Trial Outcomes & Findings for Prostatic Urethral Lift in Subject With Acute Urinary Retention (NCT NCT03194737)

NCT ID: NCT03194737

Last Updated: 2021-07-16

Results Overview

Success is defined as a spontaneous voided volume of ≥100 mL associated with a post void residual volume by ultrasound \<300 mL 3 days (± 1 day) after the index procedure catheter placement without the need for re-catheterisation.

Recruitment status

COMPLETED

Study phase

NA

Target enrollment

101 participants

Primary outcome timeframe

3 days (± 1 day) from index procedure

Results posted on

2021-07-16

Participant Flow

Retrospective cohort enrollment was separate from the 52 enrolled in the prospective cohort. Retrospective enrollment was based on a retrospective chart review between Jun 1, 2015 and December 31, 2015.

Participant milestones

Participant milestones
Measure
UroLift System Procedure
All eligible,enroled subjects will undergo a UroLift procedure. UroLift System Procedure: Minimally invasive procedure in patients with acute urinary retention secondary to BPH.
Retrospective Arm
Chart review will be performed on all invasive BPH surgeries (TURP, Holmium Laser Enucleation of the prostate (HoLEP), etc) performed by the site from June 1, 2015 to December 31, 2015
Overall Study
STARTED
52
49
Overall Study
COMPLETED
47
49
Overall Study
NOT COMPLETED
5
0

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Race and Ethnicity were not collected from any participant.

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
UroLift System Procedure
n=52 Participants
All eligible,enroled subjects will undergo a UroLift procedure. UroLift System Procedure: Minimally invasive procedure in patients with acute urinary retention secondary to BPH.
Retrospective Arm
n=49 Participants
Chart review will be performed on all invasive BPH surgeries (TURP, Holmium Laser Enucleation of the prostate (HoLEP), etc) performed by the site from June 1, 2015 to December 31, 2015
Total
n=101 Participants
Total of all reporting groups
Age, Continuous
71.3 years
STANDARD_DEVIATION 7.9 • n=52 Participants
72.7 years
STANDARD_DEVIATION 8.0 • n=49 Participants
72.0 years
STANDARD_DEVIATION 8.0 • n=101 Participants
Sex: Female, Male
Female
0 Participants
n=52 Participants
0 Participants
n=49 Participants
0 Participants
n=101 Participants
Sex: Female, Male
Male
52 Participants
n=52 Participants
49 Participants
n=49 Participants
101 Participants
n=101 Participants
Race and Ethnicity Not Collected
0 Participants
Race and Ethnicity were not collected from any participant.
Region of Enrollment
United Kingdom
52 participants
n=52 Participants
49 participants
n=49 Participants
101 participants
n=101 Participants
Duration of Lower Urinary Tract Symptoms (LUTS)
<1 year
12 Participants
n=52 Participants
18 Participants
n=49 Participants
30 Participants
n=101 Participants
Duration of Lower Urinary Tract Symptoms (LUTS)
1-5 years
19 Participants
n=52 Participants
22 Participants
n=49 Participants
41 Participants
n=101 Participants
Duration of Lower Urinary Tract Symptoms (LUTS)
6-10 years
12 Participants
n=52 Participants
3 Participants
n=49 Participants
15 Participants
n=101 Participants
Duration of Lower Urinary Tract Symptoms (LUTS)
>=10 years
9 Participants
n=52 Participants
6 Participants
n=49 Participants
15 Participants
n=101 Participants

PRIMARY outcome

Timeframe: 3 days (± 1 day) from index procedure

Population: Trial Without Catheter information for retrospective arm was recorded as available from medical record, information from the UroLift System was prospectively collected

Success is defined as a spontaneous voided volume of ≥100 mL associated with a post void residual volume by ultrasound \<300 mL 3 days (± 1 day) after the index procedure catheter placement without the need for re-catheterisation.

