Brain scans reveal secrets of bladder leaks in women over 60
NCT ID NCT04227184
First seen Jun 27, 2026 · Last updated Jun 27, 2026
Summary
This study looked at how the brain works in women aged 60 and older who have sudden, strong urges to urinate (urgency urinary incontinence). Participants took a medication called trospium or a placebo, and had brain scans (MRI) to see if changes in brain activity relate to fewer leaks. The goal was to learn more about the brain's role in bladder control, not to test a new treatment.
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Study facts
What this study's own registry entry says, in plain language.
- Phase
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Phase 4
Runs after approval, following long-term safety and how well the treatment works in everyday use.
- Participants
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168 people
The number who actually took part.
- Started
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Feb 2020
- Finished
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Oct 2025
- Lead sponsor
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Other sponsor
The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.
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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60 years and older
- Sex
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Female participants only
- 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. 60+ years old 2. Has UUI or urge-predominant mixed incontinence at least 5 times/ week for \> 3 months despite treatment for reversible causes Exclusion Criteria: 1. conditions/medications contraindicating trospium 2. If currently taking anticholinergic medications (participant must refrain from anticholinergic medications for 4 weeks prior enrollment in order to be eligible) 3. Impaired mobility or cognition sufficient to preclude following study procedures; MoCA test score \<24/30; a clinically-apparent neurological condition 4. Prolapse beyond the hymen 5. Interstitial cystitis 6. Spinal cord injury 7. History of pelvic radiation or advanced uterine/bladder cancer 8. Urethral obstruction (uroflow); PVR \>200 ml 9. Medical instability 10. Prior UUI treatment with onabotulinum toxin or neuromodulation 11. Drug interaction or expected medication change during the study 12. Conditions requiring IV antibacterial prophylaxis 13. New incontinence treatment \< 3 months prior to enrollment 14. Fecal incontinence, and symptomatic colitis/IBS 15. Contraindications to MRI.
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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.
Contacts and locations
Locations
-
University of Pittsburgh
Pittsburgh, Pennsylvania, 15213, United States
More trials for these conditions
Other studies related to the condition(s) this trial covers.
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