AzTrials
AzTrials

Prostatic HyperplasiaRezum PilotNCT02943070

Rezum I Pilot Study for Benign Prostatic Hyperplasia

A study testing Rezum System in people with Prostatic Hyperplasia and Benign Prostatic Hyperplasia, run by Boston Scientific Corporation at 3 sites in 3 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

Evaluate the safety and efficacy of the Rezum System for the treatment of BPH Read more about this study

Who is it for?
Ages 45 years and older, men only
What is being tested?
Rezum System
Type of treatment
Medical device
Could I receive a placebo?
No, everyone receives an active treatment
How many people
50 participants
Where
3 sitesin 3 countries
Study dates
Mar 2012to Dec 2018
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 45 years and older
  • Men only
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Male subjects > 45 years of age who have symptomatic / obstructive symptoms secondary to BPH requiring invasive intervention.
  • IPSS score of ≥ 15.
  • Qmax: Peak flow rate ≤ 15 ml/sec.
  • Post-void residual (PVR) < 300 ml.
  • Prostate transverse diameter > 30 mm.
  • Prostate volume between 20 to 120 gm.
Show all 9Show fewer
  • Voided volume ≥ 125 mL
  • Subject able to complete the study protocol in the opinion of the investigator.
  • Life expectancy of at least one year.

Who cannot join

  • History of any illness or surgery that may confound the results of the study or have risk to subject.
  • Presence of a penile implant.
  • Any prior minimally invasive intervention (e.g. TUNA, Balloon, Microwave) or surgical intervention for the symptoms of BPH.
  • Currently enrolled or has been enrolled in another trial in the past 30 days.
  • Confirmed or suspected malignancy of prostate or bladder
  • Previous rectal surgery (other than hemorrhoidectomy) or history of rectal disease.
Show all 32Show fewer
  • Previous pelvic irradiation or radical pelvic surgery.
  • Documented active urinary tract infection by culture or bacterial prostatitis within last year documented by culture (UTI is defined as >100,000 colonies per ml urine from midstream clean catch or catherization specimen)
  • Neurogenic bladder or sphincter abnormalities.
  • Urethral strictures, bladder neck contracture or muscle spasms.
  • Bleeding disorder or is currently on coumadin. (Note that use of anti-platelet medication is not an exclusion criteria.)
  • Subjects interested in maintaining fertility.
  • Use of concomitant medications to include the following:
  • Use of, antihistamines, and antispasmodics within 1 week of treatment unless there is documented evidence stable dosing for last 6 months (no dose changes).
  • Use of alpha blockers, androgens, or gonadotropin-releasing hormonal analogs within 2 weeks of treatment.
  • Use of 5-alpha reductase inhibitor within the last 6 months
  • Use of antidepressants, anticholinergics, anticonvulsants, and beta blockers unless there is documented evidence of stable dosing
  • Subject is unable or unwilling to go through the "washout" period prior to treatment.
  • Subject has chronic urinary retention.
  • Post-void residual volume > 300 ml.
  • Significant urge incontinence.
  • Poor detrusor muscle function.
  • Neurological disorders which might affect bladder or sphincter function.
  • Urinary sphincter abnormalities.
  • Bladder stones.
  • Evidence of bacterial prostatitis or symptoms of epididymitis
  • Renal impairment or serum creatinine > 2.0 mg/dl
  • In the physician's opinion, subject cannot tolerate a cystoscopy procedure well.
  • Unable or unwilling to sign the Informed Consent Form (ICF) and/or comply with all the required follow-up requirements.
  • Any cognitive disorder that interferes with or precludes direct and accurate communication with the study investigator regarding the study.
  • Peripheral arterial disease with intermittent claudication or Leriches Syndrome (i.e., claudication of the buttocks or perineum).
  • Biopsy of prostate within 30 days of procedure.

Trial locations and contacts

3 sites in 3 countries.

