PPI-
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: - Age 18-50 years - Persistent globus symptoms despite of 2 week double doses or high dose PPI therapy with good compliance with symptom improvement less than fifty percent from baseline 23,24 - No structural lesion identified on neck & nasolaryngeal examination - Absence of alarming symptoms ( for example; dysphagia, odynophagia, sore throat, significant weight loss ) - GERD-Q score25,26 < 8
Exclusion criteria
Exclusion criteria: - Known allergy to Baclofen - Epilepsy or history of seizures - Renal impairement: estimated glomerular filtration rate <60 ml/min/1.73m2 - Centrally modulating agents or prokinetic drugs use within 2 weeks before randomization - Pregnancy or lactation - Major esophageal motor disorders (achalasia, EGJ outflow obstruction, diffuse esophageal spasm, jackhammer esophagus, absent peristalsis)
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Proportion of patients with >50% globus symptom improvement after 4 weeks of baclofen at baseline and 4 weeks after Baclofen or Placebo GETS score, Esophageal high-resolution manometry | — |
Secondary
| Measure | Time frame |
|---|---|
| effect of Baclofen to UES & esophageal body motility at baseline and 4 weeks esophageal high-resolution manometry | — |
Countries
Thailand
Contacts
Faculty of Medicine, Prince of Songkla University