Trial Outcomes & Findings for Prostatic Artery Embolization vs Medication for Benign Prostatic Hyperplasia (NCT NCT04398966)

NCT ID: NCT04398966

Last Updated: 2024-05-07

Results Overview

The International Prostate Symptom Score (IPSS) includes 7 Likert-type questions related to symptoms with scores ranging from 0 to 5, where 0 is less severe. The IPSS is a written screening tool used to: screen for, rapidly diagnose, track the symptoms of, and suggest management of the symptoms of the disease benign prostatic hyperplasia (BPH). Total scores are determined to be Mild (1-7), Moderate (8-19), or Severe (20-35).

Recruitment status

TERMINATED

Study phase

NA

Target enrollment

12 participants

Primary outcome timeframe

baseline to 6 months following the procedure

Results posted on

2024-05-07

Participant Flow

Participant milestones

Participant milestones
Measure
Prostatic Artery Embolization (PAE) Procedure
This will be a single arm, uncontrolled, non-blinded study of Prostatic Artery Embolization (PAE) using HydroPearl Beads in a small population of subjects with benign prostate hyperplasia (BPH) HydroPearl® compressible microspheres: Embolic material
Overall Study
STARTED
12
Overall Study
COMPLETED
10
Overall Study
NOT COMPLETED
2

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Prostatic Artery Embolization vs Medication for Benign Prostatic Hyperplasia

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
PAE Procedure
n=12 Participants
This will be a single arm, uncontrolled, non-blinded study of PAE using HydroPearl Beads in a small population of subjects with benign prostate hyperplasia (BPH) Prostatic Artery Embolization (HydroPearl® compressible microspheres): Embolic material
Age, Categorical
<=18 years
0 Participants
n=5 Participants
Age, Categorical
Between 18 and 65 years
3 Participants
n=5 Participants
Age, Categorical
>=65 years
9 Participants
n=5 Participants
Sex: Female, Male
Female
0 Participants
n=5 Participants
Sex: Female, Male
Male
12 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
1 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
11 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=5 Participants
Race (NIH/OMB)
Asian
0 Participants
n=5 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=5 Participants
Race (NIH/OMB)
Black or African American
2 Participants
n=5 Participants
Race (NIH/OMB)
White
10 Participants
n=5 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=5 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
Region of Enrollment
United States
12 Participants
n=5 Participants

PRIMARY outcome

Timeframe: baseline to 6 months following the procedure

Population: Data are reported for all participants with both baseline and Month 6 data.

The International Prostate Symptom Score (IPSS) includes 7 Likert-type questions related to symptoms with scores ranging from 0 to 5, where 0 is less severe. The IPSS is a written screening tool used to: screen for, rapidly diagnose, track the symptoms of, and suggest management of the symptoms of the disease benign prostatic hyperplasia (BPH). Total scores are determined to be Mild (1-7), Moderate (8-19), or Severe (20-35).

Outcome measures

Outcome measures
Measure
PAE Procedure
n=11 Participants
This will be a single arm, uncontrolled, non-blinded study of PAE using HydroPearl Beads in a small population of subjects with benign prostate hyperplasia (BPH) Prostatic Artery Embolization (HydroPearl® compressible microspheres): Embolic material
Mean Change in IPSS at 6 Months
-9.64 score on a scale
Standard Deviation 9.04

SECONDARY outcome

Timeframe: baseline to 6 months following the procedure

Population: Data are reported for all participants with both baseline and Month 6 data.

The QoL question of the International Prostate Symptom Score (IPSS) is a single question related to the symptoms of the disease benign prostatic hyperplasia (BPH) and ranges from 0 to 6. Lower scores indicate a higher quality of life.

