Urinary Tract Infections (UTIs)NCT07432763
Effects of Pomegranate Seed Oil Supplementation in Patients With Advanced Dementia
A study testing Pomegranate Seed Oil Supplementation in Palliative Care Patients with Advanced Dementia and Care-as-usual in people with Urinary Tract Infections (UTIs) and Urinary Tract Infection, Recurrent, run by Panhellenic Federation of Alzheimer's Disease and Related Disorders at 1 site in Greece.
Trial summary
The goal of this clinical study is to learn if Pomegranate Seed Oil supplementation works to combat urinary tract infections, recurrenturinary tract infections, or pneumonia and contributes to the tapering or discontinuation of antipsychotics in palliative care patients withadvanced dementia. Read more about this study
- Who is it for?
- Ages 65 years and older
- Conditions the study is for
- Urinary Tract Infections (UTIs), Urinary Tract Infection, Recurrent, Antipsychotics Discontinuation
- What is being tested?
- Pomegranate Seed Oil Supplementation in Palliative Care Patients with Advanced Dementia and Care-as-usual
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 18 participants
- Where
- 1 siteGreece
- Study dates
- 1 May 2024to 31 Oct 2024
- Phase
- Interventional
- 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 65 years and older
- All sexes
- No healthy volunteers
- Older adult
Who may be able to join
- Aged 65+
- Dementia diagnosis (major neurocognitive disorder) according to the criteria Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition, Text Revision (DSM-5-TR) or the International Statistical Classification of Diseases and Related Health Problems (ICD-11)
- Participants classified as Stage 7, Profound Cognitive Decline on the Global Deterioration Scale, corresponding to advanced dementia
- AD related biomarkers in CSF
- Caregiver consent for study participation
Who cannot join
- History of allergy to the supplement or any of its components
- Prior diagnosis of Schizophrenia Spectrum and Other Psychotic Disorders according to the criteria Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition, Text Revision (DSM-5-TR) or the International Statistical Classification of Diseases and Related Health Problems (ICD-11)
- Participants having medical history of recurring urinary tract infections
- Participants having medical history of renal or liver failure
- Participants concurrently participating in other clinical studies
Trial locations and contacts
1 site in 1 country.
Greece1 site
Palliative Care Centre "Panagia Glykofilousa"
Thessaloniki, Central Macedonia
About this study
Official title: Effects of a Twenty-Four-Week Pomegranate Seed Oil Supplementation in Palliative Care Patients With Advanced Dementia: A Double Blind, Randomized Controlled Clinical Study
The goal of this clinical study is to learn if Pomegranate Seed Oil supplementation works to combat urinary tract infections, recurrenturinary tract infections, or pneumonia and contributes to the tapering or discontinuation of antipsychotics in palliative care patients withadvanced dementia.
The main questions it aims to answer are:
Read more
- Does Pomegranate Seed Oil supplementation reduce the likelihood of developing a urinary tract infection?
- Does Pomegranate Seed Oil supplementation prevent UTI reinfection?
- Does Pomegranate Seed Oil supplementation reduce the likelihood of pneumonia?
- Does Pomegranate Seed Oil supplementation contribute to the tapering or discontinuation of antipsychotics?
Researchers will compare Pomegranate Seed Oil to care-as-usual to see if Pomegranate Seed Oil supplementation can increase quality of care in palliative care patients with advanced dementia.
- Conditions
- Urinary Tract Infections (UTIs), Urinary Tract Infection, Recurrent, Antipsychotics Discontinuation, Antipsychotics Tapering
- Being tested
- Pomegranate Seed Oil Supplementation in Palliative Care Patients with Advanced Dementia, Care-as-usual
- Keywords
- Pomegranate Seed Oil, Mediterranean Diet, Palliative Care, Advanced Dementia, Patient Safety, Urinary Tract Infections, Antipsychotics, Randomized Clinical Trial
- Medical subject headings
- Urinary Tract Infections
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Pomegranate Seed Oil Supplementation in Palliative Care Patients with Advanced DementiaDietary supplement
Besides Pomegranate Seed Oil Supplementation, all participants will continue to receive all ongoing care and treatments, including following the Mediterranean diet, monthly neuropsychological and behavioural assessments, physiotherapy, cognitive stimulation, occupational therapy and music therapy, without any modification
Care-as-usualOther
All participants will continue to receive all ongoing care and treatments, including a Mediterranean diet,monthly neuropsychological and behavioural assessments, physiotherapy, cognitive stimulation,occupational therapy and music therapy, without any modification
| Study group | Role | What they receive |
|---|---|---|
| Pomegranate Seed Oil | Experimental | Not described Receives: Dietary Supplement: Pomegranate Seed Oil Supplementation in Palliative Care Patients with Advanced Dementia |
| Care-as-usual | Other | Not described Receives: Other: Care-as-usual |
What is being measured
The primary outcome is the main question the study is designed to answer.
