Optilume BPH System launches globally in the urology market

madman

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World's first use of Optilume BPH System, a minimally invasive therapy for lower urinary tract symptoms due to BPH, performed successfully. The system combines mechanical dilation with a drug-coated (paclitaxel) balloon for healing. Dean Elterman, MD, conducted the procedure at University Urology Associates in Toronto. Optilume BPH offers a promising option for men with LUTS caused by benign prostatic enlargement, providing symptomatic relief and improved quality of life.

FDA approved Optilume BPH Catheter System for LUTS secondary to BPH on June 30, 2023.





Key takeaways:

PINNACLE data

  • Optilume BPH System showed significant and immediate improvements in BPH patients at 12-month follow-up.
  • IPSS score decreased by a median of 11.5 in the Optilume arm vs. 4.8 in the sham arm at 1 year (P <.001).
  • The therapeutic response rate (≥30% improvement in IPSS) was 76.6% in the Optilume arm vs. 33.3% in the control arm at 12 months (P <.001).
  • Patients experienced sustained improvement in IPSS over 1 year.
  • The average peak urinary flow rate (Qmax) improved by 113% from baseline to 1 year, the highest reported in MIST trials for BPH.
  • Post-void residual urine volume improved by 28% at 30 days and remained sustained through 12 months.



EVEREST data

  • EVEREST-1 trial presented 4-year data on Optilume BPH treatment's sustained efficacy and safety for LUTS in BPH patients.
  • The trial enrolled 80 men with BPH across 6 centers, with 32 subjects having 4-year follow-up data.
  • Peak urinary flow rate (Qmax) significantly improved from baseline to 14 days and was sustained at 4 years (18.8 mL/sec to 18.1 mL/sec, P <.001).
  • IPSS and BPH-II symptom measures showed immediate and sustained improvement over 4 years (from 22.3 to 11.5 and from 6.9 to 3.9, respectively).
  • Optilume BPH treatment showed sustained functional and symptomatic improvements over 4 years.
  • The findings were reported in an abstract conclusion by Kaplan et al.

 

Screenshot (26324).webp

Screenshot (26325).webp


Optilume BPH is a novel minimally invasive surgical therapy (MIST) that combines mechanical dilation with the delivery of paclitaxel for the treatment of lower urinary tract symptoms (LUTS) secondary to BPH. Mechanical dilation with Optilume BPH achieves an anterior commissurotomy separating the lateral lobes of the prostate, while the delivery of paclitaxel is intended to maintain luminal patency during healing.

Immediate symptomatic and functional improvements1,5

Screenshot (26326).webp

Screenshot (26327).webp
 

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Scientific Reference

Lakshman KM, Kaplan B, Travison TG, Basaria S, Knapp PE, Singh AB, LaValley MP, Mazer NA, Bhasin S. The effects of injected testosterone dose and age on the conversion of testosterone to estradiol and dihydrotestosterone in young and older men. J Clin Endocrinol Metab. 2010 Aug;95(8):3955-64.

DOI: 10.1210/jc.2010-0102 | PMID: 20534765 | PMCID: PMC2913038

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