- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT01776021
Effects of a Cranberry Beverage on Women With Recent History of Urinary Tract Infections
A Multicenter, Double-Blind, Randomized, Placebo-Controlled Trial to Assess the Effects of a Cranberry Beverage on Women With Recent History of Urinary Tract Infections
Study Overview
Status
Conditions
Intervention / Treatment
Detailed Description
Urinary tract infections (UTI) are the second most common infection of any organ system and the most common urological disease in the United States, with a total annual cost of more than $3.5 billion. Although UTIs can occur in both men and women, they are about 50 times more common in adult women than adult men. It is estimated that 25% of women diagnosed with a primary UTI will suffer a recurrence within two to three months. While no universal definition has been accepted, recurrent UTI is usually defined as three episodes in the last 12 months or two episodes in the last six months following initial infection. In an estimated 75 to 95% of cases of uncomplicated UTI, Escherichia coli (E. coli) is the underlying cause.
Cranberries have historically been associated with urinary tract health, but only recently has the biologic plausibility of cranberry use in the prevention of UTI been addressed. Current research suggests that A-type proanthocyanidins, a specific class of polyphenolic compounds found uniquely abundant in cranberries, inhibit adhesion of bacteria (including multidrug resistant E.coli) to cultured epithelial cells of the urinary tract.
This study will compare the effects of a cranberry juice beverage vs placebo on rates of UTI recurrence in women with a history of UTI.
Study Type
Enrollment (Actual)
Phase
- Not Applicable
Contacts and Locations
Study Locations
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Arizona
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Chandler, Arizona, United States, 85224
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Scottsdale, Arizona, United States, 85251
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California
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San Diego, California, United States, 92123
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Santa Rosa, California, United States, 95405
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Colorado
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Denver, Colorado, United States, 80239
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Florida
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Edgewater, Florida, United States, 32123
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Miami, Florida, United States, 33155
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Summerfield, Florida, United States, 34491
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Illinois
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Addison, Illinois, United States, 60101
- Ocean Spray Cranberries Research Sites
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Evanston, Illinois, United States, 60201
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Minnesota
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Edina, Minnesota, United States, 55435
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Ohio
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Cincinnati, Ohio, United States, 45249
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Columbus, Ohio, United States, 43212
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South Carolina
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Anderson, South Carolina, United States, 29621
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Texas
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Dallas, Texas, United States, 75231
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Utah
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Pleasant Grove, Utah, United States, 84062
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Salt Lake City, Utah, United States, 84124
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Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
- Subject has had at least 2 episodes of a UTI treated by a healthcare professional in the last year and at least 1 treated UTI within the last 6 months.
- Subject is willing to avoid listed Vaccinium products (including cranberry juice, cranberries, craisins, blueberries, cranberry/blueberry powders, pills, or supplements, probiotics) for 2 weeks prior to enrollment and throughout intervention.
- Subject agrees to avoid probiotic dietary supplements for 2 weeks prior to enrollment and throughout intervention.
- Subject agrees to limit all probiotic-containing foods/yogurt and yogurt-containing products to no more than an 8 oz serving/d within 2 weeks prior to enrollment and throughout intervention.
- Subject is willing to limit all soda, pop or energy drinks (diet or regular sweetened) to < 20 oz/d within 2 weeks prior to and throughout intervention.
Exclusion Criteria:
- Subject has an in-dwelling catheter, polycystic disease, interstitial cystitis, previous urological surgery, stones, or anatomical abnormalities of the urinary tract, spinal cord injury, immuno-compromised conditions, severe renal impairment, or multiple sclerosis.
- Subject has a history of antibiotic prophylaxis use for UTI. A 2-week washout period prior to enrollment will be allowed.
- Subject has a body mass index (BMI) >40.0 kg/m2.
- Subjects with diabetes mellitus and HbA1C >8.0% prior to enrollment.
- Subject has diabetes mellitus treated with insulin.
- Subject has an active infection or sign/symptoms of an infection (i.e., including a UTI).
- Subject has used oral anti-coagulants within the last 4 weeks.
- Subject has a history or presence of cancer in the prior two years, except for nonmelanoma skin cancer.
- Subject is pregnant, planning to be pregnant during the study period, lactating, or is of childbearing potential and is unwilling to commit to the use of a medically approved form of contraception throughout the study period.
Study Plan
How is the study designed?
Design Details
- Primary Purpose: PREVENTION
- Allocation: RANDOMIZED
- Interventional Model: PARALLEL
- Masking: QUADRUPLE
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
ACTIVE_COMPARATOR: cranberry juice
cranberry juice beverage at a dose of one 8 oz.
beverage per day for six months
|
cranberry juice beverage at a dose of one 8 oz.
beverage per day for six months
|
PLACEBO_COMPARATOR: Placebo
placebo beverage at a dose of one 8 oz.
beverage per day for six months
|
placebo beverage at a dose of one 8 oz.
beverage per day for six months
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Time Frame |
---|---|
The primary outcome variable will be UTI incidence density, defined as the semi-annualized number of UTIs in each group, adjusted for susceptible time under observation.
Time Frame: six months
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six months
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Secondary Outcome Measures
Outcome Measure |
Time Frame |
---|---|
Time from randomization to first clinical UTI. Time from randomization to first clinical UTI w/ pyuria. Time from randomization to first clinical UTI w/ microbiological verification. The fraction of subjects w/ one or more episode(s) of clinical UTI.
Time Frame: six months
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six months
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Collaborators and Investigators
Sponsor
Collaborators
Investigators
- Study Director: Kevin Maki, PhD, Biofortis Clinical Research, Inc.
Publications and helpful links
General Publications
- Straub TJ, Chou WC, Manson AL, Schreiber HL 4th, Walker BJ, Desjardins CA, Chapman SB, Kaspar KL, Kahsai OJ, Traylor E, Dodson KW, Hullar MAJ, Hultgren SJ, Khoo C, Earl AM. Limited effects of long-term daily cranberry consumption on the gut microbiome in a placebo-controlled study of women with recurrent urinary tract infections. BMC Microbiol. 2021 Feb 18;21(1):53. doi: 10.1186/s12866-021-02106-4.
- Maki KC, Kaspar KL, Khoo C, Derrig LH, Schild AL, Gupta K. Consumption of a cranberry juice beverage lowered the number of clinical urinary tract infection episodes in women with a recent history of urinary tract infection. Am J Clin Nutr. 2016 Jun;103(6):1434-42. doi: 10.3945/ajcn.116.130542. Erratum In: Am J Clin Nutr. 2017 Aug;106(2):708.
Study record dates
Study Major Dates
Study Start
Primary Completion (ACTUAL)
Study Completion (ACTUAL)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (ESTIMATE)
Study Record Updates
Last Update Posted (ESTIMATE)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
- PRV-1201
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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