Dynamic Laryngotracheal Separation for Aspiration - Full Text View

Sponsored by:	University Hospitals of Cleveland
Information provided by:	University Hospitals of Cleveland
ClinicalTrials.gov Identifier:	NCT00580346

Purpose

People who aspirate after neurologic insults such as stroke often develop fatal pneumonia. This study examines the effects of dynamic vocal cord closure on swallowing. Implants placed over the chest wall are connected to electrodes placed around the nerve that closes the vocal cords. The patient triggers closure by flipping the switch of a coil taped over the skin covering the internal stimulator. Vocal cord motion is verified by videotaping through an endoscope, and the status of swallowing is documented radiologically by a modified barium swallow.

Condition	Intervention	Phase
Aspiration Pneumonia	Device: Placement of laryngeal implant	Phase I

MedlinePlus related topics: Pneumonia

U.S. FDA Resources

Study Type:	Interventional
Study Design:	Prevention, Double Blind (Caregiver, Investigator), Active Control, Single Group Assignment, Safety/Efficacy Study
Official Title:	Dynamic Laryngotracheal Separation for Aspiration. Prevention of Silent Aspiration Pneumonia During Swallowing by an Implanted Stimulator

Further study details as provided by University Hospitals of Cleveland:

Primary Outcome Measures:

Videotaping vocal cords and modified barium swallows [ Time Frame: several months ] [ Designated as safety issue: Yes ]

Secondary Outcome Measures:

Tolerance of implanted device [ Time Frame: immediate to several years ] [ Designated as safety issue: Yes ]
comfort in swallowing [ Time Frame: one year ] [ Designated as safety issue: Yes ]

Estimated Enrollment:	3
Study Start Date:	August 2004
Estimated Study Completion Date:	July 2009
Estimated Primary Completion Date:	July 2009 (Final data collection date for primary outcome measure)

Arms	Assigned Interventions
2: Experimental	Device: Placement of laryngeal implant Placement of stimulator over anterior chest wall, and electrodes around recurrent laryngeal nerve, and tunneling leads between both

Detailed Description:

Data pending

Eligibility

Ages Eligible for Study:	18 Years to 85 Years
Genders Eligible for Study:	Both
Accepts Healthy Volunteers:	No

Criteria

Inclusion Criteria:

Aspiration pneumonia after neurological insults (e.g. stroke)
Ability to understand the purpose of the research
Appropriate hand motor control
Inability to improve under standard treatments (speech-language pathologists)
Acceptance of a tracheostomy

Exclusion Criteria:

Lack of understanding the research
Poor hand motor coordination
Uncontrolled seizures
Pregnancy
Refusal to accept a tracheostomy

Contacts and Locations

Please refer to this study by its ClinicalTrials.gov identifier: NCT00580346

Locations

United States, Ohio
University Hospitals Health System
Cleveland, Ohio, United States, 44106

Sponsors and Collaborators

University Hospitals of Cleveland

Investigators

Principal Investigator:

Michael Broniatowski, MD

University Hospitals of Cleveland

More Information

Publications:

Broniatowski M, Grundfest-Broniatowski S, Tyler DJ, Scolieri P, Abbass F, Tucker HM, Brodsky S. Dynamic laryngotracheal closure for aspiration: a preliminary report. Laryngoscope. 2001 Nov;111(11 Pt 1):2032-40.

Responsible Party:	University Hospitals of Cleveland health System ( Michael Broniatowski, MD )
Study ID Numbers:	01-01-02, NIH DC-006703-01, IDE G980179
Study First Received:	December 21, 2007
Last Updated:	February 17, 2009
ClinicalTrials.gov Identifier:	NCT00580346 History of Changes
Health Authority:	United States: Food and Drug Administration

Keywords provided by University Hospitals of Cleveland:

Aspiration pneumonia
Implanted laryngeal stimulator
Vocal cord closure
Modified barium swallow

Study placed in the following topic categories:

Respiratory Tract Infections
Respiratory Tract Diseases
Lung Diseases
Pneumonia, Aspiration
Pneumonia

Additional relevant MeSH terms:

Respiratory Tract Infections
Respiratory Tract Diseases
Lung Diseases
Pneumonia, Aspiration
Pneumonia

ClinicalTrials.gov processed this record on May 07, 2009