Effects of Uro-Vaxom vs. placebo on the urinary tract microbiome in individuals with spinal cord injury in a randomized controlled pilot trial (Uro-Vaxom pilot) Article Swipe
Ezra Valido
,
Alessandro Bertolo
,
Jens Wöllner
,
Jürgen Pannek
,
Jörg Krebs
,
Jivko Stoyanov
·
YOU?
·
· 2025
· Open Access
·
· DOI: https://doi.org/10.1038/s41598-025-96939-y
YOU?
·
· 2025
· Open Access
·
· DOI: https://doi.org/10.1038/s41598-025-96939-y
Individuals with spinal cord injury/disease (SCI/D) have a high incidence of urinary tract infections (UTI). This randomized controlled pilot trial investigated the effect of an immunomodulator (Uro-Vaxom) versus a placebo on the urinary tract microbiome of individuals with SCI/D to inform the design of a larger trial. Twenty participants with SCI/D undergoing primary rehabilitation were randomized to receive either Uro-Vaxom or a placebo for three months (ClinicalTrials.gov NCT04049994 08/08/2019). Urine was collected at baseline, immediately post-treatment, and three months post-treatment. DNA was extracted and sequenced using full-length 16 S rRNA using Oxford Nanopore technology. Internal controls were added for absolute abundance estimation. There were 10 participants in Uro-Vaxom and 10 in placebo analyzed. The prevalence of Escherichia coli was lower in the Uro-Vaxom group (2/10) compared to the placebo group (5/10) post-treatment, although this difference was not statistically significant. Significant alpha and beta diversity differences were associated with the microbial load, sex, and voiding method. Uro-Vaxom showed potential in reducing E. coli prevalence during the treatment period, but this result requires validation in a larger trial. Future trials should consider the baseline microbial load and optimal timing of intervention to ensure that the observed effects are attributable to immunomodulation.
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Metadata
- Type
- article
- Language
- en
- Landing Page
- https://doi.org/10.1038/s41598-025-96939-y
- https://www.nature.com/articles/s41598-025-96939-y.pdf
- OA Status
- gold
- References
- 21
- Related Works
- 10
- OpenAlex ID
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All OpenAlex metadata
Raw OpenAlex JSON
- OpenAlex ID
-
https://openalex.org/W4409433003Canonical identifier for this work in OpenAlex
- DOI
-
https://doi.org/10.1038/s41598-025-96939-yDigital Object Identifier
- Title
-
Effects of Uro-Vaxom vs. placebo on the urinary tract microbiome in individuals with spinal cord injury in a randomized controlled pilot trial (Uro-Vaxom pilot)Work title
- Type
-
articleOpenAlex work type
- Language
-
enPrimary language
- Publication year
-
2025Year of publication
- Publication date
-
2025-04-14Full publication date if available
- Authors
-
Ezra Valido, Alessandro Bertolo, Jens Wöllner, Jürgen Pannek, Jörg Krebs, Jivko StoyanovList of authors in order
- Landing page
-
https://doi.org/10.1038/s41598-025-96939-yPublisher landing page
- PDF URL
-
https://www.nature.com/articles/s41598-025-96939-y.pdfDirect link to full text PDF
- Open access
-
YesWhether a free full text is available
- OA status
-
goldOpen access status per OpenAlex
- OA URL
-
https://www.nature.com/articles/s41598-025-96939-y.pdfDirect OA link when available
- Concepts
-
Spinal cord injury, Microbiome, Urinary system, Medicine, Placebo, Pilot trial, Randomized controlled trial, Internal medicine, Physical therapy, Spinal cord, Bioinformatics, Pathology, Biology, Psychiatry, Alternative medicineTop concepts (fields/topics) attached by OpenAlex
- Cited by
-
0Total citation count in OpenAlex
- References (count)
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21Number of works referenced by this work
- Related works (count)
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10Other works algorithmically related by OpenAlex
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| abstract_inverted_index.Oxford | 91 |
| abstract_inverted_index.Twenty | 47 |
| abstract_inverted_index.design | 42 |
| abstract_inverted_index.during | 163 |
| abstract_inverted_index.effect | 22 |
| abstract_inverted_index.either | 58 |
| abstract_inverted_index.ensure | 190 |
| abstract_inverted_index.inform | 40 |
| abstract_inverted_index.larger | 45, 174 |
| abstract_inverted_index.months | 65, 78 |
| abstract_inverted_index.result | 169 |
| abstract_inverted_index.should | 178 |
| abstract_inverted_index.showed | 156 |
| abstract_inverted_index.spinal | 2 |
| abstract_inverted_index.timing | 186 |
| abstract_inverted_index.trial. | 46, 175 |
| abstract_inverted_index.trials | 177 |
| abstract_inverted_index.versus | 27 |
| abstract_inverted_index.(SCI/D) | 5 |
| abstract_inverted_index.effects | 194 |
| abstract_inverted_index.method. | 154 |
| abstract_inverted_index.optimal | 185 |
| abstract_inverted_index.period, | 166 |
| abstract_inverted_index.placebo | 29, 62, 111, 128 |
| abstract_inverted_index.primary | 52 |
| abstract_inverted_index.receive | 57 |
| abstract_inverted_index.urinary | 11, 32 |
| abstract_inverted_index.voiding | 153 |
| abstract_inverted_index.Internal | 94 |
| abstract_inverted_index.Nanopore | 92 |
| abstract_inverted_index.absolute | 99 |
| abstract_inverted_index.although | 132 |
| abstract_inverted_index.baseline | 181 |
| abstract_inverted_index.compared | 125 |
| abstract_inverted_index.consider | 179 |
| abstract_inverted_index.controls | 95 |
| abstract_inverted_index.observed | 193 |
| abstract_inverted_index.reducing | 159 |
| abstract_inverted_index.requires | 170 |
| abstract_inverted_index.Uro-Vaxom | 59, 107, 122, 155 |
| abstract_inverted_index.abundance | 100 |
| abstract_inverted_index.analyzed. | 112 |
| abstract_inverted_index.baseline, | 73 |
| abstract_inverted_index.collected | 71 |
| abstract_inverted_index.diversity | 143 |
| abstract_inverted_index.extracted | 82 |
| abstract_inverted_index.incidence | 9 |
| abstract_inverted_index.microbial | 149, 182 |
| abstract_inverted_index.potential | 157 |
| abstract_inverted_index.sequenced | 84 |
| abstract_inverted_index.treatment | 165 |
| abstract_inverted_index.associated | 146 |
| abstract_inverted_index.controlled | 17 |
| abstract_inverted_index.difference | 134 |
| abstract_inverted_index.infections | 13 |
| abstract_inverted_index.microbiome | 34 |
| abstract_inverted_index.prevalence | 114, 162 |
| abstract_inverted_index.randomized | 16, 55 |
| abstract_inverted_index.undergoing | 51 |
| abstract_inverted_index.validation | 171 |
| abstract_inverted_index.(Uro-Vaxom) | 26 |
| abstract_inverted_index.Escherichia | 116 |
| abstract_inverted_index.Individuals | 0 |
| abstract_inverted_index.NCT04049994 | 67 |
| abstract_inverted_index.Significant | 139 |
| abstract_inverted_index.differences | 144 |
| abstract_inverted_index.estimation. | 101 |
| abstract_inverted_index.full-length | 86 |
| abstract_inverted_index.immediately | 74 |
| abstract_inverted_index.individuals | 36 |
| abstract_inverted_index.technology. | 93 |
| abstract_inverted_index.08/08/2019). | 68 |
| abstract_inverted_index.attributable | 196 |
| abstract_inverted_index.intervention | 188 |
| abstract_inverted_index.investigated | 20 |
| abstract_inverted_index.participants | 48, 105 |
| abstract_inverted_index.significant. | 138 |
| abstract_inverted_index.statistically | 137 |
| abstract_inverted_index.injury/disease | 4 |
| abstract_inverted_index.rehabilitation | 53 |
| abstract_inverted_index.immunomodulator | 25 |
| abstract_inverted_index.post-treatment, | 75, 131 |
| abstract_inverted_index.post-treatment. | 79 |
| abstract_inverted_index.immunomodulation. | 198 |
| abstract_inverted_index.(ClinicalTrials.gov | 66 |
| cited_by_percentile_year | |
| countries_distinct_count | 1 |
| institutions_distinct_count | 6 |
| sustainable_development_goals[0].id | https://metadata.un.org/sdg/3 |
| sustainable_development_goals[0].score | 0.8600000143051147 |
| sustainable_development_goals[0].display_name | Good health and well-being |
| citation_normalized_percentile.value | 0.17757118 |
| citation_normalized_percentile.is_in_top_1_percent | False |
| citation_normalized_percentile.is_in_top_10_percent | True |