A Comparison of Beclomethasone Aqueous Spray and Aerosol Delivery Systems in Nasal Polyps

NCT ID: NCT00788463

Last Updated: 2017-08-28

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

COMPLETED

Clinical Phase

PHASE2

Total Enrollment

30 participants

Study Classification

INTERVENTIONAL

Study Start Date

2006-11-23

Study Completion Date

2011-11-30

Brief Summary

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The purpose of this study is to determine if intranasal Beclomethasone delivered by aerosol or spray is more effective in treatment of nasal polyps.

Detailed Description

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Aqueous and aerosol delivery of intranasal corticosteroids has never been directly compared previously in patients with nasal polyps and it is unknown whether one is superior.

This objective of this study is to compare the efficacy of intranasal beclomethasone by two different delivery systems, aerosol and aqueous spray in patients with nasal polyps. Primary endpoint is the difference in the overall quality of life as measured by the Rhinitis Quality of Life Questionnaire. The secondary endpoint is the change in Nasal Airflow Resistance as measured by rhinomanometry.

Conditions

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Nasal Polyps

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

SINGLE

Investigators

Study Groups

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Aerosol

Group Type EXPERIMENTAL

Intranasal Beclomethasone aerosol

Intervention Type DRUG

Beclomethasone aerosol intranasal, 100ug each nostril, twice daily for 6 months.

Spray

Group Type ACTIVE_COMPARATOR

Intranasal Beclomethasone spray

Intervention Type DRUG

Beclomethasone spray intranasal, 100ug each nostril, twice daily for 6 months.

Interventions

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Intranasal Beclomethasone aerosol

Beclomethasone aerosol intranasal, 100ug each nostril, twice daily for 6 months.

Intervention Type DRUG

Intranasal Beclomethasone spray

Beclomethasone spray intranasal, 100ug each nostril, twice daily for 6 months.

Intervention Type DRUG

Other Intervention Names

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QVAR

Eligibility Criteria

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Inclusion Criteria

* 18 years old
* New diagnosis of nasal polyps confirmed by two physicians

Exclusion Criteria

* Intranasal corticosteroid use within 4 weeks
* Oral corticosteroids use within 4 weeks
* Oral corticosteroid inhalation (ie for treatment of asthma or COPD) of Budesonide \>400ug daily, Fluticasone \>250ug daily, Beclomethasone \>400ug daily
* Contraindication to intranasal corticosteroid
* Inability to give informed consent
* Participation in another clinical trial
* Pregnancy (or not using effective method of contraception) or lactation
* Cystic fibrosis
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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London Health Sciences Centre Research Institute OR Lawson Research Institute of St. Joseph's

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Jorge A Mazza, MD

Role: PRINCIPAL_INVESTIGATOR

Western University, Canada

Locations

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Allergy Clinic, London Health Sciences Centre

London, Ontario, Canada

Site Status

Countries

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Canada

References

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SILCOX LE. The intranasal use of hydrocortisone alcohol. AMA Arch Otolaryngol. 1954 Oct;60(4):431-9. doi: 10.1001/archotol.1954.00720010443005. No abstract available.

Reference Type BACKGROUND
PMID: 13196789 (View on PubMed)

SMITH RE. DEXAMETHASONE NASAL AEROSOL IN NASAL POLYPS AND HYPERTROPHIC ALLERGIC RHINITIS: A CLINICAL AND CONTROLLED EVALUATION. Ann Allergy. 1965 Jun;23:273-6. No abstract available.

Reference Type BACKGROUND
PMID: 14308145 (View on PubMed)

Taub SJ. Dexamethasone nasal aerosol vs. placebo in the treatment of nasal polyposis. Eye Ear Nose Throat Mon. 1968 Aug;47(8):392-5. No abstract available.

Reference Type BACKGROUND
PMID: 4891434 (View on PubMed)

Norman PS, Winkenwerder WL, Agbayani BF, Migeon CJ. Adrenal function during the use of dexamethasone aerosols in the treatment of ragweed hay fever. J Allergy. 1967 Jul;40(1):57-61. doi: 10.1016/0021-8707(67)90060-3. No abstract available.

Reference Type BACKGROUND
PMID: 5230040 (View on PubMed)

Mygind N, Hansen I. Beclomethasone dipropionate aerosol effect on the adrenals in normal persons. Acta Allergol. 1973 Sep;28(3):211-8. doi: 10.1111/j.1398-9995.1973.tb01327.x. No abstract available.

