CClinicalTrials.gg
CompletedNCT05376670INSTILMENTUpdated Mar 8, 2023

Patient Satisfaction and Long-term Safety of Intravesical Aminoglycoside Instillations in UTI Prevention

An observational study in Urinary Tract Infections and Recurrent Urinary Tract Infection, sponsored by Leiden University Medical Center. Completed at 1 site in Netherlands. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2023-03-08.

Sponsored by Leiden University Medical Center · Observational

Study type
Observational
Model
Other
Time perspective
Other
Enrollment
44
Ages
18 Years and older
Sex
All
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Study summary

Antimicrobial prophylactic treatment of recurrent UTI is limited by emerging resistance, antibiotic allergies and intolerances. Intravesical aminoglycoside instillations (IAI) have been shown to reduce recurrence rate, without a short-term decline in kidney function or hearing. Thus far, treatment satisfaction has not yet been assessed, while this may play an important role in treatment adherence and persistence. Moreover, there is no data on the long-term safety of IAI, e.g. regarding the development of (pre)malignant bladder lesions.

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Conditions studied

  • Urinary Tract Infections
  • Recurrent Urinary Tract Infection

Keywords

  • Intravesical treatment
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In context

Infections

6,687 studies on the registry are indexed under Infections; 807 are open to participants now.

This study's enrollment of 44 is below the median of 240 across 2,136 observational studies indexed under Infections.

Browse Infections studies →

Lead sponsor

Leiden University Medical Center is the lead sponsor of 326 studies on the registry; 106 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 and older
Sexes eligible
All
Sampling method
Non-probability sample

Study population

The study population will include adult male and female patients receiving IAI for recurrent UTI at the infectious diseases outpatient clinic of the Leiden University Medical Centre. A proportion of study participants will have urological and/or neurological comorbidities and a history of other prophylactic treatments for recurrent UTI.

Inclusion criteria

  • Age ≥ 18 years
  • Currently receiving or having received (no minimal duration) continuous or post-coital IAI (gentamicin, tobramycin or amikacin) for recurrent UTI prophylaxis and treatment

Exclusion criteria

Exclusion Criteria:

  • Exclusively receiving IAI for 'on-demand' treatment of UTI and not prophylactic purposes
  • Receiving IAI as suppressive therapy for chronic prostatitis
  • Presence of a chronic indwelling catheter
  • Patient has objected to the use of his/her data
  • Inability to provide informed consent
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Study design

Observational model
Other
Time perspective
Other
Enrollment
44 participants (actual)
Patient registry
No

Interventions

  • DrugIntravesical aminoglycoside instillations

    Overnight instillation of an aminoglycoside (CIC), varying treatment regimens

    Also known as: Intravesical gentamicin, tobramycin or amikacin

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What researchers measure

Primary outcomes

  1. Treatment satisfaction regarding intravesical aminoglycoside instillations (IAI)

    Measured with Treatment Satisfaction Questionnaire for Medication version II (TSQM-II), value ranging from 0 to 100 (with a score of 100 indicating the highest treatment satisfaction)

    Time frame: 1 year

Secondary outcomes

  1. Time to first UTI recurrence after initiation of IAI

    Time frame: First 6 months of IAI

  2. Number of UTI recurrences

    Time frame: First 6 months of IAI

  3. Number of UTI recurrences that are treated with IAI alone (no systemic antimicrobial therapy)

    Time frame: First 6 months of IAI

  4. Number of patients that wish to (dis)continue IAI

    Time frame: 6 months after initiation of IAI

  5. Proportion of patients that have a UTI episode caused by the same MDRO uropathogen as before start of IAI

    Time frame: 6 months after initiation of IAI

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Study locations

1 site
  • Leiden University Medical Center
    Leiden, South Holland 2333 ZA, Netherlands
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References and documents

Individual participant data

Plan to share: Undecided

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 Mar 8, 2023, 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
NCT05376670
Lead sponsor
Leiden University Medical Center
Responsible party
Manu Bilsen, MD (MD, PhD student, Department of Infectious Diseases, Principle Investigator, Leiden University Medical Center) — Principal investigator
First posted
May 17, 2022
Start date
Apr 20, 2022
Primary completion
Mar 7, 2023
Completion
Mar 7, 2023
Last update
Mar 8, 2023

Study contacts

Manu Bilsen, MD
principal investigator · Leiden University Medical Center

Oversight

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

Not currently enrolling

This study is completed, as verified in Mar 2023. You cannot join it, but the record below documents what was studied.

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