Evidence map›Paper›PMID 40029222›Full record

Trial reportNeuromodulation : journal of the International Neuromodulation Society2025

A First-In-Human Feasibility Study of a New Implantable Tibial Nerve Stimulator for Overactive Bladder Syndrome.

Parminder S Sethi, Kenneth M Peters

Registry-linked trialAbstract readClinical Trial
In one paragraph

Trial report in Neuromodulation : journal of the International Neuromodulation Society, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04115228 (Clinical Feasibility Study, Implantable Tibial Nerve Stimulator), which is not on this map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
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.

NCT04115228 nacompletednot on this map

Clinical Feasibility Study, Implantable Tibial Nerve Stimulator (ITNS)

TypeinterventionalSponsorNine Continents Medical, Inc.Ran2019 to 2021Enrolled10ConditionsOveractive BladderArmsImplantation and neuromodulation therapy
3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Article
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

2 authors.

Parminder S SethiJohn Muir Urology, San Ramon, CA, USA. Electronic address: Parminder.Sethi_MD@johnmuirhealth.com.
Kenneth M PetersDepartment of Urology, Corewell Health William Beaumont University Hospital, Royal Oak, MI, USA; Oakland University William Beaumont School of Medicine, Rochester, MI, USA.

Funding

Clinical feasibility study of autonomous tibial nerve stimulator for overactive bladderR44DK121578 · NIDDK · NINE CONTINENTS MEDICAL, INC. · PI JACOBSON, PETER · 2019 to 2020
$971k
NIDDK NIH HHS R44 DK121578
6 · The paper itself

Abstract

objectivesThis study aimed to evaluate the preliminary feasibility and safety of a new implantable tibial nerve stimulator device in patients with overactive bladder (OAB). MATERIALS AND

methodsTen patients with OAB in whom conservative treatments had failed participated in the study. All patients received daily stimulation therapy for two weeks and weekly stimulation therapy for 13 weeks, at the lowest electrical output amplitude at which paresthesia or motor response occurred. OAB symptoms (three-day bladder diary), quality-of-life scores (OAB-questionnaire Short Form), and patient global response (GRA) were assessed at each follow-up visit.

resultsAmong the patients enrolled (mean age 68 years), seven were OAB-wet and three OAB-dry. After 13 weeks of therapy delivery, a reduction in the number of daily voids during waking hours (8.5 ± 2.5 to 6.3 ± 1.9; p = 0.016), incontinence episodes (2.5 ± 1.8 to 0.3 ± 0.5; p < 0.001), and the daily voids associated with urgency (7.6 ± 3.1 to 3.0 ± 3.1; p < 0.001) was reported. Eight of the ten subjects were classified as responders for ≥one OAB component, with one patient reporting worsened symptoms of urgency (+6%). All ten patients reported global improvement in symptoms on the GRA with a median score of 6. Improvements in OAB severity and health-related quality-of-life scores were noted from pre- to posttreatment across participants (p < 0.001). No serious adverse effects were noted.

conclusionThis first-in-human pilot study allowed for capture of preliminary safety and effectiveness information on a new implantable tibial nerve stimulator device in the population of interest to adequately power a larger, pivotal randomized study. CLINICAL

trial registrationThe Clinicaltrials.gov registration number for the study is NCT04115228.

Indexed as

Electric Stimulation TherapyElectrodes, ImplantedImplantable NeurostimulatorsTibial NerveUrinary Bladder, OveractiveAgedAged, 80 and overFeasibility StudiesFemaleFollow-Up StudiesHumansMaleMiddle AgedPilot ProjectsQuality of LifeTreatment OutcomeFeasibilityoveractive bladdertibial nerveurgency urinary incontinence

Identifiers

PMID40029222
PMCPMC12227300

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Registered trials

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.