Trial Outcomes & Findings for Spasmodic Dysphonia Pain (NCT NCT04648891)

NCT ID: NCT04648891

Last Updated: 2024-05-23

Results Overview

Measured on a Visual Analogue Scale where 0 = no pain and 10 = worst pain

Recruitment status

COMPLETED

Study phase

PHASE2/PHASE3

Target enrollment

32 participants

Primary outcome timeframe

6 months

Results posted on

2024-05-23

Participant Flow

Total of 32 participants were enrolled to receive all interventions; however, the order the intervention that was received was randomized. All subjects completed all study visits/interventions.

Participant milestones

Participant milestones
Measure
Control, Then Lidocaine, Then Vibrating Wand
At the first injection subjects received standard of care laryngeal injection of Botox via a transcricothyroid approach without additional anesthesia. At the second injection subjects received standard of care laryngeal injection of Botox via a transcricothyroid approach following subcutaneous injection of lidocaine (approximately 2 minutes before Botox injection). At the third injection Patients will receive standard of care laryngeal injection of Botox via a transcricothyroid approach while using the vibrating wand. Lidocaine: Subcutaneous injection 0.5cc 2% in 1:100,000 epinephrine Vibrating wand: a vibrating instrument held adjacent to the cricothyroid space
Control, Then Vibrating Wand, Then Lidocaine
At the first injection subjects received standard of care laryngeal injection of Botox via a transcricothyroid approach without additional anesthesia. At the second injection subjects received standard of care laryngeal injection of Botox via a transcricothyroid approach while using the vibrating wand. At the third injection subjects received standard of care laryngeal injection of Botox via a transcricothyroid approach following subcutaneous injection of lidocaine (approximately 2 minutes before Botox injection). Vibrating wand: a vibrating instrument held adjacent to the cricothyroid space Lidocaine: Subcutaneous injection 0.5cc 2% in 1:100,000 epinephrine
Lidocaine, Then Vibrating Wand, Then Control
At the first injection subjects received standard of care laryngeal injection of Botox via a transcricothyroid approach following subcutaneous injection of lidocaine (approximately 2 minutes before Botox injection). At the second injection subjects received standard of care laryngeal injection of Botox via a transcricothyroid approach while using the vibrating wand. At the third injection subjects received standard of care laryngeal injection of Botox via a transcricothyroid approach without additional anesthesia. Lidocaine: Subcutaneous injection 0.5cc 2% in 1:100,000 epinephrine Vibrating wand: a vibrating instrument held adjacent to the cricothyroid space
Lidocaine, Then Control, Then Vibrating Wand
At the first injection subjects received standard of care laryngeal injection of Botox via a transcricothyroid approach following subcutaneous injection of lidocaine (approximately 2 minutes before Botox injection). At the second injection subjects received standard of care laryngeal injection of Botox via a transcricothyroid approach without additional anesthesia. At the third injections subjects received standard of care laryngeal injection of Botox via a transcricothyroid approach while using the vibrating wand. Lidocaine: Subcutaneous injection 0.5cc 2% in 1:100,000 epinephrine Vibrating wand: a vibrating instrument held adjacent to the cricothyroid space
Vibrating Wand, Then Control, Then Lidocaine
At the first injection subjects received standard of care laryngeal injection of Botox via a transcricothyroid approach while using the vibrating wand. At the second injection subjects received standard of care laryngeal injection of Botox via a transcricothyroid approach without additional anesthesia. At the third injection subjects received standard of care laryngeal injection of Botox via a transcricothyroid approach following subcutaneous injection of lidocaine (approximately 2 minutes before Botox injection). Vibrating wand: a vibrating instrument held adjacent to the cricothyroid space Lidocaine: Subcutaneous injection 0.5cc 2% in 1:100,000 epinephrine
Vibrating Wand, Then Lidocaine, Then Control
At the first injection subjects received standard of care laryngeal injection of Botox via a transcricothyroid approach while using the vibrating wand. At the second injection subjects received standard of care laryngeal injection of Botox via a transcricothyroid approach following subcutaneous injection of lidocaine (approximately 2 minutes before Botox injection). At the third injection subjects received standard of care laryngeal injection of Botox via a transcricothyroid approach without additional anesthesia. Vibrating wand: a vibrating instrument held adjacent to the cricothyroid space Lidocaine: Subcutaneous injection 0.5cc 2% in 1:100,000 epinephrine
First Experimental Visit
STARTED
5
8
6
5
2
6
First Experimental Visit
COMPLETED
5
8
6
5
2
6
First Experimental Visit
NOT COMPLETED
0
0
0
0
0
0
Second Experimental Visit
STARTED
5
8
6
5
2
6
Second Experimental Visit
COMPLETED
5
8
6
5
2
6
Second Experimental Visit
NOT COMPLETED
0
0
0
0
0
0
Third Experimental Visit
STARTED
5
8
6
5
2
6
Third Experimental Visit
COMPLETED
5
8
6
5
2
6
Third Experimental Visit
NOT COMPLETED
0
0
0
0
0
0

