Female Stress Urinary Incontinence Due to Intrinsic Sphincter Deficiency
Conditions
Brief summary
This is a post approval study of Coaptite® in the treatment of female urinary incontinence.
Interventions
Calcium hydroxylapatite particles suspended in an aqueous based gel carrier
Sponsors
Study design
Eligibility
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
| Measure | Time frame | Description |
|---|---|---|
| Incontinence Status as Assessed by Stamey Grade Score | Baseline and Months 6, 12, 18, 24, 30, and 36 | 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). |
| Number of Participants With One Point Improvement in Stamey Grade Scores up to Month 12 | Baseline 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). |
| Number of Participants Who Had at Least One Point Improvement in Stamey Grade Scores Compared to Baseline | Months 6, 12, 18, 24, 30, and 36 | 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). |
| Number of Participants With Change From Baseline in Stamey Grade Scores Over Time | Baseline up to Months 6 and 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). |
| Number of Participants Who Experience at Least One Treatment Emergent Adverse Event (TEAE) | Baseline up to Month 36 | — |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Volume of Coaptite Injected Per Treatment | Baseline, 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 Injections | Baseline up to Month 36 | Coaptite injection were given to any participant during the 36 months of evaluation. |
| Mean Number of Sites Injected by Coaptite | Baseline, Baseline to Month 6 and Months 6 to 12, 12 to 18, 18 to 24, 24 to 30, 30 to 36 | — |
| Time to Coaptite Retreatment | Baseline up to Month 36 | Time 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 Incontinence | Baseline up to Month 6 and Months 6 to 12, 12 to 18, 18 to 24, 24 to 30, 30 to 36 | 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. |
| Number of Participants With Urge Incontinence Medication (UIM) Status | Baseline up to Month 36 | The use of urge incontinence medications was collected pre-treatment and post-treatment. |
| Incontinence Quality of Life (iQoL) Scores | Baseline and Months 6, 12, 18, 24, 30, and 36 | 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. |
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
| Arm | Count |
|---|---|
| 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 |
| Total | 459 |
Withdrawals & dropouts
| Period | Reason | FG000 |
|---|---|---|
| Overall Study | Device failure | 45 |
| Overall Study | Discontinued | 116 |
Baseline characteristics
| Characteristic | Coaptite |
|---|---|
| Age, Continuous | 66.4 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 type | EG000 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
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.
| Arm | Measure | Group | Value (MEAN) | Dispersion |
|---|---|---|---|---|
| Coaptite | Incontinence Status as Assessed by Stamey Grade Score | Month 18 | 1.6 score on a scale | Standard Deviation 1.2 |
| Coaptite | Incontinence Status as Assessed by Stamey Grade Score | Month 24 | 1.5 score on a scale | Standard Deviation 1.2 |
| Coaptite | Incontinence Status as Assessed by Stamey Grade Score | Month 30 | 1.5 score on a scale | Standard Deviation 1.2 |
| Coaptite | Incontinence Status as Assessed by Stamey Grade Score | Month 36 | 1.5 score on a scale | Standard Deviation 1.2 |
| Coaptite | Incontinence Status as Assessed by Stamey Grade Score | Baseline | 2.5 score on a scale | Standard Deviation 0.7 |
| Coaptite | Incontinence Status as Assessed by Stamey Grade Score | Month 6 | 1.6 score on a scale | Standard Deviation 1.1 |
| Coaptite | Incontinence Status as Assessed by Stamey Grade Score | Month 12 | 1.5 score on a scale | Standard Deviation 1.2 |
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.
| Arm | Measure | Value (NUMBER) |
|---|---|---|
| Coaptite | Number of Participants Who Experience at Least One Treatment Emergent Adverse Event (TEAE) | 313 participants |
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.
| Arm | Measure | Group | Value (NUMBER) |
|---|---|---|---|
| Coaptite | Number of Participants Who Had at Least One Point Improvement in Stamey Grade Scores Compared to Baseline | Month 6 | 229 participants |
| Coaptite | Number of Participants Who Had at Least One Point Improvement in Stamey Grade Scores Compared to Baseline | Month 12 | 234 participants |
| Coaptite | Number of Participants Who Had at Least One Point Improvement in Stamey Grade Scores Compared to Baseline | Month 18 | 208 participants |
| Coaptite | Number of Participants Who Had at Least One Point Improvement in Stamey Grade Scores Compared to Baseline | Month 24 | 221 participants |
| Coaptite | Number of Participants Who Had at Least One Point Improvement in Stamey Grade Scores Compared to Baseline | Month 30 | 200 participants |
| Coaptite | Number of Participants Who Had at Least One Point Improvement in Stamey Grade Scores Compared to Baseline | Month 36 | 199 participants |
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.
