Temporary implant vs permanent: which is safer for BPH?
NCT ID NCT04757116
First seen Jun 27, 2026 · Last updated Aug 04, 2026 · Updated 2 times
Summary
This study tests the safety of a temporary implant called iTind, placed for 5-7 days, against the permanent UroLift system for men with enlarged prostate symptoms. About 206 men aged 50 and older will be randomly assigned to one treatment. The main goal is to see which causes fewer complications within 3 months.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- temporarily implanted nitinol device (iTind)
- What this could lead to
- If successful, this could offer a safer, less invasive option for men with enlarged prostate symptoms, potentially reducing complications compared to permanent implants.
- What could go wrong
- This is a post-market study, not a cure. The iTind device is temporary but may still cause side effects, and results may not apply to all patients.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Phase
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Not a phased trial
Phase numbers describe drug development. The registry uses this when they do not apply, as it does for trials of devices, procedures or behaviour changes, and for observational studies.
- Participants
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About 256 people
The number the study aims to enrol. It can still change while the study runs.
- Started
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Sep 2022
- Expected to finish
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May 2030
An estimate. End dates often move.
- Lead sponsor
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A company
The lead sponsor is a pharmaceutical, biotech, or medical-device company.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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50 years and older
- Sex
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Male participants only
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: 1. Diagnosis of lower urinary tract symptoms presumed to be secondary to benign prostatic enlargement causing bladder outlet obstruction for which treatment is recommended 2. Willing and able to provide informed consent 3. Males ≥ 50 years of age or older 4. PSA \< 4 ng/ml or if the PSA is 4 - 10 ng/ml, prostate cancer must be ruled out to the satisfaction of the Principal Investigator (PI) by local standard of care methods within prior 6 months 5. Prostate volume up to 75 cc (inclusive) documented by cross-sectional imaging (TRUS, MRI, etc.). Results from standard of care imaging may be accepted up to 6 months prior to Screening 6. International Prostate Symptom Score (IPSS) for urinary symptoms ≥ 13 7. Maximum urinary flow rate (Qmax) of ≤ 15 mL/sec and ≥ 5 mL/sec (voided volume must be ≥ 125 mL) 8. Willing and able to complete all study visits including questionnaires at baseline and at follow-up visits Exclusion Criteria: 1. History of prostate cancer or suspected, should be ruled out to the satisfaction of the PI by local standard of care methods within prior 6 months 2. Confirmed bladder cancer within the last 2 years or currently suspected bladder cancer 3. History of acute bacterial prostatitis within the last 2 years 4. Median lobe obstruction of the prostate as confirmed by cross-sectional imaging 5. PSA value \> 10 ng/ml 6. Contraindicated for iTind or UroLift as determined by the PI 7. Neurogenic bladder and/or sphincter abnormalities due to Parkinson's disease, multiple sclerosis, cerebral vascular accident, diabetes or other neurological disorders that affect bladder function 8. Clinically significant bladder diverticulum 9. Diagnosed with urethral stricture, meatal stenosis, bladder neck contracture, rectal disease, artificial urinary sphincter, incompetent sphincter, urinary incontinence due to incompetent sphincter 10. Prior rectal surgery (other than hemorrhoidectomy) or history of rectal disease treatment if the therapy may potentially cause injury to site (e.g., if a transrectal probe is used), pelvic radiotherapy or radical pelvic surgery, urinary diversion surgery, prostate surgery, balloon dilation, urethral stent implantation, laser prostatectomy, or any other invasive treatment to the prostate, or penile prosthesis if it may prevent insertion of the iTind or UroLift device 11. An active urinary tract infection during randomization 12. Clinically significant hematuria within the last 3 months or ongoing cystolithiasis 13. Prostate volume \> 75 cc 14. Post-void residual volume (PVR) \> 250 mL 15. Actively using catheterization or unable to void naturally 16. Unable to complete a 2-week washout period for alpha blockers prior to procedure or unable to discontinue 5ARIs or daily use of PDE5 inhibitors by the time of procedure 17. Taking anti-platelet or anticoagulants (except low dose aspirin - 81 mg - 100 mg) within the last 7 days prior to procedure 18. Known or suspected allergy to nickel, titanium or polyester/polypropylene
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
How to take part
Only the study team decides who joins. These are the ways to reach them.
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The places running it
17 sites in 2 countries. The list below names each one and where it is.
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The official record
ClinicalTrials.gov lists the study team's own contact details, including names and phone numbers. We don't republish those.
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A doctor treating you
A doctor who knows your case can contact a study site on your behalf, and can tell you whether this study is worth pursuing at all.
Contacts and locations
Locations
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Arizona Urology Specialists
TERMINATEDTucson, Arizona, 85704, United States
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Chelsea and Westminster Hospital
RECRUITINGIsleworth, Middlesex, TW7 6AF, United Kingdom
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Feinstein Institutes for Medical Research / Northwell Health
RECRUITINGSyosset, New York, 11791, United States
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Frimley Park Hospital
RECRUITINGLondon, GU16 7UJ, United Kingdom
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Golden State Urology
RECRUITINGSacramento, California, 95823, United States
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Houston Metro Urology
RECRUITINGHouston, Texas, 77027, United States
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Mayo Clinic Arizona
RECRUITINGPhoenix, Arizona, 85054, United States
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Midtown Urology Associates
RECRUITINGAustin, Texas, 78705, United States
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Minnesota Urology
RECRUITINGWoodbury, Minnesota, 55125, United States
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Norfolk & Norwich University Hospital
RECRUITINGNorwich, NR4 7UY, United Kingdom
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NorthShore University Health System Research Institute
TERMINATEDEvanston, Illinois, 60201, United States
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Pacific West Urology
RECRUITINGLas Vegas, Nevada, 89121, United States
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Potomac Urology Center
RECRUITINGAlexandria, Virginia, 22311, United States
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Queen Margaret Hospital
RECRUITINGDunfermline, KY12 0SU, United Kingdom
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Southeast Louisiana Veterans Health Care System
RECRUITINGNew Orleans, Louisiana, 70119, United States
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The Conrad Pearson Clinic
RECRUITINGGermantown, Tennessee, 38138, United States
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The Urology Center
RECRUITINGOmaha, Nebraska, 68124, United States
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The Urology Place
RECRUITINGSan Antonio, Texas, 78240, United States
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Urology Associates of Central California
RECRUITINGFresno, California, 93720, United States
More trials for these conditions
Other studies related to the condition(s) this trial covers.
- Can a tiny spring implant replace daily pills for enlarged prostate?
- Steam and scans: a sharper way to shrink an enlarged prostate?
- New prostate surgery technique aims to shorten operation time
- Laser vs bipolar: which surgery best tames an oversized prostate?
- Banana flower extract tested to ward off prostate trouble
- New probe zaps away prostate troubles in landmark trial