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    Clinical Trial Results:
    Reducing antibiotic use for uncomplicated urinary tract infection in gen-eral practice by treatment with Uva ursi - a comparative effectiveness trial

    Summary
    EudraCT number
    2016-000477-21
    Trial protocol
    DE  
    Global end of trial date
    20 Jun 2019

    Results information
    Results version number
    v1(current)
    This version publication date
    26 Nov 2020
    First version publication date
    26 Nov 2020
    Other versions

    Trial information

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    Trial identification
    Sponsor protocol code
    01579
    Additional study identifiers
    ISRCTN number
    -
    US NCT number
    NCT03151603
    WHO universal trial number (UTN)
    -
    Sponsors
    Sponsor organisation name
    Universitätsmedizin der Georg-August-Universität Göttingen
    Sponsor organisation address
    Robert-Koch-Straße 40, Göttingen, Germany, 37075
    Public contact
    Department of General Practice, Georg-August-Universität Göttingen, Stiftung Öffentlichen Rechts, Universitätsmedizin Göttingen, +049 5513914221, Igagyor@gwdg.de
    Scientific contact
    Department of General Practice, Georg-August-Universität Göttingen, Stiftung Öffentlichen Rechts, Universitätsmedizin Göttingen, +049 5513914221, Igagyor@gwdg.de
    Paediatric regulatory details
    Is trial part of an agreed paediatric investigation plan (PIP)
    No
    Does article 45 of REGULATION (EC) No 1901/2006 apply to this trial?
    No
    Does article 46 of REGULATION (EC) No 1901/2006 apply to this trial?
    No
    Results analysis stage
    Analysis stage
    Final
    Date of interim/final analysis
    20 Jun 2019
    Is this the analysis of the primary completion data?
    Yes
    Primary completion date
    20 Jun 2019
    Global end of trial reached?
    Yes
    Global end of trial date
    20 Jun 2019
    Was the trial ended prematurely?
    No
    General information about the trial
    Main objective of the trial
    To assess whether antibiotic use can be reduced in women with uncomplicated UTI by treatment with Arctostaphylos uva-ursi (UU, Arctuvan), and conditional antibiotics only in case of persistent or recurrent symptoms, without significant increase in symptoms, recurrent UTI or complications. We compare two therapeutic strategies with respect to the following hypothesis: A Initial treatment with UU/ conditional antibiotic reduces the number of antibiotic courses within 28 days and B Initial treatment with UU/ conditional antibiotic is non-inferior with respect to a 7-day symptom burden as compared to immediate antibiotic use.
    Protection of trial subjects
    According to medicinal knowledge, disturbances because of an urinary infect vanish after three to seven days. Therefore, no additional medication is required. If disturbances persist, the responsible investigator may start an antibiotic therapy. After a patient leaves the study, further treatment is done on the general practitioner's discretion.
    Background therapy
    -
    Evidence for comparator
    -
    Actual start date of recruitment
    01 Apr 2017
    Long term follow-up planned
    No
    Independent data monitoring committee (IDMC) involvement?
    Yes
    Population of trial subjects
    Number of subjects enrolled per country
    Country: Number of subjects enrolled
    Germany: 398
    Worldwide total number of subjects
    398
    EEA total number of subjects
    398
    Number of subjects enrolled per age group
    In utero
    0
    Preterm newborn - gestational age < 37 wk
    0
    Newborns (0-27 days)
    0
    Infants and toddlers (28 days-23 months)
    0
    Children (2-11 years)
    0
    Adolescents (12-17 years)
    0
    Adults (18-64 years)
    349
    From 65 to 84 years
    49
    85 years and over
    0

    Subject disposition

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    Recruitment
    Recruitment details
    Women (18-75 years) with suspected UTI and with at least two Symptoms of UTI (dysuria, urgency of micturition, frequency, lower abdominal pain) who gave theri written informed consent to participate in the study.

