Evidence map›Paper›PMID 33580603›Full record

Trial reportInternational journal of urology : official journal of the Japanese Urological Association2021

Efficacy and safety of intravesical instillation of KRP-116D (50% dimethyl sulfoxide solution) for interstitial cystitis/bladder pain syndrome in Japanese patients: A multicenter, randomized, double-blind, placebo-controlled, clinical study.

Naoki Yoshimura, Yukio Homma, Hikaru Tomoe, Atsushi Otsuka, Takeya Kitta, Naoya Masumori, Yoshiyuki Akiyama, Aya Niimi, Takahiko Mitsui, Masaharu Nanri and 19 more

Open access · hybridAbstract readMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in International journal of urology : official journal of the Japanese Urological Association, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed
6.4field-weighted citation impact, top 3% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

18 citing papers in PubMed, 33 citations in OpenAlex.

  1. Trial
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  5. Article
  6. Angiogenesis, Angiogenic Factors, and Interstitial Cystitis/Bladder Pain Syndrome (IC/BPS).International journal of urology : official journal of the Japanese Urological Association · 2026
    Review
  7. Animal Models of Hunner-Type Interstitial Cystitis.International journal of urology : official journal of the Japanese Urological Association · 2026
    Review
  8. Article
  9. 2025 Canadian Urological Association Guideline: Selected treatment recommendations for interstitial cystitis/bladder pain syndrome.Canadian Urological Association journal = Journal de l'Association des urologues du Canada · 2025
    Article
  10. Review
  11. Observational
  12. Article
  13. Article
  14. Review
  15. Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

29 authors at 20 institutions in 3 countries.

Naoki YoshimuraDepartment of Urology, University of Pittsburgh School of Medicine, Pittsburgh, PA, USA.
Yukio HommaJapanese Red Cross Medical Center, Tokyo, Japan.
Hikaru TomoeDepartment of Pelvic Reconstructive Surgery/Urology, Tokyo Women's Medical University Medical Center East, Tokyo, Japan.
Atsushi OtsukaDepartment of Urology, Hamamatsu University School of Medicine, Shizuoka, Japan.
Takeya KittaDepartment of Renal and Genitourinary Surgery, Graduate School of Medical Science, Hokkaido University, Hokkaido, Japan.
Naoya MasumoriDepartment of Urology, Sapporo Medical University School of Medicine, Hokkaido, Japan.
Yoshiyuki AkiyamaDepartment of Urology, Graduate School of Medicine, The University of Tokyo, Tokyo, Japan.
Aya NiimiDepartment of Urology, Graduate School of Medicine, The University of Tokyo, Tokyo, Japan.
Takahiko MitsuiDepartment of Urology, University of Yamanashi Graduate School of Medical Sciences, Yamanashi, Japan.
Masaharu NanriNanri Urological Clinic, Saga, Japan.
Takashige NamimaDepartment of Urology, Tohoku Rosai Hospital, Miyagi, Japan.
Mineo TakeiDepartment of Urology, Harasanshin Hospital, Fukuoka, Japan.
Akito YamaguchiDepartment of Urology, Harasanshin Hospital, Fukuoka, Japan.
Yuki SekiguchiFemale Urology, Women's Clinic LUNA Next Stage, Kanagawa, Japan.
Mitsuru KajiwaraDepartment of Urology, Hiroshima Prefectural Hospital, Hiroshima, Japan.
Shinya KobayashiMiyanosawa Nephrourological Clinic, Hokkaido, Japan.
Kaname AmedaHokkaido Memorial Hospital of Urology, Hokkaido, Japan.
Yozo OhashiDepartment of Urology, Japan Community Healthcare Organization Ritsurin Hospital, Kagawa, Japan.
Sadaaki SakamotoDepartment of Urology, Nakamura Hospital, Oita, Japan.
Osamu MurakiDepartment of Urology, Fujita General Hospital, Fukushima, Japan.
Toshihide ShishidoDepartment of Urology, Tokyo Medical University Hachioji Medical Center, Tokyo, Japan.
Shinji KageyamaKageyama Urology Clinic, Shizuoka, Japan.
Koji KokuraDepartment of Urology, Takarazuka City Hospital, Hyogo, Japan.
Homare OkazoeDepartment of Urology, KKR Takamatsu Hospital, Kagawa, Japan.
Tomonori YamanishiDepartment of Urology, Continence Center, Dokkyo Medical University, Tochigi, Japan.
Toyohiko WatanabeDepartment of Urology, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences, Okayama, Japan.
Takashi UnoClinical Development Center, Kyorin Pharmaceutical Co., Ltd., Tokyo, Japan.
Akira OhinataClinical Development Center, Kyorin Pharmaceutical Co., Ltd., Tokyo, Japan.
Tomohiro UedaDepartment of Urology, Ueda Clinic, Kyoto, Japan.
Harasanshin Hospital · JPKyorin University · JPDokkyo Medical University · JPFujita Health University Hospital · JPHamamatsu University School of Medicine · JPHiroshima Prefectural Hospital · JPHokkaido Orthopedic Surgery Memorial Hospital · JPHokkaido University · JPJapan Community Healthcare Organization · JPJapanese Red Cross Medical Center · JPJapanese Urological Association · JPNakamura Memorial Hospital · JPNational Center for Global Health and Medicine · JPNational Hospital Organization Takamatsu Medical Center · JPNephroCare · ESOkayama University · JPSapporo Medical University · JPTakarazuka City Hospital · JPThe University of Tokyo · JPTohoku Rosai Hospital · JP

