- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT05226832
Intradetrusor Triamcinolone Injection in the Management of Interstitial Cystitis/Bladder Pain Syndrome
January 23, 2023 updated by: The University of Texas Medical Branch, Galveston
Intradetrusor Triamcinolone Injection in the Management of Interstitial Cystitis/Bladder Pain Syndrome: Pilot Study
This initial pilot project aims to study the use of FDA-approved 40mg triamcinolone injections in the bladder for the management of interstitial cystitis with or without Hunner's lesions.
Intradetrusor triamcinolone injections are already the standard of care for IC patients with Hunner's lesions, but its role in management of IC without Hunner's lesions has yet to be determined.
Triamcinolone is a long-acting corticosteroid that acts by inhibiting the migration of polymorphonuclear leukocytes, which may contribute to attenuation of inflammation in interstitial cystitis.
We will recruit 27 females 18 years of age or older that have been diagnosed with IC/BPS.
Patients will undergo a one-time cystoscopy along with the triamcinolone injections for IC management as a part of the research study.
Validated questionnaires will be provided before the treatment to quantify symptoms at baseline and after treatment at follow-up visits.
Follow up visits will occur in clinic every 4 to 6 weeks, which will continue for a maximum of 1 year.
Scores at follow-up visits will be compared to baseline.
Study Overview
Status
Withdrawn
Conditions
Intervention / Treatment
Study Type
Interventional
Phase
- Not Applicable
Contacts and Locations
This section provides the contact details for those conducting the study, and information on where this study is being conducted.
Study Contact
- Name: Bilal Farhan, MD
- Phone Number: (409) 772-3137
- Email: bifarhan@utmb.edu
Study Locations
-
-
Texas
-
Galveston, Texas, United States, 77555
- The University of Texas Medical Branch
-
Contact:
- Bilal Farhan, MD
- Phone Number: 409-772-3137
- Email: bifarhan@utmb.edu
-
-
Participation Criteria
Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.
Eligibility Criteria
Ages Eligible for Study
18 years and older (Adult, Older Adult)
Accepts Healthy Volunteers
No
Genders Eligible for Study
Female
Description
Inclusion Criteria:
- Patients must meet an appropriate diagnosis of IC from NIDDK (National Institute of Diabetes and Digestive and Kidney Diseases)
- Patients must be female
- 18 years or older
- Have an official diagnosis of Interstitial Cystitis/Bladder Pain Syndrome
Exclusion Criteria:
- Patients who do not meet NIDDK inclusion criteria for Interstitial Cystitis as described above will not me enrolled in the study
- The presence of urinary tract or sexually transmitted infection (may be included once existing infection is treated and cleared)
- Pregnant women
- Patients who have the inability to consent on their own behalf
- Prisoners
Study Plan
This section provides details of the study plan, including how the study is designed and what the study is measuring.
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: N/A
- Interventional Model: Single Group Assignment
- Masking: None (Open Label)
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Experimental: Injection Group
|
Patients will undergo a standard of care cystoscopy with non-standard of care solumedrol injections in the clinic.
Subjects will have lidocaine jelly instilled into their bladder for 5 minutes prior to injection cystoscopy.
Injections will be performed using a 17fr flexible cystoscope in the outpatient setting.
There will be 10 intravesical Injections of 1cc of 40mg solumedrol diluted to 10cc with injectable normal saline.
The needle will penetrate the bladder at a depth of 2-3mm using a Laborie endoscopic single use needle, about the length of a pencil tip.
The patient may experience discomfort with cystoscopy and injections.
Any procedure complications will be noted based on the Clavien-Dindo Classification Index, discussed in the safety section.
This is estimated to take 30 minutes.
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
O'Leary-Sant Symptom Index; Problem Index; Pain, Urgency, Frequency Symptom Scale
Time Frame: One Year
|
Follow-up visits will occur every 4-to-6-weeks post-procedure as part of UTMB's standard of care.
Patients will be asked to fill out The O'Leary-Sant Symptom Index and Problem Index and the Pain, Urgency, Frequency Symptom Scale to quantify symptoms, which is not experimental.
No other procedures will occur for Visits #3 and onward.
Follow-up visits will continue for a maximum of 1 year
|
One Year
|
Collaborators and Investigators
This is where you will find people and organizations involved with this study.
Study record dates
These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.
Study Major Dates
Study Start (Anticipated)
August 1, 2022
Primary Completion (Anticipated)
March 1, 2023
Study Completion (Anticipated)
March 1, 2023
Study Registration Dates
First Submitted
January 26, 2022
First Submitted That Met QC Criteria
January 26, 2022
First Posted (Actual)
February 7, 2022
Study Record Updates
Last Update Posted (Estimate)
January 26, 2023
Last Update Submitted That Met QC Criteria
January 23, 2023
Last Verified
January 1, 2023
More Information
Terms related to this study
Additional Relevant MeSH Terms
- Mental Disorders
- Pathologic Processes
- Urologic Diseases
- Urinary Bladder Diseases
- Disease
- Syndrome
- Cystitis
- Somatoform Disorders
- Cystitis, Interstitial
- Physiological Effects of Drugs
- Anti-Inflammatory Agents
- Glucocorticoids
- Hormones
- Hormones, Hormone Substitutes, and Hormone Antagonists
- Triamcinolone
Other Study ID Numbers
- 21-0227
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
No
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
No
Studies a U.S. FDA-regulated device product
No
product manufactured in and exported from the U.S.
No
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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