New implant aims to quiet bladder urgency for years
NCT ID NCT07456865
First seen Jun 27, 2026 · Last updated Sep 18, 2026 · Updated 6 times
Summary
This study is checking how well the Altaviva™ device works over five years for people with sudden, strong urges to urinate (urge incontinence). The device sends mild electrical pulses to a nerve in the ankle to calm bladder signals. Researchers will track 256 adults to see if at least half of them get a 50% or greater reduction in leakage episodes each year.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- Altaviva™ system (implantable neurostimulation device)
- What this could lead to
- If successful, this could confirm a durable, long-term treatment option for people with urge urinary incontinence who do not respond well to medication.
- What could go wrong
- This is an observational post-approval study, not a randomized controlled trial. Results may be influenced by patient selection and lack of a control group. Device-related risks include infection, discomfort, or need for removal.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Phase
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Not a phased trial
Phase numbers describe drug development. The registry uses this when they do not apply, as it does for trials of devices, procedures or behaviour changes, and for observational studies.
- Participants
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About 256 people
The number the study aims to enrol. It can still change while the study runs.
- Started
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Mar 2026
- Expected to finish
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Nov 2032
An estimate. End dates often move.
- Lead sponsor
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A company
The lead sponsor is a pharmaceutical, biotech, or medical-device company.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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18 years and older
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: 1. Candidate for Altaviva™ therapy per Altaviva™ labeling 2. Have a diagnosis of UUI as demonstrated on a 3-day voiding diary by having a minimum of 3 episodes of urinary urge incontinence in 72 hours 3. If taking OAB medications, subjects should be on a stable dose for at least 3 months prior to baseline and willing to remain on stable treatment through completion of the 12-month voiding diary 4. Patient must be willing and able to accurately complete study questionnaires, attend visits, operate the system, and comply with the study protocol 5. Willing and able to provide signed and dated informed consent Exclusion Criteria: 1. Patient who is not a candidate for Altaviva™ therapy per Altaviva™ labeling, including: * Patients who are considered to be poor surgical candidates or who are at risk for poor wound healing per Altaviva™ labeling * Have progressive, systemic neurological disease * Have clinically significant peripheral neuropathy in the lower leg * Severe, uncontrolled diabetes 2. Have primary stress incontinence or mixed incontinence where the stress component overrides the urge component based on physician judgment 3. Current symptomatic urinary tract infection 4. Patients who have been treated with percutaneous tibial nerve stimulation (PTNS)/percutaneous tibial neuromodulation (PTNM) therapy in the past 4 weeks, or longer if the investigator judges that the therapeutic effect is still present 5. Patients who have had treatment of urinary symptoms with botulinum toxin therapy or sacral neuromodulation in the past 6 months 6. History of a prior implantable tibial neuromodulation system 7. Patients who are pregnant or planning to become pregnant during the course of the study 8. Patient is currently enrolled or plans to enroll in concurrent drug/device study that may confound study results
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
How to take part
Only the study team decides who joins. These are the ways to reach them.
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The places running it
14 sites. The list below names each one and where it is.
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The official record
ClinicalTrials.gov lists the study team's own contact details, including names and phone numbers. We don't republish those.
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A doctor treating you
A doctor who knows your case can contact a study site on your behalf, and can tell you whether this study is worth pursuing at all.
Contacts and locations
Locations
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Central Ohio Urology Group
RECRUITINGGahanna, Ohio, 43230, United States
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Institute for Female Pelvic Medicine and Reconstructive Surgery
RECRUITINGAllentown, Pennsylvania, 18103, United States
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Medical University of South Carolina
RECRUITINGCharleston, South Carolina, 29425, United States
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Penn Medicine Washington Square
RECRUITINGPhiladelphia, Pennsylvania, 19107, United States
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Rosemark Women Care Specialists
RECRUITINGIdaho Falls, Idaho, 83404, United States
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Sanford Female Pelvic Medicine & Reconstructive Surgery Clinic
RECRUITINGSioux Falls, South Dakota, 57105, United States
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Southern Urogynecology
RECRUITINGWest Columbia, South Carolina, 29169-3456, United States
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TriHealth Hatton Research Institute
RECRUITINGCincinnati, Ohio, 45242, United States
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UPNT Research Institute
RECRUITINGArlington, Texas, 76017, United States
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University Hospitals
RECRUITINGCleveland, Ohio, 44106, United States
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Urology Centers of Alabama
RECRUITINGHomewood, Alabama, 35209, United States
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Urology Specialists
RECRUITINGSioux Falls, South Dakota, 57108, United States
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Urology Specialists of the Carolinas
RECRUITINGGreensboro, North Carolina, 27403, United States
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Urology of Saint Louis
RECRUITINGSt Louis, Missouri, 63141-8657, United States
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