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Recurrent Respiratory PapillomatosisAIR:RRPNCT03465280

Airway Intervention Registry (AIR): Recurrent Respiratory Papillomatosis (RRP)

An observational study of Recurrent Respiratory Papillomatosis and Human Papilloma Virus, run by Newcastle-upon-Tyne Hospitals NHS Trust at 48 sites in United Kingdom.

Unknown status

Status not confirmed. The sponsor has not verified this record for over two years, so it may be out of date.

Official record
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Trial summary

Recurrent Respiratory Papillomatosis (RRP) causes wart-like growths in the airway which can make it difficult to breathe, speak and carry out normal everyday activities. It is a rare condition affecting all ages, but is more common and aggressive in children than in adults, affecting 4 in every 100,000 children. Read more about this study

Who is it for?
Any age
What is being tested?
Microdebrider, Cold-steel surgery (forceps) and Carbon dioxide laser
Type of treatment
Surgery or procedure
How many people
400 participants
Where
48 sitesUnited Kingdom
Study dates
1 Apr 2018to 31 Aug 2022
How long will I take part?
53 Months
Phase
Observational
Are there results?
None posted in the registry

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages Any age
  • All sexes
  • No healthy volunteers
  • Child, Adult, Older adult

Study population: Patients with respiratory papillomatosis receiving hospital treatment

Who may be able to join

  • patients of any age (no restrictions) diagnosed with (newly diagnosed or existing) and receiving treatment for respiratory papillomatosis
  • informed assent/consent of data participation provided by patient/parent/guardian

Who cannot join

  • patients participating in other studies

Trial locations and contacts

48 sites in 1 country.

