Safety and Performance of UCon Patch Electrode

Last updated: March 26, 2025
Sponsor: InnoCon Medical
Overall Status: Active - Recruiting

Phase

N/A

Condition

Bowel Dysfunction

Urinary Incontinence

Frequent Nighttime Urination (Nocturia)

Treatment

Time Limited stimulation

Sham stimulation

Clinical Study ID

NCT06754189
DK_PIVO_01
  • Ages > 18
  • All Genders

Study Summary

UCon is a medical device for treating the symptoms of overactive bladder (OAB) and bowel dysfunction (BD). It electrically stimulates the DGN through the skin to obtain modulated behavior of the bladder/bowel musculature e.g., suppressing undesired bladder/bowel activity to relieve the symptoms of the patient.

This pivotal clinical investigation is designed as a stratified-randomized, single-blinded, controlled, confirmatory, prospective, multicenter clinical investigation.

Eligibility Criteria

Inclusion

Inclusion Criteria:

  • Participant is ≥ 18 years of age.

  • Participant is diagnosed with OAB or BD.

  • Participant is able to consent, communicate, provide feedback, and understand andfollow instructions in Danish during the course of the investigation, includingoperation of the device at home.

Exclusion

Exclusion Criteria:

  • Participant has genital anatomy that does not allow for proper electrode placementor stimulation of the DGN.

  • Participant has an active infection in the genital area, including skin infections.

  • Participant has injured or irritated skin in the genital area, where the electrodeis placed.

  • Participant is medically unstable (acute illness or complication of a chroniccondition, apart from the OAB or BD, that might affect the participant'sparticipation in the investigation).

  • Participant has an implanted pacemaker, implantable drug pump or other activemedical devices (any medical device that uses electrical energy or other sources ofpower to make it function).

  • Participant is pregnant, nursing, planning a pregnancy (to be confirmed with anegative pregnancy test) or has given birth within the previous 12 months. Women ofchildbearing potential must maintain effective contraception* during the clinicalinvestigation.

  • Participant is enrolled or planning to enroll in another conflicting clinicalinvestigation or was enrolled in an investigational drug trial within the previous 12 weeks or medical device investigation within 12 weeks of enrolment.

  • Participant has previously participated in a clinical investigation with UCon.

  • Participant has failed (lack of effectiveness) other neuromodulation treatments,e.g. sacral neuromodulation (SNM) within the previous 2 years.

  • Participant has a neurological disease, e.g., chronic inflammatory demyelinatingpolyneuropathy, multiple sclerosis, stroke, central nervous system (CNS) tumors,Parkinson´s, spinal cord injury, diabetic neuropathy, Guillain-Barré syndrome.

  • Participant has a history of cancer in the pelvic region, is currently receivingcancer treatment, or has received radiation therapy in the pelvic region.

  • Participant had surgery in the pelvic region within the previous 6 months. If it canbe excluded that the participant's symptoms are related to the surgery, they can beincluded in the clinical investigation.

  • Participant has addictive behavior defined as the abuse of alcohol, cannabis,opioids, or other intoxicating drugs.

  • The following contraception is considered effective: Intrauterine device,hormonal contraceptives such as birth control pills, implants, contraceptivepatch, vaginal ring, and contraceptive injection.

Exclusion Criteria specific for OAB:

  • Participant is planning or has a scheduled surgery/diagnostic procedure (within theduration of their participation) for any condition, that would requirecatheterization. Or have a prolonged hospitalization that would affect the abilityto complete the stimulation.

  • Participant (male) has symptoms of bladder outlet obstruction, e.g., caused bybenign prostatic hyperplasia or prostate cancer.

  • Participant has polyuria or symptoms of polyuria.

  • Participant has a current or reoccurring urinary tract infection (≥3 or more withinthe previous 12 months or ≥2 within the previous 6 months).

  • Participant has a primary diagnosis of stress urinary incontinence (SUI) or mixedincontinence with SUI likely to confound outcome measures.

  • Participant has Bladder Pain Syndrome or interstitial cystitis.

  • Participant has had botulinum toxin (BOTOX) treatment in the pelvic region within 9months or has lasting benefit from BOTOX.

  • Participant has failed (lack of effectiveness) BOTOX treatment within the previous 2years.

  • Participants who demonstrate detrusor overactivity on a urodynamic test can beincluded.

  • Participant has used antimuscarinics or β3 agonists within 2 weeks.

  • Participant has started oestrogen therapy within 3 months or are planning to stoptherapy when enrolled in the clinical investigation.

Exclusion Criteria specific for BD:

  • Participant is planning or has a scheduled surgery/diagnostic procedure (within theduration of their participation), for any condition, that would influence theirbowel movements (e.g., injection of bulking agents, radiofrequency energy, orligation of haemorrhoids). Or have a prolonged hospitalization that would affect theability to complete the stimulation.

  • Participant is currently being treated with antibiotics.

  • Participant has a history of uncontrolled diarrhoea in the past 3 months (usual ormost common stool type over the preceding 3 months of 7 on the Bristol Stool FormScale).

  • Participant has a history of severe constipation in the past 3 months (usual or mostcommon stool type over the preceding 3 months of 1 on the Bristol Stool Form Scale).

  • Participant has a history of inflammatory bowel disease (includes Crohn's diseaseand ulcerative colitis). Participants with irritable bowel syndrome can be includedin the clinical investigation.

  • Participant has undergone major anorectal or bowel surgery or has ongoing anorectalor bowel conditions where primary surgery is considered the best, e.g., congenitalanorectal malformation, bowel resection surgery, unrepaired rectovaginal fistula,chronic 4th degree anal sphincter laceration, full thickness rectal/anal prolapse.If it can be excluded that the participant's symptoms are related to any of theabove surgeries/conditions, they can be included in the clinical investigation.

Study Design

Total Participants: 180
Treatment Group(s): 2
Primary Treatment: Time Limited stimulation
Phase:
Study Start date:
March 20, 2025
Estimated Completion Date:
March 20, 2028

Study Description

The overall purpose of this pivotal clinical investigation is to evaluate the UCon device with a Patch Electrode with respect to clinical safety and device performance in a cohort of 180 patients with OAB/BD over a period of 12 weeks.

The participants participate in a 12-week intervention period. For weeks 1-6, participants will be randomized (2:1 randomization) to either a treatment group using UCon-Patch with Time Limited stimulation or a sham group using UCon-Sham with sham stimulation. Participants in the treatment group will receive the actual stimulation with the intent of improving their symptoms, whereas those in the sham group will receive sham stimulation for short periods of time believed not to be capable of improving their symptoms.

For weeks 7-12 of the intervention periods, the treatment group has the opportunity to add Urge stimulation to the Time Limited stimulation, while the sham group shifts to using UCon-Patch Time Limited stimulation.

To assess the safety and performance of the UCon device on equal terms with similar devices in the market, the full intervention period with UCon will be conducted over 12 weeks, evaluating safety aspects of UCon on longer terms and confirming continued effects after 6 weeks in the treatment group. Additional analyses on data related to primary and secondary endpoints with safety and performance data from the 12-week follow-up will also be performed, but the primary analysis will focus on baseline and 6-week follow-up data.

Connect with a study center

  • Aarhus University Hospital

    Aarhus, 8200
    Denmark

    Active - Recruiting

  • Herlev Hospital

    Herlev, 2730
    Denmark

    Active - Recruiting

  • Odense University Hospital

    Odense, 5000
    Denmark

    Active - Recruiting

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