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ACHAT-STUDY, Alternative Treatment of Chronic Globus Sensations

This study has been completed.
Study NCT00439439.   Last updated on May 19, 2008.   Information provided by Technische Universität München

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Descriptive Information Fields
Brief Title  ACHAT-STUDY, Alternative Treatment of Chronic Globus Sensations
Official Title  ACHAT-STUDY: Argon-Beamer-Ablation of Cervical Heterotopic Gastral Mucosa, an Alternative Treatment of Chronic Globus Sensations - "Sham-Controlled" Multicenter Study
Brief Summary

Globus sensations are associated with gastroesophageal reflux disease as well as the presence of a gastric inlet patch. No controlled trial exists on whether ablation of the cervical heterotopic mucosa may lead to improvement of chronic globus sensations. The aim of this sham-controlled trial is to clarify whether argon-beamer-ablation of cervical heterotopic gastric inlet patches of the esophagus improves patients' chronic globus sensations.

Detailed Description

Some data suggest that ablation of gastric inlet patches by argon beamer therapy might lead to alleviation of chronic globus sensation or sore throat. Acid reflux or its treatment is unlikely to influence these results (Meining et al. Argon plasma ablation of gastric inlet patches in the cervical esophagus may alleviate globus sensation: a pilot trial. Endoscopy. 2006 Jun;38(6):566-70). Within the present study we will perform a randomized, sham-controlled and blinded trial, where patients with heterotopic gastric mucosa (HGM) of the cervical esophagus and globus sensations (a chronic or intermittent lump in the throat for at least 3 months) are going to be randomized after histological verification of HGM in the study center (Technical University Clinic Munich). Either a beamer ablation of HGM or a sham-therapy will be performed after patients complete a validated questionnaire. Patients are blinded for 3 months, then after completing another questionnaire endoscopy is repeated.

Study Phase
Study Type  Interventional
Study Design  Treatment, Randomized, Single Blind, Placebo Control, Factorial Assignment, Efficacy Study
Primary Outcome Measure  outcome verified by a questionnaire (I.J. Deary et al) before therapy and follow up after 3 months
Secondary Outcome Measure 
Condition  Globus
Deglutition Disorders
Intervention  Radiation: Beamer Ablation (Argon Plasma Coagulation)
MEDLINE PMIDs 16802267
Links
Recruitment Information Fields
Recruitment Status  Completed
Enrollment  40
Start Date  October 2006
Completion Date May 2008
Eligibility Criteria 

Inclusion Criteria:

  • Globus sensations and histologically verified heterotopic gastric mucosa of the cervical esophagus

Exclusion Criteria:

  • Malignancy in the ear, nose, and throat (ENT)-field
  • Scleroderma
  • Mental disability affecting a patient's ability to sign an informed consent document
Gender Both
Ages 18 Years to 80 Years
Accepts Healthy Volunteers No
Contacts ††
Location Countries  Germany
Administrative Information Fields
NCT ID  NCT00439439
Organization ID 1427/05
Secondary IDs ††
Study Sponsor  Technische Universität München
Collaborators ††
Investigators 
Principal Investigator:     Alexander Meining, MD     II. Medical Department, TU-Munich    
Information Provided By Technische Universität München
Verification Date May 2008
First Received Date  February 21, 2007
Last Updated Date May 19, 2008

 †    Required WHO trial registration data element.
††   WHO trial registration data element that is required only if it exists.




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