Chronic Sinusitis
Conditions
Keywords
sinusitis, chronic sinusitis with polyps
Brief summary
The purpose of this study is to determine if Vitamin D supplementation improves clinical and immunologic parameters in chronic rhinosinusitis with nasal polyps.
Detailed description
Introductory Statement: Our laboratory has found that patients with chronic rhinosinusitis with nasal polyps (CRSwNP) have insufficient levels of vitamin D3. This is a proposal to conduct a placebo controlled trial on the use of vitamin D3 (5,000IU/day for 6 weeks) to determine clinical and immunologic outcomes in these patients. General Investigational Plan: We routinely examine vitamin D levels in all patients with CRSwNP. Those that are insufficient (less than 32 ng/ml) and have agreed to undergo sinus surgery will be randomized to placebo or vitamin D3 supplementation (5,000IU/day) for 6 weeks prior to surgery. Blood will be drawn pre- and post-supplementation to examine systemic immune parameters such as dendritic cell and T cell expression and cytokine levels. Sinus tissue will be collected at the time of surgery to analyze local immune parameters (dendritic cell, T cell and cytokine levels) between supplemented and placebo groups. Clinical outcomes will be analyzed using quality of life questionnaires, endoscopic grading and nasal peak inspiratory flow pre- and post- supplementation. IRB approval for this research project is pending.
Interventions
Vitamin D 5000IU/day for 6 weeks
Sponsors
Study design
Eligibility
Inclusion criteria
* Chronic sinusitis with polyps
Exclusion criteria
* Use of systemic steroids, or other immunmodulatory agents in preceding monthS, other immunologic, renal, gastrointestinal, endocrine or skeletal disorder (rheumatoid arthritis, immunodeficiency, cystic fibrosis, ciliary dyskinesia, malabsorption, etc.) * Pregnancy or age less than 14 years.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Clinical symptom score | 6 weeks | Symptoms will be graded using Sinonasal Outcomes Test-22. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Nasal peak inspiratory flow | 6 weeks | Measurement of maximal nasal peak inspiratory flow |
| Systemic and local immunologic parameters | 6 weeks | Histologic analysis of sinus immune cells, as well as systemic measurement of immune cells. |
Countries
United States