A Randomized, Placebo-controlled Trial of Nitrous Oxide During In-office Bladder Botox Injections
NCT07387315 · Status: NOT_YET_RECRUITING · Phase: PHASE4 · Type: INTERVENTIONAL · Enrollment: 96
Last updated 2026-02-04
Summary
The goal of this clinical trial is to assess if a mix of nitrous oxide and oxygen can improve pain control during bladder Botox injections. The primary question it aims to answer is: Does using nitrous oxide lower the overall level of pain during the procedure?
Researchers will compare a 50:50 nitrous oxide/oxygen mixture (administered with the Pro-Nox system) plus standard care (with lidocaine in the bladder) to sham mask plus standard care to see if nitrous oxide works better for lowering pain.
Participants will:
* Receive their bladder Botox injection in the office setting
* Either use nitrous oxide/oxygen plus standard care during the procedure, or sham mask plus standard care
* Answer brief questions about pain, anxiety, satisfaction, and willingness to repeat the procedure
Conditions
- Overactive Bladder
- Neurogenic Bladder
- Urge Incontinence
- Pain
- Urinary Incontinence
- Urinary Bladder, Overactive
- Urinary Bladder, Neurogenic
- Urinary Bladder Neurogenesis
- Urinary Incontinence, Urge
- Pelvic Floor Disorders
Interventions
- DRUG
-
Pro-Nox Nitrous Oxide/Oxygen Delivery System
The Pro-Nox system delivers a fixed 50:50 mixture of nitrous oxide and oxygen for patient self-administered inhaled analgesia. Participants will self-administer nitrous oxide throughout the in-office bladder Botox procedure.
- DRUG
-
Standard Care for Bladder Botox Injection
Standard care includes intravesical instilled 1-2% lidocaine with a dwell time of at least 15 minutes before the procedure.
- OTHER
-
Sham Mask
The Sham Mask will involve that participant using the same mask as that of the Nitrous Oxide group, but connected to a Pro-Nox system that is turned completely off. They will therefore receive room air through the mask.
Sponsors & Collaborators
-
TriHealth Inc.
lead OTHER
Study Design
- Allocation
- RANDOMIZED
- Purpose
- TREATMENT
- Masking
- SINGLE
- Model
- PARALLEL
Eligibility
- Min Age
- 18 Years
- Sex
- FEMALE
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2026-02-28
- Primary Completion
- 2026-11-30
- Completion
- 2026-12-31
- FDA Drug
- Yes
Countries
- United States
Study Locations
More Related Trials
-
Intradetrusor Botulinum Toxin A for OAB Via 1 Versus 10 Injections: A Randomized Clinical Trial
NCT05308979 ·Status: COMPLETED ·Phase: PHASE4
-
This is a Prospective, Randomized, Double-Blind Study Comparing Intravesical Injection of Botox® to Placebo.
NCT00479596 ·Status: UNKNOWN ·Phase: PHASE2/PHASE3
-
The Interest of the Nitrous Oxide During Intravesical Injection of Botulinum Toxin A
NCT00948103 ·Status: COMPLETED ·Phase: PHASE3
-
BOTOX® Intravesical Instillation in Participants With Overactive Bladder and Urinary Incontinence
NCT03320850 ·Status: COMPLETED ·Phase: PHASE2
-
Randomized Trial for Botox Urinary Incontinence
NCT00178191 ·Status: COMPLETED ·Phase: NA
-
Randomization of Botox for Stent Pain and Irritative Voiding Symptoms
NCT02078895 ·Status: TERMINATED ·Phase: PHASE3
-
TENS Used for Pain Management During Office Cystoscopy Botox Injections
NCT04448171 ·Status: TERMINATED ·Phase: NA
-
Feasibility of BOTOX Injection on Improving Female Stress Urinary Incontinence
NCT04984317 ·Status: SUSPENDED ·Phase: EARLY_PHASE1
-
Evaluation the Efficacy Between Botox Injection and Combination Pharmacotherapy in Patients With Detrusor Overactivity
NCT05968885 ·Status: RECRUITING ·Phase: PHASE4
-
Over Active Bladder Instillation Study - Botox
NCT00667095 ·Status: TERMINATED ·Phase: PHASE3
-
Effectiveness of HYPNOsis Masks During Botulinum TOXin Injections in Idiopathic Overactive Bladder(HypnoTox)
NCT05352945 ·Status: TERMINATED ·Phase: NA
-
Botox as a Treatment for Interstitial Cystitis in Women
NCT00194610 ·Status: COMPLETED ·Phase: PHASE4
-
OnabotulinumtoxinA (BOTOX®) Treatment for Urinary Incontinence in Patients With Overactive Bladder
NCT01945489 ·Status: COMPLETED ·Phase: PHASE4
-
BOTOX® at the Time of Prolapse Surgery for OAB
NCT04807920 ·Status: UNKNOWN ·Phase: PHASE4
-
Use of Botox to Treat Scrotal Pain
NCT01832194 ·Status: COMPLETED ·Phase: PHASE1
-
Comparison of Methods for Prevention of Urinary Tract Infection Following Botox Injection
NCT03508921 ·Status: TERMINATED ·Phase: PHASE4
-
A Multi-Center Trial of Botox for Severe Urge Urinary Incontinence
NCT00345332 ·Status: COMPLETED ·Phase: NA
-
Botox as a Treatment for Chronic Male Pelvic Pain Syndrome
NCT00194623 ·Status: TERMINATED ·Phase: PHASE4
-
Botulinum Toxin in the Treatment of Idiopathic Detrusor Overactivity
NCT02009540 ·Status: UNKNOWN ·Phase: PHASE4
-
PTNS vs Botox of Refractory OAB
NCT04451382 ·Status: TERMINATED
-
Injection With OnabotulinumtoxinA (Botox) for the Treatment of Chronic Pelvic Pain
NCT02173405 ·Status: COMPLETED ·Phase: PHASE1
-
Efficacy of Botulinum Toxin Type A for the Treatment of Non-neurogenic Urinary Urge Incontinence
NCT01226706 ·Status: COMPLETED ·Phase: NA
-
Botulinum Toxin Type A Versus Saline Trigger Point Injections for Myofascial Pelvic Pain
NCT01905137 ·Status: UNKNOWN ·Phase: NA
-
Evaluation of Efficacy and Patient Satisfaction of Local Anaesthesia Versus Sedoanalgesia for Botox (R) Injection in the Urinary Bladder for the Treatment of Idiopathic Overactive Bladder
NCT06437899 ·Status: ENROLLING_BY_INVITATION ·Phase: NA
-
Platelet-Rich Plasma Versus Botulinum Toxin for Refractory Overactive Bladder: A Randomized Trial
NCT07184307 ·Status: RECRUITING ·Phase: NA