Sino-nasal Inhalation of Sodium Chloride 6,0% in Patients With Cystic Fibrosis and Chronic Rhinosinusitis

NCT ID: NCT01086839

Last Updated: 2014-12-02

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

NA

Total Enrollment

69 participants

Study Classification

INTERVENTIONAL

Study Start Date

2010-03-31

Study Completion Date

2013-06-30

Brief Summary

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Rhinosinusitis disorders are almost regularly associated to Cystic Fibrosis (CF). The basic defect in CF is a dysfunction of chloride channels in exocrine glands which equally concerns upper airway mucosa. It leads to retention of secretions and consecutive chronic inflammation with bacterial superinfection.

In CF rhinosinusitis can restrict quality of life, give cause to repeated ear, nose, and throat (ENT) surgery and accelerate disease progression by bacterial acquisition into the airways.

The multicenter, randomized, double-blind, placebo-controlled, prospective clinical trial aims at the evaluation of a sino-nasal inhalation of sodium chloride 6% compared to isotonic saline with respect to ENT-related quality of life which is influenced by mucus retention and the resulting inflammation.

Detailed Description

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Conditions

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Cystic Fibrosis Rhinosinusitis

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

CROSSOVER

Primary Study Purpose

TREATMENT

Blinding Strategy

QUADRUPLE

Participants Caregivers Investigators Outcome Assessors

Study Groups

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sodium chloride 6%

Cross-Over! "experimental" (days 1 - 28), then Wash-Out (28 days),then "placebo comparator" (days 57 - 85).

Group Type EXPERIMENTAL

sodium chloride 6%

Intervention Type DRUG

* one ampoule sodium chloride 6% per day
* inhalation use
* for 28 days

sodium chloride 0,9%

Cross-Over! "placebo comparator" (days 1 - 28), then Wash-Out (28 days),then "experimental" (days 57 - 85).

Group Type PLACEBO_COMPARATOR

sodium chloride 0,9%

Intervention Type DRUG

* one ampoule sodium chloride 0,9% per day
* inhalation use
* for 28 days

Interventions

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sodium chloride 6%

* one ampoule sodium chloride 6% per day
* inhalation use
* for 28 days

Intervention Type DRUG

sodium chloride 0,9%

* one ampoule sodium chloride 0,9% per day
* inhalation use
* for 28 days

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* Subject has a confirmed diagnosis of cystic fibrosis based on: 2 positive sweat chloride tests and/or genetic characterization
* Subject is 8 years of age or older
* informed consent of the patient or legal representative
* Women of childbearing potential are only included into the study, if they are using an effective method of birth control during the protocol (failure rate \<1% e.g. implants, combined oral contraceptives, injectables, some intrauterine devices, sexual abstinence or vasectomised partner)

Exclusion Criteria

* Subject has no chronic rhinosinusitis (European Position Paper on Rhinosinusitis and Nasal Polyps (EPOS-criteria)
* Subject has a critical condition defined as: forced expiratory volume at one second \< 30% and / or arterial oxygen saturation \< 93% without O2-substitution; need of O2-substitution
* Subject had an ENT surgery within 6 months prior to study
* Subject participates in another clinical trial within 30 days prior to study entry
Minimum Eligible Age

8 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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University of Jena

OTHER

Sponsor Role lead

Responsible Party

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PD Dr. Jochen G. Mainz

PD Dr.

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Jochen Mainz, M.D.

Role: STUDY_CHAIR

University of Jena

Locations

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Zentrum für Kinder- und Jugendmedizin

Heidelberg, Baden Würtemberg, Germany

Site Status

Universitäts-Kinderklinik

Tübingen, Baden-Wurttemberg, Germany

Site Status

Medizinische Klinik Innenstadt

München, Bavaria, Germany

Site Status

Universitätsklinikum Würzburg

Würzburg, Bavaria, Germany

Site Status

Zentrum für Kinder- und Jugendmedizin

Greifswald, Brandenburg, Germany

Site Status

J.W. Goethe Universität - Abtl. Pneumologie

Frankfurt am Main, Hesse, Germany

Site Status

Klinik für Kinder- und Jugendmedizin

Münster, North Rhine-Westphalia, Germany

Site Status

Universitätsklinikum

Leipzig, Saxony, Germany

Site Status

Charité Universitätsmedizin Berlin

Berlin, State of Berlin, Germany

Site Status

Mukoviszidosezentrum der Friedrich-Schiller-Universität

Jena, Thuringia, Germany

Site Status

CF-Zentrum

Hamburg, , Germany

Site Status

Countries

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Germany

References

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Mainz JG, Koitschev A. Management of chronic rhinosinusitis in CF. J Cyst Fibros. 2009 Jun;8 Suppl 1:S10-4. doi: 10.1016/S1569-1993(09)60005-9.

Reference Type BACKGROUND
PMID: 19460681 (View on PubMed)

Mainz JG, Naehrlich L, Schien M, Kading M, Schiller I, Mayr S, Schneider G, Wiedemann B, Wiehlmann L, Cramer N, Pfister W, Kahl BC, Beck JF, Tummler B. Concordant genotype of upper and lower airways P aeruginosa and S aureus isolates in cystic fibrosis. Thorax. 2009 Jun;64(6):535-40. doi: 10.1136/thx.2008.104711. Epub 2009 Mar 11.

Reference Type BACKGROUND
PMID: 19282318 (View on PubMed)

Mainz JG, Schien C, Schiller I, Schadlich K, Koitschev A, Koitschev C, Riethmuller J, Graepler-Mainka U, Wiedemann B, Beck JF. Sinonasal inhalation of dornase alfa administered by vibrating aerosol to cystic fibrosis patients: a double-blind placebo-controlled cross-over trial. J Cyst Fibros. 2014 Jul;13(4):461-70. doi: 10.1016/j.jcf.2014.02.005. Epub 2014 Mar 1.

Reference Type BACKGROUND
PMID: 24594542 (View on PubMed)

Mainz JG, Schadlich K, Schien C, Michl R, Schelhorn-Neise P, Koitschev A, Koitschev C, Keller PM, Riethmuller J, Wiedemann B, Beck JF. Sinonasal inhalation of tobramycin vibrating aerosol in cystic fibrosis patients with upper airway Pseudomonas aeruginosa colonization: results of a randomized, double-blind, placebo-controlled pilot study. Drug Des Devel Ther. 2014 Feb 10;8:209-17. doi: 10.2147/DDDT.S54064. eCollection 2014.

Reference Type BACKGROUND
PMID: 24596456 (View on PubMed)

Mainz JG, Schumacher U, Schadlich K, Hentschel J, Koitschev C, Koitschev A, Riethmuller J, Prenzel F, Sommerburg O, Wiedemann B, Staab D, Gleiber W, Fischer R, Beck JF, Arnold C; Cooperators. Sino nasal inhalation of isotonic versus hypertonic saline (6.0%) in CF patients with chronic rhinosinusitis - Results of a multicenter, prospective, randomized, double-blind, controlled trial. J Cyst Fibros. 2016 Nov;15(6):e57-e66. doi: 10.1016/j.jcf.2016.05.003. Epub 2016 Jun 5.

Reference Type DERIVED
PMID: 27267518 (View on PubMed)

Other Identifiers

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NaCl 6.0%-nasal-CF

Identifier Type: -

Identifier Source: org_study_id