- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT01777854
Anti-reflux Control to Decrease Post Tonsillectomy Pain
The study aims to determine if treating pediatric patients (age 7-17) for four weeks with omeprazole prior to tonsillectomy will decrease post tonsillectomy pain. The hypothesis is that many patients have silent laryngopharyngeal reflux and by reducing the acid entrance into the oropharynx, patients will have less post tonsillectomy pain due to decreased acid irritation of the surgical wound (tonsil fossas).
The study will be a prospective double blind randomized study. Participants will be invited to participate in the study by giving the study information at the preoperative assessment, when the decision is made to have a tonsillectomy performed. If the patient agrees to participate in the study, a written consent and child assent will be obtained and the patient will be randomly assigned to a treatment versus control group based on the randomly assigned participant number.
The treatment group will then be given a four week course of omeprazole to be taken for the four weeks prior to tonsillectomy. The patient will be given a post tonsillectomy assessment form. The form looks at postoperative pain (using a visual analog scale 1-10) as well as oral intake at postoperative day 0,1,3,5,7,10, and 14. The form will be turned in at the postoperative visit or mailed in.
The pain level and oral intake between the two groups to will be compared to determine if antireflux control helps decrease the postoperative pain after tonsillectomy.
Study Overview
Status
Conditions
Intervention / Treatment
Detailed Description
The study aims to determine if treating pediatric patients (age 7-18) for four weeks with omeprazole prior to tonsillectomy will decrease post tonsillectomy pain. The hypothesis is that many patients have silent laryngopharyngeal reflux and by reducing the acid entrance into the oropharynx, patients will have less post tonsillectomy pain due to decreased acid irritation of the surgical wound (tonsil fossas).
The study will be a prospective double blind randomized study. Participants will be invited to participate in the study by giving the study information at the preoperative assessment, when the decision is made to have a tonsillectomy performed. If the patient agrees to participate in the study, a written consent and child assent will be obtained and the patient will be randomly assigned to a treatment versus control group based on the randomly assigned participant number.
The treatment group will then be given a four week course of omeprazole or placebo to be taken for the four weeks prior to tonsillectomy. The investigators will be blinded to the intervention. The medication will be kept in a locked drawer at the ENT Associates office. The patient will take the medication 20 mg orally once a day for 28 days prior to the procedure with day 28 being the day before the tonsillectomy. The patient will be provided with a calender that is marked with the start date of the medication. The patient is to document any missed doses on the calender. On the day of surgery, the patient will return the remainder of the medication in an opaque bag along with the calender and this will be given back to the research pharmacist to account for the medication.
The patient will be given a post tonsillectomy assessment form. The form looks at postoperative pain (using a visual analog scale 1-10) as well as oral intake at postoperative day 0,1,3,5,7,10, and 14. The form will be turned in at the postoperative visit (2 weeks after the surgery) or mailed in.
The pain level and oral intake between the two groups to will be compared to determine if antireflux control helps decrease the postoperative pain after tonsillectomy.
Other variables collected will be patient age, gender, method of surgery, pain medication prescribed, and indication for procedure. The data will be stored in a password protected computer files and the patient will only be identified by study number.
Study Type
Enrollment (Actual)
Phase
- Phase 4
Contacts and Locations
Study Locations
-
-
Michigan
-
Grand Blanc, Michigan, United States, 48439
- Genesys Regional Medical Center
-
-
Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
- Age 7-17 years old
- Weight >20 kg
- Scheduled to undergo a tonsillectomy (with or without adenoidectomy) in greater than four weeks.
- Health conditions (any of the following): Hypertrophic tonsils and adenoids, sleep disordered breathing, obstructive sleep apnea, chronic or recurrent tonsillitis, halitosis, dysphagia
- Must be able to swallow pills or tolerate taking the medication sprinkled on applesauce or other soft food.
Exclusion Criteria:
- Age <7
- Weight <20kg
- Patients declared by the parent not able to communicate pain level.
- Patients whose tonsillectomy is scheduled <4 weeks from the preoperative assessment (The patient would not have time to complete the preoperative treatment) (An exception to this exclusion criteria will be for the control group)
- Patients with a mental illness. This will be determined by the patient's physician or the physician overseeing the care of the patient.
- Unable to swallow pills or tolerate sprinkling the medication on soft food.
- Pregnant patients
- Any patients already taking Proton Pump Inhibitor
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Prevention
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: Quadruple
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Active Comparator: Omeprazole
Yes. Omeprazole (generic) will be used. Children >20 kg will be given 20 mg PO daily for 4 weeks prior to tonsillectomy. This is the normal standard pediatric dosing for reflux. Omeprazole is authorized to treat reflux in children. The study focuses on laryngopharyngeal reflux that possibly contributes to post tonsillectomy pain. |
The principal investigator will be contacted and will work with the research pharmacist to obtain the omeprazole (20 mg PO daily for patients >20kg) and placebo.
The placebo does not look like the omeprazole, however this will not be an issue because none of the subjects will have knowledge of how the medications look.
The medication will be locked in the designated medication cabinet at each office.
It will be prepackaged for a 28 day course.
