Single Dose Monurol for Treatment of Acute Cystitis
Study Details
Study Description
Brief Summary
Urinary tract infecton (UTI) is a very common problem in young healthy women, afflicting approximately one-half of women by their late 20's. One of the most common antibiotics used to treat UTIs is Trimethoprim-sulfa (TMP-SMX), usually for total of three days. However, concerns about increased antibiotic resistance have led to increased interest in studying other antibiotics for UTI.
An alternative antibiotic which is also FDA approved for the treatment of UTIs is fosfomycin (Monurol). The effectiveness of fosfomycin in curing UTIs when given as a single dose is not well studied. The purpose of this research study is to determine what the cure rates are with a single dose of fosfomycin versus the more standard 3-day course of TMP-SMX.
Condition or Disease | Intervention/Treatment | Phase |
---|---|---|
|
N/A |
Detailed Description
Procedures subjects will undergo once they have read and signed the consent are:
Questions about their medical and sexual history and current symptoms of UTI. They will be asked to provide a urine and peri-urethral sample and then are randomly assigned to one of the two treatment groups.They will be given a sheet to record symptoms at home. They will be asked to return to the clinic in 5-8 and 28-30 days after completing antibiotic therapy.Follow-up questions will be asked and urine and peri-urethral will be self collected at each visit.
Study Design
Arms and Interventions
Arm | Intervention/Treatment |
---|---|
Active Comparator: Fosfomycin Mix sachet with 1/2 glass cold water and stir. Drink immediatley |
Drug: Fosfomycin
3g sachet single dose
Other Names:
|
Active Comparator: TMP/SMX Sulfamethoxazole-Trimethoprim 800-160 MG Oral Tab (TMP/SMX) Take one twice daily for 3 days for urinary tract infection |
Drug: TMP/SMX DS
160/800mg BID x 3 days
Other Names:
|
Outcome Measures
Primary Outcome Measures
- To assess the efficacy of a single dose fosfomycin [28-30 post therapy]
Secondary Outcome Measures
- To assess the tolerance of a single does of fosfomycin [28-30 days post therapy]
Eligibility Criteria
Criteria
Inclusion Criteria:
- Non pregnant women in good health with symptoms of acute cystitis for less than 7 days
Exclusion Criteria:
-
Pregnant, lactating, or not regularly contracepting
-
History of chronic conditions such as diabetes
-
Known anatomic abnormalities of the urinary tract
-
Use of prophylactic antibiotics
-
History of allergy or intolerance to any of the study drugs
-
Recent (> 2 weeks)exposure to oral or parenteral antimicrobial
-
History of UTI in previous 1 month
Contacts and Locations
Locations
Site | City | State | Country | Postal Code | |
---|---|---|---|---|---|
1 | University of Washington | Seattle | Washington | United States | 98195 |
Sponsors and Collaborators
- University of Washington
Investigators
- Principal Investigator: Ann E. Stapleton, M.D., University of WA
Study Documents (Full-Text)
None provided.More Information
Publications
None provided.- 34776