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Lower Urinary Tract SymptomsNCT02485808

Symptoms of Lower Urinary Tract Dysfunction Phenotyping Study

An observational study of Lower Urinary Tract Symptoms, run by Arbor Research Collaborative for Health at 6 sites in United States.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

The purpose of this study is to advance our understanding of people who experience urinary and bladder problems. We are interested in learning about people's experiences with urinary symptoms and how these symptoms will be managed. Read more about this study

Who is it for?
Ages 18 years and olderHealthy volunteers can take part
Conditions the study is for
Lower Urinary Tract Symptoms
What is being tested?
None-observational, Magnetic Resonance Imaging (MRI) and Multimodal Automated Sensory Testing System
Type of treatment
Surgery or procedure
How many people
1,879 participants
Where
6 sitesUnited States
Study dates
Apr 2015to May 2018
Phase
Observational
Are there results?
None posted in the registry

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 years and older
  • All sexes
  • Healthy volunteers accepted
  • Adult, Older adult

Study population: New patients with LUTS presenting to LURN clinical sites will be screened for participation based on the inclusion and exclusion criteria (below).

Who may be able to join

  • Men and women presenting for new patient visits for evaluation or treatment of LUTS to one of the LURN physicians.
  • Age ≥ 18 years.
  • The presence of any of the symptoms reported in Table 1, based on responses to the LUTS Tool with a one month recall period.
  • The ability to give informed consent and complete self-reported questionnaires electronically.
  • Table 1: LUTS Appropriate for Study Inclusion
  • Daytime frequency
Show all 21Show fewer
  • Nocturia
  • Urgency
  • Incontinence/leakage (various types)
  • Poor or absent sensation of bladder filling
  • Slow/weak stream
  • Splitting or spraying
  • Intermittent stream/Double voiding
  • Hesitancy
  • Straining
  • Dribbling at the end of flow
  • Paruesis (shy bladder syndrome)
  • Poor or absent sensation of urethra during void
  • Feeling of incomplete emptying
  • Post-micturition dribble (delayed)
  • Abnormal bladder or urethral sensations

Who cannot join

  • Gross hematuria.
  • Significant neurologic disease or injury, including but not limited to: cerebral vascular accident with residual defect, Alzheimer's dementia, Parkinson's disease, traumatic brain injury, spinal cord injury, complicated spinal surgery, multiple sclerosis.
  • Primary complaint is pelvic pain.
  • Diagnosis of interstitial cystitis, chronic prostatitis, or chronic orchialgia.
  • Pelvic or endoscopic GU surgery within the preceding 6 months (not including diagnostic cystoscopy).
  • Current sexually transmitted infection. (deferral; subject can enroll after negative culture)
Show all 20Show fewer
  • Ongoing symptomatic urethral stricture.
  • History of lower urinary tract or pelvic malignancy.
  • Current chemotherapy or other cancer therapy.
  • Pelvic device or implant complication (e.g., sling or mesh complications).
  • Current functioning neurostimulator.
  • Botox injection to the bladder or pelvic structures within the preceding 12 months.
  • In men, prostate biopsy in the previous 3 months.
  • In women, pregnancy.
  • History of cystitis caused by tuberculosis, radiation therapy, or Cytoxan/cyclophosphamide therapy.
  • Augmentation cystoplasty or cystectomy.
  • Presence of urinary tract fistula.
  • Current major psychiatric disorder or other psychiatric or medical issues that would interfere with study participation (e.g., dementia, psychosis, etc.).
  • Inability to relay valid information, actively participate in the study, or provide informed consent (includes uncontrolled psychiatric disease).
  • Difficulty reading or communicating in English.

Trial locations and contacts

6 sites in 1 country.

