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Rhinosinusitis disorders are almost regularly associated to Cystic Fibrosis (CF). The basic defect in CF is a dysfunction of chloride channels in exocrine glands which equally concerns upper airway mucosa. It leads to retention of secretions and consecutive chronic inflammation with bacterial superinfection.
In CF rhinosinusitis can restrict quality of life, give cause to repeated ear, nose, and throat (ENT) surgery and accelerate disease progression by bacterial acquisition into the airways.
The multicenter, randomized, double-blind, placebo-controlled, prospective clinical trial aims at the evaluation of a sino-nasal inhalation of sodium chloride 6% compared to isotonic saline with respect to ENT-related quality of life which is influenced by mucus retention and the resulting inflammation.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| sodium chloride 6% | Experimental | Cross-Over! "experimental" (days 1 - 28), then Wash-Out (28 days),then "placebo comparator" (days 57 - 85). |
|
| sodium chloride 0,9% | Placebo Comparator | Cross-Over! "placebo comparator" (days 1 - 28), then Wash-Out (28 days),then "experimental" (days 57 - 85). |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| sodium chloride 6% | Drug |
|
|
| Measure | Description | Time Frame |
|---|---|---|
| Changes in the Sino-nasal-outcome test SNOT-20 adapt CF | days 1, 29, 57 and 85 |
| Measure | Description | Time Frame |
|---|---|---|
| Changes in the nasal lavage fluid and in the serological markers of inflammation | days 1, 29, 57 and 85 |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Jochen Mainz, M.D. | University of Jena | Study Chair |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Zentrum für Kinder- und Jugendmedizin | Heidelberg | Baden Würtemberg | 69120 | Germany | ||
| Universitäts-Kinderklinik |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 19460681 | Background | Mainz JG, Koitschev A. Management of chronic rhinosinusitis in CF. J Cyst Fibros. 2009 Jun;8 Suppl 1:S10-4. doi: 10.1016/S1569-1993(09)60005-9. | |
| 19282318 | Background | Mainz JG, Naehrlich L, Schien M, Kading M, Schiller I, Mayr S, Schneider G, Wiedemann B, Wiehlmann L, Cramer N, Pfister W, Kahl BC, Beck JF, Tummler B. Concordant genotype of upper and lower airways P aeruginosa and S aureus isolates in cystic fibrosis. Thorax. 2009 Jun;64(6):535-40. doi: 10.1136/thx.2008.104711. Epub 2009 Mar 11. |
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| sodium chloride 0,9% | Drug |
|
|
| Tübingen |
| Baden-Wurttemberg |
| Germany |
| Medizinische Klinik Innenstadt | München | Bavaria | 80336 | Germany |
| Universitätsklinikum Würzburg | Würzburg | Bavaria | 97080 | Germany |
| Zentrum für Kinder- und Jugendmedizin | Greifswald | Brandenburg | 17487 | Germany |
| J.W. Goethe Universität - Abtl. Pneumologie | Frankfurt am Main | Hesse | 60590 | Germany |
| Klinik für Kinder- und Jugendmedizin | Münster | North Rhine-Westphalia | 48149 | Germany |
| Universitätsklinikum | Leipzig | Saxony | 04103 | Germany |
| Charité Universitätsmedizin Berlin | Berlin | State of Berlin | 13353 | Germany |
| Mukoviszidosezentrum der Friedrich-Schiller-Universität | Jena | Thuringia | Germany |
| CF-Zentrum | Hamburg | Germany |
| 24594542 | Background | Mainz JG, Schien C, Schiller I, Schadlich K, Koitschev A, Koitschev C, Riethmuller J, Graepler-Mainka U, Wiedemann B, Beck JF. Sinonasal inhalation of dornase alfa administered by vibrating aerosol to cystic fibrosis patients: a double-blind placebo-controlled cross-over trial. J Cyst Fibros. 2014 Jul;13(4):461-70. doi: 10.1016/j.jcf.2014.02.005. Epub 2014 Mar 1. |
| 24596456 | Background | Mainz JG, Schadlich K, Schien C, Michl R, Schelhorn-Neise P, Koitschev A, Koitschev C, Keller PM, Riethmuller J, Wiedemann B, Beck JF. Sinonasal inhalation of tobramycin vibrating aerosol in cystic fibrosis patients with upper airway Pseudomonas aeruginosa colonization: results of a randomized, double-blind, placebo-controlled pilot study. Drug Des Devel Ther. 2014 Feb 10;8:209-17. doi: 10.2147/DDDT.S54064. eCollection 2014. |
| 27267518 | Derived | Mainz JG, Schumacher U, Schadlich K, Hentschel J, Koitschev C, Koitschev A, Riethmuller J, Prenzel F, Sommerburg O, Wiedemann B, Staab D, Gleiber W, Fischer R, Beck JF, Arnold C; Cooperators. Sino nasal inhalation of isotonic versus hypertonic saline (6.0%) in CF patients with chronic rhinosinusitis - Results of a multicenter, prospective, randomized, double-blind, controlled trial. J Cyst Fibros. 2016 Nov;15(6):e57-e66. doi: 10.1016/j.jcf.2016.05.003. Epub 2016 Jun 5. |
| ID | Term |
|---|---|
| D003550 | Cystic Fibrosis |
| D000096825 | Rhinosinusitis |
| ID | Term |
|---|---|
| D010182 | Pancreatic Diseases |
| D004066 | Digestive System Diseases |
| D008171 | Lung Diseases |
| D012140 | Respiratory Tract Diseases |
| D030342 | Genetic Diseases, Inborn |
| D009358 | Congenital, Hereditary, and Neonatal Diseases and Abnormalities |
| D007232 | Infant, Newborn, Diseases |
| D012220 | Rhinitis |
| D012141 | Respiratory Tract Infections |
| D007239 | Infections |
| D012852 | Sinusitis |
| D010254 | Paranasal Sinus Diseases |
| D009668 | Nose Diseases |
| D010038 | Otorhinolaryngologic Diseases |
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