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NCT Number: NCT06539442

Versius Paediatrics Study

This is prospective, multi-phase, single arm, multi-centre, multi-surgeon feasibility clinical trial to provide proof of concept and clinical evidence regarding the safety and efficacy of Versius (robotic surgery medical device) in Urological Procedures in Paediatric population. In alignment with IDEAL (Idea, Development, Exploration, Assessment, Long-term study) Framework, this study will consist of 3 main phases to ensure proper procedure development while ensuring patients safety. Feasibility and safety will be assessed on an ongoing basis, and specifically after completion of the first 3 procedures, at a single site (Southampton/Lead), each conducted one week apart to allow the identification of unanticipated risks/adverse events. Once deemed safe, based on the results of the 3 cases enrolled in Phase I, 7 further cases would be completed, at the same site. Once the procedure is deemed safe according to safety data collected, the recruitment will proceed to full trial patient accrual, 140 additional cases from the 3 participating study sites.The study patient population is children and adolescents under the age of 18, which will be provided clinical care and follow-ups per standard of care and hospital's policy.

Recruiting

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Key information

Age range

0 year–17 year

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Primary location

Department of Paediatric Urology, Evelina London Children's Hospital, London, United Kingdom

Loading trial locations.

Who can participate

Healthy volunteers accepted: No

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

Inclusion criteria

  • Patients, male or female, (<18 years old) for whom an appropriate legal representative provides written consent for participation
  • Patient and disease factors deemed suitable for minimal access urological procedure
  • Multidisciplinary team (MDT) decision to treat with surgery
  • Patients under the care of the paediatric urology team in one of the participating centres

Exclusion criteria

  • Patients ≥ 18 years old
  • Appropriate legal representative unwilling to provide written consent
  • Medical contraindication for general anaesthesia
  • Medical contraindication for laparoscopic procedure
  • Active pregnancy (in post-pubertal female patients)
  • Morbid obesity (BMI ≥ 40 kg/m2)
  • Patient participation in an interventional clinical study, that could impact primary objectives results
  • Prior pelvic /abdominal radiotherapy treatment
  • Subjects with other clinically significant unstable medical disorder, life-threatening disease, or anything else in the opinion of the Investigator which would contra-indicate a surgical procedure

Treatment and study plan

Versius Surgical System

Device

Urological minimal access surgery performed with Versius Surgical System

Primary outcomes

  1. Adverse Event rate

    Time frame: Up to 3 months post operation

    Incidence of adverse events

Secondary outcomes

  1. Procedure completion

    Time frame: Day of operation

    Rate of successful completion of procedures without unplanned conversion to other laparoscopic or open surgery

  2. Serious Adverse Event Rate

    Time frame: Up to 3 months post-operation

    Incidence of serious adverse events

  3. Ultrasound grading

    Time frame: 3 months post stent removal

    Ultrasound hydronephrosis grading results

  4. MAG3 Renogram

    Time frame: 3 months post stent removal

    MAG3 Renogram results

  5. Operative time

    Time frame: Day of operation

    Surgery duration from skin incision to skin closure in minutes

  6. Blood loss

    Time frame: Day of operation

    Estimated blood loss in mL

  7. Post operative analgesic treatment

    Time frame: Immediately after surgery

    Pain medication prescribed post-operatively

  8. Length of stay

    Time frame: Up to 3 months post operation, average 1 day

    Hospital stay from end of surgery to discharge in days

  9. Reoperation

    Time frame: 24 hours post operation

    Reoperation within 24 hours of surgery

  10. Unplanned readmission

    Time frame: Up to 3 months post operation

    Unplanned hospital readmissions

  11. Device deficiencies and user errors

    Time frame: Day of operation

    Device deficiencies and user errors that occur during surgery

  12. Ultrasound grading

    Time frame: 12 months post operation

    Ultrasound hydronephrosis grading results

Study contacts

Contact information is provided by the study sponsor or research team.

Mark Slack, MD

CONTACT

[email protected]

+44 7766 024389

Morad Nakhleh, PhD

CONTACT

[email protected]

+44 7518 295217

Sponsors and collaborators

Lead sponsor

CMR Surgical Ltd

Industry

Collaborators

  • University Hospital Southampton NHS Foundation Trust

Registry information

Official study title

Prospective Clinical Study to Assess the Safety and Efficacy of Versius, in Urological Procedures in Paediatrics

Important dates

Study start
2024
Primary completion
2027
Study completion
2027
First posted
Aug 6, 2024
Registry last updated
Oct 15, 2024

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.