ClinicalTrials.gg
CompletedNCT05811377Updated Jul 10, 2026Results posted

Phenotyping Interstitial Cystitis/Bladder Pain Syndrome (IC/BPS) by Intravesical Contrast Enhanced - Magnetic Resonance Imaging (ICE-MRI) Bladder Permeability Assay

An observational study in IC - Interstitial Cystitis, sponsored by Christopher J Chermansky, MD. Completed at 1 site in United States. Open to participants aged 18 Years to 80 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2026-07-10.

Sponsored by Christopher J Chermansky, MD · Observational

Study type
Observational
Model
Case-only
Time perspective
Prospective
Enrollment
7
Ages
18 Years to 80 Years
Sex
All
01

Study summary

Each participant will be asked to participate in this research study which distinguishes different types of Interstitial Cystitis/Bladder Pain Syndrome. Research studies include only people who wish to participate. The study team members will explain the study to each participant, and all questions about the study will be answered. Each participant will be given adequate time when deciding to participate in this study. Should the participant consent to participate, then the participant will agree to undergo have a single Magnetic Resonance Imaging (MRI) test that involves the use of radio waves and a powerful magnet which are linked to a computer that looks at the bladder. The MRI test is being performed to see if the bladder is leaky, which would suggest Interstitial Cystitis (IC). The MRI test involves placing Gadobutrol and Ferumoxytol into the bladder using a sterile catheter, a small hollow tube through which fluids pass. Preliminary data suggests that IC patients with Hunners lesions have increased Gadobutrol in the bladder wall lining.

Read the detailed description

Visit 1 and Visit 2 (for cystoscopy if not recently performed): Potential subjects seen in the clinic as part of routine clinical care that meet inclusion and exclusion criteria will only participate in the study. Urine pregnancy test (if childbearing potential) and dip Urinalysis (UA) test (to screen for UTI) will be done on visit 1. Many of the patients screened for this study will have already had cystoscopy performed within the last 6 months as this is done to determine if patients have either Hunners lesion IC (HIC) or non-Hunners lesion IC (NHIC). Patients who have had a recent cystoscopy won't need repeat cystoscopy done during a second visit; however, if no cystoscopy has been performed within the past 6 months, cystoscopy will be performed on a second visit within 2-4 weeks of visit 1. Dip UA test (to screen for UTI) will be done on visit 2 prior to cystoscopy for those participants who have not had cystoscopy within the last 6 months. Asymptomatic control patients will need cystoscopy during visit 2 if no prior cystoscopy has been performed within the past 6 months. Thus, all participants will submit to visit 1 for screening and signing of informed consent. Visit 2 for cystoscopy will only be necessary for those patients who have not had cystoscopy performed within 6 months of completing informed consent on visit 1.

02

Conditions studied

  • IC - Interstitial Cystitis

Keywords

  • IC - Interstitial Cystitis
  • Hunners Lesion
03

In context

Cystitis, Interstitial

236 studies on the registry are indexed under Cystitis, Interstitial; 35 are open to participants now.

This study's enrollment of 7 is below the median of 100 across 63 observational studies indexed under Cystitis, Interstitial.

Browse Cystitis, Interstitial studies →

Lead sponsor

Christopher J Chermansky, MD 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.

04

Who can participate

Ages eligible
18 Years to 80 Years
Sexes eligible
All
Accepts healthy volunteers
Yes
Sampling method
Non-probability sample

Study population

18-80 years old subjects from both genders and an IC/BPS diagnosis with a cystoscopic finding of Hunner lesions or absence

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

18-80 years old subjects from both genders and an IC/BPS diagnosis with a cystoscopic finding of Hunner lesions or absence and also have the following:

  1. Pain (suprapubic, pelvic, urethral, vaginal or perineal) associated with bladder storage symptoms and pain on bladder filling that is relieved upon emptying
  2. Urgency or nocturia (average of >1 nocturnal void over 3 consecutive days on bladder diary). The O'Leary-Sant Interstitial cystitis symptom index (ICSI) and Interstitial cystitis problem index (ICPI) are valid and reliable measures of IC/BPS symptoms, and only IC/BPS patients with scores of ICSI of > 9 and an ICPI > 8 will be recruited.

Age matched controls with no abnormal cystoscopic findings and with no bladder storage symptoms will be recruited.