Outcome measures

Outcome measures
Measure
UroLift System Procedure
n=52 Participants
All eligible, enrolled subjects will undergo a UroLift procedure. UroLift System Procedure: Minimally invasive procedure in patients with acute urinary retention secondary to BPH.
Retrospective Arm
n=49 Participants
Chart review will be performed on all invasive BPH surgeries (TURP, Holmium Laser Enucleation of the prostate (HoLEP), etc) performed by the site from June 1, 2015 to December 31, 2015
Successful Trial Without Catheter Peri-procedurally
29 Participants
0 Participants

SECONDARY outcome

Timeframe: Through 3 months

Population: Retrospective arm events were recorded from medical record and was not prospectively collected by sites compared to events collected prospectively from the UroLift System

Number of patients who experienced adjudicated Serious Adverse Events related to Benign prostatic hyperplasia (BPH) Intervention Procedure or Device

Outcome measures

Outcome measures
Measure
UroLift System Procedure
n=52 Participants
All eligible, enrolled subjects will undergo a UroLift procedure. UroLift System Procedure: Minimally invasive procedure in patients with acute urinary retention secondary to BPH.
Retrospective Arm
n=49 Participants
Chart review will be performed on all invasive BPH surgeries (TURP, Holmium Laser Enucleation of the prostate (HoLEP), etc) performed by the site from June 1, 2015 to December 31, 2015
Number of Participants With Serious Adverse Events Related to Benign Prostatic Hyperplasia (BPH) Intervention
4 Participants
1 Participants

Adverse Events

UroLift System Procedure

Serious events: 7 serious events
Other events: 36 other events
Deaths: 0 deaths

Retrospective Arm

Serious events: 2 serious events
Other events: 29 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
UroLift System Procedure
n=52 participants at risk
All eligible,enroled subjects will undergo a UroLift procedure. UroLift System Procedure: Minimally invasive procedure in patients with acute urinary retention secondary to BPH.
Retrospective Arm
n=49 participants at risk
Chart review will be performed on all invasive BPH surgeries (TURP, Holmium Laser Enucleation of the prostate (HoLEP), etc) performed by the site from June 1, 2015 to December 31, 2015
Renal and urinary disorders
Haematuria
3.8%
2/52 • Number of events 2 • Index procedure and up to 1 year
An AE is defined as any undesirable medical occurrence in a clinical trial subject, whether it is considered to be related to the device or not, that includes a clinical sign, symptom, or condition An (SAE) is defined as untoward occurrence that:(a) death; (b) life-threatening; (c) requires hospitalisation or prolongation of existing hospitalisation (d) results in persistent or significant disability or incapacity; or (e) is otherwise considered medically significant by the investigator
2.0%
1/49 • Number of events 1 • Index procedure and up to 1 year
An AE is defined as any undesirable medical occurrence in a clinical trial subject, whether it is considered to be related to the device or not, that includes a clinical sign, symptom, or condition An (SAE) is defined as untoward occurrence that:(a) death; (b) life-threatening; (c) requires hospitalisation or prolongation of existing hospitalisation (d) results in persistent or significant disability or incapacity; or (e) is otherwise considered medically significant by the investigator
Renal and urinary disorders
Urinary tract infection
3.8%
2/52 • Number of events 2 • Index procedure and up to 1 year
An AE is defined as any undesirable medical occurrence in a clinical trial subject, whether it is considered to be related to the device or not, that includes a clinical sign, symptom, or condition An (SAE) is defined as untoward occurrence that:(a) death; (b) life-threatening; (c) requires hospitalisation or prolongation of existing hospitalisation (d) results in persistent or significant disability or incapacity; or (e) is otherwise considered medically significant by the investigator
