Recurrent Respiratory Papillomatosis and Extraesophageal Reflux

NCT ID: NCT02592902

Last Updated: 2019-02-20

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

60 participants

Study Classification

INTERVENTIONAL

Study Start Date

2014-04-30

Study Completion Date

2018-09-30

Brief Summary

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The purpose of the study was to determine, whether patients with recurrent respiratory papillomatosis (RRP) suffer from extra oesophageal reflux more often than patients with laryngeal cyst (control group).

Detailed Description

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Recurrent respiratory papillomatosis (RRP) is a chronic viral disease, which affects children and adults as well. It is characterised by grow of squamous cell tumours on mucosa of aerodigestive tract, with predilection for the larynx. The disease is caused by the human papillomavirus (HPV). However, in contrast to the low incidence of RRP, HPV prevalence is common. It is indicated that other factors may contribute to the pathogenesis of RRP. One such factor might be extraesophageal reflux (EER). We investigated whether patients with RRP suffer more often from EER.

Conditions

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Recurrent Respiratory Papillomatosis Extra Oesophageal Reflux Laryngeal Cyst

Study Design

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Allocation Method

NON_RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Recurrent respiratory papillomatosis

Patients with recurrent respiratory papillomatosis (RRP) - surgical collection of histology specimen from the vocal cords and rear laryngeal commissure, performance of immunohistochemical analysis - proof of pepsin, HPV 6 and 11, herpes simplex virus (HSV) type 2, chlamydia trachomasis, and assessment of the dysplasia.

Group Type ACTIVE_COMPARATOR

Surgical collection of histology specimen

Intervention Type PROCEDURE

Collection of a histology specimen from the vocal cords and rear laryngeal commissure

Performance of immunohistochemical analysis

Intervention Type PROCEDURE

Immunohistochemical analysis - presence of pepsin, HPV 6 and 11, HSV 2 and chlamydia trachomasis

Laryngeal cyst - control group

Patients with laryngeal cyst - surgical collection of a histology specimen from the vocal cords and rear laryngeal commissure, performance of immunohistochemical analysis - proof of pepsin and HPV 6 and 11, herpes simplex virus (HSV) type 2 and chlamydia trachomasis.

Group Type ACTIVE_COMPARATOR

Surgical collection of histology specimen

Intervention Type PROCEDURE

Collection of a histology specimen from the vocal cords and rear laryngeal commissure

Performance of immunohistochemical analysis

Intervention Type PROCEDURE

Immunohistochemical analysis - presence of pepsin, HPV 6 and 11, HSV 2 and chlamydia trachomasis

Interventions

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Surgical collection of histology specimen

Collection of a histology specimen from the vocal cords and rear laryngeal commissure

Intervention Type PROCEDURE

Performance of immunohistochemical analysis

Immunohistochemical analysis - presence of pepsin, HPV 6 and 11, HSV 2 and chlamydia trachomasis

Intervention Type PROCEDURE

Eligibility Criteria

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Inclusion Criteria

* age 1-75 years
* cooperating patients with laryngeal papillomatosis
* patients tolerating impedance probe
* signed informed consent, consent with the examinations
* control group of patients with a cyst or vocal cord polyp (reflux finding score 0-2) and/or patients indicated to augmentation, medialization or lateralization of the vocal cords

Exclusion Criteria

* patients non-tolerating impedance catheter
* patients who do not understand Czech language
* patients who do not proclaim consent with enrolment into the study
* patients who do not proclaim consent with the planned examinations
* patients after surgical treatment of tumour of the swallowing or respiratory tract
Minimum Eligible Age

1 Year

Maximum Eligible Age

75 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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University Hospital Ostrava

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Martin Formanek, MD

Role: PRINCIPAL_INVESTIGATOR

University Hospital Ostrava

Locations

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University Hospital Ostrava

Ostrava-Poruba, Czech Republic, Czechia

Site Status

Countries

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Czechia

References

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Derkay CS, Wiatrak B. Recurrent respiratory papillomatosis: a review. Laryngoscope. 2008 Jul;118(7):1236-47. doi: 10.1097/MLG.0b013e31816a7135.

Reference Type BACKGROUND
PMID: 18496162 (View on PubMed)

Gallagher TQ, Derkay CS. Recurrent respiratory papillomatosis: update 2008. Curr Opin Otolaryngol Head Neck Surg. 2008 Dec;16(6):536-42. doi: 10.1097/MOO.0b013e328316930e.

Reference Type BACKGROUND
PMID: 19005325 (View on PubMed)

Gallagher TQ, Derkay CS. Pharmacotherapy of recurrent respiratory papillomatosis: an expert opinion. Expert Opin Pharmacother. 2009 Mar;10(4):645-55. doi: 10.1517/14656560902793530.

Reference Type BACKGROUND
PMID: 19284366 (View on PubMed)

Goon P, Sonnex C, Jani P, Stanley M, Sudhoff H. Recurrent respiratory papillomatosis: an overview of current thinking and treatment. Eur Arch Otorhinolaryngol. 2008 Feb;265(2):147-51. doi: 10.1007/s00405-007-0546-z. Epub 2007 Nov 29.

Reference Type BACKGROUND
PMID: 18046565 (View on PubMed)

Kashima HK, Shah F, Lyles A, Glackin R, Muhammad N, Turner L, Van Zandt S, Whitt S, Shah K. A comparison of risk factors in juvenile-onset and adult-onset recurrent respiratory papillomatosis. Laryngoscope. 1992 Jan;102(1):9-13. doi: 10.1288/00005537-199201000-00002.

Reference Type BACKGROUND
PMID: 1309932 (View on PubMed)

Maloney EM, Unger ER, Tucker RA, Swan D, Karem K, Todd NW, Reeves WC. Longitudinal measures of human papillomavirus 6 and 11 viral loads and antibody response in children with recurrent respiratory papillomatosis. Arch Otolaryngol Head Neck Surg. 2006 Jul;132(7):711-5. doi: 10.1001/archotol.132.7.711.

Reference Type BACKGROUND
PMID: 16847177 (View on PubMed)

Mammas IN, Sourvinos G, Spandidos DA. Human papilloma virus (HPV) infection in children and adolescents. Eur J Pediatr. 2009 Mar;168(3):267-73. doi: 10.1007/s00431-008-0882-z. Epub 2008 Dec 3.

Reference Type BACKGROUND
PMID: 19050916 (View on PubMed)

McKenna M, Brodsky L. Extraesophageal acid reflux and recurrent respiratory papilloma in children. Int J Pediatr Otorhinolaryngol. 2005 May;69(5):597-605. doi: 10.1016/j.ijporl.2004.11.021.

Reference Type BACKGROUND
PMID: 15850681 (View on PubMed)

Other Identifiers

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FNO-ENT-papilomatosis

Identifier Type: -

Identifier Source: org_study_id

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