- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT04757116
Post-Market Study to Assess iTind Safety in Comparison to UroLift (MT-08)
A Post-Market, Prospective, Randomized, Controlled, Multicenter International Study to Assess the Safety of the Temporarily Implanted Nitinol Device (iTind) Compared to the UroLift® System in Subjects With Symptomatic Benign Prostatic Hyperplasia (BPH)
Study Overview
Status
Conditions
Intervention / Treatment
Detailed Description
Both iTind and UroLift are minimally invasive treatment options for relieving lower urinary tract symptoms (LUTS) secondary to benign prostatic hyperplasia (BPH). The iTind device is a temporary, self-expanding nitinol implant that remains in place for 5 to 7 days to reshape the prostatic urethra through localized ischemic pressure and tissue remodeling. In contrast, the UroLift system involves the permanent placement of transprostatic implants that retract the enlarged lateral lobes of the prostate to widen the urethral lumen.
This study is designed to directly compare the safety and effectiveness of the iTind device versus the UroLift system in treating LUTS due to BPH.
Study Type
Enrollment (Estimated)
Phase
- Not Applicable
Contacts and Locations
Study Contact
- Name: Lina Ginnetti, MA
- Phone Number: +1-617-352-5436
- Email: lina.ginnetti@olympus.com
Study Contact Backup
- Name: Melanie Bonds, MS
- Phone Number: +1-703-851-4615
- Email: Melanie.Bonds@olympus.com
Study Locations
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Dunfermline, United Kingdom, KY12 0SU
- Recruiting
- Queen Margaret Hospital
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Principal Investigator:
- Feras Al Jaafari, MD
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Contact:
- Keith Boath
- Phone Number: 20951 +44-1383-623623
- Email: Keith.boath@nhs.scot
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London, United Kingdom, GU16 7UJ
- Recruiting
- Frimley Park Hospital
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Principal Investigator:
- Neil Barber, MD
-
Contact:
- Reynette Baroman
- Email: r.baroman@nhs.net
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Norwich, United Kingdom, NR4 7UY
- Recruiting
- Norfolk & Norwich University Hospital
-
Principal Investigator:
- Mark Rochester, MD
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Contact:
- Catherine Rennie
- Phone Number: +44-1603 646105
- Email: catherine.rennie@nnuh.nhs.uk
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Middlesex
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Isleworth, Middlesex, United Kingdom, TW7 6AF
- Recruiting
- Chelsea and Westminster Hospital
-
Contact:
- Amrinder Sayan
- Phone Number: 02083215181
- Email: chelwest.wmh.olympus@nhs.net
-
Principal Investigator:
- Samuel Bishara, MD
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-
-
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Arizona
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Phoenix, Arizona, United States, 85054
- Recruiting
- Mayo Clinic Arizona
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Principal Investigator:
- Mitchell Humphreys, MD
-
Contact:
- Rev Vilasan Shylaja
- Phone Number: 480-574-1466
- Email: VilasanShylaja.Revathy@mayo.edu
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Tucson, Arizona, United States, 85704
- Terminated
- Arizona Urology Specialists
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-
California
-
Fresno, California, United States, 93720
- Recruiting
- Urology Associates of Central California
-
Principal Investigator:
- William Schiff, MD
-
Contact:
- Joe Vidal
- Phone Number: 559-321-2919 559-720-3646
- Email: jvidal@urologyassociates.net
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Sacramento, California, United States, 95823
- Recruiting
- Golden State Urology
-
Principal Investigator:
- Prithipal Sethi, MD
-
Contact:
- Sehaj Sethi
- Phone Number: 308 916-245-8888
- Email: ssethi@goldenstateurology.com
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Illinois
-
Evanston, Illinois, United States, 60201
- Terminated
- NorthShore University Health System Research Institute
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Louisiana
-
New Orleans, Louisiana, United States, 70119
- Recruiting
- Southeast Louisiana Veterans Health Care System
-
Principal Investigator:
- Louis Krane, MD
-
Contact:
- Kristen Lingle
- Phone Number: 63446 504-507-2000
- Email: Kristen.lingle@va.gov
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Minnesota
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Woodbury, Minnesota, United States, 55125
- Recruiting
- Minnesota Urology
-
Principal Investigator:
- Spencer Hart, MD
-
Contact:
- Melissa Robb
- Phone Number: 651-999-7033
- Email: mrobb@mnurology.com
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Nebraska
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Omaha, Nebraska, United States, 68124
- Recruiting
- The Urology Center
-
Principal Investigator:
- Sida Niu, MD
-
Contact:
- Amy Nelson
- Phone Number: 402-397-7989
- Email: anelson@adultpediatricuro.com
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Nevada
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Las Vegas, Nevada, United States, 89121
- Recruiting
- Pacific West Urology
-
Contact:
- John Dull
- Phone Number: 702-321-8045
- Email: john.dull@pacificwesturology.com
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Principal Investigator:
- Joel Abbott, MD
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New York
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Syosset, New York, United States, 11791
- Recruiting
