ClinicalTrials.gg
RecruitingNCT06796985Updated Jun 17, 2026

Botox for Chronic Pelvic Pain

A Phase 1 interventional study of Botulinum neurotoxin and High Density Surface Electromyographic, precision botulinum neurotoxin injection guidance medical device in Pelvic Floor Disorders, sponsored by University of Miami. Recruiting at 1 site in United States. Open to female participants aged 18 Years to 75 Years. Per ClinicalTrials.gov, last updated 2026-06-17.

Sponsored by University of Miami · Phase 1, Interventional, and Treatment

From the registry’s dates

  • Started Feb 2025; still recruiting 1 year 8 months later.
Phase
Phase 1
Study type
Interventional
Enrollment
30
Allocation
Randomized
Ages
18 Years to 75 Years
Sex
Female
01

Where this study stands

Counted across the records on this site · 2026-11-12

Among 61 studies in Pelvic Floor Disorders with a site in United States — 12 open to participants now, 16 under way, none of them phase 3. Pelvic Floor Disorders · United States.

Planned enrollment
32nd of 50
30 · median 57
Started
2025
with 4 others
Phase 1
2 of 61
2 open now
Primary completion
2027-03
later than 7 of 15 live
Registered
53rd of 61
by date

Among the 61 studies in Pelvic Floor Disorders with a site in United States, this one is the 32nd largest by planned enrollment of the 50 interventional ones, is one of 5 that started in 2025, is one of 2 in phase 1, reaches primary completion later than 7 of the 15 other live ones, and was the 53rd registered.

By phase

61 studies; the count open now beside each. This study's row is marked.

No phase38 · 7 open
Observational11 · 1 open
Phase 46 · 2 open
Phase 1this study2 · 2 open
Phase 22 · 0 open
Phase 32 · 0 open

By the year they started

First in 2007; this study’s year is marked. 5 started in 2025.

Size and results

Median enrollment 57 across the 50 interventional studies, 133 across the 11 observational. Of the 38 that completed or were terminated, 15 (39%) have results posted.

Was this useful?
Watch this landscapeDownload CSVWith an account: a weekly mail of what changed among 61 studies in Pelvic Floor Disorders with a site in United States, or all of them as a file.
02

Study summary

The purpose of this research study is to find out if precise, targeted injection of botulinum neurotoxin (commonly known as Botox) provides better relief of pelvic floor hypertonicity and pain than the standard method being used. The researchers want to better understand the effects (good and bad) of targeted botulinum neurotoxin injections in women with pelvic floor disorders.

03

Conditions studied

  • Pelvic Floor Disorders
04

Who can participate

Ages eligible
18 Years to 75 Years
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. Females between 18 and 75 years of age
  2. Clinical diagnosis of chronic pelvic pain
  3. Complaints of pain, pressure, or discomfort in the bladder and/or pelvic area for the past 6 months or more, associated with lower urinary tract symptoms (such as frequency of urination), in the absence of other explanation of the symptoms (e.g., UTI) *
  4. Myofascial pain diagnosed with palpable bands or nodules of contracted muscle fibers
  5. Pelvic muscle tenderness by assessment of pelvic floor muscles on digital pelvic examination
  6. No botulinum neurotoxin pelvic floor muscle injection treatment within 6 months prior to recruitment
  7. Able to provide

Exclusion criteria

Exclusion Criteria:

  1. Males
  2. Women \< 18 and > 76 years of age
  3. History of pelvic and sexual transmitted diseases that is currently not in remission
  4. Bleeding disorder such as coagulopathy
  5. to botulinum neurotoxin
  6. Received botulinum neurotoxin pelvic floor muscle injection within 6 months prior to recruitment
  7. History of neurological disorders, such as spinal cord injury, multiple sclerosis, amyotrophic lateral sclerosis or myasthenia gravis
  8. Pregnancy, breast feeding or planning to get pregnant within one year after the last botulinum neurotoxin injection.
Terms in these criteria, in plain language(3)

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.

Cancer (malignancy)

Malignancy means cancer. Criteria about another or earlier malignancy ask whether you have had a different cancer, usually within a set number of years.

Some are commonly allowed, such as treated skin cancers other than melanoma and early cancers removed completely — check the exceptions this study lists.

