ClinicalTrials.gg
Active, not recruitingNCT07769060Updated Aug 17, 2026

LishitonglinUS-01 Trial

A Phase 2 interventional study of Lishitonglin Formula granules and Oral placebo medication formulated as granules in Urethra Stricture, sponsored by Peking University First Hospital. Active, not recruiting at 1 site in China. Open to male participants aged 18 Years to 80 Years. Per ClinicalTrials.gov, last updated 2026-08-17.

Sponsored by Peking University First Hospital · Phase 2, Interventional, and Treatment

From the registry’s dates

  • Registered 7 months after the study started (first participant enrolled Jan 2026, registered Aug 2026).
Phase
Phase 2
Study type
Interventional
Enrollment
120
Allocation
Randomized
Ages
18 Years to 80 Years
Sex
Male
01

Study summary

This study intends to conduct a prospective, randomized, double-blind, placebo-controlled trial to investigate the efficacy and safety of Lishi Tonglin Granule (a hospital-formulated innovative prescription) developed in our hospital for alleviating preoperative urinary tract infections in patients with urethral stricture, and to further explore its effects on preoperative lower urinary tract irritation symptoms as well as short- and medium-term postoperative stricture recurrence rates.

This protocol is jointly implemented by the Department of Urology and the Department of Integrated Traditional Chinese and Western Medicine. Adopting the TCM therapeutic concept of "clearing the source and unblocking collaterals" combined with Western surgical intervention, the trial compares the primary outcome measures between the intervention group (administered Lishi Tonglin Prescription) and the control group (administered placebo), including preoperative bacteriuria clearance rate, lower urinary tract symptom scores and TCM syndrome scores, to identify significant intergroup differences.

Comprehensive analyses will also be performed on postoperative short- and medium-term urination improvement, urethral stricture recurrence risk, distribution of uropathogens and antimicrobial susceptibility profiles of the two groups. This research features innovations in integrated Chinese-Western diagnostic and therapeutic theories, prescription optimization, and a multi-dimensional evaluation framework. Its findings can validate the clinical potential of Lishi Tonglin Prescription as an alternative to antibiotics, and lay a theoretical foundation for future mechanistic research and clinical translation of integrated Chinese-Western therapy for urinary tract infections secondary to lower urinary tract obstruction.

Read the detailed description

This study intends to conduct a prospective, randomized, double-blind, placebo-controlled trial to investigate the efficacy and safety of Lishi Tonglin Granule (a hospital-formulated innovative prescription) developed in our hospital for alleviating preoperative urinary tract infections in patients with urethral stricture, and to further explore its effects on preoperative lower urinary tract irritation symptoms as well as short- and medium-term postoperative stricture recurrence rates.

This protocol is jointly implemented by the Department of Urology and the Department of Integrated Traditional Chinese and Western Medicine. Adopting the TCM therapeutic concept of "clearing the source and unblocking collaterals" combined with Western surgical intervention, the trial compares the primary outcome measures between the intervention group (administered Lishi Tonglin Prescription) and the control group (administered placebo), including preoperative bacteriuria clearance rate, lower urinary tract symptom scores and TCM syndrome scores, to identify significant intergroup differences.

Comprehensive analyses will also be performed on postoperative short- and medium-term urination improvement, urethral stricture recurrence risk, distribution of uropathogens and antimicrobial susceptibility profiles of the two groups. This research features innovations in integrated Chinese-Western diagnostic and therapeutic theories, prescription optimization, and a multi-dimensional evaluation framework. Its findings can validate the clinical potential of Lishi Tonglin Prescription as an alternative to antibiotics, and lay a theoretical foundation for future mechanistic research and clinical translation of integrated Chinese-Western therapy for urinary tract infections secondary to lower urinary tract obstruction.

02

Conditions studied

  • Urethra Stricture

Browse trials for

Keywords

  • Urethra stricture
  • Lishitonglin Formula
  • Perioperational urinary infection
  • RCT
03

In context

Urethral Stricture

72 studies on the registry are indexed under Urethral Stricture; 25 are open to participants now.

This study's planned enrollment of 120 is above the median of 60 across 56 interventional studies indexed under Urethral Stricture.

