Autologous Muscle Stem Cell Therapy for Treatment of Congenital Urinary Incontinence in Epispadias Patients

Studies

Study First Submitted Date 2021-01-21
Study First Posted Date 2021-01-28
Last Update Posted Date 2023-08-03
Start Month Year June 2024
Primary Completion Month Year August 2026
Verification Month Year August 2023
Verification Date 2023-08-31
Last Update Posted Date 2023-08-03

Detailed Descriptions

Sequence: 20724120
Description Epispadias is the mildest form of exstrophy-epispadias complex (EEC); a congenital malformation disorder involving the midline abdominal and genitourinary structures. Patients with epispadias have a defect in the urethral sphincter resulting in urinary incontinence. This trial investigates the injection of autologous primary human muscle stem cells into the urethral sphincter with the aim of repairing the defect and restore the anatomic ability for continence. Eligible participants will undergo muscle biopsy during a routine cystoscopy. Acquired muscle tissue is used for the isolation and expansion of muscle stem cells ex-vivo. Muscle stem cells are injected into the urethral sphincter under visual control using cystoscopy. Participants are assessed for safety and efficacy for a minimum of 12 months post-intervention.

Facilities

Sequence: 200133391 Sequence: 200133392
Name Clinic for Pediatric Urology in cooperation with University Hospital Regensburg, St. Hedwig Hospital Name Pediatric Urology, Department for Urology University of Ulm
City Regensburg City Ulm
Zip 93049 Zip 89075
Country Germany Country Germany

Facility Contacts

Sequence: 28111158 Sequence: 28111159
Facility Id 200133391 Facility Id 200133392
Contact Type primary Contact Type primary
Name Wolfgang H Rösch, Prof. Dr. Name Anne K Ebert, Prof. Dr.
Email wolfgang.roesch@barmherzige-regensburg.de Email Anne-Karoline.Ebert@uniklinik-ulm.de
Phone +49 (0) 941 369 5453 Phone +49 (0) 731 500 58000

Facility Investigators

Sequence: 18334946 Sequence: 18334947
Facility Id 200133391 Facility Id 200133392
Role Sub-Investigator Role Principal Investigator
Name Wolfgang H Rösch, Prof. Dr. Name Anne K Ebert, Prof. Dr.

Conditions

Sequence: 52177774 Sequence: 52177775
Name Urinary Incontinence Name Epispadias, Male
Downcase Name urinary incontinence Downcase Name epispadias, male

Id Information

Sequence: 40163270
Id Source org_study_id
Id Value MUST

Countries

Sequence: 42574352
Name Germany
Removed False

Design Groups

Sequence: 55600479 Sequence: 55600480
Group Type Experimental Group Type Placebo Comparator
Title Verum Group Title Placebo group
Description Participants receive primary human muscle stem cells as one-time injection into the urethral sphincter region under visual control using cystoscopy. Description Participants receive placebo solution as one-time injection into the external urethral sphincter region under visual control using cystoscopy.

Interventions

Sequence: 52491865 Sequence: 52491866
Intervention Type Biological Intervention Type Other
Name Primary human muscle stem cells (Satori-01) Name Placebo
Description Primary human muscle stem cells are isolated from patient's muscle tissue and expanded ex-vivo. They are injected into the urethral sphincter region as a one-time autologous treatment. Description Placebo is the injection solution without muscle stem cells.

Keywords

Sequence: 79876999 Sequence: 79877000 Sequence: 79877001 Sequence: 79877002
Name Isolated epispadias Name Urinary incontinence Name Muscle stem cell therapy Name Autologous cell therapy
Downcase Name isolated epispadias Downcase Name urinary incontinence Downcase Name muscle stem cell therapy Downcase Name autologous cell therapy

Design Outcomes

Sequence: 177405322 Sequence: 177405323
Outcome Type primary Outcome Type primary
Measure Prevalence of Intervention-related Adverse Events Measure Change in Leak Point Pressure (LPP)
Time Frame Upto 12 months post-intervention Time Frame Six months post-intervention
Description Characterization of type, incidence, severity, and duration of adverse events Description Change in LPP is calculated from baseline measurement

