The ProVerum First in Man PROVE Study
Primary Purpose
Benign Prostatic Hyperplasia
Status
Active
Phase
Not Applicable
Locations
Australia
Study Type
Interventional
Intervention
The ProVee Urethral Expander System
Sponsored by
About this trial
This is an interventional treatment trial for Benign Prostatic Hyperplasia
Eligibility Criteria
Inclusion Criteria:
- Males ≥ 50 years of age
- Moderate-to-severe symptomatic BPH
- IPSS of > 15
- Peak urinary flow rate (Qmax) of <12 mL/s
- Prostate volume of ≥ 30 and ≤80 cc
- Prostatic urethral lengths ≥ 4cm
Exclusion Criteria:
- A prostatic urethral length of less than 4cm
- A prostatic volume <30cc or >80cc
- An obstructing intravesical prostatic median lobe
- Urinary incontinence due to an incompetent external sphincter
- Urethral pathologies that may prevent insertion of delivery system
- A current symptomatic urinary tract infection
- Current significant visible haematuria
- Patients with known allergy to nickel or titanium
- History of significant medical co-morbidity or prior surgery that may confound the results of the Study
- Another medical condition that would pose an unacceptable patient risk
- Known or suspected urological condition that may affected voiding function
- Neurogenic bladder and/or sphincter abnormalities
- Patients with cognitive disabilities unable to understand and give informed consent to the research study
Sites / Locations
- The Royal Melbourne Hospital
Arms of the Study
Arm 1
Arm Type
Experimental
Arm Label
Treatment Group
Arm Description
The ProVee Urethral Expander is implanted into the prostatic urethra to treat BPH symptoms
Outcomes
Primary Outcome Measures
Deployment of the Implant
Successful deployment of the implant from the delivery system in the target location within the prostatic urethra, as assessed with post deployment endoscopy
Expansion of the Implant
Successful deployment of the implant from the delivery system in the target location within the prostatic urethra, as assessed with post deployment CT
Secondary Outcome Measures
Rate of complications e.g. difficulty with urination, related to the implant use peri-procedurally and in the immediate follow up period
Rate of complications e.g. pain, difficulty with urination, related to the implant throughout the follow-up period of 2 years
Preliminary assessment of the effectiveness of the procedure in alleviating LUTS voiding symptoms
Change in symptom score using the Improvement in International Prostate Symptom Score and Quality of Life score instrument within the 2 year follow up period
Preliminary assessment of the effectiveness of the procedure in improving urinary flow
Change in Qmax measurement within the 2 year follow up period
Full Information
1. Study Identification
Unique Protocol Identification Number
NCT03972371
Brief Title
The ProVerum First in Man PROVE Study
Official Title
The ProVerum First in Man PROVE Study
Study Type
Interventional
2. Study Status
Record Verification Date
March 2023
Overall Recruitment Status
Active, not recruiting
Study Start Date
May 13, 2019 (Actual)
Primary Completion Date
December 1, 2021 (Actual)
Study Completion Date
October 1, 2023 (Anticipated)
3. Sponsor/Collaborators
Responsible Party, by Official Title
Sponsor
Name of the Sponsor
ProVerum Medical
4. Oversight
Studies a U.S. FDA-regulated Drug Product
No
Studies a U.S. FDA-regulated Device Product
No
Data Monitoring Committee
Yes
5. Study Description
Brief Summary
A clinical evaluation to assess the safety and performance of the ProVeeTM Urethral Expander System, designed to alleviate the symptoms of Benign Prostatic Hyperplasia (BPH).
6. Conditions and Keywords
Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Benign Prostatic Hyperplasia
7. Study Design
Primary Purpose
Treatment
Study Phase
Not Applicable
Interventional Study Model
Single Group Assignment
Model Description
Prospective, non-randomised, single centre, safety and feasibility study
Masking
None (Open Label)
Allocation
N/A
Enrollment
10 (Actual)
8. Arms, Groups, and Interventions
Arm Title
Treatment Group
Arm Type
Experimental
Arm Description
The ProVee Urethral Expander is implanted into the prostatic urethra to treat BPH symptoms
Intervention Type
Device
Intervention Name(s)
The ProVee Urethral Expander System
Other Intervention Name(s)
The ProVee Expander
Intervention Description
The ProVee Urethral Expander System is supplied as a single use, sterile device and consists of a nitinol expander implant and custom implant delivery system. The delivery system is designed to allow the implant to be deployed under direct vision.
Primary Outcome Measure Information:
Title
Deployment of the Implant
Description
Successful deployment of the implant from the delivery system in the target location within the prostatic urethra, as assessed with post deployment endoscopy
Time Frame
Immediately after the implant deployment procedure
Title
Expansion of the Implant
Description
Successful deployment of the implant from the delivery system in the target location within the prostatic urethra, as assessed with post deployment CT
Time Frame
Within 24 hours of the implant deployment procedure
Secondary Outcome Measure Information:
Title
Rate of complications e.g. difficulty with urination, related to the implant use peri-procedurally and in the immediate follow up period
Time Frame
Immediately after the implant deployment procedure, within 24 hours
Title
Rate of complications e.g. pain, difficulty with urination, related to the implant throughout the follow-up period of 2 years
Time Frame
2 years
Title
Preliminary assessment of the effectiveness of the procedure in alleviating LUTS voiding symptoms
Description
Change in symptom score using the Improvement in International Prostate Symptom Score and Quality of Life score instrument within the 2 year follow up period
Time Frame
2 years
Title
Preliminary assessment of the effectiveness of the procedure in improving urinary flow
Description
Change in Qmax measurement within the 2 year follow up period
Time Frame
2 years
10. Eligibility
Sex
Male
Gender Based
Yes
Gender Eligibility Description
Male
Minimum Age & Unit of Time
50 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria:
Males ≥ 50 years of age
Moderate-to-severe symptomatic BPH
IPSS of > 15
Peak urinary flow rate (Qmax) of <12 mL/s
Prostate volume of ≥ 30 and ≤80 cc
Prostatic urethral lengths ≥ 4cm
Exclusion Criteria:
A prostatic urethral length of less than 4cm
A prostatic volume <30cc or >80cc
An obstructing intravesical prostatic median lobe
Urinary incontinence due to an incompetent external sphincter
Urethral pathologies that may prevent insertion of delivery system
A current symptomatic urinary tract infection
Current significant visible haematuria
Patients with known allergy to nickel or titanium
History of significant medical co-morbidity or prior surgery that may confound the results of the Study
Another medical condition that would pose an unacceptable patient risk
Known or suspected urological condition that may affected voiding function
Neurogenic bladder and/or sphincter abnormalities
Patients with cognitive disabilities unable to understand and give informed consent to the research study
Facility Information:
Facility Name
The Royal Melbourne Hospital
City
Melbourne
State/Province
Victoria
Country
Australia
12. IPD Sharing Statement
Plan to Share IPD
No
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The ProVerum First in Man PROVE Study
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