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- Klinische proef NCT04757116
Een gerandomiseerde, internationale studie om de veiligheid van iTind te beoordelen in vergelijking met UroLift (MT-08)
Een post-market, prospectieve, gerandomiseerde, gecontroleerde, multicenter internationale studie om de veiligheid van het tijdelijk geïmplanteerde nitinol-apparaat (iTind) te beoordelen in vergelijking met het UroLift®-systeem bij proefpersonen met symptomatische goedaardige prostaathyperplasie (BPH)
The study objective is to evaluate the efficacy and safety of the iTind device compared to UroLift.
Studie Overzicht
Toestand
Interventie / Behandeling
Gedetailleerde beschrijving
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.
Studietype
Inschrijving (Geschat)
Fase
- Niet toepasbaar
Contacten en locaties
Studiecontact
- Naam: Melanie Bonds, MS
- Telefoonnummer: +1-703-851-4615
- E-mail: Melanie.Bonds@olympus.com
Studie Locaties
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Dunfermline, Verenigd Koninkrijk, KY12 0SU
- Werving
- Queen Margaret Hospital
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Hoofdonderzoeker:
- Feras Al Jaafari, MD
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Contact:
- Keith Boath
- Telefoonnummer: 20951 +44-1383-623623
- E-mail: Keith.boath@nhs.scot
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London, Verenigd Koninkrijk, GU16 7UJ
- Werving
- Frimley Park Hospital
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Hoofdonderzoeker:
- Neil Barber, MD
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Contact:
- Reynette Baroman
- E-mail: r.baroman@nhs.net
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Norwich, Verenigd Koninkrijk, NR4 7UY
- Werving
- Norfolk & Norwich University Hospital
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Hoofdonderzoeker:
- Mark Rochester, MD
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Contact:
- Catherine Rennie
- Telefoonnummer: +44-1603 646105
- E-mail: catherine.rennie@nnuh.nhs.uk
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Middlesex
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Isleworth, Middlesex, Verenigd Koninkrijk, TW7 6AF
- Werving
- Chelsea and Westminster Hospital
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Hoofdonderzoeker:
- Samuel Bishara, MD
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Contact:
- Farrah Akkouch
- Telefoonnummer: +44 (0)20 321 5181
- E-mail: chelwest.wmh.olympus@nhs.net
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Arizona
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Phoenix, Arizona, Verenigde Staten, 85054
- Werving
- Mayo Clinic Arizona
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Hoofdonderzoeker:
- Mitchell Humphreys, MD
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Contact:
- Rev Vilasan Shylaja
- Telefoonnummer: 480-574-1466
- E-mail: VilasanShylaja.Revathy@mayo.edu
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Tucson, Arizona, Verenigde Staten, 85704
- Beëindigd
- Arizona Urology Specialists
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California
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Fresno, California, Verenigde Staten, 93720
- Werving
- Urology Associates of Central California
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Hoofdonderzoeker:
- William Schiff, MD
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Contact:
- Joe Vidal
- Telefoonnummer: 559-321-2919 559-720-3646
- E-mail: jvidal@urologyassociates.net
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Sacramento, California, Verenigde Staten, 95823
- Werving
- Golden State Urology
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Hoofdonderzoeker:
- Prithipal Sethi, MD
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Contact:
- Sehaj Sethi
- Telefoonnummer: 308 916-245-8888
- E-mail: ssethi@goldenstateurology.com
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Illinois
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Evanston, Illinois, Verenigde Staten, 60201
- Beëindigd
- NorthShore University Health System Research Institute
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Louisiana
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New Orleans, Louisiana, Verenigde Staten, 70119
- Actief, niet wervend
- Southeast Louisiana Veterans Health Care System
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Minnesota
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Woodbury, Minnesota, Verenigde Staten, 55125
- Ingetrokken
- Minnesota Urology
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Nebraska
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Omaha, Nebraska, Verenigde Staten, 68124
- Werving
- The Urology Center
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Hoofdonderzoeker:
- Sida Niu, MD
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Contact:
- Amy Nelson
- Telefoonnummer: 402-397-7989
- E-mail: anelson@adultpediatricuro.com
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Nevada
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Las Vegas, Nevada, Verenigde Staten, 89121
- Werving
- Pacific West Urology
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Contact:
- John Dull
- Telefoonnummer: 702-321-8045
- E-mail: john.dull@pacificwesturology.com
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Hoofdonderzoeker:
