Norepinephrine irrigation to help stop bleeding during flexible ureteroscopic lithotripsy
Official title: Hemostasis and Safety Analysis of Norepinephrine Irrigation Fluid in Su-FURS Combined With NPUAS Lithotripsy. (Su-FURS: Single-use Flexible Ureteroscope, NPUAS: Negative Pressure Ureteral Access Sheath)
Run by Geriatric Hospital of Nanjing Medical University · NCT07786844 · Data updated 2026-11-12
This study tests whether a norepinephrine-powered irrigation solution can help control bleeding during flexible ureteroscopic lithotripsy for upper urinary tract stones in adults.
Quick facts
| Phase | Phase1; Phase2 |
|---|---|
| Study type | Interventional |
| Ages | 18 Years to 75 Years |
| Sex | All |
| Enrollment | 55 (estimated) |
| Sponsor | Geriatric Hospital of Nanjing Medical University Academic / other |
| Locations | 1 site (Nanjing, Jiangsu) |
| Status | Recruiting |
| Started | April 21, 2025 |
| Main results expected | December 30, 2026 |
| Study ends | December 30, 2026 |
| Registry record updated | August 26, 2026 |
| Trial ID | NCT07786844 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Adults aged 18-75 with renal or upper-ureteral stones requiring supraflexible ureteroscopic lithotripsy with negative pressure ultrasound lithotripsy.
✕Probably not a fit
Patients with non-upper urinary tract stones, intolerance to the procedure, uncontrolled hypertension, or coronary artery disease may not benefit.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
This prospective, single-arm interventional study investigates the safety and effectiveness of a low-concentration norepinephrine irrigation solution used during lithotripsy with a flexible ureteroscope and negative pressure ultrasound sheath. Patients with kidney or upper-urinary tract stones requiring surgery will receive the norepinephrine-containing irrigation to aid hemostasis while the procedure is performed. Outcomes will focus on bleeding control, visualization, stone clearance, and adverse events to determine if this approach is feasible in clinical practice. The trial is conducted at a single center and targets adults up to age 75.
Why it matters
Potential benefit: If successful, the approach could improve intraoperative bleeding control and visualization, potentially enhancing stone clearance and safety.
How similar studies have gone: Previous studies suggest that vasoconstrictive agents can aid hemostasis in endourological procedures, but this specific norepinephrine irrigation approach is novel in this setting.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion Criteria * Age 18-75 years of either sex. * Clinically and radiologically confirmed renal or upper-ureteral stone with operative indication for super flexible ureteroscopic lithotripsy combined with negative pressure ultrasound lithotripsy (su-fURS + NPUAS). * Subjects with definite surgical indication for upper urinary tract stones, tolerate general anesthesia, and agree to receive the targeted operative procedure. Exclusion Criteria * Diagnosis of non-upper urinary tract stones. * Intolerance to flexible ureteroscopic surgery. * Poorly-controlled hypertension with blood pressure greater than 160/100 mmHg. * History of coronary artery disease.
Where it's running
-
Geriatric Hospital of Nanjing Medical University
Nanjing, Jiangsu, China Recruiting
Study contacts
- Study coordinator: Chuang Wu, Doctor of Medicine
- Email: 813131618@qq.com
- Phone: +8618156836569
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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.