Evaluation of the "Blue Halo Coil Catheter" for Patients With Prostatic Obstruction

NCT ID: NCT05714488

Last Updated: 2024-01-10

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

RECRUITING

Clinical Phase

NA

Total Enrollment

95 participants

Study Classification

INTERVENTIONAL

Study Start Date

2022-08-01

Study Completion Date

2024-10-01

Brief Summary

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The Investigators will study a device for men in urinary retention secondary to Benign Prostatic Hyperplasia, BPH ,who are catheter dependent or who have a Post Void Residual \> 350cc. The hypothesis is that the device will allow these participants to return to volitional voiding with a Post Void Residual \<75 cc.

Detailed Description

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The indication for use of the Blue Halo Coil Catheter is to facilitate bladder drainage in adult male patients with urinary retention due to benign prostatic hyperplasia. The device is inserted for temporary use up to 28 days.

Study participants will have a history of Foley catheter use or self-catheterization to drain their bladder.Participants may include men in urinary retention with no prior intervention.

The hypothesis is that the Blue Halo Coil Catheter will reduce the post void residual to \<75 cc with volitional voiding.

The Blue Halo Coil Catheter is comprised of a Coiled Retention portion with a guidewire accommodating tip, a short prostate catheter segment, and a pusher/delivery catheter segment, that when left in place allows for the temporary collection of urine prior to conversion to short segment without an external collection device. The tip of the Blue Halo Coil Catheter utilizes a horizontal coil retention device. A monofilament suture is attached to the prostate catheter segment to allow for ease of positioning and removal. The suture also allows for repositioning should the device slip back into the bladder.

Conditions

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Urinary Retention

Study Design

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Allocation Method

NA

Intervention Model

SINGLE_GROUP

The Investigators are conducting a single-arm study with one-group posttest only design.Although this study is a non-randomized control trial, the one-arm design avoids selection and treatment diffusion (among other things). The comparator for the coil catheter is inferior and known to cause injury and infection. Therefore, researchers could not ethically randomly assign subjects to a control group that would receive the alternative device for the sake of comparison.
Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Blue Halo Coil Catheter for Urinary Retention

The indication for use of the Blue Halo Coil Catheter is to facilitate bladder drainage in adult male patients with urinary retention due to benign prostatic hyperplasia. The device is inserted for temporary use up to 28 days.

Group Type EXPERIMENTAL

blue halo coil catheter

Intervention Type DEVICE

device inserted with coil at the bladder and straight arm in the prostatic urethra proximal to the external sphincter

Interventions

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blue halo coil catheter

device inserted with coil at the bladder and straight arm in the prostatic urethra proximal to the external sphincter

Intervention Type DEVICE

Eligibility Criteria

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Inclusion Criteria

* Male subjects \> 50 years of age
* Able to provide consent
* Participants in urinary retention with post void residual \> 350 cc
* Urinary retention is due to BPH with a prostate volume \> 50cc or a prostatic urethral length of 5+ cm
* Subjects with a PSA \> 4 ng/ml and a PSA density of 0.1 or less
* Subjects on alpha- blocking drugs or 5-alpha-reductase inhibitor drugs may be included

Exclusion Criteria

* Inability to undergo bladder catheterization ( i.e. urethral stricture)
* Presence of gross hematuria
* Lack of cognitive ability to give consent or keep appointments
* History of Prostate Cancer
* Subject with a PSA \> 4 ng/ml and a PSA density of \> 0.1 will require prostate biopsy to rule out prostate cancer in order to be considered for study enrollment
* A subject with a prostate nodule will require biopsy to exclude cancer diagnosis
* Subject with a PSA \> 10 ng/ml
* Subject taking LHRH analogs or anti-androgen drugs
Minimum Eligible Age

50 Years

Eligible Sex

MALE

Accepts Healthy Volunteers

Yes

Sponsors

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Blue Halo Biomedical, LLC

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Locations

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The University of Alabama-Birmingham

