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Trial details imported from ClinicalTrials.gov
For full trial details, please see the original record at
https://clinicaltrials.gov/study/NCT02481817
Registration number
NCT02481817
Ethics application status
Date submitted
22/06/2015
Date registered
25/06/2015
Titles & IDs
Public title
Treatment Alternatives in iSGS (NoAAC PR-02 Study)
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Scientific title
Treatment Alternatives in Adult Rare Disease; Assessment of Options in Idiopathic Subglottic Stenosis North American Airway Collaborative PR-02 Study (NoAAC PR-02 Study)
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Secondary ID [1]
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150917
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Universal Trial Number (UTN)
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Trial acronym
NoAAC PR-02
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Idiopathic Subglottic Stenosis (iSGS)
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Condition category
Condition code
Other
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Research that is not of generic health relevance and not applicable to specific health categories listed above
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Intervention/exposure
Study type
Observational
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Patient registry
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Target follow-up duration
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Target follow-up type
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Description of intervention(s) / exposure
Treatment: Surgery - Endoscopic dilation of subglottic stenosis
Treatment: Surgery - Endoscopic resection of the stenosis
Treatment: Surgery - Tracheal Resection
iSGS patients - Participants will receive standard of care treatment at the respective center and will be followed longitudinally for symptom changes, need for further treatment, complications, and will have Patient-reported outcomes (PROs) administered at a priori determined intervals.
Treatment: Surgery: Endoscopic dilation of subglottic stenosis
This is accomplished with rigid instruments or inflatable balloons.
Treatment: Surgery: Endoscopic resection of the stenosis
This is accomplished with C02 lasers and paired with prolonged medical therapy after surgery.
Treatment: Surgery: Tracheal Resection
Resection of the affected tracheal segment with end-to-end anastomosis
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Intervention code [1]
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Treatment: Surgery
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Comparator / control treatment
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Control group
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Outcomes
Primary outcome [1]
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Treatment Effectiveness: Time to recurrent procedure
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Assessment method [1]
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Timepoint [1]
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3 years
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Primary outcome [2]
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Treatment Effectiveness: Need for tracheostomy
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Assessment method [2]
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Timepoint [2]
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3 years
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Secondary outcome [1]
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QOL
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Assessment method [1]
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Patient quality of life assessment: voice (VHI-10)
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Timepoint [1]
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3 years
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Secondary outcome [2]
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QOL
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Assessment method [2]
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Patient quality of life assessment: dysphagia (EAT-10)
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Timepoint [2]
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3 years
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Secondary outcome [3]
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QOL
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Assessment method [3]
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Patient quality of life assessment: breathing (COPD dyspnea)
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Timepoint [3]
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3 years
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Secondary outcome [4]
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QOL
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Assessment method [4]
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Patient quality of life assessment: general quality of life (SF-12)
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Timepoint [4]
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3 years
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Secondary outcome [5]
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Patient Reported Outcome
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Assessment method [5]
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Non-traditional PRO focused on social support
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Timepoint [5]
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3 years
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Secondary outcome [6]
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Patient Reported Outcome
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Assessment method [6]
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Non-traditional PRO focused on fear of disease recurrence
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Timepoint [6]
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3 years
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Secondary outcome [7]
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Patient Reported Outcome
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Assessment method [7]
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Non-traditional PRO focused on disease anxiety and burden
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Timepoint [7]
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3 years
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Secondary outcome [8]
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Patient Reported Outcome
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Assessment method [8]
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Non-traditional PRO focused on participatory decision-making style
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Timepoint [8]
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3 years
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Eligibility
Key inclusion criteria
* Greater than 18 years of age.
* The lesion must involve the subglottis.
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Minimum age
18
Years
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Maximum age
No limit
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Sex
Both males and females
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Can healthy volunteers participate?
No
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Key exclusion criteria
* Less than 18 years of age
* Patients without capacity to consent for themselves
* History of significant laryngotracheal traumatic injury.
* History of endotracheal intubation or tracheotomy within 2 years of presentation.
* Major anterior neck surgery.
* History of neck irradiation.
