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CTRI Number  CTRI/2024/03/063862 [Registered on: 08/03/2024] Trial Registered Prospectively
Last Modified On: 06/03/2024
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Surgical/Anesthesia 
Study Design  Randomized, Parallel Group, Active Controlled Trial 
Public Title of Study   Comparing efficacy and safety of HoLEP against gold standard TURP in Indian population.  
Scientific Title of Study   A Randomized control trial comparing HoLEP versus TURP in the treatment of Benign Prostatic Hyperplasia 
Trial Acronym  NIL 
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  KUSHAL KUMAR 
Designation  Post Graduate Student 
Affiliation  Indira Gandhi Medical College, Shimla 
Address  Department of General Surgery I.G.M.C Shimla (H. P.)

Shimla
HIMACHAL PRADESH
171001
India 
Phone  9736210928  
Fax    
Email  DR.KKDOGRA@GMAIL.COM  
 
Details of Contact Person
Scientific Query
 
Name  DR. PAWAN M KAUNDAL 
Designation  Assistant Professor 
Affiliation  Indira Gandhi Medical College, Shimla 
Address  Department of Urology I.G.M.C Shimla (H. P.)

Shimla
HIMACHAL PRADESH
171001
India 
Phone  9418085006  
Fax    
Email  drpawank19@gmail.com  
 
Details of Contact Person
Public Query
 
Name  KUSHAL KUMAR 
Designation  Post Graduate Student 
Affiliation  Indira Gandhi Medical College, Shimla 
Address  Department of General Surgery I.G.M.C Shimla (H. P.)


HIMACHAL PRADESH
171001
India 
Phone  9736210928  
Fax    
Email  DR.KKDOGRA@GMAIL.COM  
 
Source of Monetary or Material Support  
Indira Gandhi Medical College, Shimla 
 
Primary Sponsor  
Name  Kushal Kumar 
Address  Indira Gandhi Medical College, Shimla 
Type of Sponsor  Other [[SELF]] 
 
Details of Secondary Sponsor  
Name  Address 
NIL  NIL 
 
Countries of Recruitment     India  
Sites of Study  
No of Sites = 1  
Name of Principal Investigator  Name of Site  Site Address  Phone/Fax/Email 
Kushal Kumar  Indira Gandhi Medical College, Shimla  ROOM NO. 507 UROLOGY DEPARTMENT INDIRA GANDHI MEDICAL COLLEGE-SHIMLA 171001
Shimla
HIMACHAL PRADESH 
9736210928

DR.KKDOGRA@GMAIL.COM 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
INSTITUTIONAL ETHICS COMMITTEE IGMC -SHIMLA  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: N401||Benign prostatic hyperplasia withlower urinary tract symptoms,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Intervention  Holmium laser enucleation of the prostate -HoLEP   HoLEP is an alternate technique for enucleation of the prostate. Frequency would be as per randomization. Duration of last intervention would be on recruitment of last case i.e. 31 August 2024 
Comparator Agent  Transurethral resection of the prostate (TURP)  Transurethral resection of the prostate (TURP) which is considered as gold standard as surgical management of BPH will compared with HoLEP. Frequency would be as per randomization. Duration of last intervention would be on recruitment of last case i.e. 31 August 2024  
 
Inclusion Criteria  
Age From  35.00 Year(s)
Age To  90.00 Year(s)
Gender  Male 
Details  Inclusion criteria:
1. BPH patient with prostatic volume greater than 30cc.
2. IPSS score of 8 or more.
3. urinary peak flow Qmax 15ml/sec or low
4. BPH with refractory urinary retention
5. BPH with recurrent UTI
6. BPH leading to obstructive uropathy and relieved following per urethral catheterization
7. Serum PSA greater than >4ng/ml with normal Biopsy
 
 
ExclusionCriteria 
Details  Exclusion criteria:
1. Neurogenic bladder
2. Confirmed Carcinoma prostate
3. Those who doesn’t consent
 
 
Method of Generating Random Sequence   Coin toss, Lottery, toss of dice, shuffling cards etc 
Method of Concealment   Sequentially numbered, sealed, opaque envelopes 
Blinding/Masking   Participant, Investigator and Outcome Assessor Blinded 
Primary Outcome  
Outcome  TimePoints 
IPSS score, Serum prostate specific antigen (PSA), pre voiding residual volume, post voiding residual Volume (PVRV) Peri-operative parameters include total operating time, resected tissue weight, drop in hemoglobin level, requirement of Blood transfusion, hospital stay, time for catheter removal.  0,1 & 3 moth after suegery
 
 
Secondary Outcome  
Outcome  TimePoints 
IPSS score, Serum prostate specific antigen (PSA), pre voiding residual volume, post voiding residual Volume (PVRV)  0,1 & 3 moth after suegery 
 
Target Sample Size   Total Sample Size="94"
Sample Size from India="94" 
Final Enrollment numbers achieved (Total)= "Applicable only for Completed/Terminated trials"
Final Enrollment numbers achieved (India)="Applicable only for Completed/Terminated trials" 
Phase of Trial   Phase 3 
Date of First Enrollment (India)   14/03/2024 
Date of Study Completion (India) Applicable only for Completed/Terminated trials 
Date of First Enrollment (Global)  Date Missing 
Date of Study Completion (Global) Applicable only for Completed/Terminated trials 
Estimated Duration of Trial   Years="1"
Months="0"
Days="0" 
Recruitment Status of Trial (Global)   Not Applicable 
Recruitment Status of Trial (India)  Not Yet Recruiting 
Publication Details   N/A 
Individual Participant Data (IPD) Sharing Statement

Will individual participant data (IPD) be shared publicly (including data dictionaries)?  

Response - NO
Brief Summary  

In this RCT we would like compare the new surgical modality for prostate surgery HoLEP against TURP ( gold standard) in terms of perioperative and postoperative parameters in Indian population. 


 
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