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Urinary Tract DiseaseANTIBIOBONTANCT05534399

Antibiotic Strategy and Asymptomatic Bacteriuria in the Context of Intra-vesical Botulinum Toxin A Injections.

A study testing Intra-vesical BoNTA injections in people with Urinary Tract Disease, run by University Hospital, Lille at 1 site in France.

Not yet recruiting

Opening soon. The study is approved but enrolment has not started yet. Sites may already take enquiries.

Sites and contacts
Official record
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Trial summary

The study aims to demonstrate that the "thrifty antibiotic strategy" applied to MS or SCI patients with asymptomatic bacteriuria prior to BoNTA intravesical injections does not increase the rate of symptomatic post-injection UTIs compared to the current peri-operative antibiotic strategy. Read more about this study

Who is it for?
Ages 18 years and older
Conditions the study is for
Urinary Tract Disease
What is being tested?
Intra-vesical BoNTA injections
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
526 participants
Where
1 siteFrance
Study dates
May 2026to May 2027
Phase
Interventional
Are there results?
Not yet: the study is under way

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
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • MS or SCI (traumatic or non-traumatic)
  • Refractory OAB and/or DO (failure, intolerance or contra-indication to anti-muscarinic therapy)
  • Treated with intra-vesical botulinum toxin A injections having proved efficacy
  • CISC as the exclusive bladder management
  • AB on pre-operative urine analysis (performed 10 days (+/- 2 days) before intra-vesical BoNTA injections)
  • Exclusion of morphologic urinary tract abnormalities considered as a risk factor for recurrent symptomatic UTI.

Who cannot join

  • Having already participated to the study
  • Augmentation cystoplasty
  • Bladder compliance disorders (<20 mL/cmH2O)
  • Ongoing cyclic antibiotic therapy
  • Ongoing corticosteroid therapy
  • Modification of immunosuppressive or immunomodulatory therapy in the 3 months before inclusion (MS patients)
Show all 15Show fewer
  • Antibiotic therapy in the month before inclusion
  • Surgical procedure in the 3 months before and the 6 weeks following inclusion
  • Symptomatic UTI at the time of inclusion
  • Associated neurologic disease
  • Pregnancy or breast feeding
  • Individuals especially in need of protection
  • No informed consent
  • Patients incapable to follow the trial, e.g. because of language problems, psychiatric disorders, dementia and so on
  • Immunocompromised patients

Trial locations and contacts

1 site in 1 country. Contact the study team or a site near you to ask about taking part.

France1 site
  • Hop Claude Huriez Chu Lille

    Lille, 59037

    0320445962

Other trials in France

About this study

Official title: Assessment of the Interest of a Peri-operative Antibiotic Strategy Applied to Patients With Asymptomatic Bacteriuria Undergoing Intra-vesical Botulinum Toxin A Injections

The study aims to demonstrate that the "thrifty antibiotic strategy" applied to MS or SCI patients with asymptomatic bacteriuria prior to BoNTA intravesical injections does not increase the rate of symptomatic post-injection UTIs compared to the current peri-operative antibiotic strategy.

Patients included in the study will be randomized in two balanced-parallel groups, 4 days (+/- 2 days) before intra-vesical BoNTA injections.

Read more

Group 1: Experimental group: "Sparing antibiotic strategy" No antibiotic therapy will be administered during the peri-operative period.

Group 2: Control group: Recommendations - Peri-operative antibiotic strategy An antibiotic therapy will be administered during the peri-operative period. The antibiotic will be selected according to the type of bacteria isolated and the antibiotic susceptibility testing, and started two days before and pursued until two days following intra-vesical BoNTA injections.

The main objective is to demonstrate the non-inferiority of "antibiotic saving strategy" compared to peri-operative antibiotic strategy (current recommendations) for occurrence of symptomatic UTI after intra-vesical BoNTA injections in the management of asymptomatic bacteriuria (AB) among multiple sclerosis (MS) and spinal cord injured (SCI) patients undergoing clean intermittent self-catheterization (CISC).

Being tested
Intra-vesical BoNTA injections
Keywords
Neurogenic lower urinary tract dysfunction, Clean Intermittent Self Catheterization, Asymptomatic bacteriuria, Botulinum toxin A, Sparing antibiotic strategy, Safety
Medical subject headings
Urologic Diseases

What participants receive

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

  • Intra-vesical BoNTA injectionsProcedure or surgery

    Intra-vesical BoNTA injections will be performed according to the protocol currently applied by the department.

    They will be performed in the operating room or in the outpatient clinic under strict asepsis, including the wearing of sterile gloves by the surgeon associated with an antiseptic brushing of the patient and the establishment of sterile fields.

