Medical Polypectomy and Predictors of Response

NCT ID: NCT00788749

Last Updated: 2008-11-11

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

PHASE4

Total Enrollment

60 participants

Study Classification

INTERVENTIONAL

Study Start Date

2004-05-31

Study Completion Date

2008-11-30

Brief Summary

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This is the first randomized parallel group clinical trial looking at oral prednisolone induced medical nasal polypectomy followed by maintenance on topical steroid therapy in patients with nasal polyposis. This study also looks at the effect of aspirin sensitivity and the factors linking nasal polyps with asthma. We have also taken baseline measurements of a variety of blood, surface and biopsy markers to assess for potential to predict steroid response. Finally, the still unchartered link between nasal polyps and asthma will be explored by measuring Staphylococcal superantigens in serum before and after treatment.

Detailed Description

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Conditions

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Nasal Polyps

Keywords

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chronic rhinosinusitis nasal polyps oral steroid intranasal steroid medical polypectomy

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

QUADRUPLE

Participants Caregivers Investigators Outcome Assessors

Study Groups

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Placebo

Placebo tablets for 2 weeks followed by fluticasone nasal drops 800mcg/d for 2 months followed by fluticasone nasal spray 400 mcg/d for 4 months

Group Type PLACEBO_COMPARATOR

Placebo

Intervention Type DRUG

tablets once daily

fluticasone nasal drops

Intervention Type OTHER

fluticasone nasal drops 800mcg/d

fluticasone nasal spray

Intervention Type OTHER

fluticasone nasal spray 400 mcg/d

Prednisolone

25 mg Prednisolone OD for 2 weeks followed by Fluticasone nasal drops 800 mcg/d for 2 months, followed by fluticasone nasal spray 400mcg/day for 4 months

Group Type EXPERIMENTAL

Prednisolone

Intervention Type DRUG

tablets 25 mg/day

fluticasone nasal drops

Intervention Type OTHER

fluticasone nasal drops 800mcg/d

fluticasone nasal spray

Intervention Type OTHER

fluticasone nasal spray 400 mcg/d

Interventions

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Prednisolone

tablets 25 mg/day

Intervention Type DRUG

Placebo

tablets once daily

Intervention Type DRUG

fluticasone nasal drops

fluticasone nasal drops 800mcg/d

Intervention Type OTHER

fluticasone nasal spray

fluticasone nasal spray 400 mcg/d

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* male or female
* 18-75 years of age
* bilateral nasal polyposis Grade 2 and above
* with or without asthma
* with or without atopy or aspirin sensitivity
* written informed consent

Exclusion Criteria

* unilateral nasal polyposis
* polypoid lesion suspicious of inverted papilloma, malignancy, Wegeners granulomatosis, sarcoidosis
* known or suspected hypersensitivity to fluticasone propionate or any other constituents of the Investigational Medicinal product (IMP).
* Any clinically significant medical condition or abnormality, which, in the opinion of the investigator, might compromise the safety of the subject or which might interfere with the study.
* significant (≥50%)septal deviation
* inability to comply with the requirements of the protocol
* females who are pregnant, lactating or planning to become pregnant.
Minimum Eligible Age

18 Years

Maximum Eligible Age

75 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Chief Scientist Office of the Scottish Government

OTHER_GOV

Sponsor Role collaborator

NHS Tayside

OTHER_GOV

Sponsor Role collaborator

University of Dundee

OTHER

Sponsor Role lead

Responsible Party

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University of Dundee

Principal Investigators

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Sriram Vaidyanathan, MRCS

Role: PRINCIPAL_INVESTIGATOR

University of Dundee

Brian J Lipworth, MD

Role: STUDY_DIRECTOR

University of Dundee

Locations

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Ninewells Hospital and Medical School

Dundee, Angus, United Kingdom

Site Status

Countries

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United Kingdom

References

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Williamson PA, Vaidyanathan S, Clearie K, Barnes M, Lipworth BJ. Airway dysfunction in nasal polyposis: a spectrum of asthmatic disease? Clin Exp Allergy. 2011 Oct;41(10):1379-85. doi: 10.1111/j.1365-2222.2011.03793.x. Epub 2011 Jun 16.

Reference Type DERIVED
PMID: 21676042 (View on PubMed)

Vaidyanathan S, Barnes M, Williamson P, Hopkinson P, Donnan PT, Lipworth B. Treatment of chronic rhinosinusitis with nasal polyposis with oral steroids followed by topical steroids: a randomized trial. Ann Intern Med. 2011 Mar 1;154(5):293-302. doi: 10.7326/0003-4819-154-5-201103010-00003.

Reference Type DERIVED
PMID: 21357906 (View on PubMed)

Other Identifiers

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GRAY07

Identifier Type: -

Identifier Source: org_study_id