Trial Outcomes & Findings for Hand & Foot Nocturnal Enuresis TENS Study (NCT NCT02747849)

NCT ID: NCT02747849

Last Updated: 2023-04-21

Results Overview

The subject/parents will be instructed to record a night-time voiding log specifying the change in number of nights wet per 2 weeks. This log is included in the IRB application. Subjects/parents will fill out the log for a two week period prior to foot stimulation to determine a baseline average of nocturnal enuresis episodes, during week 3 and 4 of the study the subjects will stimulate either their foot or hand to measure any acute effect on nocturnal enuresis episodes and finally during week 5 and 6 of the study, after stimulation subjects will keep a log to evaluate any post-stimulation residual benefit

Recruitment status

COMPLETED

Study phase

NA

Target enrollment

27 participants

Primary outcome timeframe

6 weeks

Results posted on

2023-04-21

Participant Flow

Participant milestones

Participant milestones
Measure
Hand Neuromodulation
The stimulation characteristics for this arm include a continuous frequency of 5 Hz, pulsewidth 0.2 ms, and intensity 2-4 times the threshold voltage required for finger twitching - or the intensity that the subject feels comfortable with. Subjects will be asked to use the stimulator for a minimum of 60 minutes prior to bedtime for two weeks, or longer if they can tolerate it, have the time, and accurately record the total duration. Stimulation will be performed during the first, second, and third weeks of the study. TENS: Placebo had stimulator placed on hand. Active comparator had stimulator placed on foot. Amount of time, intensity, threshold voltage, pulsewidth and frequency remained the same for both arms.
Foot Neuromodulation
The stimulation characteristics include a continuous frequency of 5 Hz, pulsewidth 0.2 ms, and intensity 2-4 times the threshold voltage required for inducing toe twitching - or the intensity that the subject feels comfortable with. The subjects will be asked to wear socks on their foot to prevent the electrodes from detachment and to stop the stimulation during walking or in any non-resting situation. Subjects will be asked to use the stimulator for a minimum of 60 minutes prior to bedtime for two weeks, or longer if they can tolerate it, have the time, and accurately record the total duration. Stimulation will be performed during the first, second, and third weeks of the study. TENS: Placebo had stimulator placed on hand. Active comparator had stimulator placed on foot. Amount of time, intensity, threshold voltage, pulsewidth and frequency remained the same for both arms.
Overall Study
STARTED
13
14
Overall Study
COMPLETED
12
14
Overall Study
NOT COMPLETED
1
0

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Race and Ethnicity were not collected from any participant.

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Hand Neuromodulation
n=12 Participants
The stimulation characteristics for this arm include a continuous frequency of 5 Hz, pulsewidth 0.2 ms, and intensity 2-4 times the threshold voltage required for finger twitching - or the intensity that the subject feels comfortable with. Subjects will be asked to use the stimulator for a minimum of 60 minutes prior to bedtime for two weeks, or longer if they can tolerate it, have the time, and accurately record the total duration. Stimulation will be performed during the first, second, and third weeks of the study. TENS: Placebo had stimulator placed on hand. Active comparator had stimulator placed on foot. Amount of time, intensity, threshold voltage, pulsewidth and frequency remained the same for both arms.
Foot Neuromodulation
n=14 Participants
The stimulation characteristics include a continuous frequency of 5 Hz, pulsewidth 0.2 ms, and intensity 2-4 times the threshold voltage required for inducing toe twitching - or the intensity that the subject feels comfortable with. The subjects will be asked to wear socks on their foot to prevent the electrodes from detachment and to stop the stimulation during walking or in any non-resting situation. Subjects will be asked to use the stimulator for a minimum of 60 minutes prior to bedtime for two weeks, or longer if they can tolerate it, have the time, and accurately record the total duration. Stimulation will be performed during the first, second, and third weeks of the study. TENS: Placebo had stimulator placed on hand. Active comparator had stimulator placed on foot. Amount of time, intensity, threshold voltage, pulsewidth and frequency remained the same for both arms.
Total
n=26 Participants
Total of all reporting groups
Age, Categorical
<=18 years
12 Participants
n=12 Participants
14 Participants
n=14 Participants
26 Participants
n=26 Participants
Age, Categorical
Between 18 and 65 years
0 Participants
n=12 Participants
0 Participants
n=14 Participants
0 Participants
n=26 Participants
Age, Categorical
>=65 years
0 Participants
n=12 Participants
0 Participants
n=14 Participants
0 Participants
n=26 Participants
Age, Continuous
12 years
n=12 Participants
12.1 years
n=14 Participants
12 years
n=26 Participants
Sex/Gender, Customized
Gender · Male
9 Participants
n=12 Participants
9 Participants
n=14 Participants
18 Participants
n=26 Participants
Sex/Gender, Customized
Gender · Female
3 Participants
n=12 Participants
4 Participants
n=14 Participants
7 Participants
n=26 Participants
Sex/Gender, Customized
Gender · Did not identify
0 Participants
n=12 Participants
1 Participants
n=14 Participants
1 Participants
n=26 Participants
Race and Ethnicity Not Collected
0 Participants
Race and Ethnicity were not collected from any participant.
Region of Enrollment
United States
12 participants
n=12 Participants
14 participants
n=14 Participants
26 participants
n=26 Participants

PRIMARY outcome

Timeframe: 6 weeks

Population: Patients with primary nocturnal enuresis.