3 sites in 3 countries

Czechia1 site
  • University Hospital

    Brno

Other trials in Czechia

Dominican Republic1 site
  • Clinica Canela

    La Romana

Other trials in Dominican Republic

Sweden1 site
  • Urologcentrum

    Stockholm

Other trials in Sweden

About this study

Official title: NxThera Benign Prostatic Hyperplasia Rezum System Pilot Study

Evaluate the safety and efficacy of the Rezum System for the treatment of BPH

Read the detailed description

Prospective, non-randomized clinical trial of subjects with benign prostatic hyperplasia. The objective of the study are to 1) determine the safety and efficacy of the BPH Rezum System and assess its effect on urinary symptoms secondary to benign prostatic hyperplasia (BPH), and 2) further document the safety and post-operative effects of the Rezum System in the treatment of obstructive BPH.

Being tested
Rezum System
Keywords
Rezum, Water Vapor Ablation
Medical subject headings
Prostatic Hyperplasia

What participants receive

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

  • Rezum SystemDevice

    Also called Rezum Procedure, Rezum, Water Vapor Ablation, Rezum Delivery Device

    The Rezūm System treats patients with bothersome urinary symptoms associated with benign prostatic hyperplasia (BPH). The Rezūm System utilizes radiofrequency current to generate "wet" thermal energy in the form of water vapor, which is then injected into the transition zone and/or median lobe of the prostate tissue in controlled 9-second doses. The vapor that is injected into the prostate tissue rapidly disperses through the interstitial space between the tissue cells. As the vapor cools, it condenses immediately on contact with tissue and the stored thermal energy is released, denaturing the cell membranes and causing cell death. The denatured cells are absorbed by the body, which reduces the volume of prostate tissue adjacent to the urethra. The vapor condensation process also causes a rapid collapse of vasculature in the treatment zone, resulting in a bloodless procedure.

Study groups in NCT02943070
Study groupRoleWhat they receive
Rezum TreatmentExperimentalPatients received the Rezum transurethral needle ablation procedure to treat benign prostatic hyperplasia.
Receives: Device: Rezum System

What is being measured

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

  1. International Prostate Symptom Score (IPSS) Change From Baseline

    International Prostate Symptom Score (IPSS) scores were recorded at Baseline to 1 week, 1 month, 3 months, 6 months, 1 year, then annually to 5 years. The mean change (improvement) in IPSS was calculated. IPSS scores range from 0 (no symptoms) to 35 (severe symptoms). Improvement in symptoms is shown by a reduction in score.

    Measured: Baseline to 1 week, 1 month, 3 months, 6 months, 1 year, annually to 5 years

  2. Major Complications

    Safety assessed by the frequency of systemic and local serious device related complications and the occurrence of unanticipated device-related adverse effects during treatment and at follow-up, up to 30 days. Due to the nature of the device, any device-related AEs are expected to present themselves during the immediate peri-procedure period (30 days post procedure).

    The device related complications that will be compared for this safety endpoint are:

    1. Severe Urinary Retention (Retention ≥ 24 hours)
    2. Fistula between rectum and urethra
    3. Perforation of the rectum or GI tract
    4. New incidences of retrograde ejaculation

    Measured: 3 months

Secondary outcomes (23)
  1. Proportion of Responders - Responders With a ≥ 30% International Prostate Symptom Score (IPSS) Improvement

    The proportion of study subjects who were responders were evaluated. A responder is defined as a subject with ≥ 30% improvement in BPH symptoms from baseline as measured by the IPSS.

    Measured: Baseline to 1 week, 1 month, 3 months, 6 months, 1 year, annually to 5 years

  2. Proportion of Responders - Responders With a ≥ 50% International Prostate Symptom Score (IPSS) Improvement

    The proportion of study subjects who were responders were evaluated. For this measure a responder is defined as a subject with ≥ 50% improvement in BPH symptoms from baseline as measured by the IPSS.

