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This is a Post Approval Study of Coaptite® in the Treatment of Female Urinary Incontinence

Post-approval of Coaptite® in the Treatment of Female Urinary Incontinence

Status
Completed
Phases
NA
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT00996489
Enrollment
459
Registered
2009-10-16
Start date
2008-01-08
Completion date
2015-11-02
Last updated
2019-07-23

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Female Stress Urinary Incontinence Due to Intrinsic Sphincter Deficiency

Brief summary

This is a post approval study of Coaptite® in the treatment of female urinary incontinence.

Interventions

DEVICECoaptite®

Calcium hydroxylapatite particles suspended in an aqueous based gel carrier

Sponsors

Merz North America, Inc.
Lead SponsorINDUSTRY

Study design

Allocation
NA
Intervention model
SINGLE_GROUP
Primary purpose
TREATMENT
Masking
NONE

Eligibility

Sex/Gender
FEMALE
Age
18 Years to No maximum
Healthy volunteers
No

Inclusion criteria

* Has female stress urinary incontinence that is due to intrinsic sphincter deficiency * Has a baseline pad weight of greater than or equal to 50 grams * Has viable mucosal lining at likely site of injection (bladder neck) * Is at least 18 years of age * Understands and accepts the obligation and is logistically able to present for all scheduled study visits * Signs written informed consent

Exclusion criteria

* Has had a previous treatment for urinary incontinence with a urethral bulking agent other than Coaptite® or collagen * Has detrusor instability * Has bladder neuropathy * Has nocturnal enuresis (bed wetting) * Has Grade II or III prolapsed bladder * Has overflow or functional incontinence * Has significant history of urinary tract infections without resolution * Has current or acute conditions of cystitis or urethritis * Has history of significant pelvic irradiation * Is pregnant or lactating

Design outcomes

Primary

MeasureTime frameDescription
Incontinence Status as Assessed by Stamey Grade ScoreBaseline and Months 6, 12, 18, 24, 30, and 36The Stamey grade classifies the severity stress incontinence and was calculated from the 4-day voiding diary using the four possible grades from 0-3. Grade 0: controlled urination, Grade 1: accidents with vigorous activity, for example, lifting weights, coughing, and sneezing, Grade 2: accidents with minimal activity, for example, walking and standing up, and Grade 3: accidents regardless of activity or position and that cannot be attributed to a specific activity. Higher the Stamey grade, the most severe leakage level was estimated. An average of 4 days for the final grade was recorded and rounded up, if necessary (for example, 2.5 was equal to Grade 3).
Number of Participants With One Point Improvement in Stamey Grade Scores up to Month 12Baseline up to Month 12The Stamey grade classifies the severity stress incontinence and was calculated from the 4-day voiding diary using the four possible grades from 0-3. Grade 0: controlled urination, Grade 1: accidents with vigorous activity, for example, lifting weights, coughing, and sneezing, Grade 2: accidents with minimal activity, for example, walking and standing up, and Grade 3: accidents regardless of activity or position and that cannot be attributed to a specific activity. Higher the Stamey grade, the most severe leakage level was estimated. An average of 4 days for the final grade was recorded and rounded up, if necessary (for example, 2.5 was equal to Grade 3).
Number of Participants Who Had at Least One Point Improvement in Stamey Grade Scores Compared to BaselineMonths 6, 12, 18, 24, 30, and 36The Stamey grade classifies the severity stress incontinence and was calculated from the 4-day voiding diary using the four possible grades from 0-3. Grade 0: controlled urination, Grade 1: accidents with vigorous activity, for example, lifting weights, coughing, and sneezing, Grade 2: accidents with minimal activity, for example, walking and standing up, and Grade 3: accidents regardless of activity or position and that cannot be attributed to a specific activity. Higher the Stamey grade, the most severe leakage level was estimated. An average of 4 days for the final grade was recorded and rounded up, if necessary (for example, 2.5 was equal to Grade 3).
Number of Participants With Change From Baseline in Stamey Grade Scores Over TimeBaseline up to Months 6 and 12The Stamey grade classifies the severity stress incontinence and was calculated from the 4-day voiding diary using the four possible grades from 0-3. Grade 0: controlled urination, Grade 1: accidents with vigorous activity, for example, lifting weights, coughing, and sneezing, Grade 2: accidents with minimal activity, for example, walking and standing up, and Grade 3: accidents regardless of activity or position and that cannot be attributed to a specific activity. Higher the Stamey grade, the most severe leakage level was estimated. An average of 4 days for the final grade was recorded and rounded up, if necessary (for example, 2.5 was equal to Grade 3).
Number of Participants Who Experience at Least One Treatment Emergent Adverse Event (TEAE)Baseline up to Month 36

