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BPHPhase 4IMPACTNCT04987892

Investigating Medication vs. Prostatic Urethral Lift: Assessment and Comparison of Therapies for BPH

A Phase 4 study testing UroLift System and Tamsulosin Hydrochloride in people with BPH, run by NeoTract, Inc. at 1 site in United States.

Unknown status

Status not confirmed. The sponsor has not verified this record for over two years, so it may be out of date.

Official record
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Trial summary

This prospective, multicenter, two-arm, 1:1 randomized controlled trial (RCT) will enroll approximately 250 males at approximately 25 sites located within the United States. All enrolled subjects will be 45 years of age or older diagnosed with symptomatic benign prostatic hyperplasia (BPH). Read more about this study

Who is it for?
Ages 45 years and older, men onlyHealthy volunteers can take part
Conditions the study is for
BPH
What is being tested?
UroLift System and Tamsulosin Hydrochloride
Type of treatment
Medical device
Could I receive a placebo?
No, everyone receives an active treatment
How many people
250 participants
Where
1 siteUnited States
Study dates
6 Dec 2021to Oct 2025
Phase
Phase 4
Are there results?
None posted in the registry

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 45 years and older
  • Men only
  • Healthy volunteers accepted
  • Adult, Older adult

Who may be able to join

  • Male 45 years of age or older
  • Diagnosis of BPH
  • Experiencing symptoms of BPH as indicated by an IPSS ≥8 and ≤30
  • Willing to wash out of current BPH medication(s), as applicable
  • An appropriate candidate for both BPH therapies evaluated in this study.
  • Ability to understand and consent to participate in this study
  • Willing and able to participate in follow-up evaluations

Who cannot join

  • Use of alpha blocker for BPH unless washed-out for 30 days
  • Use of daily phosphodiesterase type 5 inhibitor (PDE5i) for BPH unless washed-out for 30 days
  • 5-alpha-reductase inhibitors for BPH used within 6 months of therapy initiation
  • Current urinary tract infection or prostatitis
  • Current gross hematuria
  • Urinary incontinence presumed due to incompetent sphincter
Show all 17Show fewer
  • Catheter-dependent urinary retention within 1 month prior to enrollment
  • Prostate volume greater than 100 cc as measured by TRUS
  • Prostate specific antigen level of greater than 10 ng/ml within one year of enrollment unless prostate cancer has been ruled out
  • History of neurogenic or atonic bladder
  • History prostate cancer treatment
  • Known to be hypersensitive to tamsulosin HCl or any component of tamsulosin HCl capsules
  • Known allergy to nickel, titanium, or stainless steel
  • Prior minimally invasive or surgical intervention for BPH
  • Urethral conditions that may prevent insertion of delivery system into bladder.
  • Currently enrolled in any other investigational clinical research trial that has not completed the primary endpoint
  • History of medical, surgical or other conditions that, in the opinion of the investigator, would interfere with the treatment or evaluation of the subject

Trial locations and contacts

1 site in 1 country.

United States1 site, 1 recruiting
  • Neotract

    Pleasanton, California, 94588

    Rogers Mitchell, 925-329-6493, USPLEClinicalPayments@teleflex.com

    Recruiting

Other trials in United States

About this study

Official title: Investigating Medication vs. Prostatic Urethral Lift: Assessment and Comparison of Therapies for Benign Prostatic Hyperplasia

This prospective, multicenter, two-arm, 1:1 randomized controlled trial (RCT) will enroll approximately 250 males at approximately 25 sites located within the United States. All enrolled subjects will be 45 years of age or older diagnosed with symptomatic benign prostatic hyperplasia (BPH). They will be randomized to one of two readily available, marketed BPH therapies; Prostatic Urethral Lift procedure with the UroLift System (PUL Arm) or 0.4mg tamsulosin HCl (MED Arm).

Read the detailed description

This prospective, multicenter, two-arm, 1:1 randomized controlled trial (RCT) will enroll approximately 250 males at approximately 25 sites located within the United States. All enrolled subjects will be 45 years of age or older diagnosed with symptomatic benign prostatic hyperplasia (BPH). They will be randomized to one of two readily available, marketed BPH therapies; Prostatic Urethral Lift procedure with the UroLift System (PUL Arm) or 0.4mg tamsulosin HCl (MED Arm).Men 45 or older diagnosed with symptomatic benign prostatic hyperplasia (BPH). BPH symptoms may range from mild (8) to severe (35) on the IPSS scale. All enrolled men must meet selection criteria and be candidates for therapy with both UroLift System and 0.4 mg tamsulosin HCl.

Conditions
BPH
Being tested
UroLift System, Tamsulosin Hydrochloride

What participants receive

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

  • UroLift SystemDevice

    Prostatic lift

  • Tamsulosin HydrochlorideDrug

    Also called Flomax

    Tamsulosin HCl 0.4mg

Study groups in NCT04987892
Study groupRoleWhat they receive
Prostatic LiftActive comparatorTreatment with the UroLift System
Receives: Device: UroLift System
MedicationActive comparatorTreatment with Tamsulosin HCl 0.4mg
Receives: Drug: Tamsulosin Hydrochloride

What is being measured

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

  1. Paired comparison of International Prostate Symptom Score (IPSS) percent change

    The primary study analysis compares the change in BPH symptoms in the PUL Arm to the change in BPH symptoms in the MED Arm measured 3 months after BPH therapy initiation. This will be measure by International Prostate Symptom Score (IPSS) percent change. IPSS ranges from 0-35, healthier patients have lower scores than patients more effected by BPH symptoms.

    Measured: 3 Months after Therapy Initiation

Secondary outcomes (1)
  1. Change in Quality of Life (QoL)

    The secondary analysis assesses the change in quality of life (QoL) due to urinary symptoms between the PUL and MED Arms measured 3 months after initiation of BPH therapy. This will be measured by change in QoL, ranging from 0-6. Healthier patients have lower scores than patients more effected by BPH symptoms.

    Measured: 3 months after BPH Therapy Initiation

Timeline

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

  1. First posted3 Aug 2021
  2. Study start6 Dec 2021
  3. Primary completionMay 2025 (estimated)
  4. Study completionOct 2025 (estimated)

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 4
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
None (open label)
Enrolment
250 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT04987892
Sponsor's protocol ID
CP00014
Acronym
IMPACT
Status last verified
Apr 2023
First submitted
9 Jul 2021
Last updated
25 Apr 2023
Results posted
No
Data monitoring committee
No
FDA-regulated drug
Yes
FDA-regulated device
Yes

Questions about this trial

What is this clinical trial studying?

A Phase 4 study testing UroLift System and Tamsulosin Hydrochloride in people with BPH, run by NeoTract, Inc. at 1 site in United States.

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 7 inclusion and 17 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: status not confirmed, as of the sponsor's last update on 25 Apr 2023. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in United States. 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.

What does this phase mean?

Phase 4 studies take place after a treatment is approved, to learn more about its long-term benefits and risks in everyday use.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

Results are not available in the source record.

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

Contact Rogers Mitchell (805-403-7107, rogers.mitchell@neotract.com), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Paired comparison of International Prostate Symptom Score (IPSS) percent change (time frame: 3 Months after Therapy Initiation). It is what the study was designed to measure, not a finding.

Where can I read the original study information?
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 25 Apr 2023.

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