    Measured: Baseline to 1 week, 1 month, 3 months, 6 months, 1 year, annually to 5 years

  3. Proportion of Responders - Responders With Improvement ≥ 8 Points in IPSS

    Analysis will be provided for proportion of subjects with improvement ≥ 8 points from baseline at 1 week, 1 month, and 3 months, 6 months, 1 year, annually to 5 years

    Measured: Baseline to 1 week, 1 month, 3 months, 6 months, 1 year, annually to 5 years

  4. Uroflow Assessment - Change From Baseline in Peak Urinary Flow (Qmax)

    Peak urinary flow rate (Qmax) is the maximum urinary flow rate. It is calculated as milliliters (ml) of urine passed per second. Average results are based on age and sex. Typical uroflow rates ranges from 10 ml to 21 ml per second. An increase in mL/sec corresponds to improved urinary function.

    Measured: Baseline to 1 week, 1 month, 3 months, 6 months, 1 year, annually to 5 years

  5. Uroflow Assessment - Proportion of Subjects With Qmax Improvement of ≥ 30% From Baseline

    Peak urinary flow rate (Qmax) is the maximum urinary flow rate. It is calculated as milliliters (ml) of urine passed per second. This measure reports the number of subjects who experienced a ≥ 30% improvement from baseline at each follow-up interval.

    Measured: Baseline to 1 week, 1 month, 3 months, 6 months, 1 year, annually to 5 years

  6. Uroflow Assessment - Proportion of Subjects With Qmax Improvement of ≥ 3 ml/Sec

    Peak urinary flow rate (Qmax) is the maximum urinary flow rate. It is calculated as milliliters (ml) of urine passed per second. This measure reports the number of subjects who experienced a ≥3 mL/sec improvement from baseline at each follow-up interval.

    Measured: Baseline to 1 week, 1 month, 3 months, 6 months, 1 year, annually to 5 years

  7. Uroflow Assessment - Change in Post Void Residual (PVR) by Follow up Interval

    Change in post void residual (PVR) urine volume in ml. Post void residual volume was measured by either ultrasound to measure the volume left in the bladder after urination, or by inserting a urinary catheter into the bladder after urination to drain and measure residual urine. Either measurement tool was allowed but the same measurement was to be used pre and post treatment.

    Measured: Baseline to 1 week, 1 month, 3 months, 6 months, 1 year, annually to 5 years

  8. Change in Sexual Function - Erectile Function

    Change from baseline in sexual function was measured by the International Index of Erectile Function (IIEF) (Scoring on the IIEF ranges from 1 to 30. An increase in score indicates improvement from baseline)

    Measured: 1 month, 3 months, 6 months, 1 year, annually to 5 years

  9. Change in Sexual Function - Retrograde Ejaculation

    Rate of Retrograde Ejaculation (when no fluid exits the penis during orgasm (e.g., dry orgasm)

    Measured: 1 Week post procedure, 1 Month post procedure, 3 Months post procedure

  10. International Prostate Symptom Score (IPSS) Assessment by Prostate Volume

    International Prostate Symptom Score (IPSS) scores were recorded at Baseline to 1 week, 1 month, 3 months, 6 months, 1 year, then annually to 5 years. The mean change in IPSS was calculated. IPSS scores range from 0 (no symptoms) to 35 (severe symptoms). Mean change in IPSS scores reported at each follow-up interval. Improvement in symptoms is shown by a reduction in score.

    Measured: Baseline to 1 week, 1 month, 3 months, 6 months, 1 year, annually to 5 years

  11. International Prostate Symptom Score (IPSS) Assessment Based on Prostate Lobe Treated: Lateral Only vs. Lateral and Median Lobe

    International Prostate Symptom Score (IPSS) scores were recorded at Baseline to 1 week, 1 month, 3 months, 6 months, 1 year, then annually to 5 years. The mean change in IPSS was calculated. IPSS scores range from 0 (no symptoms) to 35 (severe symptoms). Mean change in IPSS scores reported at each follow-up interval. Improvement in symptoms is shown by a reduction in score.

    Results report change in IPSS by follow up interval for subjects treated in both lateral lobes and median lobe vs. subjects treated in lateral lobes alone.

