RecruitingPhase 3NCT06873581

Pivotal Study of Voro Urologic Scaffold

A Pivotal Study of Voro Urologic Scaffold for the Treatment of Post Prostatectomy Stress Urinary Incontinence (ARID II)


Sponsor

Levee Medical, Inc.

Enrollment

266 participants

Start Date

Apr 18, 2025

Study Type

INTERVENTIONAL

Conditions

Summary

The objective of this study is to compare safety and effectiveness of the Voro Urologic Scaffold in adult men undergoing robotic assisted radical prostatectomy as compared to control arm. The study is a multi-center, single blind, randomized, controlled trial. Up to 266 participants will be treated at up to 30 centers in the United States. The study will consist of a Baseline visit, implantation during robotic assisted radical prostatectomy (RARP), catheter removal, 6 weeks, 6 months, 12 months, 18 months, and 24 months.


Eligibility

Sex: MALEMin Age: 45 Years

Inclusion Criteria23

  • Male \>= 45 years of age of any race and ethnic group
  • Diagnosed with prostate cancer and scheduled for radical prostatectomy
  • Gleason Grade Group 4 or lower
  • Prostate size less than 80 grams, as measured by Magnetic Resonance Imaging (MRI)
  • Able and willing to provide written consent to participate in the study
  • Able and willing to comply with study follow-up visits and procedures
  • Willing to forego any other procedures for stress urinary incontinence (SUI) during the study
  • History of bladder malignancy
  • Diagnosed or suspected primary neurologic conditions known to affect voiding function
  • History of clinically significant congestive heart failure (i.e., New York Heart Association \[NYHA\] Class III and IV)
  • Current uncontrolled diabetes (i.e., hemoglobin A1c \[glycated hemoglobin or glycosylated hemoglobin\] \>=7.5%)
  • Current overactive bladder defined as a score of \> 8 on the Overactive Bladder Questionnaire (OAB-8) administered at the baseline visit
  • History of immunosuppressive conditions or on medications which modulate the immune system
  • Any significant medical history that would pose an unreasonable risk or make the participant unsuitable for the study per investigator discretion
  • Participant with planned concomitant surgery
  • Anterior fascial sparing radical prostatectomy
  • Retzius sparing radical prostatectomy
  • Participant currently participating in other investigational studies unless approved by the Sponsor in writing
  • Participant is, in the investigator's judgement, part of a vulnerable population, including but not limited to:
  • Prisoners
  • Individuals pending incarceration
  • Individuals experiencing any cognitive or psychiatric condition that interferes with or precludes direct and accurate communication with the study investigator regarding the study or affects the ability to complete the study quality of life questionnaires
  • Planned adjuvant radiation therapy

Exclusion Criteria13

  • Malignant tumors with known bladder neck or urethral sphincter invasion or metastatic disease confirmed via baseline assessments (example \[e.g.,\] Multiparametric magnetic resonance imaging \[mpMRI\], bone scan)
  • History of urinary incontinence, including stress or urge urinary incontinence
  • Demonstration of SUI, such as positive 1 hour pad weight test or participant reported incontinence episodes
  • Currently treated with medications to treat overactive bladder (OAB)
  • Post void residual \>200 milliliter (ml) or \> 25 percentage (%) total volume(= voided volume + residual volume)
  • Presence of urethral stricture or bladder neck contracture
  • History of urethral stricture
  • Current or chronic urinary tract infection
  • Prior urologic outlet surgical or minimally invasive procedure (e.g., Transurethral resection of the prostate \[TURP\], Holmium laser enucleation of the prostate \[HoLEP,\] Rezum, etc.).
  • Prior pelvic radiation or anticipated need for radiation after radical prostatectomy
  • History of neurogenic lower urinary tract dysfunction
  • History or current need for intermittent urinary catheterization
  • Body mass index \>40

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Interventions

DEVICEVoro Urologic Scaffold

The Voro Urologic Scaffold is placed during the prostatectomy procedure after prostate removal.


Locations(20)

Mayo Clinic

Phoenix, Arizona, United States

Academic Urology

Sun City, Arizona, United States

UCLA Urology

Los Angeles, California, United States

University of California San Diego

San Diego, California, United States

Tampa General Hospital

Tampa, Florida, United States

University of Chicago Medicine

Chicago, Illinois, United States

IU school of Medicine, Department of Urology

Indianapolis, Indiana, United States

University of Maryland

Baltimore, Maryland, United States

John Hopkins

Baltimore, Maryland, United States

Corewell Health William Beaumont University Hospital

Royal Oak, Michigan, United States

BMHCC/ Mississippi Urology Clinic

Jackson, Mississippi, United States

Northwell Health

New Hyde Park, New York, United States

Memorial Sloan Kettering Cancer Center

New York, New York, United States

University of Rochester Medical Center

Rochester, New York, United States

Erlanger Urology

Chattanooga, Tennessee, United States

The Conrad Pearson Clinic

Germantown, Tennessee, United States

Urology Associates PC Nashville

Nashville, Tennessee, United States

Urology of Austin

Austin, Texas, United States

Potomac Urology Center

Alexandria, Virginia, United States

Urology of Virginia, PLLC

Virginia Beach, Virginia, United States

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NCT06873581


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