    A rigid or a flexible cystoscope will be used.

    After the introduction of the cystoscope under visual control, complete bladder emptying will be performed. The bladder will be filled again, slowly and at low pressure to allow the bladder mucosa to expand.

    BoNTA (BOTOX® 200 U) will be diluted as follows: BOTOX® 200 U: in 30 mL of saline solution

    The solution obtained will be injected all along the bladder wall, sparing the trigone in 20 (BOTOX® 200 U) points using a Bonee®-type needle.

    A complete bladder emptying will be performed at the end of the procedure.

Study groups in NCT05534399
Study groupRoleWhat they receive
Sparing antibiotic strategyExperimentalNo antibiotic therapy will be administered during the peri-operative period
Receives: Procedure: Intra-vesical BoNTA injections
Peri-operative antibiotic strategySham comparatorRecommendations - An antibiotic therapy will be administered during the peri-operative period. The antibiotic will be selected according to the type of bacteria isolated and the antibiotic susceptibility testing, and started two days before and pursued until two days following intra-vesical BoNTA injections
Receives: Procedure: Intra-vesical BoNTA injections

What is being measured

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

  1. Rate of patients with symptomatic UTI occurring within the 6 weeks following the injections.

    Symptomatic UTI will be defined according to the National Institute on Disability and Rehabilitation Research (NIDRR, 1992) as a significant bacteriuria with tissue invasion and resultant tissue response with signs and/or symptoms of UTI

    Measured: During the 6 weeks following the injections

Secondary outcomes (16)
  1. Rate of patients with febrile symptomatic UTI occurring within the 6 weeks following BoNTA injections.occurring within the 6 weeks following the injections.

    Symptomatic UTI will be defined according to the National Institute on Disability and Rehabilitation Research (NIDRR, 1992) as a significant bacteriuria with tissue invasion and resultant tissue response with signs and/or symptoms of UTI

    Measured: During the 6 weeks following the injections

  2. Rate of patients with non-febrile symptomatic UTI occurring within the 6 weeks following BoNTA injections

    Symptomatic UTI will be defined according to the National Institute on Disability and Rehabilitation Research (NIDRR, 1992) as a significant bacteriuria with tissue invasion and resultant tissue response with signs and/or symptoms of UTI

    Measured: During the 6 weeks following the injections

  3. Rate of patients with symptomatic UTI within the 6 weeks following BoNTA injections finally needing the administration of an antibiotic therapy.

    Symptomatic UTI will be defined according to the National Institute on Disability and Rehabilitation Research (NIDRR, 1992) as a significant bacteriuria with tissue invasion and resultant tissue response with signs and/or symptoms of UTI

    Measured: During the 6 weeks following the injections

  4. Rate of patients with complication (other than symptomatic UTI) related to* BoNTA injections occurring within the 6 weeks following the injections.

    Any complication leading to an admission in an emergency unit : macroscopic hematuria persisting for more than 48 hours after injections, painful catheterization lasting more than 48 hours after intra-vesical BoNTA injections, pseudo-botulism, botulism.

    Measured: During the 6 weeks following the injections

  5. Rate of patients with complication not related to** BoNTA injections occurring within the 6 weeks following the injections.

    Any complication not listed in the complications "related to" the injections

    Measured: During the 6 weeks following the injections

  6. Rate of patients with admission to an emergency unit related to* BoNTA injections occurring within the 6 weeks following the injections.

    Any complication leading to an admission in an emergency unit : macroscopic hematuria persisting for more than 48 hours after injections, painful catheterization lasting more than 48 hours after intra-vesical BoNTA injections, pseudo-botulism, botulism.

    Measured: During the 6 weeks following the injections

  7. Rate of patients with admission to an emergency unit not related** to BoNTA occurring within the 6 weeks following the injections

    Any complication not listed in the complications "related to" the injections.

    Measured: During the 6 weeks following the injections

  8. Rate of patients with admission in a non-scheduled hospitalization related to* BoNTA injections occurring within the 6 weeks following the injections.

    Any complication leading to an admission in an emergency unit : macroscopic hematuria persisting for more than 48 hours after injections, painful catheterization lasting more than 48 hours after intra-vesical BoNTA injections, pseudo-botulism, botulism.

    Measured: During the 6 weeks following the injections

  9. Rate of patients with admission in a non-scheduled hospitalization not related to* BoNTA injections occurring within the 6 weeks following the injections.

    Any complication not listed in the complications "related to" the injections.

    Measured: During the 6 weeks following the injections

  10. Maximal cystometric capacity (MCC)

    Maximal cystometric capacity (MCC) measured during the urodynamic multichannel study

    Measured: 6 weeks after BoNTA injections.

