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Analgesic

Analgesia for Overactive Bladder

Phase 4
Waitlist Available
Led By Melissa Laudano, MD
Research Sponsored by Montefiore Medical Center
Eligibility Criteria Checklist
Specific guidelines that determine who can or cannot participate in a clinical trial
Must have
Planning to undergo surgical management of idiopathic overactive bladder with intradetrusor onabotulinumtoxinA injection at Montefiore Medical Center Female Pelvic Medicine Reconstructive Surgery Department
Be older than 18 years old
Must not have
Non-English or non-Spanish speaking.
Current Urinary Tract Infection (UTI)
Timeline
Screening 3 weeks
Treatment Varies
Follow Up day of the procedure
Awards & highlights
No Placebo-Only Group
Drug Has Already Been Approved
Pivotal Trial

Summary

This trial will study whether a medication called phenazopyridine (Pyridium) is as effective as lidocaine in reducing pain during botox injections for overactive bladder at Montefiore

Who is the study for?
This trial is for patients at Montefiore Medical Center with overactive bladder conditions who are undergoing botox injections for treatment. Participants should not have any health issues that would interfere with the study or medication use.
What is being tested?
The study compares oral phenazopyridine (Pyridium) to intravesical lidocaine, which is a liquid administered into the bladder, to see if Pyridium can manage pain as effectively during bladder botox injections.
What are the potential side effects?
Possible side effects of phenazopyridine may include headache, dizziness, stomach cramps and orange-colored urine. Lidocaine might cause symptoms like local irritation and in rare cases systemic toxicity.

Eligibility Criteria

Inclusion Criteria

You may be eligible if you check “Yes” for the criteria below
Select...
I am planning to have Botox injections for overactive bladder at Montefiore.

Exclusion Criteria

You may be eligible for the trial if you check “No” for criteria below:
Select...
I do not speak English or Spanish.
Select...
I currently have a urinary tract infection.
Select...
I have been diagnosed with a neurogenic bladder.
Select...
I have undergone radiation therapy in the pelvic area.
Select...
I have significant memory or thinking problems.

Timeline

Screening ~ 3 weeks
Treatment ~ Varies
Follow Up ~3 days post-operation
This trial's timeline: 3 weeks for screening, Varies for treatment, and 3 days post-operation for reporting.

Treatment Details

Study Objectives

Study objectives can provide a clearer picture of what you can expect from a treatment.
Primary study objectives
Bladder Pain
Secondary study objectives
Bladder visualization
Patient satisfaction
Postoperative Analgesia

Awards & Highlights

No Placebo-Only Group
All patients enrolled in this study will receive some form of active treatment.
Drug Has Already Been Approved
The FDA has already approved this drug, and is just seeking more data.
Pivotal Trial
The final step before approval, pivotal trials feature drugs that have already shown basic safety & efficacy.

Trial Design

2Treatment groups
Active Control
Group I: Intravesical lidocaineActive Control1 Intervention
Patients randomized to the intravesical lidocaine arm will be administered 50 cubic centimeters (cc) of 1% lidocaine with 50cc sodium bicarbonate within the bladder immediately prior to the procedure.
Group II: Oral phenazopyridineActive Control1 Intervention
Patients randomized to the oral phenzopyridine arm will receive 200 milligrams (mg) phenazopyridine orally prior to the scheduled procedure.

Find a Location

Who is running the clinical trial?

Montefiore Medical CenterLead Sponsor
457 Previous Clinical Trials
588,501 Total Patients Enrolled
Melissa Laudano, MDPrincipal InvestigatorMontefiore Medical Center
~80 spots leftby Jul 2025