Status:

WITHDRAWN

Clinical Trial on the Preventive Effect of Intravaginal Prasterone on Recurrent Urinary Tract Infections in Postmenopausal Women

Lead Sponsor:

Olivia Cardenas-Trowers, M.D.

Collaborating Sponsors:

AMAG Pharmaceuticals, Inc.

Conditions:

Recurrent Urinary Tract Infection

Postmenopause

Eligibility:

FEMALE

18+ years

Phase:

PHASE3

Brief Summary

Urinary tract infections (UTIs) are bothersome and more likely to occur in postmenopausal women. Frequent UTIs, as well as other problems with the urinary and genital systems such as painful sex and u...

Detailed Description

Urinary tract infections (UTIs) are costly contributing to more than 8 million ambulatory visits (84% women) in the United States in 2007. Recurrent urinary tract infections (rUTIs) are UTIs diagnosed...

Eligibility Criteria

Inclusion

  • Women aged 18 years or older who are ≥ 1 year after spontaneous or surgical (bilateral oophorectomy) menopause
  • Presence of ≤ 5% of superficial cells on vaginal smear and vaginal pH \> 5.0
  • History of ≥ 2 UTIs in 6 months or ≥ 3 UTIs in 12 months (with documentation of a UTI confirmed on urine culture within the past 1 year)
  • Negative urine culture prior to treatment randomization

Exclusion

  • Known allergy/hypersensitivity to prasterone or its constituents
  • Contraindications to estrogen: acute thrombophlebitis, history of blood clotting disorder, and/or personal history of thromboembolic disorder associated with estrogen use
  • Known or suspected estrogen-dependent neoplasms or mammary, ovarian, cervical, or vaginal malignancies
  • Known congenital urologic or gynecologic abnormality
  • Chronic immunosuppression
  • Need for chronic catheterization
  • Vaginal bleeding of origin other than vaginal mucosal atrophy
  • Vaginal infection requiring treatment
  • Use of systemic hormone replacement therapy or estrogen within past 6 months
  • Use of topical estrogen within past 3 months
  • Consistent use of vaginal products (lubricants, douches)
  • Ongoing antibiotic treatment
  • Ongoing treatment with Lactobacillus
  • Inability to comply with protocol or place vaginal insert with applicator appropriately
  • Less than 3 months status post urinary incontinence and/or pelvic organ prolapse surgery
  • Unable to speak or read English
  • If an exclusion condition is resolved, the patient may be re-approached later for study recruitment (ie., genitourinary infection, use of antibiotics, etc)

Key Trial Info

Start Date :

May 1 2020

Trial Type :

INTERVENTIONAL

Allocation :

ACTUAL

End Date :

February 1 2021

Estimated Enrollment :

Patients enrolled

Trial Details

Trial ID

NCT03854396

Start Date

May 1 2020

End Date

February 1 2021

Last Update

June 30 2021

Active Locations (1)

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University of Louisville Urogynecology at Springs Medical Center

Louisville, Kentucky, United States, 40205