ClinicalTrials.gg
Status unknownNCT03595735ZEST2Updated Jul 22, 2021

The Zenflow Spring System Safety, Performance and Effectiveness Study

An interventional study of Zenflow Spring System in Benign Prostatic Hyperplasia, sponsored by Zenflow, Inc.. Status unknown at 3 sites in Mexico. 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this record recently (last verified Jul 2021), so the status shown — last known as Active, not recruiting — may be out of date.
Phase
Not applicable
Study type
Interventional
Enrollment
40
Allocation
Not applicable
Ages
45 Years and older
Sex
Male
01

Study summary

This is a clinical evaluation to assess the safety and performance of the Zenflow Spring System when used as intended to relieve symptoms of obstructive Benign Prostatic Hyperplasia (BPH).

Read the detailed description

A multi-center, prospective, single arm safety, performance, and effectiveness trial. The study will be conducted in two stages. Upon the successful completion of stage 1, the study will be expanded and continue to stage 2.

Stage 1 will enroll subjects in the Intent to Treat (ITT) cohort. The purpose of stage 1 is to assess acute safety and performance of the Zenflow System at the time of the procedure, through discharge, 2 weeks and 1 month, in up to 10 subjects enrolled at up to 7 investigational sites, to determine continuation to stage 2.

Upon successful completion of stage 1, the study will be expanded to stage 2 with sites added and continued enrollment in the ITT cohort. All subjects, including those enrolled in the stage 1 evaluation, will continue to be followed at all the designated follow-up time points for the full duration of the study (60 months).

Whether or not the study continues to Stage 2, all enrolled subjects will be followed for the entire duration of the study (60 months), or until exited.

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 40 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

All subjects are required to meet the following inclusion criteria in order to be considered eligible for participation in this trial:

  1. ≥ 45 years of age
  2. Baseline IPSS score > 13, and a baseline Quality of Life (QoL) question score > 3
  3. Prostate volume 25 - 80 cc by Trans Rectal Ultrasound (TRUS), measured within past 90 days and prostatic urethral length between 2.5-4.5 cm.
  4. Failed or intolerant to medication regimen for the treatment of LUTS.

Exclusion criteria

Exclusion Criteria:

Subjects will be excluded from participating in this trial if they meet any of the following criteria:

  1. Obstructive intravesical median prostatic lobe or high bladder neck
  2. Urethral stricture, meatal stenosis, or bladder neck obstruction - either current, or recurrent requiring 2 or more dilatations
  3. Baseline PSA > 10 ng/mL or confirmed or suspected prostate cancer
  4. Elevated risk of prostate cancer
  5. Post-void residual volume (PVR) > 250 ml
  6. Peak urinary flow rate > 12 ml/second, with ≥ 125 ml voided volume at baseline
  7. History of chronic urinary retention
  8. History of neurogenic bladder
  9. Compromised renal function (e.g., serum creatinine > 1.8 mg/dl) due to bladder obstruction
  10. Concomitant Urinary Tract Infection (UTI) (subject can be enrolled following successful treatment of UTI and a clean urine test)
  11. Concomitant bladder stones
  12. Confirmed or suspected bladder cancer
  13. Previous pelvic irradiation or radical pelvic surgery
  14. Previous prostate surgery, stent implantations, laser prostatectomy, hyperthermia or another invasive treatment to the prostate
  15. Chronic prostatitis, or recurring prostatitis within the past 12 months
  16. Serious concurrent medical conditions such as uncontrolled diabetes
  17. Known allergy to nickel
  18. less than 24 months
  19. Use of concomitant medications (e.g., anticholinergics, antispasmodics or antidepressants) affecting bladder function
  20. Patients taking coumadin 3 days or less prior to procedure and have value > 1.5 on day of procedure. ASA and clopidogrel must be ceased 7 days prior to the procedure
  21. 5 alpha reductase inhibitors within 6 months of pre-treatment 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 for entrance into or throughout the study)
  22. alpha blockers within 2 weeks of pre-treatment 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 for entrance into or throughout the study)
  23. Future fertility concerns
  24. Any severe illness that might prevent study completion or would confound study results
Terms in these criteria, in plain language(2)

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.

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.

INR, PT and aPTT (clotting tests)

Blood tests of how long blood takes to clot. The INR is the prothrombin time (PT) put on a common scale; about 1 is usual for someone not taking a blood thinner.

Criteria often make an exception for people on a blood thinner such as warfarin, whose INR is raised on purpose.

05

Study design

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

Study arms

  • Experimental
    Treatment Group

    Receives treatment with the Zenflow Spring System

    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. 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

  2. Need for urinary catheterization

    Rate of extended post-operative urinary catheterization

    Time frame: 7 days after the procedure

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: Day of discharge up to 7 days following device placement

  2. Assessment of Pain

    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

  3. Assessment of Adverse Events

    Rate of adverse events related to the procedure or device.

    Time frame: Up to 2 years

  4. Assessment of Sexual Health: 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

  5. Assessment of Sexual Health: 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

  6. Effectiveness of the Spring Implant in reducing symptoms of Benign Prostatic Hyperplasia (BPH) by patient response to the International Prostate Symptom Score and Quality of Life Questionnaire (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 is 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

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

  8. Repeat interventions to treat 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

  9. Increase or change in medications to treat Benign Prostatic Hyperplasia (BPH)

    Incidence of increase in dosage, or initiation of new medication to treat symptoms of BPH.

    Time frame: Up to 2 years

07

Study locations

3 sites
  • Hospital Regional de Alta Especialidad de Ixtapaluca
    Zoquiapan, Ciudad de Ixtapaluca 56530, Mexico
  • Hospital Universitario "Dr. José Eleuterio González"
    Monterrey, Nuevo León 64460, Mexico
  • Centro de Urología Avanzada del Noreste (CUAN)
    Monterrey, Nuevo León 66269, Mexico
08

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 ↗
09

Registry details

Key details

Study ID
NCT03595735
Lead sponsor
Zenflow, Inc.
Responsible party
Sponsor
First posted
Jul 23, 2018
Start date
Jun 21, 2018
Primary completion
Dec 30, 2020
Completion
Mar 30, 2024 (estimated)
Last update
Jul 22, 2021

Study contacts

Juan J Galan, MD
principal investigator · Centro de Urología Avanzada del Noreste (CUAN)

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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