Secondary

MeasureTime frameDescription
Volume of Coaptite Injected Per TreatmentBaseline, Baseline to Month 6 and Months 6 to 12, 12 to 18, 18 to 24, 24 to 30, 30 to 36
Number of Participants Who Received Each of the Six Coaptite InjectionsBaseline up to Month 36Coaptite injection were given to any participant during the 36 months of evaluation.
Mean Number of Sites Injected by CoaptiteBaseline, Baseline to Month 6 and Months 6 to 12, 12 to 18, 18 to 24, 24 to 30, 30 to 36
Time to Coaptite RetreatmentBaseline up to Month 36Time to additional coaptite treatment or any other alternative treatment for stress urinary incontinence was recorded to assess the durability of effect.
Number of Participants With Alternative Treatments for IncontinenceBaseline up to Month 6 and Months 6 to 12, 12 to 18, 18 to 24, 24 to 30, 30 to 36Number of participants with alternative treatment such as kegel exercises, sling, sling/cystocele repair, surgery, permanent abdominal tube, intravesical botox, sling/graft, sling removal, estradiol vaginal cream, bladder neck suspension, tension free vaginal tape, biofeedback, polydimethylsiloxane injections, solifenacin orally, bladder specific control physical therapy, for stress urinary incontinence were assessed.
Number of Participants With Urge Incontinence Medication (UIM) StatusBaseline up to Month 36The use of urge incontinence medications was collected pre-treatment and post-treatment.
Incontinence Quality of Life (iQoL) ScoresBaseline and Months 6, 12, 18, 24, 30, and 36The iQoL measured the effect of urinary incontinence on QoL. It was divided into 3 subscales: 1 (avoidance and limiting behaviour); 2 (psychosocial impact), and 3 (social embarrassment). The iQOL was comprised of 22 items, each with the response scale from 1 (extremely) to 5 (not at all). A mean score for each subscale was calculated (averaging the scores for the items in each subscale) as well as a total score for all 22 items (sum of all subscale scores). The scores were then transformed to a scale score ranging from 0 to 100 points, where higher scores indicated less impact of incontinence on QoL.

Countries

United States

Participant flow

Recruitment details

The study was conducted at 20 sites in the United States.

Pre-assignment details

A total of 459 participants were screened, enrolled and treated in the study. Of these, 298 participants completed the 36-month study.

Participants by arm

ArmCount
Coaptite
Participants received first coaptite injection of calcium hydroxylapatite particles suspended in an aqueous based gel carrier, at baseline visit (Month 0) within 60 days of pad weight confirmation and the dosage was decided by the physician which was required to bulk the urethra to achieve the clinically desired level of incontinence correction. If an additional injection was determined to be clinically necessary, based on investigator's clinical judgement, participants received additional coaptite injections during 36 months.
459
Total459

Withdrawals & dropouts

PeriodReasonFG000
Overall StudyDevice failure45
Overall StudyDiscontinued116

Baseline characteristics

CharacteristicCoaptite
Age, Continuous66.4 years
STANDARD_DEVIATION 12.9
Race/Ethnicity, Customized
Asian
9 Participants
Race/Ethnicity, Customized
Black
8 Participants
Race/Ethnicity, Customized
Caucasian
406 Participants
Race/Ethnicity, Customized
Hispanic
33 Participants
Race/Ethnicity, Customized
Native American
1 Participants
Race/Ethnicity, Customized
Other
2 Participants
Region of Enrollment
United States
459 Participants
Sex: Female, Male
Female
459 Participants
Sex: Female, Male
Male
0 Participants

