Can pelvic floor training beat pills for bladder leaks in seniors?
NCT ID NCT05880862
First seen Jun 25, 2026 · Last updated Jun 27, 2026 · Updated 1 time
Summary
This study tested whether pelvic floor muscle training, mirabegron, or trospium chloride is better for treating urgency urinary incontinence in women aged 60 and older who are also at high risk of falling. 48 women were randomly assigned to one of three groups and followed for six months. The goal was to see if a larger trial is possible and how each treatment affects bladder symptoms and fall risk.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- pelvic floor muscle training, mirabegron, trospium chloride
- What this could lead to
- If successful, this could show which treatment works best for bladder control in older women who are also at risk of falling, potentially guiding safer care.
- What could go wrong
- This is a very early feasibility study with only 48 participants, so results may not apply to all women. The treatments may not improve symptoms or fall risk as hoped.
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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Early phase 1
The earliest testing in people: a first look at safety, in a very small group.
- Participants
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48 people
The number who actually took part.
- Started
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Sep 2023
- Finished
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Dec 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 to 99 years
- 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. Women aged 60 year or older. 2. Ambulatory (able to walk across a small room with or without an assistive device). 3. Urgency UI, OAB, or Mixed UI (both urgency and stress UI) as identified by study physicians. 4. Answered "yes" to one of the items on the 3-Key Questions, questionnaire. 5. A score of 6 or greater on the International Consultation on Incontinence Modular Questionnaire - Overactive Bladder (ICIQ-OAB) instrument or a physician recommended treatment. 6. Able to provide one's own informed consent. 7. Has tried basic lifestyle modifications for her bladder condition. 8. Has Medicare or private insurance Exclusion Criteria: 1. Male (their causes of urinary incontinence are often different from women) 2. Unstable psychiatric conditions (e.g., psychosis, suicidal) based on history and medical records. 3. Nursing home resident 4. Genitourinary cancer undergoing active treatment with chemotherapy or radiation. 5. Neurologic conditions known to contribute to incontinence (Multiple Sclerosis, Parkinson's Disease, Traumatic Brain Injury, Dementia, and Stroke Survivors with limited mobility) 6. New OAB treatments planned during the 6-month study duration - includes medications and/or surgery. 7. History of surgically implanted sacral nerve stimulator or botulinum toxin bladder injections for UI. 8. Taking other antimuscarinic drugs or Digoxin 9. Severe uncontrolled hypertension 10. Diagnosed Glaucoma 11. Myasthenia gravis 12. Chronic liver or kidney diseases
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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
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University of Texas Medical Branch at Galveston
Galveston, Texas, 77555, United States
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