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Benign Prostatic HyperplasiaCLEARNCT04338776

Comparing UroLift Experience Against Rezūm

A study testing UroLift and Rezum in people with Benign Prostatic Hyperplasia, run by NeoTract, Inc. at 10 sites in 2 countries.

Active, not recruiting

Under way, not looking for participants. Everyone needed has enrolled. The study is still running.

Official record
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Trial summary

C.L.E.A.R. Study is poised to compare the patient experience post procedure, including catheterization needs as well as retreatment and BPH medication rates following treatment with either the UroLift® System or Rezūm™ System through 12 months. Read more about this study

Who is it for?
Ages 50 years and older, men onlyHealthy volunteers can take part
Conditions the study is for
Benign Prostatic Hyperplasia
What is being tested?
UroLift and Rezum
Type of treatment
Medical device
Could I receive a placebo?
No, everyone receives an active treatment
How many people
120 participants
Where
10 sitesin 2 countries
Study dates
22 Jan 2021to Dec 2025
Phase
Interventional
Are there results?
Not yet: the study is under way

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

Who may be able to join

  • Male gender
  • Age ≥ 50 years
  • Diagnosis of symptomatic BPH
  • Prostate volume 30cm3 ≤ 80cm3
  • Willing to sign study informed consent form

Who cannot join

  • Current urinary tract infection
  • Current catheter dependent urinary retention or PVR >= 500 mL
  • Urethra conditions that may prevent insertion of delivery system into bladder
  • Previous BPH surgical procedure
  • Urinary incontinence presumed due to incompetent sphincter
  • Current gross hematuria
Show all 9Show fewer
  • Patients with a urinary sphincter implant
  • Patients who have a penile prosthesis
  • Currently enrolled in any other investigational clinical research trial that has not completed the primary endpoint

Trial locations and contacts

10 sites in 2 countries.

10 sites in 2 countries

United States7 sites
  • Urology Austin

    Austin, Texas, 78759

  • UT Southwestern Medical Center

    Dallas, Texas, 75048

  • NYU Winthrop Urology

    Garden City, New York, 11530

  • Tower Urology

    Los Angeles, California, 90048

  • Weil Cornell Medical College, Cornell University

    New York, New York, 10065

  • Comprehensive Urology

    Royal Oak, Michigan, 48073

  • Urology San Antonio

    San Antonio, Texas, 78229

Other trials in United States

United Kingdom3 sites
  • Cambridge University Hospitals NHS Foundation Trust

    Cambridge, CB2 0QQ

  • Frimley Park Hospital

    Frimley, Camberley, 6U167UJ UK

  • NORFOLK and Norwich University Hospital

    Norwich, Norfolk, NR4 7UY

Other trials in United Kingdom

About this study

Official title: C.L.E.A.R. - Comparing UroLift Experience Against Rezūm

C.L.E.A.R. Study is poised to compare the patient experience post procedure, including catheterization needs as well as retreatment and BPH medication rates following treatment with either the UroLift® System or Rezūm™ System through 12 months.

Read the detailed description

Patients will be randomized to either the UroLift or Rezum arm. Post-procedure, subjects who receive a catheter between post-procedure and prior to discharge, will return to office to complete a voiding assessment.

All subjects will be expected to complete questionnaires and assessments, as part of SOC (varies by institution), at day 3, day 7, 2 weeks, 1 month, 3 months and 12 months post-procedure.

Being tested
UroLift, Rezum
Medical subject headings
Prostatic Hyperplasia

What participants receive

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

  • UroLiftDevice

    The UroLift System is indicated for the treatment of symptoms due to urinary outflow obstruction secondary to benign prostatic hyperplasia (BPH).

    During the procedure, an implant is delivered into the prostatic lobe obstructing the urethra and restricting urine flow. The distal end of the device is used to compress the lobe then the implant is delivered to retain the lobe in position, thereby increasing the urethral opening and reducing the fluid obstruction through the prostatic urethra.

  • RezumDevice

    The Rezūm™ System is intended to relieve symptoms, obstructions, and reduce prostate tissue associated with BPH.

    The Rezūm System is manufactured by Boston Scientific and consists of a radiofrequency (RF) generator and a single-use transurethral delivery device.

    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,reducing the volume tissue adjacent to the urethra.

Study groups in NCT04338776
Study groupRoleWhat they receive
UroLiftExperimentalPatient randomized to the UroLift arm will receive the FDA-approved UroLift procedure.
Receives: Device: UroLift
RezūmExperimentalPatient randomized to the Rezūm arm will receive the FDA-approved Rezūm procedure.
Receives: Device: Rezum

What is being measured

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

  1. Catheter Independent

    Number of subjects who are catheter independent and remain catheter independent through 1-week

    Measured: Through 1-week

Timeline

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

  1. First posted8 Apr 2020
  2. Study start22 Jan 2021
  3. Primary completion5 Jun 2025
  4. Study completionDec 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 N/A
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
None (open label)
Enrolment
120 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT04338776
Sponsor's protocol ID
CP00013
Acronym
CLEAR
Status last verified
Oct 2025
First submitted
2 Apr 2020
Last updated
14 Oct 2025
Results posted
No
FDA-regulated drug
No
FDA-regulated device
Yes

Questions about this trial

What is this clinical trial studying?

A study testing UroLift and Rezum in people with Benign Prostatic Hyperplasia, run by NeoTract, Inc. at 10 sites in 2 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 5 inclusion and 9 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: under way, not looking for participants, as of the sponsor's last update on 14 Oct 2025. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 10 sites in United States, United Kingdom. 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?

This study is still under way. Results are not available in the source record yet.

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?

Catheter Independent (time frame: Through 1-week). 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 14 Oct 2025; AzTrials last refreshed its copy on 29 Oct 2026.

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