ClinicalTrials.gg
Status unknownNCT03577236ZEST EUUpdated Jul 22, 2021

The Zenflow Spring System EU Safety and Performance Study

An interventional study of Zenflow Spring System in Benign Prostatic Hyperplasia, sponsored by Zenflow, Inc.. Status unknown at 5 sites in 2 countries. Open to male participants aged 45 Years and older. Per ClinicalTrials.gov, last updated 2021-07-22.

Sponsored by Zenflow, Inc. · Not applicable, Interventional, and Treatment

The sponsor has not verified this record recently (last verified Jul 2021), so the status shown — last known as Recruiting — may be out of date.
Phase
Not applicable
Study type
Interventional
Enrollment
50
Allocation
Not applicable
Ages
45 Years and older
Sex
Male
01

Study summary

The objectives of the trial are to demonstrate the safety and performance of the Zenflow Spring System in relieving the symptoms of obstructive Benign Prostatic Hyperplasia (BPH).

Read the detailed description

A multi-center, prospective, single arm safety and performance trial. Subjects will be treated either in the Investigator's out-patient treatment room or in the OR, with local anaesthesia only. All subjects will be followed for the entire duration of the study until exit after the 60 month follow-up visit.

02

Conditions studied

  • Benign Prostatic Hyperplasia

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03

In context

Prostatic Hyperplasia

827 studies on the registry are indexed under Prostatic Hyperplasia; 179 are open to participants now.

This study's planned enrollment of 50 is below the median of 92 across 626 interventional studies indexed under Prostatic Hyperplasia.

Browse Prostatic Hyperplasia studies →

Lead sponsor

Zenflow, Inc. is the lead sponsor of 7 studies on the registry; 3 are open to participants now.

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

04

Who can participate

Ages eligible
45 Years and older
Sexes eligible
Male
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. Patient is able and willing to comply with all the assessments of the study
  2. Patient or patient's legal representative has been informed of the nature of the study, agrees to participate and has signed the form
  3. ≥ 45 years of age
  4. Baseline IPSS score > 13, and a baseline Quality of Life (QoL) question score > 3
  5. Prostate volume 25 - 80 cc by Trans Rectal Ultrasound (TRUS) or abdominal ultrasound, measured within past 90 days and prostatic urethral length between 2.5- 4.5 cm
  6. Failed, intolerant, or patient choice to not take a medication regimen for the treatment of LUTS
  7. Patient must meet ONE of the following criteria:

    1. Baseline PSA \<= 2.5ng/mL
    2. Baseline PSA >2.5 ng/mL and \<=10 ng/mL AND free PSA >=25% of total PSA (no required or negative biopsy)
    3. Baseline PSA >10ng/mL AND negative prostate biopsy1 result within 12 months
    4. Negative prostate biopsy1 within 12 months if abnormal digital rectal examination
    5. 3 Tesla MRI of the prostate, with normal findings, within 12 months prior to the baseline visit

Exclusion criteria

Exclusion Criteria:

  1. Obstructive intravesical median prostatic lobe which, in the opinion of the Investigator, would not benefit from treatment
  2. Urethral stricture, meatal stenosis, or bladder neck obstruction - either current, or recurrent requiring 2 or more dilations as reported in the patient's history
  3. Requiring self-catheterization to void
  4. Baseline PSA > 10 ng/mL or confirmed or suspected prostate cancer
  5. Any of the following, taken from a single uroflowmetry reading:

    1. Peak urinary flow rate > 12 ml/second
    2. Post-void residual (PVR) > 250 ml
    3. Peak Urinary flow rate of > 15 ml/second
    4. \< 125ml urinary volume voided at baseline (pre-bladder urinary volume of ≥ 150 ml required)
  6. Other condition or disease that might cause urinary retention
  7. History of other diseases causing voiding dysfunction
  8. Concomitant Urinary Tract Infection (UTI) (subject can be enrolled following successful treatment of UTI and a clean urine test), or a history of recurrent or chronic UTIs (defined as 2 or more UTIs in the past 12 months)
  9. Concomitant bladder stones
  10. Previous pelvic irradiation or radical pelvic surgery
  11. Previous prostate surgery, stent implantations, laser prostatectomy, hyperthermia or another invasive treatment to the prostate
  12. Chronic prostatitis, or recurring prostatitis within the past 12 months
  13. Known allergy to nickel
  14. less than 24 months
  15. Use of concomitant medications (e.g., anticholinergics, antispasmodics or antidepressants) affecting bladder function
  16. Inability to stop taking anticoagulants and/or antiplatelets for at least 3 days prior to the procedure or coumadin for at least 5 days prior to the procedure (low dose aspirin therapy not prohibited)
  17. Taking 5-alpha reductase inhibitors within 3 months of pre-treatment (baseline) evaluation unless evidence of same drug dose for at least 6 months with a stable voiding pattern (the drug dose should not be altered or discontinued throughout the study)
  18. Taking one of the following within 2 weeks of pre-treatment (baseline) evaluation:

    1. alpha-blockers,
    2. androgens,
    3. anticholinergics, or
    4. cholinergic medication gonadotropin releasing hormonal analogs
  19. Taking one of the following within 24 hours of pre-treatment (baseline) evaluation:

    1. phenylephrine, or
    2. pseudoephedrine
  20. Future fertility concerns
  21. Any severe illness that might prevent study completion or would confound study results
Terms in these criteria, in plain language(3)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

Biopsy and archival tissue

A biopsy takes a small piece of tissue to examine. “Archival tissue” is a sample already taken, for example at diagnosis, and kept by the hospital.

