CClinicalTrials.gg
CompletedNCT04140253DULOXINGUpdated Jul 21, 2020

Evaluation of Duloxetine and Innovative Pelvic Floor Muscle Training in Women With Stress Urinary Incontinence

An interventional study of Pelvic floor muscle training (PFMT) with lumbopelvic stabilization in Stress Urinary Incontinence in Women, sponsored by Comenius University. Completed at 1 site in Slovakia. Open to female participants aged 18 Years to 70 Years. Per ClinicalTrials.gov, last updated 2020-07-21.

Sponsored by Comenius University · Not applicable, Interventional, and Treatment

From the registry’s dates

  • Registered 8 months after the study started (first participant enrolled Feb 2019, registered Oct 2019).
Phase
Not applicable
Study type
Interventional
Enrollment
158
Allocation
Randomized
Ages
18 Years to 70 Years
Sex
Female
01

Study summary

This study will evaluate the safety, tolerability and efficacy of duloxetine and pelvic floor muscle training in women who suffer from stress urinary incontinence

Read the detailed description

This is a randomized-intervention, parallel, multicentric study which will evaluate the safety, tolerability and efficacy of oral duloxetine and innovative pelvic floor muscle training to woman suffering from stress urinary incontinence

02

Conditions studied

  • Stress Urinary Incontinence in Women

Keywords

  • Stress urinary incontinence
  • Pelvic floor muscle training
03

In context

Urinary Incontinence

1,363 studies on the registry are indexed under Urinary Incontinence; 228 are open to participants now.

This study's enrollment of 158 is above the median of 66 across 1,011 interventional studies indexed under Urinary Incontinence.

Browse Urinary Incontinence studies →

Lead sponsor

Comenius University is the lead sponsor of 40 studies on the registry; 9 are open to participants now.

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

04

Who can participate

Ages eligible
18 Years to 70 Years
Sexes eligible
Female
Accepts healthy volunteers
No

Inclusion criteria

  • Woman's willing to provide written informed consent
  • Women over 18 years that experience uncomplicated stress urinary incontinence
  • Score of the International Consultation on Urinary Incontinence Questionnaire ≥ 14 points
  • Symptoms of urinary incontinence for at least 3 consecutive months
  • Have at least seven urinary incontinence episodes per week
  • Degree of pelvic organ prolapse ≤ 2 stage
  • Willingness to accept the randomization process and fully participate in tests

Exclusion criteria

Exclusion Criteria:

  • Recent use of any pharmacologic agent used to treat symptoms of urinary incontinence in the past six months
  • History of anti-incontinence surgery in the past 12 months
  • Use of onabotulinumtoxinA for the treatment of urinary incontinence in the past 12 months
  • History of pelvic prolapse repair or urethral surgery in the past 12 months
  • History of pelvic floor muscle training in the past 12 months
  • History of interstitial cystitis or bladder-related pain
  • Chronic severe constipation
  • Clinically significant renal or hepatic impairment
  • Clinically significant heart impairment
  • Pregnant woman, lactating, or actively trying to become pregnant
  • Non-compliance with limitation of duloxetine treatment for mixed urinary incontinence
  • Positive urinary tract infection
  • Use of rehabilitation aids (pessary, urethral plugs, vaginal beads, etc.)
  • Use of antidepressant therapy
  • Insufficient understanding of pelvic floor exercises and/or omitting exercises
  • Participation in any clinical study in the past six months
05

Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
158 participants (actual)

Study arms

  • Active comparator
    Standard Duloxetine treatment

    Peroral treatment with duloxetine at a dose of 40 mg twice a day

    Behavioral: Pelvic floor muscle training (PFMT) with lumbopelvic stabilization

  • Experimental
    Standard Duloxetine treatment with PFMT

    Peroral treatment with duloxetine at a dose of 40 mg twice a day. Pelvic floor muscle training (PFMT) with lumbopelvic stabilization.

    Behavioral: Pelvic floor muscle training (PFMT) with lumbopelvic stabilization

Interventions

  • BehavioralPelvic floor muscle training (PFMT) with lumbopelvic stabilization

    Pelvic floor muscle training (PFMT) with lumbopelvic stabilization. 1. Educating of probands about anatomy, physiology, and pelvic floor muscles functions 2. Training of pelvic floor muscles in different position 3. Training of pelvic floor muscles with lumbopelvic stabilization Exercise 5 times a week for 20-30 minutes a day, after initial training with a physiotherapist.

06

What researchers measure

Primary outcomes

  1. Change in incontinence episode frequency

    The investigators will compare change in incontinence episode frequency in the combined duloxetine and pelvic floor muscle training to duloxetine treatment alone

    Time frame: over 12 weeks of treatment

Secondary outcomes

  1. Change in incontinence quality of life according to Incontinence Quality of Life scale (I-QoL)

    The investigators will compare change in incontinence quality of life in the combined duloxetine and pelvic floor muscle training to duloxetine treatment alone. 0 = worst quality of life, 100 = best quality of life.

    Time frame: over 12 weeks of treatment

  2. Change in Patient Global Impression of Improvement (PGI-I score)

    To examine change in Patient Global Impression of Improvement in the combined duloxetine and pelvic floor muscle training to duloxetine treatment alone . 1 = much better. 7 = definitely worse.

    Time frame: over 12 weeks of treatment

  3. Incidence of adverse events

    To examine incidence of adverse events in the combined duloxetine and pelvic floor muscle training to duloxetine treatment alone

    Time frame: over 12 weeks of treatment

07

Study locations

1 site
  • Jessenius Faculty of Medicine in Martin, Comenius University in Bratislava
    Martin, 03601, Slovakia
08

References and documents

Publications

  • Hagovska M, Svihra J, Breza J Jr, Dubravicky J, Vargovcak M. A randomized, intervention parallel multicentre study to evaluate duloxetine and innovative pelvic floor muscle training in women with uncomplicated stress urinary incontinence-the DULOXING study. Int Urogynecol J. 2021 Jan;32(1):193-201. doi: 10.1007/s00192-020-04516-w. Epub 2020 Aug 27. PubMed 32852574 ↗
  • Hagovska M, Svihra J. Evaluation of duloxetine and innovative pelvic floor muscle training in women with stress urinary incontinence (DULOXING): Study protocol clinical trial (SPIRIT Compliant). Medicine (Baltimore). 2020 Feb;99(6):e18834. doi: 10.1097/MD.0000000000018834. PubMed 32028393 ↗

Individual participant data

Plan to share: No — After study completion

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Jul 21, 2020, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT04140253
Lead sponsor
Comenius University
Responsible party
Sponsor
First posted
Oct 25, 2019
Start date
Feb 1, 2019
Primary completion
Feb 1, 2020
Completion
Mar 10, 2020
Last update
Jul 21, 2020

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Jul 2020. You cannot join it, but the record below documents what was studied.

Follow this study

Get an email when the registry record changes — status, dates, results — or when someone posts here.

Sign in to follow

Discussion

Questions and observations about this study, from anyone following it. Not medical advice, and not a channel to the study team — their contact details are on the registry record.

Sign in to join the discussion. Reading takes no account; posting does. You choose a display name, and a pseudonym is the default.

Nothing here yet. If you are running this trial, taking part in it, or weighing whether to, this is the place to say so.

Start the discussion