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Not yet recruitingNCT04729582MUSTUpdated Aug 3, 2023

Autologous Muscle Stem Cell Therapy for Treatment of Congenital Urinary Incontinence in Epispadias Patients

A Phase 1/2 interventional study of Primary human muscle stem cells (Satori-01) and Placebo in Urinary Incontinence and Epispadias, Male, sponsored by Simone Spuler, MD. Not yet recruiting at 2 sites in Germany. Open to male participants aged 3 Years to 17 Years. Per ClinicalTrials.gov, last updated 2023-08-03.

Sponsored by Simone Spuler, MD · Phase 1/2, Interventional, and Treatment

Phase
Phase 1/2
Study type
Interventional
Enrollment
21
Allocation
Randomized
Ages
3 Years to 17 Years
Sex
Male
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Study summary

The aim of this trial is to evaluate the safety and efficacy of an autologous muscle stem cell therapy in the treatment of congenital urinary incontinence in isolated epispadias.

Read the detailed description

Epispadias is the mildest form of exstrophy-epispadias complex (EEC); a congenital malformation disorder involving the midline abdominal and genitourinary structures. Patients with epispadias have a defect in the urethral sphincter resulting in urinary incontinence. This trial investigates the injection of autologous primary human muscle stem cells into the urethral sphincter with the aim of repairing the defect and restore the anatomic ability for continence.

Eligible participants will undergo muscle biopsy during a routine cystoscopy. Acquired muscle tissue is used for the isolation and expansion of muscle stem cells ex-vivo. Muscle stem cells are injected into the urethral sphincter under visual control using cystoscopy. Participants are assessed for safety and efficacy for a minimum of 12 months post-intervention.

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Conditions studied

  • Urinary Incontinence
  • Epispadias, Male

Keywords

  • Isolated epispadias
  • Urinary incontinence
  • Muscle stem cell therapy
  • Autologous cell therapy
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In context

Urinary Incontinence

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

This study's planned enrollment of 21 is below the median of 66 across 1,011 interventional studies indexed under Urinary Incontinence.

Browse Urinary Incontinence studies →

Lead sponsor

Simone Spuler, MD is the lead sponsor of 2 studies on the registry; 2 are open to participants now.

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

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Who can participate

Ages eligible
3 Years to 17 Years
Sexes eligible
Male
Accepts healthy volunteers
No

Inclusion criteria

  • Male
  • Isolated epispadias
  • Aged ≥ 3 years
  • Urinary incontinence as defined according to the International Children´s Continence Society
  • Informed consent

Exclusion criteria

Exclusion Criteria:

  • Acute or chronic inflammatory local or systemic disease
  • Coagulation Disorder
  • Previous adverse reaction to anesthesia
  • Congenital heart defect, cardiac arrhythmia
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Study design

Phase
Phase 1 / Phase 2
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Quadruple (Participant, Care provider, Investigator, Outcomes assessor)
Enrollment
21 participants (estimated)

Study arms

  • Experimental
    Verum Group

    Participants receive primary human muscle stem cells as one-time injection into the urethral sphincter region under visual control using cystoscopy.

    Biological: Primary human muscle stem cells (Satori-01)

  • Placebo comparator
    Placebo group

    Participants receive placebo solution as one-time injection into the external urethral sphincter region under visual control using cystoscopy.

    Other: Placebo

Interventions

  • BiologicalPrimary human muscle stem cells (Satori-01)

    Primary human muscle stem cells are isolated from patient's muscle tissue and expanded ex-vivo. They are injected into the urethral sphincter region as a one-time autologous treatment.

  • OtherPlacebo

    Placebo is the injection solution without muscle stem cells.

06

What researchers measure

Primary outcomes

  1. Prevalence of Intervention-related Adverse Events

    Characterization of type, incidence, severity, and duration of adverse events

    Time frame: Upto 12 months post-intervention

  2. Change in Leak Point Pressure (LPP)

    Change in LPP is calculated from baseline measurement

    Time frame: Six months post-intervention

07

Study locations

2 sites
  • Clinic for Pediatric Urology in cooperation with University Hospital Regensburg, St. Hedwig Hospital
    Regensburg, 93049, Germany
  • Pediatric Urology, Department for Urology University of Ulm
    Ulm, 89075, Germany
08

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Aug 3, 2023, 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
NCT04729582
Lead sponsor
Simone Spuler, MD
Collaborators
German Federal Ministry of Education and Research
Responsible party
Simone Spuler, MD (Principal investigator, Charite University, Berlin, Germany) — Sponsor-investigator
First posted
Jan 28, 2021
Start date
Jun 2024 (estimated)
Primary completion
Aug 2026 (estimated)
Completion
Oct 2026 (estimated)
Last update
Aug 3, 2023

Study contacts

Simone Spuler, Prof. Dr.
Contact
simone.spuler@charite.de
+49 (0) 30 450 540 501
Anne K Ebert, Prof. Dr.
principal investigator · Pediatric Urology, Department for Urology University of Ulm, Germany

Oversight

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

Not currently enrolling

This study is not yet recruiting, as verified in Aug 2023. You cannot join it, but the record below documents what was studied.

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