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Benign Prostatic HyperplasiaNCT01218672

Photoselective Vaporization of the Prostate With the GreenLight XPS™ Laser System vs TURP for the Treatment of BPH

A study testing Photoselective Vaporization of the Prostate and Transurethral Resection of the Prostate in people with Benign Prostatic Hyperplasia, run by Boston Scientific Corporation at 29 sites in 9 countries.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
Search all trials

Trial summary

The study compares procedural and post procedural outcomes for photoselective vaporization of the prostate (PVP) and transurethral resection of the prostate (TURP) for the treatment of lower urinary tract symptoms due to benign prostatic enlargement causing bladder outlet obstruction. Read more about this study

Who is it for?
Ages 40 to 80 years, men only
Conditions the study is for
Benign Prostatic Hyperplasia
What is being tested?
Photoselective Vaporization of the Prostate and Transurethral Resection of the Prostate
Type of treatment
Medical device
Could I receive a placebo?
No, everyone receives an active treatment
How many people
291 participants
Where
29 sitesin 9 countries
Study dates
Apr 2011to Dec 2014
Phase
Interventional
Are there results?
Yes, posted in the registrySummary in the doctors' view

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 40 to 80 years
  • Men only
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Subject has provided informed consent and agrees to attend all study visits
  • Subject has diagnosis of lower urinary tract symptoms due to benign prostatic enlargement causing bladder outlet obstruction
  • Subject is willing to be randomized
  • Subject is able to complete self-administered questionnaires
  • Clinical investigator has documented in the subject's medical record that in his/her judgment the subject is a surgical candidate for either the PVP or the TURP procedure and may be randomized into either arm
  • Subject is 40 to 80 years of age
Show all 11Show fewer
  • Subject has an IPSS score greater than or equal to 12 measured at the baseline visit
  • Subject has medical record documentation of a maximum urinary flow rate (Qmax) less than 15ml/s (If uroflow testing documentation is available within 90 days prior to the informed consent date, and the sample is greater than or equal to 150ml, and the Qmax is less than 15ml/s it may be used for the inclusion/exclusion criteria)
  • Subject has medical record documentation of a prostate volume of less than or equal to 100g by transrectal ultrasound (TRUS) (If TRUS testing documentation is available from less than 180 days prior to the informed consent date and the prostate volume is less than or equal to 100g, it may be used for the inclusion/exclusion criteria)
  • Subject is classified as American Society of Anesthesiologists (ASA) I, II or III
  • Subject has a serum creatinine that is within the normal range for the laboratory at the study center (or documentation of clinical insignificance in the subject's medical record by the investigator if outside the normal range) and measured less than or equal to 30 days prior to the date of surgery.

Who cannot join

  • Subject has a life expectancy of less than 2 years
  • Subject is currently enrolled in, or plans to enroll in, any concurrent drug or device study unless preapproved by the sponsor
  • Subject has an active infection (eg, urinary tract infection or prostatitis)
  • Subject has a diagnosis of, or has received treatment for, chronic prostatitis or chronic pelvic pain syndrome (eg, non-bacterial chronic prostatitis)
  • Subject has been diagnosed with a urethral stricture or bladder neck contracture within the 180 days prior to the informed consent date
  • Subject has been diagnosed with 2 or more urethral strictures and/or bladder neck contractures within the 5 years prior to the informed consent date
Show all 22Show fewer
  • Subject has a diagnosis of lichen sclerosus
  • Subject has a neurogenic bladder or other neurological disorder that would impact bladder function (eg, multiple sclerosis, Parkinson's disease, spinal cord injuries)
  • Subject has a diagnosis of polyneuropathy (eg, diabetic)
  • Subject has history of lower urinary tract surgery (eg, TURP, laser, urinary diversion, artificial urinary sphincter, penile prosthesis)
  • Subject has diagnosis of stress urinary incontinence that requires treatment or daily pad/device use
  • Subject has a history of intermittent self catheterization
  • Subject has been catheterized or has a PVR >400mls in the 14 days prior to the surgical procedure
  • Subject has current diagnosis of bladder stones
  • Subject has diagnosis of prostate cancer
  • Subject has a history of CIS, TaGII, TaGIII or any T1 stage bladder cancer
  • Subject has damage to external urinary sphincter
  • Subject has a medical contraindication for undergoing either TURP or PVP surgery (eg, infection, coagulopathy or significant cardiac or other medical risk factors for surgery)
  • Subject has a disorder of the coagulation cascade (eg, hemophilia) or disorders that affect platelet count or function (eg, Von Willebrand's disease) that would put the subject at risk for intraoperative or postoperative bleeding
  • Subject is unable to discontinue anticoagulant and antiplatelet therapy preoperatively (3-5 days) except for low dose aspirin (eg, less than or equal to 100mg)
  • Subject has had an acute myocardial infarction, open heart surgery or cardiac arrest less than 180 days prior to the date of informed consent
  • Subject is immunocompromised (eg, organ transplant, leukemia)

