NIH-funded research R01 grant

Personalized brain stimulation for overactive bladder in multiple sclerosis

Official title: A randomized, sham-controlled clinical trial evaluating individualized neuromodulation of cortical regions involved in neurogenic overactive bladder in Multiple Sclerosis

Funded at Methodist Hospital Research Institute · NIH-11249154 · Data updated 2026-11-12

This research uses targeted, noninvasive brain stimulation to try to reduce urinary urgency, frequency, and leakage in women with multiple sclerosis.

Quick facts

Grant typeR01 grant
Study typeNIH-funded research
Funding institutionMethodist Hospital Research Institute
NIH-funded
Lab location1 site (Houston, United States)
Project startJanuary 24, 2023
Project endDecember 31, 2027
Funding year2026
Award (this year)$338,159
NIH project number5R01DK134340-04
Project IDNIH-11249154 on NIH RePORTER

Who could benefit from this research

Could help

Adult women with multiple sclerosis who have neurogenic overactive bladder symptoms such as urinary urgency, frequency, or urgency incontinence are the intended candidates for this trial.

Less likely to help

People without MS, those whose bladder problems are due to other causes, or those who cannot undergo magnetic stimulation (for example, because of certain implants or seizure risk) are unlikely to benefit from this protocol.

What this research studies

If you join, you would be randomly assigned to receive real or sham (placebo) targeted repetitive transcranial magnetic stimulation (rTMS) to specific brain areas linked to bladder control, with neither you nor the study staff knowing which you receive during the blinded phase. The team uses prior brain imaging to pick the best regions to stimulate and measures changes in urinary frequency, urgency, and incontinence as well as brain function. The trial is single-center and double-blind with an optional open-label extension where participants can receive active treatment. Early pilot results in a small group showed symptom improvement without treatment-related adverse effects.

Why it matters

Potential benefit: If successful, this approach could reduce bladder urgency, frequency, and incontinence and offer a less invasive option with fewer drug-related side effects.

How similar studies have gone: Small pilot work, including the investigators' prior report in ten women, showed promising symptom improvement, but larger randomized trials are still limited.

Where this research is happening

  • Methodist Hospital Research Institute
    Houston, United States
    Active

Researchers

  • Principal investigator: Khavari, Rose — Methodist Hospital Research Institute
  • Study coordinator: Khavari, Rose

Related research

Other NIH-funded projects on the same topics.

About this research

  1. This is an active NIH-funded research project — typically early-stage science, not a clinical trial accepting patient enrollment.
  2. Some NIH-funded labs run parallel clinical studies or seek volunteers for related work. To check, contact the principal investigator or institution listed above.
  3. For full project details, budget, and progress reports, visit the official NIH RePORTER page.
Last reviewed 2026-11-14 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.