- Feinstein Institutes for Medical Research / Northwell Health
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Principal Investigator:
- Bilal Chughtai, MD
-
Contact:
- Jennifer Polo
- Phone Number: 516-628-5926
- Email: jpolo1@northwell.edu
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Tennessee
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Germantown, Tennessee, United States, 38138
- Recruiting
- The Conrad Pearson Clinic
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Principal Investigator:
- Adam Stewart, MD
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Contact:
- Russell Grigsby
- Phone Number: 731-377-9461
- Email: rsgrigsby@conradpearson.com
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Texas
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Austin, Texas, United States, 78705
- Recruiting
- Midtown Urology Associates
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Principal Investigator:
- Tyler McClintock, MD
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Contact:
- Andrew Barger
- Phone Number: 512-451-7935
- Email: APBarger@cimplify.net
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Houston, Texas, United States, 77027
- Recruiting
- Houston Metro Urology
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Contact:
- Lena Ellis
- Phone Number: 713-634-4405
- Email: lena.ellis@hmutx.com
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Principal Investigator:
- Mark Sutton, MD
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San Antonio, Texas, United States, 78240
- Recruiting
- The Urology Place
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Principal Investigator:
- Naveen Kella, MD
-
Contact:
- Raji Thiruppathiraj
- Phone Number: 210-617-3670
- Email: raji@theupi.com
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Virginia
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Alexandria, Virginia, United States, 22311
- Recruiting
- Potomac Urology Center
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Principal Investigator:
- Nilay Gandhi, MD
-
Contact:
- Chamin Lim
- Phone Number: 423 703-680-2111
- Email: clim@potomacurology.com
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Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Description
Inclusion Criteria:
- Diagnosis of lower urinary tract symptoms presumed to be secondary to benign prostatic enlargement causing bladder outlet obstruction for which treatment is recommended
- Willing and able to provide informed consent
- Males ≥ 50 years of age or older
- PSA < 4 ng/ml or if the PSA is 4 - 10 ng/ml, prostate cancer must be ruled out to the satisfaction of the Principal Investigator (PI) by local standard of care methods within prior 6 months
- Prostate volume up to 75 cc (inclusive) documented by cross-sectional imaging (TRUS, MRI, etc.). Results from standard of care imaging may be accepted up to 6 months prior to Screening
- International Prostate Symptom Score (IPSS) for urinary symptoms ≥ 13
- Maximum urinary flow rate (Qmax) of ≤ 15 mL/sec and ≥ 5 mL/sec (voided volume must be ≥ 125 mL)
- Willing and able to complete all study visits including questionnaires at baseline and at follow-up visits
Exclusion Criteria:
- History of prostate cancer or suspected, should be ruled out to the satisfaction of the PI by local standard of care methods within prior 6 months
- Confirmed bladder cancer within the last 2 years or currently suspected bladder cancer
- History of acute bacterial prostatitis within the last 2 years
- Median lobe obstruction of the prostate as confirmed by cross-sectional imaging
- PSA value > 10 ng/ml
- Contraindicated for iTind or UroLift as determined by the PI
- Neurogenic bladder and/or sphincter abnormalities due to Parkinson's disease, multiple sclerosis, cerebral vascular accident, diabetes or other neurological disorders that affect bladder function
- Clinically significant bladder diverticulum
- Diagnosed with urethral stricture, meatal stenosis, bladder neck contracture, rectal disease, artificial urinary sphincter, incompetent sphincter, urinary incontinence due to incompetent sphincter
- Prior rectal surgery (other than hemorrhoidectomy) or history of rectal disease treatment if the therapy may potentially cause injury to site (e.g., if a transrectal probe is used), pelvic radiotherapy or radical pelvic surgery, urinary diversion surgery, prostate surgery, balloon dilation, urethral stent implantation, laser prostatectomy, or any other invasive treatment to the prostate, or penile prosthesis if it may prevent insertion of the iTind or UroLift device
- An active urinary tract infection during randomization
- Clinically significant hematuria within the last 3 months or ongoing cystolithiasis
- Prostate volume > 75 cc
- Post-void residual volume (PVR) > 250 mL
- Actively using catheterization or unable to void naturally
- Unable to complete a 2-week washout period for alpha blockers prior to procedure or unable to discontinue 5ARIs or daily use of PDE5 inhibitors by the time of procedure
- Taking anti-platelet or anticoagulants (except low dose aspirin - 81 mg - 100 mg) within the last 7 days prior to procedure
- Known or suspected allergy to nickel, titanium or polyester/polypropylene
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: None (Open Label)
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
|---|---|
|
Experimental: iTind arm
The iTind is a minimally invasive temporary implant
|
The iTind is implemented for 5-7 days
|
|
Active Comparator: UroLift
The UroLift is a minimally invasive permanent implant
|
UroLift is a minimally invasive procedure where permanent implants are placed in the prostate.
