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Trial registered on ANZCTR
Registration number
ACTRN12611001151921
Ethics application status
Approved
Date submitted
22/10/2011
Date registered
2/11/2011
Date last updated
5/01/2012
Type of registration
Prospectively registered
Titles & IDs
Public title
Tension free vaginal tape (TVT) Abbrevo and Miniarc suburethral sling in women with stress urinary incontinence – a Randomised Controlled Trial
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Scientific title
In female patients with Stress Urinary Incontinence, is MiniArc as good as Tension free vaginal Tape (TVT) Abbrevo in objective cure rates?
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Secondary ID [1]
273253
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Nil
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Universal Trial Number (UTN)
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Trial acronym
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Female stress urinary incontinence
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Condition category
Condition code
Renal and Urogenital
279203
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0
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Other renal and urogenital disorders
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
TVT Abbrevo suburethral sling
a monofilament synthetic polypropylene tape (permanent) is placed underneath the (mid) urethra, during this 20min operation
Tvt Abbrevo is around 15cm long and is placed tension free
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Intervention code [1]
269593
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Treatment: Surgery
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Intervention code [2]
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Treatment: Devices
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Comparator / control treatment
Miniarc suburethral sling
a monofilament synthetic polypropylene tape (permanent) is placed underneath the (mid) urethra, during this 20min (approx) operation
Miniarc is a 9cm mini sling with an innovative anchor to keep it in place
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Control group
Active
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Outcomes
Primary outcome [1]
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objective cure rate for stress urinary incontinence
Definition of cure: negative cough stress test
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Assessment method [1]
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Timepoint [1]
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6 months, 12months, 24 months, 36 months
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Secondary outcome [1]
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subjective cure rate for stress urinary incontinence using ICIQ UI SF questionnare
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Assessment method [1]
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Timepoint [1]
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6 months, 12months, 24 months, 36 months
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Secondary outcome [2]
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subjective overactive bladder rate using ICIQ OAB
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Assessment method [2]
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Timepoint [2]
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6 months, 12months, 24 months, 36 months
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Secondary outcome [3]
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incontinence impact using IIQ7
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Assessment method [3]
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Timepoint [3]
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6 months, 12months, 24 months, 36 months
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Secondary outcome [4]
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global impression of improvement using PGI-I
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Assessment method [4]
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Timepoint [4]
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6 months, 12months, 24 months, 36 months
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Secondary outcome [5]
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sexual function using PISQ12
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Assessment method [5]
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Timepoint [5]
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6 months, 12months, 24 months, 36 months
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Eligibility
Key inclusion criteria
1. female patients with urodynamic stress incontinence Or Stress Urinary incontinence
2. Willing to participate and return for follow up
3. able to provide informed consent
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Minimum age
18
Years
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Maximum age
80
Years
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Sex
Females
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Can healthy volunteers participate?
No
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Key exclusion criteria
1.Evidence of intrinsic sphincter deficiency
2.Previous failed suburethral tapes
3.Untreated Detrusor overactivity
4.Significant voiding dysfunction
5.Lower urinary tract anomaly (congenital)
6.Neurogenic bladder disorders
7.Previous radiation therapy to pelvis
8.Past history of any form of fistula involving the vagina
9.Allergy to polypropylene or local anaesthetic
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Study design
Purpose of the study
Treatment
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Allocation to intervention
Randomised controlled trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
Patients is enrolled at urodynamic clinic, when they are assessed for suitability for surgery for their stress urinary incontinence. Allocation is random and involved contacting the holder of the allocation schedule who was at central administration
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
computer generated table, stratified to centre
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Masking / blinding
Open (masking not used)
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Who is / are masked / blinded?
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Intervention assignment
Parallel
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Other design features
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Phase
Not Applicable
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Type of endpoint/s
Efficacy
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Statistical methods / analysis
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Recruitment
Recruitment status
Recruiting
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Date of first participant enrolment
Anticipated
1/12/2011
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Actual
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Date of last participant enrolment
Anticipated
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Actual
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Date of last data collection
Anticipated
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Actual
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Sample size
Target
230
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Accrual to date
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Final
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Recruitment in Australia
Recruitment state(s)
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Funding & Sponsors
Funding source category [1]
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Self funded/Unfunded
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Name [1]
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Address [1]
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Country [1]
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Australia
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Primary sponsor type
Individual
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Name
Anna Rosamilia
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Address
Suite 8, Cabrini Medical Centre Malvern, 183 Wattletree Road, VIC 3144
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Country
Australia
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Secondary sponsor category [1]
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Individual
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Name [1]
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Joseph Lee
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Address [1]
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Pelvic Floor Clinic, Monash Moorabbin
823-865 Centre Road, East Bentleigh VIC 3165
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Country [1]
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Australia
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
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Research Directorate, Southern Health HREC
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Ethics committee address [1]
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Research Directorate, Southern Health Monash Medical Centre 246 Clayton Road Clayton VIC 3168
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Ethics committee country [1]
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Australia
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Date submitted for ethics approval [1]
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Approval date [1]
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04/01/2012
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Ethics approval number [1]
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11261B
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Summary
Brief summary
Female stress urinary incontinence, which is exertional or activity related urinary incontinence commonly brought on by coughing and sneezing, is both common and have a high burden of suffering. The traditional operation to treat stress urinary incontinence has been open colposuspension, which involve an abdominal skin incision and a hospital stay of at least 5 days. Modern advances involve development of minimally invasive procedures which saw the introduction of tension free vaginal tapes (TVT) and transobturator tape (e.g. Monarc, TVT Obturator) which provides good success rates when compared to the traditional operation, although with the advantage of a quicker recovery. These procedures involve inserting slings made of synthetic material underneath the water pipe (urethra) to provide support. They exit through the abdomen, in the case of TVT or through the groin in the case of Monarc. Although these operations work very well, they do come with known complications such as bleeding and bladder injury, voiding difficulty or thigh pain. Whilst similar to the Monarc procedure, MiniArc it is placed using a very small incision and has no exit site. TVT Abbrevo is similar to the established TVT Obturator, except it comes with a shorter sling that do not come into potential contact with the thigh muscles thereby reducing risk of groin pain. The purpose of this project is to evaluate the success of these two types of surgical procedures (MiniArc and TVT Abbrevo) in the treatment of women with stress urinary incontinence.
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Trial website
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
Name
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Address
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Country
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Phone
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Fax
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Email
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Contact person for public queries
Name
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Alison Leitch
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Address
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pelvic floor clinic
Monash Moorabbin
823-865 Centre Road
East Bentleigh VIC 3165
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Country
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Australia
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Phone
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+61399288588
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Fax
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+61399288338
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Email
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[email protected]
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Contact person for scientific queries
Name
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Joseph Lee
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Address
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pelvic floor clinic
Monash Moorabbin
823-865 Centre Road
East Bentleigh VIC 3165
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Country
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Australia
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Phone
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+61399288588
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Fax
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+61399288338
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Email
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[email protected]
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No information has been provided regarding IPD availability
What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
Documents added manually
No documents have been uploaded by study researchers.
Documents added automatically
Source
Title
Year of Publication
DOI
Embase
TVT Abbrevo and Miniarc suburethral sling in women with stress urinary incontinence - A randomised controlled trial.
2018
https://dx.doi.org/10.1016/j.ejogrb.2018.09.032
N.B. These documents automatically identified may not have been verified by the study sponsor.
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