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RecruitingNCT07614321Updated May 29, 2026

Silodosin for Urinary Symptoms in Female Patients With Multiple Sclerosis

A Phase 4 interventional study of Silodosin 8 mg and Placebo in Multiple Sclerosis and Lower Urinary Track Symptoms, sponsored by Atlantic Health System. Recruiting at 1 site in United States. Open to female participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-05-29.

Sponsored by Atlantic Health System · Phase 4, Interventional, and Treatment

Phase
Phase 4
Study type
Interventional
Enrollment
60
Allocation
Randomized
Ages
18 Years and older
Sex
Female
01

Study summary

The goal of this clinical trial is to learn if silodosin works to treat lower urinary tract symptoms (LUTS) in female patients with multiple sclerosis (MS). It will also learn about the effect of the drug on voiding parameters. The main questions it aims to answer are:

Does silodosin improve lower urinary tract symptoms based on questionnaires? Does silodosin change Uroflowmetry parameters in female patients with MS? Researchers will compare silodosin to a placebo (a look-alike substance that contains no drug) to see if silodosin works to treat LUTS in female patients with MS.

Participants will:

Take silodosin or a placebo every day for 8 weeks Visit the clinic before initiating the medication and after 8 weeks of taking the medication for questionnaires and tests

02

Conditions studied

  • Multiple Sclerosis
  • Lower Urinary Track Symptoms

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03

Who can participate

Ages eligible
18 Years and older
Sexes eligible
Female
Accepts healthy volunteers
No

Inclusion criteria

  1. Female patients with a diagnosis of multiple sclerosis
  2. Age > 18
  3. Moderate to severe lower urinary tract symptoms as defined by an AUASS score > 8
  4. No UTI

Exclusion criteria

Exclusion Criteria:

  1. Treatment with alpha-blocker, B3 agonist, or anticholinergic medication within the last 6 weeks
  2. Treatment with sacral neuromodulation, bladder Botox, or posterior tibial nerve stimulation within the last 9 months
  3. Renal impairment with CrCl \< 30
  4. PVR > 300
  5. Diagnosed orthostatic hypotension
  6. Pregnancy or breastfeeding
  7. Severe liver impairment (Child-Pugh class C)
  8. Current symptomatic kidney stones
  9. Recent MS relapse within the last 3 months
  10. Recent treatment with steroids in the last 3 months (this does not include one-time pre-treatment with steroids for administration of immunologic drug)
04

Study design

Phase
Phase 4
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Quadruple (Participant, Care provider, Investigator, Outcomes assessor)
Enrollment
60 participants (estimated)

Study arms

  • Experimental
    Silodosin

    Silodosin 8mg PO daily

    Drug: Silodosin 8 mg

  • Placebo comparator
    Placebo

    Identical placebo capsule, 1 capsule PO daily

    Drug: Placebo

Interventions

  • DrugSilodosin 8 mg

    Silodosin 8mg PO qd x8 weeks

  • DrugPlacebo

    Identical placebo capsule, 1 capsule PO daily x8 weeks

05

What researchers measure

Primary outcomes

  1. Change in American Urological Association Symptom Score (AUASS)

    Score 0-35, higher score indicating worse symptoms therefore higher change from baseline indicating better improvement

    Time frame: From enrollment to the end of treatment at 8 weeks

Secondary outcomes

  1. Change in Urinary Distress Inventory Short Form (UDI-6) score

    Score 0-18, higher score indicating worse symptoms therefore higher change from baseline indicating better improvement

    Time frame: From enrollment to the end of treatment at 8 weeks

  2. Change in Overactive Bladder Symptom Score (OABSS)

    Score 0-15, higher score indicating worse symptoms therefore higher change from baseline indicating better improvement

    Time frame: From enrollment to the end of treatment at 8 weeks

  3. Change in Hesitancy question score

    Score 0-5, higher score indicating worse symptoms therefore higher change from baseline indicating better improvement

    Time frame: From enrollment to the end of treatment at 8 weeks

  4. Global Response Assessment

    Questionnaire to assess change in symptoms after treatment, scale 1-5 with higher score indicating higher improvement in symptoms.

    Time frame: After 8 weeks of treatment

  5. Uroflowmetry- voided volume

    Patients will perform Uroflowmetry to assess voiding parameters prior to initiating the study drug and after 8 weeks of treatment. Voided volume to be assessed in mL

    Time frame: From enrollment to the end of treatment at 8 weeks

  6. Uroflowmetry- Pattern

    Patients will perform Uroflowmetry to assess voiding parameters prior to initiating the study drug and after 8 weeks of treatment. Pattern will be characterized as normal, intermittent, interrupted, or unable to be interpreted based on low volume

    Time frame: From enrollment to the end of treatment at 8 weeks

  7. Uroflowmetry- Maximum flow rate (Qmax)

    Patients will perform Uroflowmetry to assess voiding parameters prior to initiating the study drug and after 8 weeks of treatment. Maximum flow rate will be reported in mL/sec

    Time frame: From enrollment to the end of treatment at 8 weeks

  8. Uroflowmetry- Postvoid residual (PVR)

    Patients will perform Uroflowmetry to assess voiding parameters prior to initiating the study drug and after 8 weeks of treatment. PVR will be assessed in mL via bladder scanner

    Time frame: From enrollment to the end of treatment at 8 weeks

  9. Adherence

    Patients will bring their pill bottle to final study visit to assess how well they adhered to the study intervention.

    Time frame: After 8 weeks of treatment

  10. Adverse Events

    Time frame: After 8 weeks of treatment

06

Study locations

1 of 1 sites recruiting
07

Registry details

Key details

Study ID
NCT07614321
Lead sponsor
Atlantic Health System
Responsible party
Carolyn Botros (Urogynecologist, Atlantic Health System) — Principal investigator
First posted
May 29, 2026
Start date
Apr 2026 (estimated)
Primary completion
Mar 2028 (estimated)
Completion
Apr 2028 (estimated)
Last update
May 29, 2026

Study contacts

Mariah McKevitt, MD
Contact
mariah.mckevitt@atlantichealth.org
973-971-7267

Oversight

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

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