48 sites in 1 country

United Kingdom48 sites, 48 recruiting
  • NHS Grampian

    Aberdeen, AB25 2ZB

    Recruiting
  • Betsi Cadwaladr University Health Board,

    Bangor, LL57 2PW

    Recruiting
  • Basildon & Thurrock University Hospitals NHS FT

    Basildon, SS165NL

    Recruiting
  • Belfast Health and Social Care Trust

    Belfast, BT2 8BG

    Recruiting
  • University Hospital Birmingham NHS Foundation Trust

    Birmingham, B15 2GW

    Recruiting
  • Birmingham Women's and Children's NHS Foundation Trust

    Birmingham, B4 6NH

    Recruiting
  • Blackpool Teaching Hospital NHS FT

    Blackpool, FY38NR

    Recruiting
  • Bradford Teaching Hospitals NHS Foundation Trust

    Bradford, BD9 6RJ

    Recruiting
  • Cambridge University Hospitals NHS Foundation Trust

    Cambridge, CB2 0QQ

    Recruiting
  • Cardiff and Vale University Local Health Board

    Cardiff, CF14 4XW

    Recruiting
  • North Cumbria Univeristy Hospital NHS Trust

    Carlisle, CA27HY

    Recruiting
  • Hywel Dda University Health Board

    Carmarthen, SA31 3BB

    Recruiting
  • County Durham and Darlington NHS Foundation Trust

    Darlington, DL36HX

    Recruiting
  • University Hospitals of Derby and Burton NHS Foundation Trust

    Derby, DE223NE

    Recruiting
  • Doncaster and Bassetlaw Teaching Hospitals NHS Foundation Trust

    Doncaster, DN2 5LT

    Recruiting
  • NHS Tayside

    Dundee, DD2 1GZ

    Recruiting
  • NHS Lothian

    Edinburgh, EH16 4TJ

    Recruiting
  • Frimley Health NHS Foundation Trust

    Frimley, GU16 7UJ

    Recruiting
  • NHS Greater Glasgow & Clyde

    Glasgow, G120XH

    Recruiting
  • London North West University Healthcare NHS Trust

    Harrow, HA1 3UJ

    Recruiting
  • Leeds Teaching Hospitals NHS Trust

    Leeds, LS9 7TF

    Recruiting
  • Alder Hey Children's NHS Foundation Trust

    Liverpool, L12 2AP

    Recruiting
  • Liverpool University Hospitals NHS Foundation Trust

    Liverpool, L7 8XP

    Recruiting
  • Barts Health NHS Trust

    London, E1 2ES

    Recruiting
  • University College London Hospitals NHS Foundation Trust

    London, NW1 2PG

    Recruiting
  • Guy's and St Thomas' NHS Foundation Trust

    London, SE1 7EH

    Recruiting
  • Lewisham and Greenwich NHS Trust

    London, SE13 6LH

    Recruiting
  • St George's University Hospitals NHS Foundation Trust

    London, SW17 0QT

    Recruiting
  • Imperial College Healthcare NHS Trust

    London, W2 1NY

    Recruiting
  • Great Ormond Street Hospital for Children NHS FT

    London, WC1N3JH

    Recruiting
  • Bedfordshire Hospitals NHS Foundation Trust

    Luton, LU4 0DZ

    Recruiting
  • Manchester University Hospital NHS Foundation Trust

    Manchester, M13 9WL

    Recruiting
  • Pennine Acute Hospitals NHS Trust

    Manchester, M8 5RB

    Recruiting
  • Wirral University Teaching Hospitals NHS Foundation Trust

    Metropolitan Borough of Wirral, CH49 5PE

    Recruiting
  • South Tees Hospitals NHS Foundation Trust

    Middlesbrough, TS4 3BW

    Recruiting
  • The Newcastle upon Tyne Hospitals NHS Foundation Trust

    Newcastle upon Tyne, NE7 7DN

    Andrew Sims, nuth.NMPCE.Air@nhs.net

    Recruiting
  • Isle of Wight NHS Trust

    Newport, PO30 5TG

    Recruiting
  • Nottingham University Hospitals NHS Trust

    Nottingham, NG51PB

    Recruiting
  • Oxford University Hospitals NHS Foundation Trust

    Oxford, OX3 9DU

    Recruiting
  • University Hospital of Plymouth NHS Trust

    Plymouth, PL6 8DH

    Recruiting
  • Swansea Bay University Health Board

    Port Talbot, SA12 7BR

    Recruiting
  • East Sussex Healthcare NHS Trust

    Saint Leonards-on-Sea, TN37 7PT

    Recruiting
  • Salford Royal NHS Foundation Trust

    Salford, M6 8HD

    Recruiting
  • Sheffield Children's NHS Foundation Trust

    Sheffield, S10 2TH

    Recruiting
  • The Shrewsbury and Telford Hospital NHS Trust

    Shrewsbury, SY3 8XQ

    Recruiting
  • University Hospital Southampton NHS Foundation Trust

    Southampton, SO16 6YD

    Recruiting
  • Stockport NHS Foundation Trust

    Stockport, SK2 7JE

    Recruiting
  • South Tyneside and Sunderland NHS Foundation Trust

    Sunderland, SR4 7TP

    Recruiting

Other trials in United Kingdom

About this study

Official title: Airway Intervention Registry (AIR) Extension: Recurrent Respiratory Papillomatosis

Recurrent Respiratory Papillomatosis (RRP) causes wart-like growths in the airway which can make it difficult to breathe, speak and carry out normal everyday activities. It is a rare condition affecting all ages, but is more common and aggressive in children than in adults, affecting 4 in every 100,000 children. There is no known cure for RRP, but symptoms are checked through regular hospital visits, with multiple therapies or procedures under general anaesthetic needed to remove or shrink the growths which can grow back quickly. The problem is that nobody knows which therapies or procedures work best. Aim: To identify which RRP treatments currently used in National Health Service (NHS) hospitals within the United Kingdom (UK) are the most effective and safest in the short- and long-term. It will also identify which patients respond best to specific treatments, and those who are at higher risk of experiencing a complication after treatment.

Method: Collect information from usual patient care and quality of life questionnaire responses in a secure online database. Participation in this study requires patient/parent/guardian consent. This observational study does not require patients to undergo any additional intervention as part of the research.

Read the detailed description

Primary aim:

The overall goal is to improve the care of patients with Recurrent Respiratory Papillomatosis (RRP) - and the investigators aim to do this by determining the most effective and safe RRP treatments currently being used in patients in National Health Service (NHS) hospitals within the United Kingdom (UK) (information which is currently lacking).

