POSTERIOR URETHRAL VALVES
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: - Boys - Aged 3 to 5 months - Diagnosed with posterior urethral valves, and having undergone valve resection within the first 3 months of life - Children who have had their valve resection at least 3 months before inclusion - Having undergone urodynamic studies between 3- 5 months of age - Showing abnormal urodynamics, notably: high voiding pressure (>60cm H2O)/ small capacity bladder (=65 years) no F.1.3.1 Number of subjects for this age range
Exclusion criteria
Exclusion criteria: - Boys with posterior urethral valves and normal urodynamics or no urodynamic assessment - Boys in whom urodynamic assessment is not possible for medical or anatomical reasons - Boys requiring dialysis before the age of 3 months - Contra-indication to oxybutynin (e.g. congenital glaucoma)
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Main Objective: To estimate the effect of oxybutynin on urodynamic evolution of bladder function (bladder compliance, bladder volume, peak voiding pressure) in boys after posterior valve ablation;Secondary Objective: To evaluate the safety pharmacokinetic of oxybutynin To evaluate the safety profile of oxybutynin in boys with PUV To compare the incidence of urinary tract infection in boys with or without treatment To estimate the compliance with oxybutynin treatment To compare Sonographic changes between both groups ;Primary end point(s): composite endpoints where the success of treatment at 9 months after inclusion is defined by the association of: - Voiding pressure 10mL/cmH2O A failure of treatment will be defined as the absence of at least one of these outcomes. In presence of a pressure pop-off mechanism, only voiding pressure and bladder volume will be analyzed. ;Timepoint(s) of evaluation of this end point: at 9 months after inclusion | — |
Secondary
| Measure | Time frame |
|---|---|
| Secondary end point(s): - Proportion and type of adverse events in each group - Incidence of urinary tract infections in each group - Compliance with treatment will be evaluated through the proportion of oxybutynin treatment interruption (questionnaire) - Sonographic changes will be expressed as a degree of hydronephrosis at 12-13 months of life (9 months treatment) - Pharmacokinetic samples (6 points from Cmin to H+3h) at month 3, 6 and 12 of life will be used to study and determine the pharmacokinetic parameters (AUC, Cmax, Cmin, half-life) of oxybutynin and desethyloxybutynin (metabolite) in treated boys over treatment ;Timepoint(s) of evaluation of this end point: at month 3, 6 and 12 of life | — |
Countries
France
Contacts
CHU de Bordeaux