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 1
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Crossover assignment
Masking
None (open label)
Enrollment
30 participants (estimated)

Study arms

  • Experimental
    Group A: Standard injection template followed by HD-sEMG guided injection

    Participants will be in this group for up to 15 months

    Drug: Botulinum neurotoxin · Device: High Density Surface Electromyographic, precision botulinum neurotoxin injection guidance medical device

  • Experimental
    Group B: HD-sEMG guided injection followed by standard injection template

    Participants will be in this group for up to 15 months

    Drug: Botulinum neurotoxin · Device: High Density Surface Electromyographic, precision botulinum neurotoxin injection guidance medical device

Interventions

  • Botulinum neurotoxin will be injected into the pelvic floor muscles following either a standard template (standard injection arm), or guided using high-density surface EMG (guided arm). Participants will receive this drug twice throughout the duration of the study. Approximately 200 units of botulinum neurotoxin will be administered per injection.

  • DeviceHigh Density Surface Electromyographic, precision botulinum neurotoxin injection guidance medical device

    A personalized, precision botulinum neurotoxin injection guidance medical device, utilizing an intra-vaginal high-density surface EMG system to optimize the treatment outcomes in chronic pelvic pain (CPP) management. The device will be used five times during the study. Each use will last approximately ten minutes.

06

What researchers measure

Primary outcomes

  1. Hypertonic index of the pelvic muscles as measured by high-density surface-EMG (HD-sEMG)

    The muscle hypertonicity Index measured by using HD-sEMG which is a ratio between the root mean square (RMS) of pelvic floor muscle EMG at rest and contraction.

    Time frame: 1 month post-injection

Secondary outcomes

  1. Change in Self-Report Pelvic Pain as measured by Global Response Assessment (GRA)

    Assessment is scored 0-6. Lower score indicates less pain while higher score indicates more pain.

    Time frame: Baseline, 1 month post-injection

  2. Change in Self-Report Pelvic Symptoms as measured by Global Response Assessment (GRA)

    Assessment is scored 1-7. Lower score indicates worse symptoms while higher score indicates less symptoms.

    Time frame: Baseline, 1 month post-injection

  3. Change in Self-Report Pelvic Pain as measured by the Female Genitourinary Index

    Sum score will be collected and scores range from 0-45. Lower score indicates less pain while higher score indicates more pain.

    Time frame: Baseline, 1 month post-injection

07

Study locations

1 of 1 sites recruiting
  • University of Miami
    Miami, Florida 33136, United States
    Recruiting
    • Elena Cortizas, MS · Contactecortizas@med.miami.edu · 305-243-3593
    • Yingchun Zhang, PhD · Principal investigator
    • Raveen Syan, MD · Sub investigator
    • Katherine Amin, MD · Sub investigator
08

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reached

Started Feb 2025 (actual). Primary completion is estimated for Mar 2027, 24 months after the start.

How these figures are worked out, and which studies are left out of them.

Registered
Jan 22, 2025
First posted
Jan 28, 2025
StartActual
Feb 24, 2025
Primary completionEst.
Mar 22, 2027
CompletionEst.
Mar 22, 2027
Last update
Jun 17, 2026
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
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
NCT06796985
Responsible party
Yingchun Zhang (Professor, University of Miami) — Principal investigator
First posted
Jan 28, 2025
Start date
Feb 24, 2025
Primary completion
Mar 22, 2027 (estimated)
Completion
Mar 22, 2027 (estimated)
Last update
Jun 17, 2026

Study contacts

Yingchun Zhang, PhD
Contact
y.zhang@miami.edu
305-284-2445
Yingchun Zhang, PhD
principal investigator · University of Miami

Oversight

Data monitoring committee
Yes
FDA-regulated drug
Yes
FDA-regulated device
Yes
View the source record on ClinicalTrials.gov ↗

Interested in this study?

Eligibility is decided by the study team. Share this record with your doctor or contact the team directly.

Contact study team

Follow this study

Get an email when the registry record changes — status, dates, results — or when someone posts here.

Sign in to follow

Discussion

Questions and observations about this study, from anyone following it. Not medical advice, and not a channel to the study team — their contact details are on the registry record.

Sign in to join the discussion. Reading takes no account; posting does. You choose a display name, and a pseudonym is the default.

Nothing here yet. If you are running this trial, taking part in it, or weighing whether to, this is the place to say so.

Studies of the drug tested here: Botulinum Toxins

Start the discussion