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
|
|
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
|
|
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 ANALYSISâ€. 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. |