Trial Outcomes & Findings for Engage 24: Evaluation of the Safety and Effectiveness of URG101 in Subjects With Interstitial Cystitis/Bladder Pain Syndrome (NCT NCT02591199)
NCT ID: NCT02591199
Last Updated: 2026-02-03
Results Overview
A calculation of average bladder Sum of Pain Intensity Differences from Baseline to 12 hours (SPID-12). A pain intensity score of 0 (no pain) to 10 (worst possible pain) is obtained before starting the study and throughout the 12 hour time period. The average SPID-12 is calculated by multiplying the Pain Intensity Difference score at each time point by the duration since the preceding time point and then summing these values over the specific time period. A lower, negative average SPID-12 difference is better and indicates a reduction in pain intensity compared to the baseline score, whereas a positive score indicates an increase in pain intensity compared to baseline. The full range of results of the average SPID-12 difference could be -119 to +59.
TERMINATED
PHASE2
91 participants
12 hours
2026-02-03
Participant Flow
Participant milestones
| Measure |
URG101
A single 15 mL dose of URG101,a mix of buffered Lidocaine (200 mg) and Heparin (50,000 IU), delivered to the bladder via catheter.
URG101
|
Heparin
A single 15 mL dose of buffered Heparin (50,000 IU) delivered to the bladder.
Heparin
|
Lidocaine
A single 15 mL dose of buffered Lidocaine (200 mg) delivered to the bladder via catheter.
Lidocaine
|
Placebo
A single 15 mL dose of placebo delivered to the bladder via catheter.
Placebo
|
|---|---|---|---|---|
|
Overall Study
STARTED
|
31
|
15
|
29
|
16
|
|
Overall Study
COMPLETED
|
31
|
15
|
29
|
16
|
|
Overall Study
NOT COMPLETED
|
0
|
0
|
0
|
0
|
Reasons for withdrawal
Withdrawal data not reported
Baseline Characteristics
Engage 24: Evaluation of the Safety and Effectiveness of URG101 in Subjects With Interstitial Cystitis/Bladder Pain Syndrome
Baseline characteristics by cohort
| Measure |
URG101
n=31 Participants
A single 15 mL dose of URG101,a mix of buffered Lidocaine (200 mg) and Heparin (50,000 IU), delivered to the bladder via catheter.
URG101
|
Heparin
n=15 Participants
A single 15 mL dose of buffered Heparin (50,000 IU) delivered to the bladder.
Heparin
|
Lidocaine
n=29 Participants
A single 15 mL dose of buffered Lidocaine (200 mg) delivered to the bladder via catheter.
Lidocaine
|
Placebo
n=16 Participants
A single 15 mL dose of placebo delivered to the bladder via catheter.
Placebo
|
Total
n=91 Participants
Total of all reporting groups
|
|---|---|---|---|---|---|
|
Age, Continuous
|
46.7 years
STANDARD_DEVIATION 15.06 • n=13 Participants
|
52.2 years
STANDARD_DEVIATION 16.86 • n=15 Participants
|
45.3 years
STANDARD_DEVIATION 15.41 • n=28 Participants
|
50.2 years
STANDARD_DEVIATION 16.15 • n=2 Participants
|
47.8 years
STANDARD_DEVIATION 15.66 • n=32 Participants
|
|
Sex: Female, Male
Female
|
30 Participants
n=13 Participants
|
14 Participants
n=15 Participants
|
28 Participants
n=28 Participants
|
13 Participants
n=2 Participants
|
85 Participants
n=32 Participants
|
|
Sex: Female, Male
Male
|
1 Participants
n=13 Participants
|
1 Participants
n=15 Participants
|
1 Participants
n=28 Participants
|
3 Participants
n=2 Participants
|
6 Participants
n=32 Participants
|
|
Ethnicity (NIH/OMB)
Hispanic or Latino
|
5 Participants
n=13 Participants
|
1 Participants
n=15 Participants
|
5 Participants
n=28 Participants
|
4 Participants
n=2 Participants
|
15 Participants
n=32 Participants
|
|
Ethnicity (NIH/OMB)
Not Hispanic or Latino
|
26 Participants
n=13 Participants
