Status:

NOT_YET_RECRUITING

Dexamethasone for Ureteral STent Symptoms (DUSTS)

Lead Sponsor:

The Methodist Hospital Research Institute

Conditions:

Ureteral Stent-Related Symptom

Eligibility:

All Genders

18-70 years

Phase:

PHASE1

PHASE2

Brief Summary

The purpose of this study to learn if high-dose dexamethasone, a type of long-acting steroid, works to decrease urinary symptoms and pain after ureteroscopy and stent placement for kidney stones. The ...

Detailed Description

Patient will be in the study for a duration of 30 days. Randomization will be performed on the day of surgery using the NIH Clinical Trial Randomization Tool. In the preoperative area, a finger stick...

Eligibility Criteria

Inclusion

  • Age 18-70 years old
  • Patients who are undergoing unilateral retrograde ureteroscopy (semi-rigid or flexible) with planned ureteral stent placement for treatment of renal/ureteral stones
  • Patients who can read and understand English
  • Patients who can follow up post-operatively within 7 days at Houston Methodist Hospital

Exclusion

  • Untreated UTI
  • HbA1c ≥6.5 on preoperative testing
  • Patients with prior diagnosis of any type of diabetes mellitus
  • Patients with immunosuppression, including chronic corticosteroid use
  • Patients with bleeding disorder
  • Patients with chronic liver disease, cirrhosis, and liver failure.
  • Patients taking strong CYP3A4 inducers or inhibitors within two weeks of screening
  • Chronic opioid analgesic use
  • Congenital renal abnormalities (e.g. pelvic kidney, ureteric duplication) that may impair stent placement
  • Concurrent genitourinary malignancy
  • Urinary diversion
  • Renal transplantation
  • History of interstitial cystitis/painful bladder syndrome, prostatitis, pelvic pain due to other conditions (e.g. endometriosis)
  • Neurologic disorder (e.g. spinal cord injury, multiple sclerosis, spina bifida)
  • Pregnant or breastfeeding
  • Patients with cognitive impairments or untreated psychiatric illness

Key Trial Info

Start Date :

May 1 2025

Trial Type :

INTERVENTIONAL

Allocation :

ESTIMATED

End Date :

January 1 2026

Estimated Enrollment :

70 Patients enrolled

Trial Details

Trial ID

NCT06930690

Start Date

May 1 2025

End Date

January 1 2026

Last Update

April 16 2025

Active Locations (1)

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Page 1 of 1 (1 locations)

1

Houston Methodist Hospital

Houston, Texas, United States, 77005

Dexamethasone for Ureteral STent Symptoms (DUSTS) | DecenTrialz