ClinicalTrials.gg
RecruitingNCT06719089HydrustentUpdated Apr 29, 2026

Evaluation of the Safety and Performance of the Hydrustent® Biodegradable Hydrogel Ureteral Stent

An interventional study of Biodegradable double loop ureteral stent and PolyUrethane Double Loop Ureteral Stent in Urinary Lithiasis, sponsored by Hydrumedical. Recruiting at 4 sites in Portugal. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-04-29.

Sponsored by Hydrumedical · Not applicable, Interventional, and Treatment

From the registry’s dates

  • Started Sep 2025; still recruiting 1 year 2 months later.
Phase
Not applicable
Study type
Interventional
Enrollment
134
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

Study summary

The goal of this clinical investigation is to evaluate whether the Hydrustent® medical device is safe and if maintain the urinary flow inside the ureter in adults.

The main questions it aim to answer are:

  • Does Hydrustent® maintain urinary patency post-surgery in adults?
  • What medical issues do participants experience while using Hydrustent®?

Researchers will compare the Hydrustent® medical device to a comparator (a standard medical device used in clinical practice) to determine whether Hydrustent® is at least non-inferior in terms of safety and efficacy.

Other questions that the study will answer are:

  • Does Hydrustent® exhibit a durability of at least 24 hours?
  • Does Hydrustent® prevents the need of the surgical procedure to remove the ureteral stent?
  • Does Hydrustent® reduce urinary symptoms associated with a ureteral stent?

Participants will:

  • Have either the Hydrustent® or a comparator device inserted following the removal of ureteral or renal stones via endourological techniques.
  • Be monitored for 3 months post-surgery through regular follow-up visits.
  • Complete questionnaires and undergo imaging exams, as well as blood and urine analyses to assess recovery.
Read the detailed description

Multicentric, randomized, controlled clinical study comprising both phases of the pre-market device clinical development stage: pilot and pivotal. The first exploratory phase of the study (16 participants) will assess the safety of Hydrustent® for the first time in humans, while providing preliminary results on its efficacy. Following this, the second phase is confirmatory (118 participants), allowing the collection of the information necessary to evaluate the clinical performance and safety of Hydrustent®.

02

Conditions studied

  • Urinary Lithiasis

Keywords

  • Biodegradable ureteral stent
  • kidney stones
  • Hydrustent
  • Hydrumedical
03

In context

Urolithiasis

253 studies on the registry are indexed under Urolithiasis; 67 are open to participants now.

This study's planned enrollment of 134 is above the median of 100 across 182 interventional studies indexed under Urolithiasis.

Browse Urolithiasis studies →

Lead sponsor

Hydrumedical is the lead sponsor of 2 studies on the registry; 1 is 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

Eligibility criteria

Pilot phase:

Inclusion:

  • Subjects with the ability to understand the requirements of the study, who have provided written ICF before any assessment is performed, and are willing to undergo all FU assessments according to the specified schedule;
  • Adult patients, males or females, aged between 18 and 70 years old;
  • Subjects with ureteral and/or renal stones who have undergone a successful, uncomplicated, unilateral URS and RIRS, with clinical indication to place a post-operative US, as judged by the medical investigator;
  • Subjects with a height and body sizeable to accommodate a 22, 24, 26, 27 and 28 cm long US and diameter of 7 Fr, as judged by the medical investigator;
  • Female participants of and male participants whose partner is of childbearing potential must be willing to ensure that they or their partner use protocol's recommended effective methods during all the trial duration;
  • Male participants must agree to refrain from donation of semen from the start of the study treatment up to the end of the study.

Exclusion:

  • Subjects with urinary anatomic malformations or previous relevant surgical modifications.
  • Subjects with known/suspicion of urothelial or renal tumour;
  • Subjects with known/suspicion of extrinsic compression of the ureter and/or stricture;
  • Subjects with known/suspicion of ureteral perforation and/or fistula;
  • Subjects under active treatment for bladder outlet obstruction (e.g., benign prostatic obstruction), neurogenic bladder, overactive bladder, and/or urge urinary incontinence;
  • Subjects with a solitary kidney;
  • Subjects with calculated below 60 mL/min/1.73m2;
  • Subjects with known renal insufficiency or chronic impairment;
  • Subjects with post-operative suspicion/known incomplete stone fragmentation with the presence of relevant residual urinary lithiasis, requiring an additional procedure;
  • Subjects with active history of bleeding diathesis or currently taking anticoagulants (except antiplatelet agents);
  • Subjects with pre-operative evidence of staghorn calculi;
  • Subjects with suspicious/diagnosed UTI at the time of US placement, or pre-operative positive urine culture or active UTI taking antibiotic medication;
  • Subjects with contrast allergy; Pregnant, lactating, or women of childbearing potential who do not employ a highly effective contraceptive method as judged by the medical investigator, and/or who are not willing to use a highly effective contraception for the duration of study participation;
  • Subject with a known severe psychiatric disorder, substance abuse, or other reason for being unable to follow study FU instructions or unable to reliably complete patient questionnaires;
  • Subjects with signs of local or systemic acute/active or chronic infections;
  • Subjects with sensibility or known to the implantable materials;
  • Subjects with ureteral blockage or stricture;
  • Subjects with failed guidewire placement or failed ureteroscopy access;
  • Subjects with suspect ureteral avulsion;
  • Subjects with untreated infected urinary obstruction of the kidneys (pyonephrosis);
  • Subjects with vascular abnormalities of the renal pelvis outlet;
  • Subjects with unexplained haematuria;
  • Subjects with significant urethral obstruction;
  • Subjects with concomitant or untreated bladder lithiasis;
  • Any other condition that would deem a subject ineligible for treatment with the device in the opinion of the medical investigator;
  • Subject is known to be currently enrolled in another investigational study.