Browse Conditions

Sequence: 193511392 Sequence: 193511379 Sequence: 193511380 Sequence: 193511381 Sequence: 193511382 Sequence: 193511383 Sequence: 193511384 Sequence: 193511385 Sequence: 193511386 Sequence: 193511387 Sequence: 193511388 Sequence: 193511389 Sequence: 193511390 Sequence: 193511391 Sequence: 193511393 Sequence: 193511394 Sequence: 193511395
Mesh Term Mental Disorders Mesh Term Urinary Incontinence Mesh Term Enuresis Mesh Term Epispadias Mesh Term Urination Disorders Mesh Term Urologic Diseases Mesh Term Female Urogenital Diseases Mesh Term Female Urogenital Diseases and Pregnancy Complications Mesh Term Urogenital Diseases Mesh Term Male Urogenital Diseases Mesh Term Lower Urinary Tract Symptoms Mesh Term Urological Manifestations Mesh Term Behavioral Symptoms Mesh Term Elimination Disorders Mesh Term Urogenital Abnormalities Mesh Term Urethral Diseases Mesh Term Congenital Abnormalities
Downcase Mesh Term mental disorders Downcase Mesh Term urinary incontinence Downcase Mesh Term enuresis Downcase Mesh Term epispadias Downcase Mesh Term urination disorders Downcase Mesh Term urologic diseases Downcase Mesh Term female urogenital diseases Downcase Mesh Term female urogenital diseases and pregnancy complications Downcase Mesh Term urogenital diseases Downcase Mesh Term male urogenital diseases Downcase Mesh Term lower urinary tract symptoms Downcase Mesh Term urological manifestations Downcase Mesh Term behavioral symptoms Downcase Mesh Term elimination disorders Downcase Mesh Term urogenital abnormalities Downcase Mesh Term urethral diseases Downcase Mesh Term congenital abnormalities
Mesh Type mesh-ancestor Mesh Type mesh-list Mesh Type mesh-list Mesh Type mesh-list Mesh Type mesh-ancestor Mesh Type mesh-ancestor Mesh Type mesh-ancestor Mesh Type mesh-ancestor Mesh Type mesh-ancestor Mesh Type mesh-ancestor Mesh Type mesh-ancestor Mesh Type mesh-ancestor Mesh Type mesh-ancestor Mesh Type mesh-ancestor Mesh Type mesh-ancestor Mesh Type mesh-ancestor Mesh Type mesh-ancestor

Sponsors

Sequence: 48325036 Sequence: 48325037
Agency Class OTHER Agency Class OTHER_GOV
Lead Or Collaborator lead Lead Or Collaborator collaborator
Name Simone Spuler, MD Name German Federal Ministry of Education and Research

Overall Officials

Sequence: 29288535
Role Principal Investigator
Name Anne K Ebert, Prof. Dr.
Affiliation Pediatric Urology, Department for Urology University of Ulm, Germany

Central Contacts

Sequence: 12010752
Contact Type primary
Name Simone Spuler, Prof. Dr.
Phone +49 (0) 30 450 540 501
Email simone.spuler@charite.de
Role Contact

Design Group Interventions

Sequence: 68158127 Sequence: 68158128
Design Group Id 55600479 Design Group Id 55600480
Intervention Id 52491865 Intervention Id 52491866

Eligibilities

Sequence: 30769031
Gender Male
Minimum Age 3 Years
Maximum Age 17 Years
Healthy Volunteers No
Criteria Inclusion Criteria: Male Isolated epispadias Aged ≥ 3 years Urinary incontinence as defined according to the International Children´s Continence Society Informed consent Exclusion Criteria: Acute or chronic inflammatory local or systemic disease Coagulation Disorder Previous adverse reaction to anesthesia Congenital heart defect, cardiac arrhythmia
Adult False
Child True
Older Adult False

Calculated Values

Sequence: 253933000
Number Of Facilities 2
Registered In Calendar Year 2021
Were Results Reported False
Has Us Facility False
Has Single Facility False
Minimum Age Num 3
Maximum Age Num 17
Minimum Age Unit Years
Maximum Age Unit Years
Number Of Primary Outcomes To Measure 2

Designs

Sequence: 30515190
Allocation Randomized
Intervention Model Parallel Assignment
Observational Model
Primary Purpose Treatment
Time Perspective
Masking Quadruple
Intervention Model Description This is a randomized placebo-controlled clinical trial
Subject Masked True
Caregiver Masked True
Investigator Masked True
Outcomes Assessor Masked True

Responsible Parties

Sequence: 28881494
Responsible Party Type Sponsor-Investigator
Name Simone Spuler, MD
Title Principal investigator
Affiliation Charite University, Berlin, Germany