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Bladder Management in Patients With Multiple Sclerosis: Optimizing Practice Patterns

Status
Completed
Phases
Phase 4
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT01930799
Enrollment
120
Registered
2013-08-29
Start date
2013-08-31
Completion date
2015-03-31
Last updated
2016-05-27

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

Conditions

Multiple Sclerosis, Urinary Bladder Diseases

Brief summary

This study will assess the impact of a systematic bladder health screening and disease education regimen as well as the implementation of a referral process on the quality of life of multiple sclerosis patients with bladder dysfunction.

Interventions

BEHAVIORALSystematic Screening and Education Regimen

Site will implement a systematic approach to screening bladder health dysfunction in multiple sclerosis patients, providing bladder health management education, and initiating appropriate urologist referrals.

Sponsors

Allergan
Lead SponsorINDUSTRY

Study design

Allocation
NA
Intervention model
SINGLE_GROUP
Primary purpose
HEALTH_SERVICES_RESEARCH
Masking
NONE

Eligibility

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

Inclusion criteria

* Diagnosis of relapsing-remitting multiple sclerosis and currently being treated by study doctor

Exclusion criteria

* Diagnosis of primary-progressive, secondary-progressive, or progressive-relapsing multiple sclerosis

Design outcomes

Primary

MeasureTime frameDescription
Change From Baseline in the King's Health Questionnaire (KHQ) Domain ScoresBaseline, Month 6The KHQ is a valid and reliable patient reported outcome measure for the assessment of quality of life in subjects with urinary incontinence that contains the following 8 domains: general health perception, incontinence impact, role limitations, physical limitations, social limitations, personal relations, emotions, sleep/energy, and severity measures. The KHQ domain scores are based on a scale of 0-100, with a lower score indicating less severity. Decreases in KHQ domain scores indicate an improvement in quality of life and increases in KHQ domain scores indicate a worsening in quality of life.

Secondary

MeasureTime frameDescription
Percentage of Patients Who Agree/Completely Agree With Each Question on the Patient Post-Video QuestionnaireBaselineThe Patient Post-Video Questionnaire was based on 5 individual questions assessing the patient's perception of the utility of the video in helping them 1) understand how MS can affect the bladder, 2) how to recognize bladder symptoms, 3) understand various treatment options, 4) understand self-help strategies, and 5) better manage their bladder problems. Percentages represent the proportion of patients who agree/completely agree with each question. Patients viewed the video at the Baseline visit, then completed the Patient Post-Video Questionnaire immediately after viewing the video at the Baseline visit.

Countries

United States

Participant flow

Participants by arm

ArmCount
All Enrolled Patients
Site will implement a systematic approach to screening bladder health dysfunction in multiple sclerosis patients, providing bladder health management education, and initiating appropriate urologist referrals.
120
Total120

Withdrawals & dropouts

PeriodReasonFG000
Overall StudyLost to Follow-up5
Overall StudyWithdrawal by Subject3

Baseline characteristics

CharacteristicAll Enrolled Patients
Age, Continuous50.4 Years
STANDARD_DEVIATION 11.8
Sex: Female, Male
Female
103 Participants
Sex: Female, Male
Male
17 Participants

Adverse events

Event typeEG000
affected / at risk
deaths
Total, all-cause mortality
— / —
other
Total, other adverse events
0 / 0
serious
Total, serious adverse events
0 / 0

Outcome results

Primary

Change From Baseline in the King's Health Questionnaire (KHQ) Domain Scores

The KHQ is a valid and reliable patient reported outcome measure for the assessment of quality of life in subjects with urinary incontinence that contains the following 8 domains: general health perception, incontinence impact, role limitations, physical limitations, social limitations, personal relations, emotions, sleep/energy, and severity measures. The KHQ domain scores are based on a scale of 0-100, with a lower score indicating less severity. Decreases in KHQ domain scores indicate an improvement in quality of life and increases in KHQ domain scores indicate a worsening in quality of life.