6 sites in 1 country

United States6 sites
  • University of Michigan

    Ann Arbor, Michigan, 48109

  • Northwestern University

    Chicago, Illinois, 60611

  • Duke University

    Durham, North Carolina, 27715

  • University of Iowa

    Iowa City, Iowa, 52242

  • University of Washington

    Seattle, Washington, 98195

  • Washington University

    St Louis, Missouri, 63110

Other trials in United States

About this study

Official title: Symptoms of Lower Urinary Tract Dysfunction Research Network (LURN) Phenotyping Study Protocol

The purpose of this study is to advance our understanding of people who experience urinary and bladder problems. We are interested in learning about people's experiences with urinary symptoms and how these symptoms will be managed. We want to understand the important differences among people and what factors affect urinary and bladder problems. After all of the information is collected, we will have a better understanding of how to improve the care and treatment for people who have urinary and bladder problems.

Read the detailed description

The Symptoms of Lower Urinary Tract Dysfunction Research Network (LURN) was established by the National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK) to advance our understanding of lower urinary tract dysfunction (LUTD) in women and men. LUTD is a term intended to be comprehensive and to challenge current paradigms about how symptomatic pelvic disorders are defined as 'diseases.' Lower urinary tract symptoms (LUTS) are likely caused and exacerbated by a variety of factors and thus do not represent the manifestation of a single disease. Clinical management of LUTD, including treatment outcomes, remains suboptimal since the biological and psychosocial factors that initiate, exacerbate, and modify this group of symptoms remain largely unknown. As an initial effort to better characterize the biological and psychosocial factors that initiate, exacerbate, and modify LUTS, the LURN investigators will establish a prospective Observational Cohort Study of men and women with LUTS presenting for the first time to LURN physicians.

Information to be obtained from study participants initially (at time of enrollment) includes a standardized clinical examination, medical history, select testing of the lower urinary tract, and participants' self-report of LUTS, pelvic floor symptoms including sexual function and bowel symptoms, depression, anxiety, sleep patterns, stress, metabolic risk factors, and health-related quality of life. We will also collect serum, urine, saliva, and perineal swabs from men and vaginal swabs from women for storage at the NIDDK Sample Repository for future study by the LURN investigators and the broader research community. This information will be used to construct subgroups of patients who have similar symptoms, clinical presentations, comorbidities, pelvic floor dysfunctions, and psychological profiles. These patient characteristics and behaviors likely affect the evaluation, diagnosis, and/or treatment of LUTS. Additional information will be collected 3 months and 12 months after enrollment or 3 and 12 months after surgery for patients receiving surgical treatment, and will include an interval clinical history, participants' self-report of LUTS, pelvic floor symptoms including sexual function and bowel symptoms, depression, anxiety, and health-related quality of life. We will also collect biological samples at 3 and 12 months after enrollment.

The LURN Neuroimaging and Sensory Testing component of the study will investigate abnormal sensation of the lower urinary tract at the level of the organism. Subjects and controls will have a one-time visit soon after their baseline visit, where they will undergo an fMRI scan of their brain and multimodal quantitative sensory testing assessing perceptual responses to physical stimuli (pain and sound).

The information to be collected from the prospective Observational Cohort Study will be limited and not sufficient to fully understand the pathophysiology and biology of LUTS. Therefore, the Observational Cohort Study will serve as the basis for further LURN studies. The long-term goal of the LURN is to better characterize patients with LUTD in order to advance future research on the pathophysiology of these

Being tested
None-observational, Magnetic Resonance Imaging (MRI), Multimodal Automated Sensory Testing System, Auditory Sensitivity Test
Keywords
Lower Urinary Tract Symptoms, Bladder Symptoms, Overactive Bladder, Urinary Urgency, Lower Urinary Tract Dysfunction
Medical subject headings
Lower Urinary Tract Symptoms, Urinary Bladder, Overactive

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • None-observationalOther

    For surgical patients, follow-up assessments will occur 3 and 12 months after the surgery. For medical patients, follow-up assessments will occur 3 and 12 months after the baseline assessment.

