ClinicalTrials.gg
CompletedNCT06651294NERFAUpdated Nov 5, 2026

Efficacy of Neorenal Forte for the Complete Elimination of Residual Fragments

An interventional study of Neorenal Forte and Placebo in Urolithiasis, sponsored by Neopharm Bulgaria Ltd.. Completed at 7 sites in Bulgaria. Open to participants aged 18 Years to 65 Years. Per ClinicalTrials.gov, last updated 2026-11-05.

Primary conditionKidney CalculiRegistry: UrolithiasisReclassifiedWhy we changed it
Registry
Urolithiasis — the first condition term the registry derived for this study.
ClinicalTrials.gg
Kidney Calculi
Why
  1. The study's title name Kidney Calculi, a narrower term within Urolithiasis.
Confidence
High: the new condition is named in the study's own title. Of 46 hand-checked studies reclassified this way, 72% were exactly right and 89% in the right disease family; the registry's first term was right for 4% (measured 2026-10-21). How we classify →
Wrong?
Tell us the study's main condition →

Sponsored by Neopharm Bulgaria Ltd. · Not applicable, Interventional, and Treatment

Updated Nov 5, 2026Now CompletedPrimary completion moved+3 moreGo to Updates ↓
Phase
Not applicable
Study type
Interventional
Enrollment
93
Allocation
Randomized
Ages
18 Years to 65 Years
Sex
All
01

Study summary

The purpose of this study is to evaluate the efficacy of a specialized formula of phytotherapeutic extracts (Neorenal Forte) aiding the complete elimination of residual fragments after fURS in adults.

Read the detailed description

The study is being initiated to support the informed decision making by healthcare specialists on the initiation of a specific and safe formula of phytotherapeutic extracts with duration at least three months after endourological procedures, as a routine part of urolithiasis treatment, aiding the complete elimination of residual fragments, which will allow minimizing of the short-term and long-term complications.

By evaluating the percentage of complete elimination of residual fragments or fragments \< 2 mm in diameter, we aim to estimat the efficacy and safety of Neorenal Forte.

02

Conditions studied

  • Urolithiasis

Browse trials for

Keywords

  • Elimination of residual fragments
  • Flexible ureterorenoscopy
  • Renal calculi
  • Phytotherapeutic extracts
03

In context

Kidney Calculi Reclassified

509 studies on the registry are indexed under Kidney Calculi; 146 are open to participants now.

This study's enrollment of 93 is close to the median of 86 across 391 interventional studies indexed under Kidney Calculi.

Browse Kidney Calculi studies →

Lead sponsor

Neopharm Bulgaria Ltd. is the lead sponsor of 3 studies on the registry; none are open to participants now.

Compared within Kidney Calculi, this study's primary condition as ClinicalTrials.gg classifies it; the registry's first condition term is Urolithiasis. The counts are of registry records indexed under each term, refreshed daily. How we classify →

04

Who can participate

Ages eligible
18 Years to 65 Years
Sexes eligible
All
Accepts healthy volunteers
No

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

  1. Male or female 18 to 65 years of age.
  2. The subject has signed approved by an Ethics Committee and agrees to the on-site study visits.
  3. A stone confirmed by NCCT of kidney, ureter and urinary bladder for assessment of size, number, location and stone density, within 90 days of fURS.
  4. Single or multiple kidney stones with total size of 10x10x10 mm to 15x10x10 mm.
  5. Stone density 1001 - 1400 Hounsfield units (HU).
  6. Subjects post fURS for laser lithotripsy of kidney stone.
  7. Residual fragments \< 4 mm after fURS confirmed by ultrasound on first postoperative day.
  8. Subjects post one fURS.
  9. fURS uncomplicated by perforation of ureter, mucosal exfoliation, damage to kidney or urinary bladder, serious bleeding or other complications.
  10. No recent ureterorenoscopy within the last 6 months.
  11. 17.0 - 29.99 kg/m2 118
  12. In Investigator's opinion, the subject can comply with the visit schedule and the treatment regimen and is capable of completing the study.
  13. The subject has a smartphone and is capable of using it.

