Trial Outcomes & Findings for Effect of Antihistamines on Ureteral Stent-Related Symptoms (NCT NCT04726345)

NCT ID: NCT04726345

Last Updated: 2025-07-16

Results Overview

Ureteric Stent Symptoms Questionnaire (USSQ) is a self-administered questionnaire to evaluate the overall impact of ureteral stents on different aspects of life. Urinary symptom will be assessed at different time points. The urinary symptom section consists of 11 questions. The total score range is 11 to 54 points. Higher scores represent increasing symptom severity.

Recruitment status

COMPLETED

Study phase

PHASE2

Target enrollment

78 participants

Primary outcome timeframe

Baseline, stent in situ immediately before stent removal, and poststent removal (4 to 6-week follow-up)

Results posted on

2025-07-16

Participant Flow

Participant milestones

Participant milestones
Measure
Fexofenadine
Participants in this arm will receive fexofenadine 180mg once daily, in addition to standard of care pain medications (NSAIDs).
Placebo
Participants in this arm will receive placebo once daily, in addition to standard of care pain medications (NSAIDs).
Baseline Analysis
STARTED
39
39
Baseline Analysis
COMPLETED
37
36
Baseline Analysis
NOT COMPLETED
2
3
Stent in Situ
STARTED
37
36
Stent in Situ
COMPLETED
35
36
Stent in Situ
NOT COMPLETED
2
0
Post-stent Removal Follow-up (4-6 Weeks)
STARTED
35
36
Post-stent Removal Follow-up (4-6 Weeks)
COMPLETED
34
35
Post-stent Removal Follow-up (4-6 Weeks)
NOT COMPLETED
1
1

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Effect of Antihistamines on Ureteral Stent-Related Symptoms

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Fexofenadine
n=37 Participants
Participants in this arm will receive fexofenadine 180mg once daily, in addition to standard of care pain medications (NSAIDs).
Placebo
n=36 Participants
Participants in this arm will receive placebo once daily, in addition to standard of care pain medications (NSAIDs).
Total
n=73 Participants
Total of all reporting groups
Age, Continuous
53 years
STANDARD_DEVIATION 11 • n=5 Participants
52 years
STANDARD_DEVIATION 15 • n=7 Participants
53 years
STANDARD_DEVIATION 13 • n=5 Participants
Sex: Female, Male
Female
14 Participants
n=5 Participants
15 Participants
n=7 Participants
29 Participants
n=5 Participants
Sex: Female, Male
Male
23 Participants
n=5 Participants
21 Participants
n=7 Participants
44 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
18 Participants
n=5 Participants
13 Participants
n=7 Participants
31 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
19 Participants
n=5 Participants
23 Participants
n=7 Participants
42 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race/Ethnicity, Customized
White
15 Participants
n=5 Participants
20 Participants
n=7 Participants
35 Participants
n=5 Participants
Race/Ethnicity, Customized
Black
3 Participants
n=5 Participants
3 Participants
n=7 Participants
6 Participants
n=5 Participants
Race/Ethnicity, Customized
Hispanic or Latino
18 Participants
n=5 Participants
13 Participants
n=7 Participants
31 Participants
n=5 Participants
Race/Ethnicity, Customized
Asian
1 Participants
n=5 Participants
0 Participants
n=7 Participants
1 Participants
n=5 Participants
Region of Enrollment
United States
37 Participants
n=5 Participants
36 Participants
n=7 Participants
73 Participants
n=5 Participants

PRIMARY outcome

Timeframe: Baseline, stent in situ immediately before stent removal, and poststent removal (4 to 6-week follow-up)

Population: 2 participants (1 in each Arm) were lost to follow-up

Ureteric Stent Symptoms Questionnaire (USSQ) is a self-administered questionnaire to evaluate the overall impact of ureteral stents on different aspects of life. Urinary symptom will be assessed at different time points. The urinary symptom section consists of 11 questions. The total score range is 11 to 54 points. Higher scores represent increasing symptom severity.

Outcome measures

Outcome measures
Measure
Fexofenadine
n=35 Participants
Participants in this arm will receive fexofenadine 180mg once daily, in addition to standard of care pain medications (NSAIDs).
Placebo
n=36 Participants
Participants in this arm will receive placebo once daily, in addition to standard of care pain medications (NSAIDs).
USSQ Urinary Symptom Score
stent in situ
28 score on a scale
Interval 26.0 to 31.0
29 score on a scale
Interval 26.0 to 31.0
USSQ Urinary Symptom Score
follow-up
16 score on a scale
Interval 15.0 to 18.0
17 score on a scale
Interval 15.0 to 18.0

PRIMARY outcome

Timeframe: Baseline, stent in situ immediately before stent removal, and poststent removal (4 to 6-week follow-up)

Population: 2 participants (1 in each Arm) were lost to follow-up

Ureteric Stent Symptoms Questionnaire (USSQ) is a self-administered questionnaire to evaluate the overall impact of ureteral stents on different aspects of life. Body pain will be assessed at different time points. The body pain section consists of 7 questions. The total score range is 0 to 37 points. Higher scores represent increasing pain.