Reference Type BACKGROUND
PMID: 4800886 (View on PubMed)

Mygind N, Pedersen CB, Prytz S, Sorensen H. Treatment of nasal polyps with intranasal beclomethasone dipropionate aerosol. Clin Allergy. 1975 Jun;5(2):159-64. doi: 10.1111/j.1365-2222.1975.tb01848.x.

Reference Type BACKGROUND
PMID: 1095246 (View on PubMed)

Sorensen H, Mygind N, Pedersen CB, Prytz S. Long-term treatment of nasal polyps with beclomethasone dipropionate aerosol. III. Morphological studies and conclusions. Acta Otolaryngol. 1976 Sep-Oct;82(3-4):260-2. doi: 10.3109/00016487609120899.

Reference Type BACKGROUND
PMID: 790892 (View on PubMed)

Pedersen CB, Mygind N, Sorensen H, Prytz S. Long-term treatment of nasal polyps with beclomethasone dipropionate aerosol. II. Clinical results. Acta Otolaryngol. 1976 Sep-Oct;82(3-4):256-9. doi: 10.3109/00016487609120898.

Reference Type BACKGROUND
PMID: 790891 (View on PubMed)

Mygind N, Sorensen H, Pedersen CB. The nasal mucosa during long-term treatment with beclomethasone dipropionate aerosol. A light-and scanning electron microscopic study of nasal polyps. Acta Otolaryngol. 1978 May-Jun;85(5-6):437-43.

Reference Type BACKGROUND
PMID: 665215 (View on PubMed)

Toft A, Wihl JA, Toxman J, Mygind N. Double-blind comparison between beclomethasone dipropionate as aerosol and as powder in patients with nasal polyposis. Clin Allergy. 1982 Jul;12(4):391-401. doi: 10.1111/j.1365-2222.1982.tb02544.x.

Reference Type BACKGROUND
PMID: 7116616 (View on PubMed)

Krouse HA, Phung ND, Klaustermeyer WB. Intranasal beclomethasone in severe rhinosinusitis and nasal polyps. Ann Allergy. 1983 Jun;50(6):385-8.

Reference Type BACKGROUND
PMID: 6344703 (View on PubMed)

el Naggar M, Kale S, Aldren C, Martin F. Effect of Beconase nasal spray on olfactory function in post-nasal polypectomy patients: a prospective controlled trial. J Laryngol Otol. 1995 Oct;109(10):941-4. doi: 10.1017/s002221510013172x.

Reference Type BACKGROUND
PMID: 7499945 (View on PubMed)

Irifune M, Ogino S, Harada T, Abe Y. Topical treatment of nasal polyps with a beclomethasone dipropionate powder preparation. Auris Nasus Larynx. 1999 Jan;26(1):49-55. doi: 10.1016/s0385-8146(98)00062-5.

Reference Type BACKGROUND
PMID: 10077256 (View on PubMed)

Vidgren MT, Kublik H. Nasal delivery systems and their effect on deposition and absorption. Adv Drug Deliv Rev. 1998 Jan 5;29(1-2):157-177. doi: 10.1016/s0169-409x(97)00067-7.

Reference Type BACKGROUND
PMID: 10837586 (View on PubMed)

Dunn AM, Wilson RS, Baggott PJ. A comparison of beclomethasone dipropionate aqueous nasal spray and beclomethasone dipropionate pressurized nasal spray in the management of seasonal rhinitis. Postgrad Med J. 1984 Jun;60(704):404-6. doi: 10.1136/pgmj.60.704.404.

Reference Type BACKGROUND
PMID: 6379630 (View on PubMed)

Sidwell S. A comparison of the efficacy and tolerance of an aqueous beclomethasone dipropionate nasal spray with the conventional pressurized spray. Curr Med Res Opin. 1983;8(9):659-64. doi: 10.1185/03007998309109815.

Reference Type BACKGROUND
PMID: 6667629 (View on PubMed)

Harries MG, Anderson PB, Gibson GJ, Hof ZE, Baggott PJ. A comparison of an aqueous and a pressurized nasal spray of beclomethasone dipropionate in the management of seasonal rhinitis. Pharmatherapeutica. 1984;3(9):623-5.

Reference Type BACKGROUND
PMID: 6374683 (View on PubMed)

Other Identifiers

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R-06-542

Identifier Type: -

Identifier Source: org_study_id

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