Korean J Urol.  2007 Apr;48(4):428-432. 10.4111/kju.2007.48.4.428.

Efficacy and Safety of Uro-Vaxom Treatment for Patients with Recurrent Cystitis: An Open Multicenter Study

Affiliations
  • 1Daniel Urology Clinic, Korea.
  • 2Department of Urology, College of Medicine, The Catholic University of Korea, Seoul, Korea. cyh0831@catholic.ac.kr
  • 3Department of Urology, College of Medicine, Hanyang University, Seoul, Korea.
  • 4Department of Urology, College of Medicine, Kyungpook National University, Daegu, Korea.
  • 5Department of Urology, College of Medicine, Kyung Hee University, Seoul, Korea.
  • 6Department of Urology, College of Medicine, Soonchunhyang University, Bucheon, Korea.
  • 7Department of Urology, College of Medicine, Chosun University, Gwangju, Korea.
  • 8Department of Urology, College of Medicine, Korea University, Seoul, Korea.
  • 9Department of Urology, College of Medicine, Ewha Womans University, Seoul, Korea.
  • 10Department of Urology, College of Medicine, Chonbuk National University, Jeonju, Korea.
  • 11Department of Urology, College of Medicine, Yonsei University, Seoul, Korea.
  • 12Department of Urology, College of Medicine, Inje University, Korea.
  • 13Department of Urology, College of Medicine, Pusan National University, Busan, Korea.

Abstract

PURPOSE
We wanted to investigate the efficacy and safety of the immunotherapeutic Uro-Vaxom for treating uncomplicated recurrent cystitis in female patients only.
MATERIALS AND METHODS
Adult female patients were enrolled in this multicenter, open-label study if they had acute cystitis at the enrollment visit and positive results on urine culture (> or =10(3)CFU/ml). The patients were treated for 3 months with one capsule daily of Uro-Vaxom after antibiotic therapy, and they were observed for another 3 months. The primary efficacy criteria were the cystitis recurrence rates over 6 months, the distribution of cystitis and the proportion of patients with cystitis.
RESULTS
A total of 50 patients were evaluated. During the 6-month trial, the number of cystitis recurrences was significantly reduced in comparison with the 6-month pretrial period (on the average 0.64 as compared to 3.0 recurrences, respectively p<0.001). The incidences of frequency, urgency and dysuria remained low until the end of the trial. Uro-Vaxom was well tolerated: side-effects were mentioned by 8% of the 50 patients, and there was no case leading to treatment withdrawal.
CONCLUSIONS
Uro-Vaxom significantly reduced the incidence of cystitis during the 6 months of this study, including the 3 months of treatment. These results demonstrate that Uro-Vaxom is a valuable agent for prophylaxis of recurrent cystitis.

Keyword

Female; Cystitis; Escherichia coli; Uro-Vaxom

MeSH Terms

Adult
Cystitis*
Dysuria
Escherichia coli
Female
Humans
Incidence
Recurrence

Figure

  • Fig. 1. Cumulative recurrence rate of cystitis by visit.

  • Fig. 2. Cumulative survival curve of the cystitis patients during the 6 months of the study.

  • Fig. 3. Ventilation of the cases as a function of the number of recurrences during the 6 months before the start of the study and their distribution during the 6 months of the study (p< 0.01).

  • Fig. 4. Frequency of symptoms over time.


Cited by  3 articles

A Prospective Multi-center Trial of Escherichia coli Extract for the Prophylactic Treatment of Patients with Chronically Recurrent Cystitis
Kun Suk Kim, Ji-Yoon Kim, In Gab Jeong, Jae-Seung Paick, Hwancheol Son, Dae Jung Lim, Hong Bang Shim, Won Hee Park, Hee Chang Jung, Myung-Soo Choo
J Korean Med Sci. 2010;25(3):435-439.    doi: 10.3346/jkms.2010.25.3.435.

Non-Antibiotic Prophylaxis for Recurrent Urinary Tract Infections
Ki Ho Kim
Korean J Urogenit Tract Infect Inflamm. 2014;9(1):9-13.    doi: 10.14777/kjutii.2014.9.1.9.

Risk Factor Associated with Recurrence after OM-89 (Uro-Vaxom®) Treatment for Female Recurrent Cystitis
Ji-Yeon Han
Urogenit Tract Infect. 2019;14(2):42-45.    doi: 10.14777/uti.2019.14.2.42.


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