Exclusion criteria

Exclusion Criteria:

  1. Patients with urinary incontinence, suspicion for UTI on urine dipstick, history of recurrent UTIs, or history of spinal cord injury. Notwithstanding the fact that chronic bladder inflammation of IC/BPS patients evokes higher bladder permeability to instilled radiolabeled sodium chloride than acute inflammation of UTI patients, the investigators plan to exclude patients with UTIs as a confounding factor to rigorously establish the link between Hunner lesion and bladder permeability.
  2. Patients with current diagnosis or previous history of urologic , prior bladder augmentation surgery, pelvic radiation, serum creatinine >1.5mg/dl, diabetes mellitus, untreated hypertension, and proteinuria.
  3. Participants in whom magnetic resonance imaging (MRI) is including, but not limited to, those with a pacemaker, presence of metallic fragments near the eyes or spinal cord, or cochlear implant, any other implanted MRI non-compatible device of any type (cardiac pacemaker, sacral neuromodulation device, and shunt)
  4. Patients who are claustrophobic, cannot sign , or have a past allergic reaction to either Gadobutrol or Ferumoxytol and any history of allergic reaction to any intravenous iron product.
  5. Women of child-bearing age who are pregnant or plan to become pregnant (urine pregnancy test will be performed for premenopausal women with no history of prior hysterectomy)
  6. Patients who cannot safely refrain from taking any analgesics or steroidal/non-steroidal anti-inflammatory or drugs for one week preceding the MRI to avoid any confounding effect of anti-inflammatory drugs on bladder permeability.
  7. Any patient with a history of allergic reaction to any intravenous iron product.
Terms in these criteria, in plain language(4)

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.

Cancer (malignancy)

Malignancy means cancer. Criteria about another or earlier malignancy ask whether you have had a different cancer, usually within a set number of years.

Some are commonly allowed, such as treated skin cancers other than melanoma and early cancers removed completely — check the exceptions this study lists.

Contraindication

A reason a treatment, test or procedure should not be given to a particular person, such as an allergy, another illness or a medicine they take.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

Immunosuppression

A weakened immune system. It can come from an illness, such as HIV or some blood cancers, or from medicines that turn the immune system down, for example after an organ transplant or for an autoimmune disease; steroids at higher doses count.

Read whether the line is about a condition or about medicines, and which medicines and doses it means.

05

Study design

Observational model
Case-only
Time perspective
Prospective
Enrollment
7 participants (actual)
Patient registry
No

Groups and cohorts

  • Non-Hunner IC

    Participants without a Hunner lesion on cystoscopy prior to ICE-MRI

    Diagnostic Test: Ferumoxytol · Diagnostic Test: Gadobutrol

  • Hunner IC

    Participants with a Hunner lesion on cystoscopy prior to ICE-MRI

    Diagnostic Test: Ferumoxytol · Diagnostic Test: Gadobutrol

Interventions

  • Diagnostic testFerumoxytol

    After fully emptying the bladder with a catheter, 0.1mM Ferumoxytol combined with Gadobutrol 20mM will be instilled into the bladder through the catheter. The catheter will be plugged, and the patient will submit to an MRI scan of the bladder. After the MRI is completed, the Ferumoxytol will be drained through the catheter and the catheter will be removed.

    Also known as: Feraheme

  • Diagnostic testGadobutrol

    After fully emptying the bladder with a catheter, 20mM Gadobutrol (combined with Ferumoxytol) will be instilled into the bladder through the catheter. The catheter will be plugged, and the patient will submit to a MRI scan of the bladder. After the MRI is completed, the Gadobutrol will be drained through the catheter and the catheter will be removed.

    Also known as: Gadavist

06

What researchers measure

Primary outcomes

  1. Bladder Permeability

    Changes in bladder permeability were demonstrated by increased or decreased absorption of the contrast- Gadobutrol. This was measured in artificial units through signal intensity. Increased absorption was shown with brighter color in the bladder wall (associated with higher artificial unit values), while less absorption was demonstrated with darker color (associated with lower artificial unit values). Elevated absorption of instilled Gadobutrol into bladder wall was assessed with the darker appearance of the bladder center.

    Time frame: 12 min image post-contrast

07

Results

Posted Jul 10, 2026

Participant flow

The study team was unable to recruit any asymptomatic control participants.