Adverse events

Event typeEG000
affected / at risk
deaths
Total, all-cause mortality
10 / 459
other
Total, other adverse events
246 / 459
serious
Total, serious adverse events
163 / 459

Outcome results

Primary

Incontinence Status as Assessed by Stamey Grade Score

The Stamey grade classifies the severity stress incontinence and was calculated from the 4-day voiding diary using the four possible grades from 0-3. Grade 0: controlled urination, Grade 1: accidents with vigorous activity, for example, lifting weights, coughing, and sneezing, Grade 2: accidents with minimal activity, for example, walking and standing up, and Grade 3: accidents regardless of activity or position and that cannot be attributed to a specific activity. Higher the Stamey grade, the most severe leakage level was estimated. An average of 4 days for the final grade was recorded and rounded up, if necessary (for example, 2.5 was equal to Grade 3).

Time frame: Baseline and Months 6, 12, 18, 24, 30, and 36

Population: The full analysis set (FAS) consisted of SES participants who had a baseline and at least one post-baseline observed or imputed primary effectiveness value. Participants who were evaluable for this measure at given time period for the arm were included in the category.

ArmMeasureGroupValue (MEAN)Dispersion
CoaptiteIncontinence Status as Assessed by Stamey Grade ScoreMonth 181.6 score on a scaleStandard Deviation 1.2
CoaptiteIncontinence Status as Assessed by Stamey Grade ScoreMonth 241.5 score on a scaleStandard Deviation 1.2
CoaptiteIncontinence Status as Assessed by Stamey Grade ScoreMonth 301.5 score on a scaleStandard Deviation 1.2
CoaptiteIncontinence Status as Assessed by Stamey Grade ScoreMonth 361.5 score on a scaleStandard Deviation 1.2
CoaptiteIncontinence Status as Assessed by Stamey Grade ScoreBaseline2.5 score on a scaleStandard Deviation 0.7
CoaptiteIncontinence Status as Assessed by Stamey Grade ScoreMonth 61.6 score on a scaleStandard Deviation 1.1
CoaptiteIncontinence Status as Assessed by Stamey Grade ScoreMonth 121.5 score on a scaleStandard Deviation 1.2
Primary

Number of Participants Who Experience at Least One Treatment Emergent Adverse Event (TEAE)

Time frame: Baseline up to Month 36

Population: The SES was the subset of all participants enrolled who were exposed to the study device at least once.

ArmMeasureValue (NUMBER)
CoaptiteNumber of Participants Who Experience at Least One Treatment Emergent Adverse Event (TEAE)313 participants
Primary

Number of Participants Who Had at Least One Point Improvement in Stamey Grade Scores Compared to Baseline

The Stamey grade classifies the severity stress incontinence and was calculated from the 4-day voiding diary using the four possible grades from 0-3. Grade 0: controlled urination, Grade 1: accidents with vigorous activity, for example, lifting weights, coughing, and sneezing, Grade 2: accidents with minimal activity, for example, walking and standing up, and Grade 3: accidents regardless of activity or position and that cannot be attributed to a specific activity. Higher the Stamey grade, the most severe leakage level was estimated. An average of 4 days for the final grade was recorded and rounded up, if necessary (for example, 2.5 was equal to Grade 3).

Time frame: Months 6, 12, 18, 24, 30, and 36

Population: The FAS consisted of SES participants who had a baseline and at least one post-baseline observed or imputed primary effectiveness value. Participants who were evaluable for this measure at given time period for the arm were included in the category.

ArmMeasureGroupValue (NUMBER)
CoaptiteNumber of Participants Who Had at Least One Point Improvement in Stamey Grade Scores Compared to BaselineMonth 6229 participants
CoaptiteNumber of Participants Who Had at Least One Point Improvement in Stamey Grade Scores Compared to BaselineMonth 12234 participants
CoaptiteNumber of Participants Who Had at Least One Point Improvement in Stamey Grade Scores Compared to BaselineMonth 18208 participants
CoaptiteNumber of Participants Who Had at Least One Point Improvement in Stamey Grade Scores Compared to BaselineMonth 24221 participants
CoaptiteNumber of Participants Who Had at Least One Point Improvement in Stamey Grade Scores Compared to BaselineMonth 30200 participants
CoaptiteNumber of Participants Who Had at Least One Point Improvement in Stamey Grade Scores Compared to BaselineMonth 36199 participants
Primary

