ClinicalTrials.gg
CompletedNCT04519294Updated Feb 27, 2026Results posted

Comparison of Laser Lithotripsy With and Without Steerable Ureteroscopic Renal Evacuation (SURE)

An interventional study of SURE and Standard Ureteroscopy (Basketing) in Kidney Stone, Renal Stone and Urolithiasis, sponsored by Calyxo, Inc.. Completed at 11 sites in United States. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-02-27.

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

Phase
Not applicable
Study type
Interventional
Enrollment
132
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

Study summary

The purpose of the study is to compare the effects, good and/or bad, of a treatment for removing kidney stones called the SURE procedure for stone evacuation to the standard treatment using a basket for stone removal.

02

Conditions studied

  • Kidney Stone
  • Renal Stone
  • Urolithiasis
03

In context

Kidney Calculi

509 studies on the registry are indexed under Kidney Calculi; 146 are open to participants now.

This study's enrollment of 132 is above the median of 86 across 391 interventional studies indexed under Kidney Calculi.

Browse Kidney Calculi studies →

Lead sponsor

Calyxo, Inc. is the lead sponsor of 5 studies on the registry; 2 are open to participants now.

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

04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
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

  • Candidate for ureteroscopy with laser lithotripsy;
  • Presence of renal stone(s);
  • Be willing and able to return for all study-related follow up procedures; and,
  • Have been informed of the nature of the study, agreeing to its requirements, and have signed the IRB approved .

Exclusion criteria

Exclusion Criteria:

  • > 45;
  • Significant comorbidities;
  • Bladder, ureteral or kidney abnormalities;
  • Pregnant individuals; or
  • Unable to meet the treatment and follow up protocol requirements.
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.

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.

BMI (body mass index)

Weight in kilograms divided by height in metres squared. Example: 70 kg and 1.75 m gives 70 ÷ (1.75 × 1.75) ≈ 22.9.

What counts as overweight or obesity differs between countries (some use lower cut-offs), so go by the range the study states.

05

Study design

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

Study arms

  • Active comparator
    SURE

    Device: SURE

  • Active comparator
    Standard Ureteroscopy (Basketing)

    Device: Standard Ureteroscopy (Basketing)

Interventions

  • DeviceSURE

    The SURE stone evacuation procedure is a technique intended to more easily and completely remove a kidney stone during a kidney stone treatment. The urologist first uses a laser to break the kidney stone into small pieces. Then with the SURE procedure, the pieces are gently vacuumed out of the kidney instead of retrieving the pieces one-by-one with a basket or leaving them to pass naturally in the urine. Basketing is allowed and might be used with the SURE procedure, if needed to remove some small stones.

  • DeviceStandard Ureteroscopy (Basketing)

    This is a treatment in which the urologist uses a laser to break a kidney stone into small pieces and then uses a tool called a basket to retrieve the pieces one at a time.

06

What researchers measure

Primary outcomes

  1. Stone Free Rate (SFR) - Zero Fragments

    The primary efficacy endpoint is the SFR, where stone free status is defined as zero residual fragments at 30 days observed on non-contrast CT (NCCT) (1.25mm slice thickness) by blinded central reviewer(s). The SFR is calculated by determining the number of subjects in each treatment arm with a stone free status of zero fragments and dividing that by the total number of subjects treated in the respective treatment arm.

    Time frame: 30 Days

Secondary outcomes

  1. Residual Stone Volume (RSV)

    A continuous quantitative measure of remaining stone volume following intervention, assessed via post-procedural imaging on NCCT (1.25mm slice thickness) by blinded central reviewer(s).

    Time frame: 30 Days

  2. Stone Clearance (% Reduction in Stone Volume)

    Percent reduction (\[Baseline stone volume- 30-Day stone volume\] / Baseline stone volume) in stone volume following intervention, assessed via post-procedural imaging on NCCT (1.25mm slice thickness) by blinded central reviewer(s). A positive result indicates a decrease in stone volume removed during the procedure; a negative value indicates an increase in stone volume following the procedure.

    Time frame: 30 Days

07

Results

Posted Jan 27, 2026

Participant flow

Participant flow — Overall Study
MilestoneSUREStandard Ureteroscopy (Basketing)
Started4655
Completed4350
Not completed35

Outcome measures

PrimaryStone Free Rate (SFR) - Zero Fragments

The primary efficacy endpoint is the SFR, where stone free status is defined as zero residual fragments at 30 days observed on non-contrast CT (NCCT) (1.25mm slice thickness) by blinded central reviewer(s). The SFR is calculated by determining the number of subjects in each treatment arm with a stone free status of zero fragments and dividing that by the total number of subjects treated in the respective treatment arm.

