Phonosurgical Augmentation After Laser Resection of Early Glottic Carcinoma

NCT ID: NCT04525066

Last Updated: 2020-08-25

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

39 participants

Study Classification

INTERVENTIONAL

Study Start Date

2013-08-13

Study Completion Date

2018-08-13

Brief Summary

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Objectives: Transoral Laser Microsurgery (TLM) is widely used in for treating T1/T2 glottic cancers. Hyaluronic acid (HA) is a safe and commonly-used injectable in vocal cord augmentation. We report on the results of our single-blinded, randomized-controlled trial (RCT) investigating the impact of intra-operative HA injection on voice outcomes in early glottic cancer.

Methods: Patients with T1/T2 glottic cancers were randomized to the treatment group (n=14) receiving HA injection to the unaffected cord during TLM; or the control group, receiving no injection (n=16). All patients had a Voice Handicap Index-10 (VHI-10) questionnaire and a Maximum Phonation Time (MPT) measurement preoperatively and at 3, 12 and 24 months post-operatively. Mean change in VHI-10 and MPT, between pre-operative and post-operative time points, and between the time points, were compared. Survival estimates were also calculated.

Detailed Description

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Conditions

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Head and Neck Neoplasms Head and Neck Squamous Cell Carcinoma Voice Disorders Laryngeal Cancer

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

SINGLE

Participants

Study Groups

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Treatment Group - Receiving Hyaluronic Acid Injection

Randomized group of patients receiving hyaluronic acid injection into the glottis during transoral laser microsurgery for early glottic cancer.

Group Type EXPERIMENTAL

Hyaluronic acid

Intervention Type DRUG

Patients in the treatment group received hyaluronic acid injection into the unaffected vocal cord intra-operatively during transoral laser microsurgery for early glottic cancer.

Control Group - Not Receiving Hyaluronic Acid Injection

Randomized group of patients not receiving hyaluronic acid injection into the glottis during transoral laser microsurgery for early glottic cancer.

Group Type PLACEBO_COMPARATOR

No Hyaluronic Acid Injection Injection

Intervention Type OTHER

Patients in the placebo group did not receive hyaluronic acid injection into the unaffected vocal cord intra-operatively during transoral laser microsurgery for early glottic cancer.

Interventions

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Hyaluronic acid

Patients in the treatment group received hyaluronic acid injection into the unaffected vocal cord intra-operatively during transoral laser microsurgery for early glottic cancer.

Intervention Type DRUG

No Hyaluronic Acid Injection Injection

Patients in the placebo group did not receive hyaluronic acid injection into the unaffected vocal cord intra-operatively during transoral laser microsurgery for early glottic cancer.

Intervention Type OTHER

Other Intervention Names

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Hyaluronic Acid Laryngoplasty

Eligibility Criteria

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Inclusion Criteria

* Males and females
* 18 years of age or older with a biopsy-proven T1a, T1b or T2 glottic SCC
* Lesion amenable to CO2 TLM resection.

Exclusion Criteria

* Previous radiotherapy to the head and neck.
* Palpable, or radiographic, pathological lymphadenopathy.
* Allergy, or sensitivity, to HA or components of the injectable.
* Neurological disorder affecting phonation, such as multiple sclerosis or stroke.
Minimum Eligible Age

18 Years

Maximum Eligible Age

100 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Nova Scotia Health Authority

OTHER

Sponsor Role collaborator

Ayhman Al Afif

OTHER

Sponsor Role lead

Responsible Party

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Ayhman Al Afif

Principal Investigator

Responsibility Role SPONSOR_INVESTIGATOR

Other Identifiers

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1020322

Identifier Type: -

Identifier Source: org_study_id

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