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- Register voor klinische proeven in de VS.
- Klinische proef NCT05696444
[Proef van apparaat dat niet is goedgekeurd of goedgekeurd door de Amerikaanse FDA]
This study will evaluate the safety and performance of the Medtronic Hugo™ RAS System when used for urologic RAS procedures.
Studie Overzicht
Toestand
Conditie
Interventie / Behandeling
Gedetailleerde beschrijving
A prospective, multicenter, single-arm pivotal study in subjects undergoing a urologic RAS procedure using the Medtronic Hugo™ RAS System. Subjects without an oncologic indication will be followed for 30 days post-procedure. Oncologic subjects will be followed annually through 5 years. The study will be conducted in up to 6 investigative sites in the United States of America (USA).
Studietype
Inschrijving (Werkelijk)
Fase
- Niet toepasbaar
Contacten en locaties
Studie Locaties
-
-
California
-
Duarte, California, Verenigde Staten, 91010
- City of Hope
-
-
Illinois
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Chicago, Illinois, Verenigde Staten, 60612
- University of Chiago
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New York
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New York, New York, Verenigde Staten, 10029
- Mount Sinai
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North Carolina
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Durham, North Carolina, Verenigde Staten, 27710
- Duke Medical Center
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Ohio
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Cleveland, Ohio, Verenigde Staten, 44195
- Cleveland Clinic
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Washington
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Seattle, Washington, Verenigde Staten, 98122
- Swedish Medical Center
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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:
- Adult subjects (age ≥ 22 years) as required by local law
- Subject has been indicated for a radical prostatectomy, radical cystectomy, or nephrectomy (partial or radical) surgical procedure
- Subject is an acceptable candidate for a fully robotic assisted surgical procedure, a laparoscopic surgical procedure, or an open surgical procedure
- The subject is willing to participate and consents to participate, as documented by a signed and dated informed consent form
Exclusion Criteria:
- Subjects for which minimally invasive surgery is contraindicated as determined by the Investigator
- Subjects with comorbidities or medical characteristics, which would preclude the surgical procedure in the opinion of the Investigator
- Subjects diagnosed with a bleeding disorder and/or cannot be removed from their anticoagulants prior to surgery based on surgeon discretion and standard-of-care
- Non-oncology subjects with an estimated life expectancy of less than 6 months; oncology subjects considered for cystectomy with a life expectancy less than 24 months; oncology subjects considered for nephrectomy with a life expectancy less than 60 months; oncology subjects considered for prostatectomy with less than a 10-year life expectancy.
- Female subjects pregnant at the time of the surgical procedure.
- Subjects who are considered to be part of a vulnerable population (e.g., prisoners or those without sufficient mental capacity)
- Subjects who have participated in an investigational drug or device research study within 30 days of enrollment that would interfere with this study
- Subjects with active infections including but not limited to pneumonia, urinary tract, cellulitis, or bacteremia
Studie plan
Hoe is de studie opgezet?
Ontwerpdetails
- Primair doel: Behandeling
- Toewijzing: NVT
- Interventioneel model: Opdracht voor een enkele groep
- Masker: Geen (open label)
Wapens en interventies
Deelnemersgroep / Arm |
Interventie / Behandeling |
|---|---|
|
Ander: Robotic Assisted Surgery (RAS) Urologic Surgery
Robotic Assisted Surgery (RAS) urologic surgery under the umbrella of procedures outlined by the FDA (prostatectomy, cystectomy and nephrectomy). |
Subjects indicated for Robotic Assisted Surgery (RAS) for prostatectomy will have RAS surgery using the Medtronic Hugo RAS system. Subjects indicated for Robotic Assisted Surgery (RAS) for cystectomy will have RAS surgery using the Medtronic Hugo RAS system. Subjects indicated for Robotic Assisted Surgery (RAS) for nephrectomy (Radical/Partial) will have RAS surgery using the Medtronic Hugo RAS system. |
Wat meet het onderzoek?
Primaire uitkomstmaten
Uitkomstmaat |
Maatregel Beschrijving |
Tijdsspanne |
|---|---|---|
|
Primary Effectiveness Endpoint - Surgical Success Rate, Defined as the Procedure Not Going Into Conversion
Tijdsspanne: During surgical procedure
|
The primary effectiveness endpoint is the surgical success rate, defined as the procedure not going into conversion. Conversion is defined as the switch from a robotic assisted approach using the Hugo system to a robotic assisted approach utilizing an FDA cleared robotic-assisted device, laparoscopic, or open surgery. |
During surgical procedure
|
|
Primary Safety Endpoint - Rate of Subjects With Complications Meeting Grade III - Grade V Criteria Per the Clavien-Dindo Classification System.
