Break Wave Lithotripsy for Urolithiasis: Results of the First-in-Human International Multi-Institutional Clinical Trial.
Ben H Chew, Jonathan D Harper, Roger L Sur...
https://pubmed.ncbi.nlm.nih.gov/39254129/Actively Recruiting
Led by SonoMotion · Updated on 2025-07-29
70
Participants Needed
6
Research Sites
8 weeks
Total Duration
Researchers are evaluating the safety and effectiveness of the SonoMotion Break Wave device to break stones in the upper urinary tract. This prospective, open-label, multi-center, single-arm study will include up to 30 participants with stones sized up to 10 mm in the lower pole and up to 20 mm elsewhere. The study focuses on assessing safety through self-reported adverse events and emergency visits, as well as stone fragmentation measured by stone passage and CT image comparison. Participants will receive the investigational Break Wave procedure, which uses low amplitude ultrasound waves focused on the kidney stone via a specialized therapy probe with an integrated ultrasound imaging probe for guidance. The procedure is performed in hospital surgical environments as outpatient care or in non-surgical settings such as clinics. Anesthesia levels may vary from none to general anesthesia during the procedure. During the study, participants will be monitored for safety outcomes including hematoma, urinary tract infection, or heart rhythm issues over 12 weeks post-treatment. Effectiveness will be evaluated by stone fragmentation, stone free status, and residual fragment size using CT scans and self-reports. Follow-up procedures, including CT scans and adverse event tracking, will assess safety and treatment outcomes throughout the 12-week period after the procedure.
CONDITIONS
Break Wave(TM) Extracorporeal Lithotripter First-in-Human Study
O
Oren Levy, PhD
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SonoMotion
Lead Sponsor
National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK)
Collaborating Sponsor
This table compares participation in this trial with other options available for this condition. The information is drawn from published research and the trial’s study details and is provided for educational purposes only.
| Factors | Break Wave lithotripsy | SWL (standard‑care comparator) |
|---|---|---|
| What it is | A novel ultrasound‑based extracorporeal lithotripsy device delivering low‑pressure burst waves to fragment kidney or ureteral stones in awake patients, without anesthesia or sedation. | Established noninvasive treatment using high‑pressure shock waves to fragment stones under sedation or anesthesia. |
| Role in trial | Investigational single‑arm treatment tested for stone fragmentation in eligible patients. | Not studied in this trial but represents current guideline‑based standard care for comparison. |
| Primary use | To determine whether the Break Wave device can fragment eligible stones effectively and safely without anesthesia. | To fragment renal or ureteral stones within guideline‑specified sizes as noninvasive standard therapy. |
| How it is delivered | Delivered via an ultrasound probe aligned with the stone under imaging, using low‑amplitude burst waves in awake patients. | Delivered using extracorporeal shock wave device under imaging guidance, typically requiring sedation or anesthesia. |
| Evidence status | First‑in‑human data show 88 % have stone fragmentation, with 49 % stone‑free and 70 % with fragments ≤ 4 mm; complications were low‑grade only. | SWL is supported by decades of clinical use and is recommended by AUA guidelines for stones of similar size and location. |
| Important risks | No serious adverse events reported; only grade 1 complications in trial. | SWL may require sedation or anesthesia and carries risks including hemorrhage, steinstrasse, or renal injury in some cases. |
| Important limitations | Findings are from a single‑arm early‑phase study in relatively small stones; broader effectiveness and patient eligibility (e.g., imaging visibility) need validation. | SWL effectiveness can vary by stone size, location, patient anatomy, and may require multiple sessions or anesthesia support. |
| Patient impact | Ultrasound‑based treatment performed without anesthesia, potentially reducing procedure burden and recovery. | SWL is effective and widely available, though typically requires anesthesia and facility‑based treatment. |
Disclaimer: This comparison is created with the help of artificial intelligence(AI) and may contain errors or missing information. It is not medical advice and does not mean one option is better or safer than another. Clinical trials are still being studied, and joining a trial is your choice. Please consult your healthcare professional before making any decisions.
You may qualify if you...
You will not qualify if you...
Duration - 2 to 4 weeks
Participants are screened for eligibility to participate in the trial.
Duration - Single treatment session
Participants receive the Break Wave extracorporeal lithotripsy procedure, which uses ultrasound waves focused at the kidney stone to break it.
1 visit (in-person)
Duration - 12 weeks post-treatment
Participants are monitored for safety and effectiveness outcomes including stone fragmentation and adverse events after the treatment.
Approximately 3 follow-up visits
Study Type
INTERVENTIONAL
Masking
NONE
Allocation
NA
Model
SINGLE_GROUP
Primary Purpose
TREATMENT
Number of Arms
1
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Ben H Chew, Jonathan D Harper, Roger L Sur...
https://pubmed.ncbi.nlm.nih.gov/39254129/Adam D Maxwell, Brian MacConaghy, Michael R Bailey...
https://pubmed.ncbi.nlm.nih.gov/32237849/Adam D Maxwell, Bryan W Cunitz, Wayne Kreider...
https://pubmed.ncbi.nlm.nih.gov/25111910/Jonathan D Harper, James E Lingeman, Robert M Sweet...
https://pubmed.ncbi.nlm.nih.gov/35311351/Oleg A Sapozhnikov, Adam D Maxwell, Michael R Bailey
https://pubmed.ncbi.nlm.nih.gov/32611160/SonoMotion
Lead Sponsor
National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK)
Collaborating Sponsor