    Pre-assignment
    Screening details
    430 patients were initially planned to contribute in the trial. 398 patients were randomized, 353 patients were analyzed as per protocol.

    Period 1
    Period 1 title
    overall trial (overall period)
    Is this the baseline period?
    Yes
    Allocation method
    Randomised - controlled
    Blinding used
    Double blind
    Roles blinded
    Subject, Investigator

    Arms
    Are arms mutually exclusive
    Yes

    Arm title
    Arctuvan
    Arm description
    Uva Ursi 105 mg (Arctuvan®) 3x2 tablets orally from day 0 for 5 days placebo granules to Monuril®: 1x1 orally
    Arm type
    Experimental

    Investigational medicinal product name
    Arctuvan
    Investigational medicinal product code
    Other name
    Uva Ursi
    Pharmaceutical forms
    Tablet
    Routes of administration
    Oral use
    Dosage and administration details
    105 mg (Arctuvan®), 3x2 tablets per day orally from day 0 for 5 days

    Arm title
    Monuril
    Arm description
    fosfomycin (Monuril®) 3 g granules orally 1x1, placebo tablets to Arctuvan 3x2 from day 0 for 5 days
    Arm type
    Active comparator

    Investigational medicinal product name
    Monuril
    Investigational medicinal product code
    Other name
    Fosfomycin
    Pharmaceutical forms
    Granules
    Routes of administration
    Oral use
    Dosage and administration details
    fosfomycin (Monuril®) 3 g granules orally 1x1, placebo to Arctuvan tablets 3x2 from day 0 for 5 days

    Number of subjects in period 1
    Arctuvan Monuril
    Started
    207
    191
    Completed
    207
    191

    Baseline characteristics

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    Baseline characteristics reporting groups
    Reporting group title
    Arctuvan
    Reporting group description
    Uva Ursi 105 mg (Arctuvan®) 3x2 tablets orally from day 0 for 5 days placebo granules to Monuril®: 1x1 orally

    Reporting group title
    Monuril
    Reporting group description
    fosfomycin (Monuril®) 3 g granules orally 1x1, placebo tablets to Arctuvan 3x2 from day 0 for 5 days

    Reporting group values
    Arctuvan Monuril Total
    Number of subjects
    207 191 398
    Age categorical
    Units: Subjects
        Adults (18-64 years)
    192 157 349
        From 65-84 years
    15 34 49
    Gender categorical
    Units: Subjects
        Female
    207 191 398
        Male
    0 0 0

    End points

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    End points reporting groups
    Reporting group title
    Arctuvan
    Reporting group description
    Uva Ursi 105 mg (Arctuvan®) 3x2 tablets orally from day 0 for 5 days placebo granules to Monuril®: 1x1 orally

    Reporting group title
    Monuril
    Reporting group description
    fosfomycin (Monuril®) 3 g granules orally 1x1, placebo tablets to Arctuvan 3x2 from day 0 for 5 days

    Subject analysis set title
    Intention to treat - intervention
    Subject analysis set type
    Intention-to-treat
    Subject analysis set description
    number of patients in the intervention group, investigated as per intention-to-treat

    Subject analysis set title
    Intention-to-treat - control
    Subject analysis set type
    Intention-to-treat
    Subject analysis set description
    number of patients in the control group, investigated as per intention-to-treat

    Subject analysis set title
    Per protocol - intervention
    Subject analysis set type
    Per protocol
    Subject analysis set description
    number of patient in the intervention group, investigated as per protocol

    Subject analysis set title
    Per protocol - control
    Subject analysis set type
    Per protocol
    Subject analysis set description
    number of patients in the control group, investigated as per protocol