Funding

Kyorin Pharmaceutical Co., Ltd,National Institutes of Biomedical Innovation, Health and Nutrition
6 · The paper itself

Abstract

objectiveTo evaluate the efficacy and safety of intravesical KRP-116D, 50% dimethyl sulfoxide solution compared with placebo, in interstitial cystitis/bladder pain syndrome patients.

methodsJapanese interstitial cystitis/bladder pain syndrome patients with an O'Leary-Sant Interstitial Cystitis Symptom Index score of ≥9, who exhibited the bladder-centric phenotype of interstitial cystitis/bladder pain syndrome diagnosed by cystoscopy and bladder-derived pain, were enrolled. Patients were allocated to receive either KRP-116D (n = 49) or placebo (n = 47). The study drug was intravesically administered every 2 weeks for 12 weeks.

resultsFor the primary endpoint, the change in the mean O'Leary-Sant Interstitial Cystitis Symptom Index score from baseline to week 12 was -5.2 in the KRP-116D group and -3.4 in the placebo group. The estimated difference between the KRP-116D and placebo groups was -1.8 (95% confidence interval -3.3, -0.3; P = 0.0188). Statistically significant improvements for KRP-116D were also observed in the secondary endpoints including O'Leary-Sant Interstitial Cystitis Problem Index score, micturition episodes/24 h, voided volume/micturition, maximum voided volume/micturition, numerical rating scale score for bladder pain, and global response assessment score. The adverse drug reactions were mild to moderate, and manageable.

conclusionsThis first randomized, double-blind, placebo-controlled trial shows that KRP-116D improves symptoms, voiding parameters, and global response assessment, compared with placebo, and has a well-tolerated safety profile in interstitial cystitis/bladder pain syndrome patients with the bladder-centric phenotype.

Indexed as

Cystitis, InterstitialAdministration, IntravesicalDimethyl SulfoxideDouble-Blind MethodHumansJapanTreatment OutcomeDimethyl Sulfoxidebladder-centric phenotypebladder pain syndromedimethyl sulfoxideinterstitial cystitisrandomized controlled trial

Identifiers

PMID33580603
PMCPMC8247858
OpenAlexW3128234191

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.