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Mild Versus Potent Corticosteroids as Treatment for Phimosis in Children (TopSteP)

Primary Purpose

Phimosis

Status
Withdrawn
Phase
Phase 4
Locations
United Kingdom
Study Type
Interventional
Intervention
hydrocortisone
Betamethasone
Sponsored by
Chelsea and Westminster NHS Foundation Trust
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Phimosis

Eligibility Criteria

2 Years - 16 Years (Child)MaleDoes not accept healthy volunteers

Inclusion Criteria:

  • Children 2-16 with non-retractile foreskin

Exclusion Criteria:

  • Balanitis xerotica obliterans, balanitis, <2yrs

Sites / Locations

  • Chelsea and Westminster Hospital

Arms of the Study

Arm 1

Arm 2

Arm Type

Experimental

Experimental

Arm Label

Mild steroid

Potent Steroid

Arm Description

1%hydrocortisone for 8 weeks

Outcomes

Primary Outcome Measures

Achievement of fully retractile foreskin with full exposure of glans at the end of therapy

Secondary Outcome Measures

Complications of topical corticosteroids

Full Information

First Posted
July 6, 2009
Last Updated
July 28, 2015
Sponsor
Chelsea and Westminster NHS Foundation Trust
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1. Study Identification

Unique Protocol Identification Number
NCT00933023
Brief Title
Mild Versus Potent Corticosteroids as Treatment for Phimosis in Children
Acronym
TopSteP
Official Title
A Randomised Controlled Trial of Mild Versus Potent Topical Corticosteroids as Primary Treatment for Non-retractile Foreskin in Children.
Study Type
Interventional

2. Study Status

Record Verification Date
July 2015
Overall Recruitment Status
Withdrawn
Why Stopped
Patient numbers estimated to be too low to complete the trial in less than 10 years
Study Start Date
August 2009 (undefined)
Primary Completion Date
September 2009 (Actual)
Study Completion Date
September 2009 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Principal Investigator
Name of the Sponsor
Chelsea and Westminster NHS Foundation Trust

4. Oversight

Data Monitoring Committee
Yes

5. Study Description

Brief Summary
Topical steroids are used as treatment for non-retractile foreskin in children for decades, but, there are disagreement among physicians about the optimum potency of the agent used. This study is designed to determine any difference in the beneficial effects of mild versus potent topical corticosteroids in treatment of non-retractile foreskin in children.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Phimosis

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 4
Interventional Study Model
Single Group Assignment
Masking
None (Open Label)
Allocation
Randomized
Enrollment
0 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Mild steroid
Arm Type
Experimental
Arm Description
1%hydrocortisone for 8 weeks
Arm Title
Potent Steroid
Arm Type
Experimental
Intervention Type
Drug
Intervention Name(s)
hydrocortisone
Intervention Description
1%hydrocortisone topical once daily for 8 weeks
Intervention Type
Drug
Intervention Name(s)
Betamethasone
Intervention Description
Betamethasone 0.1% topical once daily for 8weeks
Primary Outcome Measure Information:
Title
Achievement of fully retractile foreskin with full exposure of glans at the end of therapy
Time Frame
16 weeks
Secondary Outcome Measure Information:
Title
Complications of topical corticosteroids
Time Frame
16 weeks

10. Eligibility

Sex
Male
Minimum Age & Unit of Time
2 Years
Maximum Age & Unit of Time
16 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Children 2-16 with non-retractile foreskin Exclusion Criteria: Balanitis xerotica obliterans, balanitis, <2yrs
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Anindya Niyogi, MBBS, MRCSEd
Organizational Affiliation
Research Fellow in Paediatric Surgery
Official's Role
Principal Investigator
Facility Information:
Facility Name
Chelsea and Westminster Hospital
City
London
Country
United Kingdom

12. IPD Sharing Statement

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Mild Versus Potent Corticosteroids as Treatment for Phimosis in Children

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