NCT00592644

Brief Summary

Small vascular malformations (SVM) on the vocal fold is a common problem that can disturb the voice. The pulsed dye laser (PDL) has been successfully used for treatment of blood vessel abnormalities in surface tissue, through its high selectivity for destroying targeted blood vessels while sparing normal tissue. However, there is no study to determine its clinical benefit for treatment of SVMs on vocal fords. In this proposed study, we plan to make such a determination.We will determine whether PDL will produce better and quicker voice improvement than the conventional surgeries, in 20 patients (10 cases of each group) with vocal fold SVM. We expect that this less invasive laser treatment will provide an ideal and excellent option for this disease.

Trial Health

100
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
7

participants targeted

Target at below P25 for phase_2

Timeline
Completed

Started Mar 2005

Typical duration for phase_2

Status
completed

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

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Study Timeline

Key milestones and dates

Study Start

First participant enrolled

March 1, 2005

Completed
2.8 years until next milestone

First Submitted

Initial submission to the registry

December 31, 2007

Completed
14 days until next milestone

First Posted

Study publicly available on registry

January 14, 2008

Completed
9 months until next milestone

Primary Completion

Last participant's last visit for primary outcome

October 1, 2008

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

October 1, 2008

Completed
Last Updated

March 31, 2011

Status Verified

March 1, 2011

Enrollment Period

3.6 years

First QC Date

December 31, 2007

Last Update Submit

March 29, 2011

Conditions

Keywords

ectasiavascular lesionsvocal cordsvoicepulsed dye laser

Outcome Measures

Primary Outcomes (1)

  • Recovery of Voice

    5 months

Secondary Outcomes (1)

  • clearance of lesion

    5 months

Study Arms (2)

1

EXPERIMENTAL

Pulse Dye Laser

Procedure: Pulse Dye laser (PDL)

2

ACTIVE COMPARATOR

Traditional surgeries

Procedure: CO2 laser or other traditional surgeries

Interventions

one-time PDL, in 10 subjects

Also known as: the laser made by Cynosure Inc, Mass
1

once-time CO2 laser or other conventional surgeries, in other 10 subjects

Also known as: the laser made by Cynosure Inc. Mass
2

Eligibility Criteria

Age18 Years - 64 Years
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64)

You may qualify if:

  • have SVMs or other small (2.0 mm diameter or less) vasculature-related lesions on vocal fold
  • Hoarseness or other symptoms of alteration in phonation is persistent least for 3 months
  • have (or have a high risk of) recurrent vocal fold hemorrhage, SVM enlargement or persistent fold vibratory abnormality
  • years of age or older
  • Failure to response to voice training or other non-surgical treatments
  • Require CO2 laser ablation or other surgical removal of the lesion
  • Willingness to participate in a 6-month study and adhere to the follow-up schedule
  • A signed informed consent form

You may not qualify if:

  • Age less than 18 years, or older than 64
  • Any evidence of mental impairment such that the patient cannot understand the protocol or be in a position to sign the informed consent form
  • Clinical or histological evidence of malignant conversion
  • Lesion to be larger than 2.00 mm diameter or those non-vascular lesions
  • Pregnant women
  • Severity of disease such that airway patency is in immediate danger
  • Patients for whom the voice quality is particularly important: including signers, actors, or other similar professions or person who requires a very high voice quality

Contact the study team to confirm eligibility.

Sponsors & Collaborators

MeSH Terms

Conditions

Dilatation, Pathologic

Interventions

FibrillinsLasers, Gas

Condition Hierarchy (Ancestors)

Pathological Conditions, AnatomicalPathological Conditions, Signs and Symptoms

Intervention Hierarchy (Ancestors)

GlycoproteinsGlycoconjugatesCarbohydratesProteinsAmino Acids, Peptides, and ProteinsExtracellular Matrix ProteinsScleroproteinsLasersOptical DevicesEquipment and SuppliesRadiation Equipment and Supplies

Study Officials

  • Zhi Wang, MD

    Boston University

    PRINCIPAL INVESTIGATOR

Study Design

Study Type
interventional
Phase
phase 2
Allocation
RANDOMIZED
Masking
NONE
Purpose
TREATMENT
Intervention Model
PARALLEL
Sponsor Type
OTHER

Study Record Dates

First Submitted

December 31, 2007

First Posted

January 14, 2008

Study Start

March 1, 2005

Primary Completion

October 1, 2008

Study Completion

October 1, 2008

Last Updated

March 31, 2011

Record last verified: 2011-03