The patient will start the treatment 4 weeks prior to tonsillectomy and stop the day before surgery.
The medication will be given to the patient once the consent and assent are signed.
This will avoid an unnecessary office visit to improve patient compliance.
Other Names:
|
Placebo Comparator: Sugar pill
The placebo does not look like the omeprazole, however this will not be an issue because none of the subjects will have knowledge of how the medications look.
|
The principal investigator will be contacted and will work with the research pharmacist to obtain the omeprazole (20 mg PO daily for patients >20kg) and placebo.
The placebo does not look like the omeprazole, however this will not be an issue because none of the subjects will have knowledge of how the medications look.
The medication will be locked in the designated medication cabinet at each office.
It will be prepackaged for a 28 day course.
The patient will start the treatment 4 weeks prior to tonsillectomy and stop the day before surgery.
The medication will be given to the patient once the consent and assent are signed.
This will avoid an unnecessary office visit to improve patient compliance.
Other Names:
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Pain After Tonsillectomy
Time Frame: 2 weeks
|
A questionnaire will be given to patients.
Patients are asked to describe their pain and oral intake on post op days 0,1,3,5,7,10 and 14.
This should take less than one minute per assessment day.
At the end of the survey, they are asked to comment on any postoperative problems such as hemorrhage or dehydration.
This should take less than 5 minutes.
Parents will be asked to assist the child in completing the survey.
They will be asked to turn in the form on the postoperative follow up visit (14-21 days after surgery) or mail it in to the principal investigator if the surgeon does not have a postoperative follow up visit.
For these patients, an addressed and stamped envelope will be provided.
|
2 weeks
|
Collaborators and Investigators
Sponsor
Investigators
- Principal Investigator: Carissa J Wentland, DO, Ascension Genesys Hospital
- Study Director: Kimberly Barber, PhD, Ascension Genesys Hospital
- Study Director: Candy Rainwater, Ascension Genesys Hospital
Study record dates
Study Major Dates
Study Start
Primary Completion (Actual)
Study Completion (Actual)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Estimate)
Study Record Updates
Last Update Posted (Actual)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
- Digestive System Diseases
- Respiratory Tract Diseases
- Gastrointestinal Diseases
- Esophageal Motility Disorders
- Deglutition Disorders
- Esophageal Diseases
- Laryngeal Diseases
- Gastroesophageal Reflux
- Laryngopharyngeal Reflux
- Molecular Mechanisms of Pharmacological Action
- Enzyme Inhibitors
- Gastrointestinal Agents
- Anti-Ulcer Agents
- Proton Pump Inhibitors
- Omeprazole
Other Study ID Numbers
- GRMC 12 0020
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 Laryngopharyngeal Reflux
-
Samsung Medical CenterUnknownLaryngopharyngeal Reflux DiseaseKorea, Republic of
-
Pusan National University HospitalCompletedThe Efficacy of Potassium-competitive Acid Blocker in Patients With Laryngopharyngeal Reflux DiseaseLaryngopharyngeal Reflux DiseaseKorea, Republic of
-
University Hospital MuensterCompletedReflux, Gastroesophageal | Reflux Disease | Reflux, LaryngopharyngealGermany
-
Brigham and Women's HospitalEndoGastric SolutionsNot yet recruitingGastroesophageal Reflux Disease (GERD) | Motility Disorder | Laryngopharyngeal Reflux (LPR) | Reflux Disease, Gastro-EsophagealUnited States
-
Kazakh Medical University of Continuing EducationAsfendiyarov Kazakh National Medical UniversityCompletedGastro Esophageal Reflux Disease | Laryngopharyngitis Chronic | Laryngopharyngeal Reflux SymptomsKazakhstan
-
Northwestern UniversityRestech- Respiratory Technology CorporationUnknownExtraesophageal Reflux | Laryngopharyngeal Reflux (LPR) | Reflux Laryngitis | Posterior LaryngitisUnited States
-
University of California, San DiegoNational Institute of Diabetes and Digestive and Kidney Diseases (NIDDK)Recruiting
-
Medical College of WisconsinWithdrawnLaryngopharyngeal RefluxUnited States
-
University of California, DavisCompletedLaryngopharyngeal RefluxUnited States
Clinical Trials on Omeprazole
-
Damascus HospitalWithdrawnPeptic Ulcer Hemorrhage | Marginal Ulcer | Gastroduodenal UlcerSyrian Arab Republic
-
MetroHealth Medical CenterCompleted
-
University of LouisvilleBausch Health Americas, Inc.CompletedGastroesophageal Reflux Disease | GastroparesisUnited States
-
BayerBausch Health Americas, Inc.CompletedGastric Acid | Human Experimentation
-
BayerBausch Health Americas, Inc.CompletedGastric Acid | Human Experimentation
-
Aboca Spa Societa' AgricolaUniversity of Roma La Sapienza; Doppel Farmaceutici; BMR GenomicsCompleted
-
Yvonne RomeroBausch Health Americas, Inc.CompletedErosive EsophagitisUnited States
-
Nekkar Lab SrlOpera CRO, a TIGERMED Group CompanyRecruitingGastroesophageal Reflux Disease (GERD)Italy, Romania