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CTRI Number  CTRI/2021/04/032834 [Registered on: 15/04/2021] Trial Registered Prospectively
Last Modified On: 25/11/2022
Post Graduate Thesis  No 
Type of Trial  Interventional 
Type of Study   Medical Device 
Study Design  Single Arm Study 
Public Title of Study   Clinical study on Contisphere ® device. 
Scientific Title of Study   A Clinical Study to Evaluate the Performance and Safety of the Incontinence Management Device “Contisphere ®” in Women with Urinary Stress Incontinence 
Trial Acronym   
Secondary IDs if Any  
Secondary ID  Identifier 
SYN/BN/CON-008, Dated 4.11.19, Version 1.0  Protocol Number 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Dr Syed Zahid Raza 
Designation  Consultant 
Affiliation  Santosh Hospital 
Address  Department of Urology, No.6/1, Promenade road, Behind Coles Park, Near Good will School

Bangalore
KARNATAKA
560005
India 
Phone  8310035771  
Fax    
Email  syed.zahid.raza@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Krishna Chaithanya 
Designation  Sr. Officer Regulatory Affairs 
Affiliation  Blue Neem Medical Devices 
Address  Plot Nos. 270 & 271, Road.No 5, Harohalli Industrial Area, Phase II, Kanakapura Taluk, Ramanagara Dist

Bangalore
KARNATAKA
562112
India 
Phone  8553450595  
Fax    
Email  chaithanya@blueneem.com  
 
Details of Contact Person
Public Query
 
Name  Subham Dutta 
Designation  Director 
Affiliation  Syncorp Health Private Limited 
Address  Sarvobhogam Nagar, Arekere Bangalore KARNATAKA

Bangalore
KARNATAKA
560076
India 
Phone  8049788118  
Fax    
Email  subham.dutta@syncorphealth.com  
 
Source of Monetary or Material Support  
Blue Neem Medical Devices Pvt Ltd.Plot No 270 & 271, 5th Cross, Harohalli Industrial Area - Phase II Kanakapura Taluk, Bengaluru, Karnataka 562112 
 
Primary Sponsor  
Name  Blue Neem Medical Devices Pvt Ltd 
Address  Plot No 270 & 271, 5th Cross, Harohalli Industrial Area - Phase II Kanakapura Taluk, Bengaluru, Karnataka 562112 
Type of Sponsor  Other [Medical Device ] 
 
Details of Secondary Sponsor  
Name  Address 
NIL  NIL 
 
Countries of Recruitment     India  
Sites of Study  
No of Sites = 2  
Name of Principal Investigator  Name of Site  Site Address  Phone/Fax/Email 
Dr Syed Zahid Raza  Santosh Hospital  Department of Urology, No.6/1, Promenade road, Behind Coles Park, Near Good will School, Bengaluru
Bangalore
KARNATAKA 
8310035771

syed.zahid.raza@gmail.com 
Dr Priyadarshini B  Vagus Superspeciality Hospital  Department of gynecology and obstetrics, 18th Cross Rd. Margosa Road, Malleshwaram, Bengaluru, 560003 Karnataka, India.
Bangalore
KARNATAKA 
9448728995

priyadarshinibushan@gmail.com 
 
Details of Ethics Committee
Modification(s)  
No of Ethics Committees= 3  
Name of Committee  Approval Status 
Santosh Hospital Instutional Ethics Committee  Approved 
Sapthagiri Institute of Medical Sciences & Research Centre IEC  Approved 
Vagus Institutional Ethics Committee  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Approved/Obtained 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: N393||Stress incontinence (female) (male),  
 
Intervention / Comparator Agent  
Type  Name  Details 
Intervention  Contisphere ®  The ContiSphere System is an intravesical device intended for women diagnosed with grade II or grade III SUI. It is designed for single use. This device is classified as Class C Device in India as per Medical Devices Rules, 2017. The main component of the system is a specially treated silicone balloon (ContiSphere balloon) with a small magnet inside. Once inserted into the bladder using the specially designed inserter, the balloon is filled with a biocompatible filler oil. When the Balloon is positioned over the bladder outlet, it acts as a plug and prevents the involuntary escape of urine. The Magnetic Pad is a thin pad with one flat Magnet It is worn in the underwear to prevent the dislocation of the ContiSphere balloon during daily activities. The device will be removed from the bladder using the specially designed Retriever.  
Comparator Agent  Not applicable  Not applicable 
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  70.00 Year(s)
Gender  Female 
Details  1- Female Patient is 18 years or older
2- Patient has a diagnosis of Grade II or III urinary stress incontinence, or intrinsic sphincteric
deficiency proven by a positive provocative stress test or Patient (with mixed incontinence) in
whom the bladder instability finding is not prominent
3- Patient has positive pad weight test (urine loss within 1 hour  2 g)
4- Patient is a failure of surgical treatment and/or refuses surgical intervention
5- Patient uses appropriate contraception or is post-menopausal
6- Patient is willing to comply with study requirements
7- Patient is capable of giving informed consent 
 