  11. Rate of patients with detrusor overactivity (non-voiding detrusor contractions during feeling phase)

    Detrusor overactivity measured during the urodynamic multichannel study

    Measured: 6 weeks after BoNTA injections.

  12. Number of CISC per day

    Number of CISC measured on a 3-day bladder diary

    Measured: 6 weeks after BoNTA injections.

  13. Number of urgency episodes per day

    Number of urgency episodes measured on a 3-day bladder diary

    Measured: 6 weeks after BoNTA injections.

  14. Number of urinary incontinence episodes per day

    Number of urinary incontinence episodes measured on a 3-day bladder diary

    Measured: 6 weeks after BoNTA injections.

  15. Functional bladder capacity

    Functional bladder capacity measured on a 3-day bladder diary

    Measured: 6 weeks after BoNTA injections.

  16. Identify risk factors of in-hospital postoperative symptomatic UTI

    Measured: 6 weeks after BoNTA injections.

Timeline

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

  1. First posted9 Sep 2022
  2. Study startMay 2026 (estimated)
  3. Primary completionMar 2027 (estimated)
  4. Study completionMay 2027 (estimated)

Resources

More details

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

Study design
Study type
Interventional
Phase
Phase N/A
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
None (open label)
Enrolment
526 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT05534399
Sponsor's protocol ID
2020_03
Other IDs
2020-A03361-38, PHRC-19-0218
Acronym
ANTIBIOBONTA
Status last verified
Dec 2025
First submitted
7 Jun 2022
Last updated
26 Dec 2025
Results posted
No
Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No

Publications

  • Leitner L, Sammer U, Walter M, Knupfer SC, Schneider MP, Seifert B, Tornic J, Mehnert U, Kessler TM. Antibiotic prophylaxis may not be necessary in patients with asymptomatic bacteriuria undergoing intradetrusor onabotulinumtoxinA injections for neurogenic detrusor overactivity. Sci Rep. 2016 Sep 12;6:33197. doi: 10.1038/srep33197.

    PubMed 27616488
  • Weglinski L, Rouzaud C, Even A, Bouchand F, Davido B, Duran C, Salomon J, Perronne C, Denys P, Chartier-Kastler E, Dinh A. Prospective evaluation of antibiotic treatment for urological procedure in patients presenting with neurogenic bladder. Med Mal Infect. 2016 Sep;46(6):300-7. doi: 10.1016/j.medmal.2016.04.001. Epub 2016 May 27.

    PubMed 27241225
  • Costelloe C, Metcalfe C, Lovering A, Mant D, Hay AD. Effect of antibiotic prescribing in primary care on antimicrobial resistance in individual patients: systematic review and meta-analysis. BMJ. 2010 May 18;340:c2096. doi: 10.1136/bmj.c2096.

    PubMed 20483949
  • Kang MS, Lee BS, Lee HJ, Hwang SW, Han ZA. Prevalence of and Risk Factors for Multidrug-Resistant Bacteria in Urine Cultures of Spinal Cord Injury Patients. Ann Rehabil Med. 2015 Oct;39(5):686-95. doi: 10.5535/arm.2015.39.5.686. Epub 2015 Oct 26.

    PubMed 26605166
  • Hansson S, Jodal U, Lincoln K, Svanborg-Eden C. Untreated asymptomatic bacteriuria in girls: II--Effect of phenoxymethylpenicillin and erythromycin given for intercurrent infections. BMJ. 1989 Apr 1;298(6677):856-9. doi: 10.1136/bmj.298.6677.856.

    PubMed 2497823
  • Cai T, Mazzoli S, Mondaini N, Meacci F, Nesi G, D'Elia C, Malossini G, Boddi V, Bartoletti R. The role of asymptomatic bacteriuria in young women with recurrent urinary tract infections: to treat or not to treat? Clin Infect Dis. 2012 Sep;55(6):771-7. doi: 10.1093/cid/cis534. Epub 2012 Jun 7.

    PubMed 22677710

Questions about this trial

What is this clinical trial studying?

A study testing Intra-vesical BoNTA injections in people with Urinary Tract Disease, run by University Hospital, Lille at 1 site in France.

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 6 inclusion and 15 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: opening soon, as of the sponsor's last update on 26 Dec 2025. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in France. 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. Some participants in this study may receive a placebo. 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?

This study is still under way. Results are not available in the source record yet.

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

Contact Xavier BIARDEAU, MD (0320445962 ext. +33, xavier.biardeau@chru-lille.fr), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Rate of patients with symptomatic UTI occurring within the 6 weeks following the injections. (time frame: During the 6 weeks following the injections). 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 NCT05534399, which also lists 6 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 26 Dec 2025.

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