Trial locations and contacts

29 sites in 9 countries.

29 sites in 9 countries

United Kingdom10 sites
  • Basingstoke and North Hampshire NHS Foundation Trust

    Basingstoke, Hampshire, RG24 9NA, UK

  • Brighton and Sussex University Hospitals NHS Trust

    Brighton, East Sussex, BN2 1EX UK

  • Mid Yorkshire NHS Trust Dewsbury & District Hospital

    Dewsbury

  • Western General Hospital

    Edinburgh, EH4 2XU

  • Frimley Park Hospital

    Frimley, Camberley Surrey, GU16 7UJ- UK

  • Kent and Canterbury Hospital

    Kent

  • Kings's College Hospital

    London, SE5 9RS

  • Whipps Cross University Hospital

    London

  • Princess of Wales Hospital

    Mid Glamorgan, Wales UK, CF31 1RQ

  • Freeman Hospital

    Newcastle

Other trials in United Kingdom

Germany9 sites
  • Campus Bejamin Franklin Hindenburgdamm

    Berlin

  • UroForshungs GmbH, im St. hedwig Krankenhaus

    Berlin

  • Krankenhaus Nordwest

    Frankfurt

  • University Hospital of Heidelberg

    Heidelberg, 69120

  • Hospital University of Jena

    Jena

  • Universitatsklinikum Schleswig-Holstein, Campus Kiel

    Kiel

  • Universitatsklinikum Leipzig

    Leipzig

  • Universitatsklinikum Magdeburg

    Magdeburg

  • Diakoniekrankenhaus Rotenburg (W.) gGmbH

    Rotenburg (Wümme)

Other trials in Germany

France2 sites
  • Nouvel Hopital Civil de Strasbourg

    Strasbourg

  • CHU Bretonneau

    Tours

Other trials in France

Netherlands2 sites
  • ZGT Almelo

    Almelo

  • RadBound University Njmegen Medical Centre

    Nijmegen, 6500 HB Nijmegen

Other trials in Netherlands

Spain2 sites
  • Hospital Iniversitario Fundacion Alcorcon

    Madrid

  • Hospital de Manacor

    Manacor

Other trials in Spain

Austria1 site
  • Krankenhaus der Barmherzigen Schwestern Linz

    Linz

Other trials in Austria

Belgium1 site
  • AZ Maria Middelares Gent

    Ghent

Other trials in Belgium

Italy1 site
  • Unita di chirurgia Urologica mininvasiva,Azienda Ospedatiera Sant'Andrea Hospital

    Rome

Other trials in Italy

Switzerland1 site
  • University of Basel

    Basel

Other trials in Switzerland

About this study

Official title: A Prospective Multicenter Randomized Study Comparing Photoselective Vaporization of the Prostate With the GreenLight XPS™ Laser System and Transurethral Resection of the Prostate for the Treatment of Benign Prostatic Hyperplasia

The study compares procedural and post procedural outcomes for photoselective vaporization of the prostate (PVP) and transurethral resection of the prostate (TURP) for the treatment of lower urinary tract symptoms due to benign prostatic enlargement causing bladder outlet obstruction. The study requires use of the CE marked GreenLight XPS™ Laser System (GreenLight XPS) or a CE marked monopolar or bipolar loop TURP system for the treatment of benign prostatic hyperplasia (BPH).

