- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT01582555
Postoperative Nasal Irrigation Using Mucolytic Agents
April 19, 2012 updated by: Tel-Aviv Sourasky Medical Center
Postoperative Nasal Irrigation Using Mucolytic Agents in Patients Undergoing Endoscopic Sinus Surgery
Nasal irrigation techniques have been used for many years and been shown to improve symptoms of rhinosinusitis.
Although there is a wealth of literature available, establishing treatment protocols can be difficult because of the great variability in recommended composition (seawater or hypertonic or isotonic saline with or without additives) and irrigation technique (variations in pressure and volume).
Nasal irrigation is also used in many centers as part of postoperative treatment protocols and in particular has been recommended following endoscopic sinus surgery (ESS).
Nasal crusting and thick nasal discharge have a negative impact on these patients quality of life (QOL).
At the time of our study, there are no studies comparing irrigation with mucolysis with saline irrigation following ESS.
The investigators aimed to assess whether mucolysis is effective at improving patients QOL and reducing postoperative signs as assessed endoscopically.
Study Overview
Status
Unknown
Conditions
Intervention / Treatment
Detailed Description
The study will take place at Tel Aviv Sourasky medical center, otolaryngology outpatient clinic, a tertiary care academic hospital, for two years.
It will be double-arm, open label, randomized controlled trial comparing two different methods of medical therapy following ESS.
The allocation ratio is intended to be approximately equal for each arm.
The two arms consisted of: a control arm (group A) of generic saline irrigation alone, irrigating with 20 mL per nostril tid for a total of 120 mL daily irrigation; and intervention arm (group B), which included generic N-Acetylcystine of 200 mg dissolved in 200 mL saline irrigated as per group A, 20 mL per nostril given tid daily (for a total of 120 mg).
All medications will be used daily for the 3 months duration of the post-operative follow up.
Patients will be instructed as to correct irrigation technique prior to discharge home from the hospital, and will be reminded of this technique at each postoperative clinic visit.
Study Type
Interventional
Enrollment (Anticipated)
44
Phase
- Not Applicable
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
-
-
-
Tel Aviv, Israel, 64239
- Tel Aviv Medical Center
-
-
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
18 years and older (ADULT, OLDER_ADULT)
Accepts Healthy Volunteers
No
Genders Eligible for Study
All
Description
Inclusion Criteria:
- Aged 18 or over
- Patient undergoing endoscopic sinus surgery
Exclusion Criteria:
- Allergy to N-Acetylcysteine,
- Any other nasal surgery performed concomitantly
- Diagnosed with inflammatory (e.g. Wegener's granulomatosis, sarcoidosis) nasal pathology
- Diagnosed with systemic conditions affecting the nose e.g. Cystic fibrosis, Kartagener's syndrome
- Unable to give informed consent due to mental impairment
- Unable to adhere follow up or treatment.
- Patients requiring any additional nasal sprays (e.g. steroid sprays)
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
- Masking: NONE
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
EXPERIMENTAL: saline irrigation
a control arm (group A) of generic saline irrigation alone, irrigating with 20 mL per nostril tid for a total of 120 mL daily irrigation;
|
control arm (group A) of generic saline irrigation alone, irrigating with 20 mL per nostril tid for a total of 120 mL daily irrigation
Other Names:
|
EXPERIMENTAL: intervention arm (group B),
intervention arm (group B), which included generic N-Acetylcystine of 200 mg dissolved in 200 mL saline irrigated as per group A, 20 mL per nostril given tid daily (for a total of 120 mg).
|
intervention arm (group B), which included generic N-Acetylcystine of 200 mg dissolved in 200 mL saline irrigated as per group A, 20 mL per nostril given tid daily (for a total of 120 mg).
