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Note: This record shows only 22 elements of the WHO Trial Registration Data Set. To view changes that have been made to the source record, or for additional information about this trial, click on the URL below to go to the source record in the primary register.
Register: ISRCTN
Last refreshed on: 24 October 2016
Main ID:  ISRCTN11857462
Date of registration: 10/08/2016
Prospective Registration: No
Primary sponsor: University Medical Centre Schleswig-Holstein
Public title: The efficacy and safty of OnabotulinumtoxinA-Injection into the bladder in patients with neurogenic bladder dysfunction due to Parkinson's disease
Scientific title: Preserved micturition after intradetrusor onabotulinumtoxinA injection for treatment of neurogenic bladder dysfunction in Parkinson’s disease
Date of first enrolment: 20/04/2007
Target sample size: 10
Recruitment status: Completed
URL:  http://isrctn.com/ISRCTN11857462
Study type:  Interventional
Study design:  Single-centre prospective non-randomised study (Treatment)  
Phase:  Not Applicable
Countries of recruitment
Germany
Contacts
Name:    
Address: 
Telephone:
Email:
Affiliation: 
Name: Stephanie C.     Knüpfer
Address:  Department of Urology and Pediatric Urology University Medical Centre Schleswig-Holstein Campus Kiel Arnold-Heller-Street 3 24105 Kiel Germany
Telephone:
Email:
Affiliation: 
Key inclusion & exclusion criteria
Inclusion criteria: 1. Patients with lower urinary tract dysfunction due to parkinsonian disease
2. Refractory to at least two different types oral antimuscarinics

Exclusion criteria: 1. Unstable neurological disease.
2. Lower urinary tract malignancy
3. Previous onabotulinumtoxinA treatment
4. Untreated lower urinary tract obstruction
5. Missing informed consent


Age minimum:
Age maximum:
Gender: Both
Health Condition(s) or Problem(s) studied
Lower urinary tract dysfunction in parkinsonian disease
Nervous System Diseases
Lower urinary tract dysfunction in parkinsonian disease
Intervention(s)
All participants are treated with a single 200 IU injection of OnabotulinumtoxinA into the detrusor muscle distributed among 16-17 submucosal/ intradetrusor sites and 3-4 sites into the trigone. The injection was given gently and penetration of the detrusor muscle and thus injection into perivesical tissues was prevented.

At baseline and four months, participants undergo a neuro-urological evaluation, consisting of medical history, clinical examination, urine analysis, urinary tract ultrasound, urodynamic investigation, urethrocystoscopy and validated questionnaire contains 19 items on various aspects of quality of life. Urodynamics are performed according to good urodynamic practices as recommended by the International Continence Society (ICS). Patients are investigated in a sitting position. The bladder is filled with a room temperature mixture of 0.9% NaCL solution and contrast medium. The clinical examination includes digital rectal examination, vaginal inspection, and transrectal sonography.
Primary Outcome(s)
Urinary tract function (urinary frequency during daytime, night-time, urinary incontinence episode, post void volume) is measured using patient diaries at baseline and 4 months.
Secondary Outcome(s)
Quality of life is measured using the International Consultation and Incontinence Questionnaire - Lower Urinary Tract Symptoms Quality of Life at baseline and 4 months.
Secondary ID(s)
N/A
Source(s) of Monetary Support
University Medical Centre Schleswig-Holstein
Secondary Sponsor(s)
Ethics review
Results
Results available:
Date Posted:
Date Completed:
URL:
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