ClinicalTrials.gg
RecruitingNCT04248283Updated Oct 6, 2026

Adjustable Continence Therapy (ACT) for the Treatment of Female SUI

An interventional study of Adjustable Continence Therapy for Women (ACT) in Urinary Incontinence and Urinary Incontinence,Stress, sponsored by Uromedica. Recruiting at 8 sites in 2 countries. Open to female participants aged 22 Years and older. Per ClinicalTrials.gov, last updated 2026-10-06.

Primary conditionUrinary Incontinence, StressRegistry: Urinary IncontinenceReclassifiedWhy we changed it
Registry
Urinary Incontinence — the first condition term the registry derived for this study.
ClinicalTrials.gg
Urinary Incontinence, Stress
Why
  1. The study's listed conditions name Urinary Incontinence, Stress, a narrower term within Urinary Incontinence.
Confidence
High: the new condition is named in the study's own listed conditions. Of 351 hand-checked studies reclassified this way, 68% were exactly right and 84% in the right disease family; the registry's first term was right for 5% (measured 2026-10-21). How we classify →
Wrong?
Tell us the study's main condition →

Sponsored by Uromedica · Not applicable, Interventional, and Treatment

From the registry’s dates

  • Started Jan 2021; still recruiting 5 years 9 months later.
Updated Oct 6, 20263 sites addedGo to Updates ↓
Phase
Not applicable
Study type
Interventional
Enrollment
167
Allocation
Not applicable
Ages
22 Years and older
Sex
Female
01

Study summary

A prospective, single arm, non-randomized, multicenter, prospective case-series trial. The purpose of this trial is to demonstrate the safety and effectiveness of using the Adjustable Continence Therapy (ACT) to provide a clinically relevant improvement in stress urinary incontinence.

02

Conditions studied

  • Urinary Incontinence
  • Urinary Incontinence,Stress

Keywords

  • Urinary Incontinence
  • Urination Disorders
  • Urination Involuntary
  • Urologic Diseases
  • Lower Urinary Tract Symptoms
03

In context

Urinary Incontinence, Stress Reclassified

651 studies on the registry are indexed under Urinary Incontinence, Stress; 120 are open to participants now.

This study's planned enrollment of 167 is above the median of 68 across 506 interventional studies indexed under Urinary Incontinence, Stress.

Browse Urinary Incontinence, Stress studies →

Lead sponsor

Uromedica is the lead sponsor of 4 studies on the registry; 2 are open to participants now.

Compared within Urinary Incontinence, Stress, this study's primary condition as ClinicalTrials.gg classifies it; the registry's first condition term is Urinary Incontinence. The counts are of registry records indexed under each term, refreshed daily. How we classify →

04

Who can participate

Ages eligible
22 Years and older
Sexes eligible
Female
Accepts healthy volunteers
No

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  1. Female at least 22 years old
  2. Diagnosed with stress urinary incontinence with primary Intrinsic Sphincter Deficiency
  3. Provocative pad weight of greater than 11.0 grams
  4. Candidate for surgical intervention
  5. Negative urinalysis
  6. Normal cystourethroscopy
  7. Failed at least 6 months of previous treatment(s) for stress urinary incontinence (e.g., exercise regimen, electrical stimulation, surgical procedures, etc). Note: patients may have failed prior anti-incontinence procedures for SUI (e.g., suspension, sling, or urethral bulking agent)
  8. Willing and able to sign and comply with trial follow-up requirements

Exclusion criteria

Exclusion Criteria:

  1. Pregnant or lactating
  2. of less than 5 years
  3. Has uncontrolled diabetes as evidenced by over 6.5% and fasting plasma glucose over 130 mg/dL
  4. Has auto-immune disease
  5. Undergoing radiation therapy
  6. Active urinary tract infection
  7. Detrusor instability to medication
  8. Reduced bladder compliance as defined by a cystometrogram
  9. Significant residual volume (greater than 100 ml) after voiding in which detrusor contraction is weak, when the bladder volume is greater than or equal to 250 ml
  10. Has, had, or is suspected of having bladder cancer
  11. History of bladder stones
  12. Urethral stricture evidenced during cystourethroscopy
  13. Has a neurogenic bladder that is atonic or has detrusor sphincter dyssynergia
  14. Has a diathesis, hemophilia, or a bleeding disorder
  15. Has a rectocele, cystocele, urethrocele, enterocele, or pelvic prolapse of grade 3 or higher
  16. Had prior pelvic radiotherapy
  17. Had a prior artificial urinary sphincter implanted
  18. Has a neurogenic condition known to affect bladder/sphincter function
Terms in these criteria, in plain language(4)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

