NCT00097448

Brief Summary

This trial aims to compare the efficacy of oral prednisone vs. methylprednisolone injected into the middle ear for the treatment of moderate-to-severe, sudden sensorineural hearing loss (inner ear hearing loss affecting one ear that occurs over less than 72 hours).

Trial Health

87
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
255

participants targeted

Target at P50-P75 for phase_3

Timeline
Completed

Started Dec 2004

Longer than P75 for phase_3

Geographic Reach
1 country

14 active sites

Status
completed

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

First Submitted

Initial submission to the registry

November 23, 2004

Completed
1 day until next milestone

First Posted

Study publicly available on registry

November 24, 2004

Completed
7 days until next milestone

Study Start

First participant enrolled

December 1, 2004

Completed
4.8 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

October 1, 2009

Completed
1.4 years until next milestone

Study Completion

Last participant's last visit for all outcomes

March 1, 2011

Completed
2.1 years until next milestone

Results Posted

Study results publicly available

April 4, 2013

Completed
Last Updated

April 4, 2017

Status Verified

April 1, 2017

Enrollment Period

4.8 years

First QC Date

November 23, 2004

Results QC Date

November 8, 2012

Last Update Submit

April 3, 2017

Conditions

Keywords

sudden hearing lossunilateral sudden sensorineural hearing losssudden sensorineural hearing losssudden unilateral hearing loss

Outcome Measures

Primary Outcomes (1)

  • Hearing Improvement

    Change from baseline to 2mos of 4-frequency (500, 1000, 2000, 4000Hz) pure tone average.

    2 months

Study Arms (2)

1

OTHER

Nineteen days of oral prednisone

Drug: prednisone

2

EXPERIMENTAL

Four doses of methylprednisolone sodium succinate delivered by injection to the middle ear over 2 weeks

Drug: methylprednisolone sodium succinate

Interventions

Oral, 19 days

1

Four intratympanic injections delivered to the middle ear over 2 weeks

2

Eligibility Criteria

Age18 Years+
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • Men/women 18 years and older in good health
  • Unilateral sensorineural hearing loss developing within 72 hours (SSNHL)
  • Pure Tone Average (PTA) (500, 1000, 2000, 4000 Hz) \>/= 50 dB in the affected ear, with the affected ear \>/= 30 dB worse than contralateral ear in at least one of the four frequencies
  • Symmetric hearing prior to onset of SSNHL
  • Hearing loss must be idiopathic
  • Hearing loss must have occurred within the past 14 days
  • Must be able to read or write English or Spanish

You may not qualify if:

  • SYSTEMIC DISEASE
  • \>21 days prior oral steroid treatment within preceding 30 days
  • History of tuberculosis (TB) or positive PPD
  • Insulin-dependent diabetes mellitus
  • History of rheumatic disease, e.g., rheumatoid arthritis, scleroderma, lupus, etc.
  • Serious psychiatric disease or psychiatric reaction to corticosteroids
  • History of heart disease or transient ischemic attacks (TIAs)
  • Prior treatment with chemotherapeutic or immunosuppressive drugs
  • Pancreatitis
  • Active peptic ulcer disease or history of gastrointestinal bleeding
  • History of HIV, Hepatitis B or C
  • Chronic kidney failure
  • Alcohol abuse
  • Active shingles
  • Severe osteoporosis or non-surgical aseptic necrosis of the hip
  • +12 more criteria

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (14)

House Ear Institute

Los Angeles, California, 90057, United States

Location

University of California San Diego

San Diego, California, 92103-8895, United States

Location

University of Florida, College of Medicine

Gainesville, Florida, 32610, United States

Location

University of Iowa

Iowa City, Iowa, 52242-1078, United States

Location

Johns Hopkins University

Baltimore, Maryland, 21287-0910, United States

Location

Massachusetts Eye & Ear Infirmary

Boston, Massachusetts, 02114, United States

Location

University of Massachusetts Medical School

Worcester, Massachusetts, 01655, United States

Location

University of Michigan

Ann Arbor, Michigan, 48109-0312, United States

Location

Michigan Ear Institute

Farmington Hills, Michigan, 48334, United States

Location

Washington University School of Medicine

St Louis, Missouri, 63110, United States

Location

New York Eye and Ear Infirmary

New York, New York, 10003, United States

Location

New York University School of Medicine

New York, New York, 10016, United States

Location

University of Texas Southwestern Medical Center

Dallas, Texas, 75390, United States

Location

Baylor College of Medicine

Houston, Texas, 77030, United States

Location

Related Publications (2)

  • Halpin C, Shi H, Reda D, Antonelli PJ, Babu S, Carey JP, Gantz BJ, Goebel JA, Hammerschlag PE, Harris JP, Isaacson B, Lee D, Linstrom CJ, Parnes LS, Slattery WH, Telian SA, Vrabec JT, Rauch S. Audiology in the sudden hearing loss clinical trial. Otol Neurotol. 2012 Aug;33(6):907-11. doi: 10.1097/MAO.0b013e31825d9a44.

  • Rauch SD, Halpin CF, Antonelli PJ, Babu S, Carey JP, Gantz BJ, Goebel JA, Hammerschlag PE, Harris JP, Isaacson B, Lee D, Linstrom CJ, Parnes LS, Shi H, Slattery WH, Telian SA, Vrabec JT, Reda DJ. Oral vs intratympanic corticosteroid therapy for idiopathic sudden sensorineural hearing loss: a randomized trial. JAMA. 2011 May 25;305(20):2071-9. doi: 10.1001/jama.2011.679.

Related Links

MeSH Terms

Conditions

Hearing Loss, Sudden

Interventions

PrednisoneMethylprednisolone Hemisuccinate

Condition Hierarchy (Ancestors)

Hearing LossHearing DisordersEar DiseasesOtorhinolaryngologic DiseasesSensation DisordersNeurologic ManifestationsNervous System DiseasesSigns and SymptomsPathological Conditions, Signs and Symptoms

Intervention Hierarchy (Ancestors)

PregnadienediolsPregnadienesPregnanesSteroidsFused-Ring CompoundsPolycyclic CompoundsMethylprednisolonePrednisolonePregnadienetriols

Results Point of Contact

Title
Dr. Steven Rauch
Organization
Massachusetts Eye and Ear Infirmary

Study Officials

  • Steven Rauch, MD

    Massachusetts Eye and Ear Infirmary

    PRINCIPAL INVESTIGATOR

Publication Agreements

PI is Sponsor Employee
No
Restrictive Agreement
No

Study Design

Study Type
interventional
Phase
phase 3
Allocation
RANDOMIZED
Masking
NONE
Purpose
TREATMENT
Intervention Model
PARALLEL
Sponsor Type
OTHER
Responsible Party
PRINCIPAL INVESTIGATOR
PI Title
Professor of Otology and Laryngology, Harvard Medical School

Study Record Dates

First Submitted

November 23, 2004

First Posted

November 24, 2004

Study Start

December 1, 2004

Primary Completion

October 1, 2009

Study Completion

March 1, 2011

Last Updated

April 4, 2017

Results First Posted

April 4, 2013

Record last verified: 2017-04

Locations