Time frame:
30 Days
Reported as:
Number · % subjects
Stone Free Rate (SFR) - Zero Fragments
% subjectsSUREStandard Ureteroscopy (Basketing)
Stone Free Rate (SFR) - Zero Fragments4849
SecondaryResidual Stone Volume (RSV)

A continuous quantitative measure of remaining stone volume following intervention, assessed via post-procedural imaging on NCCT (1.25mm slice thickness) by blinded central reviewer(s).

Time frame:
30 Days
Reported as:
Mean · mm^3
Residual Stone Volume (RSV)
mm^3SUREStandard Ureteroscopy (Basketing)
Residual Stone Volume (RSV)14.3 ± 30.970.2 ± 144.9
SecondaryStone Clearance (% Reduction in Stone Volume)

Percent reduction (\[Baseline stone volume- 30-Day stone volume\] / Baseline stone volume) in stone volume following intervention, assessed via post-procedural imaging on NCCT (1.25mm slice thickness) by blinded central reviewer(s). A positive result indicates a decrease in stone volume removed during the procedure; a negative value indicates an increase in stone volume following the procedure.

Time frame:
30 Days
Reported as:
Mean · percent reduction (%)
Stone Clearance (% Reduction in Stone Volume)
percent reduction (%)SUREStandard Ureteroscopy (Basketing)
Stone Clearance (% Reduction in Stone Volume)97.1 ± 5.493.3 ± 11.7

Adverse events

Collected over 30 Day. Non-serious events are listed at a 5% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
SURE0/67 (0%)1/67 (1.5%)4/67 (6%)
Standard Ureteroscopy (Basketing)0/65 (0%)2/65 (3.1%)5/65 (7.7%)
Most frequent serious events
Most frequent serious events
EventSUREStandard Ureteroscopy (Basketing)
Sepsis Requiring HospitalizationRenal and urinary disorders1/672/65
Most frequent other events
Most frequent other events
EventSUREStandard Ureteroscopy (Basketing)
Ureteral DamageRenal and urinary disorders4/675/65

Baseline characteristics

Age, Customized
Age, Customized(years)SUREStandard Ureteroscopy (Basketing)Total
Age59 ± 1460 ± 1459 ± 13
Sex: Female, Male
Sex: Female, Male(Participants)SUREStandard Ureteroscopy (Basketing)Total
Female222749
Male242852
Race/Ethnicity, Customized
Race/Ethnicity, Customized(Participants)SUREStandard Ureteroscopy (Basketing)Total
White (Not Hispanic)364480
Black or African American257
Hispanic/Latino7613
Asian101
Total stone burden
Total stone burden(mm)SUREStandard Ureteroscopy (Basketing)Total
Mean14 ± 6.519 ± 1117 ± 9
Total stone volume
Total stone volume(mm^3)SUREStandard Ureteroscopy (Basketing)Total
Mean490 ± 430710 ± 560610 ± 510
08

Study locations

11 sites
  • Mayo Clinic
    Phoenix, Arizona 85054, United States
  • Arizona Institute of Urology
    Tucson, Arizona 85704, United States
  • Johns Hopkins
    Baltimore, Maryland 21287, United States
  • New Jersey Urology
    Voorhees Township, New Jersey 08043, United States
  • Albany Medical College
    Albany, New York 12208, United States
  • Duke University
    Durham, North Carolina 27710, United States
  • Prisma Health
    Greenville, South Carolina 29650, United States
  • Urology Austin
    Austin, Texas 78654, United States
  • Dell Medical School, The University of Texas at Austin
    Austin, Texas 78712, United States
  • UT Southwestern Medical Center
    Dallas, Texas 75390, United States
  • Urology of Virginia
    Virginia Beach, Virginia 23462, United States
09

References and documents

Study documents

PDFs hosted by the registry, ClinicalTrials.gov.

10

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Ran from Jun 2021 to primary completion in Jan 2023, 19 months.

Results were first posted in Jan 2026, 2 years 11 months after primary completion.

Of 199 interventional studies with no phase under Kidney Calculi, half reached primary completion within 26 months of starting (the median), counting those still running; a quarter within 12 and three quarters within 51. This study's 19 months is below that.

How these figures are worked out, and which studies are left out of them.

Registered
Aug 17, 2020
First posted
Aug 19, 2020
StartActual
Jun 16, 2021
Primary completionActual
Jan 30, 2023
CompletionActual
Apr 30, 2025
Results first posted
Jan 27, 2026
Last update
Feb 27, 2026
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Feb 27, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
11

Registry details

Key details

Study ID
NCT04519294
Lead sponsor
Calyxo, Inc.
Responsible party
Sponsor
First posted
Aug 19, 2020
Start date
Jun 16, 2021
Primary completion
Jan 30, 2023
Completion
Apr 30, 2025
Results posted
Jan 27, 2026
Last update
Feb 27, 2026

Oversight

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

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