ClinicalTrials.gg
RecruitingNCT05591742Updated Feb 5, 2024

Bacterial Composition and Recurrent Cystitis in Postmenopausal Women After Treatment With Lactobacilli.

An interventional study of FEMIDUR® and Placebo Z Cap V-3 Pla in Cystitis Recurrent and Lactobacillus Infection, sponsored by Aalborg University Hospital. Recruiting at 1 site in Denmark. Open to female participants aged 50 Years and older, including healthy volunteers. Per ClinicalTrials.gov, last updated 2024-02-05.

Sponsored by Aalborg University Hospital · Not applicable, Interventional, and Treatment

From the registry’s dates

  • Primary completion was expected by Oct 2024, 2 years 1 month ago, but the record still lists the study as recruiting.
  • Registered 1 year after the study started (first participant enrolled Oct 2021, registered Oct 2022).
  • Started Oct 2021; still recruiting 5 years 1 month later.
Phase
Not applicable
Study type
Interventional
Enrollment
100
Allocation
Randomized
Ages
50 Years and older
Sex
Female
01

Study summary

The goal of this clinical trial is to learn about the effect on the bacterial composition in the microbiome (the body's own bacteria) of urine, vagina and faeces after treatment with lactobacilli (lactobacilli's are a part of the microbiome), and its influence on repeated cystitis in postmenopausal women.

The main questions it aims to answer are:

  • Does treatment with lactobacilli change the composition of the urine microbiome in postmenopausal women?
  • Does treatment with lactobacilli prevent repeated cystitis in postmenopausal women?

Participants will be followed for 6 months. They will for 3 months receive a look-alike substance that contains no active drug and for the other 3 months tablets with lactobacilli. A computer program will decide what treatment the participant will begin with, and after 3 months she will be receiving the tablets, she did not get first. This way all participants receive both type of tablets and can be their own control. What type of tablet the participants is taking is unknown to both clinical staff and participants.

The participants will come to the hospital for start-up, and every 1,5 moths for the next 6 months.

They deliver

  • faeces sample
  • urine tests
  • vaginal swab

each time they are seen.

When entering the study, they also complete health care questions on medication, earlier surgery, alcohol, tobacco, childbirths, weight, height etc. They make a drinking and voiding diary 3 times over the 6 months.

When the study is over, alle the samples of faeces, urine and the vaginal swab will undergo analyzation for the bacterial composition in the microbiome, and differences in the microbiome when taking lactobacilli or not will be examined. The urine sample is controlled for bacteria known to give cystitis, and the influence on repeated cystitis will also be examined.

02

Conditions studied

  • Cystitis Recurrent
  • Lactobacillus Infection

Browse trials for

03

In context

Cystitis

69 studies on the registry are indexed under Cystitis; 17 are open to participants now.

This study's planned enrollment of 100 is below the median of 112 across 50 interventional studies indexed under Cystitis.

Browse Cystitis studies →

Lead sponsor

Aalborg University Hospital is the lead sponsor of 198 studies on the registry; 41 are open to participants now.

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

04

Who can participate

Ages eligible
50 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

  • women
  • if hysterectomy before menopause, then age of >60 years
  • verified diagnose of recurrent cystitis. (two in 6 months or 3 in a year, verified by cultivation)
  • able to speak and write Danish

Exclusion criteria

Exclusion Criteria:

  • vaginal prolapse with symptoms
  • residual urine over 150 ml
  • bladder diseases
  • profylactic antibiotics
  • probiotics
  • bladder cancer
  • genital cancer.
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
Treatment
Allocation
Randomized
Intervention model
Crossover assignment
Masking
Quadruple (Participant, Care provider, Investigator, Outcomes assessor)
Enrollment
100 participants (estimated)

Study arms

  • Placebo comparator
    placebo

    As it is blinded, no one knows which arm participants enter. After 3 months the other arm is entered.

    Other: Placebo Z Cap V-3 Pla

  • Active comparator
    Femidur

    As it is blinded, no one knows which arm participants enter. After 3 months the other arm is entered.

    Dietary Supplement: FEMIDUR®

Interventions

  • Dietary supplementFEMIDUR®

    Femidur® consist of 2 vaginal lactobacillis; Lactobacillus rhamnosus GR-1® and Lactobacillus reuteri RC-14®. One tablet a day. Placebo Z Cap V-3 Pla; mainly maltodextrin

  • OtherPlacebo Z Cap V-3 Pla

    Consist mainly of maltodextrin. One tablet a day.

06

What researchers measure

Primary outcomes

  1. The change in the urine microbiome among postmenopausal women when treated with lactobacillis

    The micobiom will be analysed by 16s rRNA sequencing.

    Time frame: after study completion, an average of 1.5 year

  2. The change in the urine microbiome among postmenopausal women when treated with lactobacillis

    Operational taxonomic unit (OTU) richness

    Time frame: after study completion, an average of 1.5 year

  3. The change in the urine microbiome among postmenopausal women when treated with lactobacillis

    Shannon Index, as expression for the alpha diversity

    Time frame: after study completion, an average of 1.5 year

  4. The change in the urine microbiome among postmenopausal women when treated with lactobacillis

    Beta diversity by means of PCA plots

    Time frame: after study completion, an average of 1.5 year

Secondary outcomes

  1. episodes of UTI

    in numbers over time.

    Time frame: after study completion, an average of 2 months

  2. changes in vaginal micobiome

    The micobiom will be analysed by 16s rRNA sequencing.

    Time frame: after study completion, an average of 1.5 year

  3. changes in vaginal micobiome

    Operational taxonomic unit (OTU) richness

    Time frame: after study completion, an average of 1.5 year

  4. changes in vaginal micobiome

    Shannon Index, as expression for the alpha diversity

    Time frame: after study completion, an average of 1.5 year

  5. changes in vaginal micobiome

    Beta diversity by means of PCA plots

    Time frame: after study completion, an average of 1.5 year

  6. Changes in fecal microbiome

    The micobiom will be analysed by 16s rRNA sequencing.

    Time frame: after study completion, an average of 1.5 year

  7. Changes in fecal microbiome

    Operational taxonomic unit (OTU) richness

    Time frame: after study completion, an average of 1.5 year

  8. Changes in fecal microbiome

    Shannon Index, as expression for the alpha diversity

    Time frame: after study completion, an average of 1.5 year

  9. Changes in fecal microbiome

    Beta diversity by means of PCA plots

    Time frame: after study completion, an average of 1.5 year

07

Study locations

1 of 1 sites recruiting
  • AalborgH
    Aalborg, Region Nord 9000, Denmark
    Recruiting
    • Caroline Juhl, SR · Contactc.juhl@rn.dk · 30287929
    • Louise TS Arenholt, Consultant · ContactItsa@rn.dk
08

References and documents

Study documents

PDFs hosted by the registry, ClinicalTrials.gov.

Individual participant data

Plan to share: No

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Feb 5, 2024, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT05591742
Collaborators
Aalborg University
Responsible party
Caroline S Juhl (Senior registrar, Aalborg University Hospital) — Principal investigator
First posted
Oct 24, 2022
Start date
Oct 1, 2021
Primary completion
Oct 1, 2024 (estimated)
Completion
Oct 1, 2025 (estimated)
Last update
Feb 5, 2024

Study contacts

Caroline S Juhl, SR
Contact
c.juhl@rn.dk
0045 30287929
Louise TS Arenholt, Consultant
Contact
ltsa@rn.dk
Caroline S Juhl
principal investigator · Aalborg University Hospital

Oversight

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

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