MRI Guided Transrectal Prostate Laser Ablation for Benign Prostatic Hypertrophy (BPH)

NCT ID: NCT03131544

Last Updated: 2024-04-25

Study Results

Results available

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

10 participants

Study Classification

INTERVENTIONAL

Study Start Date

2017-04-17

Study Completion Date

2020-05-15

Brief Summary

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Over 100,000 BPH procedures are performed annually in the US. The purpose of this study is to evaluate the effectiveness of performing MRI guided transrectal laser ablation using a 980 nm laser (VisualaseTM by Medtronic, Inc., a Minnesota, U.S.A. company) to treat benign prostatic hypertrophy (BPH). The laser system will be used to necrotize urological soft tissue within the prostate under MRI guidance. This will be a single center, single arm prospective trial with an anticipated enrollment of 10 men. Patients who elect this treatment option and choose to be part of the study will be enrolled consecutively.

Detailed Description

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Conditions

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BPH Prostate Hyperplasia Urinary Frequency/Urgency

Study Design

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Allocation Method

NA

Intervention Model

SINGLE_GROUP

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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FLA for BPH Active Treatment

Group Type EXPERIMENTAL

MRI Guided Transrectal Periuretheral Transitional Zone Ablation

Intervention Type DEVICE

Patients will undergo an MRI guided transrectal ablation of tissue within the periuretheral transitional zone.

Interventions

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MRI Guided Transrectal Periuretheral Transitional Zone Ablation

Patients will undergo an MRI guided transrectal ablation of tissue within the periuretheral transitional zone.

Intervention Type DEVICE

Other Intervention Names

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Visualase

Eligibility Criteria

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Inclusion Criteria

1. Diagnosis of lower urinary track symptoms (LUTS).
2. Prostate volume of 40 - 200 cc.
3. Men ≥ 45 years old.
4. IPSS ≥ 15.
5. BPH Impact Index ≥ 5.

Exclusion Criteria

1. History of prostate or bladder cancer, pelvic radiation, untreated bladder stones, or findings suggestive of likely underlying prostate cancer.
2. Need to catheterize to relieve obstruction.
3. Daily use of incontinence materials/padding.
4. Neurogenic or hypotonic bladder, Parkinson's Disease, or a history of uncontrolled diabetes.
5. Prior interventional or surgical treatment of BPH.
6. Penile prosthesis.
7. Artificial urinary sphincter or collagen bladder injection.
8. Urethral stricture.
9. Bleeding disorder/coagulopathy.
10. Inability to refrain from blood thinners in the peri-procedural period.
11. Inability or chooses not to provide informed consent.
12. Any serious medical condition which would make proceeding to treatment unsafe.
13. Significant contraindication to MRI or gadolinium contrast.
14. Hip replacement.
15. Lack of a rectum.
16. Life expectancy of less than two years.
17. Unable or unwilling to complete all required questionnaires and follow-up assessments.
Minimum Eligible Age

45 Years

Eligible Sex

MALE

Accepts Healthy Volunteers

Yes

Sponsors

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Medtronic

INDUSTRY

Sponsor Role collaborator

Prostate Laser Center, PLLC

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Locations

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Prostate Laser Center, PLLC

Houston, Texas, United States

Site Status

Countries

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United States

References

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Harman AL, Toth R, Karamanian A. Magnetic Resonance Imaging-Guided Transrectal Prostate Laser Ablation for Benign Prostatic Hyperplasia. J Vasc Interv Radiol. 2023 Nov;34(11):2024-2028. doi: 10.1016/j.jvir.2023.07.015. Epub 2023 Jul 21. No abstract available.

Reference Type DERIVED
PMID: 37481065 (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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Other Identifiers

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Prostate Laser Center BPH 01

Identifier Type: -

Identifier Source: org_study_id

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