress Inventory-6 (UDI-6) scores at 3 months

    Only MUI patients were evaluated with UDI-6 scale. UDI-6 is a validated 6-item questionnaire that assesses lower urinary tract symptoms, including incontinence, in women.

    Measured: Change from baseline at 3 months

  4. Change in the Urinary Distress Inventory-6 (UDI-6) scores at 6 months

    Only MUI patients were evaluated with UDI-6 scale. UDI-6 is a validated 6-item questionnaire that assesses lower urinary tract symptoms, including incontinence, in women.

    Measured: Change from baseline at 6 months

  5. Change in the Urinary Distress Inventory-6 (UDI-6) at 12 months

    Only MUI patients were evaluated with UDI-6 scale. UDI-6 is a validated 6-item questionnaire that assesses lower urinary tract symptoms, including incontinence, in women.

    Measured: Change from baseline at 12 months

  6. Change in the Urinary Distress Inventory-6 (UDI-6) scores at 18 months

    Only MUI patients were evaluated with UDI-6 scale. UDI-6 is a validated 6-item questionnaire that assesses lower urinary tract symptoms, including incontinence, in women.

    Measured: Change from baseline 18 months

  7. Change in the Urinary Distress Inventory-6 (UDI-6) scores at 24 months

    Only MUI patients were evaluated with UDI-6 scale. UDI-6 is a validated 6-item questionnaire that assesses lower urinary tract symptoms, including incontinence, in women.

    Measured: Change from baseline 24 months

  8. Change in the Incontinence Questionnaire Female Lower Urinary Tract Symptoms Modules (ICIQ-FLUTS) scores at 1 month

    All patients (SUI and MUI) were evaluated with the ICIQ-FLUTS which is a questionnaire for evaluating female lower urinary tract symptoms and impact on quality of life of the patients.

    Measured: Change from baseline at 1 month

  9. Change in the Incontinence Questionnaire Female Lower Urinary Tract Symptoms Modules (ICIQ-FLUTS) scores at 3 months

    All patients (SUI and MUI) were evaluated with the ICIQ-FLUTS which is a questionnaire for evaluating female lower urinary tract symptoms and impact on quality of life of the patients.

    Measured: Change from baseline at 3 months

  10. Change in the Incontinence Questionnaire Female Lower Urinary Tract Symptoms Modules (ICIQ-FLUTS) scores at 6 months

    All patients (SUI and MUI) were evaluated with the ICIQ-FLUTS which is a questionnaire for evaluating female lower urinary tract symptoms and impact on quality of life of the patients.

    Measured: Change from baseline at 6 months

  11. Change in the Incontinence Questionnaire Female Lower Urinary Tract Symptoms Modules (ICIQ-FLUTS) scores at 12 months

    All patients (SUI and MUI) were evaluated with the ICIQ-FLUTS which is a questionnaire for evaluating female lower urinary tract symptoms and impact on quality of life of the patients.

    Measured: Change from baseline at 12 months

  12. Change in the Incontinence Questionnaire Female Lower Urinary Tract Symptoms Modules (ICIQ-FLUTS) scores at 18 months

    All patients (SUI and MUI) were evaluated with the ICIQ-FLUTS which is a questionnaire for evaluating female lower urinary tract symptoms and impact on quality of life of the patients.

    Measured: Change from baseline at 18 months

  13. Change in the Incontinence Questionnaire Female Lower Urinary Tract Symptoms Modules (ICIQ-FLUTS) scores at 24 months

    All patients (SUI and MUI) were evaluated with the ICIQ-FLUTS which is a questionnaire for evaluating female lower urinary tract symptoms and impact on quality of life of the patients.

    Measured: Change from baseline at 24 months

  14. Change in the Incontinence Quality of Life Scale (I-QOL) scores at 1 month

    All patients (SUI and MUI) were evaluated with the I-QOL which has 22 questions with the following 3 subscales: avoid and limiting behaviors (items), psychosocial impacts (9 items), and social embarassment (5 items).

    Measured: Change from baseline at 1 month

  15. Change in the Incontinence Quality of Life Scale (I-QOL) scores at 3 months

    All patients (SUI and MUI) were evaluated with the I-QOL which has 22 questions with the following 3 subscales: avoid and limiting behaviors (items), psychosocial impacts (9 items), and social embarassment (5 items).

