Preventing Recurrences of Chronic Bacterial Cystitis with Raphamin
Multicenter, Double-blind, Placebo-controlled, Randomized, Parallel-group Clinical Trial of the Efficacy and Safety of Raphamin in Prevention of the Recurrences of Chronic Bacterial Cystitis
This study is testing if a new medication called Raphamin can help women with chronic bacterial cystitis avoid future infections.
Quick facts
| Phase | Phase 3 |
|---|---|
| Study type | Interventional |
| Enrollment | 632 (estimated) |
| Ages | 18 Years and up |
| Sex | Female |
| Sponsor | Materia Medica Holding Industry-sponsored |
| Locations | 57 sites (Irkutsk and 56 other locations) |
| Trial ID | NCT06284265 on ClinicalTrials.gov |
What this trial studies
This clinical trial evaluates the efficacy and safety of Raphamin in preventing recurrences of chronic bacterial cystitis in female outpatients aged 18 and older. The study is designed as a double-blind, placebo-controlled, randomized trial, where participants will be assigned to receive either Raphamin or a placebo alongside Phosphomycin. Patients will undergo assessments of their symptoms and undergo various tests, including urinalysis and ultrasound examinations, to monitor their condition. The trial aims to enroll at least 190 patients to gather sufficient data on the treatment's effectiveness.
Who should consider this trial
Good fit: Ideal candidates are female patients aged 18 years and older with a confirmed diagnosis of chronic bacterial cystitis experiencing severe symptoms.
Not a fit: Patients with urinary tract obstructions, urolithiasis, or other significant urinary tract disorders may not benefit from this study.
Why it matters
Potential benefit: If successful, this treatment could significantly reduce the frequency of cystitis recurrences in affected patients.
How similar studies have performed: Other studies have shown promise in treating chronic bacterial cystitis with similar approaches, but the specific use of Raphamin is novel.
Eligibility criteria
Show full inclusion / exclusion criteria
Inclusion Criteria: 1. Female patients aged 18 years and older. 2. Patients with a confirmed diagnosis of chronic bacterial cystitis. 3. Patients with exacerbation of chronic cystitis based on typical symptoms of exacerbation of the disease with a severity of 7 points or more in accordance wuth ACSS. 4. The first 48 hours from the onset of exacerbation) of chronic bacterial cystitis. 5. Patients who agreed to use an acceptable method of contraception during the study (for women of reproductive potential). 6. Availability of a signed patient information sheet and informed consent form for participation in the clinical trial. Exclusion Criteria: 1. Presence of urolithiasis, urinary tract obstruction, urothelial cancer, pelvic organ prolapse, neurogenic bladder disorders at the time of examination. 2. Presence of malignant neoplasms of the urinary tract, ureter stone, more than 50 ml of residual urine in the bladder, confirmed by ultrasound examination. 3. Suspicion of bladder tuberculosis. 4. Presence of indications for hospitalization due to a serious condition, macrohematuria, complicated cystitis. 5. Decompensation of diabetes mellitus, immunodeficiency of any etiology, malignant cancer of any localization, severe circulatory insufficiency (cardiovascular disease with functional class IV according to the classification of the New York Heart Association, 1964). 6. Unstable angina pectoris or myocardial infarction within the previous 6 months. 7. Chronic kidney disease (classes С3-5 А3). 8. Hepatic impairment (Child-Pugh class C). 9. Patients who require medicinal products prohibited for use in this study. 10. Exacerbation or decompensation of chronic conditions affecting the patient's ability to participate in the clinical trial. 11. Malabsorption syndrome, including congenital or acquired lactase deficiency or other disaccharidase insufficiency, galactosemia. 12. Hypersensitivity to any component of the medicinal products used in the treatment. 13. Pregnancy, breastfeeding; childbirth less than 3 months prior to study enrollment, unwillingness to comply with contraceptive methods during the study. 14. The medications listed in the Prohibited Concomitant Medication section were administered within 4 weeks prior to enrollment. 15. Patients who, from the investigator's point of view, will not comply with the observation requirements of the study or comply with the administration of the study drug. 16. History of mental diseases, alcoholism, or drug abuse that, in the investigator's opinion, may interfere with the successful completion of trial procedures. 17. Participation in other clinical trials within 3 months prior to enrollment. 18. The patient belongs to the investigational site personnel directly involved in the study, closest relatives of the investigator. The closest relatives are defined as spouse, parents, children or siblings, regardless of whether they are natural or adopted. 19. The patient works for the company OOO "NPF "MATERIA MEDICA HOLDING", being an employee of the company, a temporary contract worker or an appointed official responsible for performing the trial, or their close relative.