- Joel Abbott, MD
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New York
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Syosset, New York, Verenigde Staten, 11791
- Werving
- Feinstein Institutes for Medical Research / Northwell Health
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Hoofdonderzoeker:
- Bilal Chughtai, MD
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Contact:
- Jennifer Polo
- Telefoonnummer: 516-628-5926
- E-mail: jpolo1@northwell.edu
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Tennessee
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Germantown, Tennessee, Verenigde Staten, 38138
- Werving
- The Conrad Pearson Clinic
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Hoofdonderzoeker:
- Adam Stewart, MD
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Contact:
- Jessica Parks
- Telefoonnummer: 901-464-2711
- E-mail: jessica.parks@conradpearson.com
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Texas
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Austin, Texas, Verenigde Staten, 78705
- Werving
- Midtown Urology Associates
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Hoofdonderzoeker:
- Tyler McClintock, MD
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Contact:
- Andrew Barger
- Telefoonnummer: 512-451-7935
- E-mail: APBarger@cimplify.net
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Houston, Texas, Verenigde Staten, 77027
- Werving
- Houston Metro Urology
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Contact:
- Lena Ellis
- Telefoonnummer: 713-634-4405
- E-mail: lena.ellis@hmutx.com
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Hoofdonderzoeker:
- Mark Sutton, MD
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San Antonio, Texas, Verenigde Staten, 78240
- Werving
- The Urology Place
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Hoofdonderzoeker:
- Naveen Kella, MD
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Contact:
- Raji Thiruppathiraj
- Telefoonnummer: 210-617-3670
- E-mail: raji@theupi.com
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Virginia
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Alexandria, Virginia, Verenigde Staten, 22311
- Werving
- Potomac Urology Center
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Hoofdonderzoeker:
- Nilay Gandhi, MD
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Contact:
- Chamin Lim
- Telefoonnummer: 423 703-680-2111
- E-mail: clim@potomacurology.com
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Deelname Criteria
Geschiktheidscriteria
Leeftijden die in aanmerking komen voor studie
Accepteert gezonde vrijwilligers
Geslachten die in aanmerking komen voor studie
Beschrijving
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
Studie plan
Hoe is de studie opgezet?
Ontwerpdetails
- Primair doel: Behandeling
- Toewijzing: Gerandomiseerd
- Interventioneel model: Parallelle opdracht
- Masker: Geen (open label)
Wapens en interventies
Deelnemersgroep / Arm |
Interventie / Behandeling |
|---|---|
|
Experimenteel: iTind arm
The iTind is a minimally invasive temporary implant |
The iTind is implemented for 5-7 days |
|
Actieve vergelijker: UroLift
The UroLift is a minimally invasive permanent implant |
UroLift is a minimally invasive procedure where permanent implants are placed in the prostate. |
Wat meet het onderzoek?
Primaire uitkomstmaten
Uitkomstmaat |
Maatregel Beschrijving |
Tijdsspanne |
|---|---|---|
|
Difference in change of IPSS from baseline between iTind and UroLift groups at 3 months
Tijdsspanne: 3 months
|
Difference in change of IPSS from baseline between iTind and UroLift groups at 3 months |
3 months
|
Secundaire uitkomstmaten
Uitkomstmaat |
Maatregel Beschrijving |
Tijdsspanne |
|---|---|---|
|
Difference in change of IPSS from baseline between iTind and UroLift groups at 12 months
Tijdsspanne: 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.
Tijdsspanne: 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
Tijdsspanne: 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
Tijdsspanne: 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
Tijdsspanne: 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
Tijdsspanne: 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
|
Medewerkers en onderzoekers
Medewerkers
Onderzoekers
- Hoofdonderzoeker: Neil Barber, MD, Frimley Park Hospital
- Hoofdonderzoeker: Bilal Chughtai, MD, Northwell Health
Publicaties en nuttige links
Nuttige links
Studie record data
Bestudeer belangrijke data
Studie start (Werkelijk)
Primaire voltooiing (Geschat)
Studie voltooiing (Geschat)
Studieregistratiedata
Eerst ingediend
Eerst ingediend dat voldeed aan de QC-criteria
Eerst geplaatst (Werkelijk)
Updates van studierecords
Laatste update geplaatst (Werkelijk)
Laatste update ingediend die voldeed aan QC-criteria
Laatst geverifieerd
Meer informatie
Termen gerelateerd aan deze studie
Aanvullende relevante MeSH-voorwaarden
Andere studie-ID-nummers
- MT-08
Plan Individuele Deelnemersgegevens (IPD)
Bent u van plan om gegevens van individuele deelnemers (IPD) te delen?
Informatie over medicijnen en apparaten, studiedocumenten
Bestudeert een door de Amerikaanse FDA gereguleerd geneesmiddel
Bestudeert een door de Amerikaanse FDA gereguleerd apparaatproduct
product vervaardigd in en geëxporteerd uit de V.S.
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