Pivotal Study to Assess the Safety and Effectiveness of the iTind Device
Multi-center Prospective Study to Assess the Safety and Effectiveness of Medi-Tate i-Temporary Implantable Nitinol Device (iTind) in Subjects With Symptomatic Benign Prostatic Hyperplasia (BPH)
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Detailed Description
Medi-Tate i-Temporary Implantable Nitinol Device (iTind) is intended to treat subjects with symptomatic BPH.
A total of 150 subjects with symptomatic BPH will be enrolled into this study, according to eligibility criteria.
Study duration is 12 months and includes 7 visits: screening, screening follow up, implantation, retrieval, 6 weeks follow up, 3 months follow up and 12 months follow up.
iTind Device will be implanted for 5-7 days. Sham will be a routine Foley catheter procedure.
Study Type
Study Type
Enrollment (Actual)
Enrollment
Phase
Phase
- Not Applicable
Contacts and Locations
Study Locations
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Toronto, Canada
- Toronto
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Quebec
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Sherbrooke, Quebec, Canada
- CIUSS de l'Estrie-CHUS
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Florida
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Pompano Beach, Florida, United States, 33060
- Clinical Research Center of Florida
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Maryland
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Baltimore, Maryland, United States, 21209
- Chesapeake Urology Research Associates
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New York
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Brooklyn, New York, United States, 11215
- Methodist Hospital
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Garden City, New York, United States, 11501
- Winthrop University
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Lawrence, New York, United States, 11691
- St John's Episcopal
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Long Island City, New York, United States, 11735
- Integrated Medical Professionals
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Manhattan, New York, United States, 10016
- Manhattan Medical Research
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Manhattan, New York, United States, 10065
- Weill Cornell
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New York, New York, United States, 08857
- Premier Urology Group
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Poughkeepsie, New York, United States, 12601
- Primier Medical Center
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South Carolina
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Myrtle Beach, South Carolina, United States, 29572
- Carolina Uro Research Center
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Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
- Subject signed informed consent form (ICF)
- Age 50 and above
- Male with symptomatic BPH.
- IPSS symptom severity score ≥ 10
- Peak urinary flow of < 12 ml/sec . Meeting the criterion on (2) two separate voiding trials , on a minimum voided volume of at least 125 cc for each voiding trial.
- Prostate volume between 25 ml to 75 ml (assessed by ultrasound)
- Blood CBC and biochemistry up to two weeks before screening demonstrating: Normal values of the PT, PTT and INR tests (anticoagulants should be stopped according to GCP)
- Subject able to comply with the study protocol
- Normal Urinalysis and urine culture
Exclusion Criteria:
- Cardiac arrhythmias, cardiac disease including congestive heart failure, uncontrolled diabetes mellitus, significant respiratory disease, or known immunosuppression;
- Neurogenic bladder and/or sphincter abnormalities due to Parkinson's disease, multiple sclerosis, cerebral vascular accident, diabetes
- A post void residual (PVR) volume > 250 ml measured by ultrasound or acute urinary retention
- Compromised renal function (i.e., serum creatinine level > 1.8 mg/dl, or upper tract disease);
- Confirmed or suspected bladder cancer;
- Recent (within 3 months) cystolithiasis or hematuria;
- Urethral strictures, bladder neck contracture, urinary bladder stones or other potentially confounding bladder pathology;
- An active urinary tract infection.
- Enrolled in another treatment trial for any disease within the past 30 days.
- Previous colo- rectal surgery (other than hemorrhoidectomy) or history of rectal disease if the therapy may potentially cause injury to sites of previous rectal surgery, e.g., if a transrectal probe is used;
- Previous pelvic irradiation, cryosurgery or radical pelvic surgery;
- Previous prostate surgery, balloon dilatation, stent implantation, laser prostatectomy, hyperthermia, or any other invasive treatment to the prostate
- History of prostatitis within the past 5 years.
- Median lobe obstruction of the prostate.
- Cancer that is not considered cured, except basal cell or squamous cell carcinoma of the skin (cured defined as no evidence of cancer within the past 5 years).
- Any serious medical condition likely to impede successful completion of the study
- Participating in any other investigational study for either drug or device which can influence collection of valid data under this study.
- Subjects who are actively taking medications that affects urination and BPH symptoms not completing the required washout period.
- Baseline PSA ≥ 10 ng/ml.
- Positive DRE.
- Baseline PSA between 2.5-10 ng/ml and free PSA < 25%, without a subsequent negative prostate biopsy.
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: Single
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
|
Experimental: iTind arm
iTind implant is implant during the study for 5-7 days.
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Temporary Implantable Nitinol Device (iTIND)
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Sham Comparator: Sham arm
Foley catheter is used during the study
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Foley catheter will be placed and immediately removed.
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What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
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Month 3 Results in the IPSS Score in Both Arms.
Time Frame: 3 months
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Month 3 results in the IPSS Score in both arms IPSS - The International Prostate Symptom Score.
Scale: minimum 0 (zero), maximum 35.
Lower values are better.
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3 months
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Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
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Qmax Measurement
Time Frame: 3 months
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Month 3 results in Qmax (maximum urinary flow rate)
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3 months
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PVR
Time Frame: 3 months
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Month 3 results in PVR (post-void residual urine volume)
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3 months
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IIEF Questionnaire
Time Frame: 3 months
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The International Index of Erectile Function score.
Scale: minimum 6, maximum 75.
Higher values are better.
Month 3 results in IIEF.
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3 months
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SHIM
Time Frame: 3 months
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The Sexual Health Inventory for Men questionnaire.
Scale: minimum 1, maximum 25.
Higher values are better.
Month 3 results in SHIM.
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3 months
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Collaborators and Investigators
Sponsor
Sponsor
Investigators
Investigators
- Principal Investigator: Sheldon Pike, MD, St. John's Hospital
Publications and helpful links
Helpful Links
Study record dates
Study Major Dates
Study Start (Actual)
Study Start
Primary Completion (Actual)
Primary Completion
Study Completion (Actual)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Estimate)
First Posted
Study Record Updates
Last Update Posted (Actual)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
Other Study ID Numbers
- MT-03
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
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