- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT02490332
The Effects of Ventilation Tubes - The SIUTIT Trial (SIUTIT)
The Effects of Ventilation Tubes Versus no Ventilation Tubes for Recurrent Acute Otitis Media or Chronic Otitis Media With Effusion in 9 to 36 Month Old Greenlandic Children - a Randomised Clinical Trial
The prevalence of otitis media among Greenlandic children is one of the highest in the world and twenty per cent of schoolchildren have impaired hearing in the frequencies for normal speech. Yet, there are no national guidelines to ensure prevention and treatment of recurrent acute otitis media and chronic otitis media with effusion and impaired hearing in Greenlandic children. International studies from the developed part of the world have shown that otitis prone children may benefit from tubulation of the tympanic membrane. However, it is unknown if these results can be applied to Greenlandic children.
This PhD project will conduct a randomised controlled trial comparing tubulation of the tympanic membrane, in Greenlandic children aged 9-36 months with recurrent acute otitis media and/or chronic otitis media with effusion, to conservative treatment. The children will be followed for two years. Outcome measures will include number of visits to health clinics, number of tympanic membrane perforations, number of episodes with acute otitis media according to medical records, Quality of life, measured by the validated questionnaires OM6 and Caregiver Impact Questionnaire, number of episodes where per oral or intravenous antibiotics have been administered according to medical records and serious adverse events
The trial will be conducted in collaboration with the Greenlandic health authorities and Copenhagen Trial Unit.
With this trial the investigators hope to decrease the number of episodes with acute otitis media, the number of Greenlandic children with chronic perforations of the tympanic membrane and hearing impairment and increase quality of life.
The results will add important knowledge to the effect of ventilation tube treatment also in an international aspect. There are to date only less than a handful of high quality studies concerning this issue on an international basis. The study will be among the first addressing this problem among populations with high risk of otitis media and is also of interest to other indigenous populations and the developing part of the world.
Study Overview
Status
Conditions
Intervention / Treatment
Study Type
Enrollment (Actual)
Phase
- Not Applicable
Contacts and Locations
Study Locations
-
-
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Qaqortoq, Greenland, 3920
- Qaqortoq Regional Hospital
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Danmark
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Aasiaat, Danmark, Greenland, 3950
- Aasiaat Regional Hospital
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Ilulissat, Danmark, Greenland, 3952
- Ilulissat Regional Hospital
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Nuuk, Danmark, Greenland, 3900
- Nuuk Health Center
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Sisimiut, Danmark, Greenland, 3912
- Sisimiut Regional Hospital
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Tasiilaq, Danmark, Greenland, 3913
- Tasiilaq Health Center
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Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion criteria:
- Children aged 9-36 months.
- Children with at least one Greenlandic born parent with at least one Greenlandic born parent
- American Society of Anaesthesiologists physical status classification class 1 and 2
- B- or C2 - type curve measured by tympanometry at two visits three-four months apart or three episodes of acute otitis media in six months according to medical records or four episodes of acute otitis media in 12 months according to medical records
- Signed informed consent, signed by the legal guardian Exclusion criteria
- Children with orofacial cleft, Downs syndrome or known generalised immune deficiency
- American Society of Anaesthesiologists physical status classification class > 2.
- Lack of signed informed consent, signed by the legal guardian.
Description of experimental and control intervention Experimental intervention: The intervention group will be treated with bilateral Donaldson ventilation tubes administered in general anaesthesia Control intervention: The control intervention is based on the current practice in Greenland, which includes systemic antibiotic treatment as well as aural toilette and topical antibiotics. Ventilation tube insertion during the study period is not accepted in the control group.
Children in the intervention group as well as the control group will be seen once a year by the visiting ear-nose-and throat (ENT)-specialist and have a final consultation after at least two years after randomisation.
Study Plan
How is the study designed?
Design Details
- Primary Purpose: PREVENTION
- Allocation: RANDOMIZED
- Interventional Model: PARALLEL
- Masking: SINGLE
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Experimental: Ventilation tube treatment
Ventilation tube insertion in the tympanic membrane
|
Tympanostomy
Other Names:
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No Intervention: Conservative treatment
Conventional treatment
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What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Number of visits to health clinic
Time Frame: Two years after randomisation
|
Assessed by investigating medical records.
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Two years after randomisation
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Number of episodes of acute otitis media
Time Frame: Two years after randomisation
|
According to medical records
|
Two years after randomisation
|
Quality of life
Time Frame: Assessed at baseline, three months after randomisation, one year after randomisation, and at the end of the trial two years after randomisation
|
Measured by validated questionnaires OM6 and Caregiver Impact Questionnaire
|
Assessed at baseline, three months after randomisation, one year after randomisation, and at the end of the trial two years after randomisation
|
Number of episodes where per oral or intravenous antibiotics have been administered
Time Frame: Two years after randomisation
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According to medical records
|
Two years after randomisation
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Proportion of children with uni- or bilateral tympanic membrane perforations
Time Frame: Two years after randomisation
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Based on otoscopical photos, which will be anonymised and evaluated by an ENT-specialist without knowledge of the intervention
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Two years after randomisation
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Other Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Number of episodes of aural discharge
Time Frame: Two years after randomisation
|
According to medical records
|
Two years after randomisation
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Serious adverse events
Time Frame: During the trial
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Any adverse event that results in death, is life-threatening, requires hospitalisation or prolongation of existing hospitalisation, or results in persistent or significant disability or incapacity.
|
During the trial
|
Collaborators and Investigators
Sponsor
Collaborators
Investigators
- Principal Investigator: Malene N Demant, MD, Køge University Hospital
- Study Director: Preben Homoe, MD, PhD, Køge University Hospital
Publications and helpful links
Study record dates
Study Major Dates
Study Start
Primary Completion (Actual)
Study Completion (Actual)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Estimate)
Study Record Updates
Last Update Posted (Actual)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
- 2015-112556
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
IPD Plan Description
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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