The Expander-2 Trial: A Randomized Study To Evaluate The Safety And Efficacy Of The Urocross(TM) Expander System And Retrieval Sheath

Overview

About this study

The purpose of this study is to demonstrate the safety and effectiveness of the Urocross Expander System/Retrieval Sheath and the procedure to treat patients with symptomatic Benign Prostatic Hyperplasia (BPH).

Participation eligibility

Participant eligibility includes age, gender, type and stage of disease, and previous treatments or health concerns. Guidelines differ from study to study, and identify who can or cannot participate. There is no guarantee that every individual who qualifies and wants to participate in a trial will be enrolled. Contact the study team to discuss study eligibility and potential participation.

Inclusion Criteria:

  • Subject has signed an informed consent form (ICF).
  • Men ≥ 45 years.
  • Symptomatic BPH with the following (all must be met):
    • IPSS ≥ 13;
    • Qmax ≤ 12 mL/sec on a voided volume of ≥ 125 mL;
    • PVR < 250 mL.
  • Prostate volume 30-80 cc.
  • Subjects must be willing to be off their BPH-related medications from time of enrollment and throughout the study. Note: All subjects on BPH-related medications must start a washout period prior to randomization on the procedure day.

Exclusion Criteria:

Subjects who meet ANY of the following exclusion criteria will not participate in the
trial:

  • Previous BPH procedure intended to disobstruct the bladder outlet.
  • Obstructive protruding (mobile) middle (median) prostatic lobe.
  • High bladder neck.
  • Urethral stricture, meatal stenosis, or bladder neck contraction - either current, or recurrent requiring 2 or more dilatations.
  • Biopsy of the prostate within past 8 weeks.
  • Confirmed or suspected bladder cancer.
  • Confirmed or suspected prostate cancer.
    • Note: Subjects with suspected prostate cancer with a Prostate Specific Antigen (PSA) level > 2.5 ng/mL and ≤ 10 ng/mL with their free PSA < 25% of total PSA, must undergo a biopsy to rule out the diagnosis of prostate cancer. If biopsy is performed, and subject has no cancer, a waiting period of 8 weeks is required prior to randomization (see exclusion criterion 7). 
  • History of cystolithiasis, kidney stone, or kidney disease within the prior 3 months.
  • History of neurogenic bladder.
  • Parkinson's disease or other neurologic disease known to impact bladder function (e.g., stroke, TIA, multiple sclerosis).
  • Previous episode of Acute Urinary Retention (AUR); i.e., post hernia repair or other condition or disease that might cause urinary retention.
  • Serum creatinine > 1.8 mg/dl or renal dysfunction attributed to bladder outlet obstruction (BOO).
  • Concomitant Urinary Tract Infection (UTI) (subject can be enrolled following successful treatment of UTI and a negative urine culture), or subjects who have a history of recurrent or chronic UTIs (defined as 2 or more UTIs in the past 12 months).
  • Active infection including acute bacterial prostatitis.
  • Previous pelvic irradiation or radical pelvic surgery.

Note: Other protocol defined Inclusion/Exclusion Criteria may apply.

Eligibility last updated 2/23/23. Questions regarding updates should be directed to the study team contact.

Participating Mayo Clinic locations

Study statuses change often. Please contact the study team for the most up-to-date information regarding possible participation.

Mayo Clinic Location Status Contact

Jacksonville, Fla.

Mayo Clinic principal investigator

Ram Pathak, M.D.

Closed for enrollment

Contact information:

Clinical Studies Unit

(904) 953-2255

More information

Publications

Publications are currently not available
.
CLS-20547789

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