NCT04946084

Brief Summary

The investigators seek to conduct a prospective, longitudinal study to identify the dynamic changes in nasopharyngeal (NP) colonization patterns and acute otitis media (AOM) etiology involving antibiotic-resistant Streptococcus pneumoniae (Spn) and Haemophilus influenzae (Hflu).

Trial Health

75
On Track

Trial Health Score

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

Enrollment
320

participants targeted

Target at P75+ for not_applicable

Timeline
8mo left

Started Jan 2021

Longer than P75 for not_applicable

Geographic Reach
1 country

1 active site

Status
active not recruiting

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

Study Progress89%
Jan 2021Dec 2026

Study Start

First participant enrolled

January 1, 2021

Completed
5 months until next milestone

First Submitted

Initial submission to the registry

May 24, 2021

Completed
1 month until next milestone

First Posted

Study publicly available on registry

June 30, 2021

Completed
4.4 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

December 1, 2025

Completed
1.1 years until next milestone

Study Completion

Last participant's last visit for all outcomes

December 31, 2026

Expected
Last Updated

July 29, 2025

Status Verified

July 1, 2025

Enrollment Period

4.9 years

First QC Date

May 24, 2021

Last Update Submit

July 24, 2025

Conditions

Outcome Measures

Primary Outcomes (1)

  • Characterize which bacterial strains in the NP

    Identify the presence of Streptococcus pneumoniae, Haemophilus influenzae and Moraxella catharralis in the nasopharynx of children using in vitro culture

    30 months

Secondary Outcomes (1)

  • Characterize which bacterial strains are AOM causing pathogens

    30 months

Other Outcomes (3)

  • Characterize dynamic changes in patterns of viral co-infections at onset of AOM

    30 months

  • Determine immune responses after NP carriage and AOM infections by the common bacterial respiratory pathogens.

    30 Months

  • Determine the serum antibody response that correlates with protection against NP colonization and AOM.

    30 months

Study Arms (1)

Healthy Children

OTHER

Samples taken from nasal swabs, nasal wash, blood draws and in the case of acute otitis media, tympanocentesis

Procedure: TympanocentesisOther: Nasal Phalangeal Swab and WashOther: Blood Draw

Interventions

When acute otitis media is diagnosed, local anesthetic applied, small hole placed in eardrum, middle ear fluid extracted.

Also known as: Ear Tap
Healthy Children

Nasal phalangeal swab used to retrieve sample. Nasal wash used to retrieve sample.

Also known as: Nasal Swab, Nasal Wash
Healthy Children

Venipuncture

Healthy Children

Eligibility Criteria

Age6 Months - 36 Months
Sexall
Healthy VolunteersYes
Age GroupsChild (0-17)

You may qualify if:

  • Male or female subject age 6 to 12 months + 30 days at the time of enrollment when healthy or up to 36 months old + 30 days with an ear infection.
  • Subject has received full (3 dose) infant series of PCV.
  • Parent/legal guardian must be able and willing to bring subject to all study visits

You may not qualify if:

  • Any major illness/condition that, in the investigator's judgment, will substantially increase the risk associated with the subject's participation in the study.
  • Participation in another investigational or interventional trial within the 28-day period before enrollment and during the conduct of the study. Participation in observational studies is permitted.

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

Rochester General Hospital

Rochester, New York, 14621, United States

Location

MeSH Terms

Conditions

Otitis Media

Interventions

TympanocentesisTherapeutic IrrigationNasal LavageBlood Specimen Collection

Condition Hierarchy (Ancestors)

OtitisEar DiseasesOtorhinolaryngologic Diseases

Intervention Hierarchy (Ancestors)

ParacentesisSpecimen HandlingClinical Laboratory TechniquesDiagnostic Techniques and ProceduresDiagnosisPuncturesTherapeuticsSurgical Procedures, OperativeInvestigative TechniquesHydrotherapyPhysical Therapy ModalitiesRehabilitation

Study Officials

  • Michael Pichichero, MD

    Rochester General Hospital Research Institute

    PRINCIPAL INVESTIGATOR

Study Design

Study Type
interventional
Phase
not applicable
Allocation
NA
Masking
NONE
Purpose
OTHER
Intervention Model
SINGLE GROUP
Sponsor Type
OTHER
Responsible Party
PRINCIPAL INVESTIGATOR
PI Title
Director, Rochester General Hospital Research Institute

Study Record Dates

First Submitted

May 24, 2021

First Posted

June 30, 2021

Study Start

January 1, 2021

Primary Completion

December 1, 2025

Study Completion (Estimated)

December 31, 2026

Last Updated

July 29, 2025

Record last verified: 2025-07

Data Sharing

IPD Sharing
Will not share

Locations