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Effects of carbon monoxide on nasal mucociliary clearance.
ISRCTN ISRCTN54813440
ClinicalTrials.gov identifier
Public title Effects of carbon monoxide on nasal mucociliary clearance.
Scientific title
Acronym N/A
Serial number at source N0236169531
Study hypothesis To determine the effects of low concentrations of carbon monoxide gas on the motility of human nasal cilia cells.
Lay summary Not provided at time of registration
Ethics approval Not provided at time of registration
Study design Prospective single-blinded controlled study
Countries of recruitment United Kingdom
Disease/condition/study domain Ear, Nose and Throat:
Participants - inclusion criteria Healthy adult volunteers between 18 and 40 years old. Volunteers will be recruited from amongst medical and nursing staff and students at St George’s Hospital, London. They will be personally approached by the principle investigator.
Participants - exclusion criteria 1. Smokers
2. Subjects with a history of chronic respiratory or nasal disease
3. Symptomatic upper respiratory tract infection during the previous 4 weeks
4. Subjects who have taken systemic or topical steroids or anti-histamine therapy during the previous 4 weeks
5. Presence of significant mechanical intra-nasal deformity such as a septal deviation or bony spur
6. Children under 16 years old
7. Vulnerable groups including those with learning difficulty, mental illness, and dementia
8. Pregnancy
9. Other conditions that increase risk are hyperthyroidism, obesity, bronchitis, asthma, preexisting heart disease and alcoholism
Anticipated start date 21/08/2005
Anticipated end date 21/08/2006
Status of trial Completed
Patient information material Not available in web format, please use the contact details below to request a patient information sheet
Target number of participants Added 21 July 2008: 26
Interventions A steady flow normal air (100ml/min) is fed into one nostril; the other nostril is left unblocked so air can escape. Simultaneously, the subject breaths via the mouth into an oxygen mouthpiece so that the soft palate closes the mouth from the nasal cavity, and gas flows from one nostril to the other without being inspired into the lungs. This lasts for 10 minutes. The saccharine test is then used to measure the nasal mucociliary clearance time. A saccharine granule is placed in the nose at the same site in all subjects. The time required for the subject to taste the sweetness is measured. Oral only breathing is maintained during the saccharine test. The test is repeated with a 100cc/min flow of low concentration CO gas (30ppm) fed into the nostril. The subject is blinded and does not know which gas is fed into the nostril. The nostril into which the gas is fed into is randomised. The background ambient CO level is measured using a commercially available CO detector.
Primary outcome measure(s) The mucociliary clearance time, measured as the time to taste the saccharin.
Secondary outcome measure(s) No secondary outcome measures
Sources of funding St George's Healthcare NHS Trust (UK)
NHS R&D Support Funding, no external funding
Trial website
Publications
Contact name Mr  Stephen  Lo
  Address Department of Otolaryngology
St George's Hospital Medical School
  City/town London
  Zip/Postcode SW17 0QT
  Country United Kingdom
  Tel +44 020 8725 2050
  Fax +44
  Email stephenlo@lycos.co.uk
Sponsor Record Provided by the NHSTCT Register - 2006 Update - Department of Health
  Address The Department of Health, Richmond House, 79 Whitehall
  City/town London
  Zip/Postcode SW1A 2NL
  Country United Kingdom
  Tel +44 (0)20 7307 2622
  Email dhmail@doh.gsi.org.uk
  Sponsor website: http://www.dh.gov.uk/Home/fs/en
Date applied 29/09/2006
Last edited 28/09/2011
Date ISRCTN assigned 29/09/2006
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