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CompletedNCT05945667Updated Jul 27, 2023

Efficacy and Safety of Uronext® in Women With Cystitis

An interventional study of Monural and UroNext in Cystitis, sponsored by PharmaLinea Ltd.. Completed at 1 site in Russian Federation. Open to female participants aged 18 Years to 80 Years. Per ClinicalTrials.gov, last updated 2023-07-27.

Sponsored by PharmaLinea Ltd. · Not applicable, Interventional, and Other

From the registry’s dates

  • Registered 2 years after the study started (first participant enrolled Jun 2021, registered Jul 2023).
Phase
Not applicable
Study type
Interventional
Enrollment
111
Allocation
Randomized
Ages
18 Years to 80 Years
Sex
Female
01

Study summary

The study is designed as a prospective parallel open label, two-arm, single center study exploring efficacy and safety of the use of the dietary supplement Uronext in women with cystitis in the acute stage. 120 otherwise healthy women with acute cystitis infection confirmed with the urine bacteriological examinations, aged 18-18 years, will be recruited. The distribution of patients will be done in 1:1 ratio. Control group will receive standard therapy, Monural (fosfomycin trometamol) 3 g, at the first day of the trial. The second group will also receive Monural (fosfomycin trometamol) 3 g, at the first day of the trial as well as Uronext food supplement, 1 time per day for the first 7 days. After the 7 day break, participants in the second group will follow supplementation scheme for the next 3 month.

Primary objective of the study is evaluation of the effectiveness of the dietary supplement Uronext in women with cystitis in the acute stage in the prevention of subsequent exacerbations of recurrent cystitis during 3 months of observation, measured as the number of relapses throughout the study period. Participnats will also fill in urination diary and questionnaires related to pain perception, quality of life and cystitis symptoms. Urine samples will be further examined at the follow up visits.

Safety will be evaluated based on reported adverse events, assessment of vital signs and laboratory evaluation.

02

Conditions studied

  • Cystitis

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03

In context

Cystitis

235 studies on the registry are indexed under Cystitis; 22 are open to participants now.

This study's enrollment of 111 is above the median of 60 across 170 interventional studies indexed under Cystitis.

Browse Cystitis studies →

Lead sponsor

PharmaLinea Ltd. 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
Female
Accepts healthy volunteers
No

Inclusion criteria

  • Women between the ages of 18 and 80.
  • Patients who are able to fill out questionnaires, and wish to take part in the study.
  • Cystitis in the acute stage.
  • Informed consent to participate in the study.
  • The patient's willingness and ability to fulfill the requirements of the protocol throughout the study.
  • Consent of the patient and partner with preserved reproductive potential to use adequate methods of contraception (for example, a double barrier method) during the entire period of the study (including the period of follow-up).
  • The presence of the gynecologist's conclusion obtained within 6 months before the patient's participation in the study about the absence of concomitant pathologies that can distort the results of the study.
  • The presence of the results of bacteriological urine tests obtained within 7-10 days before the patient's participation in the study, pathogens of infections of the lower urinary tract. If the results of urine bacteriological examinations are not available, the results of urine culture tests performed at Visit 1 will be taken into account.

Exclusion criteria

Exclusion Criteria:

  • Patients with signs of upper urinary tract infection, such as temperature above 38°C, side/lower back pain, or soreness.
  • Burdened allergic history.
  • Hypersensitivity to any of the components that make up the investigational drugs.
  • Patients with congenital anomalies in the development of genitourinary organs (exstrophy of the bladder, hypospadias, epispadias).
  • Patients after undergoing surgical interventions on the organs of the genitourinary system.
  • Patients who at the time of inclusion in the study noted: neurogenic dysfunction of the bladder, urinary incontinence, sclerosis of the neck of the bladder, urethral stricture, stone / stones of the bladder, bladder cancer, diverticula of the bladder, as well as other diseases of the genitourinary organs requiring specialized treatment.
  • Any malignant neoplasm in the anamnesis.
  • Unsatisfactory glycemic control (HbA1c ≥8%) in diabetes mellitus.
  • Patients with uncontrolled infection as a result of exposure to human immunodeficiency virus (HIV) and/or active hepatitis.
  • Patients with a history of drug or alcohol dependence within the last 5 years.
  • Any clinically significant condition due to which, according to the researcher, the patient cannot take part in the study;
  • Pregnancy, lactation, pregnancy planning during the study.
  • Patients with any other serious or uncontrollable physical or mental condition/disease that the Researcher determines may put the patient at high risk of being removed from the study may disrupt or disprove the results of the study or likely prevent the patient from complying with the requirements of the study or completing the study.
  • Participation in another clinical trial less than 6 months before the start of the study.
  • Any other conditions that the researcher believes may indicate that the patient is not eligible to participate in the study.
05

