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

Purpose

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).

Condition

  • BPH

Eligibility

Eligible Ages
Over 45 Years
Eligible Sex
Male
Accepts Healthy Volunteers
Yes

Inclusion Criteria

  1. Male 45 years of age or older 2. Diagnosis of BPH 3. Experiencing symptoms of BPH as indicated by an IPSS ≥8 and ≤30 4. Willing to wash out of current BPH medication(s), as applicable 5. An appropriate candidate for both BPH therapies evaluated in this study. 6. Ability to understand and consent to participate in this study 7. Willing and able to participate in follow-up evaluations

Exclusion Criteria

  1. Use of alpha blocker for BPH unless washed-out for 30 days 2. Use of daily phosphodiesterase type 5 inhibitor (PDE5i) for BPH unless washed-out for 30 days 3. 5-alpha-reductase inhibitors for BPH used within 6 months of therapy initiation 4. Current urinary tract infection or prostatitis 5. Current gross hematuria 6. Urinary incontinence presumed due to incompetent sphincter 7. Catheter-dependent urinary retention within 1 month prior to enrollment 8. Prostate volume greater than 100 cc as measured by TRUS 9. Prostate specific antigen level of greater than 10 ng/ml within one year of enrollment unless prostate cancer has been ruled out 10. History of neurogenic or atonic bladder 11. History prostate cancer treatment 12. Known to be hypersensitive to tamsulosin HCl or any component of tamsulosin HCl capsules 13. Known allergy to nickel, titanium, or stainless steel 14. Prior minimally invasive or surgical intervention for BPH 15. Urethral conditions that may prevent insertion of delivery system into bladder. 16. Currently enrolled in any other investigational clinical research trial that has not completed the primary endpoint 17. History of medical, surgical or other conditions that, in the opinion of the investigator, would interfere with the treatment or evaluation of the subject

Study Design

Phase
Phase 4
Study Type
Interventional
Allocation
Randomized
Intervention Model
Parallel Assignment
Primary Purpose
Treatment
Masking
None (Open Label)

Arm Groups

ArmDescriptionAssigned Intervention
Active Comparator
Prostatic Lift
Treatment with the UroLift System
  • Device: UroLift System
    Prostatic lift
Active Comparator
Medication
Treatment with Tamsulosin HCl 0.4mg
  • Drug: Tamsulosin Hydrochloride
    Tamsulosin HCl 0.4mg
    Other names:
    • Flomax

Recruiting Locations

Neotract
Pleasanton, California 94588
Contact:
Rogers Mitchell
925-329-6493
USPLEClinicalPayments@teleflex.com

More Details

Status
Unknown status
Sponsor
NeoTract, Inc.

Study Contact

Rogers Mitchell
805-403-7107
rogers.mitchell@neotract.com

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.