The Role of Budesonide Intrapolyp Injection in the Management of Type 2 Chronic Rhinosinusitis

NCT ID: NCT05931744

Last Updated: 2023-07-05

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/PHASE3

Total Enrollment

120 participants

Study Classification

INTERVENTIONAL

Study Start Date

2021-05-01

Study Completion Date

2023-02-01

Brief Summary

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To investigate the usage of budesonide as an agent in the injection of Type 2 chronic rhinosinusitis with nasal polyps

Detailed Description

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this is a randomized controlled clinical trial where 3 groups with nasal polyps will be treated medically, Group A with oral corticosteroids, Group B with budesonide intrapolyp injection, Group C with placebo saline intrapolyp injection

Conditions

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Chronic Rhinosinusitis With Nasal Polyps

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

QUADRUPLE

Participants Caregivers Investigators Outcome Assessors

Study Groups

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Oral steroid

patients given prednisone 1 mg/kg for 3 days then tapered by 5mg daily for two weeks

Group Type ACTIVE_COMPARATOR

Prednisone

Intervention Type DRUG

patients given oral prednisone 1 mg/ kg with max. dose 70 mg/d divided into two doses for 3 days then tapered gradually for two weeks

Budesonide Intrapolyp injection

patients given budesonide 0.5 mg/2ml intrapolyp injection once weekly for 5 consecutive weeks

Group Type EXPERIMENTAL

Budesonide

Intervention Type DRUG

after application of topical vasoconstrictor packs into both nasal cavities, using 1 cc 28 gauge needle sterile syringe, one pack of budesonide ampule 0.5 mg/2ml was injected into visible polyps on both cavities 1 ml in each cavity weekly for 5 consecutive weeks

Saline intrapolyp injection

patients given 2ml normal saline intrapolyp injection once weekly for 5 consecutive weeks

Group Type PLACEBO_COMPARATOR

Saline

Intervention Type DRUG

saline intrapolyp injection

Interventions

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Budesonide

after application of topical vasoconstrictor packs into both nasal cavities, using 1 cc 28 gauge needle sterile syringe, one pack of budesonide ampule 0.5 mg/2ml was injected into visible polyps on both cavities 1 ml in each cavity weekly for 5 consecutive weeks

Intervention Type DRUG

Prednisone

patients given oral prednisone 1 mg/ kg with max. dose 70 mg/d divided into two doses for 3 days then tapered gradually for two weeks

Intervention Type DRUG

Saline

saline intrapolyp injection

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* All patients with type 2 CRSwNP -
* elevated serum IgE \& high absolute eosinophilia
* with any grade of nasal polyps
* ages between 18 and 60 years old
* patients who didn't have any contraindications of systemic steroids

Exclusion Criteria

* All patients with previous nasal surgeries
* All patients with cystic fibrosis, ciliary dyskinesia, antrochoanal polyp, fungal sinusitis, unilateral nasal polyps, nasal tumors,
* patients who took systemic steroids in the last 6 months before our study
* patients with any previous nasal surgery
Minimum Eligible Age

18 Years

Maximum Eligible Age

60 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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Kafrelsheikh University

OTHER

Sponsor Role lead

Responsible Party

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Ibrahim M. Gehad

Principal Investigator

Responsibility Role PRINCIPAL_INVESTIGATOR

Locations

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Kafrelsheikh University hospital

Kafrelsheikh, Kafrelsheikh, Egypt

Site Status

Countries

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Egypt

Other Identifiers

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MKSU 50-7-8

Identifier Type: -

Identifier Source: org_study_id

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