    Measured: Change from baseline at 3 months

  16. Change in the Incontinence Quality of Life Scale (I-QOL) scores at 6 months

    All patients (SUI and MUI) were evaluated with the I-QOL which has 22 questions with the following 3 subscales: avoid and limiting behaviors (items), psychosocial impacts (9 items), and social embarassment (5 items).

    Measured: Change from baseline at 6 months

  17. Change in the Incontinence Quality of Life Scale (I-QOL) scores at 12 months

    All patients (SUI and MUI) were evaluated with the I-QOL which 22 questions with the following 3 subscales: avoid and limiting behaviors (items), psychosocial impacts (9 items), and social embarassment (5 items).

    Measured: Change from baseline at 12 months

  18. Change in the Incontinence Quality of Life Scale (I-QOL) scores at 18 months

    All patients (SUI and MUI) were evaluated with the I-QOL which has 22 questions with the following 3 subscales: avoid and limiting behaviors (items), psychosocial impacts (9 items), and social embarassment (5 items).

    Measured: Change from baseline at 18 months

  19. Change in the Incontinence Quality of Life Scale (I-QOL) scores at 24 months

    All patients (SUI and MUI) were evaluated with the I-QOL which has 22 questions with the following 3 subscales: avoid and limiting behaviors (items), psychosocial impacts (9 items), and social embarassment (5 items).

    Measured: Change from baseline at 24 months

  20. Need for addtional treatment within the 1st month

    Patients who are needed to treat with re-injection or other surgercal approaches.

    Measured: Within the 1st month

  21. Need for addtional treatment within 3 months after internvention.

    Patients who are needed to treat with re-injection or other surgercal approaches.

    Measured: Within the 3 months after internvention.

  22. Need for addtional treatment within 6 months after internvention.

    Patients who are needed to treat with re-injection or other surgercal approaches.

    Measured: Within the 6 months after internvention.

  23. Need for addtional treatment within 12 months after internvention.

    Patients who are needed to treat with re-injection or other surgercal approaches.

    Measured: Within the 12 months after internvention.

  24. Need for addtional treatment within 18 months after internvention.

    Patients who are needed to treat with re-injection or other surgercal approaches.

    Measured: Within the 18 months after internvention.

  25. Need for addtional treatment within 24 months after internvention.

    Patients who are needed to treat with re-injection or other surgercal approaches.

    Measured: Within the 24 months after internvention.

  26. Presence of complication within 24 months after intervention

    Presence of complication such as infection at injection site, urinary tract infection, hematuria, persistent pain, de novo urge incontinence) in all patients.

    Measured: Within 24 months after intervention

Timeline

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

  1. First posted23 Mar 2021
  2. Study start1 Jan 2014
  3. Primary completion1 Apr 2018
  4. Study completion1 Jun 2020

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 3
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Model description
This is a single-center prospective before-after (pre-post) interventional study, in which the effectiveness and safety of periurethral hypertonic saline injection were evaluated in female stress urinary incontinence and stress-predominant mixed urinary incontinence patients.
Masking
None (open label)
Enrolment
65 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT04812574
Sponsor's protocol ID
6175679-514.04.01-E.28641
Status last verified
Mar 2021
First submitted
4 Feb 2021
Last updated
23 Mar 2021
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No: yes

Publications

  • Irwin GM. Urinary Incontinence. Prim Care. 2019 Jun;46(2):233-242. doi: 10.1016/j.pop.2019.02.004. Epub 2019 Apr 5.

    PubMed 31030824
  • Muth CC. Urinary Incontinence in Women. JAMA. 2017 Oct 24;318(16):1622. doi: 10.1001/jama.2017.15571. No abstract available.

    PubMed 29067430

Questions about this trial

What is this clinical trial studying?

A Phase 3 study testing Periurethral injection and Hypertonic (10%) saline in people with Urinary Stress Incontinence, run by Turgut Ozal University at 2 sites in Turkey (Türkiye).

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 1 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 23 Mar 2021. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 2 sites in Turkey (Türkiye). 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.

What does this phase mean?

Phase 3 studies compare the treatment with the current standard treatment or a placebo in a large group, to confirm how well it works and watch for side effects.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.

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?

Change in the Stamey Incontinence Grade at 24 months (time frame: Change from baseline at 24 months). The study lists 26 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT04812574, which also lists 2 linked publications.

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 23 Mar 2021.

Free account

Keep searching with a free account

You’ve used your 3 free searches for this session. Log in or create a free AzTrials account to keep searching clinical trials and save the ones you want to follow.

Create a free accountLog in