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Status unknownNCT04236687Updated Jan 22, 2020

Prostate Artery Embolization Compared to Holmium Laser Enucleation of the Prostate for Benign Prostatic Hyperplasia

An interventional study of Holmium laser enucleation of the prostate and Artery embolization of the prostate in Benign Prostatic Hyperplasia, sponsored by Germans Trias i Pujol Hospital. Status unknown at 1 site in Spain. Open to male participants aged 45 Years and older. Per ClinicalTrials.gov, last updated 2020-01-22.

Sponsored by Germans Trias i Pujol Hospital · Not applicable, Interventional, and Treatment

The sponsor has not verified this record recently (last verified Jan 2020), so the status shown — last known as Not yet recruiting — may be out of date.
Phase
Not applicable
Study type
Interventional
Enrollment
100
Allocation
Randomized
Ages
45 Years and older
Sex
Male
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Study summary

The purpose of this study is to evaluate improvement of symptoms from benign prostatic hyperplasia (BPH) as assessed by the International Prostate Symptom Score (IPSS) for prostate artery embolization (PAE) with microspheres (Embozene™, 400µm) compared to conventional Holmium laser enucleation of the prostate (HoLEP).

Read the detailed description

This is a prospective randomized controlled study that collects data of patients with benign prostatic hyperplasia that are treated with prostatic artery embolization (PAE) or with Holmium laser enucleation of the prostate (HoLEP). For PAE a catheter is placed in the prostate artery, a fluid containing thousands of tiny particles (microspheres) is injected through the catheter into these small arteries which nourish the prostate. The injected microspheres will slow the blood flow to the prostate. For HoLEP a Holmium laser will be used to enucleate the prostatic hyperplasia trough the urethra. Clinical follow-up include clinical visit after 1, 6 and 12 months. Acute as well as long term complications will be recorded. The patients fill in the questionnaires for urologic disease. Urodynamic examination will record functional outcome.

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Conditions studied

  • Benign Prostatic Hyperplasia
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In context

Prostatic Hyperplasia

783 studies on the registry are indexed under Prostatic Hyperplasia; 174 are open to participants now.

This study's planned enrollment of 100 is close to the median of 97 across 593 interventional studies indexed under Prostatic Hyperplasia.

Browse Prostatic Hyperplasia studies →

Lead sponsor

Germans Trias i Pujol Hospital is the lead sponsor of 87 studies on the registry; 11 are open to participants now.

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

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Who can participate

Ages eligible
45 Years and older
Sexes eligible
Male
Accepts healthy volunteers
No

Inclusion criteria

  • Patients evaluated in the urology department and candidates to surgical treatment
  • Age > 45 years
  • IPSS ≥ 10
  • Maximum urinary flow \< 12 milliliters (mL)/second (s)
  • Post-void residual urinary volume \< 300mL
  • Prostatic volume between 20mL and 250mL assessed by ultrasound
  • Signed informed consent

Exclusion criteria

Exclusion Criteria:

  • PSA > 10 (if not negative prostate biopsy)
  • Life expectancy below 1 year
  • Renal insufficiency defined as Glomerular Filtration Rate \< 30 ml/min/1,73m2
  • Known severe reactions to iodine-based contrast or gadolinium-based contrast
  • CT examination reveals no access to the prostate arteries.
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Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
100 participants (estimated)

Study arms

  • Experimental
    Holmium laser enucleation of the prostate

    Holmium laser will be used to enucleate the prostatic hyperplasia trough the urethra

    Device: Holmium laser enucleation of the prostate

  • Active comparator
    Artery embolization of the prostate

    A catheter is placed in the prostate artery, a fluid containing thousands of tiny particles (microspheres) is injected through the catheter into these small arteries which nourish the prostate. The injected microspheres will slow the blood flow to the prostate.

    Procedure: Artery embolization of the prostate

Interventions

  • DeviceHolmium laser enucleation of the prostate

    Holmium laser will be used to enucleate the prostatic hyperplasia trough the urethra

  • ProcedureArtery embolization of the prostate

    A catheter is placed in the prostate artery, a fluid containing thousands of tiny particles (microspheres) is injected through the catheter into these small arteries which nourish the prostate

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What researchers measure

Primary outcomes

  1. Improvement of symptoms assessed by International Prostate Symptom Score (IPSS)

    Change in prostatic symptoms using the International Prostate Symptom Score (IPSS). IPSS score goes from 0 to 35. Higher values mean worse outcome (prostate symptons)

    Time frame: Baseline to 6 months after procedure

Secondary outcomes

  1. Maximum urinary flow

    Maximum urinary flow rate (Qmax). Evaluated in milliliter per seconds (mL/s).

    Time frame: Baseline to 6 months after procedure

  2. Post-void residual urinary volume

    Post-void residual urinary volume (PVR). Post-void urinary volume: evaluated in milliliters (mL)

    Time frame: Baseline to 6 months after procedure

  3. Prostate specific antigen (PSA)

    Determination in plasma of the prostate specific antigen (PSA)

    Time frame: Baseline to 6 months after procedure

  4. Procedure related adverse events

    Evaluation of Procedure related adverse events assessed by Clavien-Dindo modified score. Clavien Dindo modified score: the score goes from 1 to 5. Higher values mean worse outcome (surgical complications)

    Time frame: Baseline to 6 months after procedure

  5. Procedure related effects on sexual function

    Changes in sexual function assessed by International Index of Erectile Function (IIEF) score. IIEF: the score goes from 6 to 75. Lower values mean worse outcome (overall male sexual function).

    Time frame: Baseline to 6 months after procedure

  6. Procedure related effects on urinary continence

    Changes in urinary continence assessed by the International Consultation on Continence Questionnaire Short Form (ICIQ-SF). ICIQ-SF: score goes from 0 to 21. Higher values mean worse outcome (urinary continence)

    Time frame: Baseline to 6 months after procedure

07

Study locations

1 site
  • Hospital Universitari Germans Trias i Pujol
    Badalona, Barcelona 08916, Spain
    • Fernando Agreda, MD · Contact · fagreda.germanstrias@gencat.cat · +34934893000
    • Jaume Sanpere, MD · Contact · fagreda.germanstrias@gencat.cat · +34934893000
    • Fernando Agreda, MD · Principal investigator
    • Jaume Sanpere, MD · Sub investigator
    • Gerardo Tovar, MD · Sub investigator
    • Daniel Salvador, MD · Sub investigator
    • Mauro Bernardello, MD · Sub investigator
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References and documents

Individual participant data

Plan to share: Undecided

No publications or documents are linked to this record.

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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Jan 22, 2020, 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
NCT04236687
Lead sponsor
Germans Trias i Pujol Hospital
Responsible party
Sponsor
First posted
Jan 22, 2020
Start date
Feb 1, 2020 (estimated)
Primary completion
Feb 1, 2021 (estimated)
Completion
Feb 1, 2022 (estimated)
Last update
Jan 22, 2020

Study contacts

Fernando Agreda, MD
Contact
fagreda.germanstrias@gencat.cat
+34934893000
Jaume Sampere, MD
Contact
jsampere.germanstrias@gencat.cat
+34934893000
Fernando Agreda, MD
principal investigator · Germans Trias i Pujol Hospital

Oversight

Data monitoring committee
No
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 Jan 2020. You cannot join it, but the record below documents what was studied.

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