Where this trial is running
Irkutsk and 56 other locations
- Scientific Center for Family Health and Human Reproduction Problems/Reproductive Health Department — Irkutsk, Russian Federation (Recruiting)
- Kazan State Medical University/Professor's clinic — Kazan, Russian Federation (Recruiting)
- LLC "Fenareta" Women's and Men's Health Clinic" — Kemerovo, Russian Federation (Recruiting)
- City Clinical Hospital #15 named after O.M. Filatov Department of Health of Moscow — Moscow, Russian Federation (Terminated)
- City Clinical Hospital # 13/Gynecology Department # 1 — Moscow, Russian Federation (Recruiting)
- Clinical Hospital # 85 of the Federal Medical and Biological Agency/Central polyclinic — Moscow, Russian Federation (Recruiting)
- Research Institute of Rheumatology named after V.A. Nasonova — Moscow, Russian Federation (Terminated)
- National Medical Research Center for Obstetrics, Gynecology and Perinatology named after V.I. Kulakov/Department of Aesthetic Gynecology and Rehabilitation — Moscow, Russian Federation (Recruiting)
- Peoples' Friendship University of Russia/Department of Obstetrics and Gynecology with a course in perinatology — Moscow, Russian Federation (Withdrawn)
- Russian National Research Medical University named after N.I. Pirogov/Department of Obstetrics and Gynecology, Faculty of Medicine — Moscow, Russian Federation (Recruiting)
- City Clinical Hospital # 1 named after. N.I. Pirogov of the Moscow City Health Department — Moscow, Russian Federation (Recruiting)
- United hospital with clinic of the Administration of the President of the Russian Federation — Moscow, Russian Federation (Recruiting)
- City Clinical Hospital # 67 named after L.A. Vorokhobov — Moscow, Russian Federation (Recruiting)
- JSC "MEDSI Group of Companies" — Moscow, Russian Federation (Withdrawn)
- Moscow State Medical and Dental University named after A.I. Evdokimov/Department of Urologya — Moscow, Russian Federation (Recruiting)
- Privolzhsky District Medical Center — Nizhny Novgorod, Russian Federation (Recruiting)
- National Medical Research Center for Radiology/Research Institute of Urology and Interventional Radiology named after. N.A. Lopatkin — Obninsk, Russian Federation (Withdrawn)
- LLC "Urology Clinic # 1" — Penza, Russian Federation (Recruiting)
- City Clinical Hospital — Pyatigorsk, Russian Federation (Recruiting)
- Clinical and Diagnostic Center "Health" in Rostov-on-Don — Rostov-on-Don, Russian Federation (Terminated)
- Rostov State Medical University/Department of Urology and Human Reproductive Health with a course of pediatric urology-andrology — Rostov-on-Don, Russian Federation (Recruiting)
- Rostov Central District Hospital — Rostov, Russian Federation (Recruiting)
- Ryazan State Medical University named after Academician I.P. Pavlov/Department of Urology with a course of surgical diseases — Ryazan, Russian Federation (Recruiting)
- JSC "Polyclinic Complex" — Saint Petersburg, Russian Federation (Withdrawn)
- LLC "Medical Center Capital-Polis" — Saint Petersburg, Russian Federation (Recruiting)
- City Geriatric Medical and Social Center — Saint Petersburg, Russian Federation (Recruiting)
- LLC "BioTechService" — Saint Petersburg, Russian Federation (Recruiting)
- City clinic # 44 — Saint Petersburg, Russian Federation (Recruiting)
- All-Russian Center for Emergency and Radiation Medicine named after A.M. Nikiforov/Urology department — Saint Petersburg, Russian Federation (Recruiting)
- St. Luke's Clinical Hospital — Saint Petersburg, Russian Federation (Recruiting)
- City Multidisciplinary Hospital # 2/Urology department — Saint Petersburg, Russian Federation (Withdrawn)
- Llc "Medical Clinic" — Saint Petersburg, Russian Federation (Recruiting)
- Medical and sanitary unit No. 70 - branch of the St. Petersburg State Unitary Enterprise of Passenger Road Transport — Saint Petersburg, Russian Federation (Recruiting)
- City Polyclinic # 112 — Saint Petersburg, Russian Federation (Recruiting)
- LLC "Research Center Eco-Safety" — Saint Petersburg, Russian Federation (Terminated)
- Jsc "Northwestern Center of Evidence-Based Medicine" — Saint Petersburg, Russian Federation (Withdrawn)
- LLC "Zvezdnaya Clinic" — Saint Petersburg, Russian Federation (Recruiting)
- City Hospital # 33 — Saint Petersburg, Russian Federation (Recruiting)
- LLC "New clinic "ABIA" — Saint Petersburg, Russian Federation (Recruiting)
- LLC "Medical Center "PRIME ROSE" — Saint Petersburg, Russian Federation (Recruiting)
- City Hospital # 15 — Saint Petersburg, Russian Federation (Recruiting)
- Research Institute of Obstetrics, Gynecology and Reproductology named after D.O. Ott/Department of Gynecology and Endocrinology — Saint Petersburg, Russian Federation (Recruiting)
- City Pokrovskaya Hospital/Department of Urology — Saint Petersburg, Russian Federation (Recruiting)
- City Polyclinic # 3 — Saint Petersburg, Russian Federation (Recruiting)
- City Polyclinic # 4 — Saint Petersburg, Russian Federation (Recruiting)
- LLC "Health Formula" — Semiluki, Russian Federation (Recruiting)
- Sertolovo City Hospital — Sertolovo, Russian Federation (Recruiting)
- LLC "Uromed" — Smolensk, Russian Federation (Terminated)
- Siberian State Medical University/Faculty clinics of Siberian State Medical University — Tomsk, Russian Federation (Terminated)
- Tver State Medical University/Department of Obstetrics and Gynecology — Tver, Russian Federation (Recruiting)
+7 more sites — see ClinicalTrials.gov for the full list.
Study contacts
- Study coordinator: Mikhail Putilovskiy, MD, PhD
- Email: PutilovskiyMA@materiamedica.ru
- Phone: +74952761575
How to participate
- Review the eligibility criteria above with your treating physician.
- Visit the official trial page on ClinicalTrials.gov for the most current contact information and recruitment status.
- Contact the listed study coordinator or principal investigator to request pre-screening. Pre-screening is free and never obligates you to enroll.