Evaluating Treatment Response in Laryngo-Pharyngeal Reflux

University of Washington

Overview

Although laryno-pharyngeal reflux (LPR) and gastroesophageal reflux disease (GERD) differ in symptoms and treatment, they are diagnosed by the same standard 24-hour pH monitoring system which measures liquid reflux in the esophagus. The investigators are evaluating a new 24-hour pharyngeal pH monitoring system by Restech which can measure acid exposure in the airway and can be used specifically for LPR diagnosis. The purpose of this study is to determine whether the Restech device is more effective than standard pH monitoring in predicting the response to proton pump inhibitor (PPI) acid suppression therapy using Dexlansoprazole in patients with symptoms and/or manifestations of LPR.

Study Type

INTERVENTIONAL

Allocation

NON_RANDOMIZED

Purpose

TREATMENT

Masking

NONE

Conditions

Laryngo-pharyngeal Reflux

Interventions

DexlansoprazoleDRUG

30mg a day, 3 months

Eligibility

Sex: ALLMin age: 18 Years

Medical Language ↔ Plain English

Inclusion Criteria: * Age 18 years old or above * Have a clinical diagnosis of LPR * Able and willing to provide consent Exclusion Criteria: * History of any previous anti-reflux operation or procedure * History of pharyngeal or laryngeal surgery * History of larngeal or hypolaryngeal neoplasm * Allergy or significant adverse reaction to PPI * Patient on PPI therapy within 4 weeks prior to enrollment * A cumulative history of PPI therapy equal to or greater than 3 months * History of noncompliance with medication or study protocols * Enrolled in another clinical trial using investigational medications

Locations (1)

University of Washington

Seattle, Washington, United States

Outcomes

Primary Outcomes

Ability of Restech to predict LPR symptom improvement after treatment with Dexlansoprazole.

Successful LPR symptom improvement will be defined as a 25% improvement in Reflux Symptom Index (RSI)after 3 months of Dexlansoprazole.

Time frame: 3 months

Secondary Outcomes

Comparison between standard pH data and Restech data (normal vs.abnormal acid exposure, using established normative data values) before and after treatment with Dexlansoprazole.

Time frame: 3 months

Correlation between Restech acid exposure events and standard pH monitoring acid exposure events.

Using a method similar to the calculation of a symptom index for each study in each patient, to determine the percentage of time in which a Restech-detected acid event occurs at the same time as an acid event detected on standard pH monitoring.

Time frame: 3 months

Laryngoscopic findings pre and post Dexlansoprazole treatment.

Expressed as Reflux Finding Score (RFS).

Time frame: 3 months

Differences between RSI and general GERD symptom questionnaire scores on and off Dexlansoprazole.

Time frame: 3 months

Correlation of RSI and general GERD symptom questionnaire scores with Restecha dn standard pH values.

Time frame: 3 months

Data from ClinicalTrials.gov

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