Trial Outcomes & Findings for Effect of Intravenous Corticosteroid Injections on Dysphagia After Cervical Spine Surgery (NCT NCT02266797)

NCT ID: NCT02266797

Last Updated: 2018-10-25

Results Overview

The severity of dysphagia will be evaluated by dysphagia questionnaires and a two week postoperative swallow evaluation by a licensed swallowing expert. If recommended by the swallow evaluation, a videofluoroscopic swallow study (VFSS) will be performed to further evaluate the severity of dysphagia.

Recruitment status

TERMINATED

Study phase

PHASE3

Target enrollment

4 participants

Primary outcome timeframe

12 months

Results posted on

2018-10-25

Participant Flow

Participant milestones

Participant milestones
Measure
Dexamethasone
Subject will receive doses of intravenous dexamethasone, a corticosteroid. The first dose will be given before the incision and the subsequent doses will be given 8 and 16 hours after the first dose. Dexamethasone doses will be 0.3 mg/kg for the first dose and 0.15 mg/kg for each subsequent dose. Dexamethasone: The first dose will be given before the incision and the subsequent doses will be given 8 and 16 hours after the first dose. Dexamethasone doses will be 0.3 mg/kg for the first dose and 0.15 mg/kg for each subsequent dose.
Saline
Subject will receive doses of intravenous physiological saline solution. Saline: The first dose will be given before the incision and the subsequent doses will be given 8 and 16 hours after the first dose.
Overall Study
STARTED
1
3
Overall Study
COMPLETED
1
2
Overall Study
NOT COMPLETED
0
1

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Effect of Intravenous Corticosteroid Injections on Dysphagia After Cervical Spine Surgery

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Dexamethasone
n=1 Participants
Subject will receive doses of intravenous dexamethasone, a corticosteroid. The first dose will be given before the incision and the subsequent doses will be given 8 and 16 hours after the first dose. Dexamethasone doses will be 0.3 mg/kg for the first dose and 0.15 mg/kg for each subsequent dose. Dexamethasone: The first dose will be given before the incision and the subsequent doses will be given 8 and 16 hours after the first dose. Dexamethasone doses will be 0.3 mg/kg for the first dose and 0.15 mg/kg for each subsequent dose.
Saline
n=3 Participants
Subject will receive doses of intravenous physiological saline solution. Saline: The first dose will be given before the incision and the subsequent doses will be given 8 and 16 hours after the first dose.
Total
n=4 Participants
Total of all reporting groups
Age, Categorical
<=18 years
0 Participants
n=99 Participants
0 Participants
n=107 Participants
0 Participants
n=206 Participants
Age, Categorical
Between 18 and 65 years
1 Participants
n=99 Participants
3 Participants
n=107 Participants
4 Participants
n=206 Participants
Age, Categorical
>=65 years
0 Participants
n=99 Participants
0 Participants
n=107 Participants
0 Participants
n=206 Participants
Sex: Female, Male
Female
0 Participants
n=99 Participants
0 Participants
n=107 Participants
0 Participants
n=206 Participants
Sex: Female, Male
Male
1 Participants
n=99 Participants
3 Participants
n=107 Participants
4 Participants
n=206 Participants
Region of Enrollment
United States
1 participants
n=99 Participants
3 participants
n=107 Participants
4 participants
n=206 Participants

PRIMARY outcome

Timeframe: 12 months

Population: Data not available due to premature halting of study

The severity of dysphagia will be evaluated by dysphagia questionnaires and a two week postoperative swallow evaluation by a licensed swallowing expert. If recommended by the swallow evaluation, a videofluoroscopic swallow study (VFSS) will be performed to further evaluate the severity of dysphagia.

Outcome measures

Outcome data not reported

PRIMARY outcome

Timeframe: 12 months

Population: Data not available due to premature halting of study

Soft-tissue swelling will be measured by the anterior cervical soft-tissue shadow width on lateral cervical radiographs. The extent of dysphagia will be evaluated by the dysphagia questionnaires, the swallow evaluation, and the VFSS, if necessary.

Outcome measures

Outcome data not reported

SECONDARY outcome

Timeframe: 12 months

Population: Data not available due to premature halting of study

Aspiration rates will be evaluated by the percentage of patients in each group with post-operative aspiration.

Outcome measures

Outcome data not reported

SECONDARY outcome

Timeframe: Immediate post-operatively

Population: Data not available due to premature halting of study

This will be quantified by the visual analogue scale (VAS) questionnaire for nausea and measuring the number of vomiting episodes following surgery.

Outcome measures

Outcome data not reported

SECONDARY outcome

Timeframe: 12 months

Population: Data not available due to premature halting of study

This will be quantified by the NDI questionnaire and VAS questionnaire for neck pain and arm pain.

Outcome measures

Outcome data not reported

SECONDARY outcome

Timeframe: 12 months

Population: Data not available due to premature halting of study

The outcomes of surgery will be examined through the 1 year post-operative appointment.

Outcome measures

Outcome data not reported

Adverse Events

Dexamethasone

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Saline

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Adverse event data not reported

Additional Information

Michael Gerling

NYU Langone Medical Center

Phone: (718) 630-8600

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place