| Arm | Measure | Group | Value (NUMBER) |
|---|---|---|---|
| Coaptite | Number of Participants With Change From Baseline in Stamey Grade Scores Over Time | Month 6 | 408 participants |
| Coaptite | Number of Participants With Change From Baseline in Stamey Grade Scores Over Time | Month 12 | 391 participants |
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.
| Arm | Measure | Value (NUMBER) |
|---|---|---|
| Coaptite | Number of Participants With One Point Improvement in Stamey Grade Scores up to Month 12 | 171 participants |
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.
| Arm | Measure | Group | Value (MEAN) | Dispersion |
|---|---|---|---|---|
| Coaptite | Incontinence Quality of Life (iQoL) Scores | Month 12 | 70.3 units on a scale | Standard Deviation 24.5 |
| Coaptite | Incontinence Quality of Life (iQoL) Scores | Month 18 | 70.4 units on a scale | Standard Deviation 24.4 |
| Coaptite | Incontinence Quality of Life (iQoL) Scores | Month 30 | 73.5 units on a scale | Standard Deviation 24.3 |
| Coaptite | Incontinence Quality of Life (iQoL) Scores | Month 36 | 72.7 units on a scale | Standard Deviation 24.4 |
| Coaptite | Incontinence Quality of Life (iQoL) Scores | Baseline | 39.5 units on a scale | Standard Deviation 21.9 |
| Coaptite | Incontinence Quality of Life (iQoL) Scores | Month 6 | 69.6 units on a scale | Standard Deviation 24.5 |
| Coaptite | Incontinence Quality of Life (iQoL) Scores | Month 24 | 71.2 units on a scale | Standard Deviation 24.3 |
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.
| Arm | Measure | Group | Value (MEAN) | Dispersion |
|---|---|---|---|---|
| Coaptite | Mean Number of Sites Injected by Coaptite | Month 18 to 24 | 2.5 number of sites | Standard Deviation 1 |
| Coaptite | Mean Number of Sites Injected by Coaptite | Baseline | 2.4 number of sites | Standard Deviation 0.9 |
| Coaptite | Mean Number of Sites Injected by Coaptite | Baseline to Month 6 | 2.4 number of sites | Standard Deviation 0.9 |
| Coaptite | Mean Number of Sites Injected by Coaptite | Month 6 to 12 | 2.5 number of sites | Standard Deviation 0.9 |
| Coaptite | Mean Number of Sites Injected by Coaptite | Month 12 to 18 | 2.6 number of sites | Standard Deviation 1 |
| Coaptite | Mean Number of Sites Injected by Coaptite | Month 24 to 30 | 2.9 number of sites | Standard Deviation 1.8 |
| Coaptite | Mean Number of Sites Injected by Coaptite | Month 30 to 36 | 2.1 number of sites | Standard Deviation 0.3 |
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.
| Arm | Measure | Group | Value (NUMBER) |
|---|---|---|---|
| Coaptite | Number of Participants Who Received Each of the Six Coaptite Injections | Received First Injection | 458 participants |
| Coaptite | Number of Participants Who Received Each of the Six Coaptite Injections | Received Second Injection | 262 participants |
| Coaptite | Number of Participants Who Received Each of the Six Coaptite Injections | Received Third Injection | 90 participants |
| Coaptite | Number of Participants Who Received Each of the Six Coaptite Injections | Received Fourth Injection | 26 participants |
| Coaptite | Number of Participants Who Received Each of the Six Coaptite Injections | Received Fifth Injection | 7 participants |
| Coaptite | Number of Participants Who Received Each of the Six Coaptite Injections | Received Sixth Injection | 1 participants |
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.
