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A Comparison of Orally Pilocarpine and Artificial Saliva in Xerostomy Treatment

Primary Purpose

Primary Sjogren, Secondary Sjogren, Xerostomia

Status
Completed
Phase
Phase 4
Locations
Chile
Study Type
Interventional
Intervention
pilocarpine
Artificial Saliva
Sponsored by
Pontificia Universidad Catolica de Chile
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Primary Sjogren focused on measuring Pilocarpine, Artificial saliva, Xerostomia, Xerostomy, Primary Sjogren, Secondary Sjogren

Eligibility Criteria

18 Years - undefined (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  • Patiens over 18 years, with primary or secondary Sjogren's Syndrome and xerostomia.

Exclusion Criteria:

  • Patiens with cardiac, pulmonary, renal, gastric diseases,
  • Patients with diabetes, glaucoma, Multipleesclerosis,
  • Pregnant women.

Sites / Locations

  • Unidad Docente Asociada Dermatologia. Escuela de MEdicina Pontificia Universidad Catolica de Chile

Arms of the Study

Arm 1

Arm Type

Active Comparator

Arm Label

a,b

Arm Description

Compare Pilocarpine and Artificial saliva

Outcomes

Primary Outcome Measures

To assess and compare the safetyness and efficacy of pilocarpine drops versus artificial saliva as symptomatic treatment for dry mouth and dry eyes caused by SS in a multicenter, doubleblind, controlled trial.

Secondary Outcome Measures

Determine on a subjetive manner wich treatment is better fot patients.

Full Information

First Posted
February 20, 2007
Last Updated
May 21, 2008
Sponsor
Pontificia Universidad Catolica de Chile
Collaborators
Formulario MAgistral Farmacias Ahumada
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1. Study Identification

Unique Protocol Identification Number
NCT00438048
Brief Title
A Comparison of Orally Pilocarpine and Artificial Saliva in Xerostomy Treatment
Official Title
Xerostomy Treatment in Patients With Sjogren's Syndrome in Chile :A Double Blind Control Trial Comparing Orally Pilocarpine Drops and Artificial Saliva
Study Type
Interventional

2. Study Status

Record Verification Date
May 2008
Overall Recruitment Status
Completed
Study Start Date
November 2006 (undefined)
Primary Completion Date
May 2008 (Actual)
Study Completion Date
May 2008 (Actual)

3. Sponsor/Collaborators

Name of the Sponsor
Pontificia Universidad Catolica de Chile
Collaborators
Formulario MAgistral Farmacias Ahumada

4. Oversight

Data Monitoring Committee
Yes

5. Study Description

Brief Summary
The purpose of this study is to assess and compare the safetyness and efficacy of pilocarpine drops versus artificial saliva as symptomatic treatment for dry mouth and dry eyes caused by SS in a multicenter, doubleblind, controlled trial.
Detailed Description
Title: Xerostomy treatment in patients with Sjogren's syndrome in Chile :A double blind control trial comparing orally Pilocarpine drops and Artificial Saliva Authors: Cristian Vera Kellet, Mirtha Cifuentes Mutinelli. Affiliations: Pontificia Universidad Catolica de Chile BACKGROUND Sjogren's syndrome (SS) is characterized by diminished exocrine secretions with the resultant xerostomia and xerophthalmia due to slowly progressive infiltration of lacrimal and salivary glands by inflamatory cells. OBJECTIVE: To assess and compare the safetyness and efficacy of pilocarpine drops versus artificial saliva as symptomatic treatment for dry mouth and dry eyes caused by SS in a multicenter, doubleblind, controlled trial. SUBJECTS AND METHODS After providing written informed consent, 72 patients with primary or secondary SS and clinically significant dry mouth and dry eyes will be randomized to receive either 5-mg pilocarpine drops, or artificial saliva 3 times daily for 12 weeks. Global evaluation and subjective responses of patients will be assessed by questionnaires with visual analog scales or categorical checkboxes. All patients will be submited to anxiety and psicological test before and after 12 weeks. Whole-mouth salivary flow and lacrimal flow will be measured using Schirmer test.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Primary Sjogren, Secondary Sjogren, Xerostomia
Keywords
Pilocarpine, Artificial saliva, Xerostomia, Xerostomy, Primary Sjogren, Secondary Sjogren

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 4
Interventional Study Model
Parallel Assignment
Masking
ParticipantInvestigator
Allocation
Randomized
Enrollment
76 (Actual)

8. Arms, Groups, and Interventions

Arm Title
a,b
Arm Type
Active Comparator
Arm Description
Compare Pilocarpine and Artificial saliva
Intervention Type
Procedure
Intervention Name(s)
pilocarpine
Other Intervention Name(s)
Artificial saliva
Intervention Description
or secondary symptomatic SS with clinically significant dry mouth were randomized to receive either 5 mg oral Pilocarpine solution (5ml) or artificial saliva (5 ml) 3 times a day for 12 weeks
Intervention Type
Drug
Intervention Name(s)
Artificial Saliva
Other Intervention Name(s)
pilocarpine
Intervention Description
5ml 3 times daily
Primary Outcome Measure Information:
Title
To assess and compare the safetyness and efficacy of pilocarpine drops versus artificial saliva as symptomatic treatment for dry mouth and dry eyes caused by SS in a multicenter, doubleblind, controlled trial.
Time Frame
12 weeks
Secondary Outcome Measure Information:
Title
Determine on a subjetive manner wich treatment is better fot patients.
Time Frame
12 weeks

