UMIN-ICDS Clinical Trial

Unique ID issued by UMIN UMIN000055047
Receipt number R000062731
Scientific Title Evaluation of the Efficacy of Topical Steroid Spray Therapy in Recurrent Chronic Rhinosinusitis
Date of disclosure of the study information 2024/07/24
Last modified on 2024/07/23 10:01:56

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Basic information

Public title

Evaluation of the Efficacy of Topical Steroid Spray Therapy in Recurrent Chronic Rhinosinusitis

Acronym

Efficacy of Topical Steroid Spray in Recurrent Chronic Rhinosinusitis

Scientific Title

Evaluation of the Efficacy of Topical Steroid Spray Therapy in Recurrent Chronic Rhinosinusitis

Scientific Title:Acronym

Efficacy of Topical Steroid Spray in Recurrent Chronic Rhinosinusitis

Region

Japan


Condition

Condition

Chronic rhinosinusitis with nasal polyps

Classification by specialty

Oto-rhino-laryngology

Classification by malignancy

Others

Genomic information

NO


Objectives

Narrative objectives1

The objective of this study is to compare the steroids spraying technique using a flexible endoscope through a scope channel and using an otolaryngologic catheter under rigid endoscopy for recurrent cases after endoscopic sinus surgery in patients with chronic rhinosinusitis with nasal polyps, including eosinophilic chronic rhinosinusitis.

Basic objectives2

Safety,Efficacy

Basic objectives -Others


Trial characteristics_1


Trial characteristics_2


Developmental phase



Assessment

Primary outcomes

Changes in edematous lesions of the sinonasal mucosa according to endoscopic findings before the treatment and one month after the treatment in the spraying of steroids through an otolaryngological catheter under the observation of a rigid endoscope or through a scope channel using a flexible endoscope.

Key secondary outcomes

Changes in CT findings before and one month after treatment
Availability of steroid sprays and difficulty of accessing the spray catheter to the treatment area
Changes in scores and percentages on the symptom questionnaire and the patient tolerance questionnaire


Base

Study type

Interventional


Study design

Basic design

Parallel

Randomization

Randomized

Randomization unit

Individual

Blinding

Open -no one is blinded

Control

Active

Stratification


Dynamic allocation


Institution consideration


Blocking


Concealment



Intervention

No. of arms

2

Purpose of intervention

Treatment

Type of intervention

Device,equipment

Interventions/Control_1

In drug spraying using a flexible endoscope through a treatment channel group, the doctor inserts the flexible endoscope with a treatment channel into the sinus cavity to be treated, confirms the treatment site, inserts the spraying catheter into the flexible endoscope's treatment channel, and sprays the drug with a syringe attached to the spraying catheter.

Interventions/Control_2

In drug spraying using a rigid endoscope through an otorhinolaryngologic catheter group, the doctor inserts the rigid endoscope into the sinus cavity to be treated, confirms the treatment site, inserts the spraying catheter into the otorhinolaryngologic catheter, and sprays the drug with a syringe attached to the spraying catheter.

Interventions/Control_3


Interventions/Control_4


Interventions/Control_5


Interventions/Control_6


Interventions/Control_7


Interventions/Control_8


Interventions/Control_9


Interventions/Control_10



Eligibility

Age-lower limit

18 years-old <=

Age-upper limit


Not applicable

Gender

Male and Female

Key inclusion criteria

Patients over 18 years of age.
Patients diagnosed with chronic rhinosinusitis with nasal polyp.
Patients with a history of endoscopic sinus surgery and postoperative recurrence despite saline lavage of the sinuses and continuous nasal steroid spray treatment.
Patients who have received a thorough explanation of their participation in this study and have given written consent of their own free will based on a thorough understanding.

Key exclusion criteria

Patients with allergy or intolerance to steroids.
Patients with comorbid conditions require chemotherapy, immunotherapy, or oral steroids.
Patients with clinical evidence of acute bacterial sinusitis, invasive fungal sinusitis, or diabetes mellitus.
Patients with a history or diagnosis of glaucoma, ocular hypertension, or cataracts.
Other patients were deemed inappropriate by the physician.

Target sample size

84


Research contact person

Name of lead principal investigator

1st name Shinichi
Middle name
Last name Haruna

Organization

Dokkyo Medical University Hospital

Division name

Otorhinolaryngology and Head & Neck Surgery

Zip code

321-0293

Address

880 Kitakobayashi, Mibu, Shimotsuga, Tochigi, Japan

TEL

0282-87-2164

Email

haruna@dokkyomed.ac.jp


Public contact

Name of contact person

1st name Tsuguhisa
Middle name
Last name Nakayama

Organization

Dokkyo Medical University Hospital

Division name

Otorhinolaryngology and Head & Neck Surgery

Zip code

321-0293

Address

880 Kitakobayashi, Mibu, Shimotsuga, Tochigi, Japan

TEL

0287-87-2164

Homepage URL


Email

t-nakayama855@dokkyomed.ac.jp


Sponsor or person

Institute

Dokkyo Medical University

Institute

Department

Personal name



Funding Source

Organization

None

Organization

Division

Category of Funding Organization

Self funding

Nationality of Funding Organization



Other related organizations

Co-sponsor

KEIHOKAI, Medical Corporation, MATSUWAKI CLINIC Shinagawa
OLYMPUS MEDICAL SYSTEMS CORPORATION

Name of secondary funder(s)



IRB Contact (For public release)

Organization

Clinical Research Review Board, Dokkyo Medical Universith Hospital

Address

880 Kitakobayashi, Mibu, Shimotsuga, Tochigi, Japan

Tel

0282-87-2275

Email

r-kenkyu@dokkyomed.ac.jp


Secondary IDs

Secondary IDs

NO

Study ID_1


Org. issuing International ID_1


Study ID_2


Org. issuing International ID_2


IND to MHLW



Institutions

Institutions



Other administrative information

Date of disclosure of the study information

2024 Year 07 Month 24 Day


Related information

URL releasing protocol


Publication of results

Unpublished


Result

URL related to results and publications


Number of participants that the trial has enrolled


Results


Results date posted


Results Delayed


Results Delay Reason


Date of the first journal publication of results


Baseline Characteristics


Participant flow


Adverse events


Outcome measures


Plan to share IPD


IPD sharing Plan description



Progress

Recruitment status

Preinitiation

Date of protocol fixation

2024 Year 07 Month 24 Day

Date of IRB


Anticipated trial start date

2024 Year 08 Month 01 Day

Last follow-up date

2026 Year 06 Month 30 Day

Date of closure to data entry


Date trial data considered complete


Date analysis concluded



Other

Other related information



Management information

Registered date

2024 Year 07 Month 23 Day

Last modified on

2024 Year 07 Month 23 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/icdr_e/ctr_view.cgi?recptno=R000062731


Research Plan
Registered date File name

Research case data specifications
Registered date File name

Research case data
Registered date File name