Pivotal phase:

Inclusion:

  • Subjects with the ability to understand the requirements of the study, who have provided written or oral form before any assessment is performed, and are willing to undergo all FU assessments according to the specified schedule;
  • Adult patients, males or females, aged > 18 years old;
  • Subjects with ureteral and/or renal stones who have undergone a successful, unilateral ureteroscopy and retrograde intra-renal surgery, with clinical indication to place a post-operative US, as judged by the medical investigator;
  • Subjects with a height and body sizeable to accommodate a 22, 24, 26, 27 and 28 cm long US and diameter of 7 Fr, as judged by the medical investigator;
  • Female participants of childbearing potential and male participants whose partner is of childbearing potential must be willing to ensure that they or their partner use protocol's recommended effective contraception methods during all the trial duration;
  • Male participants must agree to refrain from donation of semen from the start of the study treatment up to the end of the study.

Exclusion:

  • Urinary anatomic malformations or previous relevant surgical modifications;
  • Subjects with known/suspicion of urothelial or renal tumour;
  • Subjects with known/suspicion of extrinsic compression of the ureter and/or stricture;
  • Subjects with known/suspicion of ureteral perforation and/or fistula;
  • Subjects under active treatment for bladder outlet obstruction (e.g., benign prostatic obstruction), neurogenic bladder, overactive bladder, and/or urge urinary incontinence;
  • Subjects with a solitary kidney;
  • Subjects with calculated Glomerular Filtration Rate below 60 mL/min/1.73m2;
  • Subjects with post-operative suspicion/known incomplete stone fragmentation with the presence of relevant residual urinary lithiasis, requiring an additional procedure;
  • Subjects with active history of bleeding diathesis or currently taking anticoagulants (except antiplatelet agents);
  • Subjects with pre-operative evidence of staghorn calculi;
  • Subjects with suspicious/diagnosed urinary tract infection at the time of ureteral stent insertion, or pre-operative positive urine culture or active urinary tract infection taking antibiotic medication;
  • Subjects with contrast allergy;
  • Pregnant, lactating, or women of childbearing potential who do not employ a highly effective contraceptive method and/or who are not willing to use a highly effective contraception for the duration of study participation;
  • Subject with a known severe psychiatric disorder, substance abuse, or other reason for being unable to follow study FU instructions or unable to reliably complete patient questionnaires;
  • Subjects with signs of local or systemic acute/active or chronic infections;
  • Subjects with sensibility or known hypersensitivity to the implantable materials;
  • Subjects with ureteral blockage or stricture;
  • Subjects with failed guidewire placement or failed ureteroscopy access;
  • Subjects with suspect ureteral avulsion;
  • Subjects with untreated infected urinary obstruction of the kidneys (pyonephrosis);
  • Subjects with vascular abnormalities of the renal pelvis outlet;
  • Subjects with unexplained haematuria;
  • Subjects with significant urethral obstruction;
  • Subjects with concomitant or untreated bladder lithiasis;
  • Any other condition that would deem a subject ineligible for treatment with the investigational device in the opinion of the medical investigator;
  • Subject is known to be currently enrolled in another investigational study.
Terms in these criteria, in plain language(6)

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.

Childbearing potential

Able to become pregnant: from the first period until menopause, unless permanently unable to through surgery (removal of the womb, or of both ovaries or both fallopian tubes).

Criteria for people of childbearing potential usually ask for a negative pregnancy test and for contraception during the study and for a time after it.

Contraception

Ways of preventing pregnancy. “Highly effective” methods fail less than 1% of the time a year when used correctly — for example an IUD or an implant.