    Primary: antibiotic prescriptions from day 0 to day 28

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    End point title
    antibiotic prescriptions from day 0 to day 28
    End point description
    With at least one report on use or non-use of antibiotics
    End point type
    Primary
    End point timeframe
    from day 0 to day 28 (end-of-study)
    End point values
    Arctuvan Monuril
    Number of subjects analysed
    196
    189
    Units: number
    92
    233
    Statistical analysis title
    overall study analysis
    Comparison groups
    Monuril v Arctuvan
    Number of subjects included in analysis
    385
    Analysis specification
    Pre-specified
    Analysis type
    superiority
    P-value
    < 0.0001
    Method
    Wilcoxon (Mann-Whitney)
    Confidence interval

    Primary: symptom burden from day 0 to day 7

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    End point title
    symptom burden from day 0 to day 7
    End point description
    Symptom recording: Symptom severity will be recorded in the patient questionnaire on day 0 and in the diary/ follow-up questionnaire day 0-7. The severity of each of the four main symptoms (dysuria, urgency, frequency, lower abdominal pain) is scored from 0 (none) to 4 (very strong). The maximum symptom sum score is 16.
    End point type
    Primary
    End point timeframe
    from day 0 to day 7
    End point values
    Arctuvan Monuril
    Number of subjects analysed
    207
    191
    Units: number
    120
    150
    Statistical analysis title
    overall study analysis
    Comparison groups
    Arctuvan v Monuril
    Number of subjects included in analysis
    398
    Analysis specification
    Pre-specified
    Analysis type
    non-inferiority
    P-value
    = 0.8885
    Method
    ANCOVA
    Parameter type
    Ratio of logarithm of symptom burden
    Confidence interval

    Secondary: patients with temperature >38 °C

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    End point title
    patients with temperature >38 °C
    End point description
    number of patients with temperature >38°C, day 0-7, according to patients´ statement
    End point type
    Secondary
    End point timeframe
    from day 0 to day 7
    End point values
    Arctuvan Monuril
    Number of subjects analysed
    205
    189
    Units: number
    3
    0
    Statistical analysis title
    overall study analysis
    Comparison groups
    Arctuvan v Monuril
    Number of subjects included in analysis
    394
    Analysis specification
    Pre-specified
    Analysis type
    non-inferiority
    P-value
    = 0.078
    Method
    Regression, Logistic
    Confidence interval

    Secondary: patients with worsening symptoms (impairment in symptom score)

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    End point title
    patients with worsening symptoms (impairment in symptom score)
    End point description
    Impairment by UTI: The patient questionnaire and follow-up survey contain four items to assess UTI-symptom related impairment as a patient-relevant outcome. Impairment by each symptom is scored from 0 (none) to 4 (very strong).The maximum symptom sum score is 16. Data for impairment by UTI will be collected in the diary at days 1, 3 and 7 until day 7 and documented in eCRF. In case of ongoing symptoms patients will monitored until symptom resolution.
    End point type
    Secondary
    End point timeframe
    from day 0 to day 7
    End point values
    Arctuvan Monuril
    Number of subjects analysed
    205
    189
    Units: number
    16
    10
    Statistical analysis title
    overall study analysis
    Comparison groups
    Arctuvan v Monuril
    Number of subjects included in analysis
    394
    Analysis specification
    Pre-specified
    Analysis type
    non-inferiority
    P-value
    = 0.24
    Method
    Regression, Logistic
    Confidence interval

    Secondary: patients with prolonged symptoms

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    End point title
    patients with prolonged symptoms
    End point description
    Patients will be followed up until symptom resolution, defined as max. 1 score point on each symptom scale.
    End point type
    Secondary
    End point timeframe
    from day 0 to day 28
    End point values
    Arctuvan Monuril
    Number of subjects analysed
    205
    189
    Units: number
    17
    12
    Statistical analysis title
    overall study analysis
    Comparison groups
    Monuril v Arctuvan
    Number of subjects included in analysis
    394
    Analysis specification
    Pre-specified
    Analysis type
    non-inferiority
    P-value
    = 0.4163
    Method
    Regression, Logistic
    Confidence interval

