Clinical Trials Directory

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UnknownNCT05110417

Reversal of Botulinum Neurotoxin Injection Related Dysphonia With Pyridostigmine

Pilot Study of the Efficacy of Pyridostigmine for Reversal of Post Injection Dysphonia Following Botulinum Neurotoxin Laryngeal Chemo-Denervation in Spasmodic Dysphonia

Status
Unknown
Phase
Phase 4
Study type
Interventional
Enrollment
10 (estimated)
Sponsor
Eastern Virginia Medical School · Academic / Other
Sex
All
Age
21 Years – 100 Years
Healthy volunteers
Not accepted

Summary

The purpose of this study is to evaluate the effects of pyridostigmine (Mestinon) on patient vocal outcomes after undergoing laryngeal botulinum neurotoxin (BoNT) injections, which is a standard treatment for spasmodic dysphonia. Pyridostigmine (Mestinon) has been used for treatment of BoNT overdose, and it is our hope that it will be beneficial in the management of post BoNT breathy phase.

Detailed description

The study will enroll 10 subjects and will involve 1 clinic visit with two sessions over 2 hours. Participants' voices will then be analyzed via sentence/passage reading, sustained vowel holding, maximum phonation time, as well as subjective ratings of effort. During the second clinic visit, participants will then be administered one 60mg tablet of pyridostigmine (Mestinon) orally, and asked to return to the clinic in 2 hours, when Mestinon has reached peak plasma concentration. Upon returning, participants will repeat the vocal analysis and results will be evaluated for any change in outcome. Patients who are pregnant, lactating, or have kidney or heart disease should not participate.

Conditions

Interventions

TypeNameDescription
DRUGPyridostigmine Bromide 60 Milligrams (mg)One tablet will be provided to patients during the second visit.

Timeline

Start date
2021-05-20
Primary completion
2022-12-31
Completion
2023-06-01
First posted
2021-11-08
Last updated
2022-07-27

Locations

1 site across 1 country: United States

Regulatory

Source: ClinicalTrials.gov record NCT05110417. Inclusion in this directory is not an endorsement.