ClinicalTrials.gg
Status unknownNCT02868775Updated Jan 6, 2017

A Study to Determine the Role of Toll-like Receptor-4 Expression in Patients With Interstitial Cystitis/Bladder Pain Syndrome

An observational study in Cystitis, Interstitial and Painful Bladder Syndrome, sponsored by Philadelphia Urosurgical Associates. Status unknown at 1 site in United States. Open to female participants aged 18 Years to 90 Years. Per ClinicalTrials.gov, last updated 2017-01-06.

Sponsored by Philadelphia Urosurgical Associates · Observational

The sponsor has not verified this record recently (last verified Jan 2017), so the status shown — last known as Recruiting — may be out of date.
Study type
Observational
Model
Cohort
Time perspective
Prospective
Enrollment
60
Ages
18 Years to 90 Years
Sex
Female
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Study summary

This is a prospective pilot study, with a recruitment goal of 60 patients. Patients who are female, above the age of 18, and with a diagnosis of IC/BPS based on clinical criteria and O'Leary Sant ICPI and ICSI scores undergoing cystoscopy, hydrodistention and bladder biopsy will be included. The bladder biopsies will be evaluated for TLR4 expression, and sent for histological assessment of mast cell count. Additionally, data will be collected at baseline, day of surgery, day 7, day 14 and day 28. Data will include validated questionnaires, lower urinary tract symptoms, and recorded pain medication use.

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Conditions studied

  • Cystitis, Interstitial
  • Painful Bladder Syndrome
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In context

Cystitis, Interstitial

227 studies on the registry are indexed under Cystitis, Interstitial; 32 are open to participants now.

This study's planned enrollment of 60 is below the median of 91 across 60 observational studies indexed under Cystitis, Interstitial.

Browse Cystitis, Interstitial studies →

Lead sponsor

Philadelphia Urosurgical Associates is the lead sponsor of 3 studies on the registry; none are open to participants now.

Counted across the registry records on this site, refreshed daily.

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Who can participate

Ages eligible
18 Years to 90 Years
Sexes eligible
Female
Accepts healthy volunteers
No
Sampling method
Non-probability sample

Study population

Female patients diagnosed with IC/BPS with a minimum O'Leary-Sant score of 8 on the ICSI, as well as 8 on the ICPI who are undergoing cystoscopy, hydrodistention and bladder biopsy.

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  1. Patients must be a candidate for cystoscopy, hydrodistention and bladder biopsy.
  2. Participant must have subjective complaints of

    1. urinary urgency, relieved with voiding, OR
    2. urinary frequency; ≥ 8 voids per day, OR
    3. pelvic pain, pressure, or discomfort

2. Gender of subjects: Subjects in this study will be female. Pregnant women and breastfeeding women will be excluded due to unknown risk of study medication on pregnancy and fetus or nursing infants.

3. Age of subjects: Age of subjects will range from 18 to 90 years.

4. Racial and ethnic origin: There are no enrollment restrictions based upon race or ethnic origin. The racial and ethnic distribution of subjects is entirely based on the population of patients at the study site.

5. Other inclusion criteria:

  1. Participant must give written informed consent to participate in the study
  2. Participant must be able to make decisions for herself
  3. Participant must not have had a UTI within 7 days prior to start of the study
  4. Female participants who are with a positive pregnancy test

Exclusion criteria

Exclusion Criteria:

To participate in the study subjects must not meet any of the following criteria:

  1. Participant is currently pregnant or breastfeeding
  2. Participant has a positive urinary pregnancy test at the time of screening
  3. Participant is currently or has been on antibiotic therapy with the last 7 days prior to the start of the study
  4. Participant is currently in another trial
  5. Participant has an active S3 nerve stimulator implanted or has PTNS
  6. Participant has had intravesical botulinum toxin injection in 6 months prior to starting the study
  7. Participant has grade III or IV pelvic organ prolapse
  8. Participant has history of bladder cancer
  9. Participant has a neurological disease including, but not limited to, multiple sclerosis, Parkinson's disease, Alzheimer's disease, spinal cord injury, brain injury, stroke or dementia
  10. Participant has urinary frequency of less than 8 times/day
  11. Participant has bladder or lower ureteral calculi
  12. Participant has active genital herpes
  13. Participant has urethral diverticulum
  14. Participant has chemical cystitis
  15. Participant has radiation or tuberculosis cystitis
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Study design

Observational model
Cohort
Time perspective
Prospective
Enrollment
60 participants (estimated)
Patient registry
No
Biospecimen retention
Samples with dna

Groups and cohorts

  • Interstitial cystitis/bladder pain syndrome

    These are the patients that will be evaluated in this study.

    Procedure: cystoscopy, bladder hydrodistention and bladder biopsy

Interventions

  • Procedurecystoscopy, bladder hydrodistention and bladder biopsy
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What researchers measure

Primary outcomes

  1. Toll-like Receptor 4 protein analysis

    Determine Toll-like Receptor 4 protein expression with western blot

    Time frame: 1 year

  2. Toll-like Receptor 4 mRNA expression in bladder biopsy

    Determine Toll-like Receptor 4 mRNA expression with quantitative polymerase chain reaction

    Time frame: 1 year

  3. Toll-like Receptor 4 distribution and localization evaluation

    Determine Toll-like Receptor 4 distribution and localization with immunohistochemistry

    Time frame: 1 year

Secondary outcomes

  1. Bladder symptom evaluation

    Utilize O'Leary Sant Interstitial Cystitis Symptom and Problem Indices to evaluate subjective bladder symptom changes

    Time frame: 28 days

  2. Vaginal symptoms evaluation

    Utilize pelvic floor impact questionnaire-7 to evaluate vaginal and pelvic symptoms

    Time frame: 28 days

  3. Female sexual function

    Use female sexual function index questionnaire to evaluate female sexual function

    Time frame: 28 days

  4. Interstitial cystitis Flares

    Patients will record bladder pain scores and changes in urinary urgency with the bladder diary to evaluate flares following cystoscopy, hydrodistention

    Time frame: 28 days

  5. Patient satisfaction

    Use Global response assessment questionnaire

    Time frame: 28 days

  6. Bladder symptom evaluation

    Utilize questionnaire: pelvic floor impact questionnaire-7

    Time frame: 28 days

07

Study locations

1 of 1 sites recruiting
  • Hahnemann Urogynecology
    Philadelphia, Pennsylvania 19107, United States
    Recruiting
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References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Jan 6, 2017, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT02868775
Lead sponsor
Philadelphia Urosurgical Associates
Collaborators
Drexel University College of Medicine
Responsible party
Kristene Whitmore (Division Head of Female Pelvic Medicine and Reconstructive Surgery, Philadelphia Urosurgical Associates) — Principal investigator
First posted
Aug 16, 2016
Start date
Sep 2016
Primary completion
Jun 2017 (estimated)
Completion
Oct 2017 (estimated)
Last update
Jan 6, 2017

Study contacts

Kristene Whitmore, MD
Contact
bladder1@aol.com
2158638100
Nima M Shah, MD
Contact
nima.shah@drexelmed.edu
2158638100

Oversight

Data monitoring committee
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is status unknown, as verified in Jan 2017. You cannot join it, but the record below documents what was studied.

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