Exclusion criteria

Exclusion Criteria:

  1. Subjects with anatomical anomalies revealed by ultrasound - stenosis of the pyelo-ureteral junction, horseshoe kidney, kidney malrotation, calyceal diverticulum, and others.
  2. Ureteral stenosis.
  3. History of ipsilateral renal surgery.
  4. Hydronephrosis.
  5. Permanent JJ stent.
  6. Any conditional or absolute for fURS.
  7. Combined ipsilateral stone in the ureter or contralateral stone in the upper urinary canal or a stone in the lower urinary canal, requiring simultaneous surgery.
  8. Subjects with positive urine culture, until resolution.
  9. History of endourological intervention (e.g. nephrostoma, ureteral catheter) before fURS.
  10. Stone density \<1000 and >1401 HU;
  11. Uncontrolled diabetes mellitus ( >9%).
  12. Renal insufficiency.
  13. Subjects with arterial hypertension.
  14. Subjects with prostate adenoma.
  15. Allergy or to any of the ingredients of the product.
  16. ≥ 30 kg/m2.
  17. Women who are pregnant or lactating; women who plan on getting pregnant during the study.
  18. Alcohol or drug abuse in the last year.
  19. Unstable medical conditions, as determined by the Investigator.
  20. Inability to comply with the study protocol.
  21. Subjects who cannot understand or not capable of completing the study documents.
  22. Inability to give .
Terms in these criteria, in plain language(6)

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.

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.

BMI (body mass index)

Weight in kilograms divided by height in metres squared. Example: 70 kg and 1.75 m gives 70 ÷ (1.75 × 1.75) ≈ 22.9.

What counts as overweight or obesity differs between countries (some use lower cut-offs), so go by the range the study states.

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.

HbA1c

A blood test of average blood sugar over the past two to three months, given as a percentage or in mmol/mol. 6.5% (48 mmol/mol) or more is the usual threshold for diabetes, normally confirmed by a second test.

Hypersensitivity

An allergy, or another reaction of the immune system, to a substance. “Hypersensitivity to the study drug” means a known allergic reaction to it — not every side effect a medicine can have.

Investigational drug or device

A drug or device being studied in a clinical trial.

It may be new, or already approved and being studied for another use, dose or form. Criteria often leave out people who took part in another study of one within a recent period, commonly 30 days or five half-lives.

05

Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Triple (Participant, Investigator, Outcomes assessor)
Enrollment
93 participants (actual)

Study arms

  • Experimental
    Neorenal Forte

    Up to Day 10 after the endourological procedure - 2 tablets 2 times daily Followed by 80 days after end date of 2X2 dose - 1 tablet 2 times daily

    Dietary Supplement: Neorenal Forte

  • Placebo comparator
    Placebo

    Up to Day 10 after the endourological procedure - 2 tablets 2 times daily Followed by 80 days after end date of 2X2 dose - 1 tablet 2 times daily

    Dietary Supplement: Placebo

Interventions

  • Dietary supplementNeorenal Forte

    This specialized formulation of phytotherapeutic extracts consists of proprietary Betula pendula leaves dry extract, Herniaria glabra, Viburnum opulus, Elymus (Agropiren) repens. The product contains supplementary ingredients: microcrystalline cellulose, povidone, magnesium stearate, colorant film (brilliant blue FCF, iron dioxide).

  • Dietary supplementPlacebo

    The placebo product will be identical to the active form and will have the same composition but without the proprietary extract from Betula pendula, Herniaria glabra, Viburnum opulus, Elymus (Agropiren) repens.

06

What researchers measure

Primary outcomes

  1. Percentage of subjects without residual fragments or with fragments ≤ 2mm in diameter.

    Percentage of subjects without stones or with fragments ≤ 2mm in diameter 3 months after fURS for laser lithotripsy of kidney stones, assessed by NCCT.

    Time frame: 90 days + 5 days after endourological treatment.

