- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT03305848
Esophageal Food Impaction (ONEFIT)
January 11, 2023 updated by: HealthPartners Institute
Efficacy and Safety of Oral Nitroglycerin on Esophageal Food Impaction
This study is designed to obtain data on the safety and efficacy of oral nitroglycerin solution for the treatment of esophageal food impaction in patients presenting to the Emergency Department with presumed esophageal food impaction.
The main hypothesis is to determine the success rate of oral nitroglycerin solution in relieving the food impaction by assessing the resolution of symptoms and the ability of the patient to swallow.
Study Overview
Status
Completed
Conditions
Intervention / Treatment
Detailed Description
A piece of food stuck in the esophagus (the tube connecting the mouth to the stomach) is a relatively common occurrence, estimated at a rate of 13 episodes per 100,000 people per year, mostly men, and usually attributed to swallowed meat.
The current standard of care for patients presenting to an Emergency Department with this problem includes a trial of medication, usually glucagon but sometimes a carbonated beverage, an injection of nitroglycerin, or benzodiazepines.
The medical interventions mentioned above have not been shown to be significantly effective and have unwanted side effects; glucagon is known to cause nausea and vomiting and benzodiazepines can cause sedation and depressed breathing.
If the medication fails to relieve the problem, the patient may require a procedure called endoscopy, where a video scope and retrieval tool are inserted into the esophagus to remove the piece of food.
There is significant risk associated with endoscopy, including the risks of anesthesia as well as with the physical procedure itself.
Endoscopy also results in a prolonged hospital stay due to the time required for the procedure, as well as from anesthesia recovery.
The ideal treatment would be a safe, inexpensive, quickly effective medication without significant side effects that could be administered without sedation or extensive monitoring.
Oral nitroglycerin solution might just be that intervention.
Study Type
Interventional
Enrollment (Actual)
20
Phase
- Phase 4
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
-
-
Minnesota
-
Saint Paul, Minnesota, United States, 55101
- Regions 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
18 years and older (ADULT, OLDER_ADULT)
Accepts Healthy Volunteers
No
Genders Eligible for Study
All
Description
Inclusion Criteria:
- Over the age of 18 years
- Presentation consistent with esophageal food impaction
- Ability to swallow a small volume of liquid.
Exclusion Criteria:
- Intractable vomiting
- Hemodynamic instability or SBP <100 mmHg
- Concern for or evidence of significant airway compromise
- Concern for or evidence of esophageal perforation,
- Concern for or evidence of coronary ischemia
- Presentation > 12 hours since onset.
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: NA
- Interventional Model: SINGLE_GROUP
- Masking: NONE
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
OTHER: Oral nitroglycerin solution
Up to 3 administrations of 0.4mg sublingual nitroglycerin tablets, dissolved in 10mL tap water, given orally in a single swallow.
Each administration is separated by at least 5 minutes
|
Up to 3 administrations of 0.4mg sublingual nitroglycerin tablets, dissolved in 10mL tap water, given orally in a single swallow.
Each administration is separated by at least 5 minutes, and only if systolic blood pressure > 100 mmHg.
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Patients Condition at Discharge
Time Frame: Length of Emergency Department stay (Time Frame: up to 12 hours)]
|
the proportion of study patients who achieve resolution of food impaction
|
Length of Emergency Department stay (Time Frame: up to 12 hours)]
|
Medications/Procedures Performed During Visit
Time Frame: Length of Emergency Department stay (Time Frame: up to 12 hours)]
|
Total number of other medications or procedures used to relieve the esophageal food impaction
|
Length of Emergency Department stay (Time Frame: up to 12 hours)]
|
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 (ACTUAL)
August 25, 2017
Primary Completion (ACTUAL)
April 4, 2019
Study Completion (ACTUAL)
April 4, 2019
Study Registration Dates
First Submitted
September 14, 2017
First Submitted That Met QC Criteria
October 9, 2017
First Posted (ACTUAL)
October 10, 2017
Study Record Updates
Last Update Posted (ACTUAL)
February 8, 2023
Last Update Submitted That Met QC Criteria
January 11, 2023
Last Verified
September 1, 2018
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
- A17-134
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
NO
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Yes
Studies a U.S. FDA-regulated device product
No
product manufactured in and exported from the U.S.
Yes
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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