  • Magnetic Resonance Imaging (MRI)Procedure or surgery

    Also called MRI

    One time MRI scanning session examining brain structure and function in a resting state and after water consumption.

  • Multimodal Automated Sensory Testing SystemOther

    Also called Pain Sensitivity

    Pressure pain thresholds will be assess using computer-controlled pressures delivered by a device called the Multimodal Automated Sensory Testing System (MAST) device on to the subjects thumbnail bed.

  • Auditory Sensitivity TestOther

    Subjects' sensitivity to sound will be evaluated using a series of sounds delivered by a standard audiometer device.

Study groups in NCT02485808
Study groupRoleWhat they receive
SurgicalMen and women presenting for clinical care for whom surgical treatment of their lower urinary symptoms is planned. There will be no interventions, as this is an observational cohort.
Receives: Other: None-observational
MedicalMen and women presenting for clinical care for whom medical treatment of their lower urinary symptoms is planned. There will be no interventions, as this is an observational cohort.
Receives: Other: None-observational
ControlsMen and women who are not experiencing lower urinary tract symptoms. This group will undergo MRI, pain and auditory sensitivity testing.
Receives: Procedure: Magnetic Resonance Imaging (MRI); Other: Multimodal Automated Sensory Testing System; Other: Auditory Sensitivity Test
Neuroimaging & Sensory TestingSubjects from the Medical and Surgical Cohorts who agree to additional testing in the form of neuroimaging (via fMRI) and multimodal sensory testing. This group will undergo MRI, pain and auditory sensitivity testing.
Receives: Procedure: Magnetic Resonance Imaging (MRI); Other: Multimodal Automated Sensory Testing System; Other: Auditory Sensitivity Test

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Clinically relevant subgroups of patients with lower urinary tract symptoms

    Identification of patient clusters based on their symptoms, clinical assessments, and/or other characteristics.

    Measured: Baseline

Secondary outcomes (1)
  1. Change in lower urinary tract symptoms

    Measured: baseline, 3 months, and 12 months

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted30 Jun 2015 (estimated)
  2. Study startApr 2015
  3. Primary completionApr 2018
  4. Study completionMay 2018

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Observational
Observational model
Cohort
Time perspective
Prospective
Enrolment
1,879 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT02485808
Sponsor's protocol ID
LURN Phenotyping Study V8.0
Other IDs
U01DK100017, U01DK100011, U01DK099932, U01DK099879, U01DK097780, U01DK097779, U01DK097776, U01DK097772
Status last verified
Jan 2019
First submitted
26 Jun 2015
Last updated
15 Jan 2019
Results posted
No
Data monitoring committee
Yes
Individual data sharing
No: We do not plan to make IPD available.

Publications

  • Coyne KS, Matza LS, Kopp ZS, Thompson C, Henry D, Irwin DE, Artibani W, Herschorn S, Milsom I. Examining lower urinary tract symptom constellations using cluster analysis. BJU Int. 2008 May;101(10):1267-73. doi: 10.1111/j.1464-410X.2008.07598.x. Epub 2008 Mar 11.

    PubMed 18336611
  • Coyne KS, Barsdorf AI, Thompson C, Ireland A, Milsom I, Chapple C, Kopp ZS, Bavendam T. Moving towards a comprehensive assessment of lower urinary tract symptoms (LUTS). Neurourol Urodyn. 2012 Apr;31(4):448-54. doi: 10.1002/nau.21202. Epub 2012 Mar 6.

    PubMed 22396308
  • Bower WF, Yip SK, Yeung CK. Dysfunctional elimination symptoms in childhood and adulthood. J Urol. 2005 Oct;174(4 Pt 2):1623-7; discussion 1627-8. doi: 10.1097/01.ju.0000176599.91836.12.