Number of Palliative Care Patients with Advanced Dementia with Urinary Tract Infections (UTIs)
Urinary Tract Infections were diagnosed using the revised McGeer criteria for the diagnosis of UTIs in Stone et al. (2012):
Criteria from both 1 and 2
- At least 1 of the following: Acute dysuria or acute pain, swelling, or tenderness of the testes, epididymis, or prostate OR Fever or leukocytosis and at least 1 of the following localizing urinary tract sub-criteria: Acute costovertebral angle pain or tenderness Suprapubic pain Gross hematuria New or marked increase in incontinence New or marked increase in urgency New or marked increase in frequency In the absence of fever or leukocytosis, then 2 or more of the following: Suprapubic pain Gross hematuria New or marked increase in incontinence New or marked increase in urgency New or marked increase in frequency
- One of the following:
At least 10^5 cfu/mL of no more than 2 species of microorganisms in a voided urine sample At least 10^2 of any number of organisms in a specimen collected by in-and-out catheter
Measured: From enrollment to the end of treatment at 24 weeks
Number of Palliative Care Patients with Advanced Dementia with Reccurent Urinary Tract Infections (rUTIs)
Recurrent UTIs were classified as more than one UTI diagnosed in a single patient based on the criteria proposed in Stone et al. (2012) as described previously.
Measured: From enrollment to the end of treatment at 24 weeks
Secondary outcomes (2)
Number of Palliative Care Patients with Advanced Dementia with Antipsychotic Deprescribing (Dose Reduction or Discontinuation)
Measured: From enrollment to the end of treatment at 24 weeks
Number of Palliative Care Patients with Advanced Dementia Diagnosed with Pneumonia
As in Stone et al. (2012):
All 3 criteria must be present:
- Interpretation of a chest radiograph as demonstrating pneumonia or the presence of a new infiltrate
- At least 1 of the following respiratory subcriteria
- New or increased cough
- New or increased sputum production
- O2 saturation <94% on room air or a reduction in O2 saturation of >3% from baseline
- New or changed lung examination abnormalities
- Pleuritic chest pain
- Respiratory rate of ≥25 breaths/min
- At least 1 of the following criteria
- Fever
- Leukocytosis
- Acute change in mental status from baseline and either disorganized thinking or altered level of consciousness
- Acute functional decline
Measured: From enrollment to the end of treatment at 24 weeks
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted25 Feb 2026
- Study start1 May 2024
- Primary completion31 Oct 2024
- Study completion31 Oct 2024
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Publications (1)Papers the sponsor has linked to this study.
- Other trials for Urinary Tract Infections (UTIs)Studies of the same condition, open and under way.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
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
- Supportive care
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Triple blind
- Who is masked
- Participant, Investigator, Outcomes assessor
- Enrolment
- 18 participants (actual)
Sponsor and investigators
- Lead sponsor
- Panhellenic Federation of Alzheimer's Disease and Related Disorders
- Sponsor type
- University, hospital or other
- Collaborators
- Greek Alzheimer's Association and Related Disorders, RODI HELLAS SA
- Responsible party
- Sponsor
- Investigators
- Magda Tsolaki, Study chair, First Department of Neurology, Faculty of Health Sciences, School of Medicine, Aristotle University of Thessaloniki, Thessaloniki, GreeceIlias Maliousis, Principal investigator, Greek Alzheimer's Association and Related Disorders
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT07432763
- Sponsor's protocol ID
- 96/6-3-24
- Status last verified
- Feb 2026
- First submitted
- 8 Feb 2026
- Last updated
- 25 Feb 2026
- Results posted
- No
- Data monitoring committee
- Yes
- FDA-regulated drug
- No
- FDA-regulated device
- No
- Individual data sharing
- No: Data Availability Statement The data supporting the findings of this study will not be publicly available due to GAADRD's internal policy to maintain the privacy of research participants and patients. However, the data will be available on reasonable request from the corresponding author.
