Reversal of Botulinum Neurotoxin Injection Related Dysphonia With Pyridostigmine

NCT ID: NCT05110417

Last Updated: 2022-07-27

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

UNKNOWN

Clinical Phase

PHASE4

Total Enrollment

10 participants

Study Classification

INTERVENTIONAL

Study Start Date

2021-05-20

Study Completion Date

2023-06-01

Brief Summary

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The purpose of this study is to evaluate the effects of pyridostigmine (Mestinon) on patient vocal outcomes after undergoing laryngeal botulinum neurotoxin (BoNT) injections, which is a standard treatment for spasmodic dysphonia. Pyridostigmine (Mestinon) has been used for treatment of BoNT overdose, and it is our hope that it will be beneficial in the management of post BoNT breathy phase.

Detailed Description

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The study will enroll 10 subjects and will involve 1 clinic visit with two sessions over 2 hours.

Participants' voices will then be analyzed via sentence/passage reading, sustained vowel holding, maximum phonation time, as well as subjective ratings of effort. During the second clinic visit, participants will then be administered one 60mg tablet of pyridostigmine (Mestinon) orally, and asked to return to the clinic in 2 hours, when Mestinon has reached peak plasma concentration. Upon returning, participants will repeat the vocal analysis and results will be evaluated for any change in outcome.

Patients who are pregnant, lactating, or have kidney or heart disease should not participate.

Conditions

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Dysphonia, Spastic Dysphonia Laryngeal Dystonia

Study Design

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Allocation Method

NA

Intervention Model

SINGLE_GROUP

This is a pilot study so all 10 participants will be assigned to the pyridostigmine (Mestinon) treatment arm.
Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Pyridostigmine (Mestinon)

Pyridostigmine (Mestinon) will be assigned to patients in this arm.

Group Type EXPERIMENTAL

Pyridostigmine Bromide 60 Milligrams (mg)

Intervention Type DRUG

One tablet will be provided to patients during the second visit.

Interventions

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Pyridostigmine Bromide 60 Milligrams (mg)

One tablet will be provided to patients during the second visit.

Intervention Type DRUG

Other Intervention Names

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Amneal Pharmaceuticals Pvt. Ltd. Serial Number: 1000462308

Eligibility Criteria

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Inclusion Criteria

* Males and Females Aged 21-100
* Scheduled for Botulinum Neurotoxin (BoNT) Treatment for Spasmodic Dysphonia (SD)

Exclusion Criteria

* Subjects who are Pregnant or Lactating
* Subjects with Compromised Renal or Cardiac Function
* Subjects with Spasmodic Dysphonia with Superimposed Vocal Tremor
Minimum Eligible Age

21 Years

Maximum Eligible Age

100 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Eastern Virginia Medical School

OTHER

Sponsor Role lead

Responsible Party

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Benjamin J Rubinstein

Assistant Professor

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Benjamin Rubinstein, MD

Role: PRINCIPAL_INVESTIGATOR

Eastern Virginia Medical School Department of Otolaryngology - Head and Neck Surgery

Locations

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Eastern Virginia Medical School Ear, Nose, and Throat Surgeons

Norfolk, Virginia, United States

Site Status RECRUITING

Countries

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United States

Central Contacts

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Addy Tham, MS

Role: CONTACT

757.388.6264

Laura Stone, RN

Role: CONTACT

757.388.6238

Facility Contacts

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Addy Tham, MS

Role: primary

757-388-6264

Laura Stone, RN

Role: backup

757.388.6238

Other Identifiers

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V4.0 28July2021

Identifier Type: -

Identifier Source: org_study_id

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