Comparing two laser systems for breaking up kidney stones
Official title: Prospective Single-center Study Comparing Thulium Fiber Laser to Pulsed Thulium:YAG Laser in the Ureteroscopic Treatment of Nephrolithiasis
Run by University of California, San Diego · NCT06721975 · Data updated 2026-11-12
This study is testing whether a new type of laser for breaking up kidney stones works as well and as quickly as a current laser option during a minimally invasive procedure.
Quick facts
| Study type | Interventional |
|---|---|
| Ages | 18 Years and up |
| Sex | All |
| Enrollment | 50 (estimated) |
| Sponsor | University of California, San Diego Academic / other |
| Locations | 1 site (San Diego, California) |
| Status | Recruiting |
| Started | August 1, 2024 |
| Main results expected | August 1, 2026 |
| Study ends | December 31, 2026 |
| Registry record updated | July 9, 2026 |
| Trial ID | NCT06721975 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Ideal candidates are individuals with solitary renal stones measuring 7 to 20 mm who are suitable for flexible ureteroscopy.
✕Probably not a fit
Patients with concomitant ureteral stones, prior reconstructive procedures, or certain medical conditions such as pregnancy or untreated urinary tract infections may not benefit from this study.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
This research evaluates the effectiveness of two laser systems, the Thulium Fiber Laser (TFL) and the Thulio Pulsed Thulium:YAG (p-Tm:YAG), in treating kidney stones through ureteroscopy. The study aims to determine if the p-Tm:YAG laser is as effective as TFL in terms of dusting ablation efficiency and speed. Participants will undergo a minimally invasive procedure where the lasers will be used to break up kidney stones, with outcomes measured in a controlled environment. This is the first large-scale study directly comparing these two laser technologies for kidney stone treatment.
Why it matters
Potential benefit: If successful, this study could lead to improved treatment options for patients with kidney stones, potentially enhancing the efficiency and effectiveness of laser lithotripsy.
How similar studies have gone: While there have been pilot studies on the p-Tm:YAG laser, this is the first large-scale comparative trial, making it a novel investigation.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion Criteria: * Solitary renal stone 7 to 20 mm in size or in the case of multiple stones the conglomerate diameter (additive maximal diameter of all stones on axial imaging of computed tomography) of 7-20 mm is required * Must be a suitable operative candidate for flexible ureteroscopy per American Urological Association guidelines * Must be able to give consent * Bilateral ureteroscopy will be permitted but only the first side (per surgeon discretion) will be included in the study * Surgeons participating in the study must be urological attending surgeons or fellows with subspecialty training in Endourology Exclusion Criteria: * 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 UTI
Where it's running
-
University of California, San Diego
San Diego, California, United States Recruiting
Study contacts
- Study coordinator: Jade McDermott, BS
- Email: j3mcdermott@health.ucsd.edu
- Phone: 858-777-9721
Similar studies
Other studies for the same condition or treatment. Recruiting studies are listed first.
-
Suction to collapse the kidney's collecting system after RIRS (retrograde intrarenal surgery)
This trial will test whether actively suctioning the kidney's collecting system at the end of RIRS reduces early postoperative pain and infections for adults having kidney stone removal.
-
Compare two suction ureteroscope devices for kidney stones (FANS vs CVAC)
This study tests whether two new suction-enabled ureteroscopes (FANS and CVAC) lead to better stone clearance for adults with small to medium kidney stones compared to each other.
-
Investigating oxalate production in patients with calcium oxalate kidney stones
This study is testing if people with calcium oxalate kidney stones produce more oxalate in their bodies than healthy individuals by following a special diet and taking certain supplements.
-
Suction vs Conventional Ureteral Access Sheaths in Kidney Stone Surgery
This study tests whether using a suction ureteral access sheath during RIRS helps adults clear stones more often and potentially reduces operative time and infections compared with a conventional sheath.
-
Observation vs Upfront Surgery for Asymptomatic Kidney Stones in Children and Adults
This trial tests whether watching asymptomatic kidney stones or performing upfront surgery is better for reducing life disruption in patients aged 6 and older.
-
Modified Mini-PCNL vs Standard PCNL for Complex Kidney Stones
This study tests whether a smaller 20 Fr access in modified mini-PCNL can match the stone-clearing success of the standard 24 Fr PCNL in adults with complex kidney stones.
How to take part
- Review the eligibility criteria above with your treating physician.
- Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
- Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.