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Hormone Therapy

Vaginal Estrogen for Urinary Tract Infections (TAPER Trial)

Phase 2
Recruiting
Led By Stephanie W Zuo, MD
Research Sponsored by Mary Ackenbom
Eligibility Criteria Checklist
Specific guidelines that determine who can or cannot participate in a clinical trial
Must have
Be older than 18 years old
Timeline
Screening 3 weeks
Treatment Varies
Follow Up 6 months
Awards & highlights
No Placebo-Only Group

Summary

This trial aimed to compare the two methods of vaginal estrogen application.

Who is the study for?
This trial is for postmenopausal women who've had at least 2 UTIs in the last 6 months or 3 in a year, and are recommended vaginal estrogen to prevent more UTIs. They shouldn't be currently using any estrogen products, have significant vaginal narrowing, bladder stones, risk of estrogen-dependent cancer, or conditions preventing them from applying the cream themselves.
What is being tested?
The study compares two ways of using estradiol cream to prevent recurrent urinary tract infections: periurethral (around the urethra) versus intravaginal application. It aims to determine if applying less cream around the urethra is as effective as the standard intravaginal method.
What are the potential side effects?
While not explicitly listed here, typical side effects of topical estradiol may include local irritation or itching, increased chance of developing a rash or infection at the site of application.

Timeline

Screening ~ 3 weeks
Treatment ~ Varies
Follow Up ~6 months
This trial's timeline: 3 weeks for screening, Varies for treatment, and 6 months for reporting.

Treatment Details

Study Objectives

Study objectives can provide a clearer picture of what you can expect from a treatment.
Secondary study objectives
Amount of estrogen cream used
Change from baseline in Vaginal and urinary E. coli levels at 6 months
Change from baseline in Vaginal and urinary Lactobacillus levels at 6 months
+6 more

Awards & Highlights

No Placebo-Only Group
All patients enrolled in this study will receive some form of active treatment.

Trial Design

2Treatment groups
Experimental Treatment
Active Control
Group I: Periurethral Estrogen ApplicationExperimental Treatment1 Intervention
Periurethral application of 0.5 gram estradiol cream at bedtime twice a week for 6 months
Group II: Intravaginal Estrogen ApplicationActive Control1 Intervention
Intravaginal application of 1 gram estradiol cream at bedtime twice a week for 6 months

Find a Location

Who is running the clinical trial?

Mary AckenbomLead Sponsor
Stephanie Wang ZuoLead Sponsor
Stephanie W Zuo, MDPrincipal InvestigatorUniversity of Pittsburgh Medical Center

Media Library

Estradiol Cream (Hormone Therapy) Clinical Trial Eligibility Overview. Trial Name: NCT05472779 — Phase 2
Urinary Tract Infection Research Study Groups: Periurethral Estrogen Application, Intravaginal Estrogen Application
Urinary Tract Infection Clinical Trial 2023: Estradiol Cream Highlights & Side Effects. Trial Name: NCT05472779 — Phase 2
Estradiol Cream (Hormone Therapy) 2023 Treatment Timeline for Medical Study. Trial Name: NCT05472779 — Phase 2
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