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Patiens over 18 years, with primary or secondary Sjogren's Syndrome and xerostomia. Exclusion Criteria: Patiens with cardiac, pulmonary, renal, gastric diseases, Patients with diabetes, glaucoma, Multipleesclerosis, Pregnant women.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Cristian Vera-Kellet, MD
Organizational Affiliation
UDA Dermatologia, Escuela de Medicina, Pontificia Universidad Catolica de Chile
Official's Role
Principal Investigator
Facility Information:
Facility Name
Unidad Docente Asociada Dermatologia. Escuela de MEdicina Pontificia Universidad Catolica de Chile
City
Santiago
State/Province
Region Metropolitana
Country
Chile

12. IPD Sharing Statement

Citations:
PubMed Identifier
17043506
Citation
Papas AS, Sherrer YS, Charney M, Golden HE, Medsger TA Jr, Walsh BT, Trivedi M, Goldlust B, Gallagher SC. Successful Treatment of Dry Mouth and Dry Eye Symptoms in Sjogren's Syndrome Patients With Oral Pilocarpine: A Randomized, Placebo-Controlled, Dose-Adjustment Study. J Clin Rheumatol. 2004 Aug;10(4):169-77. doi: 10.1097/01.rhu.0000135553.08057.21.
Results Reference
background
PubMed Identifier
16323968
Citation
Al-Hashimi I. Xerostomia secondary to Sjogren's syndrome in the elderly: recognition and management. Drugs Aging. 2005;22(11):887-99. doi: 10.2165/00002512-200522110-00001.
Results Reference
background
PubMed Identifier
15863819
Citation
Masters KJ. Pilocarpine treatment of xerostomia induced by psychoactive medications. Am J Psychiatry. 2005 May;162(5):1023. doi: 10.1176/appi.ajp.162.5.1023. No abstract available.
Results Reference
background
PubMed Identifier
15111631
Citation
Gotrick B, Akerman S, Ericson D, Torstenson R, Tobin G. Oral pilocarpine for treatment of opioid-induced oral dryness in healthy adults. J Dent Res. 2004 May;83(5):393-7. doi: 10.1177/154405910408300508.
Results Reference
background
PubMed Identifier
15093850
Citation
Hendrickson RG, Morocco AP, Greenberg MI. Pilocarpine toxicity and the treatment of xerostomia. J Emerg Med. 2004 May;26(4):429-32. doi: 10.1016/j.jemermed.2003.09.013.
Results Reference
background
PubMed Identifier
15012873
Citation
Solans R, Bosch JA, Selva A, Simeon CP, Fonollosa V, Vilardell M. [Usefulness of oral pilocarpin therapy in the treatment of xerostomia and xerophthalmia in patients with primary Sjogren's syndrome]. Med Clin (Barc). 2004 Feb 28;122(7):253-5. doi: 10.1016/s0025-7753(04)75314-2. Spanish.
Results Reference
background
PubMed Identifier
14644860
Citation
Tsifetaki N, Kitsos G, Paschides CA, Alamanos Y, Eftaxias V, Voulgari PV, Psilas K, Drosos AA. Oral pilocarpine for the treatment of ocular symptoms in patients with Sjogren's syndrome: a randomised 12 week controlled study. Ann Rheum Dis. 2003 Dec;62(12):1204-7. doi: 10.1136/ard.2002.003889.
Results Reference
background
PubMed Identifier
17000452
Citation
Wu CH, Hsieh SC, Lee KL, Li KJ, Lu MC, Yu CL. Pilocarpine hydrochloride for the treatment of xerostomia in patients with Sjogren's syndrome in Taiwan--a double-blind, placebo-controlled trial. J Formos Med Assoc. 2006 Oct;105(10):796-803. doi: 10.1016/S0929-6646(09)60266-7.
Results Reference
result
PubMed Identifier
16759558
Citation
Brito-Zeron P, Ramos-Casals M, Nardi N, Font J. [Results of the treatment with oral pilocarpine in 100 patients with primary Sjogrens syndrome]. Med Clin (Barc). 2006 Apr 29;126(16):637. doi: 10.1157/13087738. No abstract available. Spanish.
Results Reference
result
PubMed Identifier
16700739
Citation
Aframian DJ, Helcer M, Livni D, Markitziu A. Pilocarpine for the treatment of salivary glands' impairment caused by radioiodine therapy for thyroid cancer. Oral Dis. 2006 May;12(3):297-300. doi: 10.1111/j.1601-0825.2005.01195.x.
Results Reference
result
PubMed Identifier
16424527
Citation
Aragona P, Di Pietro R, Spinella R, Mobrici M. Conjunctival epithelium improvement after systemic pilocarpine in patients with Sjogren's syndrome. Br J Ophthalmol. 2006 Feb;90(2):166-70. doi: 10.1136/bjo.2005.078865.
Results Reference
result

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A Comparison of Orally Pilocarpine and Artificial Saliva in Xerostomy Treatment

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