New balloon could open blocked ureters without surgery
NCT ID NCT07020520
First seen Jun 27, 2026 · Last updated Jun 27, 2026
Summary
This study tests a special balloon coated with the drug paclitaxel to treat narrowed sections of the ureter (the tube from kidney to bladder). The balloon is inflated to widen the stricture and release the drug to help keep it open. Researchers will check if the treatment is safe and successful in 60 adults over six months.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- paclitaxel-coated balloon (Optilume)
- What this could lead to
- If successful, this could offer a less invasive treatment option for ureter strictures, potentially avoiding repeated surgeries.
- What could go wrong
- This is an early feasibility study with only 60 people, so results may not apply to everyone. Risks include sensitivity to paclitaxel or the stricture returning.
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 60 people
The number the study aims to enrol. It can still change while the study runs.
- Started
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Oct 2025
- Expected to finish
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Jul 2031
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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18 years and older
- Sex
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Anyone
- 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. Age 18 years or older 2. Single lesion ureteric or uretero-enteric stricture less than or equal to 4.0 cm in length 3. Two functioning kidneys Exclusion Criteria: 1. Treatment of the target ureter with incision or balloon dilation within 3 months of the study treatment 2. Subjects with more than one ureteric stricture 3. Subjects with target stricture in bifid or duplicated ureter 4. Known sensitivity to paclitaxel or on medication that may have negative interaction with paclitaxel 5. Ureteric stricture caused by extrinsic compression of the ureter 6. Unable to endoscopically access target stricture for any reason 7. Existing stones in the ipsilateral kidney or ureter (except for asymptomatic kidney stones) that are in close proximity to the target ureteric stricture 8. Chronic renal failure treated with dialysis 9. eGFR \<30 mL/min/1.73m2 10. Kidney function ≤ 25% of split function on the side with target stricture as measured by functional renogram 11. Kidney function ≤35% of split function on the side opposite target stricture as measured by functional renogram or other significant pathology or impairment that may impact renal function 12. Life expectancy less than 12 months 13. Women who are pregnant or breastfeeding 14. Women of child-bearing potential planning to get pregnant in the next year or are unwilling to use contraception over the next 12 months 15. Males unwilling to abstain or use protected sex for 30 days post treatment 16. Males unwilling to use highly effective contraception for6 months post treatment if sexual partner(s) are of child-bearing potential 17. Inability to provide legally effective informed consent 18. Unwilling or unable to meet protocol follow-up requirements 19. Participation in any interventional clinical investigation of a medical device, drug, or biologic (excluding registries) that may confound the results of the trial 20. Active systemic or urinary tract infection 21. Active malignancy in the abdomen or pelvis, or any malignancy considered considerable risk for metastasizing to the abdomen or pelvis over the next 12 months 22. Uncontrolled diabetes defined as hemoglobin A1C ≥ 8% at baseline 23. Unable to come off antiplatelet or anticoagulation medication prior to treatment to prevent bleeding complications at the discretion of the investigator 24. Any other condition that may confound the results of the trial or presents an unacceptable risk for any study-related procedure 25. Individuals who are unable to fully understand all aspects of the investigation that are relevant to the decision to participate, or who could be manipulated or unduly influenced as a result of a compromised position, expectation of benefits or fear of retaliatory response 26. Presence of any condition that precludes administration of furosemide during renograms 27. Unable to tolerate contrast related to required study procedures or imaging. Additional Criteria for Pharmacokinetic Substudy Inclusion Ureteric stricture measurements appropriate for treatment with a 6mm (18F) or 8mm (24F) diameter Optilume DCB Exclusion Prior treatment with any device or medical therapy that contains paclitaxel, including drug coated balloons for vascular and urethral applications
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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
7 sites. 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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Indiana University
RECRUITINGIndianapolis, Indiana, 46202, United States
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Mount Sinai
RECRUITINGNew York, New York, 10003, United States
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NYU Langone
RECRUITINGNew York, New York, 10016, United States
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Orlando Health
RECRUITINGOrlando, Florida, 32806, United States
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University of California Irvine
RECRUITINGOrange, California, 92868, United States
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University of Texas Southwestern
RECRUITINGDallas, Texas, 75390, United States
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University of Utah
RECRUITINGSalt Lake City, Utah, 84112, United States
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