About this trial
A prospective, multicenter, single-arm study to evaluate the safety and effectiveness of the eCoin® implanted tibial nerve stimulator in subjects with urgency urinary incontinence (UUI).
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Women and men above 18 years old with gender percentages reflective of disease prevalence in the U.S. population
Individual with diagnosis of overactive bladder with urgency urinary incontinence.
Individual has at least one urgency urinary incontinence episode on each of three days as determined on a 3-day voiding diary.
Individual gives written informed consent.
Disqualifiers
Individual is not appropriate for eCoin therapy based upon the US FDA-approved IFU requirements.
Individual has clinically significant bladder outlet obstruction. (Suspected bladder outlet obstruction will be initially assessed by uroflow study with those having a maximum flow rate < 15mL/s requiring additional evaluation.)
Individual has predominantly stress urinary incontinence (greater than 1/3 of leaks on baseline diary are stress).
Individual has an active urinary tract infection at time of enrollment.
Trial design
Single group
Treatments tested in this trial
eCoin Tibial Nerve Stimulation
DeviceSubcutaneous stimulation of the tibial nerve using the eCoin device.
Treatment groups
Trial outcomes
Primary outcomes
Responder Rate
Proportion of subjects achieving at least a 50% improvement in the number of urgency urinary incontinence episodes on a 3-day voiding diary.
Safety: 12 months rate of all device or procedure related AEs.
Rate of all device or procedure related AEs.
Secondary outcomes
Responder Rate
Proportion of subjects achieving at least a 50% improvement in the number of urgency urinary incontinence episodes on a 3-day voiding diary.
Safety Data
Rate of all device or procedure related AEs through 24 months post activation of eCoin.
Safety data through 7 months post-reimplantation.
Rate of device or procedure-related AEs through 7 months post reimplantation.
Other outcomes
Proportion of responders (50% improvement) after 12, 24, 36, 48, and 60 months of therapy.
Proportion of subjects achieving at least a 50% improvement in the number of urgency urinary incontinence episodes on a 3-day voiding diary.
Proportion of responders (75% improvement) after 12, 24, 36, 48, and 60 months of therapy.
Proportion of subjects achieving at least a 75% improvement in the number of urgency urinary incontinence episodes on a 3-day voiding diary.
Proportion of responders (100% improvement) after 12, 24, 36, 48, and 60 months of therapy.
Proportion of subjects achieving at least a 100% improvement in the number of urgency urinary incontinence episodes on a 3-day voiding diary.
Reduction in the number of urgency urinary incontinence episodes.
Reduction in the number of urgency urinary incontinence episodes on a 3-day voiding diary.
Sponsors and contacts
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