ClinicalTrials.gg
CompletedNCT05013593Updated Apr 26, 2023

Red Clover Isoflavones in Postmenopausal Women With Urge Urinary Incontinence and Overactive Bladder

An interventional study of Red Clover Extract (RCE) and Placebo (PL) in Urge Incontinence and Overactive Bladder, sponsored by Regionshospital Nordjylland. Completed at 1 site in Denmark. Open to female participants aged 18 Years and older, including healthy volunteers. Per ClinicalTrials.gov, last updated 2023-04-26.

Sponsored by Regionshospital Nordjylland · Not applicable, Interventional, and Basic science

From the registry’s dates

  • Registered 2 years after the study started (first participant enrolled Jul 2019, registered Aug 2021).
Phase
Not applicable
Study type
Interventional
Enrollment
108
Allocation
Randomized
Ages
18 Years and older
Sex
Female
01

Study summary

The purpose of this study is to investigate the effect of red clover isoflavones in postmenopausal women with and without urge urinary incontinence and overactive bladder

02

Conditions studied

  • Urge Incontinence
  • Overactive Bladder

Keywords

  • Microbiota
  • Microbiome
03

In context

Urinary Incontinence, Urge

242 studies on the registry are indexed under Urinary Incontinence, Urge; 39 are open to participants now.

This study's enrollment of 108 is above the median of 86 across 190 interventional studies indexed under Urinary Incontinence, Urge.

Browse Urinary Incontinence, Urge studies →

Lead sponsor

Regionshospital Nordjylland is the lead sponsor of 18 studies on the registry; 5 are open to participants now.

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

04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
Female
Accepts healthy volunteers
Yes

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

  • (more than 5 years since last menstruation)
  • Read and understand Danish

Exclusion criteria

Exclusion Criteria:

  • Participants receive treatment with estrogen both oral, transdermal, and topical within three months prior to inclusion in the study
  • Participants take estrogen-like compounds (isoflavones) three months prior to inclusion in the study
  • Participants take prebiotic and/or probiotic supplements within three months prior to study inclusion
  • Receive antibiotics (any) within three months prior to inclusion in the study
  • Recurrent urinary tract infections (defined as ≥ 2 infections in the last six months or ≥ 3 infections during the last year)
  • Acute urinary tract infection defined as positive urine culture and symptoms of acute cystitis
  • Previous or current diseases of the digestive and/or urinary systems evaluated by PI (including, but not limited to inflammatory bowel disease (IBD) and cancer)
  • Current or prior suffering from breast, ovary, and/or endometrial cancer
  • Use hormone spiral within the last 5 years if they are under 60 years
  • Hysterectomy before cessation of menstrual periods if the women are below the age of 60
Terms in these criteria, in plain language(1)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Postmenopausal

Periods have stopped for good: usually no period for 12 months in a row without another medical reason, sometimes confirmed by a blood test (FSH).

05

Study design

Phase
Not applicable
Primary purpose
Basic science
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Quadruple (Participant, Care provider, Investigator, Outcomes assessor)
Enrollment
108 participants (actual)

Study arms

  • Experimental
    Symptomatic RCE

    Bladder symptomatic group receiving red clover extract containing the two isoflavones formononetin and biochanin A. Isoflavone amount is 57.45 mg isoflavones daily (55.84 mg aglycones daily), in 70 ml red clover extract (35 ml twice daily, morning and evening with a meal)

    Dietary Supplement: Red Clover Extract (RCE)

  • Experimental
    Healthy RCE

    Healthy group without bladder symptoms receiving red clover extract containing the two isoflavones formononetin and biochanin A. Isoflavone amount is 57.45 mg isoflavones daily (55.84 mg aglycones daily), in 70 ml red clover extract (35 ml twice daily, morning and evening with a meal)

    Dietary Supplement: Red Clover Extract (RCE)

  • Placebo comparator
    Symptomatic PL

    Bladder symptomatic group receiving placebo

    Other: Placebo (PL)

  • Placebo comparator
    Healthy PL

    Healthy group without bladder symptoms receiving placebo

    Other: Placebo (PL)

Interventions

  • Dietary supplementRed Clover Extract (RCE)

    Red clover extract containing isoflavones Formononetin and biochanin A together with a heterogenous culture of probiotic lactic acid bacteria, and a natural sugar free raspberry/orange flavor. Isoflavone amount is 57.45 mg isoflavones daily (55.84 mg aglycones daily), in 70 ml red clover extract (35 ml twice daily, morning and evening together with a meal)

  • OtherPlacebo (PL)

    Placebo containing water, brown coloring, and natural sugar free raspberry/orange flavor.

06

What researchers measure

Primary outcomes

  1. Change from baseline microbiota composition in women suffering from UUI and OAB at three months follow-up

    The microbiota composition is analyzed using sequencing of bacterial DNA. We are investigating the urinary, vaginal and gut microbiota. In women with urge urinary incontinence (UUI) and overactive bladder (OAB) receiving RCE (symptomatic RCE), a possible change in the urinary, vaginal and fecal microbiota composition from baseline to three month follow-up, compared to controls receiving placebo (symptomatic PL) are investigated. Symptomatic RCE from baseline to follow-up vs. Symptomatic PL from baseline to follow-up

    Time frame: From baseline to three months follow-up

  2. Change in baseline microbiota composition at three months follow-up

    The microbiota composition is analyzed using sequencing of bacterial DNA. Comparison of healthy women without bladder symptoms receiving RCE (healthy RCE) at baseline to three months follow-up compared to controls (healthy PL) from baseline to follow-up. Healthy RCE from baseline to follow-up vs. Healthy PL from baseline to follow-up

