- ICH GCP
- Registro de ensaios clínicos dos EUA
- Ensaio Clínico NCT05696444
[Teste do dispositivo que não é aprovado ou liberado pelo FDA dos EUA]
This study will evaluate the safety and performance of the Medtronic Hugo™ RAS System when used for urologic RAS procedures.
Visão geral do estudo
Status
Condições
Intervenção / Tratamento
Descrição detalhada
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).
Tipo de estudo
Inscrição (Real)
Estágio
- Não aplicável
Contactos e Locais
Locais de estudo
-
-
California
-
Duarte, California, Estados Unidos, 91010
- City of Hope
-
-
Illinois
-
Chicago, Illinois, Estados Unidos, 60612
- University of Chiago
-
-
New York
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New York, New York, Estados Unidos, 10029
- Mount Sinai
-
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North Carolina
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Durham, North Carolina, Estados Unidos, 27710
- Duke Medical Center
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Ohio
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Cleveland, Ohio, Estados Unidos, 44195
- Cleveland Clinic
-
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Washington
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Seattle, Washington, Estados Unidos, 98122
- Swedish Medical Center
-
-
Critérios de participação
Critérios de elegibilidade
Idades elegíveis para estudo
Aceita Voluntários Saudáveis
Gêneros Elegíveis para o Estudo
Descrição
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
Plano de estudo
Como o estudo é projetado?
Detalhes do projeto
- Finalidade Principal: Tratamento
- Alocação: N / D
- Modelo Intervencional: Atribuição de grupo único
- Mascaramento: Nenhum (rótulo aberto)
Armas e Intervenções
Grupo de Participantes / Braço |
Intervenção / Tratamento |
|---|---|
|
Outro: 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. |
O que o estudo está medindo?
Medidas de resultados primários
Medida de resultado |
Descrição da medida |
Prazo |
|---|---|---|
|
Primary Effectiveness Endpoint - Surgical Success Rate, Defined as the Procedure Not Going Into Conversion
Prazo: 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.
Prazo: 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
|
Medidas de resultados secundários
Medida de resultado |
Descrição da medida |
Prazo |
|---|---|---|
|
Secondary Endpoint - Overall Complication Rate From First Incision Through 30 Days Post-procedure.
Prazo: 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)
Prazo: 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).
Prazo: intraoperative
|
Intraoperative estimated blood loss shall be collected through the length of the procedure. |
intraoperative
|
|
Secondary Endpoint - Transfusion Rate Through 30 Days.
Prazo: 30 days
|
Transfusion rate shall be collected through 30 days post-procedure |
30 days
|
|
Secondary Endpoint - Rate of Device-related Conversions
Prazo: intraoperative
|
Rate of device-related conversions shall be collected through the length of the procedure. |
intraoperative
|
|
Secondary Endpoint - Hospital Length of Stay (Days)
Prazo: 30 days
|
Hospital length of stay (days) shall be collected through 30 days post-procedure. |
30 days
|
|
Secondary Endpoint - Readmission Rate (Through 30 Days)
Prazo: 30 days
|
Readmission rate shall be collected though 30 days post-procedure. |
30 days
|
|
Secondary Endpoint - Reoperation Rate (Through 30 Days).
Prazo: 30 days
|
Reoperation rate shall be collected through 30 days post-procedure. |
30 days
|
|
Secondary Endpoint - Mortality Rate (Through 30 Days).
Prazo: 30 days
|
Mortality rate shall be collected through 30 days post-procedure. |
30 days
|
|
Secondary Endpoint - Progression-free Survival
Prazo: 5 years
|
Progression-free survival rate will be assessed through 5 years in oncologic subjects. |
5 years
|
|
Secondary Endpoint - Disease-free Survival
Prazo: 5 years
|
Disease-free survival rate will be assessed through 5 years in oncologic subjects. |
5 years
|
|
Secondary Endpoint - Overall Survival
Prazo: 5 years
|
Overall survival rate will be assessed through 5 years in oncologic subjects. |
5 years
|
Colaboradores e Investigadores
Patrocinador
Investigadores
- Cadeira de estudo: Michael Abern, MD, Duke Medical Center
Publicações e links úteis
Datas de registro do estudo
Datas Principais do Estudo
Início do estudo (Real)
Conclusão Primária (Real)
Conclusão do estudo (Estimado)
Datas de inscrição no estudo
Enviado pela primeira vez
Enviado pela primeira vez que atendeu aos critérios de CQ
Primeira postagem (Real)
Atualizações de registro de estudo
Última Atualização Postada (Real)
Última atualização enviada que atendeu aos critérios de controle de qualidade
Última verificação
Mais Informações
Termos relacionados a este estudo
Termos MeSH relevantes adicionais
- Doenças urogenitais
- Doenças Genitais
- Processos Patológicos
- Neoplasias Genitais Masculinas
- Neoplasias urogenitais
- Neoplasias por local
- Neoplasias
- Doenças Genitais, Masculino
- Doenças prostáticas
- Doenças Urogenitais Masculinas
- Doenças renais
- Doenças Urológicas
- Doenças Urogenitais Femininas
- Doenças urogenitais femininas e complicações na gravidez
- Doença crônica
- Atributos da doença
- Neoplasias por Tipo Histológico
- Neoplasias Glandulares e Epiteliais
- Adenocarcinoma
- Insuficiência renal
- Neoplasias Urológicas
- Carcinoma
- Doenças da Bexiga Urinária
- Insuficiência Renal Crônica
- Cistite
- Doenças e Anormalidades Congênitas, Hereditárias e Neonatais
- Condições Patológicas, Sinais e Sintomas
- Anomalias congénitas
- Neoplasias prostáticas
- Neoplasias Pélvicas
- Carcinoma de Células Renais
- Neoplasias da Bexiga Urinária
- Insuficiência Renal Crônica
- Neoplasias Renais
- Cistite Intersticial
Outros números de identificação do estudo
- MDT19051EINURO
Plano para dados de participantes individuais (IPD)
Planeja compartilhar dados de participantes individuais (IPD)?
Informações sobre medicamentos e dispositivos, documentos de estudo
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