All studies
Active not recruitingNAINTERVENTIONAL

Optilume™ BPH Catheter System in Men With Symptomatic BPH

This research study, called PINNACLE, is investigating a new treatment for men with an enlarged prostate gland, known as Benign Prostatic Hyperplasia (BPH). If you have BPH, your prostate gland can press on your urethra, making it hard to urinate. The study is testing a device called the Optilume™ BPH Catheter System. Doctors want to see if this system is safe and if it helps relieve the troublesome urination symptoms caused by BPH. Participants will be randomly assigned to either receive the Optilume treatment or a sham (dummy) procedure, to fairly compare the new treatment. Additional men will have the Optilume treatment to study how the body handles the medicine it uses. The overall goal is to find out if this new approach can be a helpful option for men struggling with BPH symptoms.

At a glance

Status
Active not recruiting
Phase
NA
Sponsor
Urotronic Inc.
Enrolment target
162
Start
05 Feb 2020
Estimated completion
01 May 2027

Results

Results from this study

Posted April 2025

Results have been published for this study.

Primary outcome
Number of Participants With >30% Improvement in the International Prostate Symptom Score (IPSS)
The primary efficacy endpoint was the improvement in International Prostate Symptom Score (IPSS) at 12 months in the Optilume BPH arm compared to the improvement in IPSS at 3 months in the Sham arm with a super-superiority margin on 25%. The IPSS contains the well-validated, highly reliable and responsive American Urological Association symptom score (AUASS) assessment to identify the severity of BPH symptoms. The first seven questions in the IPSS address frequency, nocturia, weak urinary stream, hesitancy, intermittence, incomplete emptying, and urgency, and scored on a 6-point scale (0 to 5). The IPSS can be interpreted as follows: 0-7 mildly symptomatic, 8-19 moderately symptomatic, and 20-35 severely symptomatic. The IPSS also includes an eighth question that is designed to assess the degree of "bother" associated with the subject's urinary symptoms. Answers range from "delighted" to "terrible" (0-6). This question is not included in the calculation of the main IPSS score.
Full results on the registry

What is this study about?

This study is focusing on a common condition called Benign Prostatic Hyperplasia, or BPH. Many men develop BPH as they get older, where the prostate gland, which sits around the tube that carries urine (the urethra), grows larger. This can squeeze the urethra, leading to annoying symptoms like needing to pee more often, having a weak urine stream, or feeling like you haven't fully emptied your bladder.

The study is testing a new treatment called the Optilume™ BPH Catheter System. This system is designed to help open up the urethra in men with BPH, hopefully making it easier to urinate and reducing those bothersome symptoms. Researchers want to understand if this new treatment works well and if it's safe for men to use.

To make sure the results are fair and reliable, some men in the study will receive the Optilume treatment, while others will have a 'sham' procedure, which is like a dummy treatment that doesn't involve the actual device. This helps doctors see if any improvements are genuinely due to the Optilume system, rather than other factors. There will also be a small group of men who will receive the Optilume treatment where doctors will closely monitor how their bodies absorb and process the medication used in the system.

Key takeaways

  • The study is for men (50-80 years old) with bothersome enlarged prostate (BPH) symptoms.
  • It's testing a new device called Optilume™ to see if it improves urination problems.
  • Some participants will receive the active treatment, others a sham procedure.
  • Participation involves screening, the procedure, and follow-up appointments.
  • Potential benefits include improved symptoms; potential risks will be fully explained.
  • You can stop participating at any time.

Who may be eligible?

To be considered for this study, you need to be a male between 50 and 80 years old, experiencing noticeable symptoms from an enlarged prostate (BPH). Your symptoms should be fairly significant, as measured by a special symptom score, and you should have a urine flow rate within a specific range, showing your urine stream isn't too strong or too weak. Your prostate size also needs to be between certain limits, and you should have had trouble with, couldn't take, or didn't want standard BPH medicines.

There are also some reasons why you wouldn't be able to join. For example, if you can't or don't want to sign the consent form or attend all follow-up appointments, or if you're not willing to avoid sex or use contraception for some time after the treatment. You also can't have certain other conditions, such as a history of prostate or bladder cancer, recent infections, other bladder problems, or previous prostate surgeries or similar treatments.

Could this study suit you?

Answer these quick questions to see if you may be eligible. This is a guide only — the research team makes the final call.

  1. Are you a man aged between 50 and 80?
  2. Do you have noticeable and bothersome symptoms from an enlarged prostate?
  3. Have you had issues with or chosen not to take standard BPH medications?
  4. Do you have any severe bladder, prostate, or kidney conditions?
  5. Are you willing to attend regular follow-up visits and potentially abstain from sex temporarily?
  6. Have you had any previous prostate surgeries or similar treatments?
Answer every question to see your result.

What does participation involve?

If you decide to take part, you'll first have screenings to ensure you meet all the study requirements. Once confirmed, you'll be randomly assigned to either receive the Optilume treatment or a sham (dummy) procedure. The Optilume treatment involves a catheter system that gently opens the urethra. You'll have regular follow-up appointments and tests over a period to check how you're doing, how your symptoms are changing, and to monitor for any side effects. These assessments might include answering questionnaires, having urine flow tests, and other examinations to track your progress. The specific number of visits and their duration will be explained in detail by the study team, but generally, studies like this involve multiple appointments over several months to a year or more to fully assess the long-term effects.

Potential risks and benefits

Taking part in any medical study has potential benefits and risks. A potential benefit of this study is that the Optilume treatment might improve your BPH symptoms, making it easier to urinate. However, like any medical procedure, there are potential risks, which the study team will explain fully, such as discomfort during or after the procedure, infection, or other side effects. You will receive detailed information about all known risks and discomforts. It’s important to remember that you can stop participating in the study at any time, for any reason, without it affecting your medical care.

Locations (21)

  • Arkansas Urology
    Verified postcode
    Little Rock, United States
  • Colorado Clinical Research
    Verified postcode
    Golden, United States
  • Advanced Urology Institute
    Verified postcode
    Daytona Beach, United States
  • Florida Urology Partners
    Verified postcode
    Tampa, United States
  • Comprehensive Urologic Care
    Verified postcode
    Lake Barrington, United States
  • Regional Urology, LLC
    Verified postcode
    Shreveport, United States
  • Chesapeake Urology Research Associates
    Verified postcode
    Hanover, United States
  • Chesapeake Urology Research Associates
    Verified postcode
    Towson, United States
  • Sheldon Freedman MD, Ltd
    Verified postcode
    Las Vegas, United States
  • New Jersey Urology
    Verified postcode
    Englewood, United States
  • AccuMed Research Associates
    Verified postcode
    Garden City, United States
  • Manhattan Medical Research Practice, PLLC
    Verified postcode
    New York, United States

Common questions

What is BPH?

BPH stands for Benign Prostatic Hyperplasia. It's when your prostate gland gets bigger as you get older, which can cause problems with peeing.

What is the Optilume™ BPH Catheter System?

It's a new device being tested that aims to open up the tube carrying urine (urethra) in men with BPH, to help them pee more easily.

Will I definitely get the new treatment?

Not necessarily. In this study, you might get the Optilume treatment or a 'sham' procedure, which is like a dummy treatment, to compare them fairly. Some participants will have the Optilume treatment to study how the body handles the medicine.

How long will I be in the study?

The exact duration will be explained by the study team, but studies like this usually involve follow-up visits over several months to a year or more.

Can I leave the study at any time?

Yes, you are free to withdraw from the study at any point, and your decision will not affect your usual medical care.

How to find out more

Always speak to your GP or specialist before deciding to take part in a study.

Discussion

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