Clinical trial Recruiting at 19 sites Interventional Ages 18 and up

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.

More Urge Incontinence trials

Quick facts

Study typeInterventional
Ages18 Years and up
SexAll
Enrollment256 (estimated)
SponsorMedtronicNeuro
Industry-sponsored
Locations19 sites (Homewood, Alabama and 18 other locations)
StatusRecruiting
StartedMarch 17, 2026
Main results expectedNovember 2032
Study endsNovember 2032
Registry record updatedOctober 20, 2026
Trial IDNCT07456865 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

  • 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
  • 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

Similar studies

Other studies for the same condition or treatment. Recruiting studies are listed first.

How to take part

  1. Review the eligibility criteria above with your treating physician.
  2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
  3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.
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.