| Arm | Measure | Group | Value (NUMBER) |
|---|---|---|---|
| Coaptite | Number of Participants With Alternative Treatments for Incontinence | Kegel Exercises: Month 12-18 | 0 participants |
| Coaptite | Number of Participants With Alternative Treatments for Incontinence | Kegel Exercises: Month 18-24 | 0 participants |
| Coaptite | Number of Participants With Alternative Treatments for Incontinence | Kegel Exercises: Month 24-30 | 0 participants |
| Coaptite | Number of Participants With Alternative Treatments for Incontinence | Kegel Exercises: Month 30-36 | 0 participants |
| Coaptite | Number of Participants With Alternative Treatments for Incontinence | Sling: Month 0-6 | 5 participants |
| Coaptite | Number of Participants With Alternative Treatments for Incontinence | Sling: Month 6-12 | 2 participants |
| Coaptite | Number of Participants With Alternative Treatments for Incontinence | Sling: Month 12-18 | 4 participants |
| Coaptite | Number of Participants With Alternative Treatments for Incontinence | Sling: Month 18-24 | 8 participants |
| Coaptite | Number of Participants With Alternative Treatments for Incontinence | Sling: Month 24-30 | 5 participants |
| Coaptite | Number of Participants With Alternative Treatments for Incontinence | Sling: Month 30-36 | 0 participants |
| Coaptite | Number of Participants With Alternative Treatments for Incontinence | Sling/Cystocele Repair: Month 0-6 | 1 participants |
| Coaptite | Number of Participants With Alternative Treatments for Incontinence | Sling/Cystocele Repair: Month 6-12 | 3 participants |
| Coaptite | Number of Participants With Alternative Treatments for Incontinence | Sling/Cystocele Repair: Month 12-18 | 0 participants |
| Coaptite | Number of Participants With Alternative Treatments for Incontinence | Sling/Cystocele Repair: Month 30-36 | 0 participants |
| Coaptite | Number of Participants With Alternative Treatments for Incontinence | Surgery: Month 0-6 | 0 participants |
| Coaptite | Number of Participants With Alternative Treatments for Incontinence | Surgery: Month 18-24 | 0 participants |
| Coaptite | Number of Participants With Alternative Treatments for Incontinence | Surgery: Month 24-30 | 0 participants |
| Coaptite | Number of Participants With Alternative Treatments for Incontinence | Permanent Abdominal Tube: Month 6-12 | 0 participants |
| Coaptite | Number of Participants With Alternative Treatments for Incontinence | Permanent Abdominal Tube: Month 12-18 | 0 participants |
| Coaptite | Number of Participants With Alternative Treatments for Incontinence | Permanent Abdominal Tube: Month 30-36 | 1 participants |
| Coaptite | Number of Participants With Alternative Treatments for Incontinence | Intravesical Botox: Month 0-6 | 0 participants |
| Coaptite | Number of Participants With Alternative Treatments for Incontinence | Intravesical Botox: Month 6-12 | 1 participants |
| Coaptite | Number of Participants With Alternative Treatments for Incontinence | Intravesical Botox: Month 18-24 | 1 participants |
| Coaptite | Number of Participants With Alternative Treatments for Incontinence | Sling/Graft, Sling Removal: Month 0-6 | 0 participants |
| Coaptite | Number of Participants With Alternative Treatments for Incontinence | Sling/Graft, Sling Removal: Month 6-12 | 0 participants |
| Coaptite | Number of Participants With Alternative Treatments for Incontinence | Sling/Graft, Sling Removal: Month 12-18 | 0 participants |
| Coaptite | Number of Participants With Alternative Treatments for Incontinence | Sling/Graft, Sling Removal: Month 18-24 | 1 participants |
| Coaptite | Number of Participants With Alternative Treatments for Incontinence | Sling/Graft, Sling Removal: Month 24-30 | 0 participants |
| Coaptite | Number of Participants With Alternative Treatments for Incontinence | Sling/Graft, Sling Removal: Month 30-36 | 0 participants |
| Coaptite | Number of Participants With Alternative Treatments for Incontinence | Estradiol Vaginal Cream: Month 0-6 | 0 participants |
| Coaptite | Number of Participants With Alternative Treatments for Incontinence | Estradiol Vaginal Cream: Month 6-12 | 0 participants |
| Coaptite | Number of Participants With Alternative Treatments for Incontinence | Estradiol Vaginal Cream: Month 12-18 | 0 participants |
| Coaptite | Number of Participants With Alternative Treatments for Incontinence | Estradiol Vaginal Cream: Month 18-24 | 1 participants |
