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Reduction in interleukin-5 and other eosinophil biomarkers by full-house endoscopic sinus surgery in the treatment of severe nasal polyps

Phase 1
Conditions
Chronic rhinosinusitisNasal polyp
Chronic rhinosinusitis
Nasal polyp
CRSwNP
Eosinophil
Eosinophilic
Eosinophilia
interleukin&#45
5
IL&#45
Registration Number
TCTR20200530002
Lead Sponsor
Department of Otolaryngology, Faculty of medicine, Chulalongkorn University
Brief Summary

Not available

Detailed Description

Not available

Recruitment & Eligibility

Status
Pending (Not yet recruiting)
Sex
All
Target Recruitment
20
Inclusion Criteria

Any CRSwNP patient is defined as the presence of two or more symptoms for > 12 weeks, one of which should be:
either nasal blockage/obstruction/congestion or nasal discharge (anterior/posterior nasal drip)
± facial pain/pressure
± reduction or loss of smell

AND along with endoscopic and radiographic evidence of nasal polyps, grade ≥2 and diffuse bilateral mucosal inflammation

AND have indication for sinus surgery

**grade 0 being no visible polyps; grade 1 being polyps confined to the middle meatus; grade 2 being polyps beyond the middle meatus but not completely obstructing the nasal cavity; and grade 3 being polyps completely obstructing the nasal cavity

Exclusion Criteria

1. prior sinus surgery
2. unilateral sinus changes
3. sinus disease associated with systemic conditions
4. under the age of 18
5. pregnant women
6. undertaking systemic and intranasal steroids and immunosuppressive medication during the past month

Study & Design

Study Type
Interventional
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Effects on interleukin-5, soluble IL-5Rα nasal and serum level reduction by endoscopic sinus surger 4 weeks Measure these biomarker at baseline and 4 weeks time point
Secondary Outcome Measures
NameTimeMethod
Effects on eosinophil byproducts nasal and serum level reduction by endoscopic sinus surgery 4 weeks Measure nasal and serum level of ECP, eotaxin and serum eosinophil at baseline and 4 weeks timepoint
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