ClinicalTrials.gg
RecruitingNCT06942949ELSUpdated Jun 16, 2026

Evaluation of Enhanced Lithotripsy System (ELS) in the Treatment of Urinary Stones, A Pivotal Trial

An interventional study of ELS (Enhanced Lithotripsy System) in Kidney Calculi; Ureteral Calculi, sponsored by Avvio Medical. Recruiting at 20 sites in United States. Open to participants aged 21 Years and older. Per ClinicalTrials.gov, last updated 2026-06-16.

Sponsored by Avvio Medical · Not applicable, Interventional, and Treatment

From the registry’s dates

  • Primary completion was expected by Aug 2026, 3 months ago, but the record still lists the study as recruiting.
  • Started May 2025; still recruiting 1 year 6 months later.
Phase
Not applicable
Study type
Interventional
Enrollment
101
Allocation
Not applicable
Ages
21 Years and older
Sex
All
01

Study summary

The purpose of this study is to evaluate the safety and performance of the ELS to treat urinary stones. The ELS is intended to break urinary stones into small fragments that can pass during or after the procedure with less or no discomfort. Eligible patients are male or females, age 21 or older, with a single urinary stone in the ureter. Participants will undergo the ELS procedure and then be evaluated 30 days later for the presence or absence of urinary stone fragments on a CT scan. Subjects who still have stone present at Day 30 will be evaluated again at Day 60. Other outcome measures will be changes in pain, quality of life, and return to normal daily activities/work.

02

Conditions studied

  • Kidney Calculi; Ureteral Calculi
03

In context

Kidney Calculi

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

This study's planned enrollment of 101 is above the median of 86 across 391 interventional studies indexed under Kidney Calculi.

Browse Kidney Calculi studies →

Lead sponsor

Avvio Medical is the lead sponsor of 5 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
21 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

  • Male or Female aged >=21 Years
  • Provides written
  • One urinary stone within the ureter, size >=5 mm and \<=10 mm present on CT
  • Stone is indicated for Shock Wavve Lithotrips Per AUA 2026 guidelines
  • Stone to be treated has a maximum density of \<= 1200 HU

Exclusion criteria

Exclusion Criteria:

  • Anatomic presentations that would preclude obtaining an acoustic window for the ultrasound treatment
  • Non-calcium based stones (e.g., uric acid stones)
  • Untreated UTI
  • Presence of abnormal skin conditions in the area to be treated
  • Coagulation abnormality
  • Inability to lay still for 30 minutes
  • Pregnant
  • Abnormal Kidney Function
  • Any genitourinary history or procedure that has altered anatomy (e.g. urinary tract reconstruction)
Terms in these criteria, in plain language(1)

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.

05

Study design

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

Study arms

  • Experimental
    The ELS Trial is a prospective, multi-center, single arm study.

    All Subjects who qualify to participate in the ELS Trial will receive the experimental ELS procedure.

    Device: ELS (Enhanced Lithotripsy System)

Interventions

  • DeviceELS (Enhanced Lithotripsy System)

    ELS (Enhanced Lithotripsy System) utilizes low pressure ultrasound to actuate proprietary microbubbles administered into the urine to pit and fragment urinary stones.

06

What researchers measure

Primary outcomes

  1. Primary Outcome Measure

    CT assessment of the target stone demonstrating either (i) stone free status (zero fragments) or (ii) the presence of only stone fragments small enough to pass spontaneously (\<=4 mm) at 30 Days post procedure.

    Time frame: From ELS treatment to 30 Days afterward.

07

Study locations

16 of 20 sites recruiting
08

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Jun 16, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
09

Registry details

Key details

Study ID
NCT06942949
Lead sponsor
Avvio Medical
Responsible party
Sponsor
First posted
Apr 24, 2025
Start date
May 1, 2025
Primary completion
Aug 2026 (estimated)
Completion
Sep 2026 (estimated)
Last update
Jun 16, 2026

Study contacts

Louis Marcoux
Contact
louis.marcoux@avviomed.com
415-887-2037

Oversight

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

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