UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000035734
Receipt number R000040707
Scientific Title The feasibility and efficacy of the combination with behavioral therapy and psychological intervention for drug-resistant overactive bladder: a single-arm clinical trial
Date of disclosure of the study information 2019/02/01
Last modified on 2021/08/07 17:39:52

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Basic information

Public title

The feasibility and efficacy of the combination with behavioral therapy and psychological intervention for drug-resistant overactive bladder: a single-arm clinical trial

Acronym

The feasibility and efficacy of the combination with behavioral therapy and psychological intervention for drug-resistant overactive bladder: a single-arm clinical trial

Scientific Title

The feasibility and efficacy of the combination with behavioral therapy and psychological intervention for drug-resistant overactive bladder: a single-arm clinical trial

Scientific Title:Acronym

The feasibility and efficacy of the combination with behavioral therapy and psychological intervention for drug-resistant overactive bladder: a single-arm clinical trial

Region

Japan


Condition

Condition

Overactive bladder

Classification by specialty

Urology

Classification by malignancy

Others

Genomic information

NO


Objectives

Narrative objectives1

To evaluate the feasibility and efficacy of combination with behavioral therapy and psychological intervention for drug-resistant overactive bladder

Basic objectives2

Safety,Efficacy

Basic objectives -Others


Trial characteristics_1

Exploratory

Trial characteristics_2


Developmental phase

Not applicable


Assessment

Primary outcomes

1. Drop out rate
2. Overactive bladder questionnaire (OAB-q)

Key secondary outcomes

1. Overactive bladder symptom score (OABSS)
2. King's health questionnaire (KHQ)
3. Global Improvement Scale (GIS)
4. Euroqol-5D-5L (EQ-5D-5L)
5. Hospital Anxiety and Depression Scale (HADS)
6. Frequency volume chart
7. Participant satisfaction
8. Change of drug therapy
9. Adverse events
10. Participant feedback


Base

Study type

Interventional


Study design

Basic design

Single arm

Randomization

Non-randomized

Randomization unit


Blinding

Open -no one is blinded

Control

Uncontrolled

Stratification

NO

Dynamic allocation

NO

Institution consideration


Blocking

NO

Concealment

No need to know


Intervention

No. of arms

1

Purpose of intervention

Treatment

Type of intervention

Behavior,custom Maneuver

Interventions/Control_1

Combination with behavioral and psychological therapy for drug-resistant overactive bladder (30 minutes/ session, once a week, total 6 sessions)

Interventions/Control_2


Interventions/Control_3


Interventions/Control_4


Interventions/Control_5


Interventions/Control_6


Interventions/Control_7


Interventions/Control_8


Interventions/Control_9


Interventions/Control_10



Eligibility

Age-lower limit

20 years-old <=

Age-upper limit

80 years-old >=

Gender

Female

Key inclusion criteria

1. Patients diagnosed as OAB and receiving pharmacological therapy for more than 12 weeks.
2. Participants remains OAB symptom, the total point of overactive bladder symptom score (OABSS) is more than 6 points (moderate or more).
3. Fully active, able to carry on all pre-disease performance without restriction (ECOG Performance Status: Grade 0).
4. Participants who understand explanation and obtain written informed consent.

Key exclusion criteria

1. Participants has abnormality around the bladder (e.g., bladder stone, urethral stone, interstitial cystitis, endometriosis, pelvic organ prolapse).
2. Participant is diagnosed as Urinary Tract Infection (UTI).
3. Participants who have had surgery for urinary incontinence.
4. Pregnant or possibly pregnant participants.
5. Participants who can not understand the notation of Japanese.
6. Participants with anxiety/ depressed tendency (Hospitality Anxiety and Depression Scale (HADS) is more than 21 point).
7. Participants who are diagnosed as dementia.
8. Participants who are considered as inappropriate for this study by the responsible doctor

