Pivotal Study to Assess the Safety and Effectiveness of the iTind Device

NCT ID: NCT02506465

Last Updated: 2022-02-28

Study Results

Results available

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

185 participants

Study Classification

INTERVENTIONAL

Study Start Date

2015-07-31

Study Completion Date

2018-10-31

Brief Summary

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The study objectives are to demonstrate the efficacy and safety of the Medi-Tate iTIND as compared to control group (catheter only).

Detailed Description

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Medi-Tate i-Temporary Implantable Nitinol Device (iTind) is intended to treat subjects with symptomatic BPH.

A total of 150 subjects with symptomatic BPH will be enrolled into this study, according to eligibility criteria.

Study duration is 12 months and includes 7 visits: screening, screening follow up, implantation, retrieval, 6 weeks follow up, 3 months follow up and 12 months follow up.

iTind Device will be implanted for 5-7 days. Sham will be a routine Foley catheter procedure.

Conditions

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Benign Prostate Hyperplasia

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

SINGLE

Participants

Study Groups

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iTind arm

iTind implant is implant during the study for 5-7 days.

Group Type EXPERIMENTAL

iTIND

Intervention Type DEVICE

Temporary Implantable Nitinol Device (iTIND)

Sham arm

Foley catheter is used during the study

Group Type SHAM_COMPARATOR

Sham Arm

Intervention Type PROCEDURE

Foley catheter will be placed and immediately removed.

Interventions

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iTIND

Temporary Implantable Nitinol Device (iTIND)

Intervention Type DEVICE

Sham Arm

Foley catheter will be placed and immediately removed.

Intervention Type PROCEDURE

Eligibility Criteria

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Inclusion Criteria

1. Subject signed informed consent form (ICF)
2. Age 50 and above
3. Male with symptomatic BPH.
4. IPSS symptom severity score ≥ 10
5. Peak urinary flow of \< 12 ml/sec . Meeting the criterion on (2) two separate voiding trials , on a minimum voided volume of at least 125 cc for each voiding trial.
6. Prostate volume between 25 ml to 75 ml (assessed by ultrasound)
7. Blood CBC and biochemistry up to two weeks before screening demonstrating: Normal values of the PT, PTT and INR tests (anticoagulants should be stopped according to GCP)
8. Subject able to comply with the study protocol
9. Normal Urinalysis and urine culture

Exclusion Criteria

1. Cardiac arrhythmias, cardiac disease including congestive heart failure, uncontrolled diabetes mellitus, significant respiratory disease, or known immunosuppression;
2. Neurogenic bladder and/or sphincter abnormalities due to Parkinson's disease, multiple sclerosis, cerebral vascular accident, diabetes
3. A post void residual (PVR) volume \> 250 ml measured by ultrasound or acute urinary retention
4. Compromised renal function (i.e., serum creatinine level \> 1.8 mg/dl, or upper tract disease);
5. Confirmed or suspected bladder cancer;
6. Recent (within 3 months) cystolithiasis or hematuria;
7. Urethral strictures, bladder neck contracture, urinary bladder stones or other potentially confounding bladder pathology;
8. An active urinary tract infection.
9. Enrolled in another treatment trial for any disease within the past 30 days.
10. Previous colo- rectal surgery (other than hemorrhoidectomy) or history of rectal disease if the therapy may potentially cause injury to sites of previous rectal surgery, e.g., if a transrectal probe is used;
11. Previous pelvic irradiation, cryosurgery or radical pelvic surgery;
12. Previous prostate surgery, balloon dilatation, stent implantation, laser prostatectomy, hyperthermia, or any other invasive treatment to the prostate
13. History of prostatitis within the past 5 years.
14. Median lobe obstruction of the prostate.
15. Cancer that is not considered cured, except basal cell or squamous cell carcinoma of the skin (cured defined as no evidence of cancer within the past 5 years).
16. Any serious medical condition likely to impede successful completion of the study
17. Participating in any other investigational study for either drug or device which can influence collection of valid data under this study.
18. Subjects who are actively taking medications that affects urination and BPH symptoms not completing the required washout period.
19. Baseline PSA ≥ 10 ng/ml.
20. Positive DRE.
21. Baseline PSA between 2.5-10 ng/ml and free PSA \< 25%, without a subsequent negative prostate biopsy.
Minimum Eligible Age

50 Years

Maximum Eligible Age

80 Years

Eligible Sex

MALE

Accepts Healthy Volunteers

No

Sponsors

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Medi-Tate Ltd.

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Sheldon Pike, MD

Role: PRINCIPAL_INVESTIGATOR

St. John's Hospital

Locations

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Clinical Research Center of Florida

Pompano Beach, Florida, United States

Site Status

Chesapeake Urology Research Associates

Baltimore, Maryland, United States

Site Status

Methodist Hospital

Brooklyn, New York, United States

Site Status

Winthrop University

Garden City, New York, United States

Site Status

St John's Episcopal

Lawrence, New York, United States

Site Status

Integrated Medical Professionals

Long Island City, New York, United States

Site Status

Manhattan Medical research

Manhattan, New York, United States

Site Status

Weill cornell

Manhattan, New York, United States

Site Status

Premier Urology Group

New York, New York, United States

Site Status

Primier Medical Center

Poughkeepsie, New York, United States

Site Status

Carolina Uro Research Center

Myrtle Beach, South Carolina, United States

Site Status

CIUSS de l'Estrie-CHUS

Sherbrooke, Quebec, Canada

Site Status

Toronto

Toronto, , Canada

Site Status

Countries

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United States Canada

References

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Elterman D, Alshak MN, Martinez Diaz S, Shore N, Gittleman M, Motola J, Pike S, Hermann C, Terens W, Kohan A, Gonzalez R, Katz A, Schiff J, Goldfischer E, Grunberger I, Tu L, Kaminetsky J, Chughtai B. An Evaluation of Sexual Function in the Treatment of Lower Urinary Tract Symptoms Secondary to Benign Prostatic Hyperplasia in Men Treated with the Temporarily Implanted Nitinol Device. J Endourol. 2023 Jan;37(1):74-79. doi: 10.1089/end.2022.0226. Epub 2022 Oct 3.

Reference Type DERIVED
PMID: 36070450 (View on PubMed)

Provided Documents

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Document Type: Study Protocol and Statistical Analysis Plan

View Document

Related Links

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https://www.itind.com

Company website

Other Identifiers

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MT-03

Identifier Type: -

Identifier Source: org_study_id

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