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Probiotic
Probiotics for Neurogenic Bladder
Phase 2
Recruiting
Led By Suzanne Groah, MD, MSPH
Research Sponsored by Medstar Health Research Institute
Eligibility Criteria Checklist
Specific guidelines that determine who can or cannot participate in a clinical trial Must have
Women must be premenopausal and not currently menstruating
Neurogenic bladder for at least 6 months
Timeline
Screening 3 weeks
Treatment Varies
Follow Up baseline
Awards & highlights
Study Summary
This trial is testing if a specific probiotic can help reduce urinary symptoms and inflammation.
Who is the study for?
This trial is for people with neurogenic bladder for at least 6 months, using indwelling catheters. Premenopausal women not currently menstruating can join. Excluded are those on antibiotics, receiving antimicrobials to prevent UTI, unable to follow instructions due to mental health conditions, recently sexually active or in another conflicting study.Check my eligibility
What is being tested?
The trial tests intravesical Lactobacillus RhamnosusGG (LGG®) delivered directly into the bladder via a catheter. The goal is to find the best dose that reduces urinary symptoms and improves urine health without causing harm before moving on to a larger scale study.See study design
What are the potential side effects?
Potential side effects may include discomfort during instillation, changes in urinary habits or infections due to altering the balance of bacteria in the bladder ecosystem.
Eligibility Criteria
Inclusion Criteria
You may be eligible if you check “Yes” for the criteria belowSelect...
I am a premenopausal woman not having periods.
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I have had bladder control issues due to nerve problems for at least 6 months.
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I have a physical disability and live in the community.
Timeline
Screening ~ 3 weeks3 visits
Treatment ~ Varies
Follow Up ~ baseline
Screening ~ 3 weeks
Treatment ~ Varies
Follow Up ~baseline
Treatment Details
Study Objectives
Outcome measures can provide a clearer picture of what you can expect from a treatment.Primary outcome measures
Bacteria
Change in Urine NGAL
Change in Urine Nitrite
+7 moreTrial Design
2Treatment groups
Active Control
Group I: High dosageActive Control1 Intervention
For the LGG® instillation, participants will be instructed to mix the contents of 1 LGG capsule into 45 cc sterile 0.9% saline. After mixing, participants will draw up the 45cc liquid LGG mixture into a 60cc syringe and instill via the indwelling catheter (the catheter will not be changed as this would represent 2 interventions). Participants will be instructed the plug their catheter for 1 hour. Participants will receive 4 LGG capsules and will repeat this process the following day twice for a total of four doses ("High" dose). Subjects will remain in the study for up to 29 months, with participation ending after one completed intervention (4 doses) and post-intervention assessments are complete. If urinary symptoms do not occur warranting instillation during the ensuing 29 months, participants will be asked to return any remaining kits (including LGG®). Participants will be instructed to complete the USQNB-IDC weekly until study completion.
Group II: Low DosageActive Control1 Intervention
For the LGG® instillation, participants will be instructed to mix the contents of 1 LGG capsule into 45 cc sterile 0.9% saline. After mixing, participants will draw up the 45cc liquid LGG mixture into a 60cc syringe and instill via the indwelling catheter (the catheter will not be changed as this would represent 2 interventions). Participants will be instructed the plug their catheter for 1 hour. Participants will receive 2 ]LGG capsules and will repeat this process the following day ("Low" dose). Subjects will remain in the study for up to 29 months, with participation ending after one completed intervention (2 doses) and post-intervention assessments are complete. If urinary symptoms do not occur warranting instillation during the ensuing 29 months, participants will be asked to return any remaining kits (including LGG®). Participants will be instructed to complete the USQNB-IDC weekly until study completion.
Find a Location
Who is running the clinical trial?
Children's National Research InstituteOTHER
211 Previous Clinical Trials
207,975 Total Patients Enrolled
Medstar Health Research InstituteLead Sponsor
189 Previous Clinical Trials
115,391 Total Patients Enrolled
Suzanne Groah, MD, MSPHPrincipal InvestigatorMedStar National Rehabilitation Hospital
2 Previous Clinical Trials
302 Total Patients Enrolled
Media Library
Eligibility Criteria:
This trial includes the following eligibility criteria:- You have had sex in the last 3 days.I am taking antibiotics to prevent infections.I have received bladder treatments to prevent urinary tract infections.You are using a catheter to manage your bladder.You have mental health conditions that make it difficult for you to follow instructions.I am a premenopausal woman not having periods.I have had bladder control issues due to nerve problems for at least 6 months.I have not taken any antibiotics in the last 2 weeks.I have a physical disability and live in the community.
Research Study Groups:
This trial has the following groups:- Group 1: High dosage
- Group 2: Low Dosage
Awards:
This trial has 1 awards, including:- No Placebo-Only Group - All patients enrolled in this study will receive some form of active treatment.
Timeline:
This trial has the following timeline:- Screening: It may take up to 3 Weeks to process to see if you qualify in this trial.
- Treatment: The duration you will receive the treatment varies.
- Follow Ups: You may be asked to continue sharing information regarding the trial for 6 Months after you stop receiving the treatment.
Frequently Asked Questions
These questions and answers are submitted by anonymous patients, and have not been verified by our internal team.
How many people have agreed to participate in this research project?
"The information available on clinicaltrials.gov indicates that this trial is still recruiting patients. This trial was posted on 1/10/2020, with the most recent update on 6/13/2022. So far, 182 people have enrolled at the 1 location."
Answered by AI
What is the recommended dosage of this medication?
"There is some evidence from previous trials to support the efficacy of high dosage, as well as data from multiple rounds of testing that suggest it is safe."
Answered by AI
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