A Trial of Cranberry Capsules for Urinary Tract Infection Prevention in Nursing Home Residents

This study is currently recruiting participants.
Verified May 2013 by Yale University
Sponsor:
Information provided by (Responsible Party):
Yale University
ClinicalTrials.gov Identifier:
NCT01691430
First received: August 9, 2012
Last updated: May 13, 2013
Last verified: May 2013
  Purpose

Urinary tract infection (UTI) is the most common infection in nursing home residents, and bacteriuria is the greatest trigger for antimicrobial therapy in the nursing home setting. The primary aim of this study is to test the efficacy of two oral cranberry capsules per day in the prevention of bacteriuria in female nursing home residents. The secondary aim is to compare the occurrence of urinary tract specific symptoms in the cranberry capsule versus placebo groups. These aims will be accomplished by conducting a double blind randomized placebo controlled efficacy trial of two oral cranberry capsules daily versus placebo in a cohort of Connecticut female nursing home residents.


Condition Intervention Phase
Bacteriuria
Dietary Supplement: 2 cranberry capsules
Dietary Supplement: Placebo
Phase 2

Study Type: Interventional
Study Design: Allocation: Randomized
Endpoint Classification: Safety/Efficacy Study
Intervention Model: Single Group Assignment
Masking: Double Blind (Subject, Caregiver, Investigator, Outcomes Assessor)
Primary Purpose: Prevention
Official Title: A Randomized, Controlled Trial of Cranberry Capsules for UTI Prevention in Nursing Home Residents

Resource links provided by NLM:


Further study details as provided by Yale University:

Primary Outcome Measures:
  • Number of urine cultures with bacteriuria (>100,000 cfu/ml) plus pyuria (>10 WBC) [ Time Frame: One year ] [ Designated as safety issue: No ]
    Clean catch urine cultures and urinalyses will be obtained every two months for each participant for study purposes.


Secondary Outcome Measures:
  • Number of episodes of UTI [ Time Frame: One year ] [ Designated as safety issue: No ]
    UTI episodes that are recorded in the medical record by the primary provider will be collected by chart review.

  • Number of hospitalizations [ Time Frame: One year ] [ Designated as safety issue: Yes ]
  • Number of deaths [ Time Frame: One year ] [ Designated as safety issue: Yes ]
  • Number of antibiotic prescriptions [ Time Frame: One year ] [ Designated as safety issue: No ]
    Chart review will be performed to determine the names and duration of antibiotic prescriptions prescribed by the primary provider on each participant.

  • Number of multi-drug resistant organisms in each participant [ Time Frame: One year ] [ Designated as safety issue: No ]
    Chart review will be performed to determine if multi-drug resistant organisms were isolated from clinical samples (e.g., sputum, urine, blood cultures) submitted by the primary provider.


Other Outcome Measures:
  • Number of adverse events in participants [ Time Frame: One year ] [ Designated as safety issue: Yes ]
  • Adherence to capsule intake by all participants [ Time Frame: One year ] [ Designated as safety issue: No ]

Estimated Enrollment: 180
Study Start Date: August 2012
Estimated Study Completion Date: January 2016
Estimated Primary Completion Date: January 2016 (Final data collection date for primary outcome measure)
Arms Assigned Interventions
Active Comparator: 2 cranberry capsules
Experimental: 2 cranberry capsules
Dietary Supplement: 2 cranberry capsules
Two 36mg cranberry capsules all qhs
Other Name: Ellura
Placebo Comparator: 2 placebo capsules
Experimental: 2 placebo capsules all qhs
Dietary Supplement: Placebo
Two 36mg placebo capsules all qhs
Other Name: Placebo

  Eligibility

Ages Eligible for Study:   65 Years and older
Genders Eligible for Study:   Female
Accepts Healthy Volunteers:   Yes
Criteria

Inclusion Criteria:

  1. female residents;
  2. age ≥ 65 years;
  3. long term residents

Exclusion Criteria:

  1. residents that are not expected to be in the nursing home for at least one month (i.e., short term rehabilitation, pending discharge, terminal [life expectancy < 1 month]);
  2. residents who are on chronic suppressive antibiotic or anti-infective (i.e., mandelamine) therapy for recurrent UTI;
  3. residents with end stage renal disease on dialysis (they do not regularly produce urine);
  4. residents unable to produce a baseline clean catch urine specimen for collection;
  5. residents on warfarin therapy because of a potential interaction of warfarin and cranberry juice;
  6. residents with a history of nephrolithiasis because cranberry may increase the risk of nephrolithiasis;
  7. have an indwelling bladder catheter in place;
  8. have an allergy to cranberry products;
  9. are being treated with cranberry products;
  10. residence <4 weeks.
  Contacts and Locations
Please refer to this study by its ClinicalTrials.gov identifier: NCT01691430

Contacts
Contact: Manisha Juthani-Mehta, M.D. 203-737-2109 manisha.juthanimehta@yale.edu

Locations
United States, Connecticut
Caleb Hitchcock Health Center at Duncaster Not yet recruiting
Bloomfield, Connecticut, United States, 06002
Contact: Carol Mortensen, RN     860-726-2400        
Northbridge Health Care Center Recruiting
Bridgeport, Connecticut, United States, 06606
Contact: Helen Byron     203-336-0232        
Countryside Manor of Bristol Not yet recruiting
Bristol, Connecticut, United States, 06010
Contact: Charles Hallgren     860-583-8483        
Cherry Brook Health Care Center Not yet recruiting
Canton, Connecticut, United States, 06019
Contact: Susan Vinal     860-693-7777        
Ludlowe Health Care Center Not yet recruiting
Fairfield, Connecticut, United States, 06825
Contact: Lew Abramson     203-372-4501        
Glastonbury Health Care Center Recruiting
Glastonbury, Connecticut, United States, 06033
Contact: Elizabeth Schmeizl     860-659-1905        
Meadowbrook of Granby Not yet recruiting
Granby, Connecticut, United States, 06035
Contact: Don Davanzo     860-653-9888        
Arden House Care and Rehabilitation Center Recruiting
Hamden, Connecticut, United States, 06514
Contact: Kevin Cleary     203-281-3500        
Hamden Health Care Center Not yet recruiting
Hamden, Connecticut, United States, 06514
Contact: Linda Odaynik     203-281-7555        
Wadsworth Glen Health Care and Rehabilitation Center Recruiting
Middletown, Connecticut, United States, 06457
Contact: William Nelson     860-346-9299        
Middlesex Health Care Center Not yet recruiting
Middletown, Connecticut, United States, 06457
Contact: David Sones     860-344-0353        
Shady Knoll Health Center Recruiting
Seymour, Connecticut, United States, 06483
Contact: Deborah Torrey     203-881-2555        
The Smith House Health Care Center Not yet recruiting
Stamford, Connecticut, United States, 06903
Contact: Jamie Aurand     203-322-3428        
Lord Chamberlain Nursing & Rehabilitation Center Recruiting
Stratford, Connecticut, United States, 06614
Contact: James Bergers     203-375-5894        
Valerie Manor Not yet recruiting
Torrington, Connecticut, United States, 06790
Contact: Thomas Walkuski     860-489-1008        
Litchfield Woods Health Care Center Not yet recruiting
Torrington, Connecticut, United States, 06790
Contact: Denise Quarles     860-489-5801        
Maefair Health Care Center Not yet recruiting
Trumbull, Connecticut, United States, 06611
Contact: Daniel Brencher     203-459-5152        
Village Green of Wallingford Not yet recruiting
Wallingford, Connecticut, United States, 06492
Contact: Kimberly Coleman     203-265-6771        
Abbott Terrace Health Center Recruiting
Waterbury, Connecticut, United States, 06702
Contact: Richard Slutsky     203-755-4870        
Saint Mary Home Not yet recruiting
West Hartford, Connecticut, United States, 06117
Contact: Patricia Hamill     860-570-8200        
Sponsors and Collaborators
Yale University
Investigators
Principal Investigator: Manisha Juthani-Mehta, M.D. Yale School of Medicine
  More Information

No publications provided

Responsible Party: Yale University
ClinicalTrials.gov Identifier: NCT01691430     History of Changes
Other Study ID Numbers: 1112009472
Study First Received: August 9, 2012
Last Updated: May 13, 2013
Health Authority: United States: Institutional Review Board

Additional relevant MeSH terms:
Bacteriuria
Urinary Tract Infections
Infection
Urologic Diseases

ClinicalTrials.gov processed this record on May 23, 2013