Criteria usually say which methods count and how long to keep using them after the last dose, sometimes for male participants too. Some studies accept a partner’s vasectomy if it was confirmed successful and that person is the participant’s only sexual partner.

GFR and eGFR (kidney filtering)

GFR (glomerular filtration rate) is how much blood the kidneys filter each minute. It is usually estimated from a blood test — eGFR, by formulas such as CKD-EPI or MDRD — and some studies ask for it to be measured directly instead. Usually given in mL/min/1.73 m².

Check the method, the units and the minimum the study states. A value of 90 or above is in the normal-or-high range, but kidney damage can show in other tests too.

Hypersensitivity

An allergy, or another reaction of the immune system, to a substance. “Hypersensitivity to the study drug” means a known allergic reaction to it — not every side effect a medicine can have.

Investigational drug or device

A drug or device being studied in a clinical trial.

It may be new, or already approved and being studied for another use, dose or form. Criteria often leave out people who took part in another study of one within a recent period, commonly 30 days or five half-lives.

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.

05

Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Single (Outcomes assessor)
Enrollment
134 participants (estimated)

Study arms

  • Active comparator
    Rocamed RocaJJ Soft

    Device: PolyUrethane Double Loop Ureteral Stent

  • Experimental
    Hydrustent®

    Device: Biodegradable double loop ureteral stent

Interventions

  • DeviceBiodegradable double loop ureteral stent

    This ureteral stent is based on natural polymers and degrades inside the human body without causing obstruction, avoiding the need of a second surgery for stent removal and minimizing complications related to encrustation and bacterial infections.

  • DevicePolyUrethane Double Loop Ureteral Stent

    This ureteral stent is a double J made of 100% polyurethan, heat-sensitive and radiopaque for excellent patient tolerance and high incrustation resistance.

06

What researchers measure

Primary outcomes

  1. Primary safety endpoint assessed through adverse events and device deficiencies (Pilot and pivotal phases)

    Evaluation of the number, severity, and intensity of AEs and DDs at least possibly related to either the investigational device or the comparator device that occurred within 28±1 days of stent placement.

    Time frame: From surgery to the end of treatment at day 28

  2. Primary efficacy outcome assessed by the urine drainage after stent placement (Pivotal phase)

    Urine patency will be assessed using a composite endpoint based on the following criteria: 1. Diuresis (range within 0.5 to 1.5 mL/kg/h). 2. Creatinine levels in blood tests (range within 0.7 to 1.2 mg/dL for men and 0.5 to 1.0 mg/dL for women). 3. CT scan to assess the adequate upper urinary tract urine drainage (defined as the absence of significative hydronephrosis) 4. Lack of surgical intervention in the stented ureter.

    Time frame: From surgery to day 1

Secondary outcomes

  1. Overall clinical success (efficacy) by evaluating the urine drainage after stent placement (Pilot phase)

    Urine patency will be assessed using a composite endpoint based on the following criteria: 1. Diuresis (range within 0.5 to 1.5 mL/kg/h). 2. Creatinine levels in blood tests (range within 0.7 to 1.2 mg/dL for men and 0.5 to 1.0 mg/dL for women). 3. CT scan to assess the adequate upper urinary tract urine drainage (defined as the absence of significative hydronephrosis) 4. Lack of surgical intervention in the stented ureter.

    Time frame: From surgery to the end of treatment at day 28

  2. Overall clinical success by evaluating the urine drainage after stent placement (Pivotal phase)

    Urine patency will be assessed using a composite endpoint based on the following criteria: 1. Creatinine levels in blood tests (range within 0.7 to 1.2 mg/dL for men and 0.5 to 1.0 mg/dL for women). 2. CT scan to assess the adequate upper urinary tract urine drainage (defined as the absence of significative hydronephrosis) 3. Lack of surgical intervention in the stented ureter.

    Time frame: From surgery to the end of treatment at day 28

  3. Overall safety assessed through adverse events and device deficiencies (Pilot and pivotal phases)

    Evaluation of the number, severity, and intensity of AEs at least possibly related to the devices occurring and number, type and severity of DDs.

    Time frame: From surgery to the end of study at day 90

  4. Assessment of the durability of the experimental device (Pilot and pivotal phases)

    Presence of an intact device with no radiographic evidence of breakage or dissolution assessed by radiological assessment

    Time frame: Day 1

  5. Technical success of the experimental device (Pilot and pivotal phases)

    Complete degradation of the investigational stent as measured by radiological assessment (CT scan).

    Time frame: Day 28

  6. Devices tolerability through the assessment of urinary symptoms (Pilot and pivotal phases)

    Assessment of urinary symptoms via the Ureteral Stent Symptom Questionnaire (USSQ). The total score of the questionnaire is the sum of all items across the following symptom sections: urinary symptoms, pain, sexual issues, general health, and work performance. A higher total score reflects a greater burden of symptoms and worse quality of life.