    Secondary: patients with pyelonephritis

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    End point title
    patients with pyelonephritis
    End point description
    number of pyelonephritis day 0-28, according to GP´s diagnosis
    End point type
    Secondary
    End point timeframe
    from day 0 to day 28
    End point values
    Arctuvan Monuril
    Number of subjects analysed
    205
    189
    Units: number
    8
    2
    Statistical analysis title
    overall study analysis
    Comparison groups
    Arctuvan v Monuril
    Number of subjects included in analysis
    394
    Analysis specification
    Pre-specified
    Analysis type
    non-inferiority
    P-value
    = 0.0672
    Method
    Regression, Logistic
    Confidence interval

    Secondary: patients with at least 1 AE

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    End point title
    patients with at least 1 AE
    End point description
    proportion of patients with at least 1 AE
    End point type
    Secondary
    End point timeframe
    from day 0 to day 28
    End point values
    Arctuvan Monuril
    Number of subjects analysed
    205
    189
    Units: number
    137
    103
    Statistical analysis title
    overall study analysis
    Comparison groups
    Monuril v Arctuvan
    Number of subjects included in analysis
    394
    Analysis specification
    Pre-specified
    Analysis type
    non-inferiority
    P-value
    = 0.011
    Method
    Regression, Logistic
    Confidence interval

    Secondary: patients with at least 2 AE

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    End point title
    patients with at least 2 AE
    End point description
    proportion of patients with at least 2 AE
    End point type
    Secondary
    End point timeframe
    from day 0 to day 28
    End point values
    Arctuvan Monuril
    Number of subjects analysed
    205
    189
    Units: number
    44
    32
    Statistical analysis title
    overall study analysis
    Comparison groups
    Arctuvan v Monuril
    Number of subjects included in analysis
    394
    Analysis specification
    Pre-specified
    Analysis type
    non-inferiority
    P-value
    = 0.25
    Method
    Regression, Logistic
    Confidence interval

    Secondary: early relapse

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    End point title
    early relapse
    End point description
    End point type
    Secondary
    End point timeframe
    day 0 to 14
    End point values
    Arctuvan Monuril Intention to treat - intervention Intention-to-treat - control Per protocol - intervention Per protocol - control
    Number of subjects analysed
    207
    191
    207
    191
    176
    177
    Units: number
    14
    20
    14
    20
    12
    18
    Statistical analysis title
    overall study analysis
    Comparison groups
    Arctuvan v Monuril v Intention-to-treat - control v Intention to treat - intervention
    Number of subjects included in analysis
    796
    Analysis specification
    Pre-specified
    Analysis type
    non-inferiority
    P-value
    = 0.1449
    Method
    Regression, Logistic
    Confidence interval
    Statistical analysis title
    overall study analysis
    Comparison groups
    Monuril v Arctuvan v Per protocol - control v Per protocol - intervention
    Number of subjects included in analysis
    751
    Analysis specification
    Pre-specified
    Analysis type
    non-inferiority
    P-value
    = 0.1971
    Method
    Regression, Logistic
    Confidence interval

    Adverse events

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    Adverse events information
    Timeframe for reporting adverse events
    from day 0 to day 28
    Assessment type
    Systematic
    Dictionary used for adverse event reporting
    Dictionary name
    ICD
    Dictionary version
    10
    Reporting groups
    Reporting group title
    Monuril
    Reporting group description
    -

