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CompletedNCT00974909Updated Aug 26, 2015

Percutaneous Tibial Nerve Stimulation in the Treatment of Fecal Incontinence

A Phase 3 interventional study of Urgent PC neuromodulation system and Urgent PC neuromodulation system in Fecal Incontinence, sponsored by Maastricht University Medical Center. Completed at 3 sites in 3 countries. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2015-08-26.

Sponsored by Maastricht University Medical Center · Phase 3, Interventional, and Treatment

Phase
Phase 3
Study type
Interventional
Enrollment
59
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

Study summary

Background of the study:

Fecal incontinence is a complex problem. The social consequences of this problem result in a lower quality of life. The exact prevalence of FI is unknown, literature reports vary from 13-19%. There are variable treatment options depending on the patient and the etiology of the FI. Dietary manipulation, pharmacological intervention, pelvic floor physiotherapy, as well as surgical interventions are currently used to treat FI.

A promising current treatment is Percutaneous Tibial Nerve Stimulation (PTNS). The nerves in the spine that control bowel function also have branches which go to the ankle. Stimulating these nerves in the ankle has shown to be an effective treatment for FI in the short-term. The treatment has been shown to be safe and well tolerated by subjects with almost no morbidity in prior urology trials.

Objective of the study:

The objective of this study is to show that the results of PTNS are based on the treatment of electrical stimulation and not on a placebo effect with a sham treatment.

Study design:

This study is a multicenter, single-blinded, randomized, placebo-controlled trial.

Primary study parameters/outcome of the study:

The percentage of patients experiencing a ≥ 50% decrease in incontinence episodes from baseline after 9 weeks of treatment.

Secondary study parameters/outcome of the study (if applicable):

Mean change in the Cleveland Clinic Florida Fecal Incontinence Score (CCF-FI Score)

Mean change in Quality of Life scores in validated QoL questionnaires (SF-36, Digestive Health Status Instrument (DHSI), and Fecal Incontinence Quality of life)

Subject's and Physician's Global Impression

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Conditions studied

  • Fecal Incontinence

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Keywords

  • Fecal incontinence
03

In context

Fecal Incontinence

312 studies on the registry are indexed under Fecal Incontinence; 57 are open to participants now.

This study's enrollment of 59 is above the median of 50 across 216 interventional studies indexed under Fecal Incontinence.

Browse Fecal Incontinence studies →

Lead sponsor

Maastricht University Medical Center is the lead sponsor of 835 studies on the registry; 122 are open to participants now.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  • Written informed consent
  • Must be at least 18 years of age
  • Fecal incontinence with solid or liquid stool causing disruption of the subject's lifestyle
  • Psychological stability as determined by treating physician
  • Willingness to commit to a rigid follow-up schedule and comply with the investigational plan
  • Failed conservative therapy (i.e. dietary and behavioural modification, biofeedback techniques and exercises for pelvic floor muscle retraining)
  • During treatment the patient exhibits an adequate motor and/or sensory response (flexion of toe and/or twinkling sensation)
  • Is able to read and write

Exclusion criteria

Exclusion Criteria:

  • Major internal and/or external sphincter defect (defined as >33% of the anal circumference)
  • Fecal impaction
  • Pacemaker, implanted defibrillator
  • Pregnancy or intention to become pregnant
  • Neurogenic or congenital disorders resulting in FI
  • Inability to travel to the clinic twice a week
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Study design

Phase
Phase 3
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Single (Participant)
Enrollment
59 participants (actual)

Study arms

  • Active comparator
    Treatment group

    Treatment group

    Device: Urgent PC neuromodulation system

  • Sham comparator
    sham group

    Sham group

    Device: Urgent PC neuromodulation system

Interventions

  • DeviceUrgent PC neuromodulation system

    Urgent PC neuromodulation system

  • DeviceUrgent PC neuromodulation system

    Urgent PC neuromodulation system (sham)

06

What researchers measure

Primary outcomes

  1. The percentage of patients experiencing a ≥ 50% decrease in incontinence episodes from baseline after 9 weeks of treatment and at six and twelve months follow-up.

    Time frame: 9 weeks

Secondary outcomes

  1. Mean change in the Cleveland Clinic Florida Fecal Incontinence Score (CCF-FI Score) at 6 weeks and 9 weeks of treatment and at six and twelve months follow-up.

    Time frame: one year

  2. Mean change in Quality of Life scores in validated QoL questionnaires (SF-36, Digestive Health Status Instrument (DHSI), and Fecal Incontinence Quality of life) at 6 weeks and 9 weeks of treatment and at six and twelve months follow-up.

    Time frame: one year

  3. Subject's and Physician's Global Impression at 6 weeks and 9 weeks of treatment and at six and twelve months follow-up.

    Time frame: one year

07

Study locations

3 sites
  • CCDE - IMAD - Hôtel-Dieu
    Nantes, F - 44093, France
  • Università degli Studi di Roma "La Sapienza"
    Roma, 00185, Italy
  • Maastricht university medical center
    Maastricht, Limburg 6229 HX, Netherlands
08

References and documents

Publications

  • van der Wilt AA, Giuliani G, Kubis C, van Wunnik BPW, Ferreira I, Breukink SO, Lehur PA, La Torre F, Baeten CGMI. Randomized clinical trial of percutaneous tibial nerve stimulation versus sham electrical stimulation in patients with faecal incontinence. Br J Surg. 2017 Aug;104(9):1167-1176. doi: 10.1002/bjs.10590. PubMed 28703936 ↗
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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Aug 26, 2015, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT00974909
Lead sponsor
Maastricht University Medical Center
Responsible party
Sponsor
First posted
Sep 11, 2009
Start date
Oct 2009
Primary completion
Oct 2011
Completion
Aug 2015
Last update
Aug 26, 2015

Study contacts

Cornelius Baeten, prof phd md
principal investigator · Maastricht University Medical Center

Oversight

Data monitoring committee
Yes
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Sep 2010. You cannot join it, but the record below documents what was studied.

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