Target sample size

15


Research contact person

Name of lead principal investigator

1st name Osamu
Middle name
Last name Ogawa

Organization

Kyoto University, Graduate School of Medicine

Division name

Urology

Zip code

606-8507

Address

54 Shogoin Kawahara-cho, Sakyo-ku, Kyoto

TEL

075-751-3337

Email

ogawao@kuhp.kyoto-u.ac.jp


Public contact

Name of contact person

1st name Satoshi
Middle name
Last name Funada

Organization

Kyoto University, Graduate School of Medicine

Division name

Urology

Zip code

606-8507

Address

54 Shogoin Kawahara-cho, Sakyo-ku, Kyoto

TEL

075-751-3337

Homepage URL


Email

sfunada@kuhp.kyoto-u.ac.jp


Sponsor or person

Institute

Department of Urology, Kyoto University, Graduate School of Medicine

Institute

Department

Personal name



Funding Source

Organization

donation money for research

Organization

Division

Category of Funding Organization

Other

Nationality of Funding Organization



Other related organizations

Co-sponsor


Name of secondary funder(s)



IRB Contact (For public release)

Organization

Ethics Committee Graduate School and Faculty of Medicine Kyoto University

Address

Yoshida, Konoe-cho, Sakyo-ku, Kyoto

Tel

075-753-4680

Email

ethcom@kuhp.kyoto-u.ac.jp


Secondary IDs

Secondary IDs

NO

Study ID_1


Org. issuing International ID_1


Study ID_2


Org. issuing International ID_2


IND to MHLW



Institutions

Institutions

京都大学医学部附属病院(京都府)


Other administrative information

Date of disclosure of the study information

2019 Year 02 Month 01 Day


Related information

URL releasing protocol

no releasing

Publication of results

Published


Result

URL related to results and publications

https://onlinelibrary.wiley.com/doi/abs/10.1111/luts.12333

Number of participants that the trial has enrolled

10

Results

HRQoL total score of OAB-q improved from 56.2 points SD 22.1) at baseline to 81.4 points (SD 20.1) at week 11. The mean difference of HRQoL total score of OABq between baseline to week 11 was 25.2 points (SD 25.2), which was larger than the MCID. The other domains of OABq also improved from baseline to week 11. The effect size (Cohen's d) increased from 0.75 to 1.73, meaning the effect was moderate to large.

Results date posted

2021 Year 08 Month 07 Day

Results Delayed


Results Delay Reason


Date of the first journal publication of results

2020 Year 07 Month 03 Day

Baseline Characteristics

Median age was 72 years (range 53 to 80 years) and median OABSS was 9 points (range 6 to 12 points) at baseline. Median age at onset of OAB was 68 years (range 50 to 70 years) and median duration of treatment for OAB was 5.5 years (range 1 to 14 years). No participant used anticholinergics and all used B3 agonist for the treatment of OAB.

Participant flow

Ten patients participated in this study. Two participants dropped out of the study. One patient dropped out because of left lower limb pain caused by surgery two years prior, and another patient was unable to come to the hospital because she changed her job.

Adverse events

There were no adverse events associated with the intervention during the study.

Outcome measures

OAB-q, KHQ, OABSS, HADS, EQ-5D-5L, FVC, GIS, Satisfaction, Adverse events

Plan to share IPD


IPD sharing Plan description



Progress

Recruitment status

Completed

Date of protocol fixation

2019 Year 01 Month 16 Day

Date of IRB

2019 Year 01 Month 16 Day

Anticipated trial start date

2019 Year 02 Month 13 Day

Last follow-up date

2019 Year 12 Month 18 Day

Date of closure to data entry

2019 Year 12 Month 18 Day

Date trial data considered complete

2019 Year 12 Month 18 Day

Date analysis concluded

2020 Year 03 Month 30 Day


Other

Other related information



Management information

Registered date

2019 Year 01 Month 31 Day

Last modified on

2021 Year 08 Month 07 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000040707


Research Plan
Registered date File name

Research case data specifications
Registered date File name

Research case data
Registered date File name