Botox for the esophagus: new hope for swallowing pain?
NCT ID NCT01955174
First seen Jun 27, 2026 · Last updated Jun 27, 2026
Summary
This study tested whether injecting botulinum toxin (like Botox) into the lower esophagus can ease symptoms of nutcracker esophagus, a condition that causes chest pain and trouble swallowing. Twenty-four adults received either the toxin or a placebo in a double-blind setup. The main goal was to see if symptoms improved enough to lower their Eckardt score below 3.
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Study facts
What this study's own registry entry says, in plain language.
- Phase
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Phase 2
Tests whether the treatment actually works, and watches for side effects, in a larger group.
- Participants
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24 people
The number who actually took part.
- Started
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Aug 2013
- Finished
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Feb 2018
- Lead sponsor
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Other sponsor
The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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18 years and older
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
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Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: * Patient with non-cardiac chest pain and/or dysphagia with global Eckardt score strictly above 3 points or equal to 3 only for " chest pain " or " dysphagia " - Hypercontractile esophagus with normal esogastric junction relaxation based on the Chicago classification in high resolution manometry * Man or woman 18-year old or older * Normal upper gastrointestinal endoscopy within one year before inclusion * Barium swallow without argument for external compression * Effective form of birth control (if applicable) * Signed written informed consent form voluntarily * Patient with health insurance Exclusion Criteria: * Man or woman under 18-year old * Past history of eso-gastric surgery * Evolutive cancer or coagulation disorders * Absence of effective form of birth control (if applicable) * Pregnant woman or woman who plans to become pregnant during the expected length of the study * Breastfeeding woman * Allergy to botulinum toxin or excipients * Myasthenia * Aminoglycoside treatment * Endoscopic contraindication prior to the study * Endoscopic contraindication during the study * Psychiatric or addictive disease which could affect compliance to the constraints of the study * Patient refusing to participate to the study * Language barrier limiting the understanding of the study * Incapability to give consent * Concomitant participation to another research study * No written consent form
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
Contacts and locations
Locations
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Service d'Exploration Fonctionnelle Digestive - Hôpital Edouard Herriot Pavillon H 5 - Hospices Civils de Lyon
Lyon, 69437, France
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Service d'Hépato-Gastro-Entérologie et Oncologie Digestive- Hôpital Haut Lévêque - CHU de Bordeaux
Bordeaux, 33075, France
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