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CompletedNCT00788749Updated Nov 11, 2008

Medical Polypectomy and Predictors of Response

A Phase 4 interventional study of Prednisolone and Placebo in Nasal Polyps, sponsored by University of Dundee. Completed at 1 site in United Kingdom. Open to participants aged 18 Years to 75 Years. Per ClinicalTrials.gov, last updated 2008-11-11.

Sponsored by University of Dundee · Phase 4, Interventional, and Treatment

Phase
Phase 4
Study type
Interventional
Enrollment
60
Allocation
Randomized
Ages
18 Years to 75 Years
Sex
All
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Study summary

This is the first randomized parallel group clinical trial looking at oral prednisolone induced medical nasal polypectomy followed by maintenance on topical steroid therapy in patients with nasal polyposis. This study also looks at the effect of aspirin sensitivity and the factors linking nasal polyps with asthma. We have also taken baseline measurements of a variety of blood, surface and biopsy markers to assess for potential to predict steroid response. Finally, the still unchartered link between nasal polyps and asthma will be explored by measuring Staphylococcal superantigens in serum before and after treatment.

02

Conditions studied

  • Nasal Polyps

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Keywords

  • chronic rhinosinusitis
  • nasal polyps
  • oral steroid
  • intranasal steroid
  • medical polypectomy
03

In context

Nasal Polyps

214 studies on the registry are indexed under Nasal Polyps; 51 are open to participants now.

This study's enrollment of 60 is close to the median of 60 across 163 interventional studies indexed under Nasal Polyps.

Browse Nasal Polyps studies →

Lead sponsor

University of Dundee is the lead sponsor of 111 studies on the registry; 3 are open to participants now.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years to 75 Years
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  • male or female
  • 18-75 years of age
  • bilateral nasal polyposis Grade 2 and above
  • with or without asthma
  • with or without atopy or aspirin sensitivity
  • written informed consent

Exclusion criteria

Exclusion Criteria:

  • unilateral nasal polyposis
  • polypoid lesion suspicious of inverted papilloma, malignancy, Wegeners granulomatosis, sarcoidosis
  • known or suspected hypersensitivity to fluticasone propionate or any other constituents of the Investigational Medicinal product (IMP).
  • Any clinically significant medical condition or abnormality, which, in the opinion of the investigator, might compromise the safety of the subject or which might interfere with the study.
  • significant (≥50%)septal deviation
  • inability to comply with the requirements of the protocol
  • females who are pregnant, lactating or planning to become pregnant.
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Study design

Phase
Phase 4
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Quadruple (Participant, Care provider, Investigator, Outcomes assessor)
Enrollment
60 participants (actual)

Study arms

  • Placebo comparator
    Placebo

    Placebo tablets for 2 weeks followed by fluticasone nasal drops 800mcg/d for 2 months followed by fluticasone nasal spray 400 mcg/d for 4 months

    Drug: Placebo · Other: fluticasone nasal drops · Other: fluticasone nasal spray

  • Experimental
    Prednisolone

    25 mg Prednisolone OD for 2 weeks followed by Fluticasone nasal drops 800 mcg/d for 2 months, followed by fluticasone nasal spray 400mcg/day for 4 months

    Drug: Prednisolone · Other: fluticasone nasal drops · Other: fluticasone nasal spray

Interventions

  • DrugPrednisolone

    tablets 25 mg/day

  • DrugPlacebo

    tablets once daily

  • Otherfluticasone nasal drops

    fluticasone nasal drops 800mcg/d

  • Otherfluticasone nasal spray

    fluticasone nasal spray 400 mcg/d

06

What researchers measure

Primary outcomes

  1. Endoscopy Polyp Grading

    Time frame: 0, 2 weeks, 10 weeks, 28 weeks

Secondary outcomes

  1. Mini RQLQ

    Time frame: 0, 2 wks, 10 wks, 28 wks

  2. TNS-4

    Time frame: 0, 2 wks, 10 wks, 28 wks

  3. PNIF

    Time frame: 0,2 wks, 10 wks,28 wks

  4. Anosmia score

    Time frame: 0, 2 wks, 10 wks, 28 wks

  5. Scratch n Sniff cards

    Time frame: 0, 2 wks, 10 wks, 28 wks

  6. OUCC

    Time frame: 0, 2 wks, 10 wks, 28 wks

  7. 1 mcg Synacthen test

    Time frame: 0, 2 wks, 10 wks, 28 wks

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Study locations

1 site
  • Ninewells Hospital and Medical School
    Dundee, Angus DD1 9SY, United Kingdom
08

References and documents

Publications

  • Williamson PA, Vaidyanathan S, Clearie K, Barnes M, Lipworth BJ. Airway dysfunction in nasal polyposis: a spectrum of asthmatic disease? Clin Exp Allergy. 2011 Oct;41(10):1379-85. doi: 10.1111/j.1365-2222.2011.03793.x. Epub 2011 Jun 16. PubMed 21676042 ↗
  • Vaidyanathan S, Barnes M, Williamson P, Hopkinson P, Donnan PT, Lipworth B. Treatment of chronic rhinosinusitis with nasal polyposis with oral steroids followed by topical steroids: a randomized trial. Ann Intern Med. 2011 Mar 1;154(5):293-302. doi: 10.7326/0003-4819-154-5-201103010-00003. PubMed 21357906 ↗
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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Nov 11, 2008, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT00788749
Lead sponsor
University of Dundee
Collaborators
Chief Scientist Office of the Scottish Government, NHS Tayside
First posted
Nov 11, 2008
Start date
May 2004
Primary completion
Feb 2008
Completion
Nov 2008
Last update
Nov 11, 2008

Study contacts

Sriram Vaidyanathan, MRCS
principal investigator · University of Dundee
Brian J Lipworth, MD
study director · University of Dundee

Oversight

Data monitoring committee
No
View the source record on ClinicalTrials.gov ↗

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This study is completed, as verified in Nov 2008. You cannot join it, but the record below documents what was studied.

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