ClinicalTrials.gg
Status unknownNCT05325489Updated Apr 22, 2022

Comparison of Nebulized Budesonide and Intranasal Budesonide Spray in Children With Adenotonsillar Hypertrophy

A Phase 3 interventional study of Nebulized Budesonide and Intranasal Budesonide Spray in Snoring and Mouth Breathing, sponsored by Second Xiangya Hospital of Central South University. Status unknown at 1 site in China. Open to participants aged 3 Years to 10 Years. Per ClinicalTrials.gov, last updated 2022-04-22.

Sponsored by Second Xiangya Hospital of Central South University · Phase 3, Interventional, and Treatment

The sponsor has not verified this record recently (last verified Apr 2022), so the status shown — last known as Not yet recruiting — may be out of date.
Phase
Phase 3
Study type
Interventional
Enrollment
100
Allocation
Randomized
Ages
3 Years to 10 Years
Sex
All
01

Study summary

Budesonide is one of the most common drugs uesd in children with adenotonsillar hypertrophy. This study aim to evaluate the efficacy of a short course of budesonide inhalation suspension via transnasal nebulization in children with adenotonsillar hypertrophy. The second aim is to compare budesonide inhalation suspension with budesonide aqueous nasal spray in adenotonsillar hypertrophy treatment.

02

Conditions studied

  • Snoring
  • Mouth Breathing

Keywords

  • adenotonsillar hypertrophy
  • Nebulization
  • Intranasal Budesonide Spray
03

In context

Snoring

122 studies on the registry are indexed under Snoring; 15 are open to participants now.

This study's planned enrollment of 100 is above the median of 43 across 95 interventional studies indexed under Snoring.

Browse Snoring studies →

Lead sponsor

Second Xiangya Hospital of Central South University is the lead sponsor of 87 studies on the registry; 50 are open to participants now.

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

04

Who can participate

Ages eligible
3 Years to 10 Years
Sexes eligible
All
Accepts healthy volunteers
No

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • Children are ≥3 years and ≤10 years, have habitual mouth breathing or snoring, and without current or previous use of any or leukotriene receptor inhibitors within 4 weeks preceding the initial study.

Exclusion criteria

Exclusion Criteria:

  • Children with craniofacial, neuromuscular, syndromic, or defined genetic abnormalities; acute upper respiratory tract infection; whose symptoms are not caused by adenotonsillar hypertrophy; and who have had adenotonsillectomy in the past.
Terms in these criteria, in plain language(1)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Corticosteroids (steroids)

Anti-inflammatory medicines such as prednisone, prednisolone and dexamethasone — not the anabolic steroids used for muscle.

Studies differ in what they allow: check which steroid medicines, routes (tablets, injections, creams, inhalers, eye drops) and doses this study accepts.

05

Study design

Phase
Phase 3
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
100 participants (estimated)

Study arms

  • Experimental
    Nebulized Budesonide

    Drug: budesonide 0.5mg/2ml Pulmicort Respules budesonide inhalation suspension(BIS) once a day (QD) oral montelukast sodium chewable tablets 4mg QD

    Drug: Nebulized Budesonide

  • Active comparator
    Intranasal Budesonide Spray

    Drug: budesonide nasal spray 100μg QD oral montelukast sodium chewable tablets 4mg QD

    Drug: Intranasal Budesonide Spray

Interventions

06

What researchers measure

Primary outcomes

  1. Adenoid Size

    Children's adenoid size will be estimated from lateral neck X-ray film based on the adenoidal/nasopharyngeal ratio and from nasal endoscopy based on the ratio of adenoid blocking posterior nostril. Lateral neck X-ray film and nasal endoscopy will be performed before and after the 1-month course.

    Time frame: 1 month

  2. Clinical responses including 9 symptoms (hard to awaken, witnessed apnea, breathing difficulties, snoring, sweating, mouth breathing, awakenings, restless sleep, wetting the bed)

    Children's parents will be required to complete a questionnaire about 9 symptoms at diagnosis and after 1 month of therapy. Answers were scored are on a scale of 0 = never to 4 = most of the time.