Other Names:
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
change in QOL based on the Sino-Nasal Outcome Test-22 (SNOT-22) scores
Time Frame: 1 y
|
The primary outcome measure is change in QOL based on the Sino-Nasal Outcome Test-22 (SNOT-22) scores.(5)
SNOT-22 scores were chosen as the primary outcome due to the importance of studying patient QOL outcomes as opposed to imaging or endoscopy scores that often do not correlate with patients' subjective perceptions of disease severity.
|
1 y
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Lund-Kennedy endoscopic score (LKES)
Time Frame: 1y
|
Secondary outcomes are the Lund-Kennedy endoscopic score (LKES) of each side of the nose that will be graded between 0 and 2 as recommended by the International Congress on Sinus Disease (Adhesions, Polyps, Crusting: 0 = none, 1 = middle meatus only, 2 = beyond middle meatus; Discharge: 0 = none, 1 = clear, thin, 2 = thick, purulent; Edema: 0 = none, 1 = mild, 2 = severe)
|
1y
|
Collaborators and Investigators
This is where you will find people and organizations involved with this study.
Sponsor
Investigators
- Principal Investigator: Avraham Abergel, MD, Tel Aviv Medical Center
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
June 1, 2012
Primary Completion (ANTICIPATED)
June 1, 2013
Study Completion (ANTICIPATED)
December 1, 2013
Study Registration Dates
First Submitted
April 16, 2012
First Submitted That Met QC Criteria
April 19, 2012
First Posted (ESTIMATE)
April 20, 2012
Study Record Updates
Last Update Posted (ESTIMATE)
April 20, 2012
Last Update Submitted That Met QC Criteria
April 19, 2012
Last Verified
April 1, 2012
More Information
Terms related to this study
Keywords
Additional Relevant MeSH Terms
Other Study ID Numbers
- TASMC-12-AA-0089-CTIL
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.
Clinical Trials on Surgical Procedure, Unspecified
-
University of Texas Southwestern Medical CenterThe University of Texas Health Science Center, Houston; University of Alabama... and other collaboratorsCompletedSurgical Procedure, Unspecified | Surgical SimulationUnited States
-
Zealand University HospitalRecruiting
-
Hospital del MarRecruitingSurgical Procedure, UnspecifiedSpain
-
LifeBridge HealthRecruitingSurgical Procedure, UnspecifiedUnited States
-
University Hospital of SplitCompletedSurgical Procedure, UnspecifiedCroatia
-
Queen Mary Hospital, Hong KongCompleted
-
Abant Izzet Baysal UniversityCompletedSurgical Procedure, UnspecifiedTurkey
-
OBS Medical LtdCompletedSurgical Procedure, UnspecifiedUnited Kingdom
-
AdministrateurCICPRAXIM companyCompletedSurgical Procedure, UnspecifiedFrance
-
University of AthensUnknownSurgical Procedure, UnspecifiedGreece
Clinical Trials on saline nasal irrigation alone
-
Vanderbilt University Medical CenterCompleted
-
Lori WoodBarrow Brain and SpineRecruitingPituitary TumorUnited States
-
Newcastle UniversityNewcastle-upon-Tyne Hospitals NHS Trust; Arthritis Research UKCompletedRheumatoid ArthritisUnited Kingdom
-
Slagelse HospitalZealand University Hospital; Copenhagen University Hospital at Herlev; Holbaek... and other collaboratorsNot yet recruitingAsthma in Children | Bronchiolitis | Respiratory Disease | Acute Respiratory Infection | Viral Infection
-
The Allergy and Asthma Institute, PakistanUniversity of EdinburghRecruiting
-
Sun Yat-sen UniversityZhongshan People's Hospital, Guangdong, China; Fifth Affiliated Hospital of...RecruitingRadiation-Induced MucositisChina
-
University of Wisconsin, MadisonCompletedFatigue | Chronic Sinusitis | Persian Gulf Syndrome | Acute SinusitisUnited States
-
Sanko UniversityUnknownHemostasis After AdenoidectomyTurkey
-
Thammasat UniversityCompletedAllergic RhinitisThailand
-
Taichung Veterans General HospitalCompleted