Assessing the Efficacy of Steroid Treatment of Achalasia

NCT ID: NCT01903486

Last Updated: 2021-11-17

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WITHDRAWN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

PHASE4

Study Classification

INTERVENTIONAL

Study Start Date

2013-03-31

Study Completion Date

2020-12-28

Brief Summary

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Would systemic steroids be an effective treatment in early variants of achalasia?

Detailed Description

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Conditions

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Achalasia

Keywords

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Trouble swallowing dysphagia disorder of the esophagus

Study Design

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Allocation Method

NA

Intervention Model

SINGLE_GROUP

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Prednisone

Prednisone (study medication) at a dose of 40mg for 1 week, then 30mg for 1 week, then 20mg for 1 week, then 10mg for 1 week, and then stop the medication.

Group Type OTHER

Apo-Prednisone Cordorol, Detasone - Prednisone

Intervention Type DRUG

Oral prednisone (study medication) at a dose of 40mg for 1 week, then 30mg for 1 week, then 20mg for 1 week, then 10mg for 1 week, and then stop the medication.

Interventions

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Apo-Prednisone Cordorol, Detasone - Prednisone

Oral prednisone (study medication) at a dose of 40mg for 1 week, then 30mg for 1 week, then 20mg for 1 week, then 10mg for 1 week, and then stop the medication.

Intervention Type DRUG

Other Intervention Names

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Prednisone Anti-inflamatory Corticosteroid

Eligibility Criteria

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Inclusion Criteria

* Adults ages 18-90 with a diagnosis of achalasia confirmed by findings on esophageal manometry and barium esophagogram will be eligible for the study.
* Eckardt score6 greater or equal to 6 or 2 or greater for dysphagia and/or regurgitation
* Symptoms less than 2 years

Exclusion Criteria

* Medical conditions such as severe heart or lung disease that preclude safe performance of endoscopy and injection;
* Greater than mild esophageal dilation
* Type 1 achalasia as defined by the Chicago classification scheme7 and/or esophageal diameter \> 3cm;
* Prior treatment for achalasia
* Use of medications that might affect LES pressure such as anticholinergics or calcium channel antagonists
* Symptom duration greater than 2 years
* Inability to read due to: Blindness, cognitive dysfunction, or English language illiteracy
* Disorders which predispose to unreliable responses such as Schizophrenia, Alzheimer's disease or significant memory loss
* Pregnant and lactating females will be excluded as steroids are not thought safe for the fetus.
Minimum Eligible Age

18 Years

Maximum Eligible Age

90 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Mayo Clinic

OTHER

Sponsor Role lead

Responsible Party

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Karthik Ravi, M.D.

PI

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Karthik Ravi, MD

Role: PRINCIPAL_INVESTIGATOR

Mayo Clinic

Countries

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United States

Related Links

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Other Identifiers

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12-009825

Identifier Type: -

Identifier Source: org_study_id