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Record W4408762418 · doi:10.1016/j.cont.2025.101759

Iltamiocel cell therapy in women with recurrent or persistent stress urinary incontinence: Evidence from two double-blind, randomized, placebo-controlled trials

2025· article· en· W4408762418 on OpenAlexaff
Melissa R. Kaufman, Kenneth M. Peters, Christopher Chermansky, Kevin Benson, Sherry Thomas, Le Mai Tu, Jason Bennett, Roger R. Dmochowski, Michael Heit, Lieschen H. Quiroz, Michael Kennelly, Una Lee, Eric R. Sokol, Emanuele Canestrari, Ron J. Jankowski, Michael B. Chancellor

Bibliographic record

VenueContinence · 2025
Typearticle
Languageen
FieldMedicine
TopicPelvic floor disorders treatments
Canadian institutionsCentre Hospitalier Universitaire de Sherbrooke
Fundersnot available
KeywordsUrinary incontinencePlaceboMedicineDouble blindRandomized controlled trialUrologyInternal medicineAlternative medicinePathology

Abstract

fetched live from OpenAlex

Recurrent or persistent female stress urinary incontinence (SUI) following prior surgery represents an unmet medical need and a significant clinical challenge for physicians. To report the integrated clinical experience from placebo-controlled studies of iltamiocel, an investigational autologous muscle cell therapy, in women with a history of prior SUI surgery. Results from two multicenter, randomized, placebo-controlled studies of iltamiocel were pooled. Efficacy assessments were based on change from baseline to 12 months in number of SUI episodes, quality of life, and symptom severity. A total of 92 female participants, 61 iltamiocel and 31 placebo, were enrolled. At 12 months after injection, a significantly greater proportion of iltamiocel-treated participants achieved ≥ 75% reduction in SUI episodes compared with placebo (44.3% vs 16.1%, p=0.007). This treatment response was maintained out to 24 months in 84.2% of iltamiocel participants. In addition, significant differences were observed at 12 months between iltamiocel and placebo responders for the Incontinence Impact Questionnaire-7 (-31.7 vs -15.2; p=0.038) and the Severity Index for Urinary Incontinence in Women (-2.8 vs -0.3; p=0.011). No serious adverse reactions related to iltamiocel were reported. Adverse events related to the treatment procedures were reported in 6 (9.8%) iltamiocel participants and 4 (16.1%) placebo participants. Iltamiocel demonstrates significant and sustained efficacy in reducing SUI episodes and improving quality of life in women with recurrent or persistent SUI following prior surgical interventions. It offers a safe, effective and minimally invasive treatment option, addressing the need for robust management strategies in this challenging patient population.

Fetched live from OpenAlex and de-inverted. Abstracts are not stored in this database: the inverted indexes are 8.6 GB of the frame’s 9.3 GB of text, and the host has 13 GB free.

How this classification was reachedexpand

Full frame machine prediction

Teacher imitation

Not calibrated prevalence, not ground truth. Human validation pending. The Gemma side is a direct model label for every work in the frame, read from the title-only record. The Codex side is a classifier learned from the 10,348 direct Codex labels and calibrated to design-weighted sample rates; fields without enough sample support carry no Codex call. Candidate is the union of the two sides; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels.

metaresearch head score (Codex)0.008
metaresearch head score (Gemma)0.011
Version: metacan-v3-hybrid-931329e0061cValidation status: machine_predicted_unvalidated
Candidate categoriesnone
Consensus categoriesnone
DomainCandidate signal: none · Consensus signal: none
Study designCandidate signal: Randomized trial · Consensus signal: Randomized trial
GenreCandidate signal: Empirical · Consensus signal: none
Teacher disagreement score0.008
Threshold uncertainty score0.041

Distilled classifier scores by category (both heads)

CategoryCodexGemma
Metaresearch0.0080.011
Meta-epidemiology (narrow)0.0010.001
Meta-epidemiology (broad)0.0060.005
Bibliometrics0.0010.001
Science and technology studies0.0010.001
Scholarly communication0.0020.001
Open science0.0010.000
Research integrity0.0040.002
Insufficient payload (model declined to judge)0.0050.000

Machine scores (provisional)

The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.

Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.

Opus teacher head0.049
GPT teacher head0.337
Teacher spread0.288 · how far apart the two teachers sit on this one work
Validation statusscore_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from it

Classification

machine, unvalidated

Machine predicted; a candidate call from one source (direct Gemma or distilled Codex), not a consensus.

The models applied no category: nothing in the taxonomy fit this work.
Study designRandomized trial
Domainnot available
GenreEmpirical

How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".

Quick stats

Citations0
Published2025
Admission routes1
Has abstractyes

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