| Coaptite | Number of Participants With Alternative Treatments for Incontinence | Estradiol Vaginal Cream: Month 24-30 | 0 participants |
| Coaptite | Number of Participants With Alternative Treatments for Incontinence | Estradiol Vaginal Cream: Month 30-36 | 0 participants |
| Coaptite | Number of Participants With Alternative Treatments for Incontinence | Bladder Neck Suspension: Month 0-6 | 1 participants |
| Coaptite | Number of Participants With Alternative Treatments for Incontinence | Bladder Neck Suspension: Month 6-12 | 1 participants |
| Coaptite | Number of Participants With Alternative Treatments for Incontinence | Bladder Neck Suspension: Month 12-18 | 1 participants |
| Coaptite | Number of Participants With Alternative Treatments for Incontinence | Biofeedback: Month 12-18 | 0 participants |
| Coaptite | Number of Participants With Alternative Treatments for Incontinence | Polydimethylsiloxane Injections: Month 0-6 | 0 participants |
| Coaptite | Number of Participants With Alternative Treatments for Incontinence | Solifenacin orally: Month 0-6 | 0 participants |
| Coaptite | Number of Participants With Alternative Treatments for Incontinence | Solifenacin orally: Month 6-12 | 0 participants |
| Coaptite | Number of Participants With Alternative Treatments for Incontinence | Solifenacin orally: Month 12-18 | 0 participants |
| Coaptite | Number of Participants With Alternative Treatments for Incontinence | Solifenacin orally: Month 18-24 | 0 participants |
| Coaptite | Number of Participants With Alternative Treatments for Incontinence | Solifenacin orally: Month 24-30 | 0 participants |
| Coaptite | Number of Participants With Alternative Treatments for Incontinence | Solifenacin orally: Month 30-36 | 1 participants |
| Coaptite | Number of Participants With Alternative Treatments for Incontinence | Bladder SpecificControlPhysical TherapyX6:0-6 | 0 participants |
| Coaptite | Number of Participants With Alternative Treatments for Incontinence | BladderSpecificControlPhysicalTherapyX6:Month6-12 | 0 participants |
| Coaptite | Number of Participants With Alternative Treatments for Incontinence | BladderSpecificControlPhysicalTherapyX6:Month18-24 | 0 participants |
| Coaptite | Number of Participants With Alternative Treatments for Incontinence | BladderSpecificControlPhysicalTherapyX6:Month24-30 | 1 participants |
| Coaptite | Number of Participants With Alternative Treatments for Incontinence | BladderSpecificControlPhysicalTherapyX6:Month | 0 participants |
| Coaptite | Number of Participants With Alternative Treatments for Incontinence | Kegel Exercises: Month 0-6 | 1 participants |
| Coaptite | Number of Participants With Alternative Treatments for Incontinence | Kegel Exercises: Month 6-12 | 1 participants |
| Coaptite | Number of Participants With Alternative Treatments for Incontinence | Sling/Cystocele Repair: Month 18-24 | 1 participants |
| Coaptite | Number of Participants With Alternative Treatments for Incontinence | Sling/Cystocele Repair: Month 24-30 | 1 participants |
| Coaptite | Number of Participants With Alternative Treatments for Incontinence | Surgery : Month 6-12 | 1 participants |
| Coaptite | Number of Participants With Alternative Treatments for Incontinence | Surgery: Month 12-18 | 0 participants |
| Coaptite | Number of Participants With Alternative Treatments for Incontinence | Surgery: Month 30-36 | 0 participants |
| Coaptite | Number of Participants With Alternative Treatments for Incontinence | Permanent Abdominal Tube: Month 0-6 | 0 participants |
| Coaptite | Number of Participants With Alternative Treatments for Incontinence | Permanent Abdominal Tube: Month 18-24 | 0 participants |
| Coaptite | Number of Participants With Alternative Treatments for Incontinence | Permanent Abdominal Tube: Month 24-30 | 0 participants |
| Coaptite | Number of Participants With Alternative Treatments for Incontinence | Intravesical Botox: Month 12-18 | 1 participants |
| Coaptite | Number of Participants With Alternative Treatments for Incontinence | Intravesical Botox: Month 24-30 | 2 participants |
| Coaptite | Number of Participants With Alternative Treatments for Incontinence | Intravesical Botox: Month 30-36 | 1 participants |
| Coaptite | Number of Participants With Alternative Treatments for Incontinence | Bladder Neck Suspension: Month 18-24 | 0 participants |
