Optilume™ BPH Prostatic Drug Coated Balloon Dilation Catheter
EVEREST-I
Evaluation of Optilume™ BPH Prostatic Drug Coated Balloon Dilation Catheter in the Treatment of Moderate-to-Severe Lower Urinary Tract Symptoms Secondary to Benign Prostatic Hyperplasia
1 other identifier
interventional
80
2 countries
5
Brief Summary
A prospective, non-randomized study. The subjects will be enrolled and treated with the Optilume BPH Prostatic DCB Dilation Catheter System at up to 8 clinical sites. The post-treatment follow-up visit can be up to 5 years. The objective of the study is to evaluate the safety and efficacy of the Optilume™ BPH Prostatic Drug Coated Balloon Dilation Catheter System in the treatment of BPH.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P50-P75 for phase_2
Started Dec 2017
Longer than P75 for phase_2
5 active sites
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
Click on a node to explore related trials.
Study Timeline
Key milestones and dates
Study Start
First participant enrolled
December 19, 2017
CompletedFirst Submitted
Initial submission to the registry
January 30, 2018
CompletedFirst Posted
Study publicly available on registry
February 6, 2018
CompletedPrimary Completion
Last participant's last visit for primary outcome
June 4, 2019
CompletedResults Posted
Study results publicly available
July 3, 2023
CompletedStudy Completion
Last participant's last visit for all outcomes
May 25, 2024
CompletedNovember 26, 2025
November 1, 2025
1.5 years
January 30, 2018
May 10, 2023
November 13, 2025
Conditions
Keywords
Outcome Measures
Primary Outcomes (2)
Therapeutic Responder at 3 Months
The proportion of subjects experiencing at least a 40% improvement in International Prostate Symptom Score (IPSS) scores from baseline to 3 months. The IPSS contains the well-validated, highly reliable and responsive American Urological Association symptom score (AUASS) assessment to identify the severity of BPH symptoms. The first seven questions in the IPSS address frequency, nocturia, weak urinary stream, hesitancy, intermittence, incomplete emptying, and urgency, and scored on a 6-point scale (0 to 5). The IPSS can be interpreted as follows: 0-7 mildly symptomatic, 8-19 moderately symptomatic, and 20-35 severely symptomatic.
90 days
Major Device/Procedure Related Complications
The proportion of subjects reporting a composite of device/procedure related severe urinary retention (lasting \>14 days), unresolved stress urinary incontinence, or bleeding requiring transfusion.
90 days
Study Arms (1)
Optilume™ BPH Prostatic DCB Dilation Catheter
EXPERIMENTALOptilume™ BPH Prostatic DCB treatment procedure
Interventions
BPH Prostatic DCB treatment - The Optilume BPH Prostatic DCB Dilation Catheter System should be prepared per the Instructions for Use (IFU).
paclitaxel will release to adjacent tissue after the balloon inflated in the urethra
Eligibility Criteria
You may qualify if:
- Male subject \> 50 years of age who has moderate-to-severe LUTS (IPSS score of ≥ 13) and is a candidate for interventional therapy
- LUTS felt to be secondary to an enlarged prostate (henceforth termed LUTS/BPH)
- Peak urinary flow rate (Qmax) ≥ 5 mL/sec and ≤ 15 ml/sec with minimum voided volume of ≥ 125 ml
- Post-void residual (PVR) ≤ 250 ml
- Prostate volume 20 - 80 gm as determined by TRUS
- Prostatic urethra length is 35 - 55 mm as determined by TRUS
- Able to complete the study protocol in the opinion of the investigator
You may not qualify if:
- Interested in maintaining fertility and unwilling to use protected sex for the first 30 days post treatment
- Unwilling to abstain or use protected sex for ninety (90) days post treatment if sexual partner is of child bearing potential
- Presence of a penile implant or stent(s) in the urethra or prostate
- Any prior minimally invasive intervention (e.g. TUNA, Balloon, Microwave, Rezūm, UroLift) or surgical intervention of the prostate
- PSA \> 10 ng/ml unless prostate cancer is ruled out by biopsy. If PSA is \> 4 ng/ml and ≤ 10 ng/ml, prostate cancer must be ruled out to the satisfaction of the investigator via additional tests including digital rectal exam (DRE) and/or biopsy
- Confirmed or suspected malignancy of prostate or bladder
- Active or history of epididymitis within the past 3 months
- Previous pelvic irradiation or radical pelvic surgery
- Documented active urinary tract infection (UTI) by culture or bacterial prostatitis within last year documented by culture (UTI is defined as \>100,000 colonies per ml urine from midstream clean catch or catheterization specimen)
- Visible hematuria with subject urine sample without known contributing factor
- Neurogenic bladder or sphincter abnormalities or neurological disorders that might affect bladder or sphincter function
- Previous or current diagnosis of urethral strictures, bladder neck contracture or detrusor muscle spasms
- Use of beta blockers, antihistamines, anticonvulsants, or antispasmodics within 1 week prior to treatment unless there is documented evidence of stable dosing for last 6 months (no dose changes)
- Use of alpha blockers, antidepressants, anticholinergics, androgens, daily tadalafil or gonadotropin-releasing hormonal analogs (prescribed for BPH) within 3 weeks prior to treatment
- Use of 5-alpha reductase inhibitor within 6 months prior to treatment
- +20 more criteria
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- Urotronic Inc.lead
Study Sites (5)
Union Medica Hospital
Santiago de los Caballeros, Santiago Province, Dominican Republic
Urolaser SRL
Santo Domingo Oeste, Santo Domingo Province, Dominican Republic
Centro Medico Dr. Canela, SRL
La Romana, Dominican Republic
Consultorios Royal Center
Panama City, Urbanización Marbella Ciudad de Panamá, Panama
Centro Especializado San Fernando
Panama City, Panama
Related Publications (1)
Pichardo M, Rijo E, Espino G, Lay RR, Estrella R, Gonzalez C, Fernandez M, Soriano D, Peralta IM, Kaplan SA. Durable benefit after treatment of obstructive benign prostatic hyperplasia with a novel drug-device combination product: 2-year outcomes from the EVEREST-I study. World J Urol. 2023 Aug;41(8):2209-2215. doi: 10.1007/s00345-023-04473-1. Epub 2023 Jun 24.
PMID: 37354260DERIVED
MeSH Terms
Conditions
Interventions
Condition Hierarchy (Ancestors)
Intervention Hierarchy (Ancestors)
Limitations and Caveats
Interim review of safety data lead to refinement of device sizing and appropriate device size selection based on prostate dimensions for the final 30 subjects enrolled. Safety information reported for full cohort, as no pre-specified sub-analyses were planned.
Results Point of Contact
- Title
- Sr. Clinical Project Manager
- Organization
- Urotronic, Inc
Study Officials
- STUDY DIRECTOR
Jill Moland
Urotronic Inc.
Publication Agreements
- PI is Sponsor Employee
- No
- Restrictive Agreement
- No
Study Design
- Study Type
- interventional
- Phase
- phase 2
- Allocation
- NA
- Masking
- NONE
- Purpose
- TREATMENT
- Intervention Model
- SINGLE GROUP
- Sponsor Type
- INDUSTRY
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
January 30, 2018
First Posted
February 6, 2018
Study Start
December 19, 2017
Primary Completion
June 4, 2019
Study Completion
May 25, 2024
Last Updated
November 26, 2025
Results First Posted
July 3, 2023
Record last verified: 2025-11