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Whether Proton Pump Inhibitors, Administered Prior to or After Surgery, Can Reduce the Incidence and/or Severity of Difficulty Swallowing Foods and/or Liquids,Following Anterior Cervical Surgery

Study Purpose

The researchers wish to investigate whether proton pump inhibitors, administered prior to or after surgery, can reduce the incidence and/or severity of difficulty swallowing foods and/or liquids,following anterior cervical surgery.

Recruitment Criteria

Healthy volunteers are participants who do not have a disease or condition, or related conditions or symptoms

Accepts Healthy Volunteers 		No

An interventional clinical study is where participants are assigned to receive one or more interventions (or no intervention) so that researchers can evaluate the effects of the interventions on biomedical or health-related outcomes.


An observational clinical study is where participants identified as belonging to study groups are assessed for biomedical or health outcomes.


Searching Both is inclusive of interventional and observational studies.

Study Type 		Interventional
Eligible Ages 18 Years and Over
Gender All
More Inclusion & Exclusion Criteria

Inclusion Criteria:

  • - Must be at least 18 years of age.
  • - Scheduled to undergo anterior cervical surgery for degenerative joint disease.

Exclusion Criteria:

  • - Patients undergoing revision procedures, multi-level procedures, or procedures treating conditions other than degenerative joint disease.
  • - Patients with preoperative dysphagia.
  • - Patients currently taking any acid suppressing medications (proton pump inhibitors, H2 blockers, antacids, etc).
  • - Patients who are pregnant or nursing.
  • - Patients who, due to drug allergies, hypersensitivities/anaphylactic reactions to esomeprazole or contraindications (hypersensitivity to benzimidazoles, osteoporosis), are unable to take esomeprazole.
  • - Patients unable to attend follow-up visits or answer the dysphagia questionnaires.
Eligibility Criteria:
  • - Scheduled to undergo anterior cervical surgery for degenerative joint disease.

Trial Details

This trial id was obtained from ClinicalTrials.gov, a service of the U.S. National Institutes of Health, providing information on publicly and privately supported clinical studies of human participants with locations in all 50 States and in 196 countries.

Trial ID: 		NCT03488147

Phase 1: Studies that emphasize safety and how the drug is metabolized and excreted in humans.

Phase 2: Studies that gather preliminary data on effectiveness (whether the drug works in people who have a certain disease or condition) and additional safety data.

Phase 3: Studies that gather more information about safety and effectiveness by studying different populations and different dosages and by using the drug in combination with other drugs.

Phase 4: Studies occurring after FDA has approved a drug for marketing, efficacy, or optimal use.

Phase 		Phase 2

The sponsor is the organization or person who oversees the clinical study and is responsible for analyzing the study data.

Lead Sponsor 		Icahn School of Medicine at Mount Sinai

The person who is responsible for the scientific and technical direction of the entire clinical study.

Principal Investigator 		Andrew C Hecht, MD
Principal Investigator Affiliation Icahn School of Medicine at Mount Sinai

Category of organization(s) involved as sponsor (and collaborator) supporting the trial.

Agency Class 		Other
Overall Status Not yet recruiting
Countries United States

The disease, disorder, syndrome, illness, or injury that is being studied.

Conditions 		Dysphagia, GERD, Degenerative Joint Disease
Additional Details

Over half of patients who underwent anterior cervical surgery may experience dysphagia in the month following the operation. Dysphagia, characterized as difficulty swallowing foods and/or liquids, is a debilitating condition that not only reduces the quality of life for our patients but also results in poor nutritional intake, which may lead to delays in healing and recovery after surgery. Current understanding of dysphagia following cervical surgery is very rudimentary. Many published reports were retrospective studies where the incidence of dysphagia was later found to be greatly underreported. Furthermore, many studies utilized small sample sizes producing varying data regarding the incidence and severity of postoperative dysphagia. Most importantly, a review of the medical literature failed to find any consistently proven recommendations or therapies that can reduce the incidence or severity of postoperative dysphagia. A recently published study shows that gastroesophageal reflux disease (GERD) is also a common complaint following anterior cervical surgery. The study also shows a positive correlation between the severity of postoperative GERD and severity of postoperative dysphagia. Other studies also showed that patients suffering from GERD-associated dysphagia may be successfully treated with proton pump inhibitors. Based on these studies, along with anecdotal reports, the investigators hypothesize that proton pump inhibitors may reduce the incidence and/or severity of dysphagia following anterior cervical surgery.

Contact a Trial Team

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Icahn School of Medicine at Mount Sinai, New York, New York

Status

Not yet recruiting

Address

Icahn School of Medicine at Mount Sinai

New York, New York, 10029

Mount Sinai West, New York, New York

Status

Not yet recruiting

Address

Mount Sinai West

New York, New York, 10019

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