Browse Urethral Stricture studies →

Lead sponsor

Peking University First Hospital is the lead sponsor of 390 studies on the registry; 186 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
Male
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. Adult male patients (≥18 years old) with urethral stricture diagnosed by urethrography and presenting urinary obstruction symptoms (AUA grade II-III) with or without preoperative bladder diversion via ostomy.
  • 2. No concurrent severe urinary tract infection (meeting both criteria): · Urinary tract irritation symptoms (frequency, urgency, dysuria)
  • 3. Urinary leukocytes ≥10 (HPF)
  • 4. Midstream urine culture colony count ≥10⁵ CFU/mL
  • 5. Traditional Chinese Medicine pattern identification: damp-heat descending syndrome (primary symptoms: frequent, urgent, painful urination, red tongue with thick yellow coating)
  • 6. Planned intraurethral procedures (including urethrotomy/urethral dilation/urethral balloon dilation) or open urethroplasty (including end-to-end urethral stricture resection/autologous mucosal patch urethroplasty).

Exclusion criteria

Exclusion Criteria:

  • 1. Patients with severe infection presenting symptoms at enrollment: e.g., those with fever, active hematuria, pyuria, urethral condyloma, or septic shock
  • 2. Urinary tract infections complicated by complex urinary tract anomalies (e.g., congenital hypospadias, fistula) or uncontrolled malignant tumors such as urethral cancer or bladder cancer
  • 3. Severe hepatic or renal dysfunction (/AST > 2× , Scr > 133 μmol/L)
  • 4. Concurrent immunodeficiency disorders or use of agents
  • 5. Allergy to any component of the study drug
  • 6. Individuals refusing to participate in this study.
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.

Clinically significant

Judged by the study doctor to matter for your health or for the study. It is a doctor’s decision, so ask the study team if you are unsure whether something counts.

ALT and AST (liver enzymes)

Two enzymes measured in a routine blood test of the liver. Higher levels can mean the liver is under strain or damaged. SGPT and SGOT are older names for ALT and AST.

Criteria usually give a limit as a multiple of the upper limit of normal (ULN), often higher when cancer has spread to the liver.

ULN (upper limit of normal)

The top of the normal range for a blood test, as set by the laboratory that runs it. Each lab prints its own range next to your result.

“≤ 2.5 × ULN” means the result can be up to two and a half times that top value.

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

Phase
Phase 2
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Double (Participant, Care provider)
Enrollment
120 participants (estimated)

Study arms

  • Experimental
    Trial Group - Mild Stenosis Group

    Begin taking the oral Lishitonglin Formula granules one week prior to surgery (one dose twice daily, dissolved in warm water).

    Drug: Lishitonglin Formula granules

  • Experimental
    Trial Group - Moderate to Severe Stenosis Group

    Begin taking the oral Lishitonglin Formula granules one week prior to surgery (one dose twice daily, dissolved in warm water).

    Drug: Lishitonglin Formula granules

  • Placebo comparator
    Control Group - Mild Stenosis Group

    One week prior to surgery, patients began receiving oral placebo medication formulated as granules containing 10% of the active ingredients and matching the appearance of the LIshitonglin formula (1 dose twice daily, dissolved in warm water).

    Drug: Oral placebo medication formulated as granules

  • Placebo comparator
    Control Group - Moderate to Severe Stenosis Group

    One week prior to surgery, patients began receiving oral placebo medication formulated as granules containing 10% of the active ingredients and matching the appearance of the LIshitonglin formula (1 dose twice daily, dissolved in warm water).

    Drug: Oral placebo medication formulated as granules

Interventions

  • DrugLishitonglin Formula granules

    Begin taking the oral Lishitonglin Formula granules one week prior to surgery (one dose twice daily, dissolved in warm water).

  • DrugOral placebo medication formulated as granules

    One week prior to surgery, patients began receiving oral placebo medication formulated as granules containing 10% of the active ingredients and matching the appearance of the LIshitonglin formula (1 dose twice daily, dissolved in warm water).