The subject/parents will be instructed to record a night-time voiding log specifying the change in number of nights wet per 2 weeks. This log is included in the IRB application. Subjects/parents will fill out the log for a two week period prior to foot stimulation to determine a baseline average of nocturnal enuresis episodes, during week 3 and 4 of the study the subjects will stimulate either their foot or hand to measure any acute effect on nocturnal enuresis episodes and finally during week 5 and 6 of the study, after stimulation subjects will keep a log to evaluate any post-stimulation residual benefit

Outcome measures

Outcome measures
Measure
Hand Neuromodulation
n=12 Participants
The stimulation characteristics for this arm include a continuous frequency of 5 Hz, pulsewidth 0.2 ms, and intensity 2-4 times the threshold voltage required for finger twitching - or the intensity that the subject feels comfortable with. Subjects will be asked to use the stimulator for a minimum of 60 minutes prior to bedtime for two weeks, or longer if they can tolerate it, have the time, and accurately record the total duration. Stimulation will be performed during the first, second, and third weeks of the study. TENS: Placebo had stimulator placed on hand. Active comparator had stimulator placed on foot. Amount of time, intensity, threshold voltage, pulsewidth and frequency remained the same for both arms.
Foot Neuromodulation
n=14 Participants
The stimulation characteristics include a continuous frequency of 5 Hz, pulsewidth 0.2 ms, and intensity 2-4 times the threshold voltage required for inducing toe twitching - or the intensity that the subject feels comfortable with. The subjects will be asked to wear socks on their foot to prevent the electrodes from detachment and to stop the stimulation during walking or in any non-resting situation. Subjects will be asked to use the stimulator for a minimum of 60 minutes prior to bedtime for two weeks, or longer if they can tolerate it, have the time, and accurately record the total duration. Stimulation will be performed during the first, second, and third weeks of the study. TENS: Placebo had stimulator placed on hand. Active comparator had stimulator placed on foot. Amount of time, intensity, threshold voltage, pulsewidth and frequency remained the same for both arms.
Change in Number of Nights Wet Per 2 Weeks
# nights wet before stimulation over 2 weeks
11 # nights wet over 2 weeks
Standard Deviation 3.46
8.78 # nights wet over 2 weeks
Standard Deviation 4.12
Change in Number of Nights Wet Per 2 Weeks
# nights wet during stimulation over 2 weeks
8.75 # nights wet over 2 weeks
Standard Deviation 3.99
6.22 # nights wet over 2 weeks
Standard Deviation 4.21
Change in Number of Nights Wet Per 2 Weeks
# nights wet after stimulation over 2 weeks
9.5 # nights wet over 2 weeks
Standard Deviation 3.82
6.78 # nights wet over 2 weeks
Standard Deviation 5.19

PRIMARY outcome

Timeframe: An average of 6 weeks

Population: Patients

Total number of participants that responded to treatment after stimulation with Hand or Foor unit.

Outcome measures

Outcome measures
Measure
Hand Neuromodulation
n=12 Participants
The stimulation characteristics for this arm include a continuous frequency of 5 Hz, pulsewidth 0.2 ms, and intensity 2-4 times the threshold voltage required for finger twitching - or the intensity that the subject feels comfortable with. Subjects will be asked to use the stimulator for a minimum of 60 minutes prior to bedtime for two weeks, or longer if they can tolerate it, have the time, and accurately record the total duration. Stimulation will be performed during the first, second, and third weeks of the study. TENS: Placebo had stimulator placed on hand. Active comparator had stimulator placed on foot. Amount of time, intensity, threshold voltage, pulsewidth and frequency remained the same for both arms.
Foot Neuromodulation
n=14 Participants
The stimulation characteristics include a continuous frequency of 5 Hz, pulsewidth 0.2 ms, and intensity 2-4 times the threshold voltage required for inducing toe twitching - or the intensity that the subject feels comfortable with. The subjects will be asked to wear socks on their foot to prevent the electrodes from detachment and to stop the stimulation during walking or in any non-resting situation. Subjects will be asked to use the stimulator for a minimum of 60 minutes prior to bedtime for two weeks, or longer if they can tolerate it, have the time, and accurately record the total duration. Stimulation will be performed during the first, second, and third weeks of the study. TENS: Placebo had stimulator placed on hand. Active comparator had stimulator placed on foot. Amount of time, intensity, threshold voltage, pulsewidth and frequency remained the same for both arms.
Response to Treatment
8 Participants
9 Participants

Adverse Events

Hand Neuromodulation

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Foot Neuromodulation

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Adverse event data not reported

Additional Information

Rajeev Chaudhry, MD

UPittsburgh

Phone: 412-692-7932

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place