Painless Laser Therapy for Overactive Bladder (PLTOAB)
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Purpose
The primary objective of this study is to determine the effectiveness of transvaginally-delivered low level laser therapy (LLLT) versus Sham in the treatment of overactive bladder symptoms in women. The secondary objective is to determine the effect of transvaginally-delivered LLLT vs. sham on the quality of life.
| Condition | Intervention |
|---|---|
|
Overactive Bladder |
Device: LCT-1000TM (Manufacturer: LiteCure) |
| Study Type: | Interventional |
| Study Design: | Allocation: Randomized Endpoint Classification: Efficacy Study Intervention Model: Parallel Assignment Masking: Double Blind (Subject, Caregiver, Investigator) Primary Purpose: Treatment |
| Official Title: | A Double-blind, Randomized, Sham-controlled, Multicenter Clinical Trial to Assess the Effectiveness of Therapeutic Class IV Laser LCT-1000TM Treatment for Overactive Bladder Syndrome. |
- The primary efficacy endpoint will be the improvement of OAB symptoms and general quality of life due to the effect of LLLT treatment on OAB through week 7. [ Time Frame: Visits 3, 4, 5, 6, 7, 8, 9, 10, 11, 12 and 13 (over approximately 7 weeks) ] [ Designated as safety issue: No ]Patients will undergo 3 LLLT procedures per week for 3 weeks, for a total of 9 LLLT procedures.
- The primary safety endpoint will evaluate the SLG and ALG treatment groups for differences in reported side effects and adeverse events throughout the trial, including LLLT treatment and follow-up. [ Time Frame: Visits 1, 2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12 and 13 (over approximately 8 weeks) ] [ Designated as safety issue: Yes ]Patients will undergo 3 LLLT procedures per week for 3 weeks, for a total of 9 LLLT procedures.
| Estimated Enrollment: | 200 |
| Study Start Date: | February 2012 |
| Estimated Study Completion Date: | December 2013 |
| Estimated Primary Completion Date: | August 2013 (Final data collection date for primary outcome measure) |
| Arms | Assigned Interventions |
|---|---|
| Active Comparator: Active Laser Group (ALG) |
Device: LCT-1000TM (Manufacturer: LiteCure)
low level laser therapy (LLLT)
|
| Sham Comparator: Sham Laser Group (SLG) |
Device: LCT-1000TM (Manufacturer: LiteCure)
low level laser therapy (LLLT) sham treatment
|
Detailed Description:
This study is a double-blind, randomized, sham-controlled, multicenter, clinical trial that will include enrollment of up to 200 subjects at up to 3 investigational sites.
The study population will be randomized at a 1:1 ratio into two groups: Sham Laser Group (SLG) and Active Laser Group (ALG). The Sham Laser Group will receive a sham LLLT procedure (no laser energy) and the Active Laser Group will receive an active LLLT procedure (laser energy).
Both groups will undergo 3 LLLT procedures per week for 3 weeks, for a total of 9 LLLT procedures. Whether the procedure will be a sham procedure (placebo) or an active LLLT application will be determined by randomization which will assign subjects to be treated with an LCT-1000TM labeled either Laser A or Laser B. The only difference between Laser A and Laser B is that one does not emit laser energy; therefore, both subjects and site research personnel will be blinded as to whether laser energy is actually applied to the subject.
Eligibility| Ages Eligible for Study: | 18 Years and older |
| Genders Eligible for Study: | Female |
| Accepts Healthy Volunteers: | No |
Inclusion Criteria:
- The subject is female and at least 18 years of age at screening.
- A score of > 4 on the OAB-q short form for urgency.
- The subject has an average urinary frequency of > 10 voids per day.
- Self-reported bladder symptoms for > 3 months.
- Self-reported failed conservative care.
- The subject has discontinued all antimuscarinics for at least 2 weeks prior to screening.
- The subject is ambulatory and able to use the toilet independently and without difficulty.
- Negative pregnancy test in subjects of childbearing potential.
- Subject attests in writing that she has not had unprotected intercourse within 3 weeks prior to study enrollment and agrees to have no intercourse until treatments conclude.
- Subject Informed Consent obtained in writing in compliance with local regulations prior to enrollment into this study.
- The subject (and caregiver, if applicable) is willing to participate in this study for at least 7 weeks.
- The subject is otherwise in general good health with no other major medical conditions.
Exclusion Criteria:
- The subject has vaginal bleeding.
- The subject has urinary or gastric retention or a neurogenic bladder.
- The subject is not capable of completing study questionnaires or undergoing portions of the study.
- The subject has been sexually assaulted.
- The subject has an alcohol or drug addiction.
- The subject has used isotretinoin (Accutane) within 6 months prior to study enrollment.
- The subject has cancer.
- The subject has used Botox® in the bladder or pelvic floor muscles within 12 months prior to study enrollment.
- The subject currently has a urinary tract infection or vaginal infection.
- The subject is using Interstim® or Bion®.
- Current use of TENS in pelvic region, back or legs.
- The subject is pregnant or lactating, or is of childbearing potential unless she is surgically sterile or she and/or her partner are using a medically acceptable method of birth control.
- Any use of light-activated drugs (photodynamic therapy) or heat sensitive medications within 30 days of first treatment.
- The subject has used an investigational drug/device therapy or participated in any clinical investigation involving or impacting gynecologic, urinary, or renal function within 4 weeks prior to study enrollment.
- The subject is otherwise determined, based on the opinion of the Investigator, to be an unsuitable candidate for enrollment in this study.
Contacts and Locations| Contact: Ralph Zipper, MD | 321-674-2114 | drzipper@zipperurogyn.com |
| Contact: James Raders, MD | 321-674-2114 | jraders@zipperurogyn.com |
| United States, Florida | |
| Zipper Urogynecology Associates | Recruiting |
| Melbourne, Florida, United States, 32901 | |
| Contact: Ralph Zipper, MD 321-674-2114 drzipper@zipperurogyn.com | |
| Contact: James Raders, MD 321-674-2114 jraders@zipperurogyn.com | |
| Principal Investigator: Ralph Zipper, MD | |
| Principal Investigator: | Ralph Zipper, MD | Zipper Urogynecology Associates |
More Information
Additional Information:
No publications provided
| Responsible Party: | Ralph Zipper, MD, Principal Investigator, Zipper Urogynecology Associates |
| ClinicalTrials.gov Identifier: | NCT01569061 History of Changes |
| Other Study ID Numbers: | 11-179 |
| Study First Received: | March 26, 2012 |
| Last Updated: | March 29, 2012 |
| Health Authority: | United States: Institutional Review Board |
Keywords provided by Zipper Urogynecology Associates:
|
overactive bladder laser therapy urinary incontinence urinary urgency |
Additional relevant MeSH terms:
|
Urinary Bladder, Overactive Urinary Bladder Diseases Urologic Diseases Urological Manifestations Signs and Symptoms |
ClinicalTrials.gov processed this record on May 23, 2013