    Reporting group title
    Arctuvan
    Reporting group description
    -

    Serious adverse events
    Monuril Arctuvan
    Total subjects affected by serious adverse events
         subjects affected / exposed
    1 / 191 (0.52%)
    7 / 207 (3.38%)
         number of deaths (all causes)
    0
    0
         number of deaths resulting from adverse events
    0
    0
    Injury, poisoning and procedural complications
    Fracture
         subjects affected / exposed
    0 / 191 (0.00%)
    1 / 207 (0.48%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Cardiac disorders
    Atrial fibrillation
         subjects affected / exposed
    0 / 191 (0.00%)
    1 / 207 (0.48%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Gastrointestinal disorders
    Diarrhoea
         subjects affected / exposed
    0 / 191 (0.00%)
    1 / 207 (0.48%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Infections and infestations
    Pneumonia
         subjects affected / exposed
    1 / 191 (0.52%)
    0 / 207 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Pyelonephritis
         subjects affected / exposed
    0 / 191 (0.00%)
    4 / 207 (1.93%)
         occurrences causally related to treatment / all
    0 / 0
    2 / 4
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Frequency threshold for reporting non-serious adverse events: 0%
    Non-serious adverse events
    Monuril Arctuvan
    Total subjects affected by non serious adverse events
         subjects affected / exposed
    102 / 191 (53.40%)
    130 / 207 (62.80%)
    Vascular disorders
    Hypertension
         subjects affected / exposed
    0 / 191 (0.00%)
    1 / 207 (0.48%)
         occurrences all number
    0
    1
    General disorders and administration site conditions
    dorsal pain
         subjects affected / exposed
    4 / 191 (2.09%)
    9 / 207 (4.35%)
         occurrences all number
    4
    9
    Abdominal pain
         subjects affected / exposed
    5 / 191 (2.62%)
    7 / 207 (3.38%)
         occurrences all number
    5
    8
    edema
         subjects affected / exposed
    0 / 191 (0.00%)
    1 / 207 (0.48%)
         occurrences all number
    0
    1
    menstrual cramps
         subjects affected / exposed
    1 / 191 (0.52%)
    0 / 207 (0.00%)
         occurrences all number
    1
    0
    irregular menstruation
         subjects affected / exposed
    1 / 191 (0.52%)
    0 / 207 (0.00%)
         occurrences all number
    1
    0
    pain
         subjects affected / exposed
    8 / 191 (4.19%)
    10 / 207 (4.83%)
         occurrences all number
    8
    11
    heartburn
         subjects affected / exposed
    1 / 191 (0.52%)
    1 / 207 (0.48%)
         occurrences all number
    1
    1
    Migraine
         subjects affected / exposed
    0 / 191 (0.00%)
    1 / 207 (0.48%)
         occurrences all number
    0
    1
    Toothache
         subjects affected / exposed
    0 / 191 (0.00%)
    1 / 207 (0.48%)
         occurrences all number
    0
    1
    Malaise
         subjects affected / exposed
    0 / 191 (0.00%)
    1 / 207 (0.48%)
         occurrences all number
    0
    1
    strain reaction
         subjects affected / exposed
    1 / 191 (0.52%)
    0 / 207 (0.00%)
         occurrences all number
    1
    0
    serothympanon
         subjects affected / exposed
    1 / 191 (0.52%)
    0 / 207 (0.00%)
         occurrences all number
    1
    0
    Respiratory, thoracic and mediastinal disorders
    Pharyngitis
         subjects affected / exposed
    5 / 191 (2.62%)
    1 / 207 (0.48%)
         occurrences all number
    5
    1
    Sinusitis
         subjects affected / exposed
    1 / 191 (0.52%)
    1 / 207 (0.48%)
         occurrences all number
    1
    1
    Rhinitis
         subjects affected / exposed
    1 / 191 (0.52%)
    0 / 207 (0.00%)
         occurrences all number
    1
    0
    Cough
         subjects affected / exposed
    0 / 191 (0.00%)
    1 / 207 (0.48%)
         occurrences all number
    0