Outcome measures

Outcome measures
Measure
Fexofenadine
n=35 Participants
Participants in this arm will receive fexofenadine 180mg once daily, in addition to standard of care pain medications (NSAIDs).
Placebo
n=36 Participants
Participants in this arm will receive placebo once daily, in addition to standard of care pain medications (NSAIDs).
USSQ Body Pain Score
baseline
11 score on a scale
Interval 7.0 to 14.0
11 score on a scale
Interval 8.0 to 15.0
USSQ Body Pain Score
stent in situ
14 score on a scale
Interval 10.0 to 18.0
17 score on a scale
Interval 13.0 to 21.0
USSQ Body Pain Score
follow-up
2 score on a scale
Interval 0.0 to 4.0
4 score on a scale
Interval 1.0 to 6.0

SECONDARY outcome

Timeframe: After stent removal (1-2 weeks after surgery)

This is to measure the morbidity associated with the indwelling ureteral stent. Urinary symptoms will include urinary frequency, urgency, incontinence, nocturia, incomplete emptying, dysuria, and hematuria. Total number of calls per group are reported.

Outcome measures

Outcome measures
Measure
Fexofenadine
n=37 Participants
Participants in this arm will receive fexofenadine 180mg once daily, in addition to standard of care pain medications (NSAIDs).
Placebo
n=36 Participants
Participants in this arm will receive placebo once daily, in addition to standard of care pain medications (NSAIDs).
Number of Office Phone Calls Due to Urinary Symptoms and Pain
5 office phone calls
9 office phone calls

SECONDARY outcome

Timeframe: After stent removal (1-2 weeks after surgery)

This is to measure morbidity associated with the indwelling ureteral stent. Duration will be reported in days.

Outcome measures

Outcome measures
Measure
Fexofenadine
n=37 Participants
Participants in this arm will receive fexofenadine 180mg once daily, in addition to standard of care pain medications (NSAIDs).
Placebo
n=36 Participants
Participants in this arm will receive placebo once daily, in addition to standard of care pain medications (NSAIDs).
Duration of NSAID Use
3 days
Standard Deviation 3
3 days
Standard Deviation 3

SECONDARY outcome

Timeframe: After stent removal (1-2 weeks after surgery)

This is to measure the morbidity associated with the indwelling ureteral stent. It will be reported in milligram morphine equivalents.

Outcome measures

Outcome measures
Measure
Fexofenadine
n=37 Participants
Participants in this arm will receive fexofenadine 180mg once daily, in addition to standard of care pain medications (NSAIDs).
Placebo
n=36 Participants
Participants in this arm will receive placebo once daily, in addition to standard of care pain medications (NSAIDs).
Quantity of Narcotic Use
1 milligram morphine equivalents
Standard Deviation 5
9 milligram morphine equivalents
Standard Deviation 50

SECONDARY outcome

Timeframe: After stent removal (1-2 weeks after surgery)

This is to measure morbidity associated with the indwelling ureteral stent. Incidence will be collected at study visit.

Outcome measures

Outcome measures
Measure
Fexofenadine
n=37 Participants
Participants in this arm will receive fexofenadine 180mg once daily, in addition to standard of care pain medications (NSAIDs).
Placebo
n=36 Participants
Participants in this arm will receive placebo once daily, in addition to standard of care pain medications (NSAIDs).
Number of Emergency Department Visits
2 emergency department visits
3 emergency department visits

SECONDARY outcome

Timeframe: After stent removal (1-2 weeks after surgery)

This is to measure the morbidity of the study drug. Incidence will be self-reported by patients.

Outcome measures

Outcome measures
Measure
Fexofenadine
n=37 Participants
Participants in this arm will receive fexofenadine 180mg once daily, in addition to standard of care pain medications (NSAIDs).
Placebo
n=36 Participants
Participants in this arm will receive placebo once daily, in addition to standard of care pain medications (NSAIDs).
Number of Drug-related Adverse Effects
1 drug-related adverse effect
0 drug-related adverse effect

Adverse Events

Fexofenadine

Serious events: 0 serious events
Other events: 2 other events
Deaths: 0 deaths

Placebo

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Other adverse events
Measure
Fexofenadine
n=37 participants at risk
Participants in this arm will receive fexofenadine 180mg once daily, in addition to standard of care pain medications (NSAIDs).
Placebo
n=36 participants at risk
Participants in this arm will receive placebo once daily, in addition to standard of care pain medications (NSAIDs).
General disorders
Dizziness
2.7%
1/37 • Postoperatively, 1-2 weeks after surgery
0.00%
0/36 • Postoperatively, 1-2 weeks after surgery
Infections and infestations
UTI
2.7%
1/37 • Postoperatively, 1-2 weeks after surgery
0.00%
0/36 • Postoperatively, 1-2 weeks after surgery

Additional Information

Ezra J. Margolin, MD

Columbia University

Phone: 212-305-0114

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place