Thulium Fiber Laser Prospective Trial
TFL
Prospective Clinical Trial To Evaluate The Thulium Fiber Laser For The Ureteroscopic Treatment Of Nephrolithiasis
1 other identifier
interventional
150
1 country
1
Brief Summary
This is a multi-center, prospective clinical trial to assess the effect of TFL for the lithotripsy of kidney stones.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for not_applicable
Started Jan 2024
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
First Submitted
Initial submission to the registry
March 9, 2023
CompletedFirst Posted
Study publicly available on registry
April 14, 2023
CompletedStudy Start
First participant enrolled
January 15, 2024
CompletedPrimary Completion
Last participant's last visit for primary outcome
January 15, 2025
CompletedStudy Completion
Last participant's last visit for all outcomes
July 15, 2025
CompletedJanuary 31, 2024
January 1, 2024
1 year
March 9, 2023
January 30, 2024
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
Mean total operative time
Total operative time during the ureteroscopic treatment of renal stones using a laser dusting technique.
during the procedure
Secondary Outcomes (1)
Rate of stone retropulsion
during the procedure
Other Outcomes (5)
Mean length of hospitalization
From day and time of admission to day and time of discharge
Rate of postoperative complications
at 6 weeks
Rate of stone free status
at 6 weeks
- +2 more other outcomes
Study Arms (1)
Lithotripsy
EXPERIMENTALUreteroscopy with lithotripsy using the Thulium Fiber Laser
Interventions
Thulium Fiber Laser will be used to break renal stones \< 2 cm into fragments small enough to remove or pass spontaneously through the ureter.
Eligibility Criteria
You may qualify if:
- Solitary renal stone 8 to 20 mm in size or in the case of multiple stones the conglomerate diameter of 8-20 mm is required
- Must be a suitable operative candidate for flexible ureteroscopy per urologic guidelines
- Must be 18 years or older
- Must be able to give consent
- Bilateral ureteroscopy will be permitted but only the first side will be included in the study
You may not qualify if:
- Concomitant stones in the ureter
- Prior ipsilateral upper urinary tract reconstructive procedures or history of ipsilateral ureteral stricture
- Prior radiotherapy to the abdomen or pelvis
- Neurogenic bladder or spinal cord injury
- Pregnancy
- Untreated Urinary Tract Infection (UTI)
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- Centre hospitalier de l'Université de Montréal (CHUM)lead
- University of British Columbiacollaborator
- Columbia Universitycollaborator
- University of California, San Diegocollaborator
- Mayo Cliniccollaborator
- Ohio State Universitycollaborator
- Vanderbilt Universitycollaborator
- The Cleveland Cliniccollaborator
Study Sites (1)
Centre Hospitalier de l'Université de Montréal
Montreal, Quebec, H2X 0A9, Canada
Related Publications (6)
Kronenberg P, Traxer O. Update on lasers in urology 2014: current assessment on holmium:yttrium-aluminum-garnet (Ho:YAG) laser lithotripter settings and laser fibers. World J Urol. 2015 Apr;33(4):463-9. doi: 10.1007/s00345-014-1395-1. Epub 2014 Sep 4.
PMID: 25185524BACKGROUNDNazif OA, Teichman JM, Glickman RD, Welch AJ. Review of laser fibers: a practical guide for urologists. J Endourol. 2004 Nov;18(9):818-29. doi: 10.1089/end.2004.18.818.
PMID: 15659912BACKGROUNDKhusid JA, Khargi R, Seiden B, Sadiq AS, Atallah WM, Gupta M. Thulium fiber laser utilization in urological surgery: A narrative review. Investig Clin Urol. 2021 Mar;62(2):136-147. doi: 10.4111/icu.20200467.
PMID: 33660440BACKGROUNDKronenberg P, Hameed BZ, Somani B. Outcomes of thulium fibre laser for treatment of urinary tract stones: results of a systematic review. Curr Opin Urol. 2021 Mar 1;31(2):80-86. doi: 10.1097/MOU.0000000000000853.
PMID: 33470684BACKGROUNDTraxer O, Corrales M. Managing Urolithiasis with Thulium Fiber Laser: Updated Real-Life Results-A Systematic Review. J Clin Med. 2021 Jul 30;10(15):3390. doi: 10.3390/jcm10153390.
PMID: 34362169BACKGROUNDLaw KE, Lowndes BR, Kelley SR, Blocker RC, Larson DW, Hallbeck MS, Nelson H. NASA-Task Load Index Differentiates Surgical Approach: Opportunities for Improvement in Colon and Rectal Surgery. Ann Surg. 2020 May;271(5):906-912. doi: 10.1097/SLA.0000000000003173.
PMID: 30614878BACKGROUND
Related Links
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Naeem Bhojani, MD
Centre hospitalier de l'Université de Montréal (CHUM)
Central Study Contacts
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- NA
- Masking
- NONE
- Purpose
- TREATMENT
- Intervention Model
- SINGLE GROUP
- Sponsor Type
- OTHER
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
March 9, 2023
First Posted
April 14, 2023
Study Start
January 15, 2024
Primary Completion
January 15, 2025
Study Completion
July 15, 2025
Last Updated
January 31, 2024
Record last verified: 2024-01