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Urinary Tract Infection Lower AcutePhase 3AquUTINCT04032574

Efficacy and Tolerability of a Phytotherapy Combination (Aqualibra) in Patients With Uncomplicated Cystitis

A Phase 3 study testing Herbal Medicinal Product in people with Urinary Tract Infection Lower Acute, run by Medice Arzneimittel Pütter GmbH & Co KG.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

This randomized, placebo-controlled, double-blind study investigated the efficacy and safety of the herbal medicinal product containing a combination of extracts of restharrow root (Ononidis radix), Java tea (Orthosiphonis folium) and goldenrod herb (Solidaginis herba) in women with acute lower uUTI. Read more about this study

Who is it for?
Ages 18 to 75 years, women only
Conditions the study is for
Urinary Tract Infection Lower Acute
What is being tested?
Herbal Medicinal Product
Type of treatment
Pill or oral medicine
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
200 participants
Where
No sites listed yet
Study dates
8 Oct 1991to 27 Mar 1992
Phase
Phase 3
Are there results?
None posted in the registry

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 to 75 years
  • Women only
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Female outpatients aged 18-75 years
  • Diagnosis of acute lower uUTI occurring for the first time or acute relapse of chronic recurrent uUTI
  • Typical symptoms of cystitis (pollakisuria, dysuria and urgency)
  • Bacterial count of 10*4 - 10*6 colony forming units (CFU)/mL in midstream urine
  • Presence of >20 leukocytes/µL of urine measured by dipstick test
  • No antibiotic treatment required according to the investigator
  • Women of childbearing potential were allowed to participate only if they used a highly effective method of contraception
  • Written informed consent

Who cannot join

  • Known hypersensitivity to any of the active substances or excipients of the study medication
  • Antibiotic treatment during the past 8 days or indication for antibiotic treatment for the current infection
  • Patients with trichomoniasis, chlamydiosis or gonorrhoea
  • Use of concomitant medication that may have an effect on the UTI, including other phytotherapeutics with similar effects, saluretics (including those in antihypertensives) or other drugs with a similar mode of action, urinary acidifying agents (e.g. Acimethin®), antibiotics, or phytotherapeutics with possible antibiotic effects
  • Patients with suspected ovarian inflammation (e.g. adnexitis)
  • Patients with suspected renal inflammation (e.g. pyelonephritis)
Show all 18Show fewer
  • Patients with complicated UTI (e.g. obstruction, stones, reflux)
  • Patients with overactive bladder
  • Patients with vegetative urogenital syndrome
  • Patients who were currently participating or had participated in another clinical trial within 30 days before enrolment
  • Patients in poor general condition
  • Alcohol- or drug-addicted patients
  • Pregnant or nursing women or women not using highly effective methods of contraception
  • Patients with mental illness or no/limited legal capacity
  • Patients held in an institution by legal or official order
  • Patients who were not proficient in spoken or written German
  • Patients with a urine bacterial count >10*6 CFU/mL were to be excluded from further participation in the study unless they specifically wished to continue treatment with the study medication.
  • No contraindications against the study medication were known at the time of study protocol preparation

About this study

Official title: Multicenter, Randomized, Double-blind, Placebo-controlled Parallel Group Trial to Evaluate the Efficacy and Tolerability of a Phytotherapy Combination (Aqualibra) in Patients With Uncomplicated Cystitis

This randomized, placebo-controlled, double-blind study investigated the efficacy and safety of the herbal medicinal product containing a combination of extracts of restharrow root (Ononidis radix), Java tea (Orthosiphonis folium) and goldenrod herb (Solidaginis herba) in women with acute lower uUTI.

Read the detailed description

This randomized, placebo-controlled, double-blind study investigated the efficacy and safety of the herbal medicinal product containing a combination of extracts of restharrow root (Ononidis radix), Java tea (Orthosiphonis folium) and goldenrod herb (Solidaginis herba) in the treatment of acute lower uUTI. The herbal medicinal product represent a multi-target therapy that includes diuretic, anti-inflammatory and antimicrobial aspects.

Patients were randomized to one of the two treatment groups and treated with the phytotherapeutic agent or matching placebo for seven days.

The primary endpoint was microbiologic response defined as reduction in bacterial urine culture counts by at least 10*2 CFU/ml.

Being tested
Herbal Medicinal Product, Placebo

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Herbal Medicinal ProductCombination product

  • PlaceboOther

Study groups in NCT04032574
Study groupRoleWhat they receive
Herbal medicinal productExperimentalthree times daily two film coated tablets containing: extracts of restharrow root (Ononidis radix) 80mg,Java tea (Orthosiphonis folium) 90mg, goldenrod herb (Solidaginis herba) 180mg
Receives: Combination Product: Herbal Medicinal Product
PlaceboPlacebo comparatorthree times daily two film coated tablets
Receives: Other: Placebo

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. microbiologic response

    Percentage of patients with a reduction in bacterial urine culture counts by at least 10*2 CFU/ml

    Measured: 7 days

Secondary outcomes (1)
  1. Leukocyturia

    Percentage of patients without leukocyturia

    Measured: 7 days

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted25 Jul 2019
  2. Study start8 Oct 1991
  3. Primary completion27 Mar 1992
  4. Study completion27 Mar 1992

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase 3
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
Double blind
Who is masked
Participant, Investigator
Enrolment
200 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT04032574
Sponsor's protocol ID
97.019/91
Acronym
AquUTI
Status last verified
Jul 2019
First submitted
23 Jul 2019
Last updated
26 Jul 2019
Results posted
No
Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No

Publications

  • Vahlensieck W, Lorenz H, Schumacher-Stimpfl A, Fischer R, Naber KG. Effect of a Herbal Therapy on Clinical Symptoms of Acute Lower Uncomplicated Urinary Tract Infections in Women: Secondary Analysis from a Randomized Controlled Trial. Antibiotics (Basel). 2019 Dec 7;8(4):256. doi: 10.3390/antibiotics8040256.

    PubMed 31817885

Questions about this trial

What is this clinical trial studying?

A Phase 3 study testing Herbal Medicinal Product in people with Urinary Tract Infection Lower Acute, run by Medice Arzneimittel Pütter GmbH & Co KG.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 8 inclusion and 18 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 26 Jul 2019. Status can change between updates, so confirm with the study contact before making plans.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. Some participants in this study may receive a placebo. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

What does this phase mean?

Phase 3 studies compare the treatment with the current standard treatment or a placebo in a large group, to confirm how well it works and watch for side effects.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

microbiologic response (time frame: 7 days). It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT04032574, which also lists 1 linked publication.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 26 Jul 2019.

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