* History of caustic or thermal injuries to the laryngotracheal complex.
* History of a clinically diagnosed vasculitis or collage vascular disease.
* Positive antinuclear cytoplasmic antibody titers.
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Study design
Purpose
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Duration
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Selection
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Timing
Prospective
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Statistical methods / analysis
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Recruitment
Recruitment status
Completed
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Data analysis
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Reason for early stopping/withdrawal
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Other reasons
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Date of first participant enrolment
Anticipated
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Actual
28/08/2015
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Date of last participant enrolment
Anticipated
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Actual
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Date of last data collection
Anticipated
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Actual
10/09/2020
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Sample size
Target
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Accrual to date
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Final
1239
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Recruitment in Australia
Recruitment state(s)
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Recruitment hospital [1]
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University of Sydney - St Leonards
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Recruitment postcode(s) [1]
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- St Leonards
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Recruitment outside Australia
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Alabama
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Funding & Sponsors
Primary sponsor type
Other
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Name
Vanderbilt University Medical Center
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Address
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Patient-Centered Outcomes Research Institute
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The Cleveland Clinic
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University of Utah
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Johns Hopkins University
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Vanderbilt University
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University of Virginia
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Massachusetts Eye and Ear Infirmary
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Oregon Health and Science University
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University of Washington
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University of California, San Francisco
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University of California, Los Angeles
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University of California, San Diego
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University of Colorado, Denver
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Baylor College of Medicine
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Louisiana State University Health Sciences Center in New Orleans
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Charing Cross Hospital
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University of Alabama at Birmingham
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University of Wisconsin, Madison
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University of Michigan
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University of Nebraska
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University of Iowa
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University of Texas
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Duke University
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University of North Carolina
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Augusta University
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University of Sydney
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North American Airway Collaborative
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University of California, Irvine
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University of Pittsburgh
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Loma Linda University
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Stanford University
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University of Cincinnati
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Emory University
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Ohio State University
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University of Southern California
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Temple University
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Medical College of Wisconsin
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Landspitali University Hospital
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Bastian Voice Institute
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NYU Langone Health
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Mayo Clinic
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University of Miami
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University of Rochester
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Ethics approval
Ethics application status
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Summary
Brief summary
The study is aimed at answering the questions; (1) How well do the most commonly used treatments in iSGS work? and (2) What quality-of-life trade-offs are associated with each approach? With the results of this trial, the investigators hope to provide information to iSGS patients: (1) Given my personal characteristics, conditions, and preferences, what should I expect will happen to me? and (2) What are my options, and what are the potential benefits and harms of these options?
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Trial website
https://clinicaltrials.gov/study/NCT02481817
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Trial related presentations / publications
Gelbard A, Shyr Y, Berry L, Hillel AT, Ekbom DC, Edell ES, Kasperbauer JL, Lott DG, Donovan DT, Garrett CG, Sandhu G, Daniero JJ, Netterville JL, Schindler JS, Smith ME, Bryson PC, Lorenz RR, Francis DO. Treatment options in idiopathic subglottic stenosis: protocol for a prospective international multicentre pragmatic trial. BMJ Open. 2018 Apr 10;8(4):e022243. doi: 10.1136/bmjopen-2018-022243.
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Public notes
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Contacts
Principal investigator
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Alexander Gelbard, MD
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Vanderbilt University Medical Center
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Contact person for scientific queries
Data sharing statement
Will individual participant data (IPD) for this trial be available (including data dictionaries)?
Undecided
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No/undecided IPD sharing reason/comment
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What supporting documents are/will be available?
No Supporting Document Provided
Type
Other Details
Attachment
Study protocol
Study Protocol and Statistical Analysis Plan
https://cdn.clinicaltrials.gov/large-docs/17/NCT02481817/Prot_SAP_000.pdf
Statistical analysis plan
Study Protocol and Statistical Analysis Plan
https://cdn.clinicaltrials.gov/large-docs/17/NCT02481817/Prot_SAP_000.pdf
Results publications and other study-related documents
No documents have been uploaded by study researchers.
Results not provided in
https://clinicaltrials.gov/study/NCT02481817