Study of Diagnostic Biomarkers of Acute Acoustic Trauma
BIOTSA
2 other identifiers
observational
500
1 country
14
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
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for all trials
Started Apr 2021
Typical duration for all trials
14 active sites
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
First Submitted
Initial submission to the registry
April 1, 2021
CompletedFirst Posted
Study publicly available on registry
April 5, 2021
CompletedStudy Start
First participant enrolled
April 15, 2021
CompletedPrimary Completion
Last participant's last visit for primary outcome
June 15, 2024
CompletedStudy Completion
Last participant's last visit for all outcomes
June 15, 2024
CompletedNovember 17, 2022
November 1, 2022
3.2 years
April 1, 2021
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.
Acute acoustic trauma patients
This group is composed of patients suffering from acute acoustic trauma.
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.
The participant will have to fill in a questionnaire about his/her previous noise exposure at enrollment (Day 0).
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.
Healthy individuals: Electrocochleography will be performed at enrollment (Day 0). Patients: Electrocochleography will be performed at Day 30.
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.
Healthy individuals: Multi-frequency impedance will be measured at enrollment (Day 0). Patients: Multi-frequency impedance will be measured at Day 30.
Tinnitus severity will be assessed using a visual analogic scale at enrollment (Day 0), at Day 1, Day 3, Day 7 and Day 30.
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.
Eligibility Criteria
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
38e Antenne Médicale
Bitche, 57230, France
Hôpital d'Instruction des Armées Clermont-Tonnerre
Brest, 29240, France
Laboratoire mobile d'Audition de l'Institut de Recherche Biomédicale des Armées
Brétigny-sur-Orge, 91223, France
171e Antenne Médicale
Caylus, 82160, France
Hôpital d'Instruction des Armées Percy
Clamart, 92140, France
41e Antenne Médicale
Dieuze, 57260, France
123e Antenne Médicale
Guer, 56381, France
Hôpital d'Instruction des Armées Laveran
Marseille, 13013, France
13e Antenne Médicale
Montlhéry, 91310, France
109e Antenne Médicale
Saint-Maixent-l'École, 79400, France
43e Antenne Médicale
Sarrebourg, 57404, France
Hôpital d'Instruction des Armées Sainte-Anne
Toulon, 83000, France
60e Antenne Médicale
Valdahon, 25800, France
MeSH Terms
Conditions
Interventions
Condition Hierarchy (Ancestors)
Intervention Hierarchy (Ancestors)
Central Study Contacts
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