NCT04832230

Brief Summary

Every year, more than two thousand acute acoustic trauma occur in France, equally between the military and the civilian environment. Currently, acute acoustic trauma is a pathology with no specific validated treatment, and it is the cause of many handicapping situations. Improving the future of patients requires a better understanding of the neurophysiological mechanisms of noise-induced hearing impairment. They are multiple and pure tone audiometry, the only reference examination, does not allow to differentiate them. Moreover, in the aftermath of acute acoustic trauma, pure tone audiometry tends to improve spontaneously, but this recovery is misleading, as a number of studies in animals have shown that irreversible lesions remain. The hypothesis of this study is that it is possible to identify new entities, specific to the type of cochlear lesions, in order to clarify the diagnosis of acute acoustic trauma. These entities will be identified by the evaluation of noise-induced hearing impairment via a combination of molecular (proteomic and genomic), physiological and behavioral data. These diagnostic details may then be used to improve prevention or therapy.

Trial Health

43
At Risk

Trial Health Score

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

Trial has exceeded expected completion date
Enrollment
500

participants targeted

Target at P75+ for all trials

Timeline
Completed

Started Apr 2021

Typical duration for all trials

Geographic Reach
1 country

14 active sites

Status
unknown

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

April 1, 2021

Completed
4 days until next milestone

First Posted

Study publicly available on registry

April 5, 2021

Completed
10 days until next milestone

Study Start

First participant enrolled

April 15, 2021

Completed
3.2 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

June 15, 2024

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

June 15, 2024

Completed
Last Updated

November 17, 2022

Status Verified

November 1, 2022

Enrollment Period

3.2 years

First QC Date

April 1, 2021

Last Update Submit

November 16, 2022

Conditions

Outcome Measures

Primary Outcomes (1)

  • Identification of diagnostic biomarkers of hearing impairment in patients suffering from acute acoustic trauma

    Machine learning analyses will be performed on the whole collected data to identify diagnostic biomarkers.

    Through study completion, an average of 3 years

Study Arms (2)

Healthy individuals

This group is composed of healthy individuals without previous noise exposure.

Other: Hearing testOther: Questionnaire about previous noise exposureOther: Otoacoustic emission measurementOther: ElectrocochleographyOther: Speech audiometry in noiseOther: Multi-frequency impedance measurementBiological: Blood sample collection

Acute acoustic trauma patients

This group is composed of patients suffering from acute acoustic trauma.

Other: Hearing testOther: Questionnaire about previous noise exposureOther: Otoacoustic emission measurementOther: ElectrocochleographyOther: Speech audiometry in noiseOther: Multi-frequency impedance measurementOther: Assessment of tinnitus severityBiological: Blood sample collection

Interventions

The hearing test is composed of several examinations: * pure tone audiogram * otoscopy * tympanometry Healthy individuals: The hearing test will be performed at enrollment (Day 0). Patients: The hearing test will be performed at Day 1, Day 3, Day 7 and Day 30.

Acute acoustic trauma patientsHealthy individuals

The participant will have to fill in a questionnaire about his/her previous noise exposure at enrollment (Day 0).

Acute acoustic trauma patientsHealthy individuals

Healthy individuals: Otoacoustic emission will be measured at enrollment (Day 0). Patients: Otoacoustic emission will be measured at enrollment (Day 0), at Day 1, Day 3, Day 7 and Day 30.

Acute acoustic trauma patientsHealthy individuals

Healthy individuals: Electrocochleography will be performed at enrollment (Day 0). Patients: Electrocochleography will be performed at Day 30.

Acute acoustic trauma patientsHealthy individuals

Healthy individuals: Speech audiometry in noise will performed at enrollment (Day 0). Patients: Speech audiometry in noise will performed at enrollment (Day 0), at Day 1, Day 3, Day 7 and Day 30.

Acute acoustic trauma patientsHealthy individuals

Healthy individuals: Multi-frequency impedance will be measured at enrollment (Day 0). Patients: Multi-frequency impedance will be measured at Day 30.

Acute acoustic trauma patientsHealthy individuals

Tinnitus severity will be assessed using a visual analogic scale at enrollment (Day 0), at Day 1, Day 3, Day 7 and Day 30.

Acute acoustic trauma patients

Healthy individuals: A blood sample will be collected at enrollment (Day 0). Patients: A blood sample will be collected at enrollment (Day 0), at Day 1, Day 3, Day 7 and Day 30.

Acute acoustic trauma patientsHealthy individuals

Eligibility Criteria

Age18 Years - 40 Years
Sexall
Healthy VolunteersYes
Age GroupsAdult (18-64)
Sampling MethodNon-Probability Sample
Study Population

The study population is composed of healthy individuals who have never been exposed to noise and patients suffering from acute acoustic trauma.

You may qualify if:

  • Age between 18 and 40
  • Healthy individuals: without hearing pathology
  • Patients: acute acoustic trauma diagnosis within 72h

You may not qualify if:

  • History of hearing pathology
  • History of severe head injury
  • Ototoxic drug therapy
  • Abnormal otoscopy and/or tympanometry

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (14)

102e Antenne Médicale

Angoulême, 16021, France

RECRUITING

38e Antenne Médicale

Bitche, 57230, France

RECRUITING

Hôpital d'Instruction des Armées Clermont-Tonnerre

Brest, 29240, France

RECRUITING

Laboratoire mobile d'Audition de l'Institut de Recherche Biomédicale des Armées

Brétigny-sur-Orge, 91223, France

RECRUITING

171e Antenne Médicale

Caylus, 82160, France

RECRUITING

Hôpital d'Instruction des Armées Percy

Clamart, 92140, France

RECRUITING

41e Antenne Médicale

Dieuze, 57260, France

RECRUITING

123e Antenne Médicale

Guer, 56381, France

RECRUITING

Hôpital d'Instruction des Armées Laveran

Marseille, 13013, France

RECRUITING

13e Antenne Médicale

Montlhéry, 91310, France

RECRUITING

109e Antenne Médicale

Saint-Maixent-l'École, 79400, France

RECRUITING

43e Antenne Médicale

Sarrebourg, 57404, France

RECRUITING

Hôpital d'Instruction des Armées Sainte-Anne

Toulon, 83000, France

NOT YET RECRUITING

60e Antenne Médicale

Valdahon, 25800, France

RECRUITING

MeSH Terms

Conditions

Hearing Loss, Noise-Induced

Interventions

HearingNoise

Condition Hierarchy (Ancestors)

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

Intervention Hierarchy (Ancestors)

Vestibulocochlear Physiological PhenomenaPhysiological PhenomenaSensationNervous System Physiological PhenomenaMusculoskeletal and Neural Physiological PhenomenaSoundRadiation, NonionizingRadiationPhysical PhenomenaEnvironmentEcological and Environmental PhenomenaBiological PhenomenaEnvironment and Public HealthEnvironmental PollutionPublic Health

Central Study Contacts

Guillaume ANDEOL, MD, PhD

CONTACT

Study Design

Study Type
observational
Observational Model
CASE CONTROL
Time Perspective
PROSPECTIVE
Sponsor Type
OTHER
Responsible Party
SPONSOR

Study Record Dates

First Submitted

April 1, 2021

First Posted

April 5, 2021

Study Start

April 15, 2021

Primary Completion

June 15, 2024

Study Completion

June 15, 2024

Last Updated

November 17, 2022

Record last verified: 2022-11

Locations