Tijdsspanne: 30 days
|
Complications meeting Grade III criteria or higher per the Clavien-Dindo Classification system, from first incision through 30 days post-procedure. Clavien-Dindo Classification of Surgical Complications: Grade I: Any deviation from the normal postoperative course without the need for pharmacological treatment or surgical, endoscopic, and radiological interventions. Grade II: Requiring pharmacological treatment with drugs other than such allowed for grade I complications. Blood transfusions and total parenteral nutrition are also included. Grade III: Requiring surgical, endoscopic or radiological intervention Grade IIIa: Intervention not under general anesthesia Grade IIIb: Intervention under general anesthesia Grade IV: Life-threatening complication requiring IC/ICU management Grade IVa: Single organ dysfunction (including dialysis) Grade IVb: Multiorgan dysfunction Grade V: Death of a patient |
30 days
|
Secundaire uitkomstmaten
Uitkomstmaat |
Maatregel Beschrijving |
Tijdsspanne |
|---|---|---|
|
Secondary Endpoint - Overall Complication Rate From First Incision Through 30 Days Post-procedure.
Tijdsspanne: 30 days
|
Complication rate: Overall rate of subjects with one or more complications (Clavien-Dindo Grade I or higher), from the first incision through 30 days post-procedure. |
30 days
|
|
Secondary Endpoint - Operative Time (Min)
Tijdsspanne: up to 720 minutes
|
Operative time shall be collected through the length of the procedure. |
up to 720 minutes
|
|
Secondary Endpoint - Intraoperative Estimated Blood Loss (mL).
Tijdsspanne: intraoperative
|
Intraoperative estimated blood loss shall be collected through the length of the procedure. |
intraoperative
|
|
Secondary Endpoint - Transfusion Rate Through 30 Days.
Tijdsspanne: 30 days
|
Transfusion rate shall be collected through 30 days post-procedure |
30 days
|
|
Secondary Endpoint - Rate of Device-related Conversions
Tijdsspanne: intraoperative
|
Rate of device-related conversions shall be collected through the length of the procedure. |
intraoperative
|
|
Secondary Endpoint - Hospital Length of Stay (Days)
Tijdsspanne: 30 days
|
Hospital length of stay (days) shall be collected through 30 days post-procedure. |
30 days
|
|
Secondary Endpoint - Readmission Rate (Through 30 Days)
Tijdsspanne: 30 days
|
Readmission rate shall be collected though 30 days post-procedure. |
30 days
|
|
Secondary Endpoint - Reoperation Rate (Through 30 Days).
Tijdsspanne: 30 days
|
Reoperation rate shall be collected through 30 days post-procedure. |
30 days
|
|
Secondary Endpoint - Mortality Rate (Through 30 Days).
Tijdsspanne: 30 days
|
Mortality rate shall be collected through 30 days post-procedure. |
30 days
|
|
Secondary Endpoint - Progression-free Survival
Tijdsspanne: 5 years
|
Progression-free survival rate will be assessed through 5 years in oncologic subjects. |
5 years
|
|
Secondary Endpoint - Disease-free Survival
Tijdsspanne: 5 years
|
Disease-free survival rate will be assessed through 5 years in oncologic subjects. |
5 years
|
|
Secondary Endpoint - Overall Survival
Tijdsspanne: 5 years
|
Overall survival rate will be assessed through 5 years in oncologic subjects. |
5 years
|
Medewerkers en onderzoekers
Sponsor
Onderzoekers
- Studie stoel: Michael Abern, MD, Duke Medical Center
Publicaties en nuttige links
Studie record data
Bestudeer belangrijke data
Studie start (Werkelijk)
Primaire voltooiing (Werkelijk)
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
- Urogenitale ziekten
- Genitale ziekten
- Pathologische processen
- Genitale neoplasmata, mannelijk
- Urogenitale neoplasmata
- Neoplasmata per site
- Neoplasmata
- Genitale ziekten, man
- Prostaat Ziekten
- Mannelijke urogenitale ziekten
- Nier Ziekten
- Urologische ziekten
- Vrouwelijke urogenitale ziekten
- Vrouwelijke urogenitale ziekten en zwangerschapscomplicaties
- Chronische ziekte
- Ziekte attributen
- Neoplasmata per histologisch type
- Neoplasmata, glandulair en epitheel
- Adenocarcinoom
- Nierinsufficiëntie
- Urologische neoplasmata
- Carcinoom
- Ziekten van de urineblaas
- Nierinsufficiëntie, chronisch
- Cystitis
- Aangeboren, erfelijke en neonatale ziekten en afwijkingen
- Pathologische aandoeningen, tekenen en symptomen
- Aangeboren afwijkingen
- Prostaatneoplasmata
- Bekkenneoplasmata
- Carcinoom, niercel
- Neoplasmata van de urineblaas
- Nierfalen, chronisch
- Nierneoplasmata
- Cystitis, interstitieel
Andere studie-ID-nummers
- MDT19051EINURO
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
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