iTind vs UroLift for Enlarged Prostate

(MT-08 Trial)

Recruiting at25 trial locations

Overseen by Bilal Chughtai, MD

Age: 18+

Sex: Male

Travel: May Be Covered

Time Reimbursement: Varies

Trial Phase: Academic

Recruiting

Sponsor: Medi-Tate Ltd.

Must not be taking: Alpha blockers, Anticoagulants

Disqualifiers: Prostate cancer, Bladder cancer, Neurogenic bladder, others

No Placebo Group

Trial Summary

What is the purpose of this trial?

This trial aims to compare the safety of the iTind device with UroLift for men who have urinary problems because of an enlarged prostate. The iTind device temporarily reshapes the prostate tissue to help improve urine flow. iTIND is the second-generation version of a temporary implantable device, which is one of the latest minimally invasive surgeries available to treat bothersome lower urinary tract symptoms caused by benign prostate enlargement.

Will I have to stop taking my current medications?

The trial requires a washout period (time without taking certain medications) for alpha blockers. Also, you cannot take anti-platelet or anticoagulants (blood thinners) except for low dose aspirin within 7 days before joining the trial.

What data supports the effectiveness of the treatment iTind for enlarged prostate?

Research shows that the iTind device, used for treating lower urinary tract symptoms due to an enlarged prostate, has favorable outcomes in terms of urinary and sexual function. Studies indicate that it is effective over a period of up to three years, providing relief from symptoms without the need for sedation or general anesthesia. ^{1 2 3 4 5}

Is the iTind device safe for treating an enlarged prostate?

The iTind device, used for treating symptoms of an enlarged prostate, has been studied for safety and shows promising results. It is a minimally invasive option that can be done in an office setting, and studies have shown it maintains urinary and sexual function while improving symptoms. ^{1 2 3 4 6}

How does the iTind treatment differ from other treatments for an enlarged prostate?

The iTind treatment is unique because it is a temporary device that can be implanted without sedation or general anesthesia, using a flexible cystoscope, and is removed after 5 to 7 days. It offers a minimally invasive option that can be performed in an office setting, aiming to improve urinary symptoms while preserving sexual function. ^{1 2 3 5 6}

Research Team

Neil Barber, MD

Principal Investigator

Frimley Park Hospital

Bilal Chughtai, MD

Principal Investigator

Plainview Hospital

Eligibility Criteria

Men aged 50 or older with an enlarged prostate (up to 75 cc in size) and symptoms of bladder outlet obstruction can join this trial. They must have a PSA level below 4 mg/dl, or if between 4-10 mg/dl, a negative biopsy within the last six months. Participants need to be able to complete study visits and questionnaires.

Inclusion Criteria

I am a man aged 50 or older.

I am willing and able to attend all study visits and complete questionnaires.

Willing and able to provide informed consent

Exclusion Criteria

I cannot stop taking my alpha blockers or 5ARIs for the required time.

My prostate's median lobe is enlarged, confirmed by imaging.

I have not had blood in my urine or bladder stones in the last 3 months.

Trial Timeline

Screening

Participants are screened for eligibility to participate in the trial

2-4 weeks

Treatment

Participants undergo either the iTind or UroLift procedure to relieve lower urinary tract symptoms

Intraoperative

1 visit (in-person)

Post-procedure

Participants are monitored for post-operative complications and recovery

3 months

Follow-up

Participants are monitored for safety and effectiveness after treatment

60 months

Treatment Details

Interventions

• iTind (Device)
• UroLift (Procedure)

Trial Overview This study is comparing the safety of two minimally invasive procedures for treating benign prostatic hyperplasia: iTind versus UroLift. Men participating will undergo one of these treatments randomly to see which has fewer complications.

Participant Groups

Group I: iTind arm Experimental Treatment 1 Intervention

The iTind is a minimally invasive temporary implant

Group II: UroLift Experimental Treatment 1 Intervention

The UroLift is a minimally invasive permanent implant

iTind is already approved in Brazil for the following indications:

Approved in Brazil as iTind for:

• Benign Prostatic Hyperplasia (BPH)

Who Is Running the Clinical Trial?

Medi-Tate Ltd.

Lead Sponsor

Trials

8

Recruited

680+

Olympus Corporation of the Americas

Lead Sponsor

Trials

22

Recruited

2,500+

Findings from Research

The iTind device demonstrated significantly better safety compared to the prostatic urethral lift (PUL), with only 25% of iTind patients experiencing treatment-related adverse events within 3 months, compared to 79.8% for PUL patients.