Whether a stored sample will do depends on when it was taken, how much there is and what the study needs. Ask whether the study accepts your stored sample or needs a new biopsy.

Life expectancy

The study doctor’s estimate of how long someone is likely to live. Criteria use it so that people can stay in the study long enough for it to answer its question.

05

Study design

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

Study arms

  • Experimental
    Zenflow Spring System

    Receives treatment with the investigational device

    Device: Zenflow Spring System

Interventions

  • DeviceZenflow Spring System

    The Zenflow Spring System consists of the Spring Delivery System with Implant, Spring Scope, Camera Control Unit (CCU), Measurement Tool, and Spring Retrieval Tool.

    Also known as: Spring Implant

06

What researchers measure

Primary outcomes

  1. Need for urinary catheterization

    Rate of extended post-operative urinary catheterization

    Time frame: 7 days after the procedure

  2. Successful placement of the Zenflow Spring Implant

    Successful deployment and procedural success for the Zenflow System to implant the Spring device in the operating room or an out-patient clinical setting.

    Time frame: Day of discharge up to 7 days following device placement

  3. Effectiveness of the Spring Implant in reducing symptoms of Benign Prostatic Hyperplasia (BPH) using the International Prostate Symptom Score and Quality of Life Score (IPSS+QoL)

    The patient is asked to respond to 7 questions related to his urinary health using a rating scale of 0 to 5 where zero is excellent and 5 is the worst possible. The responses to the 7 questions are tallied for a total score. In addition the patient is asked 1 question related to his Quality of Life. The possible responses range from 0 to 6 where 0 is the best and 6 is the worst.

    Time frame: Baseline and 3 months

Secondary outcomes

  1. Incidence of procedure or device related serious adverse events

    Assessment of any device or procedure related Serious Adverse Events (SAE)

    Time frame: Up to 30 days

  2. Assessment of Sexual Health Assessment: Change in sexual health measured by change in the Sexual Health Inventory for Men (SHIM) questionnaire score

    The patient selects the most appropriate response to 5 questions about his sexual health. Each response has an assigned value between 1 and 5. The numeric values are tallied for a total score.

    Time frame: Baseline, 3, 6, 12, & 24 months

  3. Assessment of Sexual Health Assessment: Change in sexual health measured by change in ability to ejaculate using the Male Sexual Health Questionnaire - Ejaculatory domain (MSHQ-EjD)

    The patient selects the most appropriate response to 4 questions about his sexual health specific to ejaculation. Each response has an assigned value between 0 and 5.

    Time frame: Baseline, 3, 6, 12, & 24 months

  4. Assessment of Pain, evaluated using a Visual Analog Score (VAS) of 1 to 10

    Patient describes pain on a Visual Analog Scale (VAS). The scale is a line labeled 1 at the far left indicating minimal pain and 10 on the right, which is maximum pain.

    Time frame: Baseline, 2 weeks, 1 month and 3 months

  5. Assessment of Adverse Events

    Rate of adverse events related to the procedure or device.

    Time frame: Up to 2 years

  6. Effectiveness of the Spring Implant in reducing symptoms of Benign Prostatic Hyperplasia (BPH)

    The patient is asked to respond to 7 questions related to his urinary health using a rating scale of 0 to 5 where zero is excellent and 5 is the worst possible. The responses to the 7 questions are tallied for a total score. In addition the patient is asked 1 question related to his Quality of Life. The possible responses range from 0 to 6 where 0 is the best and 6 is the worst.

    Time frame: Baseline, 2 weeks, 1, 6, 12, 24 months

  7. Effectiveness of the Spring Implant in reducing symptoms of Benign Prostatic Hyperplasia (BPH)

    Improvement in flow of urine as measured by uroflowmetry machine.

    Time frame: Baseline, 2 weeks, 1, 3, 6, 12, 24 months

  8. Effectiveness of the Spring Implant in reducing symptoms of Benign Prostatic Hyperplasia (BPH)

    Incidence of repeat invasive treatment for Lower Urinary Tract Symptoms (LUTS) or increase in dosage or initiation of new medication to treat symptoms of BPH.

    Time frame: Up to 2 years

07

Study locations

4 of 5 sites recruiting
  • Australian Clinical Trials
    Wahroonga, New South Wales 2076, Australia
    Not yet recruiting
  • South Coast Urology
    Wollongong, New South Wales 2500, Australia
    Recruiting
  • Goldfields Urology
    Bendigo, Victoria 3550, Australia
    Recruiting
  • Royal Melbourne Hospital
    Melbourne, Victoria 3050, Australia
    Recruiting
  • Urology Bay of Plenty
    Tauranga, 3140, New Zealand
    Recruiting
08

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Jul 22, 2021, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT03577236
Lead sponsor
Zenflow, Inc.
Responsible party
Sponsor
First posted
Jul 5, 2018
Start date
Jan 16, 2019
Primary completion
Dec 2022 (estimated)
Completion
May 30, 2024 (estimated)
Last update
Jul 22, 2021

Study contacts

Debra Cogan, B.A., RN
Contact
dcogan@zenflow.com
+001 408 515-0820
Nicholas Damiano, MS
Contact
Nick@zenflow.com
+001 650 642-9658
Peter Gilling, MD
principal investigator · Tauranga Urology Research Ltd.

Oversight

Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is status unknown, as verified in Jul 2021. You cannot join it, but the record below documents what was studied.

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