Time frame: Baseline, Month 6

Population: Eligible and enrolled subjects who completed the Month 6 visit

ArmMeasureGroupValue (MEAN)Dispersion
All Enrolled PatientsChange From Baseline in the King's Health Questionnaire (KHQ) Domain ScoresBL-Social Limitations (N=110)31.7 Scores on a ScaleStandard Deviation 28.6
All Enrolled PatientsChange From Baseline in the King's Health Questionnaire (KHQ) Domain ScoresBaseline (BL)-General Health Perception39.7 Scores on a ScaleStandard Deviation 23.1
All Enrolled PatientsChange From Baseline in the King's Health Questionnaire (KHQ) Domain ScoresChng from BL at M6-General Health Percept (N=111)2.5 Scores on a ScaleStandard Deviation 22.3
All Enrolled PatientsChange From Baseline in the King's Health Questionnaire (KHQ) Domain ScoresBL-Incontinence Impact60.7 Scores on a ScaleStandard Deviation 23.8
All Enrolled PatientsChange From Baseline in the King's Health Questionnaire (KHQ) Domain ScoresChng from BL at M6-Incontinence Impact (N=111)1.2 Scores on a ScaleStandard Deviation 24.2
All Enrolled PatientsChange From Baseline in the King's Health Questionnaire (KHQ) Domain ScoresBL-Role Limitations (N=111)43.8 Scores on a ScaleStandard Deviation 29.6
All Enrolled PatientsChange From Baseline in the King's Health Questionnaire (KHQ) Domain ScoresChng from BL at M6-Role Limitations (N=111)-6.9 Scores on a ScaleStandard Deviation 27.5
All Enrolled PatientsChange From Baseline in the King's Health Questionnaire (KHQ) Domain ScoresBL-Physical Limitations (N=111)45.3 Scores on a ScaleStandard Deviation 28
All Enrolled PatientsChange From Baseline in the King's Health Questionnaire (KHQ) Domain ScoresChng from BL at M6-Physical Limitations (N=111)-9.8 Scores on a ScaleStandard Deviation 26.3
All Enrolled PatientsChange From Baseline in the King's Health Questionnaire (KHQ) Domain ScoresChng from BL at M6-Social Limitations (N=110)-9.0 Scores on a ScaleStandard Deviation 24.5
All Enrolled PatientsChange From Baseline in the King's Health Questionnaire (KHQ) Domain ScoresBL-Personal Relations (N=85)25.9 Scores on a ScaleStandard Deviation 30.3
All Enrolled PatientsChange From Baseline in the King's Health Questionnaire (KHQ) Domain ScoresChng from BL at M6-Personal Relations (N=78)-9.0 Scores on a ScaleStandard Deviation 24.9
All Enrolled PatientsChange From Baseline in the King's Health Questionnaire (KHQ) Domain ScoresBL-Emotions35.7 Scores on a ScaleStandard Deviation 28.4
All Enrolled PatientsChange From Baseline in the King's Health Questionnaire (KHQ) Domain ScoresChng from BL at M6-Emotions-9.0 Scores on a ScaleStandard Deviation 21.8
All Enrolled PatientsChange From Baseline in the King's Health Questionnaire (KHQ) Domain ScoresBL-Sleep/Energy41.7 Scores on a ScaleStandard Deviation 27.8
All Enrolled PatientsChange From Baseline in the King's Health Questionnaire (KHQ) Domain ScoresChng from BL at M6-Sleep/Energy-8.2 Scores on a ScaleStandard Deviation 25.1
All Enrolled PatientsChange From Baseline in the King's Health Questionnaire (KHQ) Domain ScoresBL-Severity Measures46.9 Scores on a ScaleStandard Deviation 23.7
All Enrolled PatientsChange From Baseline in the King's Health Questionnaire (KHQ) Domain ScoresChng from BL at M6-Severity Measures-5.7 Scores on a ScaleStandard Deviation 17.7
Secondary

Percentage of Patients Who Agree/Completely Agree With Each Question on the Patient Post-Video Questionnaire

The Patient Post-Video Questionnaire was based on 5 individual questions assessing the patient's perception of the utility of the video in helping them 1) understand how MS can affect the bladder, 2) how to recognize bladder symptoms, 3) understand various treatment options, 4) understand self-help strategies, and 5) better manage their bladder problems. Percentages represent the proportion of patients who agree/completely agree with each question. Patients viewed the video at the Baseline visit, then completed the Patient Post-Video Questionnaire immediately after viewing the video at the Baseline visit.

Time frame: Baseline

Population: Eligible enrolled subjects

ArmMeasureGroupValue (NUMBER)
All Enrolled PatientsPercentage of Patients Who Agree/Completely Agree With Each Question on the Patient Post-Video QuestionnaireUnderstand how MS can affect the bladder94.0 Percentage of Patients
All Enrolled PatientsPercentage of Patients Who Agree/Completely Agree With Each Question on the Patient Post-Video QuestionnaireHow to recognize bladder symptoms94.0 Percentage of Patients
All Enrolled PatientsPercentage of Patients Who Agree/Completely Agree With Each Question on the Patient Post-Video QuestionnaireUnderstand various treatment options94.0 Percentage of Patients
All Enrolled PatientsPercentage of Patients Who Agree/Completely Agree With Each Question on the Patient Post-Video QuestionnaireUnderstand self-help strategies88.9 Percentage of Patients
All Enrolled PatientsPercentage of Patients Who Agree/Completely Agree With Each Question on the Patient Post-Video QuestionnaireBetter manage their bladder problems81.2 Percentage of Patients

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