Treatment of stress urinary incontinence using autologous muscle precursor cells
Descrizione riassuntiva dello studio
The study involves women aged between 20 and 65 years suffering from stress urinary incontinence treated with autologous cells. These are harvested from the calf muscle in a minimally invasive surgical procedure under local anesthesia. After preparation in the laboratory under cleanroom conditions, they are processed and injected during a subsequent minimally invasive operation using a syringe through the urethra into the bladder sphincter. Half of the participants will be treated with a "single amount of cells", the other half with double the amount. Allocation is done randomly for the patients and will only be disclosed at the end of the study. Only the treating physicians and the study coordinator know which group a patient belongs to. In preparation for the study and during the 6 months following the administration of the cells, patients must attend appointments at the university hospital and complete questionnaires, pad weight measurements, and bladder diaries. The hospital appointments include 2 MRI scans and 2 urodynamic studies (examinations of the urinary tract and bladder).
(BASEC)
Intervento studiato
Treatment of uncontrolled stress urinary incontinence using autologous muscle precursor cells.
(BASEC)
Malattie studiate
uncontrolled stress urinary incontinence
(BASEC)
• Women aged between 18 and 65 years • Confirmed stress/incontinence under load for at least 6 months prior to study participation, as well as previous unsuccessful treatment through conservative treatment such as physical therapy, electrical stimulation, or dietary changes. • Patients have at least 6 involuntary urinary leaks over 3 days and/or at least 15 grams of weight gain on a pad over 24 hours (BASEC)
Criteri di esclusione
• Patient history includes surgeries of the urinary tract or uterine prolapse greater than second degree • Body weight is too high (body mass index ≥ 30) • overactive urethra > 15mm (BASEC)
Luogo dello studio
Zurigo
(BASEC)
Sponsor
Wyss Zurich, MUVON Project Deana Mohr c/o ETH, Weinbergstrasse 35, WEH G-Stock CH-8092 Zürich
(BASEC)
Contatto per ulteriori informazioni sullo studio
Persona di contatto in Svizzera
Markus Veit
0041 44 255 1223
markus.veit@clutterusz.chUniversity Hospital of Zurich
(BASEC)
Informazioni generali
University of Zurich
(ICTRP)
Informazioni scientifiche
University of Zurich
(ICTRP)
Nome del comitato etico approvante (per studi multicentrici solo il comitato principale)
Commissione etica Zurigo
(BASEC)
Data di approvazione del comitato etico
28.07.2022
(BASEC)
ID di studio ICTRP
NCT05534269 (ICTRP)
Titolo ufficiale (approvato dal comitato etico)
Stress Urinary Incontinence Study to assess Safety and Efficacy of Muvon's Muscle Precursor Cell Therapy (BASEC)
Titolo accademico
Stress Urinary Incontinence Study to Assess Safety and Efficacy of Muvon's Muscle Precursor Cell Therapy (ICTRP)
Titolo pubblico
Stress Urinary Incontinence Study to Assess Safety and Efficacy of Muvon's Muscle Precursor Cell Therapy (ICTRP)
Malattie studiate
Female Stress Urinary Incontinence (ICTRP)
Intervento studiato
Biological: autologous muscle precursor cells (ICTRP)
Tipo di studio
Interventional (ICTRP)
Disegno dello studio
Allocation: Randomized. Intervention model: Parallel Assignment. Primary purpose: Treatment. Masking: Single (Participant). (ICTRP)
Criteri di inclusione/esclusione
Inclusion Criteria:
- Predominant clinical diagnosis of SUI
- Stress incontinence = grade I for at least 6 months
- Patient has at least once been treated with, and failed prior conservative
treatments
- Patient had no improvement of SUI symptoms for at least 6 months before enrollment
- Patients with a certain amount of leaks or /and a predefined pad weight at screening
- Candidate for a surgical treatment
- Negative blood test: Human immunodeficiency virus (HIV 1/2), Hepatitis B HBsAg, Anti
HBc, Hepatitis C, Anti-HCV-Ab and Syphilis
- Negative laboratory or blood test, and medical examination to eliminate risk of
sexually transmitted diseases (STD) per investigators' discretion
- Competent to comprehend, sign, and date informed consent form before any
study-specific procedure is performed
- Able to communicate well with the Investigator, and to understand and comply with
the requirements of the study including answering the required questionnaires
Exclusion Criteria:
- History of anti-incontinence surgery or prolapse surgery.