Read the detailed description

The study will compare procedural and post procedural outcomes for photoselective vaporization of the prostate (PVP) and transurethral resection of the prostate (TURP) for the treatment of lower urinary tract symptoms due to benign prostatic enlargement causing bladder outlet obstruction. The study requires use of the CE marked GreenLight XPS™ Laser System (GreenLight XPS) or a CE marked monopolar or bipolar loop TURP system for the treatment of benign prostatic hyperplasia (BPH). The purpose of the study is to demonstrate that PVP is not inferior to TURP.

Being tested
Photoselective Vaporization of the Prostate, Transurethral Resection of the Prostate
Keywords
BPH, Benign Prostatic Hyperplasia
Medical subject headings
Prostatic Hyperplasia

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Photoselective Vaporization of the ProstateDevice

    GreenLight XPS laser console GreenLight XPS consists of a 532 nm laser console capable of achieving power outputs between 20W and 180W. Laser technology is used to vaporize tissue for debulking prostatic hyperplasia and improvement of lower urinary tract symptoms. The 532 nm wavelength is in the visible spectrum as green light and is strongly absorbed by oxyhemoglobin.

    GreenLight XPS will be used in conjunction with the MoXy™ fiber. The fiber features a side firing mechanism delivering up to180W of 532 nm light to vaporize and coagulate the prostate tissue. The fiber is guided to the treatment site by the continuous flow cystoscope, consisting of an inner and outer sheath set, 30ْ forward oblique telescope and visual obturator.

  • Transurethral Resection of the ProstateDevice

    Monopolar and bipolar loop TURP Systems The TURP procedure requires the use of a resectoscope, camera system and irrigation fluid. The system consists of a generator unit and a wire loop with an electrical current running through the loop used to cut prostate tissue and cauterize. Prostate tissue is cut away in small pieces and removed at the end of the procedure using irrigation. There are many manufacturers of TURP systems. Any monopolar and bipolar loop system that carry the CE mark may be used for the study.

Study groups in NCT01218672
Study groupRoleWhat they receive
GreenLight XPSExperimentalPhotoselective vaporization of the prostate using GreenLight XPS laser system.
Receives: Device: Photoselective Vaporization of the Prostate
Transurethral Resection of the ProstateActive comparatorMonopolar and bipolar Transuretheral resection of the prostate (TURP)
Receives: Device: Transurethral Resection of the Prostate

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. International Prostate Symptom Score (IPSS)

    The IPSS is a patient-administered 7-question instrument used to classify severity of benign prostatic hyperplasia symptoms (BPH). Total scores can range from 0 to 35 (asymptomatic to very symptomatic).

    Measured: 6 months

Secondary outcomes (9)
  1. Maximum Urinary Flow Rate (Qmax)

    Qmax measured from a void of at least 150 ml in volume.

    Measured: 6 months

  2. Freedom From Complications

    A complication is defined as a device or procedure-related adverse event meeting at least 1 of the following criteria: Perforation of tissue or a physiologic structure; Required a prolonged or secondary hospitalization; Required surgical or invasive intervention (e.g., breaking of the skin) and excluding urinary catheterization for transient retention lasting less than 7 days and/or IV medications related to anesthesia.

    Measured: 180 days

  3. Prostate Volume

    Prostate volume measured via transrectal ultrasound

    Measured: 6 months

  4. Post Treatment Outcomes of PVP and TURP

    Short Form Health Survey (SF-36 Acute) collected at 3-week visit. The SF-36 is a multi-purpose, short-form, health survey of functional health and well-being scores in a three-section format: Utility Index (score = 0-1 with higher score being better); Physical Component Summary (PCS) comprising of physical functioning, role-physical, bodily pain, and overall general health; Mental Component Summary (MCS) comprising of vitality, social functioning, role-emotional, and mental health. Each component in the PCS and MCS sections have a score of 1-100 with the higher score being better. The acute version uses a 1-week recall period.

    Measured: 3 weeks post treatment

  5. Immediate Post Treatment Outcomes of PVP and TURP

    Length of stay calculated as the difference from entering the recovery room date/time to discharge date/time

    Measured: 3 weeks

  6. Health Status of PVP and TURP

    The IPSS, OABq, SF-36 Health Summary and EQ-5D instruments will be scored. IPSS classifies voiding symptoms with scores from 0-35 (asymptomatic to very symptomatic). The OABq captures overactive bladder symptom bother with scores from 0-100 (lower score is better). The SF-36 is a health survey with scores from 1-100 (higher score is better). EQ-5D assesses health status across a range of conditions and treatments with a score of 0-1 (higher score is better).

