Status:

UNKNOWN

Efficacy and Safety of Low Energy Shock Wave Plus BotulinumToxin A in Treating Patients With Interstitial Cystitis

Lead Sponsor:

Buddhist Tzu Chi General Hospital

Collaborating Sponsors:

Ministry of Science and Technology, Taiwan

Hualien Tzu Chi General Hospital

Conditions:

Interstitial Cystitis

Eligibility:

All Genders

20+ years

Phase:

PHASE2

Brief Summary

Low energy shock wave (LESW) is known to facilitate tissue regeneration with analgesic and anti-inflammatory effects. LESW treatment has been demonstrated effective in treatment of nonbacterial prosta...

Detailed Description

Interstitial cystitis/ bladder pain syndrome (IC/BPS) is a bladder disorder with unknown etiology and difficult treatment. Novel treatments have been searched to adequately improved symptoms. Low ener...

Eligibility Criteria

Inclusion

  • Adults with age of 20 years old or above
  • Patients with symptoms of frequency, urgency, and bladder pain at full bladder for more than 6 months.
  • Proven to have glomerulations (at least grade 1) by cystoscopic hydrodistention under anesthesia in recent 1 year
  • Free of active urinary tract infection
  • Free of bladder outlet obstruction on enrolment
  • Free of overt neurogenic bladder dysfunction and limitation of ambulation.
  • Patient or his/her legally acceptable representative agrees to sign the written informed consent form

Exclusion

  • Patient's lower urinary tract symptoms can be effectively treated by conventional therapy
  • Patient or his/her legally acceptable representative cannot sign the written informed consent form
  • Patient cannot complete the consecutive 3- day voiding diary on the visiting day
  • Patient had been treated for overactive bladder by enterocystoplasty
  • Patients with severe cardiopulmonary disease and such as congestive heart failure, arrhythmia, poorly controlled hypertension, not able to receive regular follow-up
  • Patient has bladder outlet obstruction on enrollment
  • Patients has post-void residual \>250ml
  • Patients with uncontrolled confirmed diagnosis of acute urinary tract infection
  • Patients have laboratory abnormalities at screening including: ALT\> 3 x upper limit of normal range, AST\> 3 x upper limit of normal range; Patients have abnormal serum creatinine level \> 2 x upper limit of normal range
  • Patient has coagulation disorder
  • Female patients who is pregnant, lactating, or with child-bearing potential without contraception.
  • Patients with any other serious disease considered by the investigator not in the condition to enter the trial
  • Patient had received intravesical hyaluronic acid insillation treatment for IC within recent 6 months before enrolment
  • Patient had received intravesical onabotulinumtoxinA treatment for IC within recent 12 months before enrolment
  • Patients participated investigational drug trial within 1 month before entering this study

Key Trial Info

Start Date :

May 18 2021

Trial Type :

INTERVENTIONAL

Allocation :

ESTIMATED

End Date :

September 1 2024

Estimated Enrollment :

75 Patients enrolled

Trial Details

Trial ID

NCT05275647

Start Date

May 18 2021

End Date

September 1 2024

Last Update

March 25 2022

Active Locations (1)

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1

Buddhist Tzu Chi General Hospital

Hualien City, Taiwan, 970