Sialorrhea Clinical Trial
Official title:
Ipratropium Bromide Spray as Treatment for Sialorrhea in Children: a Randomized, Double-blind, Placebo-controlled Crossover Study
Double-blind, clinical trial investigating the effects of ipratropium spray versus placebo spray in children with sialorrhea
Excess drooling, or sialorrhea, is a chronic problem seen in pediatric patients with
oral-motor dysfunction or neurodevelopmental abnormalities. Despite significant social and
physical detriment from sialorrhea, an effective and safe treatment remains elusive.
The investigator's objective is to study the effect of sublingual ipratropium (an
anticholinergic aerosol spray) on sialorrhea in the pediatric population
Method: A double-blind, randomized, placebo-controlled cross-over trial of sublingual
ipratropium bromide application in pediatric patients with inappropriate drooling. Patients
are recruited from the sialorrhea clinic and informed consent is obtained. Patients are
randomized to receive ipratropium bromide, 1- 2 metered doses (sprays) of active drug (21
micrograms per metered dose) or matching placebo, every 6 hours up to a maximum of 4 times
per day, in a double-blind, cross-over design using randomization tables. Total treatment
length is two weeks for each limb of the study with a 2 week washout period. The primary
outcome measure is the reporting of sialorrhea using a validated scales. Secondary outcome
includes global assessment of treatment, patient satisfaction, and adverse effects.
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