    Measured: Baseline to 1 week, 1 month, 3 months, 6 months, 1 year, annually to 5 years

  12. International Prostate Symptom Score (IPSS) Assessment Based on Baseline IPSS

    International Prostate Symptom Score (IPSS) scores were recorded at Baseline to 1 week, 1 month, 3 months, 6 months, 1 year, then annually to 5 years. The mean change in IPSS was calculated. IPSS scores range from 0 (no symptoms) to 35 (severe symptoms). Mean change in IPSS scores reported at each follow-up interval and grouped by Baseline IPSS. Improvement in symptoms is shown by a reduction in score.

    Measured: Baseline to 1 week, 1 month, 3 months, 6 months, 1 year, annually to 5 years

  13. Procedural Pain Score

    Pain scores were obtained for all subjects using the Iowa Pain Thermometer. Maximum intraprocedural pain scores were analyzed, together with the pain scores reported at follow-up intervals through 3 months. The treatment pain scores were reported by subjects post-procedure and was based on their recollections. Scale is 0-12 with higher scores corresponding to higher pain reported.

    Measured: Day of treatment, 1 Day post procedure, 1 Week post procedure, 1 Month post procedure, 3 Months post procedure

  14. Quality of Life (QoL) - Change in QoL as Measured With the International Prostate Symptom Score (IPSS)

    Change in Quality of Life was measured using a QoL question in the IPSS. QoL data were collected at each follow up visit.

    One question in the IPSS asked subjects to rate their "quality of life due to urinary symptoms" on a scale of 0 = Delighted to 6 = Terrible.

    A reduction in score from baseline equates to improved outcome.

    Measured: Baseline to 1 week, 1 month, 3 months, 6 months, 1 year, then annually to 5 years

  15. Quality of Life (QoL) - Change in QoL as Measured With the Benign Prostatic Hyperplasia Impact Index (BPHII)

    Change in Quality of Life will be measured with the Benign Prostatic Hyperplasia Impact Index (BPHII). Data were collected at specified follow up visits.

    BPHII scores range from 0 (no/mild symptoms) to 35 (severe symptoms). A reduction in score from baseline equates to an improvement in symptoms.

    Measured: Baseline to 1 month, 3 months, 6 months, 1 year, then annually to 5 years

  16. Quality of Life (QoL) - Change in QoL as Measured With the EQ-5D-3L

    Quality of Life was measured using EQ-5D-3L questionnaire. QoL data were collected at each follow up visit. The EQ-5D-3L is a standardized instrument for use as a measure of health outcome and was administered to all subjects to assess the effect of the treatment on the subjects' quality of life. EQ-5D-3L index ranges from -0.109 to 1.000, with 1.000 corresponding to the best health state and -0.109 corresponding to the worst health. Mean change in overall score from baseline is reported.

    Measured: 1 month, 3 months, 6 months, 1 year, then annually to 5 years

  17. Quality of Life (QoL) - Change in QoL as Measured With the EQ-5D-3L Visual Analog Scale (VAS)

    Quality of Life was measured using EQ-5D-3L questionnaire and collected at each follow up visit. The EQ-5D-3L is a standardized instrument for use as a measure of health outcome and was administered to all subjects to assess the effect of the treatment on the subjects' quality of life. The EQ-5D-3L includes a visual analog scale (VAS) which is a vertical scale with numbers ranging from 0 to 100. Subjects were asked to draw a line to the place on the scale that best represented how good or bad his health was on that day. The worst state a subject can imagine is marked zero, and the best state the subject can imagine is marked 100. Mean change in VAS score from baseline is reported. An increase in score is considered a better outcome.

    Measured: 1 month, 3 months, 6 months, 1 year, then annually to 5 years

  18. Quality of Life (QoL) - QoL Dimensions as Measured With the EQ-5D-3L

    Quality of Life was measured using EQ-5D-3L questionnaire. QoL data were collected at each follow up visit. The EQ-5D-3L is a standardized instrument for use as a measure of health outcome and was administered to all subjects to assess the effect of the treatment on the subjects' quality of life. Each dimension had 3 possible responses (1 =no problem, 2 =some problem 3 =severe problems) in the relevant health dimension.

