Clinical trial Recruiting at 1 site Interventional Ages 40 to 70

21-day comprehensive spa care for kidney and urinary conditions

Official title: Objective Assessment of the Effect of Comprehensive Spa Care on Patients With Chronic Kidney and Urological Diseases: A Prospective Interventional Clinical Study

Run by Institute of Spa and Balneology, public research institution · NCT07435844 · Data updated 2026-11-12

This program will try a 21-day spa treatment with mineral water baths, drinking cures, exercise and diet for adults 40–70 who have chronic kidney or urinary problems to see if it improves symptoms and kidney health.

Quick facts

Study typeInterventional
Ages40 Years to 70 Years
SexAll
Enrollment150 (estimated)
SponsorInstitute of Spa and Balneology, public research institution
Academic / other
Locations1 site (Mariánské Lázně, Carlsbad Region)
StatusRecruiting
StartedApril 7, 2026
Main results expectedApril 30, 2027
Study endsApril 30, 2027
Registry record updatedApril 24, 2026
Trial IDNCT07435844 on ClinicalTrials.gov

Is this trial a fit for you?

Likely a good fit

Adults aged 40–70 who are prescribed the KLP for recurrent or chronic non-tuberculous kidney/urinary inflammation, nephrolithiasis/nephrocalcinosis, post‑surgical recovery of the urinary tract, or chronic prostatitis are ideal candidates.

Probably not a fit

Patients with acute urinary obstruction or other acute surgical needs, severe comorbidities, inability to walk to treatments, or those outside the 40–70 age range may not receive benefit from this spa program.

A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.

What this trial studies

This is a prospective, single-arm pretest–posttest study of 150 adults receiving a standard 21-day comprehensive spa care program (KLP) at Mariánské Lázně. Participants receive a prescribed package of local natural therapies including mineral spring drinking cures, mineral water baths, peloid applications, carbon dioxide therapy, climatotherapy, exercise therapy and dietotherapy, totaling about 63 procedures. Clinical data, blood and urine samples, and other measures are collected no later than day 3 after admission and again on day 20 or 21 to compare before-and-after effects. The treatments are provided as routine, insurance-covered care and the protocol does not alter individual clinical prescriptions.

Why it matters

Potential benefit: If successful, the program could reduce urinary symptoms and inflammation and improve kidney-related health and quality of life after a 21-day course.

How similar studies have gone: Previous observational and non-randomized reports of balneotherapy and spa rehabilitation have shown symptom improvements in some urologic and nephrologic conditions, but high-quality randomized evidence remains limited.

Who can join: the full rules

Show full inclusion / exclusion criteria
Inclusion Criteria:

* Male or female aged 40 to 70 years
* Prescribed comprehensive spa care (KLP) for one of the following indications: recurrent and chronic non-tuberculous inflammation of the kidneys and urinary tract resistant to antibiotic and pharmacological treatment, with at least 12 months of continuous urological care (indication VIII/1); cystic kidney disease (indication VIII/1); nephrolithiasis without urinary tract obstruction or nephrocalcinosis (indication VIII/2); conditions after kidney or urinary tract surgery, including endovesical procedures, complicated prostatectomy, nephrolithotripsy, or recovery after extracorporeal shock wave lithotripsy (indication VIII/3); chronic prostatitis or chronic prostatovesiculitis resistant to pharmacological and antibiotic treatment, with at least 12 months of continuous urological care (indication VIII/4)
* Able to walk from the sanatorium to the colonnade and back three times daily
* Willing to follow the treatment plan
* Signed informed consent

Exclusion Criteria:

* Contraindications according to Czech Decree No. 2/2015 Coll. on spa treatment criteria (pregnancy, acute illness, etc.)
* Significant mobility limitation or severe neuropathy preventing daily walks to the colonnade
* Significant obesity or inability to briefly hold breath (required for ultrasound examination)
* Alcohol intake exceeding 20 g of ethanol per day
* Nephrolithiasis with urinary tract obstruction
* History of esophageal or gastric variceal bleeding
* Severe comorbidities that could affect treatment outcomes
* Active oncological disease
* Unwillingness to adhere to the treatment plan

Where it's running

  • Léčebné lázně Mariánské Lázně a.s.
    Mariánské Lázně, Carlsbad Region, Czechia
    Recruiting

Study contacts

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How to take part

  1. Review the eligibility criteria above with your treating physician.
  2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
  3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.
Last reviewed 2026-11-14 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.