About this trial
The GT RACING is a study comparing the efficacy of HA-CS bladder installations with prophylactic antibiotics in the prevention of recurrent urinary tract infections (rUTI).
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Adult female patients (>18 years) who had at least 3 symptomatic UTI's in the previous year with no adequate curable therapeutic options (e.g. bladder stones)
At least one UTI's must be confirmed with a positive culture and antibiogram, further UTI's must be confirmed with a urine sediment with positive nitrite or a positive culture.
Disqualifiers
Male
< 18 years
Pregnant
Already on GAG therapy
Trial design
Parallel
Treatments tested in this trial
Ialuril 50ml Prefill
Device50ml of sterile Ialuril (HA 1.6% CS 2%) bladder instillations weekly for 6 weeks, followed by monthly maintenance therapy for 6 months
Nitrofurantoin
Drugnitrofurantoin 100mg daily (1dd100mg or 2dd50mg) for 6 months. ( In case of resistance/intolerance/allergy for nitrofurantoin alternatively trimethoprim 100mg daily)
Treatment groups
Trial outcomes
Primary outcomes
Number of urinary tract infections
Number of urinary tract infections per patient-year
Secondary outcomes
Time to first urinary tract infection
Time to first urinary tract infection
Global Assessment of Improvement
Changes on Global Assessment of Improvement, Likert scale: -3 (worst) to +3(best)
Antibiotics resistance
Difference in acquired AB resistance (increase in resistance to different antibiotic treatments) between both patients groups
Cost-effectiveness: medical consumption questionnaire
Difference in cost-effectiveness between the 2 therapies. This is assessed with the 'medical consumption questionnaire'
Sponsors and contacts
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Radboud University Medical Center
Lead sponsor
IBSA Institut Biochimique SA
Collaborator
Goodlife Pharma B.V.
Collaborator