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Trial registered on ANZCTR
Registration number
ACTRN12611000371998
Ethics application status
Not yet submitted
Date submitted
3/04/2011
Date registered
11/04/2011
Date last updated
11/04/2011
Type of registration
Prospectively registered
Titles & IDs
Public title
Can the placement of ear canal wick (medical sponge) prevent the flow of antibiotic ear drops into the middle ear space (where it can cause side-effects) in patients with known or suspected perforation in their ear drum?
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Scientific title
In patients presenting with otitis externa, can the use of Pope ear wicks reduce the chance of ototoxic antibiotic ear drops entering the ear canal and therefore reduce the chance of developing sensorineural hearing loss
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Secondary ID [1]
259897
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Nil
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Universal Trial Number (UTN)
U1111-1120-4723
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Trial acronym
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Otitis externa
265509
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Condition category
Condition code
Ear
265660
265660
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0
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Other ear disorders
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Otowick is a self-expanding medical sponge that is placed in the ear canal. Otowick expands when ear drops are instilled to fill up the ear canal, assisting administration of ear drops deep into the ear canal in the treatment of such ear condtions as otitis externa (swimmer's ear). Typically otitis externa is treated with aminoglycoside/steroid combination ear drops (e.g. Sofradex, Otodex, Kenacomb Otic at 3 drops 3 times daily). However due to potential oto-toxicity which may result in hearing loss, aminoglycoside antibiotic drops are contraindicated in ear canals with known or suspected ear drum perforation. This trial will mirror a routine local ear treatment whereby participants will receive these routine ear drops at routine dosing (3 drops 3 times a day) but the drops will have Fluorescein dye to identify their behaviour in the ear canal when ear wick is placed. The trial will run for 1 day i.e. drops given t.d.s. and ear inspected the following day.
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Intervention code [1]
264329
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Treatment: Devices
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Intervention code [2]
264372
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Treatment: Drugs
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Comparator / control treatment
N/a
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Control group
Uncontrolled
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Outcomes
Primary outcome [1]
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Staining of ear drum with fluorescein or absence of staining
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Assessment method [1]
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Timepoint [1]
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24 hours post instillation of fluorescein stained ear drops
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Secondary outcome [1]
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Nil
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Assessment method [1]
273790
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Timepoint [1]
273790
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Not applicable
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Eligibility
Key inclusion criteria
Because we are testing whether placement of otowick will ensure routine aminoglycoside ear drops can be used when ear drums are perforated (by holding onto the drop and preventing the drops from flowing past perforated ear drum into the ear canal) thus enabling safe use in known or suspected cases of ear drum perforation, we aim to study this in a healthy normal ears to ascertain the relationship between wick and ear drop flow within the ear.
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Minimum age
18
Years
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Maximum age
50
Years
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Sex
Both males and females
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Can healthy volunteers participate?
Yes
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Key exclusion criteria
Known perforated ear drum. Infected ear.
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Study design
Purpose of the study
Treatment
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Allocation to intervention
Non-randomised trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
Consenting healthy individuals (total of 8 partcipants) who meet inclusion crietria
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
No randomisation required
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Masking / blinding
Open (masking not used)
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Who is / are masked / blinded?
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Intervention assignment
Single group
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Other design features
In vivo trial of using otowick to prevent instillation of ear drops into middle ear
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Phase
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Type of endpoint/s
Safety
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Statistical methods / analysis
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Recruitment
Recruitment status
Not yet recruiting
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Date of first participant enrolment
Anticipated
1/05/2011
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Actual
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Date of last participant enrolment
Anticipated
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Actual
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Date of last data collection
Anticipated
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Actual
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Sample size
Target
8
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Accrual to date
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Final
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Recruitment in Australia
Recruitment state(s)
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Funding & Sponsors
Funding source category [1]
264792
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Hospital
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Name [1]
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The Royal Victorian Eye and Ear Hospital
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Address [1]
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32 Gisborne St, East Melbourne, Victoria 3002
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Country [1]
264792
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Australia
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Primary sponsor type
Hospital
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Name
The Royal Victorian Eye and Ear Hospital
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Address
32 Gisborne St, East Melbourne, Victoria 3002
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Country
Australia
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Secondary sponsor category [1]
263904
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None
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Name [1]
263904
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Address [1]
263904
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Country [1]
263904
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Ethics approval
Ethics application status
Not yet submitted
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Ethics committee name [1]
266764
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Ethics committee address [1]
266764
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Ethics committee country [1]
266764
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Date submitted for ethics approval [1]
266764
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14/04/2011
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Approval date [1]
266764
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Ethics approval number [1]
266764
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Summary
Brief summary
Otitis externa causes swelling of the ear canal which makes visualisation of ear drum very difficult or often impossible. Primary care physicians regularly use ear drop known as Ciloxan or Ciproxin HC to treat otitis externa when ear drums are not visualised as these drops are indicated in the presence of actual or suspected ear drum perfortion. More broad spectrum, cheaper alternatives such as Sofradex, Otodex, Kenacomb/Otocomb Otic drops are not regularly used for the fear of introducing these to the middle ear space where these drugs can potentially be ototoxic. We, however, believe that by placing an otowick (self-expanding sponge) in the ear canal and then using these drops, they can be safely delivered to the external ear without risking the potential entry of these drops into the middle ear in presence of a perforated ear drum. By staining these drops with fluorescein, we will know if standard instillation (3 drops 3 times a day) of these drops will be limiting the drug presence within the external ear canal only when an otowick is placed in the ear canal by looking at whether staining of the ear drum occurs. If ear drums are stainined then we can assume that drugs can reach middle ear if ear drum is perforated even if there is a otowick in place.
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Trial website
Nil
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
Name
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Address
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Country
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Phone
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Fax
32423
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Email
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Contact person for public queries
Name
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Philip Michael
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Address
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Royal Victorian Eye and Ear Hospital
32 Gisborne St, East Melbourne, Victoria
3002
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Country
15670
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Australia
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Phone
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+61 3 99298666
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Fax
15670
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Email
15670
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[email protected]
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Contact person for scientific queries
Name
6598
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Philip Michael
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Address
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Royal Victorian Eye and Ear Hospital
32 Gisborne St, East Melbourne, Victoria
3002
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Country
6598
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Australia
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Phone
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+61 3 99298666
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Fax
6598
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Email
6598
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[email protected]
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No information has been provided regarding IPD availability
What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
Documents added manually
No documents have been uploaded by study researchers.
Documents added automatically
No additional documents have been identified.
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