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REZŪM vs. Dual Drug Therapy for symptomatisk benign prostatahyperplasi hos seksuelt aktive mænd (VAPEUR)

10. november 2026 opdateret af: Boston Scientific Corporation

Vanddamptermoterapi vs. kombinationsfarmakoterapi til symptomatisk benign prostatahyperplasi, der er modstandsdygtig over for alfablokker monoterapi hos seksuelt aktive mænd: Et randomiseret kontrolleret multicenterforsøg

The study objective is to compare water vapor thermotherapy with the REZŪM™ System to dual drug therapy for the treatment of symptomatic benign prostatic hyperplasia refractory to alpha-blocker monotherapy in sexually active men.

Studieoversigt

Status

Aktiv, ikke rekrutterende

Betingelser

Intervention / Behandling

Detaljeret beskrivelse

STUDY OBJECTIVE - To compare water vapor thermotherapy with the REZŪM™ System to dual drug therapy for the treatment of symptomatic benign prostatic hyperplasia refractory to alpha-blocker monotherapy in sexually active men.

STUDY DESIGN - Multicenter open-label randomized controlled parallel-group post-market trial.

STUDY TREATMENTS AND RANDOMIZATION - Subjects will be randomly assigned to REZŪM or dual drug therapy treatments; 1:1 randomization via the electronic data capture (EDC) system. Both treatments are commercially available. Subjects randomized to receive the REZŪM treatment will receive standardized treatment and subjects randomized to dual drug therapy will receive the local formulary preferred choice of urinary selective alpha blocker and 5-alpha reductase inhibitor.

VISIT SCHEDULE - Study visits are at: enrollment/baseline, treatment, 3 months, 6 months, and yearly follow-up through 2 years.

Undersøgelsestype

Interventionel

Tilmelding (Faktiske)

155

Fase

  • Ikke anvendelig

Kontakter og lokationer

Dette afsnit indeholder kontaktoplysninger for dem, der udfører undersøgelsen, og oplysninger om, hvor denne undersøgelse udføres.

Studiesteder

      • Melbourne, Australien
        • Epworth Healthcare
      • Wahroonga, Australien
        • Australian Clinical Trials
      • Aix-en-Provence, Frankrig
        • Centre Hospitalier du Pays d'Aix
      • Angers, Frankrig
        • CHU d'Angers
      • Bordeaux, Frankrig
        • CHU de Bordeaux
      • Grenoble, Frankrig
        • CHU Grenoble
      • Lille, Frankrig
        • Centre Hospitalier Universitaire de Lille
      • Lille, Frankrig
        • Hôpital Privé La Louvière
      • Lyon, Frankrig
        • Hospices Civils de Lyon
      • Nice, Frankrig
        • CHU de Nice
      • Paris, Frankrig
        • Institut Mutualiste Montsouris
      • Paris, Frankrig
        • Hôpital Bichat
      • Paris, Frankrig
        • Hôpital Cochin
      • Périgueux, Frankrig
        • Hôpital privé Francheville
      • Quint-Fonsegrives, Frankrig
        • Clinique La Croix du Sud
      • Rennes, Frankrig
        • CHU de Rennes
      • Rouen, Frankrig
        • CHU de Rouen
      • Rouen, Frankrig
        • Clinique Saint Hilaire
      • Saint-Grégoire, Frankrig
        • Centre Hospitalier Privé Saint Grégoire
      • Toulouse, Frankrig
        • CHU de Toulouse
      • Toulouse, Frankrig
        • Clinique Pasteur

Deltagelseskriterier

Forskere leder efter personer, der passer til en bestemt beskrivelse, kaldet berettigelseskriterier. Nogle eksempler på disse kriterier er en persons generelle helbredstilstand eller tidligere behandlinger.

Berettigelseskriterier

Aldre berettiget til at studere

45 år og ældre (Voksen, Ældre voksen)

Tager imod sunde frivillige

Ingen

Køn, der er berettiget til at studere

Han

Beskrivelse

Inclusion Criteria:

  1. Sexually active male subjects ≥ 45 years of age who have persistent non-neurogenic lower urinary tract symptoms refractory to first-line treatment with single agent Alpha Adrenoceptor Antagonist therapy
  2. Subject is willing and able to answer all domains of MSHQ
  3. Completed IPSS questionnaire with score ≥ 13 within 6 months prior to enrollment
  4. Peak urinary flow rate (Qmax): ≤ 15 ml/sec with minimum voided volume of ≥ 150 ml within 6 months prior to enrollment
  5. Post-void residual (PVR) ≤250 ml within 6 months prior to enrollment
  6. Prostate volume ≥ 30 ml as measured by transrectal ultrasound or Magnetic Resonance Imaging within 3 months prior to enrollment
  7. Subject is willing and capable of providing informed consent
  8. Subject is willing and capable of participating in all visits associated with this study at an approved clinical study site and at the intervals defined by this Clinical Investigational Plan (CIP)
  9. France subjects only: subjects must be affiliated to national security insurance

Exclusion Criteria:

  1. Inability to participate in full duration of study
  2. Prior surgical treatment for BPH
  3. Increased risk of bleeding
  4. Presence of Genitourinary Cancer or other pelvic cancer
  5. Functional issues with bladder
  6. Presence of active infection in genitourinary tract
  7. Structural and Anatomic issues with urinary tract and renal function
  8. Concomitant Drug Therapy
  9. Temporal restraints and risks for general anaesthesia or comorbidity that would elevate risk of participation

Studieplan

Dette afsnit indeholder detaljer om studieplanen, herunder hvordan undersøgelsen er designet, og hvad undersøgelsen måler.

