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Urinary CalculiNCT05048706

SP TLF Versus Ho:YAG Laser

An observational study of Urinary Calculi, run by University of Rochester at 2 sites in United States.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

The investigators aim to compare the performance of the Super Pulse Thulium fiber laser (SP TFL) with that of the standard Holmium: Yttrium-Aluminium-Garnet (Ho:YAG) laser. The investigators hypothesize that the electronically-modulated laser diodes, of the TFL offers the most comprehensive and flexible range of laser… Read more about this study

Who is it for?
Ages 18 years and olderHealthy volunteers can take part
Conditions the study is for
Urinary Calculi
What is being tested?
Laser lithotripsy (SP TLF) and Laser lithotripsy (Ho:YAG)
Type of treatment
Medical device
How many people
62 participants
Where
2 sitesUnited States
Study dates
10 May 2021to 1 Jan 2024
Phase
Observational
Are there results?
None posted in the registry

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

Study population: Subjects eligible for this study will be identified via eRecord in the Urology Department (routine access) of patients who were diagnosed with upper urinary tract calculi who underwent surgery utilizing either high powered Ho:YAG or TL-SPL lasers.

Who may be able to join

  • Patient is scheduled to undergo mini-PCNL and/or RIRS surgery at the University of Rochester Medical Center for the management of upper urinary tract calculi (i.e. kidney and proximal ureter)
  • Stones located in the kidney and proximal ureter
  • Stones measuring 10-30mm
  • Ability to give informed consent
  • Any racial or ethnic origin
  • Age 18 years and older

Who cannot join

  • Active kidney infection
  • Patients with prior stenting
  • Pregnant patients
  • Patients with solitary kidney
  • Patients with ureteral tumor or stricture
  • Inability to give informed consent
  • Not age 18 and older

Trial locations and contacts

2 sites in 1 country.

United States2 sites
  • University of Rochester Medical Center

    Rochester, New York, 14642

  • University of Rochester

    Rochester, New York, 14642

Other trials in United States

About this study

Official title: Comparative Effectiveness of the Super Pulse Thulium Fiber Laser (SP TLF) for Laser Lithotripsy of Urinary Calculi

The investigators aim to compare the performance of the Super Pulse Thulium fiber laser (SP TFL) with that of the standard Holmium: Yttrium-Aluminium-Garnet (Ho:YAG) laser. The investigators hypothesize that the electronically-modulated laser diodes, of the TFL offers the most comprehensive and flexible range of laser parameters among laser lithotripters leading to more efficient (4 times more) and effective stone dusting resulting in production of finer dust particles obviating the need for postoperative ureteric stenting which remains a major source of patient discomfort.

Conditions
Urinary Calculi
Being tested
Laser lithotripsy (SP TLF), Laser lithotripsy (Ho:YAG)
Medical subject headings
Urinary Calculi

What participants receive

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

  • Laser lithotripsy (SP TLF)Device

    Laser lithotripsy of urinary calculi using the Super Pulse Thulium fiber laser (SP TLF)

  • Laser lithotripsy (Ho:YAG)Device

    Laser lithotripsy of urinary calculi using the standard Holmium: Yttrium-Aluminium-Garnet (Ho:YAG) laser.

Study groups in NCT05048706
Study groupRoleWhat they receive
Super Pulse Thulium fiber LaserNot described
Receives: Device: Laser lithotripsy (SP TLF)
Holmium: Yttrium-Aluminium-Garnet LaserNot described
Receives: Device: Laser lithotripsy (Ho:YAG)

What is being measured

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

  1. To determine the efficiency of SP TFL in dusting stones

    We plan to assess the direct impact of SP TFL to efficiently dust 10-30mm stones in the upper urinary tract . Metrics include time needed to ablate the stone i.e. ablation speed (stone volume mm3/sec)

    Measured: 6 months

  2. Mean ablation energy needed to ablate stone volume

    We plan to assess the direct impact of SP TFL to effectively dust 10-30mm stones in the upper urinary tract . Metrics include ablation energy needed to ablate the stone volume (Stone volume mm3/Joules)

    Measured: 6 months

Secondary outcomes (2)
  1. Number of stones cleared.

    We plan to assess the direct impact of SP TFL to produce finer quality dust following disregarding of 10-30mm stones in the upper urinary tract that can spontaneously pass without the need for stenting . Metrics will be stone clearance on postoperative CT scans

    Measured: 9 months

  2. Number of participants reporting complications.

    We plan to assess the direct impact of SP TFL to safely dust 10-30mm stones in the upper urinary tract . Metrics collected will include review of medical record for the presence of complications (e.g. infection, sepsis, obstruction etc.) for 3 months postoperative related to laser lithotripsy.

    Measured: 9 months

Timeline

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

  1. First posted17 Sep 2021
  2. Study start10 May 2021
  3. Primary completion1 Jan 2024
  4. Study completion1 Jan 2024

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Observational
Observational model
Cohort
Time perspective
Retrospective
Enrolment
62 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT05048706
Sponsor's protocol ID
STUDY00005201
Status last verified
Mar 2025
First submitted
8 Sep 2021
Last updated
24 Mar 2025
Results posted
No
FDA-regulated drug
No
FDA-regulated device
Yes
Individual data sharing
No: No IPD will be shared with other researchers.

Questions about this trial

What is this clinical trial studying?

An observational study of Urinary Calculi, run by University of Rochester at 2 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 6 inclusion and 7 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 24 Mar 2025. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 2 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?

The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.

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?

To determine the efficiency of SP TFL in dusting stones (time frame: 6 months). 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 24 Mar 2025.

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