Could a simple cream prevent painful UTIs in baby boys?
NCT ID NCT07508124
First seen Jun 25, 2026 · Last updated Aug 07, 2026 · Updated 2 times
Summary
This pilot study tests whether applying a steroid cream to the foreskin for four weeks can prevent recurrent urinary tract infections (UTIs) in uncircumcised male infants under 6 months who have had their first fever-related UTI. Forty infants will receive either the steroid cream or a placebo. The main goal is to see if a larger study is feasible, not yet to prove the cream works.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- betamethasone valerate 0.1% cream (a steroid cream)
- What this could lead to
- If this works, it could point toward a simple, non-surgical way to prevent repeat urinary tract infections in uncircumcised baby boys.
- What could go wrong
- This is a very small pilot study (40 infants) testing the study design, not the treatment's effectiveness. The cream may not reduce infections, and side effects from steroids on sensitive skin are possible.
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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Phase 4
Runs after approval, following long-term safety and how well the treatment works in everyday use.
- Participants
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About 40 people
The number the study aims to enrol. It can still change while the study runs.
- Started
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May 2026
- Expected to finish
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Dec 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.
- Ages
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0 to 5 months
- Sex
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Male 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: 1. Uncircumcised male infants \< 6 months old 2. Both physician and laboratory confirmed diagnosis of first UTI 3. Fever (temperature ≥38.0 C) or hypothermia (temperature \<36.0 C) per ED/hospitalization or parental report Exclusion Criteria: 1. Legal guardian not available to provide informed consent 2. Infant in Child Protective Services (CPS) custody 3. Legal guardian would like Urology referral for circumcision 4. Circumcision is medically indicated due to recurrent episodes of balanitis or ballooning of foreskin during urination 5. Past diagnosis of penile abnormalities (diagnoses of epispadius, hypospadias or congenital penile curvature (chordee)) 6. Prior use of topical steroid therapy for phimosis 7. History of hypersensitivity to topical steroids 8. Legal guardian is not fluent in English OR Spanish 9. Foreskin assessed to be fully retractable 10. Open wounds present on penis or in groin region
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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
3 sites. 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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Seattle Children's Hospital
NOT_YET_RECRUITINGSeattle, Washington, 98105, United States
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Texas Children's Hospital Main campus
RECRUITINGHouston, Texas, 77030, United States
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Texas Children's Hospital West Campus
NOT_YET_RECRUITINGKaty, Texas, 77094, United States
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Other studies related to the condition(s) this trial covers.
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- Home hospital care for infections: when does it fail?
- Simple urine test could revolutionize schistosomiasis detection
- Stop the pills when symptoms vanish? landmark trial for Kids' infections