Number of Participants With Change From Baseline in Stamey Grade Scores Over Time

The Stamey grade classifies the severity stress incontinence and was calculated from the 4-day voiding diary using the four possible grades from 0-3. Grade 0: controlled urination, Grade 1: accidents with vigorous activity, for example, lifting weights, coughing, and sneezing, Grade 2: accidents with minimal activity, for example, walking and standing up, and Grade 3: accidents regardless of activity or position and that cannot be attributed to a specific activity. Higher the Stamey grade, the most severe leakage level was estimated. An average of 4 days for the final grade was recorded and rounded up, if necessary (for example, 2.5 was equal to Grade 3).

Time frame: Baseline up to Months 6 and 12

Population: The FAS consisted of SES participants who had a baseline and at least one post-baseline observed or imputed primary effectiveness value.

ArmMeasureGroupValue (NUMBER)
CoaptiteNumber of Participants With Change From Baseline in Stamey Grade Scores Over TimeMonth 6408 participants
CoaptiteNumber of Participants With Change From Baseline in Stamey Grade Scores Over TimeMonth 12391 participants
Primary

Number of Participants With One Point Improvement in Stamey Grade Scores up to Month 12

The Stamey grade classifies the severity stress incontinence and was calculated from the 4-day voiding diary using the four possible grades from 0-3. Grade 0: controlled urination, Grade 1: accidents with vigorous activity, for example, lifting weights, coughing, and sneezing, Grade 2: accidents with minimal activity, for example, walking and standing up, and Grade 3: accidents regardless of activity or position and that cannot be attributed to a specific activity. Higher the Stamey grade, the most severe leakage level was estimated. An average of 4 days for the final grade was recorded and rounded up, if necessary (for example, 2.5 was equal to Grade 3).

Time frame: Baseline up to Month 12

Population: The FAS consisted of SES participants who had a baseline and at least one post-baseline observed or imputed primary effectiveness value. The FAS, where 6 and 12 months follow up data for the participants was available.

ArmMeasureValue (NUMBER)
CoaptiteNumber of Participants With One Point Improvement in Stamey Grade Scores up to Month 12171 participants
Secondary

Incontinence Quality of Life (iQoL) Scores

The iQoL measured the effect of urinary incontinence on QoL. It was divided into 3 subscales: 1 (avoidance and limiting behaviour); 2 (psychosocial impact), and 3 (social embarrassment). The iQOL was comprised of 22 items, each with the response scale from 1 (extremely) to 5 (not at all). A mean score for each subscale was calculated (averaging the scores for the items in each subscale) as well as a total score for all 22 items (sum of all subscale scores). The scores were then transformed to a scale score ranging from 0 to 100 points, where higher scores indicated less impact of incontinence on QoL.

Time frame: Baseline and Months 6, 12, 18, 24, 30, and 36

Population: The FAS consisted of SES participants who had a baseline and at least one post-baseline observed or imputed primary effectiveness value. Participants who were evaluable for this measure at given time period for the arm were included in the category.

ArmMeasureGroupValue (MEAN)Dispersion
CoaptiteIncontinence Quality of Life (iQoL) ScoresMonth 1270.3 units on a scaleStandard Deviation 24.5
CoaptiteIncontinence Quality of Life (iQoL) ScoresMonth 1870.4 units on a scaleStandard Deviation 24.4
CoaptiteIncontinence Quality of Life (iQoL) ScoresMonth 3073.5 units on a scaleStandard Deviation 24.3
CoaptiteIncontinence Quality of Life (iQoL) ScoresMonth 3672.7 units on a scaleStandard Deviation 24.4
CoaptiteIncontinence Quality of Life (iQoL) ScoresBaseline39.5 units on a scaleStandard Deviation 21.9
CoaptiteIncontinence Quality of Life (iQoL) ScoresMonth 669.6 units on a scaleStandard Deviation 24.5
CoaptiteIncontinence Quality of Life (iQoL) ScoresMonth 2471.2 units on a scaleStandard Deviation 24.3
Secondary

Mean Number of Sites Injected by Coaptite

Time frame: Baseline, Baseline to Month 6 and Months 6 to 12, 12 to 18, 18 to 24, 24 to 30, 30 to 36

Population: The FAS consisted of SES participants who had a baseline and at least one post-baseline observed or imputed primary effectiveness value. Participants who were evaluable for this measure at given time period for the arm were included in the category.