By determining the most effective treatments of RRP, the investigators will be able to increase the time interval between surgical interventions to maintain symptomatic control, reduce overall number of RRP interventions, severity and spread of papillomas in the airway, hospital visits, medications and ultimately improve quality of life in those suffering from RRP. By also capturing peri- and post-procedural details the investigators will be able to determine the relative safety of treatments and identify those which slow the progression of disease.

From the data collected the investigators intend to identify patient subgroups (based on patient characteristics such as age, gender, human papillomavirus (HPV) type, location of papillomas, RRP severity and spread, comorbidities) who respond better to specific treatments, and also identify patient risk factors which contribute to the complication outcomes (such as tracheostomy).

Secondary aims:

  • build an evidence base of the different RRP treatments used across the UK which will help to formulate hypotheses for future research in RRP and improve quality of life for RRP patients;
  • inform National Institute for Health and Care Excellence (NICE) interventional procedure guidance on radiofrequency cold ablation (IPG434,2012), which is currently under special arrangements due to lack of safety and efficacy evidence;
  • identify common symptoms or signs associated with RRP disease profile, to aid future diagnosis of RRP;
  • determine the geographical spread of RRP patients across the UK, to inform effective use of future NHS resources and inform the Department of Health strategy in its quadrivalent HPV vaccination programme (protecting against four types of HPV including types 6 and 11 commonly associated with RRP) currently offered to 12-13 year old girls within the NHS childhood vaccination programme;
  • inform future development of national clinical guidance on management of RRP to ensure that everyone receives the best care based on best available current knowledge;
  • determine impact of COVID on RRP patients including changes to RRP management, RRP symptoms.

Objectives:

The investigators will make use of an existing secure online database platform (the Airway Intervention Registry, AIR - developed and hosted by The Newcastle upon Tyne Hospitals NHS Foundation Trust, NUTH) and its associated infrastructure and develop it to capture additional observational outcomes from standard clinical practice and quality of life questionnaires from RRP patients. All RRP patients (any age) receiving treatment in any UK NHS hospital will be eligible for inclusion. Data collection will be open for 53 months with no minimum follow-up required for patients. Due to its recurrent nature (requiring regular hospital visits to maintain an open airway), following this patient population will allow the investigators to determine both the short- and long-term relative safety and efficacy of RRP treatments used in the UK. Consent will be required (from patients/parent/guardian) before data are entered into the online database.

Being tested
Microdebrider, Cold-steel surgery (forceps), Carbon dioxide laser, Potassium titanyl phosphate (KTP) laser, Pulsed dye laser
Keywords
Recurrent respiratory papillomatosis
Medical subject headings
Recurrent respiratory papillomatosis

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • MicrodebriderProcedure or surgery

    Removal of lesions via microdebrider

  • Cold-steel surgery (forceps)Procedure or surgery

    Removal of lesions via forceps

  • Carbon dioxide laserProcedure or surgery

    Removal of lesions via carbon dioxide laser

  • Potassium titanyl phosphate (KTP) laserProcedure or surgery

    Removal of lesions via KTP laser

  • Pulsed dye laserProcedure or surgery

    Removal of lesions via pulsed dye laser

  • Radiofrequency ablationProcedure or surgery

    Removal of lesions via radiofrequency ablation

  • Monopolar suction diathermyProcedure or surgery

    Removal of lesions via monopolar suction diathermy

  • Plasma coagulationProcedure or surgery

    Removal of lesions via plasma coagulation

  • OtherProcedure or surgery

    Removal of lesions via other methods

  • Adjuvant therapiesOther

    Also called Acyclovir, Artemisinin, Bevacizumab (Avastin), Celecoxib (Celebrex)

    All adjuvant therapies

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Time interval between surgical interventions

    Time between surgical interventions to maintain symptomatic control

    Measured: Over study duration (53 months)

Secondary outcomes (14)
  1. RRP surgical intervention - nature

    Nature of intervention

    Measured: Over study duration (53 months)

  2. RRP surgical intervention - timing

    Timing of intervention

    Measured: Over study duration (53 months)