2.0%
1/49 • Number of events 1 • Index procedure and up to 1 year
An AE is defined as any undesirable medical occurrence in a clinical trial subject, whether it is considered to be related to the device or not, that includes a clinical sign, symptom, or condition An (SAE) is defined as untoward occurrence that:(a) death; (b) life-threatening; (c) requires hospitalisation or prolongation of existing hospitalisation (d) results in persistent or significant disability or incapacity; or (e) is otherwise considered medically significant by the investigator
Renal and urinary disorders
Blood clot in urine
1.9%
1/52 • Number of events 1 • Index procedure and up to 1 year
An AE is defined as any undesirable medical occurrence in a clinical trial subject, whether it is considered to be related to the device or not, that includes a clinical sign, symptom, or condition An (SAE) is defined as untoward occurrence that:(a) death; (b) life-threatening; (c) requires hospitalisation or prolongation of existing hospitalisation (d) results in persistent or significant disability or incapacity; or (e) is otherwise considered medically significant by the investigator
0.00%
0/49 • Index procedure and up to 1 year
An AE is defined as any undesirable medical occurrence in a clinical trial subject, whether it is considered to be related to the device or not, that includes a clinical sign, symptom, or condition An (SAE) is defined as untoward occurrence that:(a) death; (b) life-threatening; (c) requires hospitalisation or prolongation of existing hospitalisation (d) results in persistent or significant disability or incapacity; or (e) is otherwise considered medically significant by the investigator
Gastrointestinal disorders
Intestinal bleeding
1.9%
1/52 • Number of events 1 • Index procedure and up to 1 year
An AE is defined as any undesirable medical occurrence in a clinical trial subject, whether it is considered to be related to the device or not, that includes a clinical sign, symptom, or condition An (SAE) is defined as untoward occurrence that:(a) death; (b) life-threatening; (c) requires hospitalisation or prolongation of existing hospitalisation (d) results in persistent or significant disability or incapacity; or (e) is otherwise considered medically significant by the investigator
0.00%
0/49 • Index procedure and up to 1 year
An AE is defined as any undesirable medical occurrence in a clinical trial subject, whether it is considered to be related to the device or not, that includes a clinical sign, symptom, or condition An (SAE) is defined as untoward occurrence that:(a) death; (b) life-threatening; (c) requires hospitalisation or prolongation of existing hospitalisation (d) results in persistent or significant disability or incapacity; or (e) is otherwise considered medically significant by the investigator
Nervous system disorders
Lucunar stroke
1.9%
1/52 • Number of events 1 • Index procedure and up to 1 year
An AE is defined as any undesirable medical occurrence in a clinical trial subject, whether it is considered to be related to the device or not, that includes a clinical sign, symptom, or condition An (SAE) is defined as untoward occurrence that:(a) death; (b) life-threatening; (c) requires hospitalisation or prolongation of existing hospitalisation (d) results in persistent or significant disability or incapacity; or (e) is otherwise considered medically significant by the investigator
0.00%
0/49 • Index procedure and up to 1 year
An AE is defined as any undesirable medical occurrence in a clinical trial subject, whether it is considered to be related to the device or not, that includes a clinical sign, symptom, or condition An (SAE) is defined as untoward occurrence that:(a) death; (b) life-threatening; (c) requires hospitalisation or prolongation of existing hospitalisation (d) results in persistent or significant disability or incapacity; or (e) is otherwise considered medically significant by the investigator

