Efficacy of Neorenal Forte for the Complete Elimination of Residual Fragments

Last updated: April 14, 2025
Sponsor: Neopharm Bulgaria Ltd.
Overall Status: Active - Recruiting

Phase

N/A

Condition

Kidney Stones

Treatment

Placebo

Neorenal Forte

Clinical Study ID

NCT06651294
NERFA 2501-lit-002
  • Ages 18-65
  • All Genders

Study Summary

The purpose of this study is to evaluate the efficacy of a specialized formula of phytotherapeutic extracts (Neorenal Forte) aiding the complete elimination of residual fragments after fURS in adults.

Eligibility Criteria

Inclusion

Inclusion Criteria:

  1. Male or female 18 to 65 years of age.

  2. The subject has signed informed consent approved by an Ethics Committee and agreesto the on-site study visits.

  3. A stone confirmed by NCCT of kidney, ureter and urinary bladder for assessment ofsize, number, location and stone density, within 90 days of fURS.

  4. Single or multiple kidney stones with total size of 10x10 mm to 15x10 mm.

  5. Stone density 1001 - 1400 Hounsfield units (HU).

  6. Subjects post fURS for laser lithotripsy of kidney stone.

  7. Residual fragments < 4 mm after fURS confirmed by ultrasound on first postoperativeday.

  8. Subjects post one fURS.

  9. fURS uncomplicated by perforation of ureter, mucosal exfoliation, damage to kidneyor urinary bladder, serious bleeding or other complications.

  10. No recent ureterorenoscopy within the last 6 months.

  11. Body mass index 17.0 - 29.99 kg/m2 118

  12. In Investigator's opinion, the subject can comply with the visit schedule and thetreatment regimen and is capable of completing the study.

  13. The subject has a smartphone and is capable of using it.

Exclusion

Exclusion Criteria:

  1. Subjects with anatomical anomalies revealed by ultrasound - stenosis of thepyelo-ureteral junction, horseshoe kidney, kidney malrotation, calycealdiverticulum, and others.

  2. Ureteral stenosis.

  3. History of ipsilateral renal surgery.

  4. Hydronephrosis.

  5. Permanent JJ stent.

  6. Any conditional or absolute contraindications for fURS.

  7. Combined ipsilateral stone in the ureter or contralateral stone in the upper urinarycanal or a stone in the lower urinary canal, requiring simultaneous surgery.

  8. Subjects with positive urine culture, until resolution.

  9. History of endourological intervention (e.g. nephrostoma, ureteral catheter) beforefURS.

  10. Stone density <1000 and >1401 HU;

  11. Uncontrolled diabetes mellitus (HbA1c >9%).

  12. Renal insufficiency.

  13. Subjects with arterial hypertension.

  14. Subjects with prostate adenoma.

  15. Allergy or hypersensitivity to any of the ingredients of the investigationalproduct.

  16. BMI ≥ 30 kg/m2.

  17. Women who are pregnant or lactating; women who plan on getting pregnant during thestudy.

  18. Alcohol or drug abuse in the last year.

  19. Unstable medical conditions, as determined by the Investigator.

  20. Inability to comply with the study protocol.

  21. Subjects who cannot understand or not capable of completing the study documents.

  22. Inability to give informed consent.

Study Design

Total Participants: 120
Treatment Group(s): 2
Primary Treatment: Placebo
Phase:
Study Start date:
April 01, 2025
Estimated Completion Date:
May 30, 2026

Study Description

The study is being initiated to support the informed decision making by healthcare specialists on the initiation of a specific and safe formula of phytotherapeutic extracts with duration at least three months after endourological procedures, as a routine part of urolithiasis treatment, aiding the complete elimination of residual fragments, which will allow minimizing of the short-term and long-term complications.

By evaluating the percentage of complete elimination of residual fragments or fragments < 2 mm in diameter, we aim to estimat the efficacy and safety of Neorenal Forte.

Connect with a study center

  • MHAT "Heart and Brain"

    Burgas,
    Bulgaria

    Active - Recruiting

  • UMHAT "Dr. Georgi Stranski"

    Pleven, 5800
    Bulgaria

    Active - Recruiting

  • University Hospital for Active Treatment "Saint Marina"

    Pleven, 5800
    Bulgaria

    Active - Recruiting

  • UMHAT "St. George"

    Plovdiv, 4000
    Bulgaria

    Active - Recruiting

  • UMHAT Kaspela

    Plovdiv, 4001
    Bulgaria

    Active - Recruiting

  • Military Medical Academy

    Sofia, 1606
    Bulgaria

    Active - Recruiting

  • UMBALSM "N. I. Pirogov"

    Sofia, 1606
    Bulgaria

    Active - Recruiting

  • UMHAT "Alexandrovska"

    Sofia, 1431
    Bulgaria

    Active - Recruiting

  • UMHAT "Sofiamed"

    Sofia, 1797
    Bulgaria

    Active - Recruiting

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