Publications
Stone ND, Ashraf MS, Calder J, Crnich CJ, Crossley K, Drinka PJ, Gould CV, Juthani-Mehta M, Lautenbach E, Loeb M, Maccannell T, Malani PN, Mody L, Mylotte JM, Nicolle LE, Roghmann MC, Schweon SJ, Simor AE, Smith PW, Stevenson KB, Bradley SF; Society for Healthcare Epidemiology Long-Term Care Special Interest Group. Surveillance definitions of infections in long-term care facilities: revisiting the McGeer criteria. Infect Control Hosp Epidemiol. 2012 Oct;33(10):965-77. doi: 10.1086/667743.
PubMed 22961014
Study at a glance
From the registry record, last updated by the sponsor on 25 Feb 2026. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Effects of a Twenty-Four-Week Pomegranate Seed Oil Supplementation in Palliative Care Patients With Advanced Dementia: A Double Blind, Randomized Controlled Clinical Study
- ClinicalTrials.gov ID
- NCT07432763
- Acronym / sponsor ID
- 96/6-3-24
- Conditions
- Urinary Tract Infections (UTIs), Urinary Tract Infection, Recurrent, Antipsychotics Discontinuation, Antipsychotics Tapering
- Keywords
- Pomegranate Seed Oil, Mediterranean Diet, Palliative Care, Advanced Dementia, Patient Safety, Urinary Tract Infections, Antipsychotics, Randomized Clinical Trial
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 18 participants (actual)
- Lead sponsor
- Panhellenic Federation of Alzheimer's Disease and Related DisordersUniversity, hospital or other
- Collaborators
- Greek Alzheimer's Association and Related Disorders, RODI HELLAS SA
- Study start
- 1 May 2024 (actual)
- Primary completion
- 31 Oct 2024 (actual)
- Study completion
- 31 Oct 2024 (actual)
- First posted
- 25 Feb 2026 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
The goal of this clinical study is to learn if Pomegranate Seed Oil supplementation works to combat urinary tract infections, recurrenturinary tract infections, or pneumonia and contributes to the tapering or discontinuation of antipsychotics in palliative care patients withadvanced dementia.
The main questions it aims to answer are:
- Does Pomegranate Seed Oil supplementation reduce the likelihood of developing a urinary tract infection?
- Does Pomegranate Seed Oil supplementation prevent UTI reinfection?
- Does Pomegranate Seed Oil supplementation reduce the likelihood of pneumonia?
- Does Pomegranate Seed Oil supplementation contribute to the tapering or discontinuation of antipsychotics?
Researchers will compare Pomegranate Seed Oil to care-as-usual to see if Pomegranate Seed Oil supplementation can increase quality of care in palliative care patients with advanced dementia.
Study design
- Primary purpose
- Supportive care
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Triple blind (participant, investigator, outcomes assessor)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| Pomegranate Seed Oil | Experimental | Dietary Supplement: Pomegranate Seed Oil Supplementation in Palliative Care Patients with Advanced Dementia |
| Care-as-usual | Other | Other: Care-as-usual |
Who may qualify
- Ages
- 65 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Older adult
Key inclusion criteria (5 listed)
- Aged 65+
- Dementia diagnosis (major neurocognitive disorder) according to the criteria Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition, Text Revision (DSM-5-TR) or the International Statistical Classification of Diseases and Related Health Problems (ICD-11)
- Participants classified as Stage 7, Profound Cognitive Decline on the Global Deterioration Scale, corresponding to advanced dementia
- AD related biomarkers in CSF
- Caregiver consent for study participation
Key exclusion criteria (5 listed)
- History of allergy to the supplement or any of its components
- Prior diagnosis of Schizophrenia Spectrum and Other Psychotic Disorders according to the criteria Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition, Text Revision (DSM-5-TR) or the International Statistical Classification of Diseases and Related Health Problems (ICD-11)
- Participants having medical history of recurring urinary tract infections
- Participants having medical history of renal or liver failure
- Participants concurrently participating in other clinical studies
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| Pomegranate Seed Oil Supplementation in Palliative Care Patients with Advanced DementiaBesides Pomegranate Seed Oil Supplementation, all participants will continue to receive all ongoing care and treatments, including following the Mediterranean diet, monthly neuropsychological and behavioural assessments, physiotherapy, cognitive stimulation, occupational therapy and music therapy, without any modification | Dietary supplement | Pomegranate Seed Oil |