Other adverse events

Other adverse events
Measure
UroLift System Procedure
n=52 participants at risk
All eligible,enroled subjects will undergo a UroLift procedure. UroLift System Procedure: Minimally invasive procedure in patients with acute urinary retention secondary to BPH.
Retrospective Arm
n=49 participants at risk
Chart review will be performed on all invasive BPH surgeries (TURP, Holmium Laser Enucleation of the prostate (HoLEP), etc) performed by the site from June 1, 2015 to December 31, 2015
Renal and urinary disorders
Urinary frequency (Pollakiuria)
1.9%
1/52 • Number of events 1 • Index procedure and up to 1 year
An AE is defined as any undesirable medical occurrence in a clinical trial subject, whether it is considered to be related to the device or not, that includes a clinical sign, symptom, or condition An (SAE) is defined as untoward occurrence that:(a) death; (b) life-threatening; (c) requires hospitalisation or prolongation of existing hospitalisation (d) results in persistent or significant disability or incapacity; or (e) is otherwise considered medically significant by the investigator
8.2%
4/49 • Number of events 4 • Index procedure and up to 1 year
An AE is defined as any undesirable medical occurrence in a clinical trial subject, whether it is considered to be related to the device or not, that includes a clinical sign, symptom, or condition An (SAE) is defined as untoward occurrence that:(a) death; (b) life-threatening; (c) requires hospitalisation or prolongation of existing hospitalisation (d) results in persistent or significant disability or incapacity; or (e) is otherwise considered medically significant by the investigator
Renal and urinary disorders
Dysuria
17.3%
9/52 • Number of events 9 • Index procedure and up to 1 year
An AE is defined as any undesirable medical occurrence in a clinical trial subject, whether it is considered to be related to the device or not, that includes a clinical sign, symptom, or condition An (SAE) is defined as untoward occurrence that:(a) death; (b) life-threatening; (c) requires hospitalisation or prolongation of existing hospitalisation (d) results in persistent or significant disability or incapacity; or (e) is otherwise considered medically significant by the investigator
0.00%
0/49 • Index procedure and up to 1 year
An AE is defined as any undesirable medical occurrence in a clinical trial subject, whether it is considered to be related to the device or not, that includes a clinical sign, symptom, or condition An (SAE) is defined as untoward occurrence that:(a) death; (b) life-threatening; (c) requires hospitalisation or prolongation of existing hospitalisation (d) results in persistent or significant disability or incapacity; or (e) is otherwise considered medically significant by the investigator
Musculoskeletal and connective tissue disorders
Back Pain
5.8%
3/52 • Number of events 3 • Index procedure and up to 1 year
An AE is defined as any undesirable medical occurrence in a clinical trial subject, whether it is considered to be related to the device or not, that includes a clinical sign, symptom, or condition An (SAE) is defined as untoward occurrence that:(a) death; (b) life-threatening; (c) requires hospitalisation or prolongation of existing hospitalisation (d) results in persistent or significant disability or incapacity; or (e) is otherwise considered medically significant by the investigator
0.00%
0/49 • Index procedure and up to 1 year
An AE is defined as any undesirable medical occurrence in a clinical trial subject, whether it is considered to be related to the device or not, that includes a clinical sign, symptom, or condition An (SAE) is defined as untoward occurrence that:(a) death; (b) life-threatening; (c) requires hospitalisation or prolongation of existing hospitalisation (d) results in persistent or significant disability or incapacity; or (e) is otherwise considered medically significant by the investigator
Injury, poisoning and procedural complications
Catheter site pain
9.6%
5/52 • Number of events 5 • Index procedure and up to 1 year
An AE is defined as any undesirable medical occurrence in a clinical trial subject, whether it is considered to be related to the device or not, that includes a clinical sign, symptom, or condition An (SAE) is defined as untoward occurrence that:(a) death; (b) life-threatening; (c) requires hospitalisation or prolongation of existing hospitalisation (d) results in persistent or significant disability or incapacity; or (e) is otherwise considered medically significant by the investigator
2.0%
1/49 • Number of events 1 • Index procedure and up to 1 year
An AE is defined as any undesirable medical occurrence in a clinical trial subject, whether it is considered to be related to the device or not, that includes a clinical sign, symptom, or condition An (SAE) is defined as untoward occurrence that:(a) death; (b) life-threatening; (c) requires hospitalisation or prolongation of existing hospitalisation (d) results in persistent or significant disability or incapacity; or (e) is otherwise considered medically significant by the investigator
Renal and urinary disorders
Haematuria
11.5%
6/52 • Number of events 6 • Index procedure and up to 1 year
An AE is defined as any undesirable medical occurrence in a clinical trial subject, whether it is considered to be related to the device or not, that includes a clinical sign, symptom, or condition An (SAE) is defined as untoward occurrence that:(a) death; (b) life-threatening; (c) requires hospitalisation or prolongation of existing hospitalisation (d) results in persistent or significant disability or incapacity; or (e) is otherwise considered medically significant by the investigator
22.4%
11/49 • Number of events 11 • Index procedure and up to 1 year
An AE is defined as any undesirable medical occurrence in a clinical trial subject, whether it is considered to be related to the device or not, that includes a clinical sign, symptom, or condition An (SAE) is defined as untoward occurrence that:(a) death; (b) life-threatening; (c) requires hospitalisation or prolongation of existing hospitalisation (d) results in persistent or significant disability or incapacity; or (e) is otherwise considered medically significant by the investigator
