AI Article Synopsis

  • Allergic rhinitis (AR) is an IgE-mediated inflammatory disease, and intranasal phototherapy is proposed as a potentially effective treatment, although more rigorous research is needed.
  • A pilot study will involve 40 AR patients, randomly assigned to either receive intranasal phototherapy or a placebo, assessing their nasal symptoms over two weeks.
  • The results aim to support further large-scale trials to evaluate the safety and effectiveness of this noninvasive treatment for AR, especially for patients unresponsive to traditional therapies.

Article Abstract

Introduction: Allergic rhinitis (AR) is an immunoglobulin E (Ig E)-mediated inflammatory disease. Intranasal phototherapy is a promising treatment modality because it has a profound immunosuppressive effect, but the available evidence of its use for AR is insufficient. Therefore, rigorously designed randomized controlled trials (RCTs) are needed. Our objective is to describe the protocol for a feasibility trial to assess the effects and safety of intranasal phototherapy for the treatment of AR.

Methods And Analysis: This is a study protocol for a single-center, randomized, double-blind, parallel, placebo-controlled, investigator-initiated pilot study. A total of 40 patients with AR will be randomly assigned to the medical device or sham device group in a 1:1 ratio. The participants will receive intranasal phototherapy with a medical or sham device for 20 min 5 times a week for 2 weeks. The primary outcome will be the mean change in the Total Nasal Symptom Score (TNSS) from baseline to 2 weeks. The secondary outcomes will include the Rhinoconjunctivitis Quality of Life Questionnaire (RQLQ) score, Nasal Endoscopy Index, total serum Ig E level, and eosinophil count.

Discussion: The findings of this study will provide the basis for subsequent large-scale definitive RCTs to confirm the effects and safety of intranasal phototherapy for the treatment of nasal symptoms in patients with AR who do not respond well to conventional therapy. This study may assist in the development of noninvasive treatment for patients with AR.

Trial Registration: This study was registered at the Korean National Clinical Trial Registry, Clinical Research Information Service (KCT0003253).

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7387024PMC
http://dx.doi.org/10.1097/MD.0000000000020835DOI Listing

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