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Clinical Trial Details — Status: Completed

Administrative data

NCT number NCT01849926
Other study ID # UiO_IMUTI
Secondary ID
Status Completed
Phase Phase 4
First received April 4, 2013
Last updated November 1, 2017
Start date April 2013
Est. completion date July 2016

Study information

Verified date November 2017
Source University of Oslo
Contact n/a
Is FDA regulated No
Health authority
Study type Interventional

Clinical Trial Summary

Although uncomplicated cystitis is considered to be a mild condition and mostly self limiting, most patients who see a doctor will be treated with antibiotics. Antibiotics are known to give a quick relief of symptoms and shorten the course of the condition by a few days. The aim of this study is to evaluate ibuprofen versus mecillinam in the treatment of uncomplicated cystitis in otherwise healthy, non-pregnant women. Our main objective is to see whether symptomatic treatment with ibuprofen is equally efficient as treatment with mecillinam in this group.


Description:

The design of the study will be a double blinded randomized controlled trial (RCT). Half of the patients will receive treatment with mecillinam and the other half will receive treatment with ibuprofen. The study will follow the principles of Good Clinical Practice (GCP).

Urine cultures will be obtained on day one and after two weeks. The patients will be given a diary where they daily will register symptom load, possible complications or adverse effects and on which day they feel completely cured. We will contact the patients after two weeks to make sure they have followed the study procedures. After four weeks we will perform a final interview with the patient.


Recruitment information / eligibility

Status Completed
Enrollment 383
Est. completion date July 2016
Est. primary completion date July 2016
Accepts healthy volunteers Accepts Healthy Volunteers
Gender Female
Age group 18 Years to 60 Years
Eligibility Inclusion Criteria:

- woman between 18 and 60 years of age

- dysuria and pollakiuria and/or urinary urgency

- ability to give written consent

Exclusion Criteria:

- pregnancy/breastfeeding child under one month of age

- diabetes

- kidney disease

- organic aciduria

- clinical suspicion of pyelonephritis; fever, reduced general condition, upper back pain

- vaginal symptoms such as discharge or irritation

- severe abdominal pain

- symptoms that have lasted for more than seven days

- one or more urinary tract infections within the lasts four weeks

- permanent bladder catheter or use of bladder catheter within the last four weeks

- use of antibiotics within the last two weeks

- participated in a clinical trial within the last four weeks

- previously undergone a pyelonephritis

- previous allergic reaction to penicillin

- previous allergic reaction to ibuprofen, or worsening of asthma when using nonsteroidal antiinflammatory drugs(NSAIDs)

- narrow oesophagus

- use of the drug probenecid

- severe gastritis or previous ulcer

- anticoagulative treatment

- ongoing use of steroids

- use of immunosuppressant drugs

- thrombocytopenia,

- Chrohn's disease or Ulcerative colitis

- heart insufficiency

- severe psychiatric illness or dementia

- severe drug addiction

- unable to communicate in Norwegian, Swedish or Danish language

Study Design


Related Conditions & MeSH terms

  • Acute Cystitis (Excl in Pregnancy)
  • Cystitis

Intervention

Drug:
Ibuprofen

Mecillinam


Locations

Country Name City State
Norway University of Oslo Oslo

Sponsors (4)

Lead Sponsor Collaborator
University of Oslo Lund University, University of Bergen, University of Copenhagen

Country where clinical trial is conducted

Norway, 

Outcome

Type Measure Description Time frame Safety issue
Other Proportion of patients who were in need of a secondary medical consult within the study period. 28 days
Other Proportion of patients who developed an upper urinary tract infection (pyelonephritis). 14 days
Other Proportion of patients who experienced severe adverse effects. Seven days
Other Proportion of patients who had a relapse of symptoms within four weeks after being included in the study. 28 days
Other Proportion of patients with a positive urine culture after four weeks. 28 days
Primary Number of patients who are symptom free by day four Both symptom load with regard to specific symptoms and when feeling completely symptom free will be registered in the patient diary. Four days
Secondary The patients' symptom load with regard to specific symptoms. Specific symptoms, such as dysuria, urgency and pollakiuria, will be given a number from 0-6 in the patient diary, 0 = no problem and 6= as bad as it can get. Seven days