    Presented below are the scoring counts for each of the dimensions for baseline and follow up interval.

    Measured: 1 month, 3 months, 6 months, 1 year, then annually to 5 years

  19. Subject Satisfaction - Satisfied With Overall Procedure

    Subject satisfaction assessed using a study specific questionnaire to evaluate the subject's overall satisfaction of the procedure at 1 week, 1 month, 3 months, 6 months, 1 year, and annually to 5 years.

    These will be measured as:

    • Proportion of subjects that are satisfied with the procedure overall

    Note: Subject Satisfaction Questionnaire is specific to the NxThera Rezūm treatment and 3 of the 7 questions were used to evaluate the subjects' overall satisfaction with the procedure. Within the questionnaire, subjects sometimes did not answer all of the questions, which resulted in a different "n" by question within the same follow-up time point.

    Measured: 1 week, 1 month, 3 months, 6 months, 1 year, and annually to 5 years

  20. Subject Satisfaction - Proportion of Subjects Who Would Recommend Procedure to Friends and Family

    Subject satisfaction assessed using a study specific questionnaire to evaluate the subject's overall satisfaction of the procedure at 1 week, 1 month, 3 months, 6 months, 1 year, and annually to 5 years.

    Outcome measured as:

    • Proportion of subjects that would recommend this treatment to friends and families

    Note: Subject Satisfaction Questionnaire is specific to the NxThera Rezūm treatment and 3 of the 7 questions were used to evaluate the subjects' overall satisfaction with the procedure. Within the questionnaire, subjects sometimes did not answer all of the questions, which resulted in a different "n" by question within the same follow-up time point.

    Measured: 1 week, 1 month, 3 months, 6 months, 1 year, and annually to 5 years

  21. Subject Satisfaction - Proportion of Subjects Who Would Undergo Same Treatment if Symptoms Were to Recur After 5 Years

    Subject satisfaction assessed using a study specific questionnaire to evaluate the subject's overall satisfaction of the procedure at 1 week, 1 month, 3 months, 6 months, 1 year, and annually to 5 years.

    Outcome measured as:

    • Proportion of subjects who would undergo the same treatment if their symptoms were to recur after 5 years

    Note: Subject Satisfaction Questionnaire is specific to the NxThera Rezūm treatment and 3 of the 7 questions were used to evaluate the subjects' overall satisfaction with the procedure. Within the questionnaire, subjects sometimes did not answer all of the questions, which resulted in a different "n" by question within the same follow-up time point.

    Measured: 1 week, 1 month, 3 months, 6 months, 1 year, and annually to 5 years

  22. Procedural Parameters - Procedure Time

    Procedure time: Time from delivery device insertion to final delivery device withdrawal

    Measured: Day of Procedure

  23. Procedural Parameters - Treatment Time

    Treatment time: time from first vapor delivery to last vapor delivery

    Measured: Day of Procedure

Timeline

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

  1. First posted24 Oct 2016 (estimated)
  2. Study startMar 2012
  3. Primary completionFeb 2013
  4. Study completionDec 2018

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
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrolment
50 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT02943070
Sponsor's protocol ID
1189-001
Acronym
Rezum Pilot
Status last verified
Feb 2021
First submitted
16 Oct 2012
Last updated
16 Mar 2021
Data monitoring committee
No
Individual data sharing
No

Questions about this trial

What is this clinical trial studying?

A study testing Rezum System in people with Prostatic Hyperplasia and Benign Prostatic Hyperplasia, run by Boston Scientific Corporation at 3 sites in 3 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 9 inclusion and 32 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 16 Mar 2021. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 3 sites in Czechia, Dominican Republic, Sweden. 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 24 Feb 2021). 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) Change From Baseline (time frame: Baseline to 1 week, 1 month, 3 months, 6 months, 1 year, annually to 5 years). The study lists 2 primary outcomes in all. 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 16 Mar 2021.

Free account

Keep searching with a free account

You’ve used your 3 free searches for this session. Log in or create a free AzTrials account to keep searching clinical trials and save the ones you want to follow.

Create a free accountLog in