Birmingham, Alabama, United States

Site Status RECRUITING

Mayo Clinic Arizona

Phoenix, Arizona, United States

Site Status RECRUITING

Florida Urology Partners

Brandon, Florida, United States

Site Status RECRUITING

Vero Urology Center

Vero Beach, Florida, United States

Site Status RECRUITING

Countries

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United States

Central Contacts

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GAMEEL B HODGE, MD

Role: CONTACT

407-492-1683

GAINES W HAMMOND, MD

Role: CONTACT

254-652-2475

Facility Contacts

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Brandon A Young, BS

Role: primary

205-908-7315

Jane E S Vines, MPH,MSN,RN,CCRP

Role: backup

205-224-7324

Debbie Ryan

Role: primary

480-342-1208

James E Alver, MD

Role: primary

813-685-0827

JOHN R ATWELL, MD

Role: primary

772-569-7606

Andrew Prestini, PA-C

Role: backup

772-569-7606

References

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Fontanarosa PB, Roush WR. Acute urinary retention. Emerg Med Clin North Am. 1988 Aug;6(3):419-37.

Reference Type RESULT
PMID: 3292220 (View on PubMed)

Samm BJ, Dmochowski RR. Urologic emergencies. Conditions affecting the kidney, ureter, bladder, prostate, and urethra. Postgrad Med. 1996 Oct;100(4):177-80, 183-4. doi: 10.3810/pgm.1996.10.100.

Reference Type RESULT
PMID: 8858090 (View on PubMed)

Andersen JT, Nickel JC, Marshall VR, Schulman CC, Boyle P. Finasteride significantly reduces acute urinary retention and need for surgery in patients with symptomatic benign prostatic hyperplasia. Urology. 1997 Jun;49(6):839-45. doi: 10.1016/s0090-4295(97)00185-4.

Reference Type RESULT
PMID: 9187688 (View on PubMed)

de la Rosette JJ, Beerlage HP, Debruyne FM. Role of temporary stents in alternative treatment of benign prostatic hyperplasia. J Endourol. 1997 Dec;11(6):467-72. doi: 10.1089/end.1997.11.467.

Reference Type RESULT
PMID: 9440858 (View on PubMed)

Williams G. Stents in the lower urinary tract. European Urology Update Series 1992. Vol l (1), p 82-87.

Reference Type RESULT

Devonec M, Dahlstrand C. Temporary urethral stenting after high-energy transurethral microwave thermotherapy of the prostate. World J Urol. 1998;16(2):120-3. doi: 10.1007/s003450050037.

Reference Type RESULT
PMID: 12073225 (View on PubMed)

Feneley RC, Hopley IB, Wells PN. Urinary catheters: history, current status, adverse events and research agenda. J Med Eng Technol. 2015;39(8):459-70. doi: 10.3109/03091902.2015.1085600. Epub 2015 Sep 18.

Reference Type RESULT
PMID: 26383168 (View on PubMed)

Hammond, G. A Prospective Evaluation of the Catheter Science M3 "Mini Catheter" for Patients with Prostatic Obstruction. AUA Poster Presentation MP73-06, San Francisco, California, May, 2018

Reference Type RESULT

Sabharwal S, Sabharwal S. Using Temporary Prostatic Stents to Eliminate Bacterial Colonization in Men with Chronic Indwelling Catheters: A Pilot Study. Cureus. 2018 Aug 16;10(8):e3152. doi: 10.7759/cureus.3152.

Reference Type RESULT
PMID: 30410822 (View on PubMed)

Garcia MM, Gulati S, Liepmann D, Stackhouse GB, Greene K, Stoller ML. Traditional Foley drainage systems--do they drain the bladder? J Urol. 2007 Jan;177(1):203-7; discussion 207. doi: 10.1016/j.juro.2006.08.101.

Reference Type RESULT
PMID: 17162043 (View on PubMed)

Shore ND, Dineen MK, Saslawsky MJ, Lumerman JH, Corica AP. A temporary intraurethral prostatic stent relieves prostatic obstruction following transurethral microwave thermotherapy. J Urol. 2007 Mar;177(3):1040-6. doi: 10.1016/j.juro.2006.10.059.

Reference Type RESULT
PMID: 17296408 (View on PubMed)

Other Identifiers

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19-010.3

Identifier Type: -

Identifier Source: org_study_id

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