ClinicalTrials.gg
Not yet recruitingNCT06769854POSITRON-CUpdated Jun 17, 2026

Defining the Safety and Efficacy of POSterIor Tibial NeRve StimulatiON in Children

A Phase 4 interventional study of Urgent PC in Overactive Bladder and Overactive Bladder Syndrome, sponsored by Chi Dang Hornik. Not yet recruiting. Open to participants aged 5 Years to 21 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2026-06-17.

Sponsored by Chi Dang Hornik · Phase 4, Interventional, and Treatment

Phase
Phase 4
Study type
Interventional
Enrollment
50
Allocation
Not applicable
Ages
5 Years to 21 Years
Sex
All
01

Study summary

The purpose of this study is to find out if overactive bladder (OAB) can be safely treated by stimulating a nerve near the ankle. This procedure is called percutaneous tibial nerve stimulation (PTNS). It will be done by a device called the Urgent PC. The Urgent PC works by sending weak electrical signals through a thin needle to the nerve near the ankle. Stimulating this nerve may change bladder control.

Read the detailed description

This study is a single-arm, open label, prospective, multicenter study of 50 participants aged 5-21 years with OAB. Participants will undergo outpatient PTNS sessions per routine clinical care using Urgent PC once weekly for 12 weeks. Patients, parents and clinicians will not be blinded to treatment or assessments during the study.

02

Conditions studied

  • Overactive Bladder
  • Overactive Bladder Syndrome

Keywords

  • PTNS
  • Overactive Bladder
  • percutaneous tibial nerve stimulation
  • Urgent PC
  • urinary urgency
  • urinary incontinence
  • urinary frequency
  • OAB
  • urinary urge
  • Urinary Bladder
  • Urinary Bladder Diseases
  • Urologic Diseases
  • Pediatrics
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 50 is below the median of 70 across 649 interventional studies indexed under Urinary Bladder, Overactive.

Browse Urinary Bladder, Overactive studies →

Lead sponsor

Chi Dang Hornik 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.

04

Who can participate

Ages eligible
5 Years to 21 Years
Sexes eligible
All
Accepts healthy volunteers
Yes

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. Age 5-21 years old (inclusive)
  2. Obtained legally effective and Health Insurance Portability and Accountability Act (HIPAA) authorization from the participant or the participant's parent/legal guardian/legally authorized representative (LAR)
  3. Minor participant is willing and able to provide assent (as applicable)
  4. History of primary or secondary non-neurogenic OAB as defined by a VDES score of ≥11 and a positive modified bother score within 30 days of consent
  5. Has previously tried and failed standard urotherapy and at least one anticholinergic or beta-3 adrenergic agonist
  6. Adequate fluid intake for age as reported by participant or parent/legal guardian/LAR
  7. Micturition frequency of at least 8 times (mean)/day for at least 4 weeks prior to enrollment
  8. At least 1 daytime incontinence episode (mean)/day for at least 4 weeks prior to enrollment
  9. If on allowed treatment for OAB, stable dose for at least 30 days prior to screening and willingness to continue that dose for the duration of the study

Exclusion criteria

Exclusion Criteria:

  1. Known or apparent untreated anatomical abnormality of the lower urinary tract (e.g., untreated ureterocele)
  2. Known neurogenic bladder (e.g., spina bifida, history of spinal cord injury, tethered cord)
  3. Presence of local skin lesions (e.g., rash, skin infections) on the medial surfaces of both ankles at the time of consent
  4. Metal implants in the medial ankle area
  5. Pacemakers or implantable defibrillators
  6. History of excessive bleeding
  7. Nerve damage that may impact the percutaneous tibial nerve or pelvic floor function
  8. History of chemodenervation of the bladder (e.g., via intravesical instillation or intradetrusor injection of botulinum toxin)
  9. Known current, untreated UTI
  10. Current or previous pregnancy at screening or planned pregnancy during the duration of the study, for females of
  11. Any condition that, in the judgment of the investigator or treating clinician, precludes participation because it could affect participant safety
  12. Previous treatment with this device or participation in this study or in any other study for the treatment of OAB
  13. High-grade vesicoureteral reflux (grades 4-5)
  14. Diagnosed diabetes insipidus (pituitary, nephrogenic, or acquired)
  15. Stage 4-5 chronic kidney disease (CKD) (since device may further disrupt or exacerbate abnormal urine flow)
  16. Significant post-void residual defined as >60 mL
  17. Initiation of or change of OAB treatment during screening or the duration of the study.
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.

Childbearing potential

Able to become pregnant: from the first period until menopause, unless permanently unable to through surgery (removal of the womb, or of both ovaries or both fallopian tubes).

Criteria for people of childbearing potential usually ask for a negative pregnancy test and for contraception during the study and for a time after it.

05

Study design

Phase
Phase 4
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
50 participants (estimated)

Study arms

  • Experimental
    Single-Arm Cohort

    Single Arm Cohort: (n=50) PTNS treatment weekly over 30 minutes for a total of 12 weekly sessions.

    Device: Urgent PC

Interventions

  • DeviceUrgent PC

    PTNS is a technique of electrical neuromodulation used primarily for treating OAB. The procedure for PTNS consists of the insertion of a fine needle above the medial malleolus near the posterior tibial nerve followed by the application of low-voltage electrical stimulation that produces sensory and motor responses.

