Vitamin c and hiprex: a new hope against recurring UTIs?
NCT ID NCT06710899
First seen Jun 25, 2026 · Last updated Jun 27, 2026 · Updated 1 time
Summary
This early study tests whether adding vitamin C to the drug methenamine hippurate (Hiprex) helps prevent recurrent urinary tract infections (UTIs) in women. Twenty women will take either Hiprex alone or Hiprex plus vitamin C for six months each, and researchers will compare how many UTIs occur. The goal is to see if this simple combination works better than the drug alone.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- Methenamine hippurate (Hiprex) with or without vitamin C
- What this could lead to
- If it works, this could point toward a simple, low-cost way to prevent recurrent urinary tract infections in women.
- What could go wrong
- This is a very early, small proof-of-concept study with only 20 participants. It may not show a clear benefit, and results may not apply to everyone.
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.
- Phase
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Early phase 1
The earliest testing in people: a first look at safety, in a very small group.
- Participants
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About 20 people
The number the study aims to enrol. It can still change while the study runs.
- Expected to start
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Jan 2027
An estimate. Start dates often move.
- Expected to finish
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Jan 2028
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.
- Ages
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18 years and older
- Sex
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Female participants only
- 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: * Female * Age ≥18 years * Recurrent proven UTI, defined as "two or more proven infections in six months or three or more infections in six months" * Willing and able to give fully informed consent * Patients suitable for prophylaxis following discussion with their clinician. * No contra-indications to treatment with methenamine hippurate or Vitamin C * All women will have undergone standard diagnostic work-up and have followed routine conservative UTI prevention measures. * A working email address to be used to submit urine pH results * Willing and able to comply with the study procedures * Females of childbearing potential must be willing to use a highly effective method of contraception (hormonal or barrier method of birth control; abstinence; sterilisation or vasectomised partner) Exclusion Criteria: * Males * Women who are pregnant or breast-feeding * Contraindications to methenamine hippurate as described in BNF: known allergy, gout, severe metabolic acidosis, severe dehydration, eGFR less than 10 ml/min, severe hepatic impairment * Currently using vitamin C containing supplement or cranberry extract tablets * Women using urinary alkalinisation agents, e.g potassium citrate, sodium bicarbonate * Currently receiving any form of bladder instillation or intradetrusor Onabotulinum Toxin A injections * Patients already on low-dose antibiotics or methenamine hippurate (due to delay that will be incurred by 3-month washout period) * Indwelling urinary catheter in situ or performing clean intermittent self-catheterisation * Correctable urinary tract abnormalities, e.g., urinary tract calculi, urinary retention * Formation of ileal conduit or augmented bladder * Neurogenic bladder dysfunction * Hyperoxaluria
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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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University Hospitals of North Midlands NHS Trust
Stoke-on-Trent, Staffordshire, ST4 6QG, United Kingdom
More trials for these conditions
Other studies related to the condition(s) this trial covers.
- Texting away UTIs: could a phone platform cut unnecessary antibiotics?
- 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.
- New symptom diaries aim to improve daily tracking of recurrent UTIs, especially for seniors
- Could fewer antibiotics be better for older women with urinary symptoms?
- Could a probiotic plus smart antibiotic use end the cycle of recurrent UTIs in children?