Hvordan er undersøgelsen tilrettelagt?

Design detaljer

  • Primært formål: Behandling
  • Tildeling: Randomiseret
  • Interventionel model: Parallel tildeling
  • Maskning: Ingen (Åben etiket)

Våben og indgreb

Deltagergruppe / Arm
Intervention / Behandling
Aktiv komparator: REZŪM

Subjects randomized to receive the REZŪM treatment will receive standardized treatment, following the Instruction for Use (IFU). The REZŪM System is intended to relieve symptoms, obstructions, and reduce prostate tissue associated with benign prostatic hyperplasia (BPH). It is indicated for men with a prostate volume ≥ 30 ml. The REZŪM System is also indicated for treatment of prostate with hyperplasia of the central zone and/or a median lobe.

1:1 randomization will occur via the electronic data capture (EDC) system.

Subjects randomized to receive the REZŪM treatment will receive standardized treatment, following the Instruction for Use.

Aktiv komparator: Dual Drug Therapy

Subjects assigned to dual drug therapy will be treated with the local formulary preferred choice of commercially available urinary selective alpha blocker and 5-alpha reductase inhibitor. This arm will therefore represent local standard of care.

Subjects assigned to dual drug therapy will be treated with the local formulary preferred choice of commercially available urinary selective alpha blocker and 5-alpha reductase inhibitor. This arm will therefore represent local standard of care.

Andre navne:
  • Dobbelt lægemiddelterapi

Hvad måler undersøgelsen?

Primære resultatmål

Resultatmål
Foranstaltningsbeskrivelse
Tidsramme
International Prostate Symptom Score (IPSS) change
Tidsramme: From Baseline to 12 months

Primary Statistical Hypothesis: Change in IPSS score will be compared between groups. IPSS score ranges from 0 to 35 with higher scores indicating worse symptoms.

From Baseline to 12 months
Male Sexual Health Questionnaire (MSHQ) total score change
Tidsramme: From Baseline to 12 months

Change in MHSQ score will be compared between groups. MHSQ score ranges from 0 to 125 with higher scores indicating better outcomes.

From Baseline to 12 months

Sekundære resultatmål

Resultatmål
Foranstaltningsbeskrivelse
Tidsramme
Disease Progression
Tidsramme: End of available follow-up, up to 24 months

Disease progression, defined as occurrence of any of the following:

  • Surgical retreatment for LUTS/BPH
  • Urinary retention requiring urinary catheterization after 90 days post-treatment
  • IPSS increase from baseline by ≥ 4 points
  • Introduction of a new drug agent to treat LUTS/BPH
End of available follow-up, up to 24 months

Samarbejdspartnere og efterforskere

Det er her, du vil finde personer og organisationer, der er involveret i denne undersøgelse.

Sponsor

Efterforskere

  • Ledende efterforsker: Romain Mathieu, Professor, CHU Rennes, Hôpital Pontchaillou
  • Ledende efterforsker: Evanguelos Xylinas, Ass. Prof., Hôpital Bichat

Datoer for undersøgelser

Disse datoer sporer fremskridtene for indsendelser af undersøgelsesrekord og resumeresultater til ClinicalTrials.gov. Studieregistreringer og rapporterede resultater gennemgås af National Library of Medicine (NLM) for at sikre, at de opfylder specifikke kvalitetskontrolstandarder, før de offentliggøres på den offentlige hjemmeside.

Studer store datoer

Studiestart (Faktiske)

15. september 2021

Primær færdiggørelse (Faktiske)

11. december 2025

Studieafslutning (Anslået)

1. december 2026

Datoer for studieregistrering

Først indsendt

6. april 2021

Først indsendt, der opfyldte QC-kriterier

8. april 2021

Først opslået (Faktiske)

9. april 2021

Opdateringer af undersøgelsesjournaler

Sidste opdatering sendt (Faktiske)

12. november 2026

Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier

10. november 2026

Sidst verificeret

1. november 2026

Mere information

Begreber relateret til denne undersøgelse

Plan for individuelle deltagerdata (IPD)

Planlægger du at dele individuelle deltagerdata (IPD)?

INGEN

Lægemiddel- og udstyrsoplysninger, undersøgelsesdokumenter

Studerer et amerikansk FDA-reguleret lægemiddelprodukt

Ingen

Studerer et amerikansk FDA-reguleret enhedsprodukt

Ja

produkt fremstillet i og eksporteret fra U.S.A.

Ja

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