About this trial
This cross-sectional and longitudinal observational study is to gather data on the utility of tests that are used to make a diagnosis of primary ciliary dyskinesia (PCD). There is new testing available, called nasal nitric oxide testing, that non-invasively measures nitric oxide levels in the sinus cavity. Individuals with PCD characteristically have low levels, but this testing does not have extensive data from everyday clinical practice. The objective of this proposal is to improve the diagnostic approach to children and adults with clinical concerns for primary ciliary dyskinesia (PCD).
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Age ≥ 2 years of age
Neonatal respiratory distress
Chronic nasal congestion/runny nose
Chronic cough
Disqualifiers
Recent history of sinus surgery or bloody nose in the past week
Age < 2 years of age
Inability to tolerate probe in nose
Sinusitis or other respiratory exacerbation currently being treated with antibiotics
Trial population
The target population are ages 2 and up. Participant selection will be on a referral basis for the consideration of a clinical suspicion for PCD. Participants will be identified by pulmonary providers that consider testing for PCD based on the clinical symptoms of the participant. These providers will thenrefer for enrollment in the study based on the clinical considerations for a diagnosis of PCD.
Trial design
Cohort
Cross-sectional
Treatments tested in this trial
Nasal Nitric Oxide testing
DeviceCollection of already performed clinical data and nNO testing
Treatment groups
Trial outcomes
Primary outcomes
Creation of Nasal NO REDCap registry
To establish a research registry to characterize the features of individuals that undergo PCD diagnostic testing at Connecticut Children's Medical Center and UCONN.
Evaluation of utility of PCD diagnostic testing
To evaluate the utility of PCD diagnostic testing, including potential use of nasal nitric oxide in comparison to genetic testing and ciliary biopsy, in pulmonary practice at Connecticut Children's Medical Center and UCONN.
Secondary outcomes
Refinement and Improvement of PCD Diagnostic Testing
To refine and improve current diagnostic processes for PCD diagnosis at CCMC using information gathered from the research registry established through Primary aims 1 and 2.
Sponsors and contacts
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Connecticut Children's Medical Center
Lead sponsor
UConn Health
Collaborator