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Effectiveness of oral corticosteroids in unilateral recurrent laryngeal nerve palsy after thyroidectomy

Phase 1
Conditions
MedDRA version: 20.0 Level: LLT Classification code 10038130 Term: Recurrent laryngeal nerve palsy System Organ Class: 100000004852
Therapeutic area: Diseases [C] - Ear, nose and throat diseases [C09]
Registration Number
EUCTR2018-001231-48-FR
Lead Sponsor
CHU DE POITIERS
Brief Summary

Not available

Detailed Description

Not available

Recruitment & Eligibility

Status
Authorised-recruitment may be ongoing or finished
Sex
Not specified
Target Recruitment
400
Inclusion Criteria

Patients undergoing total or partial thyroidectomy (no lymphe node dissection)
Age = 18 yo
Informed consent, and signed

Are the trial subjects under 18? no
Number of subjects for this age range:
F.1.2 Adults (18-64 years) yes
F.1.2.1 Number of subjects for this age range 300
F.1.3 Elderly (>=65 years) yes
F.1.3.1 Number of subjects for this age range 100

Exclusion Criteria

Patients undergoing thyroid cancer surgery (with lymphe node dissection)
Patients with pre operative recurrent laryngeal nerve palsy
Patients with bilateral recurrent laryngeal nerve palsy
Patients with allergy to Prednisolone
Patients with ongoing infection

Study & Design

Study Type
Interventional clinical trial of medicinal product
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
<br> Primary end point(s): Complete remobilization of laryngeal palsy, evaluated by naso fibroscope inspection at Day 7 after thyroidectomy<br> Complete response is definied by optimal contact of paralysed vocal fold with controlateral vocal fold<br> ;Timepoint(s) of evaluation of this end point: day 7;Main Objective: Study the effectiveness of oral corticosteroids in vocal fold remobilization (at Day 7) for patients with unilateral recurrent laryngeal nerve palsy after thyroidectomy;<br> Secondary Objective: Study the incidence of unilateral recurrent laryngeal nerve palsy<br> Study the rate of complete remobilization at M1 and M3 between placebo and corticosteroids group<br> Study the rate of partial remobilization between at D7, M1 and M3 between placebo and corticosteroids group<br> Observance and tolerance of oral corticosteroids<br>
Secondary Outcome Measures
NameTimeMethod
Timepoint(s) of evaluation of this end point: Day 7, Month 1 and 3;<br> Secondary end point(s): Percentage of recurrent laryngeal nerve palsy in studied population<br> Complete remobilization of laryngeal palsy at M1 and M3 between placebo and corticosteroids group<br> Partial remobilization of laryngeal palsy at D7, M1 and M3 between placebo and corticosteroids group (partial remobilization is definied by non optimal vocal fold movement)<br> Observance and tolerance of oral corticosteroids evaluated by interrogation<br>
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