| Care-as-usualAll participants will continue to receive all ongoing care and treatments, including a Mediterranean diet,monthly neuropsychological and behavioural assessments, physiotherapy, cognitive stimulation,occupational therapy and music therapy, without any modification | Other | Care-as-usual |
Primary outcome
Number of Palliative Care Patients with Advanced Dementia with Urinary Tract Infections (UTIs)
Time frame: From enrollment to the end of treatment at 24 weeks
Urinary Tract Infections were diagnosed using the revised McGeer criteria for the diagnosis of UTIs in Stone et al. (2012): Criteria from both 1 and 2 1. At least 1 of the following: Acute dysuria or acute pain, swelling, or tenderness of the testes, epididymis, or prostate OR Fever or leukocytosis and at least 1 of the following localizing urinary tract sub-criteria: Acute costovertebral angle pain or tenderness Suprapubic pain Gross hematuria New or marked increase in incontinence New or marked increase in urgency New or marked increase in frequency In the absence of fever or leukocytosis, then 2 or more of the following: Suprapubic pain Gross hematuria New or marked increase in incontinence New or marked increase in urgency New or marked increase in frequency 2. One of the following: At least 10^5 cfu/mL of no more than 2 species of microorganisms in a voided urine sample At least 10^2 of any number of organisms in a specimen collected by in-and-out catheter
Number of Palliative Care Patients with Advanced Dementia with Reccurent Urinary Tract Infections (rUTIs)
Time frame: From enrollment to the end of treatment at 24 weeks
Recurrent UTIs were classified as more than one UTI diagnosed in a single patient based on the criteria proposed in Stone et al. (2012) as described previously.
2 secondary outcomes
Number of Palliative Care Patients with Advanced Dementia with Antipsychotic Deprescribing (Dose Reduction or Discontinuation)
Time frame: From enrollment to the end of treatment at 24 weeks
Number of Palliative Care Patients with Advanced Dementia Diagnosed with Pneumonia
Time frame: From enrollment to the end of treatment at 24 weeks
Results and safety
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 25 Feb 2026.
- Background: PubMed 22961014Stone ND, Ashraf MS, Calder J, Crnich CJ, Crossley K, Drinka PJ, Gould CV, Juthani-Mehta M, Lautenbach E, Loeb M, Maccannell T, Malani PN, Mody L, Mylotte JM, Nicolle LE, Roghmann MC, Schweon SJ, Simor AE, Smith PW, Stevenson KB, Bradley SF; Society for Healthcare Epidemiology Long-Term Care Special Interest Group. Surveillance definitions of infections in long-term care facilities: revisiting the McGeer criteria. Infect Control Hosp Epidemiol. 2012 Oct;33(10):965-77. doi: 10.1086/667743.
- Individual participant dataSharing planned: No. Data Availability Statement The data supporting the findings of this study will not be publicly available due to GAADRD's internal policy to maintain the privacy of research participants and patients. However, the data will be available on reasonable request from the corresponding author.
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Magda Tsolaki study chair
First Department of Neurology, Faculty of Health Sciences, School of Medicine, Aristotle University of Thessaloniki, Thessaloniki, Greece
Ilias Maliousis principal investigator
Greek Alzheimer's Association and Related Disorders
1 site in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A study testing Pomegranate Seed Oil Supplementation in Palliative Care Patients with Advanced Dementia and Care-as-usual in people with Urinary Tract Infections (UTIs) and Urinary Tract Infection, Recurrent, run by Panhellenic Federation of Alzheimer's Disease and Related Disorders at 1 site in Greece.
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 5 inclusion and 5 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 25 Feb 2026. 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 Greece. 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?
Number of Palliative Care Patients with Advanced Dementia with Urinary Tract Infections (UTIs) (time frame: From enrollment to the end of treatment at 24 weeks). The study lists 2 primary outcomes in all. 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 NCT07432763, which also lists 1 linked publication.
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 25 Feb 2026.