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NCT05651750

Medical vs Surgical Treatment in OSA Among Children

Status unknown Phase 4 Last updated 15 December 2022
What this trial tests

Phase 4 trial testing Montelukast in To Evaluate PSQ as Clinical Tool in the Decision Between Medical and Surgical Treatment for Adenotonsillar Hypertrophy in 90 participants. Status unknown.

Timeline
15 November 2022
Primary endpoint
31 May 2023
30 June 2023

Quick facts

Lead sponsorAssaf-Harofeh Medical Center
PhasePhase 4
StatusStatus unknown
Study typeINTERVENTIONAL
Allocationrandomized
Designparallel
Maskingnone
Primary purposetreatment
Enrollment90
Start date15 November 2022
Primary completion31 May 2023
Estimated completion30 June 2023
Sites1 location across Israel

Drugs / interventions tested

Conditions studied

Sponsor

Assaf-Harofeh Medical Center

Who can join

Adults 2 to 16, any sex, with To Evaluate PSQ as Clinical Tool in the Decision Between Medical and Surgical Treatment for Adenotonsillar Hypertrophy or To Determine Clinical Response to Montelukast or Nasal Steroids Based on PSQ Results. Patients with the condition only — healthy volunteers not accepted.

Sponsor's own description

Adeno-tonsillar hypertrophy causing OSA are treated surgically however, over the last years it has been shown that montelukast or nasal steroidal spray can significantly improve symptoms, adenoid size, and polysomnographic results in pediatric non-severe OSA, excluding the need for surgery. A literature review from 2016 suggested that by using anti-leukotrienes as anti-inflammatory appears to be beneficial in children with a non-severe OSA and can be offered to parents as a treatment option before, or instead of surgery. In addition, nasal steroidal spray may be considered useful in decreasing adenoid pad size and the severity of symptoms related to adenoidal hypertrophy \[9\]. Despite emerging evidence that both montelukast and nasal steroids are effective in the treatment of pediatric SDB, further evidence is still required. . adeno-tonsillar hypertrophy causing OSA are treated surgically however, over the last years it has been shown that montelukast or nasal steroidal spray can significantly improve symptoms, adenoid size, and polysomnographic results in pediatric non-severe OSA, excluding the need for surgery. A literature review from 2016 suggested that by using anti-leukotrienes as anti-inflammatory appears to be beneficial in children with a non-severe OSA and can be offered to parents as a treatment option before, or instead of surgery. In addition, nasal steroidal spray may be considered useful in decreasing adenoid pad size and the severity of symptoms related to adenoidal hypertrophy. Despite emerging evidence that both montelukast and nasal steroids are effective in the treatment of pediatric SDB, further evidence is still required.

Publications & conference data

No peer-reviewed publications indexed yet for this trial.

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Data sources for this page

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