ClinicalTrials.gg
RecruitingNCT06434831ESTIMEUpdated May 6, 2026

Evaluation of Autonomic Nervous System Changes in Response to Stimulation by Sacral Neuromodulation

An interventional study of Medical device for SNM: Interstim X or Interstim micro in Bladder Hyperactivity and Sacral Neuromodulation, sponsored by University Hospital, Lille. Recruiting at 1 site in France. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-05-06.

Sponsored by University Hospital, Lille · Not applicable, Interventional, and Diagnostic

From the registry’s dates

  • Started Feb 2024; still recruiting 2 years 8 months later.
Phase
Not applicable
Study type
Interventional
Enrollment
40
Allocation
Not applicable
Ages
18 Years and older
Sex
All
01

Study summary

Overactive bladder syndrome (OAB) is defined by urgent and frequent urges to urinate associated with frequent night-time urination and sometimes urinary incontinence. Sacral neuromodulation (SNM) is now one of the second-line treatments for OAB.

The mode of action of SNM is still poorly understood but a number of data from recent scientific literature suggest that SNM may act, among other things, by altering the balance of the autonomic nervous system (ANS) - located at the interface between the urinary tract and the brain structures regulating the functioning of the urinary tract.

The aim of this study would therefore be to develop a predictive tool for the effectiveness of SNM.

02

Conditions studied

  • Bladder Hyperactivity
  • Sacral Neuromodulation

Keywords

  • Bladder hyperactivity
  • autonomic nervous system
  • sacral neuromodulation
  • urodynamic assessment
  • heart rate variability
03

In context

Urinary Bladder, Overactive

858 studies on the registry are indexed under Urinary Bladder, Overactive; 127 are open to participants now.

This study's planned enrollment of 40 is below the median of 70 across 649 interventional studies indexed under Urinary Bladder, Overactive.

Browse Urinary Bladder, Overactive studies →

Lead sponsor

University Hospital, Lille is the lead sponsor of 631 studies on the registry; 142 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

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

  • Male of female ≥ 18 years
  • OAB syndrome
  • Indication for a two-staged SNM
  • Under general anaesthesia with Remifentanil and Propofol
  • Patient who has given written consent to participate in the trial
  • Patient willing to comply with all study procedures and duration

Exclusion criteria

Exclusion Criteria:

  • Tibial neuro-stimulation (last 3 months)
  • Sacral neuromodulation (last 3 months)
  • Botulinum toxin A intra-detrusor injection (last 9 months)
  • Pregnancy in progress
  • Administrative reasons
  • Guardianship/curatorship
05

Study design

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

Study arms

  • Experimental
    ANI (Analgesia nociception index) will be recorded during the SNM (Sacral neuromodulation).

    Device: Medical device for SNM: Interstim X or Interstim micro

Interventions

  • DeviceMedical device for SNM: Interstim X or Interstim micro

    ANI will be used during the SNM (2 hours)

06

What researchers measure

Primary outcomes

  1. Comparison of HFVI analysed through HRV at baseline and during standardized stimulation protocol randomly delivered at the level of the 4contact points of the quadripolar lead at the time of lead implantation between the effective and noneffective groups

    Comparison of HFVI (high frequence variability index) analysed through heart rate variability (HRV) at baseline and during a standardized stimulation protocol (14 Hz, 210 mcs, amplitude to elicit anal motor response) randomly delivered at the level of the 4 contact points of the quadripolar lead at the time of lead implantation, between the effective and non-effective groups.

    Time frame: 1 year

Secondary outcomes

  1. SDNN (Standard Deviation of all normal-to-normal RR intervals (milliseconds)) and RMSSD (Root Mean Square of Successive Differences between normal-to-normal RR intervals (milliseconds)) at baseline and during standardized electrical stimulation

    Comparison of time-domain heart rate variability parameters at baseline and during a standardized electrical stimulation protocol (14 Hz, 210 µs, amplitude to elicit anal motor response) randomly delivered at the level of the four contact points of the quadripolar lead at the time of lead implantation.

    Time frame: 1 year

  2. LF (Low-Frequency power of heart rate variability (ms²)) and HF (High-Frequency power of heart rate variability (ms²)) components of heart rate variability at baseline and during standardized electrical stimulation

    Comparison of frequency-domain heart rate variability parameters at baseline and during a standardized electrical stimulation protocol (14 Hz, 210 µs, amplitude to elicit anal motor response) randomly delivered at the level of the four contact points of the quadripolar lead at the time of lead implantation.

    Time frame: 1 year

07

Study locations

1 of 1 sites recruiting
08

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on May 6, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT06434831
Responsible party
Sponsor
First posted
May 30, 2024
Start date
Feb 14, 2024
Primary completion
Aug 20, 2026 (estimated)
Completion
Dec 2, 2026 (estimated)
Last update
May 6, 2026

Study contacts

DRI
Contact
drs-promotion@chu-lille.fr
0033320444145

Oversight

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

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