Trial Outcomes & Findings for Investigation of the Role of Steroids in Enhancing Voice Therapy Outcomes (NCT NCT02286960)

NCT ID: NCT02286960

Last Updated: 2020-03-12

Results Overview

Data will be collected via measurement of the hatchmark on the 100mm line for each variable (e.g. 72/100). The higher the score, the higher the deviancy. The final score is the average of scores from each variable.

Recruitment status

COMPLETED

Study phase

PHASE4

Target enrollment

36 participants

Primary outcome timeframe

pre-treatment/baseline to 2 months

Results posted on

2020-03-12

Participant Flow

Participant milestones

Participant milestones
Measure
Steroid
Prednizone pills. 4 day course 2 x 20mg per day. Steroid: A short 4 day course is administered to the first group of patients with voice disorders before the initiation of voice therapy.
Placebo
Lactose Pills. 4 day course 2 x 20mg per day. Lactose Pills: 4 day course 2 x 20mg per da
Overall Study
STARTED
19
17
Overall Study
COMPLETED
16
14
Overall Study
NOT COMPLETED
3
3

Reasons for withdrawal

Reasons for withdrawal
Measure
Steroid
Prednizone pills. 4 day course 2 x 20mg per day. Steroid: A short 4 day course is administered to the first group of patients with voice disorders before the initiation of voice therapy.
Placebo
Lactose Pills. 4 day course 2 x 20mg per day. Lactose Pills: 4 day course 2 x 20mg per da
Overall Study
Lost to Follow-up
3
3

Baseline Characteristics

Investigation of the Role of Steroids in Enhancing Voice Therapy Outcomes

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Steroid
n=16 Participants
Prednizone pills. 4 day course 2 x 20mg per day. Steroid: A short 4 day course is administered to the first group of patients with voice disorders before the initiation of voice therapy.
Placebo
n=14 Participants
Lactose Pills. 4 day course 2 x 20mg per day. Lactose Pills: 4 day course 2 x 20mg per da
Total
n=30 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
16 Participants
n=99 Participants
14 Participants
n=107 Participants
30 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
14 Participants
n=99 Participants
13 Participants
n=107 Participants
27 Participants
n=206 Participants
Sex: Female, Male
Male
2 Participants
n=99 Participants
1 Participants
n=107 Participants
3 Participants
n=206 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=99 Participants
0 Participants
n=107 Participants
0 Participants
n=206 Participants
Race (NIH/OMB)
Asian
1 Participants
n=99 Participants
0 Participants
n=107 Participants
1 Participants
n=206 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=99 Participants
0 Participants
n=107 Participants
0 Participants
n=206 Participants
Race (NIH/OMB)
Black or African American
2 Participants
n=99 Participants
0 Participants
n=107 Participants
2 Participants
n=206 Participants
Race (NIH/OMB)
White
10 Participants
n=99 Participants
12 Participants
n=107 Participants
22 Participants
n=206 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=99 Participants
0 Participants
n=107 Participants
0 Participants
n=206 Participants
Race (NIH/OMB)
Unknown or Not Reported
3 Participants
n=99 Participants
2 Participants
n=107 Participants
5 Participants
n=206 Participants
Region of Enrollment
United States
16 Participants
n=99 Participants
14 Participants
n=107 Participants
30 Participants
n=206 Participants

PRIMARY outcome

Timeframe: pre-treatment/baseline to 2 months

Data will be collected via measurement of the hatchmark on the 100mm line for each variable (e.g. 72/100). The higher the score, the higher the deviancy. The final score is the average of scores from each variable.

Outcome measures

Outcome measures
Measure
Steroid
n=14 Participants
Prednizone pills. 4 day course 2 x 20mg per day. Steroid: A short 4 day course is administered to the first group of patients with voice disorders before the initiation of voice therapy.
Placebo
n=13 Participants
Lactose Pills. 4 day course 2 x 20mg per day. Lactose Pills: 4 day course 2 x 20mg per da
Change in Consensus Auditory-Perceptual Evaluation of Voice (CAPE-V) Score From Baseline to 2 Months
0.72 score on a scale
Standard Deviation 0.21
0.65 score on a scale
Standard Deviation 0.14

SECONDARY outcome

Timeframe: pre-treatment/baseline to 2 months

Still images of the glottis will be obtained from the video such that the vocal folds are captured in an open position (at least 40 degrees at the anterior commissure). Image J software (NIH) will then be used to outline the lesion and measure the length of the ipsilateral vocal fold.

Outcome measures

Outcome measures
Measure
Steroid
n=14 Participants
Prednizone pills. 4 day course 2 x 20mg per day. Steroid: A short 4 day course is administered to the first group of patients with voice disorders before the initiation of voice therapy.
Placebo
n=13 Participants
Lactose Pills. 4 day course 2 x 20mg per day. Lactose Pills: 4 day course 2 x 20mg per da
Change in Lesion Size From Baseline to 2 Months
-0.4694 mm
Standard Deviation 0.5494
0.2788 mm
Standard Deviation 0.3026

SECONDARY outcome

Timeframe: Pre-treatment/baseline to following treatment/2 months

A change in VHI scores from pre-treatment to following treatment. Scores can range from 0-120: 0-30: Mild Minimal amount of handicap 31-60: Moderate Often seen in patients with vocal nodules, polyps, or cysts 60-120: Severe Often seen

Outcome measures

Outcome measures
Measure
Steroid
n=14 Participants
Prednizone pills. 4 day course 2 x 20mg per day. Steroid: A short 4 day course is administered to the first group of patients with voice disorders before the initiation of voice therapy.
Placebo
n=13 Participants
Lactose Pills. 4 day course 2 x 20mg per day. Lactose Pills: 4 day course 2 x 20mg per da
Change in Voice Handicap Index (VHI) Scores From Baseline to 2 Months.
0.35 score on a scale
Interval -0.2 to 0.9
0.40 score on a scale
Interval 0.15 to 0.95

SECONDARY outcome

Timeframe: 2 months

Outcome measures

Outcome measures
Measure
Steroid
n=14 Participants
Prednizone pills. 4 day course 2 x 20mg per day. Steroid: A short 4 day course is administered to the first group of patients with voice disorders before the initiation of voice therapy.
Placebo
n=13 Participants
Lactose Pills. 4 day course 2 x 20mg per day. Lactose Pills: 4 day course 2 x 20mg per da
Number of Participants That Showed Improved (Lower) Average Decibels (db) Output.
14 Participants
13 Participants

Adverse Events

Steroid

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

Placebo

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

Milan Amin

NYU Langone Health

Phone: 646-754-1206

Results disclosure agreements

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