Renal and urinary disorders
Incontinence urge
9.6%
5/52 • Number of events 5 • Index procedure and up to 1 year
An AE is defined as any undesirable medical occurrence in a clinical trial subject, whether it is considered to be related to the device or not, that includes a clinical sign, symptom, or condition An (SAE) is defined as untoward occurrence that:(a) death; (b) life-threatening; (c) requires hospitalisation or prolongation of existing hospitalisation (d) results in persistent or significant disability or incapacity; or (e) is otherwise considered medically significant by the investigator
4.1%
2/49 • Number of events 2 • Index procedure and up to 1 year
An AE is defined as any undesirable medical occurrence in a clinical trial subject, whether it is considered to be related to the device or not, that includes a clinical sign, symptom, or condition An (SAE) is defined as untoward occurrence that:(a) death; (b) life-threatening; (c) requires hospitalisation or prolongation of existing hospitalisation (d) results in persistent or significant disability or incapacity; or (e) is otherwise considered medically significant by the investigator
Renal and urinary disorders
Pelvic Pain
7.7%
4/52 • Number of events 4 • Index procedure and up to 1 year
An AE is defined as any undesirable medical occurrence in a clinical trial subject, whether it is considered to be related to the device or not, that includes a clinical sign, symptom, or condition An (SAE) is defined as untoward occurrence that:(a) death; (b) life-threatening; (c) requires hospitalisation or prolongation of existing hospitalisation (d) results in persistent or significant disability or incapacity; or (e) is otherwise considered medically significant by the investigator
6.1%
3/49 • Number of events 3 • Index procedure and up to 1 year
An AE is defined as any undesirable medical occurrence in a clinical trial subject, whether it is considered to be related to the device or not, that includes a clinical sign, symptom, or condition An (SAE) is defined as untoward occurrence that:(a) death; (b) life-threatening; (c) requires hospitalisation or prolongation of existing hospitalisation (d) results in persistent or significant disability or incapacity; or (e) is otherwise considered medically significant by the investigator
Infections and infestations
Urinary tract infection
17.3%
9/52 • Number of events 13 • Index procedure and up to 1 year
An AE is defined as any undesirable medical occurrence in a clinical trial subject, whether it is considered to be related to the device or not, that includes a clinical sign, symptom, or condition An (SAE) is defined as untoward occurrence that:(a) death; (b) life-threatening; (c) requires hospitalisation or prolongation of existing hospitalisation (d) results in persistent or significant disability or incapacity; or (e) is otherwise considered medically significant by the investigator
6.1%
3/49 • Number of events 3 • Index procedure and up to 1 year
An AE is defined as any undesirable medical occurrence in a clinical trial subject, whether it is considered to be related to the device or not, that includes a clinical sign, symptom, or condition An (SAE) is defined as untoward occurrence that:(a) death; (b) life-threatening; (c) requires hospitalisation or prolongation of existing hospitalisation (d) results in persistent or significant disability or incapacity; or (e) is otherwise considered medically significant by the investigator
Renal and urinary disorders
Urinary retention
0.00%
0/52 • Index procedure and up to 1 year
An AE is defined as any undesirable medical occurrence in a clinical trial subject, whether it is considered to be related to the device or not, that includes a clinical sign, symptom, or condition An (SAE) is defined as untoward occurrence that:(a) death; (b) life-threatening; (c) requires hospitalisation or prolongation of existing hospitalisation (d) results in persistent or significant disability or incapacity; or (e) is otherwise considered medically significant by the investigator
8.2%
4/49 • Number of events 4 • Index procedure and up to 1 year
An AE is defined as any undesirable medical occurrence in a clinical trial subject, whether it is considered to be related to the device or not, that includes a clinical sign, symptom, or condition An (SAE) is defined as untoward occurrence that:(a) death; (b) life-threatening; (c) requires hospitalisation or prolongation of existing hospitalisation (d) results in persistent or significant disability or incapacity; or (e) is otherwise considered medically significant by the investigator
Renal and urinary disorders
Urinary urgency
0.00%
0/52 • Index procedure and up to 1 year
An AE is defined as any undesirable medical occurrence in a clinical trial subject, whether it is considered to be related to the device or not, that includes a clinical sign, symptom, or condition An (SAE) is defined as untoward occurrence that:(a) death; (b) life-threatening; (c) requires hospitalisation or prolongation of existing hospitalisation (d) results in persistent or significant disability or incapacity; or (e) is otherwise considered medically significant by the investigator
16.3%
8/49 • Number of events 8 • Index procedure and up to 1 year
An AE is defined as any undesirable medical occurrence in a clinical trial subject, whether it is considered to be related to the device or not, that includes a clinical sign, symptom, or condition An (SAE) is defined as untoward occurrence that:(a) death; (b) life-threatening; (c) requires hospitalisation or prolongation of existing hospitalisation (d) results in persistent or significant disability or incapacity; or (e) is otherwise considered medically significant by the investigator

Additional Information

Emily Friedland, Director, Global Clinical Operations

Teleflex/NeoTract

Phone: 925.387.6014

Results disclosure agreements

  • Principal investigator is a sponsor employee Investigator agreements restrict data disclosure until written agreement by or publication by Sponsor
  • Publication restrictions are in place

Restriction type: OTHER