The Efficacy Of Rhinophototherapy Compared To Intranasal Corticosteroids On The Nasal Mucosa

NCT ID: NCT05919316

Last Updated: 2024-03-21

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

RECRUITING

Clinical Phase

NA

Total Enrollment

40 participants

Study Classification

INTERVENTIONAL

Study Start Date

2023-07-04

Study Completion Date

2024-04-30

Brief Summary

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The aim of this study to compare the efficacy of Rhinophototherapy to Intranasal Corticosteroids on the the nasal mucosa of allergic rhinitis patients. The main question to answer is: Does intranasal phototherapy reduce inflammation in the tissue biopsy of the inferior turbinate mucosa compared to intranasal steroids?

The hypothesis for this study is Intranasal phototherapy will reduce mucosal inflammation without mucosal damage and is comparable to intranasal steroids in allergic rhinitis patients

Detailed Description

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There are several specific objectives for this study:

1. To subjectively and objectively compare the efficacy of intranasal phototherapy and intranasal corticosteroids in treating allergic rhinitis via assessment of rhinomanometry, peak nasal inspiratory flow (PNIF) and visual analogue scale(VAS) score.
2. To determine mucosal inflammatory cells changes (eosinophils, neutrophils, mast cells) between patients treated with intranasal rhinophototherapy and intranasal corticosteroids.
3. To determine mucosal damage (fibrosis, mucosal ulceration , squamous metaplasia) between patients treated with intranasal rhinophototherapy and intranasal corticosteroids.

Patients who meet the criteria to join the study will be randomized in a single-blinded manner(investigator). Patients will be given information about the study and consent form, patients will be randomized to 2 treatment group (rhinophototherapy and Nasonex nasal spray). Patients will be evaluated before and after treatment in two weeks time.

Conditions

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Allergic Rhinitis

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

SINGLE

Investigators

Study Groups

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Rhinophototherapy

Intranasal Rhinophototherapy is an electronic allergic rhinitis treatment device (brand Bionette) also a medical device that producing low level narrow band red light at a wavelength of 630nm. It is a Class B medical device (registration of Malaysia number GB67793908818). It is powered by two alkaline button batteries with a dimension of 52mm x 40mm and weighing less than 20g . Light is produced via nasal prongs which are to be inserted into both nostrils. Plastic nasal cannula are available and can be replaced to ensure sterility and prevent transmission of infection.

Group Type EXPERIMENTAL

Rhinophototherapy

Intervention Type DEVICE

Intranasal rhinophotometer to be used at home for 4.5 minutes three times daily for 14 days

Intranasal Corticosteroids

Mometasone furoate will be available in the form of Nasonex Nasal Spray. It has a dose of 50 mcg/dose mometasone furoate per spray, registration no: MAL20001010AZ, distributed by: Merck Sharp \& Dohme (Malaysia) Sdn. Bhd.

Group Type ACTIVE_COMPARATOR

Nasonex Nasal Spray

Intervention Type DRUG

50mcg/dose, 2 sprays each nostril (morning or evening) once daily for 14 days

Interventions

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Rhinophototherapy

Intranasal rhinophotometer to be used at home for 4.5 minutes three times daily for 14 days

Intervention Type DEVICE

Nasonex Nasal Spray

50mcg/dose, 2 sprays each nostril (morning or evening) once daily for 14 days

Intervention Type DRUG

Other Intervention Names

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Intranasal rhinophototherapy Bionette Mometasone furoate nasal spray

Eligibility Criteria

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Inclusion Criteria

* Adult patients 18 years and above
* Newly diagnosed allergic rhinitis
* Allergic rhinitis is confirmed via positive skin prick test or serum Immunoglobulin E

Exclusion Criteria

* Anaphylaxis /poorly controlled bronchial asthma
* Refused nasal biopsy
* Usage of intranasal corticosteroids and/or antihistamine sprays for the past 1 month
* Consumption of oral leukotriene receptor antagonist or oral steroids for the past 1 month
* Concomitant nasal pathology (malignancy, chronic rhinosinusitis with nasal polyposis, severe deviated nasal septum)
* Bleeding disorder or on anticoagulant/antiplatelet therapy
* Recent URTI/Covid-19 within past 14 days
* Pregnancy
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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National University of Malaysia

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Hardip Singh Gendeh

Role: PRINCIPAL_INVESTIGATOR

Otorhinolaryngology Department, Head and Neck Surgery, Faculty of Medicine, UKM Medical Centre

Locations

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Otorhinolaryngology Department, Head and Neck Surgery, Faculty of Medicine, UKM Medical Centre, Jalan Yaacob Latif, Bandar Tun Razak, Cheras

Kuala Lumpur, Cheras, Malaysia

Site Status RECRUITING

Countries

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Malaysia

Central Contacts

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Hardip Singh Gendeh

Role: CONTACT

0391456576

Facility Contacts

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Hardip Singh Gendeh

Role: primary

0391456576

Other Identifiers

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GGPM-2022-028

Identifier Type: -

Identifier Source: org_study_id

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