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Microarray Analysis of Sinus Samples From Patients With and Without Chronic Rhinosinusitis

This study is currently recruiting participants.
Study NCT00683371.   Last updated on May 22, 2008.   Information provided by University of California, San Francisco

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Descriptive Information Fields
Brief Title  Microarray Analysis of Sinus Samples From Patients With and Without Chronic Rhinosinusitis
Official Title  Microarray Analysis of Sinus Samples From Patients With and Without Chronic Rhinosinusitis
Brief Summary

Mucosal biopsies, endoscopically-guided brush samples of mucus, and a saline lavage taken from the maxillary sinuses of ten CRS patients undergoing sinus surgery are analyzed using three microarrays in order to detect bacteria, fungi and viruses. Ten control patients with normal sinuses will have the same samples taken. The hypothesis is that bacterial, fungal, and viral communities present in the maxillary sinus of patients with CRS are significantly different from those patients with healthy sinuses, and that microorganisms identified in patients with or without CRS will differ from previously published data obtained using other techniques.

Detailed Description

Mucosal biopsies, endoscopically-guided brush samples of mucus, and a saline lavage taken from the maxillary sinuses of ten CRS patients undergoing sinus surgery are analyzed using three microarrays: 16S rRNA PhyloChip (to detect bacteria), MycoChip (to detect fungi) and ViroChip (to detect viruses). Ten control patients with normal sinuses, as assessed by CT scan and a sinusitis-specific survey, will have the same samples taken. The hypothesis is that bacterial, fungal, and viral communities present in the maxillary sinus of patients with CRS are significantly different from those patients with healthy sinuses, and that microorganisms identified in patients with or without CRS will differ from previously published data obtained using other techniques. Comparing diseased and control flora will provide insight into the relative contribution of each pathogen to CRS and may guide the development of future therapies.

Study Phase
Study Type  Interventional
Study Design  Diagnostic, Non-Randomized, Single Blind (Investigator), Parallel Assignment
Primary Outcome Measure  Microbial community profiling using the PhyloChip, MycoChip, and ViroChip will yield vast quantities of data to be reduced in dimensions for interpretation. Pathogens detected in the nasal mucus of patients with CRS will be compared to healthy controls. [ Time Frame: Immediate Preoperative period. ] [ Designated as safety issue: No ]
Secondary Outcome Measure  The presence or absence of a given microorganism will be compared to previously published data obtained using either traditional culture methods or other genomic methods. [ Time Frame: Immediate preoperative period ] [ Designated as safety issue: No ]
Condition  Maxillary Sinusitis
Intervention  Procedure: Specimen collection
MEDLINE PMIDs
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Recruitment Information Fields
Recruitment Status  Recruiting
Enrollment  20
Start Date  October 2007
Completion Date September 2008
Eligibility Criteria 

Inclusion Criteria (CRS patients):

  • History of CRS as defined as symptoms (nasal discharge, nasal obstruction, facial pain and/or hyposmia) for >12 weeks despite therapy.
  • Impaired CRS-specific quality of life (SNOT-20 score >1.5).
  • Evidence of sinus disease on a CT scan (Lund MacKay score greater than or equal to 10).
  • Patients with positive skin or RAST testing to an inhalant allergen and/or aspirin hypersensitivity will be included. Evidence of atopy is not required but will be recorded, along with serum IgE levels, when available.

Inclusion Criteria (Control patients):

  • No history of CRS
  • SNOT-20 score <1.0
  • No evidence of sinus disease on preoperative imaging

Exclusion Criteria:

  • Control patients with any evidence of CRS, by history, survey, or imaging criteria would be excluded.
Gender Both
Ages 18 Years and older
Accepts Healthy Volunteers Yes
Contacts ††
Contact: Wendy Ma     415-353-2870     wma@ohns.ucsf.edu    
Contact: Andrew Goldberg, MD, MSCE     415-353-2757     agoldberg@ohns.ucsf.edu    
Location Countries  United States
Administrative Information Fields
NCT ID  NCT00683371
Organization ID H43796-31316-01
Secondary IDs ††
Study Sponsor  University of California, San Francisco
Collaborators ††
Investigators 
Principal Investigator:     Andrew Goldberg, MD, MSCE     University of California, San Francisco    
Information Provided By University of California, San Francisco
Verification Date May 2008
First Received Date  May 21, 2008
Last Updated Date May 22, 2008

 †    Required WHO trial registration data element.
††   WHO trial registration data element that is required only if it exists.




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