Outcome measures

Outcome measures
Measure
PAE Procedure
n=11 Participants
This will be a single arm, uncontrolled, non-blinded study of PAE using HydroPearl Beads in a small population of subjects with benign prostate hyperplasia (BPH) Prostatic Artery Embolization (HydroPearl® compressible microspheres): Embolic material
Mean Change in Quality of Life Scores at 6 Months
-2.00 score on a scale
Standard Deviation 1.41

SECONDARY outcome

Timeframe: Baseline to 6 months following the procedure

Urine flow will be measured to determine the maximum rate of urine flow (Qmax), which is measured in mL per second (mL/s)

Outcome measures

Outcome measures
Measure
PAE Procedure
n=10 Participants
This will be a single arm, uncontrolled, non-blinded study of PAE using HydroPearl Beads in a small population of subjects with benign prostate hyperplasia (BPH) Prostatic Artery Embolization (HydroPearl® compressible microspheres): Embolic material
Mean Change in Urine Flow
0.26 mL/s
Standard Deviation 5.25

SECONDARY outcome

Timeframe: baseline to 6 months following the procedure

Change in the prostate size measured in grams (g).

Outcome measures

Outcome measures
Measure
PAE Procedure
n=10 Participants
This will be a single arm, uncontrolled, non-blinded study of PAE using HydroPearl Beads in a small population of subjects with benign prostate hyperplasia (BPH) Prostatic Artery Embolization (HydroPearl® compressible microspheres): Embolic material
Mean Change in Prostate Volume
-21.10 grams
Standard Deviation 24.63

SECONDARY outcome

Timeframe: 6 months following the procedure

Individual percentage of prostate infarcted determined using manual demarcation of non-enhancing areas within the prostate on serial axial slices of post contrast MRI images and data aggregated for the group to report mean percent.

Outcome measures

Outcome measures
Measure
PAE Procedure
n=10 Participants
This will be a single arm, uncontrolled, non-blinded study of PAE using HydroPearl Beads in a small population of subjects with benign prostate hyperplasia (BPH) Prostatic Artery Embolization (HydroPearl® compressible microspheres): Embolic material
Mean Percent of Prostate Infarcted
23 percent entire prostate volume infarcted
Standard Deviation 9.19

SECONDARY outcome

Timeframe: up to 3 months following the procedure

Proportion of participants that experience adverse events considered related to the PAE procedure.

Outcome measures

Outcome measures
Measure
PAE Procedure
n=12 Participants
This will be a single arm, uncontrolled, non-blinded study of PAE using HydroPearl Beads in a small population of subjects with benign prostate hyperplasia (BPH) Prostatic Artery Embolization (HydroPearl® compressible microspheres): Embolic material
Incidence of Treatment Related Adverse Events (Proportion)
0.83 proportion of participants

SECONDARY outcome

Timeframe: up to 3 months following the procedure

Percent of participants that experience adverse events considered related to the PAE procedure.

Outcome measures

Outcome measures
Measure
PAE Procedure
n=12 Participants
This will be a single arm, uncontrolled, non-blinded study of PAE using HydroPearl Beads in a small population of subjects with benign prostate hyperplasia (BPH) Prostatic Artery Embolization (HydroPearl® compressible microspheres): Embolic material
Incidence of Treatment Related Adverse Events (Percent)
83.3 percentage of participants

Adverse Events

PAE Procedure

Serious events: 1 serious events
Other events: 11 other events
Deaths: 1 deaths

Serious adverse events

Serious adverse events
Measure
PAE Procedure
n=12 participants at risk
This will be a single arm, uncontrolled, non-blinded study of PAE using HydroPearl Beads in a small population of subjects with benign prostate hyperplasia (BPH) Prostatic Artery Embolization (HydroPearl® compressible microspheres): Embolic material
Gastrointestinal disorders
Gastrointestinal bleeding
8.3%
1/12 • Number of events 1 • From the time of the PAE procedure through 12-Month Follow-Up.
General disorders
Failure to Thrive
8.3%
1/12 • Number of events 1 • From the time of the PAE procedure through 12-Month Follow-Up.
Gastrointestinal disorders
Dysphagia
8.3%
1/12 • Number of events 1 • From the time of the PAE procedure through 12-Month Follow-Up.

