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CompletedNCT03323905HIFUSBUpdated Jul 9, 2024

Single Arm Study Using the Symphony -- MRI Guided Focused Ultrasound System for the Treatment of Leiomyomas

An interventional study of Symphony MRI guided High Intensity Focused Ultrasound (HIFU) in Leiomyoma and Fibroid, sponsored by Sunnybrook Health Sciences Centre. Completed at 1 site in Canada. Open to female participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2024-07-09.

Sponsored by Sunnybrook Health Sciences Centre · Not applicable, Interventional, and Treatment

Phase
Not applicable
Study type
Interventional
Enrollment
50
Allocation
Not applicable
Ages
18 Years and older
Sex
Female
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Study summary

Single arm, first-in human feasibility study using the Symphony - MRI guided focused ultrasound system for the treatment of leiomyomas. The study is expected to accrue over 12 months. This study will help determine the feasibility to ablate leiomyomas, as measured by MR thermometry and contrast enhanced imaging. In addition, the study will look at the efficacy and safety of the treatment, as measured by the reduction in fibroid size and reduction in symptom severity score and adverse events. This study will help develop future pivotal trials using the same device.

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Conditions studied

  • Leiomyoma
  • Fibroid

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03

In context

Leiomyoma

496 studies on the registry are indexed under Leiomyoma; 79 are open to participants now.

This study's enrollment of 50 is below the median of 62 across 350 interventional studies indexed under Leiomyoma.

Browse Leiomyoma studies →

Lead sponsor

Sunnybrook Health Sciences Centre is the lead sponsor of 582 studies on the registry; 133 are open to participants now.

Of its 6 completed or terminated interventional studies of FDA-regulated products, 2 (33%) have results posted.

Counted across the registry records on this site, refreshed daily.

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Who can participate

Ages eligible
18 Years and older
Sexes eligible
Female
Accepts healthy volunteers
No

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  1. MR-HFU device accessibility to fibroids that at least 50% of fibroid volume can be treated
  2. Fibroids selected for treatment meet the following criteria

    1. Total planned ablation volume of all fibroids should not exceed 500 ml AND
    2. Completely non-enhancing fibroids should not be treated
  3. Transformed SSS score >= 40
  4. Pre- or peri-menopausal, as indicated by clinical evaluation
  5. Weight \< 140 kg or 310 lbs
  6. Willing and able to attend all study visits
  7. Willing and able to use reliable contraception methods
  8. Uterine size \< 24 weeks
  9. Cervical cell assessment by PAP: normal, LOW Grade SIL, Low risk HPV or ASCUS subtypes of cervical tissue
  10. Waist circumference \<110cm or 43 inches

Exclusion criteria

Exclusion Criteria:

  1. Other Pelvic Disease (Other mass, endometriosis, ovarian tumor, acute pelvic disease, significant adenomyosis, prolonged bleeding requiring further evaluation as determined by patient's gynecologist)
  2. Positive pregnancy test
  3. Extensive scarring along anterior lower - abdominal wall (>50% of area)
  4. Surgical clips in the potential path of the HIFU beam
  5. Tattoos in the potential path of the HIFU beam
  6. MRI contraindicated
  7. MRI contrast agent contraindicated (including renal insufficiency)
  8. Calcification around or throughout uterine tissue that may affect treatment
  9. Communication barrier
  10. Fibroids not quantifiable on MRI (e.g., multi-fibroid cases where volume measurements are not feasible)
  11. Pedunculated fibroids
  12. Bowel loops int he ultrasound beam path
  13. Patients with inability to tolerate prolonged prone position for up to 3 hours
  14. Patient with unstable medical conditions
  15. Patients with coagulopathy or under current anti-coagulation therapy
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Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
50 participants (actual)

Study arms

  • Experimental
    MR Guided High Intensity Focused Ultrasound

    Device: Symphony MRI guided High Intensity Focused Ultrasound (HIFU)

Interventions

  • DeviceSymphony MRI guided High Intensity Focused Ultrasound (HIFU)

    The use of the MRI-HIFU for the ablation of leiomyomas

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What researchers measure

Primary outcomes

  1. The ability to ablate fibroid tissue measured by temperature elevation

    Measured by MRI thermometry

    Time frame: 1 year

  2. The ability to ablate fibroid tissue indicated by Non-Perfused Volume (NPV)

    Measure by contrast enhanced imaging

    Time frame: 1 year

  3. Safety of the system measured by collection of adverse events related to potential damage to tissue outside the treatment zone

    Safety will be measured by collection of adverse events related to potential damage to tissue outside the treatment zone.

    Time frame: 1 year

  4. Safety of the system based on damage to skin measured by collection of adverse events related to potential damage to skin over the treatment volume

    Safety will be measured by collection of adverse events related to potential damage to skin over the treatment volume.

    Time frame: 1 year

Secondary outcomes

  1. Treatment efficacy to reduce fibroid size

    Reduction of fibroid volume in milliliters

    Time frame: 1 year

  2. Treatment efficacy to reduce fibroid size by NPV

    Measured by non-perfused volume in milliliters

    Time frame: 1 year

  3. Treatment efficacy to reduce symptom severity by Symptom Severity Scores (SSS)

    Change in symptoms to be quantified by Symptom Severity Scores (SSS) derived from Uterine Fibroid Symptom and Quality of Life questionnaire.

    Time frame: 1 year

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Study locations

1 site
  • Sunnybrook Health Sciences Centre
    Toronto, Ontario M4N3M5, Canada
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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Jul 9, 2024, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT03323905
Collaborators
Sunnybrook Research Institute, Arrayus Technologies Inc.
Responsible party
Dr. Elizabeth David (Affiliate scientist, Interventional Radiologist and Assistant Professor, Sunnybrook Health Sciences Centre) — Principal investigator
First posted
Oct 27, 2017
Start date
Nov 16, 2017
Primary completion
Dec 1, 2023
Completion
Mar 3, 2024
Last update
Jul 9, 2024

Study contacts

David Elizabeth
principal investigator · Sunnybrook Reserach Institute

Oversight

FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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This study is completed, as verified in Jul 2024. You cannot join it, but the record below documents what was studied.

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