Evidence map›Paper›PMID 30324580›Full record

Trial reportInternational urology and nephrology2018

A double-blind, randomized, placebo-controlled clinical trial evaluating the safety and efficacy of autologous muscle derived cells in female subjects with stress urinary incontinence.

Ron J Jankowski, Le Mai Tu, Christopher Carlson, Magali Robert, Kevin Carlson, David Quinlan, Andreas Eisenhardt, Min Chen, Scott Snyder, Ryan Pruchnic and 4 more

Abstract readMulticenter StudyRandomized Controlled Trial
PubMed Publisher
In one paragraph

Trial report in International urology and nephrology, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
25citing papers in PubMed, 1 pooled it
4.9field-weighted citation impact, top 5% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

25 citing papers in PubMed, 1 synthesis or guideline pooled it, 55 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Trial
  4. Trial
  5. Trial
  6. Trial
  7. Progress on cell therapy for skeletal muscle disorders.Advanced drug delivery reviews · 2026
    Review
  8. Improved Sphincter Muscle Regeneration by Myoblasts fromMedical sciences (Basel, Switzerland) · 2026
    Article
  9. Article
  10. Article
  11. Article
  12. Review
  13. Review
  14. Article
  15. Review
  16. Review
  17. Article
  18. Review
  19. Review
  20. Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

14 authors at 8 institutions in 4 countries.

Ron J JankowskiCook MyoSite, Inc., 105 Delta Drive, 15238, Pittsburgh, PA, USA. Ron.Jankowski@CookMyosite.com.ORCID http://orcid.org/0000-0002-3479-2232
Le Mai TuCentre Hospitalier Universitaire de Sherbrooke, Sherbrooke, QC, Canada.
Christopher CarlsonCook MyoSite, Inc., 105 Delta Drive, 15238, Pittsburgh, PA, USA.
Magali RobertFoothills Medical Centre, Calgary, AB, Canada.
Kevin CarlsonSouthern Alberta Institute of Urology, Calgary, AB, Canada.
David QuinlanVictoria Gynecology and Continence Clinic, British Columbia, VIC, Canada.
Andreas EisenhardtPraxisklinik Urologie Rhein-Ruhr, Mülheim, Germany.
Min ChenCook Research Incorporated, West Layfette, IN, USA.
Scott SnyderCook Research Incorporated, West Layfette, IN, USA.
Ryan PruchnicCook MyoSite, Inc., 105 Delta Drive, 15238, Pittsburgh, PA, USA.
Michael ChancellorOakland University William Beaumont School of Medicine, Royal Oak, MI, USA.
Roger DmochowskiVanderbilt University Medical Center, Nashville, TN, USA.
Melissa R KaufmanVanderbilt University Medical Center, Nashville, TN, USA.
Lesley CarrSunnybrook Health Sciences Centre, Toronto, ONT, Canada.
Delta Air Lines (United States) · USCook Research (United States) · USVanderbilt University Medical Center · USCentre Hospitalier Universitaire de Sherbrooke · CAFoothills Medical Centre · CAKlinik und Poliklinik für Urologie · DEOakland University · USSunnybrook Health Science Centre · CA

Funding

Cook Myosite, Inc. Not applicable
6 · The paper itself

Abstract

purposeThe purpose of the study was to assess safety and efficacy of autologous muscle derived cells for urinary sphincter repair (AMDC-USR) in female subjects with predominant stress urinary incontinence.

methodsA randomized, double-blind, multicenter trial examined intra-sphincteric injection of 150 × 10

resultsAMDC-USR was safe and well-tolerated with no product-related serious adverse events or discontinuations due to adverse events. Interim analysis revealed an unexpectedly high placebo response rate (90%) using the composite primary outcome which prevented assessment of treatment effect as designed and thus enrollment was halted at 61% of planned subjects. Post hoc analyses suggested that more stringent endpoints lowered placebo response rates and revealed a possible treatment effect.

conclusionsAlthough the primary efficacy finding was inconclusive, these results inform future trial design of AMDC-USR to identify clinically meaningful efficacy endpoints based on IEF reduction, understanding of placebo response rate, and refinement of subject selection criteria to more appropriately align with AMDC-USR's proposed mechanism of action.

Indexed as

AdultAgedAged, 80 and overDouble-Blind MethodDysuriaFemaleHumansMiddle AgedMuscle CellsNauseaPainQuadriceps MuscleSeverity of Illness IndexSurveys and QuestionnairesTransplantation, AutologousTreatment OutcomeAutologous myoblastsCell therapySkeletal muscle cellsStress urinary incontinenceUrethra

Identifiers

PMID30324580
OpenAlexW2901123408

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.