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U.S. Department of Health and Human Services

Post-Approval Studies (PAS) Database

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The FDA has the authority to require sponsors to perform a post-approval study (or studies) at the time of approval of a premarket approval (PMA), humanitarian device exemption (HDE), or product development protocol (PDP) application. Post-approval studies can provide patients, health care professionals, the device industry, the FDA and other stakeholders information on the continued safety and effectiveness (or continued probable benefit, in the case of an HDE) of approved medical devices. This database allows you to search Post-Approval Study information by applicant or device information.

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The BREEZE Study - PMCF


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General
Study Status Study Pending
Application Number /
Requirement Number
P250007 / PAS001
Date Original Protocol Accepted 12/11/2025
Date Current Protocol Accepted 12/11/2025
Study Name The BREEZE Study - PMCF
Device Name Zenflow Spring® Implant and Delivery System
Clinical Trial Number(s) NCT02786290 NCT03577236 NCT03595735 NCT04309695 NCT04987138 
General Study Protocol Parameters
Study Design Randomized Clinical Trial
Data Source New Data Collection
Comparison Group Concurrent Control
Analysis Type Descriptive
Study Population Adult: At least 22 yrs
Detailed Study Protocol Parameters
Study Objectives The BREEZE Study - PAS [Post-Approval Study of the Zenflow Spring System - A Minimally Invasive Treatment for LUTS associated with BPH (BREEZE Study CLIN-0130 – Long-term Follow-up)] is a continuation of annual follow-up through 60 months for any subjects who received a Spring Implant in the premarket BREEZE Study. The objective is to evaluate the continued long-term safety and effectiveness of the Zenflow Spring System in relieving lower urinary tract symptoms (LUTS) associated with benign prostatic hyperplasia (BPH).
Study Population Subjects enrolled and treated in the premarket BREEEZE Clinical Study (CLIN-0130), i.e., male volunteers greater than or equal to 45 years of age requesting treatment for the symptomatic relief of LUTS secondary to BPH.
Sample Size A total of 223 subjects underwent a Spring Implant procedure, of which 221 were successfully implanted in the following cohorts:
• Treatment Arm Cohort: N=136
• Crossover Cohort: N=59
• Roll-in Cohort: N=26
These 221 implanted subjects will be followed under this protocol through completion of 60-month follow-up, or through 6 months post implant removal for any subjects who have the implant removed. If no alternative treatments for BPH were performed by 6 months post removal the assessment will be repeated as 12 months.
Key Study Endpoints Effectiveness assessments:
• Mean change from baseline in International Prostate Symptom Score (IPSS) at 24/36/48/60 months post treatment.
• Mean change from baseline in peak flow rate (Qmax) at 24/36/48/60 months post treatment.
Safety assessments:
• Rate of device or procedure related adverse events (AE) at 24/36/48/60 months post treatment.
• Assessment of AEs outcomes related to a Spring Implant removal procedure.
• Change in sexual health characterized by change in Sexual Health Inventory for Men (SHIM) and Male Sexual Health Questionnaire – Ejaculatory Domain (MSHQ-EjD) at 24/36/48/60 months post treatment.
• Post-procedure incidence of secondary reintervention using an alternate surgical LUTS therapy.
• Post-procedure incidence of secondary reintervention using standard pharmacological agents for LUTS therapy.
Exploratory:
• Mean change in ICIQ-SF Questionnaire at 24/36/48/60 months post treatment.
• Mean change in BII Questionnaire at 24/36/48/60 months post treatment.
• Incidence of reinitiation of BPH medication.
• PSA (if collected).
• Patient Satisfaction.
Follow-up Visits and Length of Follow-up 60 months


The BREEZE Study - PMCF Reporting Schedule

Reporting Schedule
Report
Date Due
FDA Receipt
Date
Applicant's Reporting Status
6 month report 06/11/2026    
1 year report 12/11/2026    
2 year report 12/11/2027    
3 year report 12/10/2028    
4 year report 12/10/2029    


Contact Us

Mandated Studies Program
Food and Drug Administration
10903 New Hampshire Ave.
Silver Spring, MD 20993-0002
Email: MandatedStudiesPrograms@fda.hhs.gov

Additional Resources

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