Augmentation Cystoplasty Using an Autologous Neo-Bladder Construct

Trial statusNot yet recruiting
Trial phasePhase 2
Trial typeInterventional
Biological sexAll
Age18-60
SponsorWake Forest University Health Sciences

About this trial

The purpose of this research study is to find out if autologous "neo-bladder" construct for the treatment of fibrotic and/or contracted bladder can improve bladder compliance and be safe long term. The neo-bladder is like a reservoir or pouch that will be surgically attached to the bladder to assist with urine collection.

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

Subjects with small contracted and/or fibrotic non-neurogenic bladder.

Small bladder <150cc capacity

Willing and able to give signed informed consent in English.

Ability of subject to be successfully trained in clean intermittent catheterization and bladder cycling

Disqualifiers

None

Trial design

Design model

Single group

Treatments tested in this trial

  • "Neo-Bladder" Construct

    Biological/Vaccine

    Subjects will undergo an open full thickness bladder biopsy from which autologous urinary bladder smooth muscle and urothelial cells will be procured and expanded ex vivo. After approximately 5 - 7 weeks, expanded cells will be seeded on a biodegradable scaffold to produce the neo-bladder construct that will be surgically implanted onto an opened native bladder during an augmentation cystoplasty.

Treatment groups

10 Participants
are divided into 1 treatment group
Group A: Autologous "Neo-Bladder" ConstructExperimental treatment 1 intervention

Trial outcomes

Primary outcomes

1

Bladder Compliance Average

Average bladder capacity as found on Urodynamics results

Time frame
Month 12
2

Average Number of 24 Hour Voids

Per voiding diary

Time frame
Month 6
3

Average Number of 24 Hour Voids

Per voiding diary

Time frame
Month 9
4

Average Number of 24 Hour Voids

Per voiding diary

Time frame
Month 12

Secondary outcomes

1

Change in Bladder Capacity

Shown through urodynamics study

Time frame
From Baseline through Month 12
2

End filling pressure

At age-related nomogram-derived bladder capacity

Time frame
Baseline, Month 6, Month 9 and Month 12
3

Urogenital Distress Inventory-6 Question (UDI-6)

Evaluation of urogenital function from self-reported questionnaire. Score ranges from 0-18 with higher score denoting worsening in urogenital function.

Time frame
Month 6, Month 9 and Month 12
4

Urogenital Distress Inventory-7 Question (UDI-7)

Evaluation of urogenital function from self-reported questionnaire. Score ranges from 0-21 with higher score denoting worsening in urogenital function.

Time frame
Month 6, Month 9 and Month 12

Other outcomes

Sponsors and contacts

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This trial is not recruiting at the moment. You can still explore other options: