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. 2022 May 20;119(20):353–360. doi: 10.3238/arztebl.m2022.0104

eTable 2. Evidence table for therapeutic trials.

Reference Trial features Definitions Intervention Control Endpoints Undesired events Dropouts Comments
Liu
2019
(14)
122 patients
(age 18 – 75)

2010 – 2013
follow-up:
6 months
trial centers: 3
China
UTI: urine culture with >10⁵5 CFU/ml bacteria + dysuria, urinary frequency, and/or urinary urgency
rUTI : ≥=3 episodes of uncomplicated UTI in the past year
Chinese herbal medicine
61 patients
4 weeks
Chinese herbal medicine granules (116 g) + antibiotic placebo
Chinese herbal medicine : Anemarrhena asphodeloides Bunge (15 g), Platycladus orientalis (L.) Franco (10 g), Angelica sinensis (Oliv.) Diels (10 g), Rehmannia glutinosa (Gaertn.) DC. (15 g), Poria cocos (Schw.) Wolf (15 g), Salvia miltiorrhiza Bunge (10 g), Rheum palmatum L. (6 g), Polygonum aviculare L. (10 g), Dianthus superbus L. (10 g), Talcum (15 g).

placebo:
Identical form & taste

b.i.d.
Antibiotics
61 patients
4 weeks

antibiotic granules (LVX: 200 mg; AMX: 500 mg) + Chinese herbal medicine placebo

LVX : b.i.d. for one week

or

AMX : t.i.d. for one week

AMX and LVX followed by placebo : 3 weeks
Chinese herbal medicine vs. antibiotics

symptomatic improvement:
• ≥=95% improvement: 31% (19/61) vs. 30% (18/61)
• ≥=70% improvement: 48% (29/61) vs. 26% (16/61); p<0.05
• ≥=30% improvement: 18% (11/61) vs. 39% (24/61); p<0.05.
•<30% improvement or no response: 3% (2/61) vs. 5% (3/61)
treatment efficacy : 90% (55/61) vs. 82% (50/61)

rUTI : 13% (8/61) vs. 20% (12/61)

rUTI in fully recovered patients : 9% (5/55) vs. 14% (7/50)
no significant side effects in either group (data not shown) Chinese herbal medicine vs. antibiotics
dropouts:
•4 weeks: 3% (2/61) vs. 2% (1/61)
•6 months: 22% (13/59) vs. 18% (11/60)
rUTI analysis: 79% (48/61) vs. 82% (50/61)
supported by the Chinese Academy of Traditional Chinese Medicine Joint Innovation Research Project, Traditional Chinese Medicine Dominant Disease Clinical Research Project and Capital Featured Clinical Application and Promotion Project, China

no conflicts of interest
Cai
2018
(23)
93 patients
(age 22–63)

2017

follow-up:
3 months

Single-center

country: no information
UTI: no definition
rUTI : no definition
Combination preparation 46 patients one week

1 tablet containing 400 mg L-methionine, 100 mg Hibiscus sabdariffa, 100 mg Boswellia serrata

b.i.d.
Antibiotics
47 patients

short-term antibiotic therapy (according to the EAU guideline)
Combination preparation vs. antibiotics
clinical Improvement:
•30 days: 96% (44/46) vs. 100% (47/47)
•90 days: 96% (44/46) vs. 96% (45/47)

quality of life:
•baseline: 94.3 vs. 94.5
•30 days: 98.5 vs. 98.7
•90 days: 99.1 vs. 98.1; p<0.003
Combination preparation: no side effects

antibiotics : 14.9% (7/47) discontinuation of treatment due to drug side effects
no dropouts no conflicts of interest

AMX: amoxicillin/clavulanic acid, b.i.d., twice daily; EAU: European Association of Urology, UTI: urinary tract infection, LVX: levofloxacin, rUTI: recurrent urinary tract infectio; t.i.d., three times daily