ClinicalTrials.gg
RecruitingNCT06996587iFURSUpdated May 30, 2025

ILY Robotic System vs Manual Flexible Ureteroscopy for Kidney Stone Treatment

An interventional study of Robotic-Assisted Flexible Ureteroscopy and Manual Flexible Ureteroscopy in Kidney Stones and Urolithiasis, sponsored by Albert El Hajj. Recruiting at 1 site in Lebanon. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2025-05-30.

Sponsored by Albert El Hajj · Not applicable, Interventional, and Treatment

From the registry’s dates

  • Started May 2025; still recruiting 1 year 6 months later.
Phase
Not applicable
Study type
Interventional
Enrollment
152
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

Study summary

The goal of this clinical trial is to compare the efficacy, ergonomics, and safety of robotic versus manual flexible ureteroscopy (fURS) for kidney stone treatment in adult patients undergoing laser lithotripsy.

  • Does robotic-assisted lithotripsy using the ILY® robot have the same efficacy as the manual fURS in treating kidney stones?
  • Is robotic flexible ureteroscopy associated with similar or improved safety outcomes, including perioperative and 30-day postoperative complication rates?
  • Does the robotic system offer improved ergonomics, lower surgeon radiation exposure, and favorable intraoperative metrics compared to manual flexible ureteroscopy? Researchers will compare the ILY robotic system with manual fURS to see if robotic intervention can match or improve clinical and ergonomic outcomes.

Participants will:

  • Be randomly assigned to undergo laser lithotripsy with either the ILY robot or manual flexible ureteroscopy
  • Complete standard pre- and postoperative assessments
  • Undergo evaluation for stone-free status using a non-contrast CT scan at 30 days postoperatively
  • Undergo evaluation for postoperative complications
02

Conditions studied

  • Kidney Stones
  • Urolithiasis

Keywords

  • kidney stones
  • manual flexible ureteroscopy
  • fURS
  • ILY robot
  • robotic
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 152 is above the median of 86 across 391 interventional studies indexed under Kidney Calculi.

Browse Kidney Calculi studies →

Lead sponsor

This is the only study on the registry with Albert El Hajj as lead sponsor.

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

  • Males or females ≥ 18 years old
  • Patients with a normal pelvicalyceal anatomy
  • Patients with renal stone diagnosis confirmed by noncontrast computed tomography regardless of stone size, location, and multiplicity
  • I-III
  • Intact mental and cognitive ability to provide and willingness to participate in the study with 30-day follow-up

Exclusion criteria

Exclusion Criteria:

  • Children \< 18 and pregnant women
  • Patients with anatomically anomalous kidneys, known case of stricture or stenosis, or recent 3-month history of ureteroscopy (DJ stent placement only will be accepted) or known history of complicated ureteroscopy
  • Patients in whom stone measurement was not feasible on NCCT or those with concomitant ureteric stones.
  • IV
  • Mentally incapacitated patients unable to provide
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.

ASA physical status

The anaesthetists’ scale of health before surgery: I is healthy, II has a mild illness that is under control, III a severe one, IV a severe illness that is a constant threat to life. V and VI are used for the critically ill and for organ donors.

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
Double (Participant, Outcomes assessor)
Enrollment
152 participants (estimated)

Study arms

  • Experimental
    Robotic-Assisted fURS Group using the ILY Robot

    Participants undergo flexible ureteroscopy using the ILY® robotic system.

    Procedure: Robotic-Assisted Flexible Ureteroscopy

  • Active comparator
    Manual fURS Group

    Participants undergo standard manual flexible ureteroscopy.

    Procedure: Manual Flexible Ureteroscopy

Interventions

  • ProcedureRobotic-Assisted Flexible Ureteroscopy

    Use of the ILY® robotic system to perform flexible ureteroscopy.

  • ProcedureManual Flexible Ureteroscopy

    Conventional flexible ureteroscopy performed manually by the surgeon.

06

What researchers measure

Primary outcomes

  1. Efficacy assessed by measuring the stone-free rate (SFR)

    A patient is considered stone free if there are no visible residual stone fragments after the treatment.

    Time frame: 30 days after the index procedure

Secondary outcomes

  1. Perioperative and 30-day Postoperative Outcomes

    This assessment will account for any complications related to the patient's clinical condition from the procedure through a 4-week postoperative period.

    Time frame: Perioperatively and 30 days after the procedure

  2. Ergonomics

    The NASA Task Load Index will be used to assess for ergonomics.

    Time frame: Immediately after the procedure

  3. Surgeon safety in terms of radiation exposure

    Surgeon safety from ionizing radiation will be assessed by the surgeon wearing 3 dosimeter badges used to detect and record exposure.

    Time frame: During the procedure

  4. Intraoperative Parameters

    Operative time, draping time, docking time, lasing time (all measured in minutes)

    Time frame: During the procedure

  5. Conversion rate

    The proportion of cases where a procedure originally planned using the robotic technique had to be converted to manual fURS due to complications, technical difficulties, or failure of equipment.

    Time frame: During the procedure

07

Study locations

1 of 1 sites recruiting
08

References and documents

Study documents

PDFs hosted by the registry, ClinicalTrials.gov.

Individual participant data

Plan to share: Yes — Coded participant data, including baseline characteristics, primary and secondary outcome measures, and statistical analysis plans will be made available upon reasonable request from the corresponding author. The study protocol, statistical analysis plan, and informed consent forms will also be accessible upon request. Researchers seeking data must submit a methodologically sound proposal, which will be reviewed by the trial steering committee. Data will be shared in compliance with institutional and ethical regulations.

Supporting information: Study protocol, Statistical analysis plan, Informed consent form

Time frame: Beginning six months after publication and ending five years after the publication date

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 May 2025 (actual). Primary completion is estimated for Apr 2027, 23 months after the start.

Of 183 non-industry interventional studies with no phase under Kidney Calculi, half reached primary completion within 31 months of starting (the median), counting those still running; a quarter within 13 and three quarters within 54. This study's planned 23 months is below that.

Counting every sponsor, half of 199 studies reached it within 26 months; a quarter within 12 and three quarters within 51.

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

Registered
May 13, 2025
First posted
May 30, 2025
StartActual
May 1, 2025
Primary completionEst.
Apr 2027
CompletionEst.
Aug 2027
Last update
May 30, 2025
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 May 30, 2025, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT06996587
Lead sponsor
Albert El Hajj
Responsible party
Albert El Hajj (Associate Professor of Urology, American University of Beirut Medical Center) — Sponsor-investigator
First posted
May 30, 2025
Start date
May 1, 2025
Primary completion
Apr 2027 (estimated)
Completion
Aug 2027 (estimated)
Last update
May 30, 2025

Study contacts

Albert El Hajj, MD
Contact
ae67@aub.edu.lb
+961-1-350000 ext. 5246, 5800

Oversight

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

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