RecruitingNot ApplicableNCT04757116

Post-Market Study to Assess iTind Safety in Comparison to UroLift

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)


Sponsor

Olympus Corporation of the Americas

Enrollment

206 participants

Start Date

Sep 26, 2022

Study Type

INTERVENTIONAL

Conditions

Summary

The study objective is to evaluate the safety of the iTind device comparied to UroLift.


Eligibility

Sex: MALEMin Age: 50 Years

Inclusion Criteria8

  • 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/dl, ng/ml or if the PSA is 4 - 10 ng/dl, 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 if the subject was not on 5-alpha reductase inhibitors (5ARIs) at that time
  • International Prostate Symptom Score (IPSS) ≥ 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 Criteria18

  • 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 or suspected bladder cancer within the last 2 years
  • 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/dl, 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 if the therapy may potentially cause injury to sites or previous rectal surgery (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 that may prevent insertion of the iTind or UroLift device
  • An active urinary tract infection
  • Hematuria or cystolithiasis within the last 3 months
  • Prostate volume \> 75 cc
  • Post-void residual volume (PVR) \> 250 mL
  • Actively using catheterization or unable to void naturally
  • Unable to complete the required washout period for alpha blockers
  • Taking anti-platelet or anticoagulants (except low dose aspirin - 81 mg - 100 mg) within the last 7 days prior to randomization
  • Known or suspected allergy to nickel, titanium or polyester/polypropylene

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Interventions

DEVICEiTind

The iTind is implemented for 5-7 days

PROCEDUREUroLift

UroLift is a minimally invasive procedure where permanent implants are placed in the prostate.


Locations(18)

Mayo Clinic Arizona

Phoenix, Arizona, United States

Arizona Urology Specialists

Tucson, Arizona, United States

Urology Associates of Central California

Fresno, California, United States

Golden State Urology

Sacramento, California, United States

NorthShore University Health System Research Institute

Evanston, Illinois, United States

Southeast Louisiana Veterans Health Care System

New Orleans, Louisiana, United States

Minnesota Urology

Woodbury, Minnesota, United States

Adult & Pediatric Urology

Omaha, Nebraska, United States

Pacific West Urology

Las Vegas, Nevada, United States

Feinstein Institutes for Medical Research / Northwell Health

Syosset, New York, United States

The Conrad Pearson Clinic

Germantown, Tennessee, United States

Midtown Urology Associates

Austin, Texas, United States

Houston Metro Urology

Houston, Texas, United States

The Urology Place

San Antonio, Texas, United States

Potomac Urology Center

Alexandria, Virginia, United States

Queen Margaret Hospital

Dunfermline, United Kingdom

Frimley Park Hospital

London, United Kingdom

Norfolk & Norwich University Hospital

Norwich, United Kingdom

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NCT04757116


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