Participant flow — Overall Study
MilestoneNon-Hunner ICHunner IC
Started52
Completed52
Not completed00

Outcome measures

PrimaryBladder Permeability

Changes in bladder permeability were demonstrated by increased or decreased absorption of the contrast- Gadobutrol. This was measured in artificial units through signal intensity. Increased absorption was shown with brighter color in the bladder wall (associated with higher artificial unit values), while less absorption was demonstrated with darker color (associated with lower artificial unit values). Elevated absorption of instilled Gadobutrol into bladder wall was assessed with the darker appearance of the bladder center.

Time frame:
12 min image post-contrast
Reported as:
Mean · artificial units
Bladder Permeability
artificial unitsNon-Hunner ICHunner IC
Bladder Permeability202.28 ± 11.958144.25 ± 7.40
Statistical analysis
  • Non-Hunner IC vs Hunner IC · t-test, 2 sided · p = <0.05 · Mean difference (net): 58.3 · 95% CI 31.58 to 84.47

Adverse events

Collected over 24 hours after MRI test. Non-serious events are listed at a 5% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
Non-Hunner IC0/5 (0%)0/5 (0%)0/5 (0%)
Hunner IC0/2 (0%)0/2 (0%)0/2 (0%)

Baseline characteristics

Age, Continuous
Age, Continuous(years)Non Hunner ICParticipants With Hunner LesionTotal
Mean51.2 ± 20.7559.5 ± 13.4356.75 ± 16.61
Sex: Female, Male
Sex: Female, Male(Participants)Non Hunner ICParticipants With Hunner LesionTotal
Female527
Male000
Ethnicity (NIH/OMB)
Ethnicity (NIH/OMB)(Participants)Non Hunner ICParticipants With Hunner LesionTotal
Hispanic or Latino000
Not Hispanic or Latino527
Unknown or Not Reported000
Race (NIH/OMB)
Race (NIH/OMB)(Participants)Non Hunner ICParticipants With Hunner LesionTotal
American Indian or Alaska Native000
Asian000
Native Hawaiian or Other Pacific Islander000
Black or African American000
White527
More than one race000
Unknown or Not Reported000
Region of Enrollment
Region of Enrollment(participants)Non Hunner ICParticipants With Hunner LesionTotal
United States527
08

Study locations

1 site
  • UPMC Magee Women's Hospital
    Pittsburgh, Pennsylvania 15213, United States
09

References and documents

Publications

  • Tyagi P, Janicki J, Moon CH, Kaufman J, Chermansky C. Novel contrast mixture achieves contrast resolution of human bladder wall suitable for T1 mapping: applications in interstitial cystitis and beyond. Int Urol Nephrol. 2018 Mar;50(3):401-409. doi: 10.1007/s11255-018-1794-0. Epub 2018 Feb 1. PubMed 29392488 ↗
  • Tyagi P, Moon CH, Janicki J, Kaufman J, Chancellor M, Yoshimura N, Chermansky C. Recent advances in imaging and understanding interstitial cystitis. F1000Res. 2018 Nov 9;7:F1000 Faculty Rev-1771. doi: 10.12688/f1000research.16096.1. eCollection 2018. PubMed 30473772 ↗

Study documents

PDFs hosted by the registry, ClinicalTrials.gov.

Individual participant data

Plan to share: No

10

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 Mar 2023 to primary completion in Feb 2025, 22 months.

Results were first posted in Jul 2026, 1 year 5 months after primary completion.

Of 21 observational studies under Cystitis, Interstitial, half reached primary completion within 21 months of starting (the median), counting those still running; a quarter within 8 and three quarters within 69. This study's 22 months is close to that.

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

Registered
Nov 2, 2022
First posted
Apr 13, 2023
StartActual
Mar 29, 2023
Primary completionActual
Feb 7, 2025
CompletionActual
May 20, 2025
Results first posted
Jul 10, 2026
Last update
Jul 10, 2026
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 Jul 10, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
11

Registry details

Key details

Study ID
NCT05811377
Lead sponsor
Christopher J Chermansky, MD
Responsible party
Christopher J Chermansky, MD (Chief of Urology, Magee Womens Hospital, University of Pittsburgh) — Sponsor-investigator
First posted
Apr 13, 2023
Start date
Mar 29, 2023
Primary completion
Feb 7, 2025
Completion
May 20, 2025
Results posted
Jul 10, 2026
Last update
Jul 10, 2026

Study contacts

Christopher Chermansky, MD
principal investigator · University of Pittsburgh

Oversight

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

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This study is completed, as verified in Jul 2026. You cannot join it, but the record below documents what was studied.

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