Pilot Study To Evaluate A Pharmacologically Active Nasal Sponge Following Endoscopic Sinus Surgery

NCT ID: NCT00705354

Last Updated: 2012-04-13

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

WITHDRAWN

Clinical Phase

NA

Study Classification

INTERVENTIONAL

Study Start Date

2009-01-31

Study Completion Date

2010-10-31

Brief Summary

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This study will compare the incidence of post-op infection after sinus surgery using conventional post-op oral antibiotics to the incidence of infection after sinus surgery when a bio-resorbable antibiotic soaked nasal sponge is used in the nasal cavity in lieu of post-op oral antibiotics. The nasal sponge is a routine nasal dressing used after sinus surgery and will therefore be placed in all patients.

Detailed Description

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Sinusitis affects 37 million people each year making it one of the most common health problems in the United States. It has a large impact in direct healthcare expenditures, significant loss of workplace productivity and a greater impact on quality of life than diabetes or congestive heart failure.

The most frequently used treatments are medications and/or Functional Endoscopic Sinus Surgery(FESS). 100 subjects undergoing ESS will participate, randomized into two groups, treatment and control. All subjects will have a Nasopore sponge placed into the middle meatus of the nose at the end of the procedure(The sponge is FDA approved and commonly used. Subjects in the treatment group will receive a Nasopore sponge soaked in Bacitracin solution. These subjects will not receive oral antibiotics post-operatively. The control group subjects will have a saline soaked Nasopore sponge laced during surgery and will receive routine oral antibiotics post-operatively. The hypothesis is that subjects who receive the antibiotic soaked nasal sponge in lieu of saline soaked nasal sponge will have infection rates comparable to those who receive systemic antibiotics, but because they will not receive systemic antibiotics, the treated group will have fewer side effects and the cost to treat them will be less.

Conditions

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Sinusitis Chronic Sinusitis

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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1

Control group undergoing standard ESS will have a saline soaked Nasopore sponge placed during surgery and will receive routine oral antibiotics post-operatively

Group Type ACTIVE_COMPARATOR

Nasopore sponge soaked with saline

Intervention Type PROCEDURE

Nasopore sponge soaked with saline placed during surgery and will receive routine oral antibiotics post-operatively

2

Treatment group undergoing ESS will have Nasopore sponge soaked with Bacitracin, but will not receive oral antibiotics post-operatively

Group Type EXPERIMENTAL

Bacitracin

Intervention Type DRUG

Nasopore sponge soaked with Bacitracin, placed in middle meatus of the nose. No post-op oral antibiotics

Interventions

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Bacitracin

Nasopore sponge soaked with Bacitracin, placed in middle meatus of the nose. No post-op oral antibiotics

Intervention Type DRUG

Nasopore sponge soaked with saline

Nasopore sponge soaked with saline placed during surgery and will receive routine oral antibiotics post-operatively

Intervention Type PROCEDURE

Other Intervention Names

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ESS Endoscopic Sinus Surgery Nasopore Anti-Bacterial ESS Endoscopic Sinus Surgery Nasopore

Eligibility Criteria

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Inclusion Criteria

* Subjects requiring Endoscopic Sinus Surgery

Exclusion Criteria

* Pediatric subjects \<18 years
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Lahey Clinic

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Peter J. Catalano, M.D.

Role: PRINCIPAL_INVESTIGATOR

Lahey Clinic, Inc.

Locations

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Lahey Clinic, Inc.

Burlington, Massachusetts, United States

Site Status

Countries

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United States

References

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Catalano PJ, Roffman EJ. Evaluation of middle meatal stenting after minimally invasive sinus techniques (MIST). Otolaryngol Head Neck Surg. 2003 Jun;128(6):875-81. doi: 10.1016/S0194-59980300469-8.

Reference Type BACKGROUND
PMID: 12825040 (View on PubMed)

Other Identifiers

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2007-119

Identifier Type: -

Identifier Source: org_study_id

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