Utilizing Holmium Laser for FURS Renal Stone Lithotripsy Comparing Stone Breaking vs. Stone Dusting Settings
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Detailed Description
Study Type
Study Type
Enrollment (Actual)
Enrollment
Phase
Phase
- Not Applicable
Contacts and Locations
Study Locations
-
-
New York
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New York, New York, United States, 11215
- New York Methodist Hospital
-
-
Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Description
Inclusion Criteria:
- Subject will be older than 18 years of age
Subject was diagnosed with renal calculi meeting the following criteria:
- Largest stone measures no more than 2cm on a single diameter and is no less than 0.8cm as defined by X-ray or CT.
- Accumulative stone burden (addition of all stone diameters) is no more than 2.5cm.
- Subject is a candidate for FURS procedure
- Subject is willing and has signed the Informed Consent Form
Exclusion Criteria:
- Subject has undergone a previous treatment for stones in the same kidney
- Subject requires another, concomitant procedure, other than FURS, to be performed during this treatment session.
- Female subject is pregnant
- Concomitant anticoagulant medication that cannot be suspended during surgery
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: None (Open Label)
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
|
Experimental: Stone breaking
Lithotripsy will be performed using the Lumenis Pulse 120H holmium laser system with low frequency parameters.
|
The Lumenis Pulse P120H will be utilized in high and low frequencies according to subjects group allocation.
|
|
Experimental: Stone dusting
Lithotripsy will be performed using the Lumenis Pulse 120H holmium laser system with high frequency parameters.
|
The Lumenis Pulse P120H will be utilized in high and low frequencies according to subjects group allocation.
|
What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Stone Clearance
Time Frame: Stone clearance based on 1 month follow-up imaging data
|
stone clearance will be confirmed by CT or X-Ray at 1 month follow up.
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Stone clearance based on 1 month follow-up imaging data
|
|
Post-procedure Catheterization
Time Frame: Post-procedure through hospital discharge; typically discharge occurs on the same day or 1 day post procedure
|
Post-procedure catheterization by group
|
Post-procedure through hospital discharge; typically discharge occurs on the same day or 1 day post procedure
|
|
Procedure Time
Time Frame: during the procedure
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Duration (in minutes) of the procedure as an indicator for treatment efficiency.
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during the procedure
|
|
Usage of Alternative Stone Extracting Devices
Time Frame: as measured during the procedure
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The need of the surgeon to use baskets, forceps or saline flushing to achieve complete stone clearance.
This outcome can influence both procedure time and further complication.
|
as measured during the procedure
|
|
Hospital Stay
Time Frame: Procedure through hospital discharge
|
Hospital duration was measured to evaluate treatment efficiency
|
Procedure through hospital discharge
|
Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Number of Participants With Intraoperative Complications
Time Frame: Intraoperative
|
Number of participants with complications that occur during the procedure.
|
Intraoperative
|
|
Visibility During Procedure
Time Frame: Intraprocedural
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Visibility during procedure by group, rating categories: Poor, Fair, Good, Very Good or Excellent
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Intraprocedural
|
|
Number of Participants With Occurrence of Retropulsion
Time Frame: Intraoperative
|
Occurrence of retropulsion by group
|
Intraoperative
|
|
Ability to Reach Stone Fragments
Time Frame: Intraoperative
|
Performance rating of ability to reach stone fragments by group
|
Intraoperative
|
|
Damage to Scope or Fiber
Time Frame: Intraoperative
|
Damage to scope or fiber by group
|
Intraoperative
|
|
Fiber Transmission
Time Frame: Intraoperative
|
Fiber transmission (preserving energy transmission during lasing) by group
|
Intraoperative
|
Collaborators and Investigators
Sponsor
Sponsor
Collaborators
Collaborators
Investigators
Investigators
- Study Director: Clayton Miller, Boston Scientific Corporation
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 (Estimated)
First Posted
Study Record Updates
Last Update Posted (Estimated)
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
- LUM-SBU-VP-15-01
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
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