Secondary outcomes

  1. Percentage, size and location of residual fragments.

    The outcome will be categorized by radiologist via NCCT in 2 categories: ≤ 2mm, or \> 2mm.

    Time frame: 90 days + 5 days after endourological treatment.

  2. Number of subjects with complications associated with residual fragments or their elimination

    Febrility, renal colic, protracted hematuria, hydronephrosis grade I, II, III, IV.

    Time frame: at 30 days and 90 days + 5 days after endourological treatment.

  3. Percentage of subjects receiving analgesics

    Administration of antipyretics as reported on the patient diary - YES/NO

    Time frame: Up to 90 days after endourological treatment.

  4. Duration of analgesics administration

    Administration of antipyretics as reported on the patient diary - YES/NO

    Time frame: Up to 90 days after endourological treatment.

  5. Severity of pain

    Clinical assessment of pain is based on visual analogue scale (VAS) from 0 to 10

    Time frame: Up to 90 days after endourological treatment.

07

Study locations

7 sites
08

Updates

1 registry update since Sep 25, 2026
Status
Recruiting→Completed
changed Nov 5, 2026
Sites
2 sites removed
Show 2 removed
  • University Hospital for Active Treatment "Saint Marina" · Pleven, Bulgaria
  • UMHAT "St. George" · Plovdiv, Bulgaria
Nov 5, 2026
Primary completion
Oct 30, 2026→Sep 30, 2026 (actual)
Nov 5, 2026
Study completion
Nov 30, 2026→Sep 30, 2026 (actual)
Nov 5, 2026
Enrollment
120 (estimated)→93 (actual)
Nov 5, 2026
Show all 1 update
  1. Nov 5, 2026
    Recruiting→Completed
    2 sites removed
    Show 2 removed
    • University Hospital for Active Treatment "Saint Marina" · Pleven, Bulgaria
    • UMHAT "St. George" · Plovdiv, Bulgaria
    Primary completion Oct 30, 2026→Sep 30, 2026 (now actual)
    Study completion Nov 30, 2026→Sep 30, 2026 (now actual)
    Enrollment 120 (estimated)→93 (actual)
    + 2 other changes: verification date and contact details

From the registry record's own update history. This site started tracking changes on Sep 25, 2026; for anything earlier, see the record history on ClinicalTrials.gov ↗

09

Registry details

Key details

Study ID
NCT06651294
Lead sponsor
Neopharm Bulgaria Ltd.
Responsible party
Sponsor
First posted
Oct 21, 2024
Start date
Apr 1, 2025
Primary completion
Sep 30, 2026
Completion
Sep 30, 2026
Last update
Nov 5, 2026

Study contacts

Marin Georgiev, Prof, PhD
principal investigator · UMHAT "Alexandrovska", Head of Department of Urology, Sofia Medical University
Iliya Saltirov, Prof, MD, PhD, DSc
principal investigator · Military Medical Academy, Head of Department of Urology and Nephrology
Stanislav Valkanov, PhD
principal investigator · UMHAT "Kaspela", Department of Urology
Deyan Anakievski, Prof, PhD
principal investigator · MHAT "Heart and Brain", Head of Department of Urology
Kaloqn Davidov, Prof, PhD
principal investigator · UMHAT "Sofiamed", Head of Department of Urology
Boris Mladenov, PhD
principal investigator · UMBALSM "N. I. Pirogov"
Nikolay Kolev, Prof, PhD
principal investigator · UMHAT "Dr. Georgi Stranski", Head of Department of Urology

Oversight

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

Not currently enrolling

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

Follow this study

Get an email when the registry record changes — status, dates, results — or when someone posts here.

Sign in to follow

Discussion

Questions and observations about this study, from anyone following it. Not medical advice, and not a channel to the study team — their contact details are on the registry record.

Sign in to join the discussion. Reading takes no account; posting does. You choose a display name, and a pseudonym is the default.

Nothing here yet. If you are running this trial, taking part in it, or weighing whether to, this is the place to say so.

Start the discussion