Nasal Polyps
Conditions
Keywords
administration, intranasal, aerosol, beclomethasone, QVAR, corticosteroids, nasal polyps, rhinomanometry, Rhinitis Quality of Life Questionnaire, Quality of Life
Brief summary
The purpose of this study is to determine if intranasal Beclomethasone delivered by aerosol or spray is more effective in treatment of nasal polyps.
Detailed description
Aqueous and aerosol delivery of intranasal corticosteroids has never been directly compared previously in patients with nasal polyps and it is unknown whether one is superior. This objective of this study is to compare the efficacy of intranasal beclomethasone by two different delivery systems, aerosol and aqueous spray in patients with nasal polyps. Primary endpoint is the difference in the overall quality of life as measured by the Rhinitis Quality of Life Questionnaire. The secondary endpoint is the change in Nasal Airflow Resistance as measured by rhinomanometry.
Interventions
Beclomethasone aerosol intranasal, 100ug each nostril, twice daily for 6 months.
Beclomethasone spray intranasal, 100ug each nostril, twice daily for 6 months.
Sponsors
Study design
Eligibility
Inclusion criteria
* 18 years old * New diagnosis of nasal polyps confirmed by two physicians
Exclusion criteria
* Intranasal corticosteroid use within 4 weeks * Oral corticosteroids use within 4 weeks * Oral corticosteroid inhalation (ie for treatment of asthma or COPD) of Budesonide \>400ug daily, Fluticasone \>250ug daily, Beclomethasone \>400ug daily * Contraindication to intranasal corticosteroid * Inability to give informed consent * Participation in another clinical trial * Pregnancy (or not using effective method of contraception) or lactation * Cystic fibrosis
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Difference in overall quality of life as measured by the Rhinitis Quality of Life Questionnaire | 0, 1, 3, 6 months |
Secondary
| Measure | Time frame |
|---|---|
| Difference in Nasal Airflow Resistance as measured an anterior rhinomanometry | 0, 1, 3, 6 months |
Countries
Canada