    1
    Bronchitis
         subjects affected / exposed
    1 / 191 (0.52%)
    0 / 207 (0.00%)
         occurrences all number
    1
    0
    Asthma
         subjects affected / exposed
    1 / 191 (0.52%)
    0 / 207 (0.00%)
         occurrences all number
    1
    0
    Tonsillitis
         subjects affected / exposed
    1 / 191 (0.52%)
    1 / 207 (0.48%)
         occurrences all number
    1
    1
    Pleural effusion
         subjects affected / exposed
    1 / 191 (0.52%)
    0 / 207 (0.00%)
         occurrences all number
    1
    0
    Psychiatric disorders
    sorrow reaction
         subjects affected / exposed
    1 / 191 (0.52%)
    0 / 207 (0.00%)
         occurrences all number
    1
    0
    Depression
         subjects affected / exposed
    1 / 191 (0.52%)
    0 / 207 (0.00%)
         occurrences all number
    1
    0
    Injury, poisoning and procedural complications
    unspecified adverse effect of drug or medicament
         subjects affected / exposed
    0 / 191 (0.00%)
    3 / 207 (1.45%)
         occurrences all number
    0
    3
    traumatic rupture
         subjects affected / exposed
    0 / 191 (0.00%)
    1 / 207 (0.48%)
         occurrences all number
    0
    1
    lesion
         subjects affected / exposed
    1 / 191 (0.52%)
    1 / 207 (0.48%)
         occurrences all number
    1
    1
    incineration
         subjects affected / exposed
    0 / 191 (0.00%)
    1 / 207 (0.48%)
         occurrences all number
    0
    1
    Cardiac disorders
    Arrhythmia
         subjects affected / exposed
    0 / 191 (0.00%)
    1 / 207 (0.48%)
         occurrences all number
    0
    1
    Nervous system disorders
    Headache
         subjects affected / exposed
    16 / 191 (8.38%)
    22 / 207 (10.63%)
         occurrences all number
    16
    23
    Epilepsy
         subjects affected / exposed
    0 / 191 (0.00%)
    1 / 207 (0.48%)
         occurrences all number
    0
    1
    prickling
         subjects affected / exposed
    1 / 191 (0.52%)
    0 / 207 (0.00%)
         occurrences all number
    1
    0
    radiokulopathy
         subjects affected / exposed
    0 / 191 (0.00%)
    1 / 207 (0.48%)
         occurrences all number
    0
    1
    Ear and labyrinth disorders
    Tinnitus
         subjects affected / exposed
    1 / 191 (0.52%)
    0 / 207 (0.00%)
         occurrences all number
    1
    0
    Eye disorders
    Eye burns
         subjects affected / exposed
    0 / 191 (0.00%)
    1 / 207 (0.48%)
         occurrences all number
    0
    1
    Hordeolum
         subjects affected / exposed
    1 / 191 (0.52%)
    0 / 207 (0.00%)
         occurrences all number
    1
    0
    Gastrointestinal disorders
    Diarrhoea
         subjects affected / exposed
    19 / 191 (9.95%)
    5 / 207 (2.42%)
         occurrences all number
    19
    5
    Vomiting
         subjects affected / exposed
    4 / 191 (2.09%)
    5 / 207 (2.42%)
         occurrences all number
    4
    5
    Flatulence
         subjects affected / exposed
    2 / 191 (1.05%)
    1 / 207 (0.48%)
         occurrences all number
    2
    1
    obstipation
         subjects affected / exposed
    1 / 191 (0.52%)
    0 / 207 (0.00%)
         occurrences all number
    1
    0
    Renal and urinary disorders
    Urinary tract infection
         subjects affected / exposed
    32 / 191 (16.75%)
    65 / 207 (31.40%)
         occurrences all number
    32
    66
    Dysuria
         subjects affected / exposed
    4 / 191 (2.09%)
    6 / 207 (2.90%)
         occurrences all number
    4
    6
    Polyuria
         subjects affected / exposed
    2 / 191 (1.05%)
    2 / 207 (0.97%)
         occurrences all number
    2
    2
    Pyelonephritis
         subjects affected / exposed
    1 / 191 (0.52%)
    2 / 207 (0.97%)
         occurrences all number
    1
    2
    hematuria
         subjects affected / exposed
    2 / 191 (1.05%)
    0 / 207 (0.00%)
         occurrences all number
    2
    0
    Gallstone
