Why do some complicated UTIs resist treatment? massive study aims to find out
NCT ID NCT05458700
First seen Sep 10, 2026 · Last updated Sep 11, 2026 · Updated 1 time
Summary
Complicated urinary tract infections are hard to treat and often return, and doctors need better data on what drives treatment failure. This observational study follows thousands of patients with confirmed complicated UTIs across multiple sites, collecting information on their symptoms, lab results, treatments, and outcomes over time. Researchers measure how many patients achieve clinical and microbiological cure about two to three weeks after diagnosis, and they track which patient and management factors link to failure or recurrence. The goal is to build a detailed picture of complicated UTIs that can guide the design of future clinical trials for new drugs and non-antibiotic approaches.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- What this could lead to
- If researchers map which factors predict treatment failure in complicated UTIs, that knowledge could shape better-designed trials of new antibiotics and non-antibiotic approaches.
- What could go wrong
- This study only observes patients and collects data. It tests no treatment, so it cannot prove any therapy works. Findings may not apply to settings with different care standards or resistance patterns.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Participants
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About 16,000 people
The number the study aims to enrol. It can still change while the study runs.
- Started
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Oct 2022
- Expected to finish
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Mar 2027
An estimate. End dates often move.
- Lead sponsor
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Other sponsor
The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
Who is studied
Adult (≥18 years) patients admitted to an acute care hospital with cUTI, or developing cUTI during hospital stay
- Ages
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18 years and older
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: * A documented microbial pathogen on culture of blood OR urine according to standards of interpretation regarding to the type of infection, pathogen, quantitative culture results and sample. Guide for adequate interpretation is detailed in Lab Manual. However, if the local laboratory uses diferent microbiological criteria, patients will be elegible and the criteria used will be collected AND * Local and systemic signs and symptoms of UTI including at least one of these two: (a) fever (i.e.,temperature greater than 38ºC), chills or malaise; and (b) flank pain, back pain, costo-vertebral angle pain or tenderness, dysuria or urinary urgency, AND * It occurs in the presence of a functional or anatomical abnormality of the urinary tract or in the presence of catheterization, including (but not limited to) presence of a urinary catheter; 100 mL or more of residual urine after voiding (neurogenic bladder); obstructive uropathy (nephrolithiasis, fibrosis); azotemia caused by intrinsic renal disease; urinary retention, including retention caused by benign prostatic hypertrophy. * Patients with pyelonephritis or bacteremia with a urinary tract source, regardless of underlying abnormalities of the urinary tract, are also to be included. * Patients with urinary catheter presenting with fever, bacteriuria and bacteraemia caused by the same urinary pathogen can be included if other sources of bacteraemia are reasonably discarded. * Depending on the country regulation: The patient, family or legally authorised representative signed the informed consent to participate or; notification of non-objection to the use of pseudo-anonymized personal and medical data. Exclusion Criteria: * Patients with a life expectancy previous to development of cUTI \<30 days and those exclusively under palliative care in whom any eventually needed invasive procedure would not be performed. * Patients who died in \<48 hours since the presentation with cUTI * Patients participating in RCT for treatment of cUTI * \>96 hours since from the clinical diagnosis of cUTI. I.e. \>96 hours from positive urine/blood culture.
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
How to take part
Only the study team decides who joins. These are the ways to reach them.
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The places running it
1 site. The list below names each one and where it is.
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The official record
ClinicalTrials.gov lists the study team's own contact details, including names and phone numbers. We don't republish those.
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A doctor treating you
A doctor who knows your case can contact a study site on your behalf, and can tell you whether this study is worth pursuing at all.
Contacts and locations
Locations
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Hospital Universitario Virgen Macarena
RECRUITINGSeville, Sevilla, 41009, Spain
More trials for these conditions
Other studies related to the condition(s) this trial covers.
- Gut bacteria transplant tested against Antibiotic-Resistant urinary infections
- Could removing catheters sooner after kidney transplant cut infections?
- Can better school toilets and peer support boost girls' health and grades? a madagascar trial aims to find out.
- Antibiotic levels in breast milk under the microscope
- Can antibiotic wash and suction stop Post-Surgery infections?
- Gut bacteria transplant shows promise for recurring UTIs