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Completed

NCT Number: NCT04271020

Urodynamic Feasibility Study Utilizing the UroLift® System

UDS evaluates the impact of Prostatic Urethral Lift (PUL) as measured by pressure flow, urodynamic testing (UDS) and an optional UroCuff Testing, an alternative urodynamic test. In addition, standard BPH measures such as symptoms, qualify of life, uroflowmetry, and post void residual will be evaluated at screening and at the follow-up visits.

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Key information

Age range

45 year and older

Sex eligibility

Male

Study type

Interventional

Phase

Not applicable

Primary location

Midtown Urology Associates

Austin, Texas, 78705, United States

Who can participate

Healthy volunteers accepted: Yes

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • Male gender
  • Diagnosis of symptomatic BPH
  • Age ≥ 45 years
  • International Prostate Symptom Score (IPSS) ≥ 13
  • Peak urine flow rate ≤ 12 ml/sec, voided volume ≥ 125 ml
  • Prostate volume ≤ 80 cc per ultrasound

Exclusion criteria

  • Current urinary retention
  • Post void residual (PVR) urine > 250 ml
  • Have an obstructive or protruding median lobe of the prostate
  • Active urinary tract infection at time of treatment
  • Current gross hematuria
  • Previous BPH surgical procedure
  • Previous pelvic surgery or irradiation
  • History of neurogenic or atonic bladder
  • Stress urinary incontinence
  • Biopsy of the prostate within the past 6 weeks
  • Life expectancy estimated to be less than 1 year
  • History of prostate or bladder cancer
  • Elevated Prostate-Specific Antigen (PSA) without ruling out prostate cancer
  • History of compromised renal function or upper tract disease
  • Known coagulopathies or subject on anticoagulants or antiplatelets other than aspirin ≤ 100 mg (unless antiplatelets are withheld minimum 3 days prior to procedure)
  • Use of the following medications pre-screening (uroflow, questionnaires):
  • Within 4 months of baseline assessment: estrogen, any drug producing androgen suppression, or anabolic steroids
  • Within 3 months of baseline assessment: 5-alpha-reductase inhibitors
  • Within 2 weeks of baseline assessment: alpha-blockers, gonadotropin-releasing hormonal analogs, anticholinergics or cholinergic medication or phenylephrine, pseudoephedrine, or imipramine medications
  • Within 1 week of baseline assessment, unless documented on stable dose for ≥ 6 months: beta blockers, antidepressants, anticonvulsants, and antispasmodics
  • Cystolithiasis within the prior 3 months
  • History of co-morbidities that would affect having an elective urological procedure including: prostatitis, conditions that preclude the insertion of the UroLift System.
  • Other co-morbidities that could impact the study results such as:
  • Severe cardiac arrhythmias uncontrolled by medications or pacemaker
  • Congestive heart failure New York Heart Assocation (NYHA) III or IV
  • History of uncontrolled diabetes mellitus
  • Significant respiratory disease in which hospitalization may be required
  • Known immunosuppression (i.e. AIDS, post-transplant, undergoing chemotherapy)
  • A known allergy to nickel, titanium, or stainless steel
  • Unable or unwilling to complete all required questionnaires and follow up assessments
  • Unable or unwilling to sign informed consent form
  • Currently enrolled in any other investigational clinical research trial that has not completed the primary endpoint.

Treatment and study plan

Urolift

Device

The UroLift System is indicated for the treatment of symptoms due to urinary outflow obstruction secondary to benign prostatic hyperplasia (BPH).

During the procedure, an implant is delivered into the prostatic lobe obstructing the urethra and restricting urine flow. The distal end of the device is used to compress the lobe then the implant is delivered to retain the lobe in position, thereby increasing the urethral opening and reducing the fluid obstruction through the prostatic urethra.

Primary outcomes

  1. Qmax Assessed Using Urodynamic Testing (Cystometry)

    Time frame: 3 Month

    Qmax is the the maximum urinary flow rate measured in ml/s.

  2. Pdet at Qmax Assessed Using Urodynamic Testing (Cystometry)

    Time frame: 3 Month

    Pdet is detrusor pressure at Qmax (maximum urinary flow rate) measured in cm H2O.

  3. Pdetmax Assessed Using Urodynamic Testing (Cystometry)

    Time frame: 3 Month

    Pdetmax is the maximum void pressure measured in cm H2O.

Sponsors and collaborators

Lead sponsor

NeoTract, Inc.

Industry

Registry information

Official study title

Urodynamic Feasibility Study (UDS)

Acronym: UDS

Important dates

Study start
2018
Primary completion
2019
Study completion
2019
First posted
Feb 17, 2020
Registry last updated
Jun 11, 2020

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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