06

What researchers measure

Primary outcomes

  1. Bacterial clearance rate

    After 7 days of treatment, the rate of reduction in urinary leukocyte count under high-power microscopy compared to pre-treatment levels, urinary leukocyte count (high-power microscopy), and urinary culture conversion rate

    Time frame: Before taking the drug and one day before operation

Secondary outcomes

  1. Urine White Blood Cell Count on the First Day After Surgery

    Urine White Blood Cell Count Under High-Power Microscope in a Routine Urinalysis (Unit: cells/HP)

    Time frame: Postoperative Day 1

  2. Traditional Chinese Medicine Syndrome Scoring

    Urinating stenosis, frequent urination, urgency, and painful urination (4 items; scored on a 0-3 scale, with each item scored separately; 0 being the mildest and 3 the most severe)

    Time frame: Before taking the drug and one day before operation

  3. Recurrence rate

    US Recurrence rate, followed by Urethrography, uroflowmetry, urethroscopy, and IPSS score

    Time frame: Postoperative 3 months & 1 year

  4. Drug related adverse effects

    Drug related adverse effects detected by real-time observation, inquiry, and recording

    Time frame: Through study completion, on average of 1 week

  5. Urine Culture Positivity Rates and Microorganism Types

    This refers to the proportion of patients with positive preoperative urine cultures, and includes documentation of the microbial species and antibiotic resistance profiles of the positive cultures.

    Time frame: Before taking the drug and one day before operation

  6. International Prostate Symptom Score (IPSS)

    This scale includes seven symptoms: frequent urination, urinary urgency, nocturia, incomplete emptying, interrupted urination, difficulty urinating, and a weak urine stream. Each symptom is scored on a scale of 0-5 based on frequency and severity. The total score is categorized as follows: (0-7) mild, (8-19) moderate, and (20-35) severe.

    Time frame: Before taking the drug and one day before operation

07

Study locations

1 site
08

References and documents

Publications

  • Kim S, Cheng KC, Alsikafi NF, Breyer BN, Broghammer JA, Elliott SP, Erickson BA, Myers JB, Smith TG 3rd, Vanni AJ, Voelzke BB, Zhao LC, Buckley JC. Minimizing Antibiotic Use in Urethral Reconstruction. J Urol. 2022 Jul;208(1):128-134. doi: 10.1097/JU.0000000000002487. Epub 2022 Feb 25. PubMed 35212569 ↗
  • Heyns CF. Urinary tract infection associated with conditions causing urinary tract obstruction and stasis, excluding urolithiasis and neuropathic bladder. World J Urol. 2012 Feb;30(1):77-83. doi: 10.1007/s00345-011-0725-9. Epub 2011 Jul 1. PubMed 21720861 ↗
  • Shaw NM, Venkatesan K. Endoscopic Management of Urethral Stricture: Review and Practice Algorithm for Management of Male Urethral Stricture Disease. Curr Urol Rep. 2018 Feb 26;19(3):19. doi: 10.1007/s11934-018-0771-6. PubMed 29479640 ↗
  • Hampson LA, McAninch JW, Breyer BN. Male urethral strictures and their management. Nat Rev Urol. 2014 Jan;11(1):43-50. doi: 10.1038/nrurol.2013.275. Epub 2013 Dec 17. PubMed 24346008 ↗
  • Campos-Juanatey F, Osman NI, Greenwell T, Martins FE, Riechardt S, Waterloos M, Barratt R, Chan G, Esperto F, Ploumidis A, Verla W, Dimitropoulos K, Lumen N. European Association of Urology Guidelines on Urethral Stricture Disease (Part 2): Diagnosis, Perioperative Management, and Follow-up in Males. Eur Urol. 2021 Aug;80(2):201-212. doi: 10.1016/j.eururo.2021.05.032. Epub 2021 Jun 5. PubMed 34103180 ↗
  • Payne SR, Anderson P, Spasojevic N, Demilow TL, Teferi G, Dickerson D. Male urethral stricture disease: why management guidelines are challenging in low-income countries. BJU Int. 2022 Aug;130(2):157-165. doi: 10.1111/bju.15831. Epub 2022 Jul 7. PubMed 35726391 ↗

Individual participant data

Plan to share: Undecided — The original data of this trial could be obtained after applying to and receiving approval from the researcher

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Aug 17, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT07769060
Responsible party
Chunru Xu (Dr., Peking University First Hospital) — Principal investigator
First posted
Aug 17, 2026
Start date
Jan 9, 2026
Primary completion
Aug 31, 2027 (estimated)
Completion
Aug 31, 2028 (estimated)
Last update
Aug 17, 2026

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 active, not recruiting, as verified in Aug 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