Last reviewed · How we verify

NCT03605745: Rezūm XL

Minimally Invasive Prostatic Vapor Ablation for the Treatment of BPH in Large Prostates (Rezūm XL)

Terminated NA Results posted Last updated 10 August 2021
What this trial tests

NA trial testing Prostatic Vapor Ablation in BPH With Urinary Obstruction in 47 participants. Terminated before completion.

Timeline
19 June 2018
Primary endpoint
25 June 2020
11 August 2020

Quick facts

Lead sponsorBoston Scientific Corporation
PhaseNA
StatusTerminated
Study typeINTERVENTIONAL
Allocationna
Designsingle group
Maskingnone
Primary purposetreatment
Enrollment47
Start date19 June 2018
Primary completion25 June 2020
Estimated completion11 August 2020
Sites10 locations across United States, Australia

Drugs / interventions tested

Conditions studied

Sponsor

Boston Scientific Corporation — full company profile →

Who can join

50 and older, male only, with BPH With Urinary Obstruction or BPH. 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.

Number of Participants With ≥ 30% Improvement in Symptoms as Measured by the International Prostate Symptom Score (IPSS) Primary · 6 Months

The proportion of the intent-to-treat (ITT) analysis population that responds to the Rezum therapy is reported. A responder is defined as a subject who has an improvement in International Prostate Symptom Score (IPSS) \> 30% from baseline to 6 months post-therapy. IPSS scores range from 0 (no symptoms) to 35 (severe symptoms). Improvement in symptoms is shown by a reduction in score.

GroupValue95% CI
Treatment39
Number of Participants With Post Procedure Device Related Serious Complications Primary · 6 Months

Assess the composite rate of post procedure device related serious complications in treated subjects through 6 months follow-up.

GroupValue95% CI
Treatment0
Number of Subjects With Device-related Retention Catheterizations Secondary · 6 Month

This safety endpoint will be to characterize the rate of post procedure device-related serious retention catheterizations at 6 months.

GroupValue95% CI
Treatment0
Change in Lower Urinary Tract Symptoms as Assessed by the Absolute Change in IPSS Score From Baseline to Follow-up Secondary · Baseline, 6 weeks, 3 months, 6 months, 1 year

The change in IPSS from baseline to each follow-up visit was determined. IPSS scores range from 0 (no symptoms) to 35 (severe symptoms). Improvement in symptoms is shown by a reduction in score.

Change from baseline to 6 weeks post-therapy
GroupValue95% CI
Treatment-8.47-10.49 – -6.45
Change from baseline to 3 months post-therapy
GroupValue95% CI
Treatment-10.97-12.68 – -9.27
Change from baseline to 6 months post-therapy
GroupValue95% CI
Treatment-11.62-13.43 – -9.80
Change from baseline to 12 months post-therapy
GroupValue95% CI
Treatment-11.80-13.57 – -10.03

Adverse events — posted to ClinicalTrials.gov

Time frame: Adverse events were collected from the first patient in until the termination of the study. All 47 subjects were followed to at least the 6- month follow-up visit.. Reporting threshold: 0%. Adverse-event reports describe events observed during the trial — not all are caused by the drug.

Treatment
Serious: 4/47 (9%)
Deaths: 0/47

Serious adverse events (4 terms)

ReactionSystemTreatment
Acute ProstatitisInfections and infestations
Hematuria Gross with Clots & RetentionRenal and urinary disorders
Bells PalsyNervous system disorders
Inguinal HerniaGastrointestinal disorders
Other adverse events (33 terms — click to expand)

ReactionSystemTreatment
Hematuria - GrossRenal and urinary disorders
UTI - Culture ProvenInfections and infestations
Urinary UrgencyRenal and urinary disorders
Bladder SpasmsRenal and urinary disorders
DysuriaRenal and urinary disorders
Acute Urinary RetentionRenal and urinary disorders
Urinary Incontinence - UrgeRenal and urinary disorders
Poor StreamRenal and urinary disorders
Pain/Discomfort - OtherGeneral disorders
Pain/Discomfort - PenileReproductive system and breast disorders
Terminal DribblingRenal and urinary disorders
Urinary Incontinence - Not SpecifiedRenal and urinary disorders
ConstipationGastrointestinal disorders
Erectile Dysfunction - WorseningReproductive system and breast disorders
NocturiaRenal and urinary disorders
AnejaculationReproductive system and breast disorders
Decrease in Ejaculatory VolumeReproductive system and breast disorders
EpididymitisInfections and infestations
FeverGeneral disorders
HematospermiaReproductive system and breast disorders
HesitancyRenal and urinary disorders
Incomplete VoidingRenal and urinary disorders
SloughingGeneral disorders
Urinary FrequencyRenal and urinary disorders
Catheter MalfunctionProduct Issues
Erectile Dysfunction - De NovoReproductive system and breast disorders
HeadacheNervous system disorders
Hematuria - Intermittent UncomplicatedRenal and urinary disorders
Hematuria Gross with Clots & RetentionRenal and urinary disorders
Pain/Discomfort - AbdominalGastrointestinal disorders
Pain/Discomfort - PelvicReproductive system and breast disorders
Pain/Discomfort - SuprapubicReproductive system and breast disorders
Retrograde Ejaculation - ConfirmedReproductive system and breast disorders

Most-reported serious reactions: Acute Prostatitis, Hematuria Gross with Clots & Retention, Bells Palsy, Inguinal Hernia.

Data from ClinicalTrials.gov NCT03605745 adverse events section.

Sponsor's own description

Prospective, multicenter, single arm clinical trial designed to evaluate the safety of the Rezūm System in treating subjects with symptomatic BPH for prostate sizes \>80cm3 and ≤150 cm3.

Publications & conference data

2 peer-reviewed publications reference this trial (live from Europe PMC):

  1. Water vapor thermal therapy for lower urinary tract symptoms secondary to benign prostatic hyperplasia: Systematic review and meta-analysis.
    Miller LE, Chughtai B, McVary K, Gonzalez RR, et al · · 2020 · cited 18× · PMID 32791742 · DOI 10.1097/md.0000000000021365
  2. Prospective Trial of Water Vapor Thermal Therapy for Treatment of Lower Urinary Tract Symptoms Due to Benign Prostatic Hyperplasia in Subjects with a Large Prostate: 6- and 12-month Outcomes.
    Woo H, Levin R, Cantrill C, Zhou S, et al · · 2023 · cited 14× · PMID 38152482 · DOI 10.1016/j.euros.2023.10.006

Verify or expand the search:

Other recruiting trials for BPH With Urinary Obstruction

Currently open trials in the same condition.

Other Boston Scientific Corporation 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/NCT03605745.

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