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Estrogen

Vaginal Estrogen for Urinary Tract Infections (PRUVE Trial)

Phase 4
Waitlist Available
Led By Victoria Handa, MD MHS
Research Sponsored by Johns Hopkins University
Eligibility Criteria Checklist
Specific guidelines that determine who can or cannot participate in a clinical trial
Must have
Postmenopausal women (menopausal for at least 1 year) of minimum age 55 years
Participants with documentation of recurrent UTI, defined as history of treatment for at least 3 UTIs in the past year or 2 episodes within 6 months AND at least one positive urine culture during an acute symptomatic episode
Timeline
Screening 3 weeks
Treatment Varies
Follow Up weeks 12 to 24
Awards & highlights

PRUVE Trial Summary

This trial will investigate why vaginal estrogen therapy works for some post-menopausal women with recurrent UTI, to help prevent these infections.

Who is the study for?
This trial is for postmenopausal women aged 55 or older who have had at least 3 UTIs in the past year or 2 within the last 6 months, with one confirmed by urine culture. It's not for those currently on antibiotics to prevent UTIs, those with contraindications to vaginal estrogen, recent antibiotic use, complicated recurrent UTI due to other health issues.Check my eligibility
What is being tested?
The study tests if vaginal estradiol tablets can prevent recurrent urinary tract infections in postmenopausal women. It examines how this treatment affects vaginal and bladder bacteria and immune responses to understand why it helps some women but not others.See study design
What are the potential side effects?
Potential side effects of vaginal estradiol may include local irritation or discomfort, changes in discharge, and a slight increase in certain types of cancer risk as seen with other forms of estrogen therapy.

PRUVE Trial Eligibility Criteria

Inclusion Criteria

You may be eligible if you check “Yes” for the criteria below
Select...
I am a woman aged 55 or older and have been postmenopausal for at least 1 year.
Select...
I have had 3 UTIs in the last year or 2 in the last 6 months, with at least one confirmed by a lab test.

PRUVE Trial Timeline

Screening ~ 3 weeks
Treatment ~ Varies
Follow Up ~weeks 12 to 24
This trial's timeline: 3 weeks for screening, Varies for treatment, and weeks 12 to 24 for reporting.

Treatment Details

Study Objectives

Outcome measures can provide a clearer picture of what you can expect from a treatment.
Primary outcome measures
Change in Urinary Interleukin-6 level
Change in Urinary microbiota
Change in Vaginal Interleukin-6 level
+1 more
Secondary outcome measures
Urinary tract infection recurrence

PRUVE Trial Design

1Treatment groups
Experimental Treatment
Group I: Vaginal estrogen therapyExperimental Treatment1 Intervention
Participants receive Vaginal estrogen therapy.

Find a Location

Who is running the clinical trial?

National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK)NIH
2,357 Previous Clinical Trials
4,315,136 Total Patients Enrolled
8 Trials studying Urinary Tract Infection
1,569 Patients Enrolled for Urinary Tract Infection
Johns Hopkins UniversityLead Sponsor
2,258 Previous Clinical Trials
14,820,483 Total Patients Enrolled
1 Trials studying Urinary Tract Infection
University of MarylandOTHER
160 Previous Clinical Trials
302,233 Total Patients Enrolled

Media Library

Vaginal Estradiol Tablets (Estrogen) Clinical Trial Eligibility Overview. Trial Name: NCT05551949 — Phase 4
Urinary Tract Infection Research Study Groups: Vaginal estrogen therapy
Urinary Tract Infection Clinical Trial 2023: Vaginal Estradiol Tablets Highlights & Side Effects. Trial Name: NCT05551949 — Phase 4
Vaginal Estradiol Tablets (Estrogen) 2023 Treatment Timeline for Medical Study. Trial Name: NCT05551949 — Phase 4

Frequently Asked Questions

These questions and answers are submitted by anonymous patients, and have not been verified by our internal team.

Is this research endeavor accommodating geriatric patients?

"This clinical trial has established the age-limit of 55 to 100 years old, thus excluding minors and patients over 65 from enrollment. There are 360 studies open for participants under 18 and 1,554 suited for those above 65."

Answered by AI

To what degree does this treatment present a danger to participants?

"There is existing evidence that this treatment is safe, so it has been rated a 3 on our scale. This corresponds to the fact that its Phase 4 status indicates approval from relevant authorities."

Answered by AI

What criteria must be met for individuals to qualify as participants in this clinical trial?

"This clinical trial is currently seeking 50 candidates between the age of 55 and 100, who are suffering from urinary tract infection."

Answered by AI

Are there any available vacancies for individuals to join this experiment?

"Based on the information reported on clinicaltrials.gov, recruitment for this study has temporarily paused since it was last updated in November of 2023. However, 1853 other medical trials across different specialties are actively enrolling patients at this time."

Answered by AI
~26 spots leftby Aug 2025