    PubMed 16148668
  • Bardwick GE, Fossa AJ, An H, Thomas J, Bieber B, Flynn KE, Ippolito GM, Marquez M, Taddeo M, Griffith JW; LURN Study Group. Lived Experiences of Emotional Distress Among Patients With Lower Urinary Tract Symptoms: A Mixed-Methods Study. Neurourol Urodyn. 2026 Oct 5. doi: 10.1002/nau.70448. Online ahead of print.

    PubMed 42831270
  • Lai HH; LURN Study Group. The LURN Study-What Have We "LURN"ed So Far? Neurourol Urodyn. 2026 Apr;45(4):654-661. doi: 10.1002/nau.70224.

    PubMed 41944009
  • Helmuth ME, Smith AR, Glaser AP, Yang CC, Cameron AP, Henry Lai H, Griffith JW, Eric Jelovsek J, Quentin Clemens J, Helfand BT, Merion RM, Andreev VP; and the LURN Study Group. Phenotyping Men With Lower Urinary Tract Symptoms: Results From the Symptoms of Lower Urinary Tract Dysfunction Research Network. Neurourol Urodyn. 2025 Jan;44(1):178-193. doi: 10.1002/nau.25596. Epub 2024 Oct 7.

    PubMed 39370868
  • Lai HH, Rutlin J, Smith AR, Helmuth ME, Hokanson JA, Yang CC, Clemens JQ, Magnotta VA, Bretschneider CE, Kenton K, DeLancey JOL, John K, Kirkali Z, Shimony JS. Structural Changes in Brain White Matter Tracts Associated With Overactive Bladder Revealed by Diffusion Tensor Magnetic Resonance Imaging: Findings From a Symptoms of Lower Urinary Tract Dysfunction Research Network Cross-Sectional Case-Control Study. J Urol. 2024 Aug;212(2):351-361. doi: 10.1097/JU.0000000000004022. Epub 2024 May 8.

    PubMed 38717915
  • Mawla I, Schrepf A, Kutch JJ, Helmuth ME, Smith AR, Ichesco E, Yang CC, Andreev VP, Kreder KJ, Bradley CS, Magnotta VA, Kirkali Z, Harris RE, Lai HH, Harte SE. Naturalistic Bladder Filling Reveals Subtypes in Overactive Bladder Syndrome That Differentially Engages Urinary Urgency-Related Brain Circuits: Results From the Symptoms of Lower Urinary Tract Dysfunction Research Network (LURN). J Urol. 2024 Jan;211(1):111-123. doi: 10.1097/JU.0000000000003699. Epub 2023 Oct 5.

    PubMed 37796776
  • Harte SE, Wiseman J, Wang Y, Smith AR, Yang CC, Helmuth M, Kreder K, Kruger GH, Gillespie BW, Amundsen C, Kirkali Z, Lai HH; LURN Study Group. Experimental Pain and Auditory Sensitivity in Overactive Bladder Syndrome: A Symptoms of the Lower Urinary Tract Dysfunction Research Network (LURN) Study. J Urol. 2022 Jan;207(1):161-171. doi: 10.1097/JU.0000000000002147. Epub 2022 Aug 25.

    PubMed 34428922
  • Helmuth ME, Smith AR, Andreev VP, Liu G; LURN Study Group; Lai HH, Cameron AP, Siddiqui NY. Use of Euclidean length to measure urinary incontinence severity based on the lower urinary tract symptoms tool. Am J Obstet Gynecol. 2018 Mar;218(3):357-359. doi: 10.1016/j.ajog.2017.12.219. Epub 2017 Dec 26. No abstract available.

    PubMed 29288065

Questions about this trial

What is this clinical trial studying?

An observational study of Lower Urinary Tract Symptoms, run by Arbor Research Collaborative for Health at 6 sites in United States.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 21 inclusion and 20 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 15 Jan 2019. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 6 sites in United States. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Clinically relevant subgroups of patients with lower urinary tract symptoms (time frame: Baseline). It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT02485808, which also lists 10 linked publications.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 15 Jan 2019.

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