| Coaptite | Number of Participants With Alternative Treatments for Incontinence | Bladder Neck Suspension: Month 24-30 | 0 participants |
| Coaptite | Number of Participants With Alternative Treatments for Incontinence | Bladder Neck Suspension: Month 30-36 | 0 participants |
| Coaptite | Number of Participants With Alternative Treatments for Incontinence | Tension Free Vaginal Tape: Month 0-6 | 0 participants |
| Coaptite | Number of Participants With Alternative Treatments for Incontinence | Tension Free Vaginal Tape: Month 6-12 | 1 participants |
| Coaptite | Number of Participants With Alternative Treatments for Incontinence | Tension Free Vaginal Tape: Month 12-18 | 0 participants |
| Coaptite | Number of Participants With Alternative Treatments for Incontinence | Tension Free Vaginal Tape: Month 18-24 | 0 participants |
| Coaptite | Number of Participants With Alternative Treatments for Incontinence | Tension Free Vaginal Tape: Month 24-30 | 0 participants |
| Coaptite | Number of Participants With Alternative Treatments for Incontinence | Tension Free Vaginal Tape: Month 30-36 | 0 participants |
| Coaptite | Number of Participants With Alternative Treatments for Incontinence | Biofeedback: Month 0-6 | 1 participants |
| Coaptite | Number of Participants With Alternative Treatments for Incontinence | Biofeedback: Month 6-12 | 0 participants |
| Coaptite | Number of Participants With Alternative Treatments for Incontinence | Biofeedback: Month 18-24 | 0 participants |
| Coaptite | Number of Participants With Alternative Treatments for Incontinence | Biofeedback: Month 24-30 | 0 participants |
| Coaptite | Number of Participants With Alternative Treatments for Incontinence | Biofeedback: Month 30-36 | 0 participants |
| Coaptite | Number of Participants With Alternative Treatments for Incontinence | Polydimethylsiloxane Injections: Month 6-12 | 1 participants |
| Coaptite | Number of Participants With Alternative Treatments for Incontinence | Polydimethylsiloxane Injections: Month 12-18 | 0 participants |
| Coaptite | Number of Participants With Alternative Treatments for Incontinence | Polydimethylsiloxane Injections: Month 18-24 | 1 participants |
| Coaptite | Number of Participants With Alternative Treatments for Incontinence | Polydimethylsiloxane Injections: Month 24-30 | 0 participants |
| Coaptite | Number of Participants With Alternative Treatments for Incontinence | Polydimethylsiloxane Injections: Month 30-36 | 0 participants |
| Coaptite | Number of Participants With Alternative Treatments for Incontinence | BladderSpecificControlPhysicalTherapyX6:Month12-18 | 0 participants |
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.
| Arm | Measure | Value (NUMBER) |
|---|---|---|
| Coaptite | Number of Participants With Urge Incontinence Medication (UIM) Status | 52 participants |
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.
| Arm | Measure | Group | Value (MEAN) | Dispersion |
|---|---|---|---|---|
| Coaptite | Time to Coaptite Retreatment | Injection 1 to 2 | 150.1 days | Standard Deviation 189.6 |
| Coaptite | Time to Coaptite Retreatment | Injection 3 to 4 | 227.1 days | Standard Deviation 222.1 |
| Coaptite | Time to Coaptite Retreatment | Injection 4 to 5 | 164 days | Standard Deviation 74 |
| Coaptite | Time to Coaptite Retreatment | Injection 5 to 6 | 105 days | — |
| Coaptite | Time to Coaptite Retreatment | Injection 2 to 3 | 212 days | Standard Deviation 215.3 |
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.
| Arm | Measure | Group | Value (MEAN) | Dispersion |
|---|---|---|---|---|
| Coaptite | Volume of Coaptite Injected Per Treatment | Baseline to Month 6 | 1.8 milliliter (mL) | Standard Deviation 0.8 |
| Coaptite | Volume of Coaptite Injected Per Treatment | Month 6 to 12 | 1.5 milliliter (mL) | Standard Deviation 0.6 |
| Coaptite | Volume of Coaptite Injected Per Treatment | Month 12 to 18 | 2.0 milliliter (mL) | Standard Deviation 0.7 |
| Coaptite | Volume of Coaptite Injected Per Treatment | Month 18 to 24 | 1.7 milliliter (mL) | Standard Deviation 0.8 |
| Coaptite | Volume of Coaptite Injected Per Treatment | Month 24 to 30 | 1.7 milliliter (mL) | Standard Deviation 0.8 |
| Coaptite | Volume of Coaptite Injected Per Treatment | Baseline | 1.8 milliliter (mL) | Standard Deviation 0.7 |
| Coaptite | Volume of Coaptite Injected Per Treatment | Month 30 to 36 | 1.6 milliliter (mL) | Standard Deviation 1.3 |