Urinary Stress Incontinence
Conditions
Brief summary
Biomechanical and electrophysiological effects of duloxetine in the treatment of women with urinary stress incontinence
Interventions
Sponsors
Study design
Eligibility
Inclusion criteria
* Have a diagnosis of only stress urinary incontinence * Have no pelvic organ prolapse protruding more than 1 cm beyond the hymen
Exclusion criteria
* At visit 1, have a positive urine culture or a history of four or more urinary tract infections in the preceding year. * Have had more than one continence surgery. * Have a current or past urogenital cancer.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Assess the effects of duloxetine in women with urodynamically proved stress urinary incontinence on the within-group change in vesical Valsalva leak point pressure (VLPP) from baseline to endpoint. | — |
Secondary
| Measure | Time frame |
|---|---|
| To evaluate the within-group endpoint/baseline ratios of Root Mean Square Voltage and Mean Rectified Voltage from the rhabdosphincter electromyogram (EMG) at rest and with coughing, and the ratio of cough/rest ratios from baseline to endpoint. | — |
| To evaluate the within-group changes in VLPP and ratios of EMG variables from baseline to 6 months and from 4 weeks to 6 months. | — |
| To describe the percent change in incontinence episode frequency (IEF) from baseline to post-baseline and define two groups, responders and non-responders, based on threshold value of < 50% IEF reduction values. | — |
| To compare the changes in VLPP and EMG ratios from baseline to 4 weeks and from baseline to 6 months in responder and non responders | — |
| To evaluate the safety and tolerability of duloxetine for up to 28 weeks in subjects diagnosed with urodynamic stress incontinence.Based on treatment-emergent adverse events, discontinuation rates, vital signs, and laboratory analyses | — |
Countries
Slovenia, United Kingdom, United States