    Also known as: Non-drug, non-surgical treatment for overactive bladder, PRC 26348 - V1.00

06

What researchers measure

Primary outcomes

  1. The frequency of select safety Events of Special Interest.

    1. Electrode site reaction (bruising, bleeding, hematoma, or persistent erythema at the electrode site) 2. Electrode site infection 3. Repeated post-void residual \>60 mL (at ≥ 2 consecutive visits) 4. Urinary tract infection 5. Urinary retention/obstruction 6. Toe numbness 7. Stomach and leg cramps

    Time frame: Weekly, Week 1 through Week 16

  2. Change in maximum voided volume on the Bladder Diary

    The Bladder Diary is a paper diary recommended by the International Children's Continence Society that will be completed by the parent/guardian/LAR or participant. The Bladder Diary includes the following variables: fluid intake, number of voids, volume of voids, degree of urgency, number of incontinent episodes.

    Time frame: Week 1, Week 12

Secondary outcomes

  1. Proportion of children who experienced complete response, no response, or partial response on the Vancouver Dysfunctional Elimination Survey (VDES)

    The VDES is a validated questionnaire that was developed for diagnosing dysfunctional elimination syndrome. The survey uses a five-point Likert scale to score symptoms of bladder dysfunction. Each question is scored on a scale of 0-4, with 0 indicating no complaints and 4 indicating severe symptoms. The total score ranges from 0-52, with higher scores indicating more severe symptoms. The question about voiding frequency is scored differently from the other questions. A neutral choice of five to six urination per day is scored as 0. A urinary frequency of one to two times or more than eight times a day is scored as 4. A urinary frequency of three or four and seven or eight times a day is scored as 2. A cutoff score of 11 is used for patients and 9 for parents to diagnose dysfunctional voiding. The VDES is completed by the parent/legal guardian if participants are \< 9 years old and by participants if they are ≥ 9 years old.

    Time frame: Screening, Weekly (Week 1 through Week 12)

  2. Change in OAB symptoms (Urgency, Frequency and Daytime Incontinence) reported on the VDES

    Change in OAB symptoms will be evaluated from the symptom questions on the VDES survey assessing Urgency, Frequency and Daytime Incontinence. The survey uses a five-point Likert scale to score symptoms of bladder dysfunction. Each question is scored on a scale of 0-4, with 0 indicating no complaints and 4 indicating severe symptoms. The total score ranges from 0-52, with higher scores indicating more severe symptoms. The question about voiding frequency is scored differently from the other questions. A neutral choice of five to six urination per day is scored as 0. A urinary frequency of one to two times or more than eight times a day is scored as 4. A urinary frequency of three or four and seven or eight times a day is scored as 2. A cutoff score of 11 is used for patients and 9 for parents to diagnose dysfunctional voiding. The VDES is completed by the parent/legal guardian if participants are \< 9 years old and by participants if they are ≥ 9 years old.

    Time frame: Screening, Weekly (Week 1 through Week 12), Week 16, Week 36

  3. Proportion of children who develop a febrile UTI

    Febrile UTI occurrence, defined as: • Fever \> 101.5°F (\> 38.6°C); and \>50,000 colony forming units (CFU)/mL of 1 or more speciated organisms; and 10 white blood cells per higher power field (WBC/HPF) on urine microscopy and/or leucocyte esterase \> 2+ on dipstick; and At least 1 of the following symptoms: Gross hematuria (defined as pink or red urine, not a spot of blood on a catheter) OR Abdominal, suprapubic, or flank pain or tenderness OR New or worsening incontinence OR New or worsening urinary urgency, frequency, or hesitancy OR Nausea/vomiting OR Pain with urination OR Malodorous/cloudy urine.

    Time frame: Weekly, Week 1 through Week 12

  4. The change of Pediatric Incontinence Quality of Life (PINQ) score

    The Pediatric Incontinence Quality of Life (PINQ) is a 20-item, self-reported questionnaire that evaluates the QoL of children who have urinary incontinence. Each item is scored on a 5-point Likert scale, with 1 being "no" and 5 being "always". The total score ranges from 20 to 100 points. A higher score indicates a better QoL that is less affected by urinary symptoms. The PINQ is validated for use in children 6-17 years old and has been used in studies of participants up to 30 years old.21,25 The PINQ will be completed by the parent/legal guardian/LAR if participants are \< 9 years old and by participants if they are ≥ 9 years old.

    Time frame: Week 1, Week 6, Week 12, Week 16, and Week 36

  5. The percent of study visits attended within the protocol specified window from baseline through Week 12

    The percent of study visits attended within the protocol specified window from baseline through Week 12

    Time frame: Screening, Weekly (week 1 through week 12)

07

Study locations

No study locations are listed for this record.

08

References and documents

Individual participant data

Plan to share: Yes — All data collected is uploaded into the National Institute of Health Data Repository (DASH) at the end of the study (de-identified).

Supporting information: Study protocol, Informed consent form

Time frame: Data will be uploaded to the repository within 2 years of study completion. It will be maintained in the repository indefinitely.

Access criteria: In order to have access, researchers have to complete a Data access request. NICHD will review the request and either approve or deny it. IRB approval must be obtained by the researcher to access the data. https://dash.nichd.nih.gov/Resource/DataRequestChecklist

Data sharing details ↗ · dash.nichd.nih.gov

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 Jun 17, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT06769854
Lead sponsor
Chi Dang Hornik
Collaborators
Duke Clinical Research Institute, The Emmes Company, LLC, Eunice Kennedy Shriver National Institute of Child Health and Human Development (NICHD)
Responsible party
Chi Dang Hornik (Associate Professor of Pediatrics, Duke University) — Sponsor-investigator
First posted
Jan 10, 2025
Start date
Apr 1, 2027 (estimated)
Primary completion
May 31, 2029 (estimated)
Completion
Oct 31, 2029 (estimated)
Last update
Jun 17, 2026

Study contacts

Davy A Andersen, MHA
Contact
davy.andersen@duke.edu
919-338-6429
Sharon Settles
Contact
sharon.settles@duke.edu
919-691-4593
Chi Hornik
principal investigator · Duke University

Oversight

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

Not currently enrolling

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

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