CClinicalTrials.gg
RecruitingNCT04846803BIrUTIUpdated Sep 18, 2025

Bacterial Interference for Preventing Recurrent Urinary Tract Infection - New Ways of Treatment

An interventional study of ABU bladder lavage and Saline bladder lavage in Recurrent Urinary Tract Infections, sponsored by Odense University Hospital. Recruiting at 2 sites in Denmark. Open to participants aged 18 Years to 90 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2025-09-18.

Sponsored by Odense University Hospital · Not applicable, Interventional, and Prevention

From the registry’s dates

  • Started Jan 2024; still recruiting 2 years 8 months later.
Phase
Not applicable
Study type
Interventional
Enrollment
80
Allocation
Randomized
Ages
18 Years to 90 Years
Sex
All
01

Study summary

Urinary tract infection (UTI) is one of the most common bacterial infections worldwide. It affects 150 million people annually. Treatment of patients with UTI entails a high consumption of antibiotics and large social and health costs. With this protocol, we want to elucidate alternative treatment methods for especially recurrent urinary tract infection. Bacteria have internal competitiveness (bacterial interference) and it is known that the non-pathogenic E.coli can outcompete the pathogenic E.coli in laboratory studies.

We intend to strengthen the clinical evidence that it can be used as patient treatment through a clinical, placebo-controlled, double-blind trial at Odense University Hospital.

Read the detailed description

Urinary tract infection (UTI) is one of the most common bacterial infections worldwide. It affects 150 million people annually. Treatment of patients with UTI entails a high consumption of antibiotics and large social and health costs. With this protocol, we want to elucidate alternative treatment methods for especially recurrent urinary tract infection. Bacteria have internal competitiveness (bacterial interference) and it is known that the non-pathogenic E.coli can outcompete the pathogenic E.coli in laboratory studies.

We intend to strengthen the clinical evidence that it can be used as patient treatment through a clinical, placebo-controlled, double-blind trial at Odense University Hospital.

Claim to be investigated:

  • The non-pathogenic bacterial strain (ABU) E.coli can overcome the most common pathogenic E.coli (UPEC) in humans.
  • ABU can be used for preventive treatment in patients with recurrent urinary tract infections.

Clinical effect of preventive treatment (prophylactic treatment) with the non-pathogenic bacterial strain (ABU) in a selected group of patients with recurrent cystitis: A clinical, placebo-controlled, triple-blinded study.

02

Conditions studied

  • Recurrent Urinary Tract Infections

Keywords

  • rUTI
  • E.coli
  • prophylactic
  • bladder lavage
03

In context

Urinary Tract Infections

753 studies on the registry are indexed under Urinary Tract Infections; 128 are open to participants now.

This study's planned enrollment of 80 is below the median of 130 across 524 interventional studies indexed under Urinary Tract Infections.

Browse Urinary Tract Infections studies →

Lead sponsor

Odense University Hospital is the lead sponsor of 468 studies on the registry; 109 are open to participants now.

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

04

Who can participate

Ages eligible
18 Years to 90 Years
Sexes eligible
All
Accepts healthy volunteers
Yes

Inclusion criteria

  • Diagnosed with recurrent cystitis including 2 times of rUTI within the last 6 months or 3 times in the last 12 months, where at least 2 cultures show the same bacteria.
  • Normal investigation for lower urinary tract diseases (LUTD) including voiding diary, symptom scores, flexible cystoscopy, voiding diagram and test for residual urine.
  • Failed previously treatments.
  • Patients with native bladder with both spontaneous voiding, the need for clean intermittent catheter (CIC) or indwelling catheter.
  • Patients with neurogenic and non-neurogenic bladder dysfunction.
  • Patients with urostomy, kidney transplantation or another complicated genesis.
  • Written consent.

Exclusion criteria

Exclusion Criteria:

  • Malignancy in the urinary tract, kidney-, ureteral- or bladder stones, age \< 18 years, pregnancy, breastfeeding. Patients in ongoing orally antibiotic treatment. Not able to speak or understand Danish.
05

Study design

Phase
Not applicable
Primary purpose
Prevention
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Quadruple (Participant, Care provider, Investigator, Outcomes assessor)
Enrollment
80 participants (estimated)

Study arms

  • Experimental
    Patients prophylatic treated with ABU

    Patients with prophylactic bladder flushing with an ABU strain.

    Biological: ABU bladder lavage

  • Placebo comparator
    Patients control group

    The control group with bladder flushing with saline solution.