ExclusionCriteria 
Details  1-Patient (with mixed incontinence) in whom the bladder instability finding is prominent
2- Patient has an active urinary tract infection or has had 2 diagnosed urinary tract infections in the
past 6 months
3- Patient has hematuria that has not been previously evaluated and treated
4- Patient’s status is compromised by interstitial cystitis, severe diabetes, neurogenic bladder,
bladder cancer, urethral structures and/or significant genital prolapse
5- Patient is carrying a pacemaker
6- Patient does suffer from reduced bladder sensation
7- Patient is pregnant (pregnancy must be ruled out by a pregnancy test for patients of childbearing
potential)
8- Patient has bladder tumors or stones
9- Patient is taking medication that has an effect on continence 
 
Method of Generating Random Sequence   Not Applicable 
Method of Concealment   Not Applicable 
Blinding/Masking   Open Label 
Primary Outcome  
Outcome  TimePoints 
To use 0 to 1 absorbent pad per day less than 7 pads per week valuated for the indwelling period of day 1
of ContiSphere insertion to Day 90 No de-novo UTI during its indwelling period 
90 days 
 
Secondary Outcome  
Outcome  TimePoints 
1. Successful and safe insertion and retrieval of ContiSphere Balloon
2. Less patient discomfort during insertion and retrieval of ContiSphere Balloon as feedback
3. Less patient discomfort while ContiSphere Balloon in bladder as feedback
4. To use 0-1 absorbent pad per day for 90 days of continuous use
5. Adverse events induced by the ContiSphere Balloon or its accessories
6. QOL
 
1 day for successful and safe insertion and discomfort at insertion time feedback and 90 days for other outcomes.  
 
Target Sample Size   Total Sample Size="25"
Sample Size from India="25" 
Final Enrollment numbers achieved (Total)= "Applicable only for Completed/Terminated trials"
Final Enrollment numbers achieved (India)="Applicable only for Completed/Terminated trials" 
Phase of Trial   N/A 
Date of First Enrollment (India)   28/04/2021 
Date of Study Completion (India) Applicable only for Completed/Terminated trials 
Date of First Enrollment (Global)  Date Missing 
Date of Study Completion (Global) Applicable only for Completed/Terminated trials 
Estimated Duration of Trial   Years="1"
Months="2"
Days="0" 
Recruitment Status of Trial (Global)
Modification(s)  
Not Applicable 
Recruitment Status of Trial (India)  Open to Recruitment 
Publication Details   None yet 
Individual Participant Data (IPD) Sharing Statement

Will individual participant data (IPD) be shared publicly (including data dictionaries)?  

Response - NO
Brief Summary   Urinary incontinence (UI) affects approximately 6.2% of Indian population as per study article- The epidemiology of urinary incontinence conducted by “AUSTRALIAN URINARY CONT INENCE NEEDS ANALYSIS”. UI imposes significant adverse physical effects on patients as well as having significant psychological impact on individuals, their families and caregivers. UI results in a loss of self-esteem and a decrease in the ability to maintain an independent lifestyle. Consequently, for women with UI, trips outside the home, social interaction with friends and family and sexual activity may be restricted or avoided entirely (Grimby, Milsom, Molander, et al., 1993).
UI can be caused by anatomic, physiologic and pathologic factors affecting the urinary tract. Subtypes of UI include urge incontinence, overflow incontinence and stress incontinence. Women with stress urinary incontinence (SUI) present clinically with involuntary loss of urine during coughing, sneezing, laughing, or other physical activities that increase intra-abdominal pressure. SUI is defined as urine loss coincident with sudden increase in intra-abdominal pressure. The most common cause of SUI in women is urethral hypermobility and may also be caused by an intrinsic urethral sphincter insufficiency (ISI). In ISI, the urethral sphincter is unable to generate enough resistance to remain completely closed to retain urine in the bladder, especially during stress manoeuvres. 
Treatment modalities available for patients with SUI can be divided into three major categories: behavioural, pharmacological and surgical. As a general rule, the first choice should be the least invasive treatment with the fewest potential adverse complications that is appropriate for the patient. Although a number of treatment options have been shown to be effective alone or in combination, more research is required to determine the optimum treatment combination for specific treatment groups (Urinary Incontinence in Adults, 1996). The high prevalence of UI and its significant adverse physical and psychological effects clearly justify more aggressive efforts to identify, evaluate and treat UI in all settings. The purpose of this study is to determine if a new incontinence device will provide an additional minimally invasive treatment option for women diagnosed with SUI. The new female incontinence device is designed for placement in the bladder to prevent urine leakage while allowing the patient to control urination naturally. 
 
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