- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT02243722
Establish Quantitative Measurements of Laryngeal Sensorimotor Functions and Evaluating the Grade of Phonation and Swallowing Impairment
September 16, 2014 updated by: Chang Gung Memorial Hospital
Establish Comprehensive Quantitative Measurements of Laryngeal Sensorimotor Functions and Evaluating the Grade of Phonation and Swallowing Impairment
Laryngeal motor and sensory nerve dysfunction may cause phonation and swallowing disturbance, which often happens after the treatment for laryngopharyngeal and esophageal cancer and may induce fatal complications such as aspiration pneumonia.
By the conventional examinations, the tiny sensory or motor changes are hard to be detected before complete vocal paralysis.
It is utmost important to establish a comprehensive quantitative method which is sensitive enough to evaluate the neuromuscular functions.
The present project will evaluate the laryngeal nerve function by quantitative laryngeal electromyography, which was developed by the research team, and another novel examination technique, mucosal membrane sensation test.
The comprehensive method is expected to grade the laryngeal nerve injuries quantitatively before the significant symptoms or complications and can also help to evaluate the treatment effect from medicine, rehabilitation or surgery.
Study Overview
Status
Unknown
Conditions
Study Type
Observational
Enrollment (Anticipated)
70
Contacts and Locations
This section provides the contact details for those conducting the study, and information on where this study is being conducted.
Study Contact
- Name: Tuan-Jen Fang, MD
- Email: fang3109@cgmh.org.tw
Study Locations
-
-
-
Taoyuan, Taiwan
- Recruiting
- Chang Gung Memorial Hospital
-
-
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
20 years to 85 years (Adult, Older Adult)
Accepts Healthy Volunteers
No
Genders Eligible for Study
All
Sampling Method
Non-Probability Sample
Study Population
Patients from a tertian referral medical center.
Description
Inclusion Criteria:
- Patients with laryngopharyngeal or esophageal cancer who have taken active therapy and are not neck tissue damage.
- Patients with clear conscious and stable mental status
Exclusion Criteria:
- Patients who cannot sit for longer than 30 minutes or received other vocal cord treatments before the selection
- Pregnant and breastfeeding women
- Patients with communication disorder
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
Cohorts and Interventions
Group / Cohort |
---|
Larynx pharynx and Esophagus Ca with VCP
The cases of laryngopharyngeal and esophageal cancer with endoscopic characters of vocal fold motion impairment (paralysis or fixation)
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Fiberoptic endoscopic evaluation of swallowing (FEES)
Time Frame: Baseline:Within 3-6 months after synptom occurs
|
Swallowing evaluation
|
Baseline:Within 3-6 months after synptom occurs
|
Laryngo-pharyngeal mucosa sensation test
Time Frame: Baseline:Within 3-6 months after synptom occurs
|
There were four probes of different diameters that similar to the Von Frey filament were prepared for the examination.
The diameters were 0.07mm, 0.15mm.0.2 mm and 0.3 mm.
The mono-filament nylon probe was placed and contact with the tip and arytenoid mucosa.
|
Baseline:Within 3-6 months after synptom occurs
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
laryngeal electromyography
Time Frame: Baseline:Within 3-6 months after synptom occurs
|
Baseline:Within 3-6 months after synptom occurs
|
|
laboratory voice analysis
Time Frame: Baseline:Within 3-6 months after synptom occurs
|
fundamental frequency, Jitter (perturbation of frequency), Shimmer (perturbation of amplitude), harmonic-to-noise ratio (HN), and s/z ratio (SZ) .
|
Baseline:Within 3-6 months after synptom occurs
|
voice range profile
Time Frame: Baseline:Within 3-6 months after synptom occurs
|
The voice will be analyzed by computerized software.
The extreme lowest and highest notes of frequencies production and the amplitude will be recorded and a voice map will be made as a plot of sound pressure level versus F0.
|
Baseline:Within 3-6 months after synptom occurs
|
Voice Handicap Index (VHI)
Time Frame: Baseline:Within 3-6 months after synptom occurs
|
Voice-related questionnaire The Voice Handicap Index (VHI) is a 30-item instrument developed by Jacobson et al. as a self-measure the psychosocial handicapping effects of voice disorders.
The questionnaire consists of three sub scales: emotional, physical and functional with 10 items from each scale.
It has been translated into traditional Chinese and validated.
All individuals will be asked to response for the questionnaire.
|
Baseline:Within 3-6 months after synptom occurs
|
Disease related life quality assessment: FACT-H&N, FACT-E
Time Frame: Baseline:Within 3-6 months after synptom occurs
|
Functional Assessment of Cancer Therapy-Head and Neck (FACT-H&N) and FACT-E (esophagus) are self -report questionnaires with a Likert-type response set, ranging from "not at all" to "very much".
FACT-G (general) is a 27-items scale measures four QOL (quality of life) domains including Physical Well-Being, Social/Family Well-Being, Emotional Well-Being and Functional Well-Being.
In FACT-H&N, there are 11 additional specific questions for head and neck cancers while 17 additional items for esophageal cancers in FACT-E.
The specific questionnaires will be provided to patients according to individual diseases.
The traditional Chinese (Mandarin) version has been validated and proved to be useful in previous report.
We have received the licensing agreement from the institute (FACIT) for using the questionnaires on the project.
|
Baseline:Within 3-6 months after synptom occurs
|
Collaborators and Investigators
This is where you will find people and organizations involved with this study.
Sponsor
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
July 1, 2014
Primary Completion (Anticipated)
August 1, 2016
Study Completion (Anticipated)
November 1, 2016
Study Registration Dates
First Submitted
September 16, 2014
First Submitted That Met QC Criteria
September 16, 2014
First Posted (Estimate)
September 18, 2014
Study Record Updates
Last Update Posted (Estimate)
September 18, 2014
Last Update Submitted That Met QC Criteria
September 16, 2014
Last Verified
February 1, 2014
More Information
Terms related to this study
Keywords
Additional Relevant MeSH Terms
Other Study ID Numbers
- 102-5333A3
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 Unilateral Vocal Cord Paralysis
-
University of FloridaCompletedUnilateral Vocal Cord Paralysis | Unilateral Vocal Cord ParesisUnited States
-
Lawson Health Research InstituteUnknownUnilateral Vocal Cord LesionsCanada
-
Cliniques universitaires Saint-Luc- Université...Active, not recruitingUnilateral Vocal Cord ParalysisBelgium
-
Royal National Throat, Nose and Ear HospitalUniversity College London Hospitals; University College Joint Research Office; NIHR Research for Patient Benefit (RfPB) and other collaboratorsCompletedVocal Cord Paralysis UnilateralUnited Kingdom
-
National Institute on Deafness and Other Communication...Terminated
-
APrevent Biotech GmbHCompletedParalysis, Unilateral, Vocal CordAustria
-
Chang Gung Memorial HospitalUnknownUnilateral Vocal Cord ParalysisTaiwan
-
Chang Gung Memorial HospitalNational Science Council, TaiwanCompletedParalysis, Unilateral, Vocal CordTaiwan
-
APrevent Biotech GmbHRecruitingParalysis, Unilateral, Vocal CordAustria, United States, Germany
-
Hospital General Universitario Gregorio MarañonCompletedVocal Cord Paralysis, UnilateralSpain