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NCT05531630Enrolling by invitation

Xylitol vs Saline Nasal Irrigations in CF-CRS

Xylitol Nasal Irrigations in the Treatment of Chronic Rhinosinusitis in Cystic Fibrosis Patients: a Randomized Crossover Trial

Source: ClinicalTrials.gov · Last updated 1 May 2026

Brief summary (registry, in English)

Cystic fibrosis (CF) is the most common genetic disorder in Belgium, affecting 1 in 2850 children. A defect in the CFTR channel results in increased viscosity of extracellular secretions and decreased mucociliary clearance in the airways. As a result of this mechanism, chronic rhinosinusitis (CRS) occurs in nearly 100% of CF patients. CRS can lead to pronounced sinonasal complaints and can have a negative impact on the quality of life. In addition, several studies have shown that poor upper airway control has a negative impact on the lower airways. Unfortunately, treatment options are limited. Our previous study has shown that only 21% of patients have well-controlled CRS. The aim of this single-center, randomized cross-over study is to compare the effect of nasal rinses with (XNI) and without (SNI) Xylitol in the treatment of CF-CRS. Xylitol is a sugar alcohol that is already used as an antibiofilm agent,eg in the prevention of caries. Previous pilot studies have already shown a beneficial effect of XNI in the treatment of non-CF CRS.

Status (registry)
Enrolling by invitation
Study type
Interventional
Enrollment
38 (estimated)
First submitted
19 Aug 2022
Start date
1 Dec 2022
Primary completion date
1 Aug 2023
Lead sponsor
Universitaire Ziekenhuizen KU Leuven
NCT number
NCT05531630

What you commit to

  • Study type: Interventional
  • Planned participants: 38
  • From 1 Dec 2022 to the primary completion date, 1 Aug 2023
  • 1 site in 1 country
  • Visits and tests: ask the trial team, the registry does not list them

Built from the registry fields of ClinicalTrials.gov. It describes the study, not your situation.

Who cannot take part

Copied verbatim from ClinicalTrials.gov and grouped by topic. Only the trial team decides who can take part.

Prior treatment

  • Start of CFTR gene-modulator less than 6 months prior to inclusion

Other illness

  • History of severe epistaxis (\<6 months), requiring intervention by an ENT specialist
  • History of hypersensitivity/allergic reaction/anaphylactic shock to one of the compounds of the sachets (NaCl, bicarbonate, mint, Xylitol)

Age

  • Patients \<18 years old

Other

  • Not willing to participate in this trial or incompliant to the trial

Who the study is looking for

  • Patients with established diagnosis of cystic fibrosis \> 18 years old
  • Routine follow-up at UZ Leuven
  • Patients with established diagnosis of chronic rhinosinusitis, with or without nasal polyps, and with a VAS-score of \>30 out of 100 for at least one individual sinonasal symptom (nasal obstruction, rhinorrhea, postnasal drip, facial pain/pressure, reduced smell)
  • Willing to participate in this study and compliant to the treatment

Age in the registry: 18 years to - · Sex: All · Does not accept healthy volunteers

Full criteria on ClinicalTrials.gov

Sites (1)

Sites in registry order. Pick your city on the disease page to sort them by distance.

SiteCityCountrySite status
KU Leuven
Coordinator of this site? Confirm its status
LeuvenBelgiumUnknown status

This page is information, not medical advice. Discuss any trial with your doctor.