RESTORE: An RCT to Evaluate the Efficacy of the Revi System

Last updated: December 11, 2024
Sponsor: BlueWind Medical
Overall Status: Active - Recruiting

Phase

N/A

Condition

N/A

Treatment

Revi System Treatment

Revi System - Delayed Activation

Clinical Study ID

NCT06217328
G02-CLP-0019
  • Ages > 21
  • All Genders
  • Accepts Healthy Volunteers

Study Summary

The Revi System is indicated for the treatment of patients with symptoms of urgency incontinence alone or in combination with urinary urgency.

Eligibility Criteria

Inclusion

Inclusion Criteria:

  1. Signed written informed consent.

  2. Subject is at least 21 years old, with no plans to become pregnant during the trial.If of child bearing potential and sexually active, negative pregnancy test and usingacceptable contraception.

  3. Subject has been diagnosed with UUI for at least 6 months.

  4. Subject experiences a minimum of four (4) leaking episodes associated with urgency,with at least one episode per day for 2 days documented on a voiding diary for 3consecutive days.

  5. If used, subject should be on stable dose of antimuscarinics and/or beta-3adrenergic agonists for at least 1 month prior to baseline and agree to remain onstable medication consumption until the 24-month follow-up visit.

  6. If used, subject should be on a stable dose of tricyclic antidepressants, SelectiveSerotonin Reuptake Inhibitors (SSRI) and Serotonin-Norepinephrine ReuptakeInhibitors (SNRI) for at least 3 months prior to baseline.

  7. Subject agrees to attend all follow-up evaluations and is willing and capable tocompletely and accurately fill out voiding diaries and questionnaires and is willingto complete required exams and test

Exclusion

Exclusion Criteria:

  1. Subject participation in a clinical investigation with an active treatment armwithin the past 90 days.

  2. Subject is a high surgical risk with multiple illnesses or active general infectionsthat expose them to excessive bleeding or delayed or non-healing wounds. Thisincludes patients who need anticoagulation therapy that cannot be temporarilystopped for the implantation procedure.

  3. Subject with BMI >50.

  4. Subject with any metal or other implant within 20cm distance of the area of BlueWindRevi implantation site.

  5. Subject variation in diuretics consumption within the last 6 months.

  6. Subject has received botulinum toxin injections for OAB within the past 12 months.

  7. Subject with previous urinary incontinence surgery or prolapse surgery within thelast 12 months.

  8. Subject has had any spinal or genitourinary surgery within the last 6 months.

  9. Subject had previous abdominoperineal resection of the rectum or radicalhysterectomy (female)/ prostatectomy (male).

  10. Subject with diagnosis of BPH with outflow/obstructive predominant symptoms.

  11. Subject has skin, peripheral edema, orthopedic or neurologic anatomical limitationsthat preclude implantation or/and use of the device.

  12. Subject with Alzheimer's, Parkinson, MS, stroke (CVI), neuropathy or injuryresulting in neuropathy and/or suspected neurogenic bladder.

  13. Subject has recurrent urinary tract infections (3 or more infections in the last 6months), or presence of urinary fistula, or urinary tract obstruction such ascancer, urethral stricture or presence of urinary stone.

  14. Subject with history of chemotherapy or pelvic radiotherapy that might have affectedbladder control or caused neuropathies (i.e. peripheral neuropathy).

  15. Male subject who have obstructive Benign Prostatic Hyperplasia (BPH) or other lowerurinary tract obstructions.

  16. Subject has open wounds or sores on the lower leg or foot or had previous, unhealedtrauma in the implant area or has pitting edema (≥2+) in the lower leg.

  17. Subject has Venous or Arterial disease/insufficiency in the lower leg or Vasculitisor dermatologic condition in the lower leg or infections near the implantation sitein the lower leg.

  18. Subject has a documented history of allergic response to Platinum iridium, Titanium,Zirconia, Gold, Silicone or Parylene.

  19. Subject has other active implantable electronic device/s regardless of whetherstimulation is ON or OFF.

  20. Subject has a life expectancy of less than 1 year.

Study Design

Total Participants: 150
Treatment Group(s): 2
Primary Treatment: Revi System Treatment
Phase:
Study Start date:
February 24, 2024
Estimated Completion Date:
May 31, 2027

Study Description

Prospective, multi-center, open label, post market, randomized controlled trial

To demonstrate superiority of Revi System therapy vs. non active therapy in the treatment of UUI

Treatment Arm:

Device: Revi System Subjects will be implanted with a Revi System and activation of therapy will occur ~4 weeks post implantation and continue for the duration of the study.

