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Trial details imported from ClinicalTrials.gov
For full trial details, please see the original record at
https://clinicaltrials.gov/study/NCT06668142
Registration number
NCT06668142
Ethics application status
Date submitted
23/10/2024
Date registered
31/10/2024
Date last updated
29/06/2025
Titles & IDs
Public title
A Prospective, Multicenter, Open-label Study of the Beacon Platform for Holmium Laser Enucleation of the Prostate (HoLEP)
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Scientific title
A Prospective, Multicenter, Open-label Study of the Beacon Platform for Holmium Laser Enucleation of the Prostate (HoLEP)
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Secondary ID [1]
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ASTRA112024
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Universal Trial Number (UTN)
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Trial acronym
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Benign Prostatic Hyperplasia
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Condition category
Condition code
Renal and Urogenital
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Other renal and urogenital disorders
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Treatment: Devices - Beacon Platform
Experimental: A single-arm open label pilot study - A single-arm open label pilot study observing intraoperative and postoperative outcomes of the Beacon Platform in HoLEP.
Treatment: Devices: Beacon Platform
The Beacon Platform is a robotically assisted surgical (RAS) device. It enables the urologist, through software, to control and move surgical instruments for a variety of transurethral, endoscopic procedures
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Intervention code [1]
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Treatment: Devices
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Comparator / control treatment
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Control group
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Outcomes
Primary outcome [1]
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Number of Participants Successfully Completing Robot-Assisted HoLEP (Enucleation and Morcellation) Without Conversion
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Assessment method [1]
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This endpoint measures the number of participants who successfully complete both the enucleation and morcellation phases of robot-assisted HoLEP (Holmium Laser Enucleation of the Prostate) without the need to convert to a conventional HoLEP or an alternative surgical procedure for treating BPH-related LUTS.Successful completion is defined as completing both phases without using additional devices . This excludes the Roll-in subjects and the use of other devices for hemostasis or dissecting the enucleated tissue during or after the procedure.
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Timepoint [1]
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During the procedure.
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Primary outcome [2]
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Number of subjects with adverse events ( Clavien-Dindo Grade 3a or higher )
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Assessment method [2]
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Proportion of subjects with adverse events rated as probably or definitely related to the study procedure (robot-assisted HoLEP or RoLEP) classified as Clavien-Dindo Grade 3a or higher through 30 days post-treatment.
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Timepoint [2]
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From procedure date to 30 days
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Secondary outcome [1]
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Number of Participants with Capsular Perforation Leading to Procedure Interruption or Conversion
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Assessment method [1]
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This outcome measures the incidence of capsular perforation events that result in interruption of the procedure or conversion to conventional HoLEP or an alternative surgical procedure
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Timepoint [1]
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From procedure date to 30 days.
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Secondary outcome [2]
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Number of Participants with Bladder Perforation Leading to Procedure Interruption or Conversion
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Assessment method [2]
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This outcome measures the incidence of bladder perforation events that result in interruption of the procedure or conversion to conventional HoLEP or an alternative surgical procedure.
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Timepoint [2]
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From procedure date to 30 days.
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Secondary outcome [3]
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Number of Participants with Ureteric Orifice Damage Requiring Intervention
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Assessment method [3]
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This outcome assesses the incidence of ureteric orifice damage leading to stricture, stenting, or any other sequelae or subsequent intervention.
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Timepoint [3]
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From procedure date to 30 days.
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Secondary outcome [4]
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Length of Hospital Stay Post-Procedure
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Assessment method [4]
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This outcome measures the total length of hospital stay required following the HoLEP procedure.
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Timepoint [4]
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From procedure date to 30 days
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Secondary outcome [5]
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Length of Catheterization Post-Procedure
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Assessment method [5]
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This outcome measures the total duration of catheterization following the procedure.
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Timepoint [5]
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From procedure date to 30 days
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Secondary outcome [6]
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Operative Time for Procedure Completion
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Assessment method [6]
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This outcome measures the total time required to complete the HoLEP procedure.
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Timepoint [6]
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During the procedure.
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Secondary outcome [7]
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Number of Participants with Repeat Hospitalization for Genitourinary Conditions
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Assessment method [7]
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This outcome measures the incidence of repeat hospitalizations due to genitourinary conditions within 30 days post-procedure.
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Timepoint [7]
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From procedure date to 30 days post-procedure.