ArmMeasureGroupValue (MEAN)Dispersion
CoaptiteMean Number of Sites Injected by CoaptiteMonth 18 to 242.5 number of sitesStandard Deviation 1
CoaptiteMean Number of Sites Injected by CoaptiteBaseline2.4 number of sitesStandard Deviation 0.9
CoaptiteMean Number of Sites Injected by CoaptiteBaseline to Month 62.4 number of sitesStandard Deviation 0.9
CoaptiteMean Number of Sites Injected by CoaptiteMonth 6 to 122.5 number of sitesStandard Deviation 0.9
CoaptiteMean Number of Sites Injected by CoaptiteMonth 12 to 182.6 number of sitesStandard Deviation 1
CoaptiteMean Number of Sites Injected by CoaptiteMonth 24 to 302.9 number of sitesStandard Deviation 1.8
CoaptiteMean Number of Sites Injected by CoaptiteMonth 30 to 362.1 number of sitesStandard Deviation 0.3
Secondary

Number of Participants Who Received Each of the Six Coaptite Injections

Coaptite injection were given to any participant during the 36 months of evaluation.

Time frame: Baseline up to Month 36

Population: The FAS consisted of SES participants who had a baseline and at least one post-baseline observed or imputed primary effectiveness value.

ArmMeasureGroupValue (NUMBER)
CoaptiteNumber of Participants Who Received Each of the Six Coaptite InjectionsReceived First Injection458 participants
CoaptiteNumber of Participants Who Received Each of the Six Coaptite InjectionsReceived Second Injection262 participants
CoaptiteNumber of Participants Who Received Each of the Six Coaptite InjectionsReceived Third Injection90 participants
CoaptiteNumber of Participants Who Received Each of the Six Coaptite InjectionsReceived Fourth Injection26 participants
CoaptiteNumber of Participants Who Received Each of the Six Coaptite InjectionsReceived Fifth Injection7 participants
CoaptiteNumber of Participants Who Received Each of the Six Coaptite InjectionsReceived Sixth Injection1 participants
Secondary

Number of Participants With Alternative Treatments for Incontinence

Number of participants with alternative treatment such as kegel exercises, sling, sling/cystocele repair, surgery, permanent abdominal tube, intravesical botox, sling/graft, sling removal, estradiol vaginal cream, bladder neck suspension, tension free vaginal tape, biofeedback, polydimethylsiloxane injections, solifenacin orally, bladder specific control physical therapy, for stress urinary incontinence were assessed.

Time frame: Baseline up to Month 6 and Months 6 to 12, 12 to 18, 18 to 24, 24 to 30, 30 to 36

Population: The SES was the subset of all participants enrolled who were exposed to the study device at least once.