- Prolapse
- Diagnosed Hypermobile Urethra
- Previous diagnosis of any of the following conditions, disorders, or diseases of the
urinary tract:
- Clinically significant cystocele or rectocele
- Ureteric bladder, urethral or rectal fistula
- Uncorrected congenital abnormality leading to urinary incontinence
- Interstitial cystitis
- Urinary urgency that results in leakage (as a predominant symptom)
- Adult enuresis
- Urodynamically proven detrusor instability or detrusor sphincter dyssynergia (DSD)
- Sensory urgency defined as first sensation of bladder fill (urge to void) of <100 ml
- No sensation at any time during the simple filling cystometry procedure
- Known urethral Stenosis (ureterocystoscopy) or urethral diverticulum
- History of cancer (< 5 year of remission) or history of pelvic radiotherapy
- Immunosuppressed patients
- Women who are pregnant or become pregnant during the course of the study, breast
feeding or <12 months postpartum
- Untreated symptomatic urinary tract infection
- Fever (as defined by = 38,5C, axillar measurement), any infectious disease, cold or
flu within the last 7 days
- Unstable severe systemic disease including uncontrolled hypertension, unstable
angina, or myocardial infarction, severe coagulation disorders, bleeding diathesis,
emboli, thrombophlebitis, infectious diseases, poor wound healing, and poorly
controlled diabetes mellitus within 6 months before enrolment
- Known allergy/intolerance to at least one of the active ingredients or excipients of
the investigational products
- Known allergy/intolerance to Penicillin or Streptomycin.
- Known genetically determined or acquired muscular disease, known neurological
disorder (Parkinson's disease, multiple sclerosis, spina bifida, medullary
traumatism, Creutzfeldt-Jakob disease).
- Medication regimen including estrogens, anti-estrogens or diuretics where dose
and/or frequency has not been stable for at least the past 12 weeks or is
anticipated to change during the course of the study.
- Chronic use of defined drugs and not stopped prior to inclusion into or including
the study. Selective serotonin and norepinephrine reuptake inhibitor antidepressant
(SSNRI), alpha-receptor antagonists/agonists, beta-3-receptor agonists or
anticholinergic/-muscarinic drugs.
- Have any clinically significant coexisting condition or symptoms that, in the
opinion of the investigator, would put the safety of the participant at risk.
- Any organic or psychiatric disorder that, in the opinion of the investigator, might
prevent the subject from completing the study or interfere with the interpretation
of the study results.
- Medication known to affect lower urinary tract function.
- Patients having any electrical device inside their body (such as a cochlear implant,
TENS stimulator (for pain), vagal nerve stimulator, brain stimulator, gastric
pacemaker, bladder stimulator, or an implanted mechanical pump (such an insulin pump
or pain pump).
- Patients having a cardiac pacemaker or defibrillator implant.
- Patients with Starr-Edwards artificial heart valve.
- Patients that suffer from claustrophobia. (ICTRP)
non disponibile
Endpoint primari e secondari
Change of SUI episode frequency (ICTRP)
Incidence of (S)AEs;Number of patients with any clinical significant findings;Change in 24 hour pad weight (ICTRP)
Data di registrazione
non disponibile
Inclusione del primo partecipante
non disponibile
Sponsor secondari
GCP-Service International Ltd. & Co. KG (ICTRP)
Contatti aggiuntivi
Markus Veit, markus.veit@usz.ch, +41 44 255 12 23 (ICTRP)
ID secondari
SUISSE MPC2 (ICTRP)
Risultati-Dati individuali dei partecipanti
non disponibile
Ulteriori informazioni sullo studio
https://clinicaltrials.gov/ct2/show/NCT05534269 (ICTRP)
Risultati dello studio
Riepilogo dei risultati
non disponibile
Link ai risultati nel registro primario
non disponibile