    Biological: Saline bladder lavage

Interventions

  • BiologicalABU bladder lavage

    Clinical effect of preventive treatment (prophylactic treatment) - bladder lavage with the non-pathogenic bacterial strain (ABU)

  • BiologicalSaline bladder lavage

    Clinical effect of preventive treatment (prophylactic treatment) - bladder lavage with saline

06

What researchers measure

Primary outcomes

  1. The number of UTI events in the follow-up period

    The number of prescriptions or hospital visits

    Time frame: 1½ year

Secondary outcomes

  1. Time to first UTI after the intervention

    Symptoms and the need for medical treatment or hospitalisation

    Time frame: 1½ year

  2. Quality of life by standard Questionnaires_ICIQ-OABqol 08/04

    International Consultation on Incontinence Questionnaire Overactive Bladder Quality of Life Module (ICIQ-OABqol). ICIQ-OABqol is a patient-completed questionnaire evaluating the quality of life (QoL) in patients with overactive bladder. It is translated into Danish and chosen because UTI symptoms often resemble OAB symptoms. Scoring: 25-160 overall score with greater values indicating increased impact on quality of life

    Time frame: 1½ year

  3. O´Leary-Sant Voiding and Pain symptom score

    The O'Leary-Sant Interstitial Cystitis Symptom Index is translated into Danish and chosen because UTI symptoms often resemble the bladder pain symptoms. The O'Leary-Sant instrument is comprised of a Symptom Index (score range: 0-20 points) and a Problem Index (score range: 0-16 points), each of which contains four questions related to urinary and pain symptoms. For each index, the score is calculated by summing the points for each item. Overall score with greater values indicating increased symptom severity.

    Time frame: 1½ year

  4. EQ-5D-5L

    Questionnaire evaluating quality of life at 5 terms (mobility, self-care, usual activities, pain, discomfort and anxiety/depression). Each dimension has 5 levels: no problems, slight problems, moderate problems, severe problems and extreme problems. This results in a 1-digit number expressing the level selected for that dimension. The digits for 5 dimensions can be combined in a 5-digit number describing the respondent's health state. EQ-5D-5L health states may be converted into a single index value. The index values, presented in country-specific value sets, are a major feature of the EQ-5D instrument, facilitating the calculation of quality-adjusted life years (QALYs) that are used to inform economic evaluations of health care interventions.

    Time frame: 1½ year

  5. CRF

    Case report form with respect to urinary/bladder symptoms, odour, perfomancestatus ect

    Time frame: 1½ year

  6. Hospitalization

    Hospital visit due to UTI

    Time frame: 1½ year

  7. Complications (bleeding, pain)

    Complications due to bladder lavage

    Time frame: 1½ year

  8. Microbiological diagnostics: Etiology, resistance

    Measurements during treatment protocol

    Time frame: 1½ year

  9. Creatinin

    Measurements during treatment protocol in micromol/L

    Time frame: 1½ year

  10. Leukocytes and neutrofilocytes

    Measurements during treatment protocol in 10E9/L

    Time frame: 1½ year

  11. Natrium and kalium

    Measurements during treatment protocol in mmol/L

    Time frame: 1½ year

  12. CRP

    Measurements during treatment protocol in mg/L

    Time frame: 1½ year

07

Study locations

2 of 2 sites recruiting
  • Aarhus University Hospital
    Aarhus N, 8200, Denmark
    Recruiting
  • Odense University Hospital
    Odense C, 5000, Denmark
    Recruiting
08

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Sep 18, 2025, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT04846803
Lead sponsor
Odense University Hospital
Responsible party
Karin Andersen (MD, Odense University Hospital) — Principal investigator
First posted
Apr 15, 2021
Start date
Jan 9, 2024
Primary completion
Aug 1, 2026 (estimated)
Completion
Dec 1, 2027 (estimated)
Last update
Sep 18, 2025

Study contacts

Karin Andersen, MD
Contact
karin.andersen@rsyd.dk
+45 21570468
Lars Lund, Prof.
Contact
lars.lund@rsyd.dk
Karin Andersen
principal investigator · University of Southern Denmark

Oversight

Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Interested in this study?

Eligibility is decided by the study team. Share this record with your doctor or contact the team directly.

Contact study team

Follow this study

Get an email when the registry record changes — status, dates, results — or when someone posts here.

Sign in to follow

Discussion

Questions and observations about this study, from anyone following it. Not medical advice, and not a channel to the study team — their contact details are on the registry record.

Sign in to join the discussion. Reading takes no account; posting does. You choose a display name, and a pseudonym is the default.

Nothing here yet. If you are running this trial, taking part in it, or weighing whether to, this is the place to say so.

Start the discussion