ArmMeasureGroupValue (NUMBER)
CoaptiteNumber of Participants With Alternative Treatments for IncontinenceKegel Exercises: Month 12-180 participants
CoaptiteNumber of Participants With Alternative Treatments for IncontinenceKegel Exercises: Month 18-240 participants
CoaptiteNumber of Participants With Alternative Treatments for IncontinenceKegel Exercises: Month 24-300 participants
CoaptiteNumber of Participants With Alternative Treatments for IncontinenceKegel Exercises: Month 30-360 participants
CoaptiteNumber of Participants With Alternative Treatments for IncontinenceSling: Month 0-65 participants
CoaptiteNumber of Participants With Alternative Treatments for IncontinenceSling: Month 6-122 participants
CoaptiteNumber of Participants With Alternative Treatments for IncontinenceSling: Month 12-184 participants
CoaptiteNumber of Participants With Alternative Treatments for IncontinenceSling: Month 18-248 participants
CoaptiteNumber of Participants With Alternative Treatments for IncontinenceSling: Month 24-305 participants
CoaptiteNumber of Participants With Alternative Treatments for IncontinenceSling: Month 30-360 participants
CoaptiteNumber of Participants With Alternative Treatments for IncontinenceSling/Cystocele Repair: Month 0-61 participants
CoaptiteNumber of Participants With Alternative Treatments for IncontinenceSling/Cystocele Repair: Month 6-123 participants
CoaptiteNumber of Participants With Alternative Treatments for IncontinenceSling/Cystocele Repair: Month 12-180 participants
CoaptiteNumber of Participants With Alternative Treatments for IncontinenceSling/Cystocele Repair: Month 30-360 participants
CoaptiteNumber of Participants With Alternative Treatments for IncontinenceSurgery: Month 0-60 participants
CoaptiteNumber of Participants With Alternative Treatments for IncontinenceSurgery: Month 18-240 participants
CoaptiteNumber of Participants With Alternative Treatments for IncontinenceSurgery: Month 24-300 participants
CoaptiteNumber of Participants With Alternative Treatments for IncontinencePermanent Abdominal Tube: Month 6-120 participants
CoaptiteNumber of Participants With Alternative Treatments for IncontinencePermanent Abdominal Tube: Month 12-180 participants
CoaptiteNumber of Participants With Alternative Treatments for IncontinencePermanent Abdominal Tube: Month 30-361 participants
CoaptiteNumber of Participants With Alternative Treatments for IncontinenceIntravesical Botox: Month 0-60 participants
CoaptiteNumber of Participants With Alternative Treatments for IncontinenceIntravesical Botox: Month 6-121 participants
CoaptiteNumber of Participants With Alternative Treatments for IncontinenceIntravesical Botox: Month 18-241 participants
CoaptiteNumber of Participants With Alternative Treatments for IncontinenceSling/Graft, Sling Removal: Month 0-60 participants
CoaptiteNumber of Participants With Alternative Treatments for IncontinenceSling/Graft, Sling Removal: Month 6-120 participants
CoaptiteNumber of Participants With Alternative Treatments for IncontinenceSling/Graft, Sling Removal: Month 12-180 participants
CoaptiteNumber of Participants With Alternative Treatments for IncontinenceSling/Graft, Sling Removal: Month 18-241 participants
CoaptiteNumber of Participants With Alternative Treatments for IncontinenceSling/Graft, Sling Removal: Month 24-300 participants
CoaptiteNumber of Participants With Alternative Treatments for IncontinenceSling/Graft, Sling Removal: Month 30-360 participants
CoaptiteNumber of Participants With Alternative Treatments for IncontinenceEstradiol Vaginal Cream: Month 0-60 participants
CoaptiteNumber of Participants With Alternative Treatments for IncontinenceEstradiol Vaginal Cream: Month 6-120 participants
CoaptiteNumber of Participants With Alternative Treatments for IncontinenceEstradiol Vaginal Cream: Month 12-180 participants
CoaptiteNumber of Participants With Alternative Treatments for IncontinenceEstradiol Vaginal Cream: Month 18-241 participants
CoaptiteNumber of Participants With Alternative Treatments for IncontinenceEstradiol Vaginal Cream: Month 24-300 participants
CoaptiteNumber of Participants With Alternative Treatments for IncontinenceEstradiol Vaginal Cream: Month 30-360 participants
CoaptiteNumber of Participants With Alternative Treatments for IncontinenceBladder Neck Suspension: Month 0-61 participants
CoaptiteNumber of Participants With Alternative Treatments for IncontinenceBladder Neck Suspension: Month 6-121 participants
CoaptiteNumber of Participants With Alternative Treatments for IncontinenceBladder Neck Suspension: Month 12-181 participants
CoaptiteNumber of Participants With Alternative Treatments for IncontinenceBiofeedback: Month 12-180 participants
CoaptiteNumber of Participants With Alternative Treatments for IncontinencePolydimethylsiloxane Injections: Month 0-60 participants
CoaptiteNumber of Participants With Alternative Treatments for IncontinenceSolifenacin orally: Month 0-60 participants
CoaptiteNumber of Participants With Alternative Treatments for IncontinenceSolifenacin orally: Month 6-120 participants
CoaptiteNumber of Participants With Alternative Treatments for IncontinenceSolifenacin orally: Month 12-180 participants