Other adverse events

Other adverse events
Measure
PAE Procedure
n=12 participants at risk
This will be a single arm, uncontrolled, non-blinded study of PAE using HydroPearl Beads in a small population of subjects with benign prostate hyperplasia (BPH) Prostatic Artery Embolization (HydroPearl® compressible microspheres): Embolic material
Renal and urinary disorders
Dysuria
41.7%
5/12 • Number of events 5 • From the time of the PAE procedure through 12-Month Follow-Up.
Reproductive system and breast disorders
Erectile Dysfunction
16.7%
2/12 • Number of events 2 • From the time of the PAE procedure through 12-Month Follow-Up.
Cardiac disorders
Exacerbation of Hypertension
8.3%
1/12 • Number of events 1 • From the time of the PAE procedure through 12-Month Follow-Up.
Injury, poisoning and procedural complications
Heaviness in distal left penis
8.3%
1/12 • Number of events 1 • From the time of the PAE procedure through 12-Month Follow-Up.
Musculoskeletal and connective tissue disorders
Heaviness in left lower buttock
8.3%
1/12 • Number of events 1 • From the time of the PAE procedure through 12-Month Follow-Up.
Renal and urinary disorders
Intermittency
8.3%
1/12 • Number of events 1 • From the time of the PAE procedure through 12-Month Follow-Up.
Musculoskeletal and connective tissue disorders
Heat sensation in pelvic area
8.3%
1/12 • Number of events 1 • From the time of the PAE procedure through 12-Month Follow-Up.
Renal and urinary disorders
Hematuria
16.7%
2/12 • Number of events 2 • From the time of the PAE procedure through 12-Month Follow-Up.
Gastrointestinal disorders
Constipation
8.3%
1/12 • Number of events 1 • From the time of the PAE procedure through 12-Month Follow-Up.
Gastrointestinal disorders
Rectal bleeding
16.7%
2/12 • Number of events 2 • From the time of the PAE procedure through 12-Month Follow-Up.
Renal and urinary disorders
Bladder spasm
8.3%
1/12 • Number of events 1 • From the time of the PAE procedure through 12-Month Follow-Up.
Infections and infestations
Strong urinary smell
8.3%
1/12 • Number of events 1 • From the time of the PAE procedure through 12-Month Follow-Up.
Infections and infestations
Strong yellow urine color
8.3%
1/12 • Number of events 1 • From the time of the PAE procedure through 12-Month Follow-Up.
Renal and urinary disorders
Urgency
8.3%
1/12 • Number of events 1 • From the time of the PAE procedure through 12-Month Follow-Up.
Reproductive system and breast disorders
Retrograde ejaculation
8.3%
1/12 • Number of events 1 • From the time of the PAE procedure through 12-Month Follow-Up.
Gastrointestinal disorders
Vomiting
8.3%
1/12 • Number of events 1 • From the time of the PAE procedure through 12-Month Follow-Up.
Renal and urinary disorders
Straining
8.3%
1/12 • Number of events 1 • From the time of the PAE procedure through 12-Month Follow-Up.
Skin and subcutaneous tissue disorders
Pain in Groin (Post Embolization Syndrome)
8.3%
1/12 • Number of events 1 • From the time of the PAE procedure through 12-Month Follow-Up.
General disorders
Fatigue (Post Embolization Syndrome)
8.3%
1/12 • Number of events 1 • From the time of the PAE procedure through 12-Month Follow-Up.
Injury, poisoning and procedural complications
Blotches on Penis
8.3%
1/12 • Number of events 1 • From the time of the PAE procedure through 12-Month Follow-Up.

Additional Information

Markeela Lipscomb

University of North Carolina at Chapel Hill

Phone: 919-843-3670

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place