Evidence map›Paper›PMID 42040784›Full record

Trial reportFrontiers in digital health2026

A randomized, unblinded, controlled clinical study to assess the mobile digital health application INKA in the management of therapy refractory overactive bladder and mixed incontinence.

L Schramm, A Wiedemann, C Neumeister, H Wolf, Marcus Rudolf Götz, Ch Neubauer, A Hegele, R Eckert, L Najjari, J Salem and 1 more

Abstract readClinical Trial
In one paragraph

Trial report in Frontiers in digital health, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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0citing papers in PubMed
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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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

11 authors.

L SchrammDepartment of General Psychology and Methodology, University of Bamberg, Bamberg, Bavaria, Germany.
A WiedemannDepartment of Urology, Evangelic Hospital of Witten, Witten, Germany.
C NeumeisterMedical Science Department, Dr. Pfleger Arzneimittel GmbH, Bamberg, Germany.
H WolfMedical Science Department, Dr. Pfleger Arzneimittel GmbH, Bamberg, Germany.
Marcus Rudolf GötzResearch and Development Department, Bode Chemie GmbH, Hamburg, Germany.
Ch NeubauerMedical Science Department, Dr. Pfleger Arzneimittel GmbH, Bamberg, Germany.
A HegeleUrological Center Mittelhessen, Biedenkopf, Germany.
R EckertUrologicum Dr. med. Ralf Eckert, Lutherstadt Eisleben, Germany.
L Najjari *Department of Gynaecology and Obstretrics, University Clinic RWTH Aachen, Aachen, Germany.
J Salem *Department of Urology, Faculty of Health Sciences Brandenburg, Brandenburg Medical School Theodor Fontane, Brandenburg an der Havel, Germany.
T H Kuru *Department of Urology, Faculty of Health Sciences Brandenburg, Brandenburg Medical School Theodor Fontane, Brandenburg an der Havel, Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: This exploratory, two-arm, randomized, unblinded, controlled, multicentre study assessed the health benefits of the INKA app, a MDR class I CE-marked digital therapy companion for patients with overactive bladder (OAB) and mixed incontinence (MI). INKA offers self-guided educational, behavioural, and motivational content, along with physiotherapy modules and supports daily self-management, in accordance with current clinical guidelines. Methods: 251 patients under first-line stable pharmacological treatment were recruited at 35 study sites in Germany and randomized to receive access to the INKA app or standard of care alone (the control group). Self-assessed OAB related endpoints were investigated at baseline, after 4 and after 12 weeks. The end-of-study visit was conducted on site. Results: Among 111 evaluable patients (43 INKA, 68 control), baseline characteristics were comparable (mean age 52.7 years, SD 14.6; 27% male, 73% female). 55% of INKA users engaged with the app on a daily basis. At 12 weeks, the INKA group showed a mean reduction of -1.02 (SD 3.36) micturitions per 24 h compared to +0.08 (SD 2.97) in the control group. Significant and clinically meaningful improvements were observed in female INKA users and those with heightened symptom severity. A significant mean increase in urine volume per micturition was noted in the INKA group (+15.75 mL, SD 49.74) vs. the control group (-8.84 mL, SD 52.14), in "OAB wet" and in the female subgroup. The ICIQ-OAB questionnaire results indicated favourable outcomes for all groups, with all INKA patients and the female subgroup showing clinically relevant symptom relief. Additionally, greater improvement on the ICIQ-OABqol questionnaire was reported for the INKA group (-12.5, SD 20.17) vs. the control group (-7.89, SD 20.15). No INKA-related adverse events or device deficiencies were reported. Conclusion: This proof-of-concept study highlights the potential of the INKA mobile app to reduce micturition frequency and increase the micturition volume in therapy refractory OAB patients, both recognized as key factors of OAB symptom burden. A forthcoming trial will evaluate an optimized and more user-friendly version of the app with patients with a higher symptom severity at baseline. Clinical Trial Registration: German Clinical Trials Register (DRKS ID 00029329).

Indexed as

bladder trainingDIGAdigital self-managementDTx (digital therapeutics)mHealth (mobile health)overactive bladder (OAB)pelvic floor muscle trainingurinary incontinence

Identifiers

PMID42040784
PMCPMC13106321

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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.