|
14 Participants
n=15 Participants
|
24 Participants
n=28 Participants
|
12 Participants
n=2 Participants
|
76 Participants
n=32 Participants
|
|
Ethnicity (NIH/OMB)
Unknown or Not Reported
|
0 Participants
n=13 Participants
|
0 Participants
n=15 Participants
|
0 Participants
n=28 Participants
|
0 Participants
n=2 Participants
|
0 Participants
n=32 Participants
|
|
Race (NIH/OMB)
American Indian or Alaska Native
|
0 Participants
n=13 Participants
|
0 Participants
n=15 Participants
|
0 Participants
n=28 Participants
|
0 Participants
n=2 Participants
|
0 Participants
n=32 Participants
|
|
Race (NIH/OMB)
Asian
|
2 Participants
n=13 Participants
|
2 Participants
n=15 Participants
|
1 Participants
n=28 Participants
|
0 Participants
n=2 Participants
|
5 Participants
n=32 Participants
|
|
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
|
0 Participants
n=13 Participants
|
0 Participants
n=15 Participants
|
0 Participants
n=28 Participants
|
0 Participants
n=2 Participants
|
0 Participants
n=32 Participants
|
|
Race (NIH/OMB)
Black or African American
|
2 Participants
n=13 Participants
|
5 Participants
n=15 Participants
|
0 Participants
n=28 Participants
|
1 Participants
n=2 Participants
|
8 Participants
n=32 Participants
|
|
Race (NIH/OMB)
White
|
27 Participants
n=13 Participants
|
8 Participants
n=15 Participants
|
28 Participants
n=28 Participants
|
15 Participants
n=2 Participants
|
78 Participants
n=32 Participants
|
|
Race (NIH/OMB)
More than one race
|
0 Participants
n=13 Participants
|
0 Participants
n=15 Participants
|
0 Participants
n=28 Participants
|
0 Participants
n=2 Participants
|
0 Participants
n=32 Participants
|
|
Race (NIH/OMB)
Unknown or Not Reported
|
0 Participants
n=13 Participants
|
0 Participants
n=15 Participants
|
0 Participants
n=28 Participants
|
0 Participants
n=2 Participants
|
0 Participants
n=32 Participants
|
PRIMARY outcome
Timeframe: 12 hoursPopulation: Subjects included in this analysis must have received a dose of the applicable study treatment and completed through the 12 hour SPID collection timepoint. Intent to Treat / Safety Population includes all subjects who received the relevant dose; Per Protocol Population includes all subjects who met entrance criteria; Per Protocol Instillation History includes a subset of the Per Protocol Population who previously received at least one instillation treatment.
A calculation of average bladder Sum of Pain Intensity Differences from Baseline to 12 hours (SPID-12). A pain intensity score of 0 (no pain) to 10 (worst possible pain) is obtained before starting the study and throughout the 12 hour time period. The average SPID-12 is calculated by multiplying the Pain Intensity Difference score at each time point by the duration since the preceding time point and then summing these values over the specific time period. A lower, negative average SPID-12 difference is better and indicates a reduction in pain intensity compared to the baseline score, whereas a positive score indicates an increase in pain intensity compared to baseline. The full range of results of the average SPID-12 difference could be -119 to +59.
Outcome measures
| Measure |
URG101
n=31 Participants
A single 15 mL dose of URG101,a mix of buffered Lidocaine (200 mg) and Heparin (50,000 IU), delivered to the bladder via catheter.
URG101
|
Heparin
n=15 Participants
A single 15 mL dose of buffered Heparin (50,000 IU) delivered to the bladder.
Heparin
|
Lidocaine
n=29 Participants
A single 15 mL dose of buffered Lidocaine (200 mg) delivered to the bladder via catheter.
