Efficacy and Safety of Pregabalin Combined With Educational and Behavioral Intervention for Bladder Pain Syndrome/Interstitial Cystitis
NCT07752134 · Status: NOT_YET_RECRUITING · Phase: PHASE1 · Type: INTERVENTIONAL · Enrollment: 200
Last updated 2026-08-07
Summary
Bladder pain syndrome/interstitial cystitis (IC/BPS) brings long-term pelvic pain, frequent urination and poor sleep quality, which severely lowers patients' daily life quality. Educational and behavioral management program (EBMP) is a mainstream non-drug treatment for IC/BPS, yet a considerable proportion of patients fail to achieve satisfying symptom relief via EBMP alone. This multicenter randomized controlled trial aims to compare the efficacy and safety of pregabalin combined with EBMP versus EBMP monotherapy in adult IC/BPS patients.
A total of 140 eligible adult participants fulfilling AUA and ESSIC diagnostic criteria for IC/BPS will be randomized at a 1:1 ratio into two groups. The control group receives standalone EBMP intervention, while the intervention group obtains EBMP plus pregabalin with flexible dosage titration. Pregabalin starts at 150 mg per day, and doses can be gradually adjusted up to a maximum daily limit of 600 mg according to patients' tolerance and symptom improvement during the 12-week intervention period.
All enrolled participants will complete standardized symptom questionnaires, pain scoring and voiding diary assessments at predefined follow-up time points. The primary outcome is treatment response measured by Global Response Assessment (GRA) after 12 weeks of intervention. Secondary evaluations cover VAS pain scores, PUF, ICSI, ICPI scales, bladder functional parameters, quality of life, sleep status and depressive symptoms. Researchers will track all adverse events throughout follow-up to judge the safety of combined treatment. Findings from this trial can offer optimized treatment options for adults diagnosed with IC/BPS.
Conditions
- Bladder Pain Syndrome
- Pregabalin
- Educational Behavioral Intervention
- Urinary Urgency
Interventions
- BEHAVIORAL
-
Educational and Behavioral Management Program (EBMP)
Standardized educational and behavioral intervention for IC/BPS patients, including bladder health education, dietary adjustment guidance, pelvic floor behavioral training, lifestyle modification and regular follow-up counseling. Identical EBMP content is delivered to participants in both study arms throughout the 12-week trial period.
- DRUG
-
Pregabalin
Flexible oral dose titration scheme. Initial daily dosage is 150 mg split into 2-3 administrations. Dosage can be raised to 300 mg/day after 3-7 days, then further escalated by 150 mg every 3-7 days based on patient tolerance and symptom relief. The maximum daily dosage is capped at 600 mg. Dosage will be down-titrated to the maximum tolerated dose once intolerable adverse events occur, with stable dosing maintained until Week 12. This medication is only administered to the combined-treatment arm.
Sponsors & Collaborators
-
Beijing Tiantan Hospital
lead OTHER
Study Design
- Allocation
- RANDOMIZED
- Purpose
- TREATMENT
- Masking
- NONE
- Model
- PARALLEL
Eligibility
- Min Age
- 18 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2026-12-31
- Primary Completion
- 2027-10-31
- Completion
- 2027-12-31
More Related Trials
-
Effect of Intradetrusor onabotulinumtoxinA Injection Versus Conservative Management on Female Sexual Function in Patients With Bladder Pain Syndrome
NCT06729151 ·Status: RECRUITING
-
Clinical Efficacy of Changing the InterStim® Parameters in Patients With Interstitial Cystitis/Painful Bladder Syndrome
NCT01312259 ·Status: UNKNOWN ·Phase: PHASE4
-
Biopsychosocial and Conventional Approach in Bladder Pain Syndrome
NCT05155384 ·Status: UNKNOWN ·Phase: NA
-
Motor Cortical Neuromodulation in Women With Interstitial Cystitis/Bladder Pain Syndrome
NCT04734847 ·Status: ACTIVE_NOT_RECRUITING ·Phase: NA
-
Smartphone-based Self-care Education Program for Women With Interstitial Cystitis: Educational Remote IC Aide
NCT05260112 ·Status: COMPLETED ·Phase: NA
-
Bladder Directed vs. Pelvic Floor Therapy in IC/BPS
NCT02870738 ·Status: ACTIVE_NOT_RECRUITING ·Phase: PHASE2
-
PTNS Versus Sham Efficacy in Treatment of BPS
NCT02747420 ·Status: COMPLETED ·Phase: NA
-
Study of Urgent PC Versus Sham Effectiveness in Treatment of Overactive Bladder Symptoms
NCT00771264 ·Status: COMPLETED ·Phase: PHASE4
-
Hypnosis for Bladder Pain Syndrome
NCT04010513 ·Status: COMPLETED ·Phase: NA
-
Physical Therapy in Women With Interstitial Cystitis
NCT00733603 ·Status: COMPLETED ·Phase: NA
-
Sensory Sensitivity and Urinary Symptoms in the Female Population
NCT01978002 ·Status: COMPLETED
-
Pilot Study of Percutaneous Posterior Tibial Nerve Stimulation for the Treatment of IC/PBS
NCT02550561 ·Status: COMPLETED ·Phase: NA
-
Intravesical Liposomes for Interstitial Cystitis/Painful Bladder Syndrome (IC/PBS)
NCT01731470 ·Status: COMPLETED ·Phase: NA
-
Effects of Pelvic Floor Training in Male Chronic Pelvic Pain, Correlation Between Subjective and Objective Outcomes
NCT06115083 ·Status: RECRUITING ·Phase: NA
-
Enhancing Behavioral Treatment for Women With Pelvic Floor Disorders
NCT03623880 ·Status: COMPLETED ·Phase: NA
-
A Multidisciplinary, Multimodal Bundled Care Approach to Chronic Pelvic Pain
NCT05658874 ·Status: TERMINATED ·Phase: PHASE3
-
Clinical Effect Observation for Electrical Pudendal Nerve Stimulation in Treating Urethral Pain Syndrome
NCT03671993 ·Status: COMPLETED ·Phase: NA
-
A Pilot Study Investigating the Use of a Therapeutic Wand in Addition to Physiotherapy for Bladder Pain Syndrome
NCT02743962 ·Status: COMPLETED ·Phase: NA
-
RADIOFREQUENCY TREATMENT OF CHRONIC PELVIC PAIN MANAGEMENT IN INTERSTITIAL CYSTITIS
NCT06256679 ·Status: COMPLETED
-
EPPIC: Easing Pelvic Pain Interventions Clinical Research Program
NCT05127616 ·Status: RECRUITING ·Phase: NA
-
Does Bladder Training Improve the Efficacy of Nerve Stimulation in Women With Refractory Overactive Bladders
NCT02107820 ·Status: COMPLETED ·Phase: NA
-
Guided Imagery and Transcranial Direct Current Stimulation (tDCS) in Women With Chronic Pelvic Pain
NCT02781103 ·Status: TERMINATED ·Phase: NA
-
Supervised Exercise as a Therapeutic Strategy for Interstitial Cystitis/Bladder Pain Syndrome
NCT05699551 ·Status: WITHDRAWN ·Phase: NA
-
Identifying Predictors of Treatment Success in Painful Bladder Syndrome
NCT01410461 ·Status: UNKNOWN
-
Bilateral Comparison of Unilateral Sacral Neuromodulation Test Stimulation in the Treatment of Neurogenic Bladder
NCT07505940 ·Status: NOT_YET_RECRUITING ·Phase: NA