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NCT03526458

Clinical Trial Evaluating the Efficiency of Holmium Laser Settings on Urinary Stones

Completed NA Results posted Last updated 20 September 2021
What this trial tests

NA trial testing Holmium:YAG laser in Stone Ureter in 40 participants. Completed in 24 March 2021.

Timeline
30 July 2019
Primary endpoint
24 March 2021
24 March 2021

Quick facts

Lead sponsorUniversity of Wisconsin, Madison
PhaseNA
StatusCompleted
Study typeINTERVENTIONAL
Allocationrandomized
Designparallel
Maskingquadruple
Primary purposetreatment
Enrollment40
Start date30 July 2019
Primary completion24 March 2021
Estimated completion24 March 2021
Sites1 location across United States

Drugs / interventions tested

Conditions studied

Sponsor

University of Wisconsin, Madison

Who can join

18 and older, any sex, with Stone Ureter or Stone;Renal. Patients with the condition only — healthy volunteers not accepted.

Results — posted to ClinicalTrials.gov

Per-arm endpoint measurements with 95% confidence intervals where reported. Source: trial results section.

Fragmentation Time Primary · up to 6 hours

The time to fragment a stone into small pieces (≤2 mm, which is our current institutional practice)

GroupValue95% CI
Holmium:YAG Laser: 0.2J&15Hz24.5± 19.2
Holmium:YAG Laser: 0.8J&15Hz7.9± 3.2
Total Operative Time Secondary · up to 6 hours
GroupValue95% CI
Holmium:YAG Laser: 0.2J&15Hz75.7± 20.6
Holmium:YAG Laser: 0.8J&15Hz64.3± 17.2
Pre-Operative Stone Size Secondary · Retrospective review of health chart at Baseline

Pre-operative stone size (on pre-operative CT) will be reported in millimeters.

GroupValue95% CI
Holmium:YAG Laser: 0.2J&15Hz11.2± 5.2
Holmium:YAG Laser: 0.8J&15Hz9.2± 8.2
Number of Participants With Either Ureteral or Renal Location of Urinary Stone Secondary · up to 6 hours

Urinary stone location will be classified as renal or ureter.

Ureteral
GroupValue95% CI
Holmium:YAG Laser: 0.2J&15Hz8
Holmium:YAG Laser: 0.8J&15Hz7
Renal
GroupValue95% CI
Holmium:YAG Laser: 0.2J&15Hz4
Holmium:YAG Laser: 0.8J&15Hz8
Number of Participants Treated for Either Single or Multiple Urinary Stones Secondary · up to 6 hours
Single
GroupValue95% CI
Holmium:YAG Laser: 0.2J&15Hz8
Holmium:YAG Laser: 0.8J&15Hz14
Multiple
GroupValue95% CI
Holmium:YAG Laser: 0.2J&15Hz4
Holmium:YAG Laser: 0.8J&15Hz1
Density of Urinary Stones Secondary · up to 6 hours
GroupValue95% CI
Holmium:YAG Laser: 0.2J&15Hz935.2± 367.9
Holmium:YAG Laser: 0.8J&15Hz924.7± 374.5
Number of Participants With Urinary Stone Fragment Size of 1, 2 or 3 mm Secondary · up to 6 hours

Size of fragments created will be assessed using the laser fiber size as a comparison.

1mm
GroupValue95% CI
Holmium:YAG Laser: 0.2J&15Hz1
Holmium:YAG Laser: 0.8J&15Hz5
2mm
GroupValue95% CI
Holmium:YAG Laser: 0.2J&15Hz10
Holmium:YAG Laser: 0.8J&15Hz10
3mm
GroupValue95% CI
Holmium:YAG Laser: 0.2J&15Hz1
Holmium:YAG Laser: 0.8J&15Hz0

Sponsor's own description

The primary objective of this study is to compare the time to acceptable stone fragmentation during clinical use of the holmium laser when using energy settings 0.2J vs 0.8J. The hypothesis is that holmium laser energy settings 0.8J will require less time than lower energy settings 0.2J for fragmenting urinary stones. The clinical practice is to treat urinary stones until the stone is reduced to fragments ≤ 2 mm in size. This is determined by using the laser fiber which is 273 microns to visually estimate the size of the resultant fragments as described by Patel et al, J Endo 2014. Investigators will standardize the effect of stone size by creating a ratio of stone size to treatment time. In this study, the frequency is set at 15Hz. Thus, the study contains two arms: 0.2J\&15Hz, and 0.8J\&15Hz. Patients will be randomized into the two groups by the ratio of 1:1.

Publications & conference data

No peer-reviewed publications indexed yet for this trial. Completed trials usually publish results within 12-18 months.

Verify or expand the search:

Other recruiting trials for Stone Ureter

Currently open trials in the same condition.

Other University of Wisconsin, Madison trials

Trials by the same sponsor.

Verify against primary sources

Data sources for this page

Drug Landscape aggregates and links these public records for informational use only. Always verify against the primary source before clinical or regulatory decisions. Canonical URL: https://druglandscape.com/trial/NCT03526458.

Primary sources · FDA · ClinicalTrials.gov · EMA · SEC EDGAR · ChEMBL · Wikidata · full sourcing