Control Arm:

Device: Revi System - Delayed Activation Subjects will be implanted with a Revi System and activation of therapy will be delayed until 4 months post implantation. At this time the Revi System will be activated to begin therapy and will continue for the duration of the study.

Randomization in a 1:2 ratio into either the "control group" or the "treatment group" will be performed in blocks of 3 or 6 randomly, across the study population by a central randomization system. Randomization will be stratified by investigational site.

The study will consist of the following activities:

Visit 1 - Screening

  • Potential subjects with UUI, who fulfil basic criteria will be informed of the study and will be invited to sign an informed consent form.

  • Demographic information (age, race, height and weight, leg circumference), medical and surgical history and concomitant medication information will be collected.

  • Study candidates will be asked to fill out various questionnaires

  • Patients will be asked to complete a 3- consecutive day voiding diary.

  • Urine sample will be collected, blood will be drawn and a full physical examination, including a PVR measurement and uroflow (in men), will be performed.

Visit 2 - Randomization & Implantation

  • 5 ± 4 weeks after starting the diary, eligible subjects will be randomized to either the Treatment or Control (delayed activation) arms (2:1) and will undergo unilateral implantation with the BlueWind Revi System

  • Collection of AE and concomitant medication will be performed

Treatment Arm:

Visit 3 - Activation

  • After a recovery period of 4-weeks post implantation, subjects will attend the clinic to undergo physical examination and surgical wound check-up.

  • Subjects will undergo parameter setting according to the individual patient sensations and will be trained on the use of the system.

Visits 4-11 - Treatment optimization and follow up

  • Follow-up visits will be performed at 1, 2, 3, 6, 9, 12, and 24 months post system activation.

  • A call visit will be performed at 18-months.

  • All follow-up visits will require completion of a 3-day voiding diary by the patient before coming to the visit.

  • During each clinic visit, stimulation parameters and level of treatment will be checked and adjusted as needed.

Control Arm:

• After a recovery period of 1-month post implantation, subjects will attend the clinic to undergo physical examination and surgical wound check-up.

Visit 4 - Activation

  • After a recovery period of 4-weeks post implantation, subjects will attend the clinic to undergo physical examination and surgical wound check-up.

  • Subjects will undergo parameter setting according to the individual patient sensations and will be trained on the use of the system.

Visits 5-12 - Treatment optimization and follow up

  • Follow-up visits will be performed at 1, 2, 3, 6, 9, 12, and 24 months post system activation.

  • A call visit will be performed at 18-months.

  • All follow-up visits will require completion of a 3-day voiding diary by the patient before coming to the visit.

  • During each clinic visit, stimulation parameters and level of treatment will be checked and adjusted as needed.

Connect with a study center

  • University of Alabama at Birmingham

    Birmingham, Alabama 35294
    United States

    Active - Recruiting

  • Arizona Urology Specialists

    Tucson, Arizona 85741
    United States

    Active - Recruiting

  • Pasadena Urology

    Pasadena, California 91101
    United States

    Active - Recruiting

  • Riverside Medical Clinic

    Riverside, California 92506
    United States

    Active - Recruiting

  • Florida Urology Partners

    Tampa, Florida 33615
    United States

    Active - Recruiting

  • Willis-Knighton Clinical Research

    Shreveport, Louisiana 71103
    United States

    Active - Recruiting

  • Chesapeake Urology

    Owings Mills, Maryland 21117
    United States

    Active - Recruiting

  • Specialty Clinical Research of St. Louis, LLC

    Saint Louis, Missouri 63141
    United States

    Active - Recruiting

  • Adult and Pediatric Urology and Urogynecology

    Omaha, Nebraska 68114
    United States

    Active - Recruiting

  • Montefiore Medical Center

    Bronx, New York 10461
    United States

    Active - Recruiting

  • University Hospitals Cleveland Medical Center

    Cleveland, Ohio 44106
    United States

    Active - Recruiting

  • Sanford Female Pelvic Medicine & Reconstructive Surgery Clinic

    Sioux Falls, South Dakota 57105
    United States

    Active - Recruiting

  • Urology Partners of North Texas

    Arlington, Texas 76017
    United States

    Active - Recruiting

  • University of Texas Southwestern - Department of Urology

    Dallas, Texas 75390
    United States

    Active - Recruiting

  • DHR Health Institute for Research and Development

    Edinburg, Texas 78539
    United States

    Active - Recruiting

  • The Urology Place

    San Antonio, Texas 78240
    United States

    Active - Recruiting

  • University of Utah

    Salt Lake City, Utah 84112
    United States

    Active - Recruiting

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