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20210029

Investigation of prostate artery embolization compared to holmium laser enucleation of prostate
Source : Importé depuis le centre

Référence clinicaltrials.gov: NCT05155891
Recrutement fermé
Dernière modification : 2025/05/03
Type de recherche

Interventionnel


Population cible

Condition médicale (spécialité visée)

Donnée non disponible

Profil des participants

Limites d'âge
minimum : 50 ans
Sexe(s) des participants

MALE

Source : Importé depuis le centre

Critères de sélection

Critères d'inclusion

Inclusion Criteria:

1. Patient is age 50 or older.
2. Patient has signed informed consent and agrees to attend all follow-up study visits.
3. Patient has had LUTS secondary to BPH or any complications secondary to BPH and qualifying for active intervention.
4. Patient has a baseline IPSS Score \> 13 at baseline.
5. Patient has a prostate size of at least 80 grams and not more than 250 grams, measured by magnetic resonance imaging (MRI) or transrectal ultrasonography (TRUS).
6. Patient has BPH symptoms refractory to medical treatment or for whom medication is contraindicated, not tolerated, or refused.
7. Patient must be a candidate for HoLEP or PAE.

Exclusion Criteria:

1. Subject has untreated active infection (e.g., active urinary tract infection or prostatitis)
2. Subject has a diagnosis or received treatment for chronic prostatitis or chronic pelvic pain syndrome (e.g., nonbacterial chronic prostatitis).
3. Patients with indwelling urinary catheters or those performing self-catheterization.
4. Biopsy proven prostate or bladder cancer.

- Patient with elevated PSA will be counselled by urologist and a shared decision will be made with the patient after discussion about pros and cons of prostate biopsy.
5. Patients with neurogenic bladder disorder.
6. Urethral stricture, bladder neck contracture, sphincter abnormalities, urinary obstruction due to causes other than BPH, or other potentially confounding bladder or urethral disease or condition.
7. Patients with prior history transurethral resection of the prostate (TURP), Green Light laser treatment, or other prostate surgical treatments within past year(12 months).
8. Any known condition that limits catheter-based intervention or is a contraindication to embolization, such as intolerance to a vessel occlusion procedure or severe atherosclerosis.
9. Cardiac condition including congestive heart failure or arrhythmia, uncontrolled diabetes mellitus, significant respiratory disease or known immunosuppression which required hospitalization within the previous 6 months.
10. Acute myocardial infarction, open heart surgery, or cardiac arrest within 180 days prior to the date of informed consent.
11. Patient is interested in future fertility and wish to preserve ejaculation will be excluded from HoLEP arm
12. History of coagulation cascade disorders (which are not normalized by medical treatment before the procedure) or disorders that affect platelet count or function (e.g., von Willebrand disease) that would put the subject at risk for intraoperative or postoperative bleeding.
13. History of major allergic reaction to iodinated contrast agents will be excluded from PAE arm.
14. History of hypersensitivity to gelatin products will be excluded from PAE arm.
15. Subject has a life expectancy of less than 2 yrs.
16. Post void residual more than 500 ml at baseline.
17. Participation in any other BPH trials during the time of study.

Source : Importé depuis le centre

Thérapie ou Intervention proposée

Cohortes
Nom Condition médicale Traitement État du recrutement
Embosphere Microspheres group Participants in this group who are undergoing standard of care (SOC) prostate artery embolization (PAE) for treatment of their symptomatic benign prostatic hyperplasia (BPH) will receive Embosphere Microspheres during scheduled SOC PAE surgery. Donnée non disponible
  • Inconnu
  • HoLEP Group Participants in this group who are undergoing SOC PAE for treatment of their symptomatic benign prostatic hyperplasia (BPH) will receive SOC Holmium laser enucleation of prostate (HoLEP). Donnée non disponible
  • Inconnu
  • Embosphere Microspheres group
    État du recrutement
    unknown
    HoLEP Group
    État du recrutement
    unknown
    Données à jour depuis : 3 mai 2025

    Description de l'étude

    Résumé de l'étude

    The purpose of this research study is to evaluate prostate artery embolization (PAE) compared to Holmium laser enucleation of prostate (HoLEP) in improving a patient's overall prostate related symptoms.

    Source : Importé depuis le centre

    Sites

    Centres participants

      1 centres
    • UNIVERSITY OF MIAMI SYLVESTER CANCER CENTER

      Miami

      FLORIDA, UNITED STATES

      Recrutement local
      État du recrutement: FERMÉ

    Dernière modification : 3 mai 2025
    Données à jour depuis : 12 juil.
    Origine des données : clinicaltrials.gov
    Référence clinicaltrials.gov: NCT05155891