CoaptiteNumber of Participants With Alternative Treatments for IncontinenceSolifenacin orally: Month 18-240 participants
CoaptiteNumber of Participants With Alternative Treatments for IncontinenceSolifenacin orally: Month 24-300 participants
CoaptiteNumber of Participants With Alternative Treatments for IncontinenceSolifenacin orally: Month 30-361 participants
CoaptiteNumber of Participants With Alternative Treatments for IncontinenceBladder SpecificControlPhysical TherapyX6:0-60 participants
CoaptiteNumber of Participants With Alternative Treatments for IncontinenceBladderSpecificControlPhysicalTherapyX6:Month6-120 participants
CoaptiteNumber of Participants With Alternative Treatments for IncontinenceBladderSpecificControlPhysicalTherapyX6:Month18-240 participants
CoaptiteNumber of Participants With Alternative Treatments for IncontinenceBladderSpecificControlPhysicalTherapyX6:Month24-301 participants
CoaptiteNumber of Participants With Alternative Treatments for IncontinenceBladderSpecificControlPhysicalTherapyX6:Month0 participants
CoaptiteNumber of Participants With Alternative Treatments for IncontinenceKegel Exercises: Month 0-61 participants
CoaptiteNumber of Participants With Alternative Treatments for IncontinenceKegel Exercises: Month 6-121 participants
CoaptiteNumber of Participants With Alternative Treatments for IncontinenceSling/Cystocele Repair: Month 18-241 participants
CoaptiteNumber of Participants With Alternative Treatments for IncontinenceSling/Cystocele Repair: Month 24-301 participants
CoaptiteNumber of Participants With Alternative Treatments for IncontinenceSurgery : Month 6-121 participants
CoaptiteNumber of Participants With Alternative Treatments for IncontinenceSurgery: Month 12-180 participants
CoaptiteNumber of Participants With Alternative Treatments for IncontinenceSurgery: Month 30-360 participants
CoaptiteNumber of Participants With Alternative Treatments for IncontinencePermanent Abdominal Tube: Month 0-60 participants
CoaptiteNumber of Participants With Alternative Treatments for IncontinencePermanent Abdominal Tube: Month 18-240 participants
CoaptiteNumber of Participants With Alternative Treatments for IncontinencePermanent Abdominal Tube: Month 24-300 participants
CoaptiteNumber of Participants With Alternative Treatments for IncontinenceIntravesical Botox: Month 12-181 participants
CoaptiteNumber of Participants With Alternative Treatments for IncontinenceIntravesical Botox: Month 24-302 participants
CoaptiteNumber of Participants With Alternative Treatments for IncontinenceIntravesical Botox: Month 30-361 participants
CoaptiteNumber of Participants With Alternative Treatments for IncontinenceBladder Neck Suspension: Month 18-240 participants
CoaptiteNumber of Participants With Alternative Treatments for IncontinenceBladder Neck Suspension: Month 24-300 participants
CoaptiteNumber of Participants With Alternative Treatments for IncontinenceBladder Neck Suspension: Month 30-360 participants
CoaptiteNumber of Participants With Alternative Treatments for IncontinenceTension Free Vaginal Tape: Month 0-60 participants
CoaptiteNumber of Participants With Alternative Treatments for IncontinenceTension Free Vaginal Tape: Month 6-121 participants
CoaptiteNumber of Participants With Alternative Treatments for IncontinenceTension Free Vaginal Tape: Month 12-180 participants
CoaptiteNumber of Participants With Alternative Treatments for IncontinenceTension Free Vaginal Tape: Month 18-240 participants
CoaptiteNumber of Participants With Alternative Treatments for IncontinenceTension Free Vaginal Tape: Month 24-300 participants
CoaptiteNumber of Participants With Alternative Treatments for IncontinenceTension Free Vaginal Tape: Month 30-360 participants
CoaptiteNumber of Participants With Alternative Treatments for IncontinenceBiofeedback: Month 0-61 participants
CoaptiteNumber of Participants With Alternative Treatments for IncontinenceBiofeedback: Month 6-120 participants
CoaptiteNumber of Participants With Alternative Treatments for IncontinenceBiofeedback: Month 18-240 participants
CoaptiteNumber of Participants With Alternative Treatments for IncontinenceBiofeedback: Month 24-300 participants
CoaptiteNumber of Participants With Alternative Treatments for IncontinenceBiofeedback: Month 30-360 participants
CoaptiteNumber of Participants With Alternative Treatments for IncontinencePolydimethylsiloxane Injections: Month 6-121 participants
CoaptiteNumber of Participants With Alternative Treatments for IncontinencePolydimethylsiloxane Injections: Month 12-180 participants
CoaptiteNumber of Participants With Alternative Treatments for IncontinencePolydimethylsiloxane Injections: Month 18-241 participants
CoaptiteNumber of Participants With Alternative Treatments for IncontinencePolydimethylsiloxane Injections: Month 24-300 participants
CoaptiteNumber of Participants With Alternative Treatments for IncontinencePolydimethylsiloxane Injections: Month 30-360 participants
CoaptiteNumber of Participants With Alternative Treatments for IncontinenceBladderSpecificControlPhysicalTherapyX6:Month12-180 participants
Secondary