Life expectancy

The study doctor’s estimate of how long someone is likely to live. Criteria use it so that people can stay in the study long enough for it to answer its question.

HbA1c

A blood test of average blood sugar over the past two to three months, given as a percentage or in mmol/mol. 6.5% (48 mmol/mol) or more is the usual threshold for diabetes, normally confirmed by a second test.

Relapsed and refractory

Relapsed: the illness came back after treatment had worked. Refractory: it did not respond to treatment, or stopped responding while still on it.

05

Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
167 participants (estimated)

Study arms

  • Experimental
    Adjustable Continence Therapy for Women

    Implantation of the Adjustable Continence Therapy for the treatment of female SUI.

    Device: Adjustable Continence Therapy for Women (ACT)

Interventions

  • DeviceAdjustable Continence Therapy for Women (ACT)

    Two ACT devices are implanted in each patient. The devices are intended for implantation in the paraurethral space, with the balloons located on each side of the urethra near the bladder neck. The ports are placed subcutaneously in the labia majora. The balloons are filled after implantation with an isotonic solution via needle injection into the port. The ACT implant can be placed using local, spinal or general anesthesia with the surgical instruments (provided separately).

06

What researchers measure

Primary outcomes

  1. Provocative pad weight

    Change in provocative pad weight from baseline

    Time frame: 12 months

Secondary outcomes

  1. Urogenital Distress Inventory (UDI)

    Six item questionnaire. Scores range from 0-100. 0 being not distressed, 100 being very distressed.

    Time frame: 12 months

  2. Incontinence Quality of Life Questionnaire (I-QOL)

    Twenty-two item questionnaire. Scores range from 0-100. 0 being lowest quality of life, 100 being highest quality of life.

    Time frame: 12 months

Other outcomes

  1. Complete adverse event profile

    Collection of patient safety information

    Time frame: 12 months

07

Study locations

7 of 8 sites recruiting
08

References and documents

Individual participant data

Plan to share: Undecided

No publications or documents are linked to this record.

09

Updates

1 registry update since Sep 25, 2026
Sites
3 sites added
Show 3 added (3 United States)
  • Idaho Urologic Institute, PA · Meridian, United States
  • Saint Lukes Health System · Independence, United States
  • Penn State University · Hershey, United States
Oct 6, 2026
Site contacts
Changed at 1 site. See the sites
Show the site
  • University of Colorado · Denver, United StatesContact removed (no phone or email listed)
Oct 6, 2026
Show all 1 update
  1. Oct 6, 2026
    3 sites added
    Show 3 added (3 United States)
    • Idaho Urologic Institute, PA · Meridian, United States
    • Saint Lukes Health System · Independence, United States
    • Penn State University · Hershey, United States
    Site contacts Changed at 1 site. See the sites
    Show the site
    • University of Colorado · Denver, United StatesContact removed (no phone or email listed)
    + 1 other change: verification date

From the registry record's own update history. This site started tracking changes on Sep 25, 2026; for anything earlier, see the record history on ClinicalTrials.gov ↗

10

Registry details

Key details

Study ID
NCT04248283
Lead sponsor
Uromedica
Responsible party
Sponsor
First posted
Jan 30, 2020
Start date
Jan 26, 2021
Primary completion
May 31, 2027 (estimated)
Completion
May 31, 2032 (estimated)
Last update
Oct 6, 2026

Study contacts

Lisa Draper
Contact
USLDR@COLOPLAST.COM
612-834-7494
Matt Kelly, PhD
Contact
usmtk@coloplast.com
612-469-8882
Philip Johnson, PhD
study director · Uromedica, Inc.

Oversight

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

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