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Acid Suppression Therapy for Laryngomalacia

Phase 1 & 2
Waitlist Available
Led By Reema Padia, MD
Research Sponsored by Reema Padia
Eligibility Criteria Checklist
Specific guidelines that determine who can or cannot participate in a clinical trial
Must have
Pediatric patients ages 0 to 6 months who do need meet the criteria at the initial appointment for supraglottoplasty
Be younger than 18 years old
Timeline
Screening 3 weeks
Treatment Varies
Follow Up 1 year
Awards & highlights

Study Summary

This trial is studying whether a medicine can improve symptoms in infants with a common breathing problem called laryngomalacia.

Who is the study for?
This trial is for infants aged 0 to 6 months with laryngomalacia, a condition causing noisy breathing, who haven't had prolonged cyanosis or apnea and are not failing to thrive. They must be seen at UPMC Children's Hospital of Pittsburgh without needing immediate surgery, have no craniofacial abnormalities, additional airway issues, prior heart surgery, syndromes or lung disease.Check my eligibility
What is being tested?
The study compares the outcomes in infants with laryngomalacia using two approaches: one group receives speech language therapy (SLP) alone while the other gets SLP plus acid suppression therapy with famotidine. The goal is to see if famotidine improves symptoms compared to natural disease resolution.See study design
What are the potential side effects?
Famotidine may cause side effects like headache, constipation or diarrhea in some infants. However, it's generally well-tolerated and serious side effects are rare.

Eligibility Criteria

Inclusion Criteria

You may be eligible if you check “Yes” for the criteria below
Select...
My child is 0-6 months old and does not qualify for throat surgery.

Timeline

Screening ~ 3 weeks
Treatment ~ Varies
Follow Up ~1 year
This trial's timeline: 3 weeks for screening, Varies for treatment, and 1 year for reporting.

Treatment Details

Study Objectives

Outcome measures can provide a clearer picture of what you can expect from a treatment.
Primary outcome measures
Airway symptom score change from consult (baseline) to 3 month follow-up appointment
Change in incidence of airway symptoms from consult up to 1 year assessed via electronic medical chart review
Deglutition Disorders
+1 more
Secondary outcome measures
Infant Gastroesophageal Reflux Questionnaire (I-GERQ-R) score change from consult (baseline) to 3 month follow-up appointment
Number of participants with each type of laryngomalacia (Types 1-3) found on the Flexible Laryngoscopy procedure at the consult
Pharmaceutical Preparations
+3 more

Side effects data

From 2011 Phase 4 trial • 25 Patients • NCT01232127
4%
Headache
100%
80%
60%
40%
20%
0%
Study treatment Arm
Atazanavir/Ritonavir (400/100) + TDF + ≥NRTI + Famotidine (40)
Atazanavir/Ritonavir (300/100) + TDF + ≥NRTI
Atazanavir/Ritonavir (400/100) + TDF + ≥NRTI + Famotidine (20)

Trial Design

2Treatment groups
Experimental Treatment
Active Control
Group I: Speech Language Therapy AloneExperimental Treatment1 Intervention
Patients in this group will receive a routine swallowing evaluation by a speech language pathologist. Patient caregivers will fill out the Infant Gastroesophageal Reflux Questionnaire (I-GERQ-R) and the Pittsburgh Airway Symptom Score (PASS) the day of the appointment and at the 3-month follow up appointment.
Group II: Speech Language Therapy and Acid Suppression TherapyActive Control2 Interventions
Patients in this group will receive a routine swallowing evaluation by a speech language pathologist and famotidine (acid suppression therapy). Patient caregivers will fill out the Infant Gastroesophageal Reflux Questionnaire (I-GERQ-R) and the Pittsburgh Airway Symptom Score (PASS) the day of the appointment and at the 3-month follow up appointment.

Find a Location

Who is running the clinical trial?

Reema PadiaLead Sponsor
Reema Padia, MD5.01 ReviewsPrincipal Investigator - Division of Pediatric Otolaryngology, Children's Hospital of Pittsburgh
University of Pittsburgh

Media Library

Speech Language Therapy Clinical Trial Eligibility Overview. Trial Name: NCT04614974 — Phase 1 & 2
Laryngomalacia Research Study Groups: Speech Language Therapy Alone, Speech Language Therapy and Acid Suppression Therapy
Laryngomalacia Clinical Trial 2023: Speech Language Therapy Highlights & Side Effects. Trial Name: NCT04614974 — Phase 1 & 2
Speech Language Therapy 2023 Treatment Timeline for Medical Study. Trial Name: NCT04614974 — Phase 1 & 2

Frequently Asked Questions

These questions and answers are submitted by anonymous patients, and have not been verified by our internal team.

What criteria must I fulfill in order to be eligible for this experiment?

"This medical trial is requiring 160 infant patients with gastroesophageal reflux between 0 and 6 months of age. To qualify, they must have been seen at UPMC Children's Hospital of Pittsburgh Otolaryngology Department for laryngomalacia without any prolonged episodes (>20 seconds) of cyanosis, apnea or failure to thrive. Additionally, infants who don't meet the criteria upon their initial appointment for supraglottoplasty are ineligible as well."

Answered by AI

What outcomes is this clinical investigation striving to accomplish?

"This one-year evaluation attempts to measure the alteration in airway symptoms via electronic medical chart review. Secondary outcomes include alterations of weight, Infant Gastroesophageal Reflux Questionnaire (I-GERQ-R) scores at both initial consult and 3 month follow up appointment, and participants who need supraglottoplasty surgery within a year. Participants with I-GERQ-R score >=16 will be excluded due to existing GERD diagnosis."

Answered by AI

Has other research been conducted into Speech Language Therapy's efficacy?

"Currently, 14 research projects focused on Speech Language Therapy are underway with 3 reaching the final Phase of testing. Of the 64 clinical trial sites used for this purpose, most are located in Pittsburgh, Pennsylvania."

Answered by AI

To what types of afflictions is Speech Language Therapy commonly employed?

"Speech Language Therapy is a common intervention for gastritis and also beneficial in treating other illnesses, such as heartburn, zollinger-ellison syndrome, or collagen diseases."

Answered by AI

Does this study welcome elderly participants who are 75 years and older?

"According to the requirements of this investigation, participants must be within the 0 Month - 6 Month age bracket. This trial is targeting 17 children under 18 and 64 seniors over 65 years old."

Answered by AI

What is the upper limit of participants in this clinical investigation?

"Affirmative. By consulting clinicaltrials.gov, it is possible to determine that this study commenced on November 18th 2020 and requires 160 participants from 1 site for its completion."

Answered by AI

Is this research endeavor presently accepting new participants?

"As per the information on clinicaltrials.gov, this trial is presently recruiting eligible participants. It was initially announced on November 18th 2020 and most recently updated on November 8th 2022."

Answered by AI
~0 spots leftby May 2024