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Urinary StoneNCT04796792

Ultrasound to Facilitate Stone Passage

A study testing Burst Wave Lithotripsy (BWL) and Ultrasonic Propulsion (UP) in people with Urinary Stone and Urinary Calculi, run by University of Washington at 3 sites in United States.

Recruiting

Looking for participants now. Contact the study team or a site below to ask about taking part.

Sites and contacts
Official record
Search all trials

Trial summary

This is a prospective, open-label, multi-center study to test the clinical feasibility of facilitating stone passage by the combination of breaking and repositioning stones with ultrasound, without the need for anesthesia. Read more about this study

Who is it for?
Ages 18 years and olderHealthy volunteers can take part
Conditions the study is for
Urinary Stone, Urinary Calculi
What is being tested?
Burst Wave Lithotripsy (BWL) and Ultrasonic Propulsion (UP)
Type of treatment
Medical device
Could I receive a placebo?
No, everyone receives an active treatment
How many people
140 participants
Where
3 sitesUnited States
Study dates
1 Apr 2023to 31 Oct 2028
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 18 years and older
  • All sexes
  • Healthy volunteers accepted
  • Adult, Older adult

Who may be able to join

  • Individuals presenting with at least one kidney stone
  • Stone with maximum dimension > 2 mm and ≤ 7 mm as determined by clinical imaging
  • Individuals with SCI - (Phase 2b only)

Who cannot join

  • Individuals under 18 years of age
  • Individuals who are pregnant or who are trying to get pregnant
  • Prisoners
  • with cognitive impairment that would limit their ability to comprehend their role in consent or participation.
  • Individuals who are unable to read or understand English
  • Individuals who are unable or unwilling to participate in follow up activities
Show all 16Show fewer
  • Individuals who cannot be positioned for ultrasound imaging
  • Individuals with uncorrected bleeding disorders or coagulopathies
  • Individuals receiving anticoagulants and who are unable or not willing to temporarily cease the medication for the investigational procedure
  • Individuals with a calcified abdominal aortic aneurysm or calcified renal artery aneurysm ipsilateral to the renal stone targeted by the investigational procedure
  • Individuals with a solitary kidney
  • Individuals with an uncorrected urinary tract obstruction
  • Individuals with an untreated infection
  • Individuals with a comorbidity risk which, at the discretion of the physician, would make the patient a poor candidate for the investigational procedure
  • Individuals who have received two previous investigational procedures for the same stone target
  • Individuals who have undergone the investigational procedure within the last 21 days or still have unresolved AEs from a previous investigational procedure.

Trial locations and contacts

3 sites in 1 country. Contact the study team or a site near you to ask about taking part.

Michael Bailey, PhD contact

206-619-2035

mbailey@uw.edu

Barbrina Dunmire, MS contact

mrbean@uw.edu

United States3 sites, 2 recruiting
  • Indiana University Health - North Hospital

    Carmel, Indiana, 46032

    Withdrawn
  • VA Puget Sound Health Care System

    Seattle, Washington, 98108

    Branda Levchak, branda.levchak@va.gov

    Claire Yang, MD

    Recruiting
  • University of Washington

    Seattle, Washington, 98195

    Michael Bailey, PhD, 206-619-2035, mbailey@uw.edu

    Barbara Burke, burkeb3@uw.edu

    Recruiting

Other trials in United States

About this study

Official title: Ultrasound Technology to Fragment and Reposition Urinary Stones

This is a prospective, open-label, multi-center study to test the clinical feasibility of facilitating stone passage by the combination of breaking and repositioning stones with ultrasound, without the need for anesthesia.

Read the detailed description

This is a prospective, open-label, multi-center study to test the clinical feasibility of facilitating stone passage by the combination of breaking and repositioning stones with ultrasound, without the need for anesthesia.

Subjects will be included across three phases:

  • Phase 1: 20 subjects to demonstrate initial feasibility
  • Phase 2a: 100 subjects for a two-arm (50:50) randomized control trial (RCT)
  • Phase 2b: 20 subjects to demonstrate feasibility in individuals with spinal cord injury (SCI)

This study has completed Phase 1. The study is currently recruiting for Phase 2b. Recruitment has not yet started for Phase 2a.

Up to 3 distinct targets may be treated per subject. The maximum total dose exposure is 30 minutes for one session. Subjects may return after at least 21 days and after all AEs have resolved for an additional session on the same side. Subjects may return after imaging follow-up for inclusion of their contralateral side.

Being tested
Burst Wave Lithotripsy (BWL) and Ultrasonic Propulsion (UP)
Medical subject headings
Urinary Calculi

What participants receive

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

  • Burst Wave Lithotripsy (BWL) and Ultrasonic Propulsion (UP)Device

    Novel ultrasound technologies to facilitate passage of stones.This includes Burst Wave Lithotripsy (BWL), a technology to noninvasively fragment urinary calculi within the kidney and ureter, and ultrasonic propulsion, a technology to non-invasively reposition stones within the kidney and ureter. BWL uses short multi-cycle bursts of low amplitude ultrasound to induce stone fracture. This is in contrast to traditional extracorporeal shock wave lithotripsy (SWL), which employs a brief single compression/tensile cycle of high amplitude (shock) waves to achieve stone fracture. Ultrasonic propulsion uses long multi-cycle bursts of low amplitude ultrasound to move stones within the collecting system.

