Long-term safety and durability of the Altaviva tibial device for urge urinary incontinence
Official title: Post Approval Effectiveness and Durability Evaluation of the Altaviva™ Tibial Device
Run by MedtronicNeuro · NCT07456865 · Data updated 2026-11-12
It will test whether the Altaviva tibial nerve system safely reduces urge urinary incontinence in adults who meet the device's candidate criteria.
Quick facts
| Study type | Interventional |
|---|---|
| Ages | 18 Years and up |
| Sex | All |
| Enrollment | 256 (estimated) |
| Sponsor | MedtronicNeuro Industry-sponsored |
| Locations | 19 sites (Homewood, Alabama and 18 other locations) |
| Status | Recruiting |
| Started | March 17, 2026 |
| Main results expected | November 2032 |
| Study ends | November 2032 |
| Registry record updated | October 20, 2026 |
| Trial ID | NCT07456865 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Adults with urge urinary incontinence who meet Altaviva labeling, record at least three urge incontinence episodes on a 3‑day voiding diary, and can comply with study visits and questionnaires are ideal candidates.
✕Probably not a fit
Patients who are poor surgical candidates, at risk for poor wound healing, have progressive systemic neurological disease, or significant lower‑limb peripheral neuropathy may not be eligible or likely to benefit.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
This is a prospective, multicenter post‑approval study enrolling adults treated with the Altaviva tibial nerve system to track long‑term safety and effectiveness. Participants must demonstrate urge urinary incontinence on a 3‑day voiding diary and, if on overactive bladder medications, remain on a stable dose. Outcomes include device safety, durability of symptom reduction, and patient‑reported questionnaires with at least a 12‑month voiding diary follow‑up. The study is conducted at multiple U.S. urology and urogynecology centers using standardized device procedures and follow‑up assessments.
Why it matters
Potential benefit: If successful, the device could provide durable reduction in urgency‑related leakage and offer an alternative to escalating medications or more invasive procedures.
How similar studies have gone: Prior studies of tibial nerve stimulation approaches have shown benefit for overactive bladder and urge incontinence, and this study examines the long‑term durability of the Altaviva implementation specifically.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion Criteria: 1. Candidate for Altaviva™ therapy per Altaviva™ labeling 2. Have a diagnosis of UUI as demonstrated on a 3-day voiding diary by having a minimum of 3 episodes of urinary urge incontinence in 72 hours 3. If taking OAB medications, subjects should be on a stable dose for at least 3 months prior to baseline and willing to remain on stable treatment through completion of the 12-month voiding diary 4. Patient must be willing and able to accurately complete study questionnaires, attend visits, operate the system, and comply with the study protocol 5. Willing and able to provide signed and dated informed consent Exclusion Criteria: 1. Patient who is not a candidate for Altaviva™ therapy per Altaviva™ labeling, including: * Patients who are considered to be poor surgical candidates or who are at risk for poor wound healing per Altaviva™ labeling * Have progressive, systemic neurological disease * Have clinically significant peripheral neuropathy in the lower leg * Severe, uncontrolled diabetes 2. Have primary stress incontinence or mixed incontinence where the stress component overrides the urge component based on physician judgment 3. Current symptomatic urinary tract infection 4. Patients who have been treated with percutaneous tibial nerve stimulation (PTNS)/percutaneous tibial neuromodulation (PTNM) therapy in the past 4 weeks, or longer if the investigator judges that the therapeutic effect is still present 5. Patients who have had treatment of urinary symptoms with botulinum toxin therapy or sacral neuromodulation in the past 6 months 6. History of a prior implantable tibial neuromodulation system 7. Patients who are pregnant or planning to become pregnant during the course of the study 8. Patient is currently enrolled or plans to enroll in concurrent drug/device study that may confound study results
Where it's running
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Urology Centers of Alabama
Homewood, Alabama, United States Recruiting -
Academic Urology & Urogynecology of Arizona
Glendale, Arizona, United States Recruiting -
Rosemark Women Care Specialists
Idaho Falls, Idaho, United States Recruiting -
Chesapeake Urology Research Associates
Owings Mills, Maryland, United States Recruiting -
Urology of Saint Louis
St Louis, Missouri, United States Recruiting -
Urology Specialists of the Carolinas
Greensboro, North Carolina, United States Recruiting
Show 13 more locations
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Atrium Health Wake Forest Baptist
Winston-Salem, North Carolina, United States Recruiting -
TriHealth Hatton Research Institute
Cincinnati, Ohio, United States Recruiting -
University Hospitals
Cleveland, Ohio, United States Recruiting -
MetroHealth Medical Center
Cleveland, Ohio, United States Recruiting -
Central Ohio Urology Group
Gahanna, Ohio, United States Recruiting -
Institute for Female Pelvic Medicine and Reconstructive Surgery
Allentown, Pennsylvania, United States Recruiting -
Penn Medicine Washington Square
Philadelphia, Pennsylvania, United States Recruiting -
Medical University of South Carolina
Charleston, South Carolina, United States Recruiting -
Southern Urogynecology
West Columbia, South Carolina, United States Recruiting -
Sanford Female Pelvic Medicine & Reconstructive Surgery Clinic
Sioux Falls, South Dakota, United States Recruiting -
Urology Specialists
Sioux Falls, South Dakota, United States Recruiting -
UPNT Research Institute
Arlington, Texas, United States Recruiting -
Urology Austin
Austin, Texas, United States Recruiting
Study contacts
- Study coordinator: Mylene Champs
- Email: mylene.champs@medtronic.com
- Phone: 763-526-1627
Similar studies
Other studies for the same condition or treatment. Recruiting studies are listed first.
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This trial will try personalized pudendal nerve stimulation with an implanted Picostim II device to reduce leakage and pelvic pain in adult women with mixed urinary incontinence who haven't improved with conservative treatments.
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This study is testing a new device that uses electrical stimulation to see if it can help people with overactive bladder and bowel issues feel better.
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This study is testing if giving high-dose vitamin D along with regular therapy can help children with wet overactive bladder feel better compared to just therapy or therapy with a medication.
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How to take part
- Review the eligibility criteria above with your treating physician.
- Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
- Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.