Lidocaine
|
Placebo
n=16 Participants
A single 15 mL dose of placebo delivered to the bladder via catheter.
Placebo
|
|---|---|---|---|---|
|
Average of Bladder Sum of Pain Intensity Differences From Baseline to 12 Hours (SPID-12) as Determined Using an 11-point Numeric Rating Scale (NRS) for Pain Intensity
Intent to Treat / Safety Population
|
-30.81 units on a scale*hours
Standard Deviation 21.641
|
-22.50 units on a scale*hours
Standard Deviation 25.918
|
-27.50 units on a scale*hours
Standard Deviation 26.121
|
-19.63 units on a scale*hours
Standard Deviation 18.558
|
|
Average of Bladder Sum of Pain Intensity Differences From Baseline to 12 Hours (SPID-12) as Determined Using an 11-point Numeric Rating Scale (NRS) for Pain Intensity
Per Protocol Population
|
-33.41 units on a scale*hours
Standard Deviation 20.89
|
-24.11 units on a scale*hours
Standard Deviation 26.11
|
-26.43 units on a scale*hours
Standard Deviation 26.76
|
-15.42 units on a scale*hours
Standard Deviation 17.74
|
|
Average of Bladder Sum of Pain Intensity Differences From Baseline to 12 Hours (SPID-12) as Determined Using an 11-point Numeric Rating Scale (NRS) for Pain Intensity
Per Protocol-Instillation (history of receiving bladder instillations) Population
|
-37.51 units on a scale*hours
Standard Deviation 18.06
|
-12.38 units on a scale*hours
Standard Deviation 22.38
|
-23.27 units on a scale*hours
Standard Deviation 25.96
|
-16.28 units on a scale*hours
Standard Deviation 19.66
|
PRIMARY outcome
Timeframe: 12 hoursPopulation: Overall numbers of participants reflects all participants who received at least one dose of study drug (URG101), comparators (Heparin or Lidocaine), or placebo. The above arm numbers compare URG101 to its individual components of heparin, lidocaine, and placebo, respectively.
A calculation of bladder Sum of Pain Intensity Differences from Baseline to 12 hours (SPID-12) after administration of URG101 compared with the SPID-12 after administration of lidocaine alone, heparin alone, and placebo. A pain intensity score of 0 (no pain) to 10 (worst possible pain) is obtained before starting the study and throughout the 12 hour time period. A negative value indicates lower SPID-12 values for URG101. The full range of results of the average SPID-12 difference could be -119 to +59.
Outcome measures
| Measure |
URG101
n=46 Participants
A single 15 mL dose of URG101,a mix of buffered Lidocaine (200 mg) and Heparin (50,000 IU), delivered to the bladder via catheter.
URG101
|
Heparin
n=60 Participants
A single 15 mL dose of buffered Heparin (50,000 IU) delivered to the bladder.
Heparin
|
Lidocaine
n=47 Participants
A single 15 mL dose of buffered Lidocaine (200 mg) delivered to the bladder via catheter.
Lidocaine
|
Placebo
A single 15 mL dose of placebo delivered to the bladder via catheter.
