Cranberry Proanthocyanidins for Modification of Intestinal E. Coli Flora and Prevention of Urinary Tract Infections in UTI-Susceptible Women
Trial Snapshot
- Phase
- Not Applicable
- Status
- Completed
- Enrollment
- 65
- Locations
- 2
- Primary Endpoint
- Pre-treatment heterogeneity or prevalence
Study Overview
Brief Summary
The purpose of the research is to determine if eating sweetened, dried cranberries or strawberry fruit pieces will increase the types of different E. coli bacteria in the intestines which may reduce the likelihood of a major, or highly harmful urinary type of bacteria which cause urinary tract infections in susceptible women.
Detailed Description
This is a research study about the number and types of bacteria that cause urinary tract infections (E. coli strains) that are present in the intestine. The bacteria will be collected and analyzed before and after eating either sweetened, dried cranberries or strawberry fruit pieces. This study will help us learn more about whether or not the components of consumed sweetened, dried cranberries or strawberry fruit pieces reduce the numbers of harmful E. coli bacteria in the vaginal and intestinal tracts, thereby reducing the number of urinary tract infections among women.
Study Design
- Study Type
- Interventional
- Allocation
- Randomized
- Intervention Model
- Single Group
- Primary Purpose
- Basic Science
- Masking
- Single (Outcomes Assessor)
Eligibility Criteria
- Ages
- 18 Years to 65 Years (Adult, Older Adult)
- Sex
- Female
- Accepts Healthy Volunteers
- Yes
Inclusion Criteria
- •Women, ages 18-65
- •History of recurrent urinary tract infections defined as three in the past year, or two in the last six months
- •Subjects must be willing to follow the study protocol that includes consuming the mandatory daily dose of cranberries or strawberry fruit pieces and traveling to the UWHC Urology clinic for scheduled rectal and vaginal swab procedures.
- •The non-UTI-susceptible group will include women ages 18-65 with no history of recurrent UTI's as defined above.
Exclusion Criteria
- •Are pregnant
- •Have an immune compromising disease
- •Have diabetes
- •Have kidney stones
- •Have chronic bowel inflammatory disease
- •Have known allergies to cranberries, strawberries, elderberries, or wheat fiber
- •Non-UTI-susceptible group will include women ages 18-65 with no history of recurrent UTI's as defined above.
Outcomes
Primary Outcomes
Pre-treatment heterogeneity or prevalence
Time Frame: Day 1 - prior to start of study treatment
1\) Prevalence or heterogeneity of E. coli strains in UTI susceptible women pre-treatment
Maintenance of heterogeneity in the intestinal flora
Time Frame: Approximately 3 months
To determine whether a shift towards strain heterogeneity in the intestinal flora can be maintained over a three month period.
Measure Effects of sweetened, dried cranberries on E. coli clonotypes over three two-week exposures
Time Frame: Approximately 3 months
Measure effects of sweetened, dried cranberries on E. coli clonotypes over three two-week exposures
Measure effects of sweetened, dried cranberries on E. coli clonotypes over one 4-week exposure
Time Frame: 2 weeks, 1 month, or 3 months
Measure effects of sweetened, dried cranberries on E. coli clonotypes over one 4-week exposure
Measure the UTI recurrence
Time Frame: 2 weeks, 1 month, or 3 months
Measure the UTI recurrence after 6 months from the beginning of the study.
Comparison of sweetened dried cranberries to a placebo group
Time Frame: 2 weeks, 1 month, or 3 months
Comparison of sweetened dried cranberries to a placebo group (strawberry fruit pieces)
Post-treatment heterogeneity
Time Frame: 2 weeks, 1 month, or 3 months
2\) a change in the heterogeneity of strains post treatment
Patient acceptance of study regimen
Time Frame: 2 weeks, 1 month, or 3 months
3\) patient acceptance of the study regimen
Secondary Outcomes
No secondary outcomes reported