    Time frame: From baseline to three months follow-up

  3. Difference in baseline microbiota composition between women with and without UUI and OAB

    The microbiota composition is analyzed using sequencing of bacterial DNA. Is there a difference in the urinary, vaginal and gut microbiota in women with and without urge urinary incontinence (UUI) and overactive bladder (OAB) at baseline? Symptomatic PL baseline vs. Healthy PL baseline

    Time frame: Baseline

Secondary outcomes

  1. Comparison of the urinary, vaginal, and fecal microbiota

    The microbiota composition is analyzed using sequencing of bacterial DNA. This composition is evaluated using alpha-diversity (measured based on number of unique bacteria as well as Shannon diversity and phylogenic diversity) and beta-diversity, as indicated by unifrac distance and bray-Curtis dissimilarity. Comparison of the urinary, vaginal, and fecal microbiota composition at baseline. All the different compartments are measured using the same Units of Measure. Healthy PL baseline urinary vs. Healthy PL baseline vaginal vs. Healthy PL baseline gut

    Time frame: Baseline

  2. Change in overactive bladder symptoms from baseline in women suffering from UUI and OAB at three months follow-up

    Overactive bladder symptoms are measured using the questionnaire International Consultation on Incontinence Questionnaire (ICIQ) Overactive Bladder (ICIQ-OAB). Comparison of symptom scores in women with UUI and OAB before and after treatment with RCE compared to placebo. Symptomatic RCE from baseline to follow-up vs. Symptomatic PL from baseline to follow-up

    Time frame: From baseline to three months follow-up

  3. Change in urinary incontinence symptoms from baseline in women suffering from UUI and OAB at three months follow-up

    Urinary incontinence symptoms are measured using the questionnaire International Consultation on Incontinence Questionnaire (ICIQ) Urinary Incontinence Short Form (ICIQ-UI-SF). Comparison of symptom scores in women with UUI and OAB before and after treatment with RCE compared to placebo. Symptomatic RCE from baseline to follow-up vs. Symptomatic PL from baseline to follow-up

    Time frame: From baseline to three months follow-up

  4. Change in blood estrogen levels from baseline to three months follow-up

    Blood estrogen levels are measured from serum blood samples. Blood samples are taken at baseline before RCE and PL intake and after three months treatment.

    Time frame: From baseline to three months follow-up

  5. Change in blood isoflavone levels from baseline to three months follow-up

    Blood isoflavone levels are measured in ng/mL from plasma blood samples. Blood samples are taken at baseline before RCE and PL intake and after three months treatment.

    Time frame: From baseline to three months follow-up

  6. Change in blood equol levels from baseline to three months follow-up

    Blood equol levels are measured in nmol/L from plasma blood samples. Blood samples are taken at baseline before RCE and PL intake and after three months treatment.

    Time frame: From baseline to three months follow-up

  7. Change in gastrointestinal symptoms from baseline to three months follow-up

    Gastrointestinal symptoms are measured using Rom IV criteria before and after RCE and PL intake.

    Time frame: From baseline to three months follow-up

  8. Change in Irritable Bowel Syndrome Severity Score Scale from baseline to three months follow-up

    Gastrointestinal symptoms are measured using the Irritable Bowel Syndrome Severity Score Scale before and after RCE and PL intake.

    Time frame: From baseline to three months follow-up

  9. Change in Gastrointestinal Symptom Rating Scale from baseline to three months follow-up

    Gastrointestinal symptoms are measured using the Gastrointestinal Symptom Rating Scale before and after RCE and PL intake.

    Time frame: From baseline to three months follow-up

07

Study locations

1 site
  • North Denmark Regional Hospital (Vendsyssel Hospital)
    Hjørring, 9800, Denmark
08

References and documents

Individual participant data

Plan to share: Yes — Individual deidentified participant data will be shared upon article publication. Microbiome data (DNA sequences) will be uploaded to the Sequence Read Archive (SRA) at the National Center for Biotechnology Information (NCBI).

Time frame: Data will become available upon article publication at NCBI.

Access criteria: All will have access to the microbiome data

No publications or documents are linked to this record.

09

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Ran from Jul 2019 to primary completion in Oct 2021, 27 months.

Of 47 non-industry interventional studies with no phase under Urinary Incontinence, Urge, half reached primary completion within 23 months of starting (the median), counting those still running; a quarter within 11 and three quarters within 43. This study's 27 months is above that.

Counting every sponsor, half of 77 studies reached it within 20 months; a quarter within 10 and three quarters within 41.

How these figures are worked out, and which studies are left out of them.

Registered
Aug 3, 2021
First posted
Aug 19, 2021
StartActual
Jul 15, 2019
Primary completionActual
Oct 20, 2021
CompletionActual
Oct 20, 2021
Last update
Apr 26, 2023
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Apr 26, 2023, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT05013593
Lead sponsor
Regionshospital Nordjylland
Responsible party
Annemarie Brusen Villadsen (Ph.D. student, Regionshospital Nordjylland) — Principal investigator
First posted
Aug 19, 2021
Start date
Jul 15, 2019
Primary completion
Oct 20, 2021
Completion
Oct 20, 2021
Last update
Apr 26, 2023

Study contacts

Annemarie B Villadsen
principal investigator · Regionshospital Nordjylland

Oversight

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

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