- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT00335283
Efficacy of Lansoprazole in Chronic Post Nasal Drip (PND)
July 17, 2012 updated by: Michael Vaezi, Vanderbilt University
Randomized Placebo-Controlled Trial of BID Lansoprazole in Isolated Chronic Post Nasal Drip
The purpose of this study is to determine whether aggressive acid suppression with Lansoprazole is effective in the treatment of post nasal drip, and also assess the predictors of response based on clinical and physiologic parameters.
Study Overview
Status
Completed
Conditions
Intervention / Treatment
Detailed Description
Postnasal drip (PND) is a common complaint that brings patients to the attention of their primary care physicians.
It is also one of the most common reasons for patients to seek care from otolaryngologists.
Traditionally, PND has been considered and treated as a symptom of sinonasal pathology.
It has also been shown, along with Gastroesophageal reflux disease (GERD) and asthma, to be a major contributor to the development of chronic cough.
PND refractory to treatment aimed at sinonasal disease is sometimes treated with anti-GERD therapy.
This treatment modality is based on clinical experience.
To date, there are no studies in the literature to support a causal relationship between PND and extraesophageal reflux (EER).
In a case control study of patients with and without esophagitis El-Serag et al reported a significant association (odds ratio 1.6, 95%CI 1.4-1.8) between sinusitis and GERD.
A later study by Ulualp et al in 11 CT confirmed cases of chronic sinusitis resistant to therapy with conventional sinus therapies they found a significantly higher prevalence of hypopharyngeal acid exposure in the sinusitis group than controls.
Recently, in an open label prospective pilot trial, DiBaise et al treated 11 patients with sinusitis and 19 GERD patients with omeprazole 20mg bid for 3-months.
9/11 sinusitis patients were found to have GERD by pH monitoring and there was moderate (25-89%) improvement in the sinus symptoms in the omeprazole treated group.
However, there are currently no placebo-controlled trials assessing efficacy of PPI's in patients with PND.
Study Type
Interventional
Enrollment (Actual)
75
Phase
- Phase 3
Contacts and Locations
This section provides the contact details for those conducting the study, and information on where this study is being conducted.
Study Locations
-
-
Tennessee
-
Nashville, Tennessee, United States, 37232-5280
- Vanderbilt University Medical Center, Vanderbilt Digestive Disease Clinic, TVC, Room 1660
-
-
Participation Criteria
Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.
Eligibility Criteria
Ages Eligible for Study
16 years and older (Adult, Older Adult)
Accepts Healthy Volunteers
No
Genders Eligible for Study
All
Description
Inclusion Criteria:
- Negative RAST inhalant allergy panel OR negative skin testing (Group A)
Positive RAST or Positive skin testing AND insufficient response to all of the following: (Group B)
- Allergen avoidance
- Topical nasal steroids
- Allergy shots if indicated
- Antihistamines
- Negative CT sinuses (coronal)
- < 4mm of mucosal thickening and < 3 sinus sites
- Absence of air-fluid levels
- Negative anterior rhinoscopy
- Absence of pus, crusts on mucosal surfaces
Exclusion Criteria:
- Age < 18
- Pregnancy, confirmed by urine pregnancy test at day of randomization
- Ciliary dyskinesia
- Immune deficiency
- Cystic fibrosis
- Diagnosis of acute sinusitis or chronic RS (AAO-HNS)
- Active use of topical decongestant
- Use of PPI within the last 30 days
- Previous fundoplication
- Uncontrolled thyroid disease
- Isolated chronic cough without the symptom of post nasal drip
Study Plan
This section provides details of the study plan, including how the study is designed and what the study is measuring.
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: Triple
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Placebo Comparator: Sugar Pill
|
24 hour ph monitoring
done prior to pH probe to measure length of esophagus
one tablet bid
|
Active Comparator: Lansoprazole
|
40 mg bid x 16 weeks
Other Names:
24 hour ph monitoring
done prior to pH probe to measure length of esophagus
40mg bid
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Post Nasal Drainage Symptom Response
Time Frame: 8 and 16 weeks
|
The primary outcome measure was postnasal drainage symptom response measured by using a visual analogue scale.
At 8 and 16 weeks, a horizontal symptoms scale from 0% (no change) to 100% (symptoms completely resolved) was presented to participants to assess improvement in postnasal drainage symptoms.
|
8 and 16 weeks
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Rhinosinusitis Outcome Measure(RSOM-31)
Time Frame: Baseline, 8 weeks, and 16 weeks
|
RSOM-31 includes 31 questions combined into a total score ranging from 0 to 155 with higher scores representing greater disease burden.
Values are based on patient report.
|
Baseline, 8 weeks, and 16 weeks
|
Sino Nasal Outcome Test (SNOT-20)
Time Frame: Baseline, 8 weeks and 16 weeks
|
SNOT-20 includes 20 questions combined into a total score ranging from 0 to 100 with higher numbers representing greater rhinosinusitis health burden and represents patient-reported symptom severity.
|
Baseline, 8 weeks and 16 weeks
|
Quality of Life Questionnaire (QOLRAD)
Time Frame: Baseline, 8 weeks and 16 weeks
|
The patient-reported QOLRAD consists of 25 questions combined into a total score ranging from 25 to 175 with higher numbers representing better quality of life.
|
Baseline, 8 weeks and 16 weeks
|
Collaborators and Investigators
This is where you will find people and organizations involved with this study.
Sponsor
Collaborators
Study record dates
These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.
Study Major Dates
Study Start
August 1, 2006
Primary Completion (Actual)
December 1, 2008
Study Completion (Actual)
December 1, 2008
Study Registration Dates
First Submitted
June 7, 2006
First Submitted That Met QC Criteria
June 7, 2006
First Posted (Estimate)
June 9, 2006
Study Record Updates
Last Update Posted (Estimate)
August 21, 2012
Last Update Submitted That Met QC Criteria
July 17, 2012
Last Verified
June 1, 2012
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
- 051169
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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