Both iTind and PUL showed equivalent efficacy in improving urinary and sexual health metrics after 12 months, indicating that while iTind is safer, it is just as effective as PUL for treating lower urinary tract symptoms due to benign prostatic hyperplasia.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

Temporarily implanted nitinol device versus prostatic urethral lift for minimally invasive surgical treatment of benign prostatic hyperplasia with lower urinary tract symptoms: a matching-adjusted indirect comparison. Kernen, KM., Omar, S., Goodnight, B., et al.[2023]

The iTIND device is a safe and effective treatment for lower urinary tract symptoms (LUTS) due to benign prostatic hyperplasia (BPH), showing significant improvements in urinary flow rates and symptom scores over a 12-month follow-up with no serious complications reported.

All patients maintained their sexual and ejaculatory functions after the procedure, indicating that iTIND implantation does not negatively impact these aspects of quality of life.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

Second-generation of temporary implantable nitinol device for the relief of lower urinary tract symptoms due to benign prostatic hyperplasia: results of a prospective, multicentre study at 1 year of follow-up. Porpiglia, F., Fiori, C., Amparore, D., et al.[2020]

The iTind device is a minimally invasive treatment for lower urinary tract symptoms (LUTS) due to benign prostatic hyperplasia (BPH) that effectively preserves sexual function and urinary continence in all 70 patients studied over a 6-month period.

Patients experienced significant improvements in their urinary symptoms and flow rates, with a quick recovery time, averaging just 4.3 days to return to daily activities after the procedure.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

Urinary and sexual function after treatment with temporary implantable nitinol device (iTind) in men with LUTS: 6-month interim results of the MT-06-study. De Nunzio, C., Cantiello, F., Fiori, C., et al.[2021]

In a 3-year study involving 81 men with benign prostatic obstruction, the iTIND device showed significant and lasting improvements in lower urinary tract symptoms, with reductions in symptom scores and enhancements in urinary flow and quality of life.

The treatment was safe, with no late postoperative complications or sexual dysfunction reported, indicating that iTIND is a reliable option for managing BPO-related LUTS.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

3-Year results following treatment with the second generation of the temporary implantable nitinol device in men with LUTS secondary to benign prostatic obstruction. Amparore, D., Fiori, C., Valerio, M., et al.[2022]

The iTind device is a temporary prostatic urethral device approved by the FDA that can be implanted without sedation or general anesthesia, making it a less invasive option for treating benign prostatic hyperplasia in aging men.

Clinical studies show that iTind leads to favorable functional and sexual outcomes for patients, highlighting its efficacy in improving quality of life for those affected by this common condition.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

How I Do It: Temporarily Implanted Nitinol Device (iTind). Elterman, D., Gao, B., Zorn, KC., et al.[2021]

The iTIND device is a minimally invasive treatment for lower urinary tract symptoms (LUTS) due to benign prostate enlargement, showing improved efficacy and safety compared to its predecessor.

12-month follow-up data indicates that iTIND significantly enhances both objective and subjective measures of symptom relief, and it can be implanted under local anesthesia in an office setting, making it a convenient option for patients.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

iTIND: the second-generation temporary implantable nitinol device for minimally invasive treatment of benign prostatic hyperplasia. Balakrishnan, D., Jones, P., Somani, BK.[2020]

References

1. Canada pubmed.ncbi.nlm.nih.gov

Temporarily implanted nitinol device versus prostatic urethral lift for minimally invasive surgical treatment of benign prostatic hyperplasia with lower urinary tract symptoms: a matching-adjusted indirect comparison. [2023]

2. England pubmed.ncbi.nlm.nih.gov

Second-generation of temporary implantable nitinol device for the relief of lower urinary tract symptoms due to benign prostatic hyperplasia: results of a prospective, multicentre study at 1 year of follow-up. [2020]

3. Germany pubmed.ncbi.nlm.nih.gov

Urinary and sexual function after treatment with temporary implantable nitinol device (iTind) in men with LUTS: 6-month interim results of the MT-06-study. [2021]

4. England pubmed.ncbi.nlm.nih.gov

3-Year results following treatment with the second generation of the temporary implantable nitinol device in men with LUTS secondary to benign prostatic obstruction. [2022]

5. Canada pubmed.ncbi.nlm.nih.gov

How I Do It: Temporarily Implanted Nitinol Device (iTind). [2021]

6. England pubmed.ncbi.nlm.nih.gov

iTIND: the second-generation temporary implantable nitinol device for minimally invasive treatment of benign prostatic hyperplasia. [2020]