Weekly antibiotic rotation could slash UTIs in neurogenic bladder patients
NCT ID NCT01388413
First seen Jun 25, 2026 · Last updated Jun 27, 2026 · Updated 1 time
Summary
This study tested whether taking a different antibiotic once a week, rotating between two drugs, could prevent urinary tract infections in people with neurogenic bladder. The 45 participants had at least four infections per year and used a catheter. The goal was to see if this approach reduces infections and hospital stays compared to standard care.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- Weekly oral cyclic antibiotics (amoxicillin, amoxicillin/clavulanic acid, cefixime, fosfomycin trometamol, trimethoprim/sulfamethoxazole)
- What this could lead to
- If successful, this could offer a new way to prevent frequent urinary tract infections in people with neurogenic bladder, reducing hospital visits and antibiotic resistance risks.
- What could go wrong
- This is a small Phase 4 study with only 45 participants, so results may not apply to everyone. Long-term antibiotic use still carries risks of side effects and resistance.
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
-
Phase 4
Runs after approval, following long-term safety and how well the treatment works in everyday use.
- Participants
-
45 people
The number who actually took part.
- Start date
-
Aug 2011
- Finished
-
Feb 2017
- Lead sponsor
-
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
-
18 years and older
- Sex
-
Anyone
- Healthy volunteers
-
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: * subject over 18 years of age * having a neurogenic bladder with automatic catheter and pharmacologic disconnection of the detrusor muscle * having at least 4 symptomatic UTIs per year with bacterial sensitivity to the chosen antibiotics * having given full consent to participate in the study * being the recipient of social security benefits Exclusion Criteria: * known allergy or hypersensitivity to useful antibiotics (to which the bacterium or bacteria are sensitive) or to one of their components * other contraindication in the administering of useful antibiotics * urinary volume flow \>500 ml during automatic catheter * different urinary drainage method than automatic catheter * occurrence of stones in the urinary tract * infection due to endo urinary material (urinary prosthesis, ureteral stent) * creatinine clearance \<60 ml/min * patient under guardianship * women who are pregnant, nursing, or who may become pregnant
Get updates
Get notified about this study
Sign up to get updates when this study changes or when new studies for Neurogenic bladder are added.
Genom att skicka in godkänner du våra Användarvillkor
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.
Contacts and locations
Locations
-
University Hospital, Bretonneau / TOURS
Tours, 37000, France
-
University Hospital, Pontchaillou / RENNES
Rennes, 35000, France
-
University Hospital, Raymond Poincaré / APHP
Garches, 92380, France
-
University Hospital, St Jacques / NANTES
Nantes, 44000, France
More trials for these conditions
Other studies related to the condition(s) this trial covers.
- What lurks in urine? a biobank aims to decode Catheter-Related infections
- Can an ancient herbal formula beat antibiotics for urinary infections?
- AI could outsmart bacteria: a smarter way to choose antibiotics?
- New catheter design aims to make Self-Catheterization easier and more comfortable
- Home hospital care for infections: when does it fail?
- Shockingly simple: wearable zaps aim to end bladder leaks for paralyzed men