Pediatric Adeno-Tonsillar Hypertrophy Treatment Post-Approval Study
This study is a prospective, multi-center, single-arm study of pediatric subjects (age 3-12) with Sleep-Disordered Breathing ("SDB") due to adeno-tonsillar hypertrophy which are treated with the ENTire IRE System.
Subjects will be followed for six (6) months post-treatment. The objective of the study is to provide an ongoing safety and effectiveness assessment of the ENTire IRE System in treating pediatric adeno-tonsillar hypertrophy.
Studieoversigt
Status
Intervention / Behandling
Undersøgelsestype
Tilmelding (Anslået)
Fase
- Ikke anvendelig
Kontakter og lokationer
Studiesteder
-
-
Colorado
-
Denver, Colorado, Forenede Stater, 80045
- Children's Hospital Colorado
-
-
Texas
-
Dallas, Texas, Forenede Stater, 75390
- UT Southwestern Medical Center
-
-
Deltagelseskriterier
Berettigelseskriterier
Aldre berettiget til at studere
Tager imod sunde frivillige
Køn, der er berettiget til at studere
Beskrivelse
Inclusion Criteria:
- Patients are 3-12 years of age.
- Tonsillar hypertrophy of grade 2 or more on the Brodsky Grading System for Tonsils ("BGST").
- Children with SDB scheduled for adeno-tonsillar surgery after an otolaryngology evaluation.
Exclusion Criteria:
- Patients with a pacemaker, cochlear or similar electro stimulator implants.
- Patients for whom the anesthesia involves high risk.
- Significant illness (e.g., cancer, severe autoimmune disease, neurological disease, severe heart disease).
- Craniofacial anomalies.
- Patients which underwent prior tonsillectomy or tonsillotomy.
- Epilepsy or other conditions involving convulsions.
- Parent/Guardian inability to give informed consent and to complete reported questionnaires.
- Any other reason the investigator deems the subject is unfit for participation in the study.
Studieplan
Hvordan er undersøgelsen tilrettelagt?
Design detaljer
- Primært formål: Behandling
- Tildeling: N/A
- Interventionel model: Enkelt gruppeopgave
- Maskning: Ingen (Åben etiket)
Våben og indgreb
Deltagergruppe / Arm |
Intervention / Behandling |
|---|---|
|
Eksperimentel: Enlarged tonsil(s) and/or adenoid mass will be reduced by ENTire IRE System.
|
The bi-polar IRE System locally applies short, high-voltage (HV) pulses, increasing the permeability of tissue cells, creating non-thermal irreversible electroporation (NTIRE). The energy is transferred via bipolar forceps handpiece causing irreversible cell membrane perforation and apoptosis resulting in tissue reduction. The clinical effect is anticipated within 2 to 4 weeks post-treatment. |
Hvad måler undersøgelsen?
Primære resultatmål
Resultatmål |
Foranstaltningsbeskrivelse |
Tidsramme |
|---|---|---|
|
Number of Participants With Device- or Procedure-Related Adverse Events (Bleeding, Readmission, Dehydration, or Emergency Department Visit)
Tidsramme: 6 months
|
Evaluation of the following device and/or procedure-related events: bleeding, readmission, dehydration and emergency department visits. |
6 months
|
|
Time From Treatment to First Wong-Baker FACES Pain Scale Score of 2 or Below
Tidsramme: From procedure until the end of the first week post procedure (7 days)
|
For each participant, the number of days from treatment until the first daily pain score of 2 or below on the Wong-Baker FACES® Pain Scale. Pain is assessed after treatment and then daily for the first 7 days post-procedure. The scale ranges from 0 ("No hurt") to 10 ("Hurts worst"). Minimum value is 0 and maximum value is 10; higher scores indicate more pain (a worse outcome). |
From procedure until the end of the first week post procedure (7 days)
|
|
Change From Baseline in OSA-18 Total Score at 3 Months
Tidsramme: 3 months post treatment
|
The Obstructive Sleep Apnea-18 (OSA-18) questionnaire is completed by the parent or caregiver at baseline and at 3 months post treatment. The outcome is the change in OSA-18 total score from baseline to 3 months. The questionnaire has 18 questions, each rated from 1 ("None of the time") to 7 ("All of the time"). The total score ranges from 18 (minimum) to 126 (maximum); higher scores indicate more severe symptoms and greater impairment (a worse outcome). No formal hypothesis will be tested. |
3 months post treatment
|
|
Change From Baseline in OSA-18 Total Score at 6 Months
Tidsramme: 6 months post treatment
|
The Obstructive Sleep Apnea-18 (OSA-18) questionnaire is completed by the parent or caregiver at baseline and at 6 months post treatment. The outcome is the change in OSA-18 total score from baseline to 6 months. The questionnaire has 18 questions, each rated from 1 ("None of the time") to 7 ("All of the time"). The total score ranges from 18 (minimum) to 126 (maximum); higher scores indicate more severe symptoms and greater impairment (a worse outcome). No formal hypothesis will be tested. |
6 months post treatment
|
Samarbejdspartnere og efterforskere
Sponsor
Datoer for undersøgelser
Studer store datoer
Studiestart (Anslået)
Primær færdiggørelse (Anslået)
Studieafslutning (Anslået)
Datoer for studieregistrering
Først indsendt
Først indsendt, der opfyldte QC-kriterier
Først opslået (Faktiske)
Opdateringer af undersøgelsesjournaler
Sidste opdatering sendt (Faktiske)
Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier
Sidst verificeret
Mere information
Begreber relateret til denne undersøgelse
Nøgleord
Yderligere relevante MeSH-vilkår
Andre undersøgelses-id-numre
- CLN 0330
Plan for individuelle deltagerdata (IPD)
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Lægemiddel- og udstyrsoplysninger, undersøgelsesdokumenter
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