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Difference in change of IPSS from baseline between iTind and UroLift groups at 3 months
Time Frame: 3 months
|
Difference in change of IPSS from baseline between iTind and UroLift groups at 3 months
|
3 months
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Difference in change of IPSS from baseline between iTind and UroLift groups at 12 months
Time Frame: 12 month
|
Difference in change of IPSS from baseline between iTind and UroLift groups at 12 months
|
12 month
|
|
Incidence of all intraoperative and post-operative adverse events (AEs) (i.e., related to procedure and/or device) through 3 months post-procedure.
Time Frame: 3 month
|
Incidence of all intraoperative and post-operative adverse events (AEs) (i.e., related to procedure and/or device) through 3 months post-procedure.
|
3 month
|
|
Difference in change of IPSS from baseline between iTind and UroLift groups at 1, 6, 24, and 36 months
Time Frame: 1, 6, 24, and 36 months
|
Difference in change of IPSS from baseline between iTind and UroLift groups at 1, 6, 24, and 36 months
|
1, 6, 24, and 36 months
|
|
Difference in change of QoL scores (SHIM, MSHQ-EjD, SF-6D) from baseline between iTind and UroLift at 1, 3, 6, 12, 24, and 36 months
Time Frame: 1, 3, 6, 12, 24, and 36 months
|
Difference in change of QoL scores (SHIM, MSHQ-EjD, SF-6D) from baseline between iTind and UroLift at 1, 3, 6, 12, 24, and 36 months
|
1, 3, 6, 12, 24, and 36 months
|
|
Difference in rate of re-intervention between iTind and UroLift groups at 1, 3, 6, 12, 18, 24, and 36 months
Time Frame: 1, 3, 6, 12, 18, 24, and 36 months
|
Difference in rate of re-intervention between iTind and UroLift groups at 1, 3, 6, 12, 18, 24, and 36 months
|
1, 3, 6, 12, 18, 24, and 36 months
|
|
Difference in reporting between iTind and UroLift groups at 1, 6, 12, 18, 24, and 36, months •Overall incidence of procedure and/or device related adverse events
Time Frame: 1, 6, 12, 18, 24, and 36, months
|
Difference in reporting between iTind and UroLift groups at 1, 6, 12, 18, 24, and 36, months •Overall incidence of procedure and/or device related adverse events |
1, 6, 12, 18, 24, and 36, months
|
Other Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Difference between iTind and UroLift groups for concomitant medication usage
Time Frame: Time frame not specified for exploratory endpoint
|
Difference between iTind and UroLift groups for the following parameters: • Concomitant medication usage |
Time frame not specified for exploratory endpoint
|
|
Difference between iTind and UroLift groups for Anesthesia type
Time Frame: Intraoperative
|
Difference between iTind and UroLift groups for the following parameters: • Anesthesia type |
Intraoperative
|
|
Difference between iTind and UroLift groups for Procedure time
Time Frame: Intraoperative
|
Difference between iTind and UroLift groups for the following parameters: • Procedure time |
Intraoperative
|
|
Difference between iTind and UroLift groups for Hospital length of stay
Time Frame: Post-procedure
|
Difference between iTind and UroLift groups for the following parameters: • Hospital length of stay |
Post-procedure
|
|
Difference between iTind and UroLift groups for Post-operative foley catheterization
Time Frame: Post-procedure
|
Difference between iTind and UroLift groups for the following parameters: • Post-operative foley catheterization |
Post-procedure
|
|
Difference between iTind and UroLift groups for Number of UroLift impants (UroLift arm only)
Time Frame: Intraoperative
|
Difference between iTind and UroLift groups for the following parameters: • Number of UroLift impants (UroLift arm only) |
Intraoperative
|
|
Difference between iTind and UroLift groups for iTind retrieval time (iTind arm only)
Time Frame: Intraoperative
|
Difference between iTind and UroLift groups for the following parameters: • iTind retrieval time (iTind arm only) |
Intraoperative
|
|
Difference between iTind and UroLift groups for iTind post-retrieval foley catheterization (iTind arm only)
Time Frame: Post-procedure
|
Difference between iTind and UroLift groups for the following parameters: • iTind post-retrieval foley catheterization (iTind arm only) |
Post-procedure
|
Collaborators and Investigators
Collaborators
Investigators
- Principal Investigator: Neil Barber, MD, Frimley Park Hospital
- Principal Investigator: Bilal Chughtai, MD, Northwell Health
Publications and helpful links
Helpful Links
Study record dates
Study Major Dates
Study Start (Actual)
Primary Completion (Estimated)
Study Completion (Estimated)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Actual)
Study Record Updates
Last Update Posted (Actual)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
- MT-08
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
product manufactured in and exported from the U.S.
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