Number of Participants With Urge Incontinence Medication (UIM) Status

The use of urge incontinence medications was collected pre-treatment and post-treatment.

Time frame: Baseline up to Month 36

Population: The FAS consisted of SES participants who had a baseline and at least one post-baseline observed or imputed primary effectiveness value. Participants who were evaluable for this measure at given time period for the arm were included in the category.

ArmMeasureValue (NUMBER)
CoaptiteNumber of Participants With Urge Incontinence Medication (UIM) Status52 participants
Secondary

Time to Coaptite Retreatment

Time to additional coaptite treatment or any other alternative treatment for stress urinary incontinence was recorded to assess the durability of effect.

Time frame: Baseline up to Month 36

Population: The FAS consisted of SES participants who had a baseline and at least one post-baseline observed or imputed primary effectiveness value. Participants who were evaluable for this measure at given time period for the arm were included in the category.

ArmMeasureGroupValue (MEAN)Dispersion
CoaptiteTime to Coaptite RetreatmentInjection 1 to 2150.1 daysStandard Deviation 189.6
CoaptiteTime to Coaptite RetreatmentInjection 3 to 4227.1 daysStandard Deviation 222.1
CoaptiteTime to Coaptite RetreatmentInjection 4 to 5164 daysStandard Deviation 74
CoaptiteTime to Coaptite RetreatmentInjection 5 to 6105 days
CoaptiteTime to Coaptite RetreatmentInjection 2 to 3212 daysStandard Deviation 215.3
Secondary

Volume of Coaptite Injected Per Treatment

Time frame: Baseline, Baseline to Month 6 and Months 6 to 12, 12 to 18, 18 to 24, 24 to 30, 30 to 36

Population: The FAS consisted of SES participants who had a baseline and at least one post-baseline observed or imputed primary effectiveness value. Participants who were evaluable for this measure at given time period for the arm were included in the category.

ArmMeasureGroupValue (MEAN)Dispersion
CoaptiteVolume of Coaptite Injected Per TreatmentBaseline to Month 61.8 milliliter (mL)Standard Deviation 0.8
CoaptiteVolume of Coaptite Injected Per TreatmentMonth 6 to 121.5 milliliter (mL)Standard Deviation 0.6
CoaptiteVolume of Coaptite Injected Per TreatmentMonth 12 to 182.0 milliliter (mL)Standard Deviation 0.7
CoaptiteVolume of Coaptite Injected Per TreatmentMonth 18 to 241.7 milliliter (mL)Standard Deviation 0.8
CoaptiteVolume of Coaptite Injected Per TreatmentMonth 24 to 301.7 milliliter (mL)Standard Deviation 0.8
CoaptiteVolume of Coaptite Injected Per TreatmentBaseline1.8 milliliter (mL)Standard Deviation 0.7
CoaptiteVolume of Coaptite Injected Per TreatmentMonth 30 to 361.6 milliliter (mL)Standard Deviation 1.3

Source: ClinicalTrials.gov · Data processed: Feb 4, 2026