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.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
QUADRUPLE
Enrollment
60
Ninewells Hospital and Medical School
Dundee, Angus, United Kingdom
Endoscopy Polyp Grading
Time frame: 0, 2 weeks, 10 weeks, 28 weeks
Mini RQLQ
Time frame: 0, 2 wks, 10 wks, 28 wks
TNS-4
Time frame: 0, 2 wks, 10 wks, 28 wks
PNIF
Time frame: 0,2 wks, 10 wks,28 wks
Anosmia score
Time frame: 0, 2 wks, 10 wks, 28 wks
Scratch n Sniff cards
Time frame: 0, 2 wks, 10 wks, 28 wks
OUCC
Time frame: 0, 2 wks, 10 wks, 28 wks
1 mcg Synacthen test
Time frame: 0, 2 wks, 10 wks, 28 wks
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fluticasone nasal spray 400 mcg/d