Urinary Stress Incontinence
Conditions
Brief summary
Double-blind placebo-controlled study of the biomechanical effects of duloxetine compared with placebo in the treatment of women with pure genuine stress incontinence
Interventions
Sponsors
Study design
Eligibility
Inclusion criteria
* Female * Between 18 and 75 years of age * Diagnosis of GSI * Have discrete episodes of incontinence
Exclusion criteria
* Positive urine culture at visit 1 * Use of MAOI * Have had continence or urethral surgery * Use of anti-incontinence device, vaginal pessaries or medications for the treatment of urinary incontinence * Began pelvic floor muscle exercises within 6 months prior to study entry.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Compare the effects of duloxetine with placebo in women with urodynamically proved genuine stress incontinence(GSI)on vesical Valsalva leak point pressure | — |
Secondary
| Measure | Time frame |
|---|---|
| non-instrumented and instrumented uroflowmetry studies | — |
| Percent change in Incontinent Episode Frequency (IEF) from baseline to endpoint | — |
| Subject-perceived improvement in their GSI as measured by the Patient Global Impressions-Improvement (PGI-I) questionnaire at endpoint | — |
| Compare duloxetine responders with duloxetine non-responders with respect to: | — |
| Baseline measures of urethral function | — |
| Compare the effects of duloxetine with that of placebo on measures of bladder emptying phase function derived from | — |
| Outcome measures of emptying function | — |
| Vital signs, laboratory values and the occurrence of treatment-emergent adverse events | — |
| In the open-label extension: | — |
| Determine the effects of duloxetine six to seven months after initiation on measures of urethral function | — |
| Collect long-term data on the maintenance of effect of duloxetine in the treatment of GSI as measured by IEF, PGI-I, vital signs, laboratory values and the occurrence of treatment-emergent adverse events. | — |
| Outcome measures of urethral function | — |
Countries
United States