         subjects affected / exposed
    1 / 191 (0.52%)
    0 / 207 (0.00%)
         occurrences all number
    1
    0
    nephrosis
         subjects affected / exposed
    0 / 191 (0.00%)
    1 / 207 (0.48%)
         occurrences all number
    0
    1
    Endocrine disorders
    Cholecystitis acute
         subjects affected / exposed
    1 / 191 (0.52%)
    0 / 207 (0.00%)
         occurrences all number
    1
    0
    Musculoskeletal and connective tissue disorders
    Stenosis
         subjects affected / exposed
    1 / 191 (0.52%)
    0 / 207 (0.00%)
         occurrences all number
    1
    0
    Myalgia
         subjects affected / exposed
    0 / 191 (0.00%)
    1 / 207 (0.48%)
         occurrences all number
    0
    1
    Infections and infestations
    Cystitis
         subjects affected / exposed
    0 / 191 (0.00%)
    7 / 207 (3.38%)
         occurrences all number
    0
    7
    Acute infection of the upper respiratory tract
         subjects affected / exposed
    12 / 191 (6.28%)
    8 / 207 (3.86%)
         occurrences all number
    12
    8
    bladder infection
         subjects affected / exposed
    0 / 191 (0.00%)
    2 / 207 (0.97%)
         occurrences all number
    0
    2
    vaginal yeast infection
         subjects affected / exposed
    1 / 191 (0.52%)
    2 / 207 (0.97%)
         occurrences all number
    1
    2
    Vaginal infection
         subjects affected / exposed
    2 / 191 (1.05%)
    0 / 207 (0.00%)
         occurrences all number
    2
    0
    Infection
         subjects affected / exposed
    1 / 191 (0.52%)
    3 / 207 (1.45%)
         occurrences all number
    1
    3
    Laryngitis
         subjects affected / exposed
    1 / 191 (0.52%)
    0 / 207 (0.00%)
         occurrences all number
    2
    0
    Herpes virus infection
         subjects affected / exposed
    1 / 191 (0.52%)
    0 / 207 (0.00%)
         occurrences all number
    1
    0
    Epicondylitis
         subjects affected / exposed
    1 / 191 (0.52%)
    0 / 207 (0.00%)
         occurrences all number
    1
    0
    Abscess jaw
         subjects affected / exposed
    1 / 191 (0.52%)
    0 / 207 (0.00%)
         occurrences all number
    1
    0
    Metabolism and nutrition disorders
    anorexia
         subjects affected / exposed
    0 / 191 (0.00%)
    1 / 207 (0.48%)
         occurrences all number
    0
    1
    Dysgeusia
         subjects affected / exposed
    0 / 191 (0.00%)
    1 / 207 (0.48%)
         occurrences all number
    0
    1
    Hyperglycaemia
         subjects affected / exposed
    0 / 191 (0.00%)
    1 / 207 (0.48%)
         occurrences all number
    0
    1

    More information

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    Substantial protocol amendments (globally)

    Were there any global substantial amendments to the protocol? No

    Interruptions (globally)

    Were there any global interruptions to the trial? Yes
    Date
    Interruption
    Restart date
    22 Dec 2017
    Due to a shortage of medication, there was a temporary halt of recruitment for some trial sites from December 22th 2017 to February 19th 2018.
    19 Feb 2018

    Limitations and caveats

    Limitations of the trial such as small numbers of subjects analysed or technical problems leading to unreliable data.
    None reported
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    The status and protocol content of GB trials is no longer updated since 1 January 2021. For the UK, as of 31 January 2021, EU Law applies only to the territory of Northern Ireland (NI) to the extent foreseen in the Protocol on Ireland/NI. Legal notice
    As of 31 January 2023, all EU/EEA initial clinical trial applications must be submitted through CTIS . Updated EudraCT trials information and information on PIP/Art 46 trials conducted exclusively in third countries continues to be submitted through EudraCT and published on this website.

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