Placebo
|
|---|---|---|---|---|
|
Change of Bladder Sum of Pain Intensity Differences From Baseline to 12 Hours (SPID-12) as Determined Using an 11-point Numeric Rating Scale (NRS) for Pain Intensity
Intent-to-Treat / Safety Population
|
-11.65 units on a scale*hours
Interval -25.61 to 2.31
|
-4.31 units on a scale*hours
Interval -16.0 to 7.38
|
-12.46 units on a scale*hours
Interval -26.59 to 1.68
|
—
|
|
Change of Bladder Sum of Pain Intensity Differences From Baseline to 12 Hours (SPID-12) as Determined Using an 11-point Numeric Rating Scale (NRS) for Pain Intensity
Per Protocol Population
|
-15.69 units on a scale*hours
Interval -29.57 to -1.81
|
-9.21 units on a scale*hours
Interval -21.13 to 2.72
|
-21.28 units on a scale*hours
Interval -36.07 to -6.49
|
—
|
|
Change of Bladder Sum of Pain Intensity Differences From Baseline to 12 Hours (SPID-12) as Determined Using an 11-point Numeric Rating Scale (NRS) for Pain Intensity
Per Protocol-Instillation (history of receiving bladder instillations) Population
|
-26.02 units on a scale*hours
Interval -43.62 to -8.43
|
-14.64 units on a scale*hours
Interval -31.47 to 2.2
|
-26.04 units on a scale*hours
Interval -44.07 to -8.01
|
—
|
Adverse Events
URG101
Heparin
Lidocaine
Placebo
Serious adverse events
Adverse event data not reported
Other adverse events
| Measure |
URG101
n=31 participants at risk
A single 15 mL dose of URG101,a mix of buffered Lidocaine (200 mg) and Heparin (50,000 IU), delivered to the bladder via catheter.
URG101
|
Heparin
n=15 participants at risk
A single 15 mL dose of buffered Heparin (50,000 IU) delivered to the bladder.
Heparin
|
Lidocaine
n=29 participants at risk
A single 15 mL dose of buffered Lidocaine (200 mg) delivered to the bladder via catheter.
Lidocaine
|
Placebo
n=16 participants at risk
A single 15 mL dose of placebo delivered to the bladder via catheter.
Placebo
|
|---|---|---|---|---|
|
Gastrointestinal disorders
Nausea
|
6.5%
2/31 • From the time of study drug administration through 72 hours post-dose
|
0.00%
0/15 • From the time of study drug administration through 72 hours post-dose
|
6.9%
2/29 • From the time of study drug administration through 72 hours post-dose
|
0.00%
0/16 • From the time of study drug administration through 72 hours post-dose
|
|
Gastrointestinal disorders
Vomiting
|
0.00%
0/31 • From the time of study drug administration through 72 hours post-dose
|
0.00%
0/15 • From the time of study drug administration through 72 hours post-dose
|
0.00%
0/29 • From the time of study drug administration through 72 hours post-dose
|
6.2%
1/16 • From the time of study drug administration through 72 hours post-dose
|
|
Nervous system disorders
Vertigo
|
0.00%
0/31 • From the time of study drug administration through 72 hours post-dose
|
0.00%
0/15 • From the time of study drug administration through 72 hours post-dose
|
3.4%
1/29 • From the time of study drug administration through 72 hours post-dose
|
6.2%
1/16 • From the time of study drug administration through 72 hours post-dose
|
|
Nervous system disorders
Headache
|
6.5%
2/31 • From the time of study drug administration through 72 hours post-dose
|
6.7%
1/15 • From the time of study drug administration through 72 hours post-dose
|
6.9%
2/29 • From the time of study drug administration through 72 hours post-dose
|
6.2%
1/16 • From the time of study drug administration through 72 hours post-dose
|
|
Renal and urinary disorders
Burning in Bladder
|
0.00%
0/31 • From the time of study drug administration through 72 hours post-dose
|
6.7%
1/15 • From the time of study drug administration through 72 hours post-dose
|
0.00%
0/29 • From the time of study drug administration through 72 hours post-dose
|
0.00%
0/16 • From the time of study drug administration through 72 hours post-dose
|
|
Renal and urinary disorders
Pain with Urination
|
0.00%
0/31 • From the time of study drug administration through 72 hours post-dose
|
6.7%
1/15 • From the time of study drug administration through 72 hours post-dose
|
0.00%
0/29 • From the time of study drug administration through 72 hours post-dose
|
0.00%
0/16 • From the time of study drug administration through 72 hours post-dose
|
Additional Information
Results disclosure agreements
- Principal investigator is a sponsor employee
- Publication restrictions are in place