    Time frame: Screening phase, during the treatment phase and up to the end of the study at day 90

  7. Devices tolerability through the assessment of urinary symptoms (Pilot and pivotal phases)

    Assessment of urinary symptoms via the Visual Analog Scale (VAS). Study participants mark their symptom intensity on a continuous line 10 centimetres long, the extremes of which indicate "no pain" and "maximum pain". A higher score indicates greater pain intensity.

    Time frame: Screening phase, during the treatment phase and up to the end of the study at day 90

  8. Devices tolerability through the assessment of urinary symptoms (Pilot and pivotal phases)

    Assessment of urinary symptoms via the need of pain medication. If intervention for pain management is required, it suggests that the urinary symptoms are more severe.

    Time frame: During the treatment phase and up to the end of the study at day 90

  9. Devices tolerability through the assessment of urinary symptoms (Pilot and pivotal phases)

    Assessment of urinary symptoms via the International Index of Erectile Function (IIEF-5) for male participants. The 5-item tool, with each item scored from 1 to 5, generates a total score ranging from 5 to 25 points. Lower scores indicate poorer sexual functioning, while higher scores reflect better erectile functioning.

    Time frame: Screening phase, during the treatment phase and up to the end of the study at day 90

  10. Devices tolerability through the assessment of urinary symptoms (Pilot and pivotal phases)

    Assessment of urinary symptoms via the International Prostate Symptom Score (IPSS) for male participants. The questionnaire consists of two sections: fhe first section includes a 7-item tool, with each item scored from 0 to 5, generating a total score ranging from 0 to 35 points. The second section assesses quality of life, with scores ranging from 0 to 6. Lower scores indicate fewer urinary symptoms and better quality of life related to urinary symptoms.

    Time frame: Screening phase, during the treatment phase and up to the end of the study at day 90

07

Study locations

2 of 4 sites recruiting
  • Unidade Local de Saúde da Região de Aveiro (ULSRA), E.P.E.
    Aveiro, Aveiro District 3814-501, Portugal
    Recruiting
    • Study Coordination Team · Contact
    • Agostinho Cordeiro · Principal investigator
  • Unidade Local de Unidade Local de Saúde do Alto Ave (ULSAAVE), E.P.E
    Guimarães, Braga District 4835-044, Portugal
    Recruiting
    • Study Coordination Team · Contact
    • Viviana Azevedo · Principal investigator
  • Hospital CUF Tejo
    Lisbon, 1350-352, Portugal
    Not yet recruiting
    • Study Coordination Team · Contact
    • Paulo Dinis · Principal investigator
  • Unidade Local de Saúde do Alto Minho (ULSAM)
    Viana do Castelo, 4904-858, Portugal
    Not yet recruiting
    • Study Coordination Team · Contact
    • Hugo Coelho · Principal investigator
08

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

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

Started Sep 2025 (actual). Primary completion is estimated for Dec 2026, 15 months after the start.

Of 96 interventional studies with no phase under Urolithiasis, half reached primary completion within 19 months of starting (the median), counting those still running; a quarter within 11 and three quarters within 39. This study's planned 15 months is below that.

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

Registered
Oct 4, 2024
First posted
Dec 5, 2024
StartActual
Sep 9, 2025
Primary completionEst.
Dec 31, 2026
CompletionEst.
Dec 31, 2026
Last update
Apr 29, 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 Apr 29, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT06719089
Lead sponsor
Hydrumedical
Collaborators
Blueclinical, Ltd., Clinical Academic Center (2CA-Braga)
Responsible party
Sponsor
First posted
Dec 5, 2024
Start date
Sep 9, 2025
Primary completion
Dec 31, 2026 (estimated)
Completion
Dec 31, 2026 (estimated)
Last update
Apr 29, 2026

Study contacts

Ferreira (Sponsor)
Contact
clinicalstudies@hydrumedical.pt
+351 253 573 460
Coordinating Investigator
study chair · Paulo Mota

Oversight

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

Interested in this study?

Eligibility is decided by the study team. Share this record with your doctor or contact the team directly.

Contact study team

Follow this study

Get an email when the registry record changes — status, dates, results — or when someone posts here.

Sign in to follow

Discussion

Questions and observations about this study, from anyone following it. Not medical advice, and not a channel to the study team — their contact details are on the registry record.

Sign in to join the discussion. Reading takes no account; posting does. You choose a display name, and a pseudonym is the default.

Nothing here yet. If you are running this trial, taking part in it, or weighing whether to, this is the place to say so.

Start the discussion