    Time frame: 1 month

Secondary outcomes

  1. Tonsillar Size

    estimation of oropharyngeal examination before and after the therapy.

    Time frame: 1 month

  2. Pediatric Sleep Questionnaire(PSQ) Score

    Children's parents will be required to complete the PSQ questionnaire at diagnosis and after 1 month of therapy.

    Time frame: 1 month

  3. Obstructive Sleep Apnea Questionnaire(OSA-18) Score

    Children's parents will be required to complete the OSA-18 questionnaire at diagnosis and after 1 month of therapy.

    Time frame: 1 month

  4. Polysomnography

    Children's sleep will be estimated from polysomnography based on the apnea-hypopnea index, obstructive apnea index, time with oxygen saturation below 90% and minimum oxygen saturation value.

    Time frame: 1 month

  5. Lung function

    Children's airway ventilation function will be estimated from lung function examination based on the FEV1/FVC value.

    Time frame: 1 month

  6. Nasal nitric oxide

    Children's nasopharyngeal inflammation will be estimated based on the nasal nitric oxide value.

    Time frame: 1 month

07

Study locations

1 site
  • Department of Otolaryngology, Second Xiangya Hospital, Central South University
    Changsha, Hunan 410011, China
08

References and documents

Publications

  • Thorsson L, Borga O, Edsbacker S. Systemic availability of budesonide after nasal administration of three different formulations: pressurized aerosol, aqueous pump spray, and powder. Br J Clin Pharmacol. 1999 Jun;47(6):619-24. doi: 10.1046/j.1365-2125.1999.00956.x. PubMed 10383539 ↗
  • Suman JD, Laube BL, Dalby R. Comparison of nasal deposition and clearance of aerosol generated by nebulizer and an aqueous spray pump. Pharm Res. 1999 Oct;16(10):1648-52. doi: 10.1023/a:1011933410898. No abstract available. PubMed 10554112 ↗
  • Goldbart AD, Greenberg-Dotan S, Tal A. Montelukast for children with obstructive sleep apnea: a double-blind, placebo-controlled study. Pediatrics. 2012 Sep;130(3):e575-80. doi: 10.1542/peds.2012-0310. Epub 2012 Aug 6. PubMed 22869829 ↗
  • Zhang Y, Lou H, Wang Y, Li Y, Zhang L, Wang C. Comparison of Corticosteroids by 3 Approaches to the Treatment of Chronic Rhinosinusitis With Nasal Polyps. Allergy Asthma Immunol Res. 2019 Jul;11(4):482-497. doi: 10.4168/aair.2019.11.4.482. PubMed 31172717 ↗

Individual participant data

Plan to share: No

09

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reached

Start is estimated for Apr 2022; primary completion for Nov 2023, 19 months later.

How these figures are worked out, and which studies are left out of them.

Registered
Apr 6, 2022
First posted
Apr 13, 2022
StartEst.
Apr 2022
Primary completionEst.
Nov 2023
CompletionEst.
Sep 2024
Last update
Apr 22, 2022
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Apr 22, 2022, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT05325489
Lead sponsor
Second Xiangya Hospital of Central South University
Responsible party
Li Shisheng (Associate professor, Second Xiangya Hospital of Central South University) — Principal investigator
First posted
Apr 13, 2022
Start date
Apr 2022 (estimated)
Primary completion
Nov 2023 (estimated)
Completion
Sep 2024 (estimated)
Last update
Apr 22, 2022

Study contacts

Shisheng Li, Ph.D.
Contact
lissdoctor@csu.edu.cn
86 15974246564
Shisheng Li, Ph.D.
principal investigator · Department of Otolaryngology, Second Xiangya Hospital, Central South University

Oversight

FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is status unknown, as verified in Apr 2022. You cannot join it, but the record below documents what was studied.

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Studies of the drug tested here: Budesonide

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