Study groups in NCT04796792
Study groupRoleWhat they receive
Phase I: Feasibility Treatment groupExperimentalInitial phase of the trial to demonstrate feasibility. All subjects undergo the investigational intervention.
Receives: Device: Burst Wave Lithotripsy (BWL) and Ultrasonic Propulsion (UP)
Phase 2a: Treatment Group of a randomized control trialExperimentalRCT phase of the trial to demonstrate superiority. All subjects undergo the investigational intervention.
Receives: Device: Burst Wave Lithotripsy (BWL) and Ultrasonic Propulsion (UP)
Phase 2a: Control group of a randomized control trialNo interventionRCT phase of the trial to demonstrate superiority. All subjects are the concurrent Control to the Phase 2a Treatment group. Subjects receive no intervention.
Phase 2b: Spinal Cord Injury Feasibility StudyExperimentalFeasbility study of the investigational intervention in subjects with spinal cord injury.
Receives: Device: Burst Wave Lithotripsy (BWL) and Ultrasonic Propulsion (UP)

What is being measured

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

  1. Safety - incidence of return healthcare visits.

    Incidence of return health care visits associated with the device or procedure.

    Measured: Day of procedure to 14 months post-procedure

  2. Effectiveness - stone comminution into fragments 2 mm or less.

    Number of cases where the largest dimension of any residual stone in the study kidney is less than or equal to 2 mm.

    Measured: Day of procedure to 4 months posts procedure

Secondary outcomes (4)
  1. Safety - incidence of adverse events (AEs)

    The incidence of all adverse events (AEs) associated with the device or procedure

    Measured: Day of procedure to 4 months posts procedure

  2. Effectiveness - % residual stone volume

    Residual stone volume relative to the initial stone volume

    Measured: Day of procedure to 4 months posts procedure

  3. Effectiveness - need for further stone management

    Incidence of new healthcare visits for further stone management

    Measured: Day of procedure to 4 months posts procedure

  4. Effectiveness - Outcome from Wisconsin Stone Quality of Life questionnaire

    Quality of life, evaluated by the comparison of Wisconsin Stone Quality of Life (WISQOL) questionnaire scores before and after the investigational procedure. The questionnaire consists of a series of questions to evaluate the symptomatic and functional impact of the stones on a scale of 1 to 5, where a lower score indicates a greater impact. https://urology.wisc.edu/research/wisqol/.

    Measured: Day of procedure to 14 months posts procedure

Timeline

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

  1. First posted15 Mar 2021
  2. Study start1 Apr 2023
  3. Primary completion31 May 2028 (estimated)
  4. Study completion31 Oct 2028 (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
Non-randomised
Intervention model
Single group
Model description
Each phase represents a different population group. Phase 2a includes a randomized control component; the treatment and control groups are listed as separate arms with non-randomized allocation for consistency.
Masking
None (open label)
Enrolment
140 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT04796792
Sponsor's protocol ID
STUDY00011687
Other IDs
5P01DK043881-26
Status last verified
Dec 2025
First submitted
3 Mar 2021
Last updated
9 Dec 2025
Results posted
No
Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
Yes
Individual data sharing
No

Publications

  • May PC, Kreider W, Maxwell AD, Wang YN, Cunitz BW, Blomgren PM, Johnson CD, Park JSH, Bailey MR, Lee D, Harper JD, Sorensen MD. Detection and Evaluation of Renal Injury in Burst Wave Lithotripsy Using Ultrasound and Magnetic Resonance Imaging. J Endourol. 2017 Aug;31(8):786-792. doi: 10.1089/end.2017.0202. Epub 2017 Jun 16.

    PubMed 28521550
  • Maxwell AD, Cunitz BW, Kreider W, Sapozhnikov OA, Hsi RS, Harper JD, Bailey MR, Sorensen MD. Fragmentation of urinary calculi in vitro by burst wave lithotripsy. J Urol. 2015 Jan;193(1):338-44. doi: 10.1016/j.juro.2014.08.009. Epub 2014 Aug 9.

    PubMed 25111910
  • Harper JD, Metzler I, Hall MK, Chen TT, Maxwell AD, Cunitz BW, Dunmire B, Thiel J, Williams JC, Bailey MR, Sorensen MD. First In-Human Burst Wave Lithotripsy for Kidney Stone Comminution: Initial Two Case Studies. J Endourol. 2021 Apr;35(4):506-511. doi: 10.1089/end.2020.0725. Epub 2020 Nov 5.

