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Transtympanic Ringer's Lactate for the Prevention of Cisplatin Ototoxicity

Information source: McGill University Health Center
Information obtained from ClinicalTrials.gov on February 07, 2013
Link to the current ClinicalTrials.gov record.

Condition(s) targeted: Hearing Loss

Intervention: Ringer's Lactate (0.03% Ciprofloxacin) (Drug)

Phase: Phase 1/Phase 2

Status: Recruiting

Sponsored by: McGill University Health Center

Official(s) and/or principal investigator(s):
Sam J Daniel, MD, Principal Investigator, Affiliation: McGill University Health Center

Overall contact:
Victoria Akinpelu, Phone: 514-412-4400, Ext: 22249, Email: victoriakinpelu@gmail.com

Summary

Cisplatin and carboplatin induce ototoxicity manifested as sensorineural hearing loss, tinnitus, and/or vestibular disturbances. Ototoxicity is induced via damage to inner ear structures by reactive oxygen species. Previous animal studies demonstrated that transtympanic injection of Ringer's Lactate (RL) provided near complete otoprotective effect against cisplatin. The purpose of this study is to determine if transtympanic administration of Ringer's Lactate via a pressure equalising (PE) tube in patients undergoing platinum based chemotherapy treatment will prevent tinnitus, vestibular dysfunction and hearing loss especially at high frequencies. Pre- and post- chemotherapy treatment audiometry will be measured and statistically analysed for significance.

Clinical Details

Official title: Transtympanic Administration of Lactate: An Innovative Otoprotection for Patients Receiving Cisplatin or Carboplatin Chemotherapy

Study design: Allocation: Randomized, Intervention Model: Single Group Assignment, Masking: Open Label, Primary Purpose: Prevention

Primary outcome: Audiogram

Secondary outcome: Otoacoustic Emissions

Eligibility

Minimum age: 15 Years. Maximum age: N/A. Gender(s): Both.

Criteria:

Inclusion Criteria:

- Patients over the age of 14

- Patients undergoing platinum based chemotherapy

- Patients who agree to participate in the study

Exclusion Criteria:

- Patients unable to provide consent

- Patients with head and neck cancer

- Patients undergoing radiation of the head and neck

- Patients who develop a tympanic perforation

- Patients with persistent otorrhea

Locations and Contacts

Victoria Akinpelu, Phone: 514-412-4400, Ext: 22249, Email: victoriakinpelu@gmail.com

Montreal General Hospital, Montreal, Quebec H3G 1A1, Canada; Recruiting
Victoria Akinpelu
Additional Information

Protection From Cisplatin Ototoxicity by Lactated Ringers

Related publications:

Choe WT, Chinosornvatana N, Chang KW. Prevention of cisplatin ototoxicity using transtympanic N-acetylcysteine and lactate. Otol Neurotol. 2004 Nov;25(6):910-5.

Starting date: April 2008
Last updated: April 20, 2010

Page last updated: February 07, 2013

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