Continuous prophylaxis of chronically recurring uncomplicated cystitis MedDRA version: 20.1 Level: LLT Classification code 10011786 Term: Cystitis chronic System Organ Class: 100000004862 MedDRA version: 21.1 Level: PT Classification code 10063057 Term: Cystitis noninfective System Organ Class: 10038359 - Renal and urinary disorders
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: - Outpatients suffering from acute uncomplicated cystitis during screening (visit 1), confirmed by positive urine culture (=10³ CFU/ml Urine) - History of chronically recurring uncomplicated cystitis (including the current cystitis at least three within the last twelve months or at previous two within the previous two months) - Negative urine culture for visit 2 (=65 years) yes F.1.3.1 Number of subjects for this age range 24
Exclusion criteria
Exclusion criteria: - Presence of factors which could indicate a complicated urinary tract infection: body temperature above 38,0°C (fever), flank pain or painful renal bed - Progression of infection proximal of urinary bladder or spreading of pathogens (pyelonephritis, urosepsis) - Irritable bladder syndrome - Known abnormalities or obstruction of the urinary tract - History of surgery of the urinary tract - Signs of restricted renal function - Acute infections besides infections of the lower urinary tract - Pretreatment of the acute urinary tract infection with antibiotics, herbal medicinal products or homeopathics - Glomerulonephritis / interstitial nephritis or proteinuria - Acute gastric ulcer or acute ulcer of duodenum - Abnormal laboratory results clinically significant) - Patients with permanent catheter - Patients with risk factors for a more severe progression - Intake of oral anticoagulants (Vitamin-K-antagonists; e.g. Phenprocoumon, Warfarin) - Patients with organ transplantation within the previous 3 years - Patients with malignant diseases within the previous 5 years - Patients with HIV - Pregnant or breast-feeding women or women planning to become pregnant; women capable of bearing children and not applying a highly effective contraception (Pearl Index <1) - Patients with a medical condition or a situation which, in the opinion of the investigator, poses a significant risk to the patient or which could impair or considerably influence the results of the trial - Known hypersensitivity to nasturtium, horseradish root or any excipient of the study medication - Patients receiving a medicinal prophylaxis besides the study medication; the concomitant intake of herbal products with potential prophylactic efficacy, as for instance cranberry, dog rose or kidney and bladder tea, is also not allowed - Simultaneous participation in another trial or participation in a clinical trial within the last 30 days before inclusion into this Trial - Known abuse of medicinal products, alcohol or other drugs - Serious diseases of the Psyche - Persons which are institutionalised by regulatory or judicial decree
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Main Objective: Rates of first recurrences, observed during the six-month medicinal prophylaxis within the test group and the placebo group; Secondary Objective: - Time without recurrences during prophylaxis - Rates of recurrences at the scheduled visits during prophylaxis - Rates of recurrences during the three- rep. six-month follow-up - Investigator's assessment of efficacy at the end of prophylaxis - Investigator's assessment of continual efficacy following the end of prophylaxis - Type, frequency and severity of reported adverse Events - Development of laboratory results for blood samples during prophylaxis: Haematology and clinical chemistry - Development of vital signs during prophylaxis: Pulse, blood pressure, body temperature - Tolerance of study medication - Compliance - Patient satisfaction - Results of pathogen identification after recurrence - Results of resistance testing against ANGOCIN® Anti-Infekt N after recurrence during prophylaxis ;Primary end point(s): Symptomatic infections with = 10³ CFU of uropahtogens/ml urine, confirmed by a central laboratory during the six-month prophylaxis; only the first recurrence after Initiation of prophylaxis is recorded;Timepoint(s) of evaluation of this end point: After conclusion of the prophylaxis (at the latest after six-month intake of the study medication) and during the scheduled visits | — |
Secondary
| Measure | Time frame |
|---|---|
| Secondary end point(s): Symptomatic infections with = 10³ CFU of uropahtogens/ml urine, confirmed by a central laboratory during the six-month follow-up; only the first recurrence after Initiation of prophylaxis is recorded;Timepoint(s) of evaluation of this end point: For patients without recurrence during prophylaxis: After conclusion of the follow-up (at the latest six months after conclusion of the prophylaxis) | — |
Countries
Germany
Contacts
Mediconomics GmbH