NCT00520039

Brief Summary

The purpose of this study is to determine if the application of osteopathic manipulative medicine speeds the rate of resolution of middle ear effusion (fluid) in children following an episode of acute otitis media.

Trial Health

87
On Track

Trial Health Score

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

Enrollment
52

participants targeted

Target at P25-P50 for not_applicable

Timeline
Completed

Started Sep 2007

Typical duration for not_applicable

Geographic Reach
1 country

2 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

August 22, 2007

Completed
1 day until next milestone

First Posted

Study publicly available on registry

August 23, 2007

Completed
9 days until next milestone

Study Start

First participant enrolled

September 1, 2007

Completed
1.9 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

August 1, 2009

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

August 1, 2009

Completed
8.7 years until next milestone

Results Posted

Study results publicly available

March 26, 2018

Completed
Last Updated

March 26, 2018

Status Verified

August 1, 2017

Enrollment Period

1.9 years

First QC Date

August 22, 2007

Results QC Date

November 10, 2016

Last Update Submit

August 28, 2017

Conditions

Keywords

Otitis MediaEffusionOMMOMTResolution

Outcome Measures

Primary Outcomes (1)

  • Change in Middle Ear Effusion Over Four Weeks Following an Episode of Acute Otitis Media

    For this study, the tympanogram was chosen to measure middle ear effusion. Three tympanogram readings from each ear included in the study were taken at the beginning of each of 5 Study Visits. For the intervention group, a second set of 3 tympanograms was taken immediately after the OMM on Visits 1, 2 and 3. All tympanograms were sent to a blinded audiologist, who chose the most healthy of the 3 tympanogram readings for interpretation, rating it according to standard protocols. "A" and "C1" readings were considered "normal" and "B" and "C2" readings were considered "abnormal". The extent to which the tympanogram readings of each ear included in the study changed from baseline over 4 weeks was computed by crosstabulating the intervention group by the normal/abnormal changes in tympanograms.

    1 month

Secondary Outcomes (2)

  • Change in Middle Ear Effusion Immediately After OMM at Study Visit 2

    Before and immediately after OMM at study visit 2

  • Change in Middle Ear Effusion Immediately After OMM at Study Visit 3

    Before and immediately after OMM at study visit 3

Study Arms (2)

Standard Care Plus OMM

EXPERIMENTAL

Subjects will receive active intervention with osteopathic manipulative medicine (OMM) using a prescribed standardized treatment protocol which is age appropriate. Subjects will also receive standard care for otitis media from their referring physician.

Procedure: osteopathic manipulative medicine (OMM)

Standard Care Only

NO INTERVENTION

Subjects will receive standard care only for otitis media from their regular referring physician

Interventions

At each of the first three study visits, all subjects in the osteopathic manipulative medicine (OMM) group will receive OMM using the prescribed protocol.

Standard Care Plus OMM

Eligibility Criteria

Age6 Months - 2 Years
Sexall
Healthy VolunteersNo
Age GroupsChild (0-17)

You may qualify if:

  • Age 6 months up to second birthday
  • Documented presence of acute otitis media following the 2004 AAP/AAFP Guidelines within 3 days of entry into the study

You may not qualify if:

  • Chromosomal abnormalities
  • Major congenital malformations of the head and neck, including torticollis
  • Immunologic abnormalities or deficiencies
  • Any prior ear-nose-throat surgery performed as a treatment for otitis media
  • Any tube placement surgery scheduled during the four weeks of the study.
  • Normal tympanograms at entry into study

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (2)

University of New England College of Osteopathic Medicine

Biddeford, Maine, 04005, United States

Location

West Virginia School of Osteopathic Medicine

Lewisburg, West Virginia, 24901, United States

Location

Related Publications (2)

  • Steele KM, Carreiro JE, Viola JH, Conte JA, Ridpath LC. Effect of osteopathic manipulative treatment on middle ear effusion following acute otitis media in young children: a pilot study. J Am Osteopath Assoc. 2014 Jun;114(6):436-47. doi: 10.7556/jaoa.2014.094.

  • Steele KM, Viola J, Burns E, Carreiro JE. Brief report of a clinical trial on the duration of middle ear effusion in young children using a standardized osteopathic manipulative medicine protocol. J Am Osteopath Assoc. 2010 May;110(5):278-84.

MeSH Terms

Conditions

Otitis Media with EffusionOtitis Media

Condition Hierarchy (Ancestors)

OtitisEar DiseasesOtorhinolaryngologic Diseases

Limitations and Caveats

One site closed after year 1 due to lower than expected subject recruitment. Lower than expected recruitment overall.

Results Point of Contact

Title
Dr. Karen Steele
Organization
West Virginia School of Osteopathic Medicine

Study Officials

  • Karen M Steele, D.O.

    West Virginia School of Osteopathic Medicine

    PRINCIPAL INVESTIGATOR

Publication Agreements

PI is Sponsor Employee
Yes
Restrictive Agreement
No

Study Design

Study Type
interventional
Phase
not applicable
Allocation
RANDOMIZED
Masking
DOUBLE
Who Masked
CARE PROVIDER, OUTCOMES ASSESSOR
Purpose
TREATMENT
Intervention Model
PARALLEL
Sponsor Type
OTHER
Responsible Party
PRINCIPAL INVESTIGATOR
PI Title
Professor Emerita

Study Record Dates

First Submitted

August 22, 2007

First Posted

August 23, 2007

Study Start

September 1, 2007

Primary Completion

August 1, 2009

Study Completion

August 1, 2009

Last Updated

March 26, 2018

Results First Posted

March 26, 2018

Record last verified: 2017-08

Data Sharing

IPD Sharing
Will not share

Locations