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Race and Ethnicity were not collected from any participant.

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Laryngeal Injection of Botox Via a Transcricothyroid Approach
n=32 Participants
Subjects were randomized at screening to either receive nothing (control), Lidocaine injection prior to their Botox injection or Vibrating Wand held to their skin during the botox injection. Subjects attended three visits of the experiment on three separate days. For the three visits, the subjects received either nothing (control), Lidocaine injection prior to their Botox injection or Vibrating Wand held to their skin during the botox injection, (the order was randomized) Lidocaine: Subcutaneous injection 0.5cc 2% in 1:100,000 epinephrine Vibrating wand: a vibrating instrument held adjacent to the cricothyroid space
Age, Continuous
68 years
n=32 Participants
Sex: Female, Male
Female
24 Participants
n=32 Participants
Sex: Female, Male
Male
8 Participants
n=32 Participants
Region of Enrollment
United States
32 participants
n=32 Participants

PRIMARY outcome

Timeframe: 6 months

Measured on a Visual Analogue Scale where 0 = no pain and 10 = worst pain

Outcome measures

Outcome measures
Measure
Laryngeal Injection of Botox Via a Transcricothyroid Approach
n=32 Participants
Subjects were randomized at screening to either receive nothing (control), Lidocaine injection prior to their Botox injection or Vibrating Wand held to their skin during the botox injection. Subjects attended three visits of the experiment on three separate days. For the three visits, the subjects received either nothing (control), Lidocaine injection prior to their Botox injection or Vibrating Wand held to their skin during the botox injection, (the order was randomized) Lidocaine: Subcutaneous injection 0.5cc 2% in 1:100,000 epinephrine Vibrating wand: a vibrating instrument held adjacent to the cricothyroid space
Pain Experienced
Control
2 score on a scale
Interval 1.0 to 3.0
Pain Experienced
Lidocaine
2 score on a scale
Interval 1.0 to 3.5
Pain Experienced
Vibrating Wand
2 score on a scale
Interval 1.0 to 3.0

SECONDARY outcome

Timeframe: 6 months

Subjects were asked which technique (Control, Lidocaine or Vibrating wand) they preferred the most

Outcome measures

Outcome measures
Measure
Laryngeal Injection of Botox Via a Transcricothyroid Approach
n=32 Participants
Subjects were randomized at screening to either receive nothing (control), Lidocaine injection prior to their Botox injection or Vibrating Wand held to their skin during the botox injection. Subjects attended three visits of the experiment on three separate days. For the three visits, the subjects received either nothing (control), Lidocaine injection prior to their Botox injection or Vibrating Wand held to their skin during the botox injection, (the order was randomized) Lidocaine: Subcutaneous injection 0.5cc 2% in 1:100,000 epinephrine Vibrating wand: a vibrating instrument held adjacent to the cricothyroid space
Subject Preference
Control
6 Participants
Subject Preference
Lidocaine
12 Participants
Subject Preference
Vibrating Wand
14 Participants

Adverse Events

Control

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Lidocaine

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Vibrating Wand

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Adverse event data not reported

Additional Information

David G. Lott, M.D.

Mayo Clinic

Phone: 480-342-2983

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place