Study design

Phase
Not applicable
Primary purpose
Other
Allocation
Randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
111 participants (actual)

Study arms

  • Active comparator
    Monural

    3000 mg of fosfomycin trometamol per sachet

    Drug: Monural

  • Experimental
    UroNext + Monural

    3000 mg of fosfomycin trometamol per sachet 500 mg of Qcran, 2000 mg of D-mannose, 5 mcg of vitamin D3 per sachet

    Drug: Monural · Dietary Supplement: UroNext

Interventions

  • DrugMonural

    1 sachet, only 1st day of trial

  • Dietary supplementUroNext

    1 sachet per day for the first 7 days, followed by 7 days break Same scheme to be repeated for 3 months

06

What researchers measure

Primary outcomes

  1. Cystitis relapses

    Proportion of patients who did not have relapses of the disease at Visit 3

    Time frame: 3 months

Secondary outcomes

  1. Pain intensity on the 100 mm Visual Analog Scale

    The sum of the difference in pain intensity on the 100 mm Visual Analog Scale. 0 indicates that the pain isn't bothering, 100 indicates strongly bothering pain.

    Time frame: 3 days

  2. Urinary urge severity on the 100 mm Visual Analog Scale

    Urinary urge severity on a 100-mm visual analog scale after initiation of study therapy. 0 indicates that the urinary urge isn't bothering, 100 indicates strongly bothering urinary urge.

    Time frame: 6, 24, 48, and 72 hours

  3. Urinary frequency severity on the 100 mm Visual Analog Scale

    Urinary frequency severity on a 100-mm scale after initiation of study therapy. 0 indicates that the urinary frequency isn't bothering, 100 indicates strongly bothering urinary frequency.

    Time frame: 6, 24, 48, and 72 hours

  4. Recurrence rate

    Recurrence rate between Visit 1 and Visit 3

    Time frame: 3 months

  5. Urination frequency

    Urination frequency based on the Urination Diary on Days 1, 2, and 3 of observation.

    Time frame: 3 days

  6. Average urine volume

    Average urine volume based on the Urination Diary on Days 1, 2, and 3 of observation.

    Time frame: 3 days

  7. Microorganism growth in urine culture

    Proportion of patients with no microorganism growth in urine culture at Visit 2 and 3

    Time frame: 3 months

  8. Acute Cystitis Symptom Score Questionnaire - Typical

    Change in the Acute Cystitis Symptom Questionnaire score (ACSS) ) - Typical symptoms Likert scale with 6 items; for each item 0 indicates no issues and 3 sever issues

    Time frame: 3 months

  9. Acute Cystitis Symptom Score Questionnaire (ACSS) - Differential

    Change in the Acute Cystitis Symptom Questionnaire score (ACSS) - Differential symptom score Likert scale with 4 items; for each item 0 indicates no issues and 3 sever issues

    Time frame: 3 months

  10. Acute Cystitis Symptom Score Questionnaire (ACSS) - QoL

    Change in the Acute Cystitis Symptom Score Questionnaire (ACSS) - QoL Likert scale with 4 items; for each item 0 indicates not being affected and 3 being extremely affected

    Time frame: 3 months

  11. Acute Cystitis Symptom Score Questionnaire (ACSS) - Dynamics

    Change in the Acute Cystitis Symptom Score Questionnaire (ACSS) - Dynamics 1 question; 0 indicates feeling back to normal and 4 indicates feeling worse

    Time frame: 3 months

  12. Quality of Life Visual Analog Scale

    Change is Quality of Life Visual Analog Scale score 0 indicates symptomes are not bothering and 10 indicates extreme impact on quality of life

    Time frame: 3 months

07

Study locations

1 site
  • Urology Clinic of Moscow State University of Medicine and Dentistry
    Moscow, Russian Federation
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 Jul 27, 2023, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT05945667
Lead sponsor
PharmaLinea Ltd.
Collaborators
NPO Petrovax Pharm LLC.
Responsible party
Sponsor
First posted
Jul 14, 2023
Start date
Jun 7, 2021
Primary completion
Dec 21, 2021
Completion
Feb 28, 2022
Last update
Jul 27, 2023

Oversight

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

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