    PubMed 32940089
  • Ramesh S, Chen TT, Maxwell AD, Cunitz BW, Dunmire B, Thiel J, Williams JC, Gardner A, Liu Z, Metzler I, Harper JD, Sorensen MD, Bailey MR. In Vitro Evaluation of Urinary Stone Comminution with a Clinical Burst Wave Lithotripsy System. J Endourol. 2020 Nov;34(11):1167-1173. doi: 10.1089/end.2019.0873. Epub 2020 Mar 20.

    PubMed 32103689
  • Dai JC, Sorensen MD, Chang HC, Samson PC, Dunmire B, Cunitz BW, Thiel J, Liu Z, Bailey MR, Harper JD. Quantitative Assessment of Effectiveness of Ultrasonic Propulsion of Kidney Stones. J Endourol. 2019 Oct;33(10):850-857. doi: 10.1089/end.2019.0340. Epub 2019 Sep 25.

    PubMed 31333058
  • Maxwell AD, Wang YN, Kreider W, Cunitz BW, Starr F, Lee D, Nazari Y, Williams JC Jr, Bailey MR, Sorensen MD. Evaluation of Renal Stone Comminution and Injury by Burst Wave Lithotripsy in a Pig Model. J Endourol. 2019 Oct;33(10):787-792. doi: 10.1089/end.2018.0886. Epub 2019 May 27.

    PubMed 31016998
  • Harper JD, Cunitz BW, Dunmire B, Lee FC, Sorensen MD, Hsi RS, Thiel J, Wessells H, Lingeman JE, Bailey MR. First in Human Clinical Trial of Ultrasonic Propulsion of Kidney Stones. J Urol. 2016 Apr;195(4 Pt 1):956-64. doi: 10.1016/j.juro.2015.10.131. Epub 2015 Oct 30.

    PubMed 26521719
  • Harper JD, Lingeman JE, Sweet RM, Metzler IS, Sunaryo PL, Williams JC Jr, Maxwell AD, Thiel J, Cunitz BW, Dunmire B, Bailey MR, Sorensen MD. Fragmentation of Stones by Burst Wave Lithotripsy in the First 19 Humans. J Urol. 2022 May;207(5):1067-1076. doi: 10.1097/JU.0000000000002446. Epub 2022 Mar 21.

    PubMed 35311351
  • Hall MK, Thiel J, Dunmire B, Samson PC, Kessler R, Sunaryo P, Sweet RM, Metzler IS, Chang HC, Gunn M, Dighe M, Anderson L, Popchoi C, Managuli R, Cunitz BW, Burke BH, Ding L, Gutierrez B, Liu Z, Sorensen MD, Wessells H, Bailey MR, Harper JD. First Series Using Ultrasonic Propulsion and Burst Wave Lithotripsy to Treat Ureteral Stones. J Urol. 2022 Nov;208(5):1075-1082. doi: 10.1097/JU.0000000000002864. Epub 2022 Nov 1.

    PubMed 36205340
  • Sorensen MD, Dunmire B, Thiel J, Cunitz BW, Burke BH, Levchak BJ, Popchoi C, Holmes AE, Kucewicz JC, Hall MK, Dighe M, Dai JC, Cormack FC, Liu Z, Bailey MR, Porter MP, Harper JD. Randomized Controlled Trial of Ultrasonic Propulsion-Facilitated Clearance of Residual Kidney Stone Fragments vs Observation. J Urol. 2024 Dec;212(6):811-820. doi: 10.1097/JU.0000000000004186. Epub 2024 Aug 15.

    PubMed 39146526
  • Shelton TM, Connors BA, Rivera ME, Lingeman JE, Bailey MR, Williams JC Jr. No Injury Observed in Kidneys Treated with Burst Wave Lithotripsy in Therapeutically Anticoagulated Pigs. J Endourol. 2025 Aug;39(8):804-807. doi: 10.1089/end.2024.0466. Epub 2025 Jan 16.

    PubMed 39819022
  • Harper JD, Dunmire B, Thiel J, Burke BH, Wang YN, Totten S, Kucewicz JC, Maxwell AD, Hall MK, Holmes AE, Popchoi C, Lingeman JE, Desai AC, Sweet RM, Dighe M, Levchak BJ, Yang CC, Bailey MR, Sorensen MD. Facilitated Clearance of Small, Asymptomatic Renal Stones With Burst Wave Lithotripsy and Ultrasonic Propulsion. J Urol. 2025 Jul;214(1):41-47. doi: 10.1097/JU.0000000000004533. Epub 2025 Mar 17.

    PubMed 40096677

Questions about this trial

What is this clinical trial studying?

A study testing Burst Wave Lithotripsy (BWL) and Ultrasonic Propulsion (UP) in people with Urinary Stone and Urinary Calculi, run by University of Washington at 3 sites 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 3 inclusion and 16 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: looking for participants now, as of the sponsor's last update on 9 Dec 2025. 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 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.

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?

Contact Michael Bailey, PhD (206-619-2035, mbailey@uw.edu), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Safety - incidence of return healthcare visits. (time frame: Day of procedure to 14 months post-procedure). 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?

On the ClinicalTrials.gov record for NCT04796792, which also lists 12 linked publications.

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 9 Dec 2025.

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