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Eligibility
Key inclusion criteria
1. Male
2. Subject has diagnosis of lower urinary tract symptoms and/or urinary retention due to benign prostatic enlargement causing bladder outlet obstruction,
3. Subject is able and willing to comply with all the assessments of the study,
4. Subject or subject's legal representative has been informed of the nature of the study, agrees to participate, and has signed the informed consent form,
5. = 45 years of Age,
6. Prostate volume 40 - 120 cc by transrectal ultrasound (TRUS), magnetic resonance imaging (MRI), or computed tomography (CT), measured within one year prior to procedure,
7. The subject is indicated for undergoing HoLEP procedure
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Minimum age
45
Years
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Maximum age
No limit
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Sex
Males
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Can healthy volunteers participate?
No
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Key exclusion criteria
1. Urethral stricture, meatal stenosis, or bladder neck contracture - either current or recurrent,
2. History of prostate cancer or current/suspected bladder cancer,
3. Prostate cancer should be ruled out before participation to the satisfaction of the investigator if Prostate-Specific Antigen (PSA) is above acceptable thresholds,
4. History of other diseases causing voiding dysfunction including urinary retention (e.g., diagnosis of neurogenic bladder, Parkinson's disease, multiple sclerosis, etc.),
5. Subjects with overactive bladder in the absence of benign prostatic obstruction as determined by the investigator,
6. Acute urinary tract infection (UTI) or finding of asymptomatic bacteriuria (Note: subject can be enrolled if the UTI is treated)
7. Previous pelvic irradiation or radical pelvic surgery,
8. Previous prostate surgery, including enucleation, resection, vaporization, thermotherapy, ablation, stenting, or prostatic urethral lift,
9. Inability to stop taking anticoagulants for at least 3 days prior to the procedure or antiplatelets and/or coumadin for at least 5 days prior to the procedure (Note: low dose aspirin therapy is permitted),
10. Any severe illness that would prevent complete study participation or confound study results.
11. Bleeding tendency disorders,
12. Future fertility concerns,
13. Subject has any other disease or condition(s) that would interfere with completion of the study and follow-up assessments, would increase risks of the procedure, or in the judgment of the investigator would potentially interfere with compliance to this study or would adversely affect outcomes,
14. Concomitant participation in another interventional study
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Study design
Purpose of the study
Treatment
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Allocation to intervention
Non-randomised trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
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Masking / blinding
Open (masking not used)
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Who is / are masked / blinded?
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Intervention assignment
Single group
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Other design features
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Phase
Not applicable
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Type of endpoint/s
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Statistical methods / analysis
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Recruitment
Recruitment status
Recruiting
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Data analysis
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Reason for early stopping/withdrawal
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Other reasons
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Date of first participant enrolment
Anticipated
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Actual
12/12/2024
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Date of last participant enrolment
Anticipated
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Actual
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Date of last data collection
Anticipated
30/10/2025
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Actual
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Sample size
Target
54
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Accrual to date
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Final
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Recruitment in Australia
Recruitment state(s)
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Recruitment outside Australia
Country [1]
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Chile
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State/province [1]
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Región Metropolitana
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Country [2]
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New Zealand
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State/province [2]
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Tauranga
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Funding & Sponsors
Primary sponsor type
Commercial sector/industry
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Name
Andromeda Surgical
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Address
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Country
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Ethics approval
Ethics application status
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Summary
Brief summary
Robotic assisted surgery for benign prostatic hyperplasia (BPH)
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Trial website
https://clinicaltrials.gov/study/NCT06668142
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Trial related presentations / publications
Shvero A, Kloniecke E, Capella C, Das AK. HoLEP techniques - lessons learned. Can J Urol. 2021 Aug;28(S2):11-16. Abedi A, Razzaghi MR, Rahavian A, Hazrati E, Aliakbari F, Vahedisoraki V, Allameh F. Is Holmium Laser Enucleation of the Prostate a Good Surgical Alternative in Benign Prostatic Hyperplasia Management? A Review Article. J Lasers Med Sci. 2020 Spring;11(2):197-203. doi: 10.34172/jlms.2020.33. Epub 2020 Mar 15. Das AK, Han TM, Hardacker TJ. Holmium laser enucleation of the prostate (HoLEP): size-independent gold standard for surgical management of benign prostatic hyperplasia. Can J Urol. 2020 Aug;27(S3):44-50. Das AK, Teplitsky S, Humphreys MR. Holmium laser enucleation of the prostate (HoLEP): a review and update. Can J Urol. 2019 Aug;26(4 Suppl 1):13-19.
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Public notes
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Contacts
Principal investigator
Name
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Peter Gilling, MD, FRACS
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Address
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Tauranga urology research
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Country
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Phone
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Fax
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Email
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Contact person for public queries
Name
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Rami Abukhalil, MD. MPH
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Address
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Country
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Phone
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513-808-2097
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Fax
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Email
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[email protected]
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Contact person for scientific queries
Data sharing statement
What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
No documents have been uploaded by study researchers.
Results not provided in
https://clinicaltrials.gov/study/NCT06668142
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