  3. RRP adjuvant therapy - nature

    Nature of intervention

    Measured: Over study duration (53 months)

  4. RRP adjuvant therapy - timing

    Timing of intervention

    Measured: Over study duration (53 months)

  5. Histology results

    Including HPV type

    Measured: Over study duration (53 months)

  6. Severity of papillomas

    Measured via Derkay severity score (higher score corresponding with higher severity; clinical score range 0-11, anatomical score range 0-75, summed total score range 0-86)

    Measured: Over study duration (53 months)

  7. Number of hospital visits/attendances

    Inpatient, Accident \& emergency, Outpatient

    Measured: Over study duration (53 months)

  8. Voice assessment (paediatric)

    Measured via paediatric voice handicap index (higher score corresponding with higher voice handicap, range 0-99)

    Measured: Over study duration (53 months)

  9. Voice assessment (adult)

    Measured via voice handicap index (higher score corresponding with higher voice handicap, range 0-120)

    Measured: Over study duration (53 months)

  10. Short-term complications

    Complications arising in-hospital

    Measured: During hospital admission for RRP intervention (length of hospital stay can vary between patients e.g. from 0-100 days)

  11. Post-operative discharge location - planned

    Planned discharge location (decided pre-operation)

    Measured: During hospital admission for RRP intervention (length of hospital stay can vary between patients e.g. from 0-100 days)

  12. Post-operative discharge location - actual

    Actual discharge location (occurring post-operation)

    Measured: During hospital admission for RRP intervention (length of hospital stay can vary between patients e.g. from 0-100 days)

  13. Long-term complications

    Unexpected hospital, Accident \& emergency (A\&E), General Practitioner (GP) attendances due to RRP symptoms.

    Measured: Over study duration (53 months)

  14. Impact of COVID

    Test results, antibody results, symptoms, changes to management,

    Measured: From March 2020 onwards (30 months)

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted14 Mar 2018
  2. Study start1 Apr 2018
  3. Primary completion31 Aug 2022 (estimated)
  4. Study completion31 Aug 2022 (estimated)

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Observational
Observational model
Cohort
Time perspective
Prospective
Enrolment
400 participants (estimated)
Target duration
53 Months
IDs, dates and publications
ClinicalTrials.gov ID
NCT03465280
Sponsor's protocol ID
08733
Acronym
AIR:RRP
Status last verified
Jan 2022
First submitted
26 Feb 2018
Last updated
11 Jan 2022
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No: Patients will be informed that all data collected will be used for research purposes, no patient identifiable information will be shared with external parties for commercial purposes, patient identifiable information will only be accessible by clinicians at their treating organisation, pseudonymised data will be accessed by study analysts, and that only anonymised high-level aggregate data will be shared with other centres to update participating centres of study progress and data completeness issues. Patients will also be informed that any external researchers requesting data from the registry will be required to submit a formal application form and evidence of appropriate ethical approvals in place for review by the Steering Group. If approval is given, only anonymised data will be shared for the purposes of external research studies.

Publications

  • Donne AJ, Keltie K, Burn J, Belilios E, Powell S, Cognigni P, Nixon IJ, Bateman N, Kubba H, Judd O, Sims A. Current Practice, Safety and Efficacy of Interventions for Recurrent Respiratory Papillomatosis: Evidence From a UK Registry. Clin Otolaryngol. 2025 Mar;50(2):271-279. doi: 10.1111/coa.14245. Epub 2024 Oct 24.

    PubMed 39445512

Questions about this trial

What is this clinical trial studying?

An observational study of Recurrent Respiratory Papillomatosis and Human Papilloma Virus, run by Newcastle-upon-Tyne Hospitals NHS Trust at 48 sites in United Kingdom.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 2 inclusion and 1 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: status not confirmed, as of the sponsor's last update on 11 Jan 2022. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 48 sites in United Kingdom. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

Results are not available in the source record.

How can a doctor refer a patient or contact the research team?

Contact Andrew Sims (0191 244 8738, nuth.NMPCE.Air@nhs.net), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Time interval between surgical interventions (time frame: Over study duration (53 months)). It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT03465280, which also lists 1 linked publication.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 11 Jan 2022.

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