    Measured: Baseline and 24-months

  7. Tolerability of PVP and TURP Assessed Using International Index of Erectile Function (IIEF-5) and International Consultation on Incontinence Questionnaire - Short Form (ICIQ-SF)

    The International Index of Erectile Function (IIEF-5) and International Consultation on Incontinence Questionnaire - Short Form (ICIQ-SF) instruments will be collected at baseline and the follow-up visits.

    The IIEF-5 is a self-administered 5 question instrument that assesses the relevant domains of male sexual function such as erectile function, orgasmic function, sexual desire, intercourse satisfaction, and overall satisfaction with a total possible score of 5-25 (higher score is better).

    The ICIQ-SFis a self-administered 4-question tool designed for the assessment and quantification of incontinence and its impact on quality of life during the previous 4 weeks with a total score of 0-21 (higher score is worse).

    Measured: Baseline, 12-months, and 24-months

  8. Subject Satisfaction of PVP and TURP

    Subject responses to satisfaction with treatment as collected on follow-up visits.

    Data presented below indicates responses from subjects that would go through study treatment again at each of the defined follow-up visits.

    Measured: 3-weeks, 3-months, 6-months, 12-months, and 24-months

  9. Rate of Retreatment of PVP and TURP

    Subject experiencing a retreatment (removal of tissue via TUPR, PVP, or other intervention) for obstruction after the initial procedure was required

    Measured: 2 Years

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted11 Oct 2010 (estimated)
  2. Study startApr 2011
  3. Primary completionOct 2014
  4. Study completionDec 2014

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase N/A
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
None (open label)
Enrolment
291 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT01218672
Sponsor's protocol ID
PE1006
Status last verified
Jul 2020
First submitted
8 Oct 2010
Last updated
3 Sep 2020
Data monitoring committee
No

Publications

  • Thomas JA, Tubaro A, Barber N, d'Ancona F, Muir G, Witzsch U, Grimm MO, Benejam J, Stolzenburg JU, Riddick A, Pahernik S, Roelink H, Ameye F, Saussine C, Bruyere F, Loidl W, Larner T, Gogoi NK, Hindley R, Muschter R, Thorpe A, Shrotri N, Graham S, Hamann M, Miller K, Schostak M, Capitan C, Knispel H, Bachmann A. A Multicenter Randomized Noninferiority Trial Comparing GreenLight-XPS Laser Vaporization of the Prostate and Transurethral Resection of the Prostate for the Treatment of Benign Prostatic Obstruction: Two-yr Outcomes of the GOLIATH Study. Eur Urol. 2016 Jan;69(1):94-102. doi: 10.1016/j.eururo.2015.07.054. Epub 2015 Aug 15.

    PubMed 26283011
  • Bachmann A, Tubaro A, Barber N, d'Ancona F, Muir G, Witzsch U, Grimm MO, Benejam J, Stolzenburg JU, Riddick A, Pahernik S, Roelink H, Ameye F, Saussine C, Bruyere F, Loidl W, Larner T, Gogoi NK, Hindley R, Muschter R, Thorpe A, Shrotri N, Graham S, Hamann M, Miller K, Schostak M, Capitan C, Knispel H, Thomas JA. 180-W XPS GreenLight laser vaporisation versus transurethral resection of the prostate for the treatment of benign prostatic obstruction: 6-month safety and efficacy results of a European Multicentre Randomised Trial--the GOLIATH study. Eur Urol. 2014 May;65(5):931-42. doi: 10.1016/j.eururo.2013.10.040. Epub 2013 Nov 11.

    PubMed 24331152

Questions about this trial

What is this clinical trial studying?

A study testing Photoselective Vaporization of the Prostate and Transurethral Resection of the Prostate in people with Benign Prostatic Hyperplasia, run by Boston Scientific Corporation at 29 sites in 9 countries.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 11 inclusion and 22 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 3 Sep 2020. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 29 sites in United Kingdom, Germany, France, Netherlands, Spain and 4 more countries. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

Yes. Results are posted in the registry (first posted 3 Sep 2020). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

International Prostate Symptom Score (IPSS) (time frame: 6 months). It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT01218672, which also lists 2 linked publications.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 3 Sep 2020.

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