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ACHAT-STUDY, Alternative Treatment of Chronic Globus Sensations

Primary Purpose

Globus, Deglutition Disorders

Status
Completed
Phase
Not Applicable
Locations
Germany
Study Type
Interventional
Intervention
Beamer Ablation (Argon Plasma Coagulation)
Sponsored by
Technical University of Munich
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Globus

Eligibility Criteria

18 Years - 80 Years (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  • Globus sensations and histologically verified heterotopic gastric mucosa of the cervical esophagus

Exclusion Criteria:

  • Malignancy in the ear, nose, and throat (ENT)-field
  • Scleroderma
  • Mental disability affecting a patient's ability to sign an informed consent document

Sites / Locations

  • II. Medical Department, Technical University Munich

Arms of the Study

Arm 1

Arm 2

Arm Type

Sham Comparator

Active Comparator

Arm Label

A

B

Arm Description

Sham Procedure

Verum Beamer ablation of heterotopic gastric mucosa

Outcomes

Primary Outcome Measures

outcome verified by a questionnaire (I.J. Deary et al) before therapy and follow up after 3 months

Secondary Outcome Measures

Full Information

First Posted
February 21, 2007
Last Updated
May 19, 2008
Sponsor
Technical University of Munich
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1. Study Identification

Unique Protocol Identification Number
NCT00439439
Brief Title
ACHAT-STUDY, Alternative Treatment of Chronic Globus Sensations
Official Title
ACHAT-STUDY: Argon-Beamer-Ablation of Cervical Heterotopic Gastral Mucosa, an Alternative Treatment of Chronic Globus Sensations - "Sham-Controlled" Multicenter Study
Study Type
Interventional

2. Study Status

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

3. Sponsor/Collaborators

Name of the Sponsor
Technical University of Munich

4. Oversight

5. Study Description

Brief Summary
Globus sensations are associated with gastroesophageal reflux disease as well as the presence of a gastric inlet patch. No controlled trial exists on whether ablation of the cervical heterotopic mucosa may lead to improvement of chronic globus sensations. The aim of this sham-controlled trial is to clarify whether argon-beamer-ablation of cervical heterotopic gastric inlet patches of the esophagus improves patients' chronic globus sensations.
Detailed Description
Some data suggest that ablation of gastric inlet patches by argon beamer therapy might lead to alleviation of chronic globus sensation or sore throat. Acid reflux or its treatment is unlikely to influence these results (Meining et al. Argon plasma ablation of gastric inlet patches in the cervical esophagus may alleviate globus sensation: a pilot trial. Endoscopy. 2006 Jun;38(6):566-70). Within the present study we will perform a randomized, sham-controlled and blinded trial, where patients with heterotopic gastric mucosa (HGM) of the cervical esophagus and globus sensations (a chronic or intermittent lump in the throat for at least 3 months) are going to be randomized after histological verification of HGM in the study center (Technical University Clinic Munich). Either a beamer ablation of HGM or a sham-therapy will be performed after patients complete a validated questionnaire. Patients are blinded for 3 months, then after completing another questionnaire endoscopy is repeated.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Globus, Deglutition Disorders

7. Study Design

Primary Purpose
Treatment
Study Phase
Not Applicable
Interventional Study Model
Factorial Assignment
Masking
Single
Allocation
Randomized
Enrollment
40 (Anticipated)

8. Arms, Groups, and Interventions

Arm Title
A
Arm Type
Sham Comparator
Arm Description
Sham Procedure
Arm Title
B
Arm Type
Active Comparator
Arm Description
Verum Beamer ablation of heterotopic gastric mucosa
Intervention Type
Radiation
Intervention Name(s)
Beamer Ablation (Argon Plasma Coagulation)
Intervention Description
APC-Beamerablation of heterotopic gastric mucosa
Primary Outcome Measure Information:
Title
outcome verified by a questionnaire (I.J. Deary et al) before therapy and follow up after 3 months

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
80 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Globus sensations and histologically verified heterotopic gastric mucosa of the cervical esophagus Exclusion Criteria: Malignancy in the ear, nose, and throat (ENT)-field Scleroderma Mental disability affecting a patient's ability to sign an informed consent document
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Alexander Meining, MD
Organizational Affiliation
II. Medical Department, TU-Munich
Official's Role
Principal Investigator
Facility Information:
Facility Name
II. Medical Department, Technical University Munich
City
Munich
State/Province
Bavaria
ZIP/Postal Code
81675
Country
Germany

12. IPD Sharing Statement

Citations:
PubMed Identifier
16802267
Citation
Meining A, Bajbouj M, Preeg M, Reichenberger J, Kassem AM, Huber W, Brockmeyer SJ, Hannig C, Hofler H, Prinz C, Schmid RM. Argon plasma ablation of gastric inlet patches in the cervical esophagus may alleviate globus sensation: a pilot trial. Endoscopy. 2006 Jun;38(6):566-70. doi: 10.1055/s-2006-925362.
Results Reference
background

Learn more about this trial

ACHAT-STUDY, Alternative Treatment of Chronic Globus Sensations

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