Sinusitis Clinical Trial
Official title:
Prednisone in Chronic Rhinosinusitis Without Nasal Polyps. A Double-blind, Randomized, Placebo-controlled Trial
The purpose of this study is to determine whether prednisone is effective in the treatment of chronic rhinosinusitis without nasal polyps in adult patients.
General Objective:
1. Compare clinical improvement in adult patients with chronic rhinosinusitis without nasal
polyps (CRSsNP) through application of SNOT 22 questionnaire and visual analogue scale of
symptoms, sniff test, acoustic rhinometry and rhinomanometry and nasal endoscopy using
Lund-Kennedy score, after 6 months of follow-up after treatment prednisone or placebo plus
standard medical treatment for 21 days.
Specific Objectives:
1. Compare decreased in SNOT-22 questionnaire score and visual analog scale of symptoms
after treatment with prednisone or placebo.
2. Compare decreased in nasal endoscopy findings, through application of Lund-Kennedy
score, after treatment with prednisone or placebo.
3. Compare improvements in smell after treatment with prednisone or placebo.
4. Determine whether there are differences in nasal permeability measured by
rhinomanometry and acoustic rhinometry after treatment with prednisone or placebo.
5. Determine whether there is a difference in the SNOT 22 questionnaire score, visual
analogue scale of symptoms, score of smell and Lund-Kennedy score between CRSsNP
patients and eosinophilia, and CRSsNP patients with normal eosinophils, receiving
prednisone or placebo .
6. Determine if there is a difference in the SNOT 22 questionnaire score, visual analogue
scale of symptoms, score of smell and Lund-Kennedy score between CRSsNP patients with
elevated total immunoglobulin E and CRSsNP patients with normal total immunoglobulin E,
receiving treatment with prednisone or placebo.
;
Allocation: Randomized, Endpoint Classification: Efficacy Study, Intervention Model: Parallel Assignment, Masking: Double Blind (Subject, Caregiver, Investigator), Primary Purpose: Treatment
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