ClinicalTrials.gg
Active, not recruitingNCT05878951Updated Nov 6, 2026

Examining the Effects of Intra-detrusor Botox at Time of HoLEP in Men With Overactive Bladder Symptoms

A Phase 2/3 interventional study of OnabotulinumtoxinA in Urinary Incontinence, Overactive Bladder Syndrome and Overactive Bladder, sponsored by Northwestern University. Active, not recruiting at 1 site in United States. Open to male participants aged 18 Years to 89 Years. Per ClinicalTrials.gov, last updated 2026-11-06.

Sponsored by Northwestern University · Phase 2/3, Interventional, and Treatment

Updated Nov 6, 2026Now Active, not recruitingStudy completion moved+1 moreGo to Updates ↓
Phase
Phase 2/3
Study type
Interventional
Enrollment
66
Allocation
Randomized
Ages
18 Years to 89 Years
Sex
Male
01

Study summary

The objective of our multi-center randomized single-blind study is to examine the safety and effect of intra-detrusor OnabotulinumtoxinA injections at the time of holium laser enucleation of the prostate (HoLEP) in men with overactive bladder symptoms with and without urge incontinence.

Read the detailed description

Patients with significant preoperative urgency and/or urge urinary incontinence (UUI) along with lower urinary tract symptoms (LUTS) due to benign prostatic hyperplasia (BPH) may require post-HoLEP anticholinergic, B-3 agonist, or intravesical OnabotulinumtoxinA administration. This injection is a guideline recommended for treatment in patients with severe irritative LUTS (urgency, UUI) and overactive bladder.

02

Conditions studied

  • Urinary Incontinence
  • Overactive Bladder Syndrome
  • Overactive Bladder
  • Urologic Diseases
03

In context

Urinary Incontinence

983 studies on the registry are indexed under Urinary Incontinence; 180 are open to participants now.

This study's planned enrollment of 66 is close to the median of 66 across 739 interventional studies indexed under Urinary Incontinence.

Browse Urinary Incontinence studies →

Lead sponsor

Northwestern University is the lead sponsor of 1,423 studies on the registry; 198 are open to participants now.

Of its 105 completed or terminated interventional studies of FDA-regulated products, 78 (74%) have results posted.

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

04

Who can participate

Ages eligible
18 Years to 89 Years
Sexes eligible
Male
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

  • Males 18 -89 undergoing HoLEP
  • Component of OAB symptoms including frequency, nocturia, urgency, and/or urge related incontinence
  • Willing to sign the Form
  • Able to read, understand, and complete patient questionnaires.

Exclusion criteria

Exclusion Criteria:

  • Allergy or to OnabotulinumtoxinA injections
  • Patients having a concurrent ureteroscopy +/- laser lithotripsy, percutaneous nephrolithotomy, or non-urologic surgery at the time of their HoLEP
  • Anticipated need for perineal urethrostomy at the time of HoLEP
  • Prior pelvic radiation or patients with a history of bladder cancer with or without BCG therapy
  • Patients who lack decisional capacity
  • Active urinary tract infection
Terms in these criteria, in plain language(2)

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.

Hypersensitivity

An allergy, or another reaction of the immune system, to a substance. “Hypersensitivity to the study drug” means a known allergic reaction to it — not every side effect a medicine can have.

05

Study design

Phase
Phase 2 / Phase 3
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Single (Participant)
Enrollment
66 participants (estimated)

Study arms

  • Experimental
    Intra-detrusor OnabotulinumtoxinA Injection

    Injection of intra-detrusor OnabotulinumtoxinA into the bladder will be performed.

    Drug: OnabotulinumtoxinA

  • No intervention
    No intra-detrusor OnabotulinumtoxinA Injection

    Injection of intra-detrusor OnabotulinumtoxinA into the bladder will not be performed.

Interventions

  • Intra-detrusor OnabotulinumtoxinA is commonly known as botox

    Also known as: Botox

06

What researchers measure

Primary outcomes

  1. Improve Overactive Bladder Symptoms (OAB) utilizing botox injections into the bladder.

    Examine the safety and effect of intra-detrusor botulinum toxin injections at the time of helium laser enucleation of the prostate (HoLEP) in men with overactive bladder symptoms with and without urge incontinence.

    Time frame: 12 months

Secondary outcomes

  1. Difference in safety/ adverse effects

    Identifying changes in post-op urinary retention, gross hematuria, UTI, ED visits and any additional complications.

    Time frame: 90 days

  2. Difference in patient REDCap surveys (gross hematuria dysuria, incontinence)

    Identifying symptom resolution at different time points (1 month, 3 months, 6 months)

    Time frame: 6 months

  3. Difference in efficacy endpoints (3-month clinic/telephone follow-up)

    Identifying efficacy endpoints as they relate to the use of anti-cholinergics, incontinence survey, post void residuals, continence pads requirements if any.

    Time frame: 3 months

07

Study locations

1 site
08

Updates

2 registry updates since Sep 25, 2026
Status
Recruiting→Active, not recruiting
changed Oct 13, 2026
Primary completion
Sep 1, 2026→Oct 2026
Oct 13, 2026
Study completion
Dec 31, 2026→Dec 2026
moved 2 times, Oct 13, 2026 – Nov 6, 2026
Show all 2 updates
  1. Nov 6, 2026
    Study completion Nov 2026→Dec 2026
  2. Oct 13, 2026
    Recruiting→Active, not recruiting
    Primary completion Sep 1, 2026→Oct 2026
    Study completion Dec 31, 2026→Nov 2026
    + 2 other changes: contact details and site details

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 ↗

09

Registry details

Key details

Study ID
NCT05878951
Responsible party
Amy Krambeck (Professor of Urology, Northwestern University) — Principal investigator
First posted
May 30, 2023
Start date
Jul 13, 2023
Primary completion
Oct 31, 2026
Completion
Dec 2026 (estimated)
Last update
Nov 6, 2026

Study contacts

Amy Krambeck, MD
principal investigator · Northwestern University

Oversight

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

Not currently enrolling

This study is active, not recruiting, as verified in May 2026. You cannot join it, but the record below documents what was studied.

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Discussion

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Studies of the drug tested here: Botulinum toxin type A

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