Actively Recruiting

Phase Not Applicable
Age: 22Years +
FEMALE
ID06797245

The APPROVE Trial: Evaluating a Prescription Digital Therapeutic App Compared to Standard Behavioral Education for Overactive Bladder in Women

Led by Medstar Health Research Institute · Updated on 2025-10-27

596

Participants Needed

10

Research Sites

104 weeks

Total Duration

On this page

Sponsors

M

Medstar Health Research Institute

Lead Sponsor

F

Foundation for Female Health Awareness (FFHA)

Collaborating Sponsor

AI-Summary

What this Trial Is About

Researchers are evaluating the effectiveness of a prescription digital therapeutic app called RiSolve compared to standard behavioral education through informational handouts for women with overactive bladder (OAB). This trial focuses on women diagnosed with OAB, including symptoms like urinary urgency, urge urinary incontinence, urinary frequency, nocturia, and mixed incontinence with predominant OAB symptoms. The study aims to assess improvements in symptoms, quality of life, bladder function, patient satisfaction, and ongoing treatment effects. Participants are randomly assigned to one of two groups: one group receives access to the RiSolve app for 10 weeks following activation, which offers behavioral therapy and cognitive behavioral therapy for OAB; the other group receives standard behavioral education via patient handouts from the American Urogynecologic Society. After the initial 8 weeks, those in the control group may choose to switch to the RiSolve app treatment. The trial includes follow-up assessments at 6 and 12 months to monitor ongoing symptoms. During the study, participants will complete questionnaires such as the Overactive Bladder Questionnaire short-form (OAB-q SF) to measure symptom severity and quality of life, bladder diaries, and other validated tools to assess urinary symptoms and treatment satisfaction. Researchers will also track treatment adherence, accessibility, adverse events, and use of other therapies. The primary outcome is measured after 8 weeks, with continued symptom evaluation throughout the 12-month follow-up period to gather comprehensive data on treatment effects and patient experience.

CONDITIONS

Brief Title

APPROVE Trial: Evaluating a Prescription Digital Therapeutic for Treatment of OAB in Women

Who Can Participate

Age: 22Years +
FEMALE

Eligibility Criteria

Eligible

You may qualify if you...

  • Women aged 22 years or older
  • Experiencing bothersome overactive bladder symptoms as defined by specific questionnaire ratings
  • Able to speak English
  • Willing to avoid other treatments outside of medications during the 8-week trial period
  • Use at least one mobile app on a personal device
Not Eligible

You will not qualify if you...

  • Stress-predominant mixed urinary incontinence
  • Voiding dysfunction as indicated by questionnaire responses
  • Bladder pain as indicated by questionnaire responses
  • Use of overactive bladder medications within the past two weeks
  • Current use of intermittent or indwelling catheter
  • History of bladder, urethral, colon, anal, or cervical cancer
  • Previous use of sacral neuromodulation, tibial stimulation, or certain botulinum toxin injections
  • Currently taking antibiotics or drugs for urinary tract infections
  • Undergoing or unwilling to avoid pelvic floor physical therapy or prescription devices during the 8-week period
  • Planning pelvic organ prolapse surgery within 12 months
  • Pelvic surgery within the past 6 months
  • Planning to undergo pessary fitting during the study period (eligible after fitting or completing antibiotic therapy)

AI-Screening

AI-Powered Screening

Complete this quick 3-step screening to check your eligibility

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Your Study Journey

Screening

Duration - 2 to 4 weeks

Participants are screened for eligibility to participate in the trial.

1 visit (in-person)

Treatment

Duration - 10 weeks

Participants receive either access to the RiSolve prescription digital therapeutic app or standard behavioral education with informational handouts for overactive bladder management.

1 baseline visit and multiple remote app interactions or education sessions

Follow-up

Duration - Up to 12 months

Participants are followed and asked about their symptoms and any treatments at 6 and 12 months after treatment.

2 follow-up visits

Trial Site Locations

Total: 10 locations

1

University of Alabama at Birmingham

Birmingham, Alabama, United States, 35249

Actively Recruiting

2

Stanford University

Palo Alto, California, United States, 94304

Actively Recruiting

3

MedStar Health

Washington D.C., District of Columbia, United States, 20010

Actively Recruiting

4

University of Chicago

Chicago, Illinois, United States, 60637

Actively Recruiting

5

Curavit

Boston, Massachusetts, United States, 02116

Active, Not Recruiting

6

Atrium Health Wake Forest Baptist

Winston-Salem, North Carolina, United States, 27103

Actively Recruiting

7

Allegheny Health

Pittsburgh, Pennsylvania, United States, 15224

Actively Recruiting

8

Medical University of South Carolina Health

Charleston, South Carolina, United States, 29425

Actively Recruiting

9

UT Southwestern Medical Center

Dallas, Texas, United States, 75390

Actively Recruiting

10

University of Wisconsin

Madison, Wisconsin, United States, 53715

Actively Recruiting

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Research Team

P

Patricia Moriarty

A

Alexis Dieter, MD

How is the study designed?

Study Type

INTERVENTIONAL

Masking

NONE

Allocation

RANDOMIZED

Model

PARALLEL

Primary Purpose

TREATMENT

Number of Arms

2

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