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CompletedNCT00525551Updated Sep 11, 2013

Efficacy of Acetylcysteine in Patients Undergoing Surgery for Otosclerosis

A Phase 4 interventional study of Acetylcysteine and Placebo (NaCl) in Otosclerosis, sponsored by Karolinska University Hospital. Completed at 3 sites in Sweden. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2013-09-11.

Sponsored by Karolinska University Hospital · Phase 4, Interventional, and Treatment

Phase
Phase 4
Study type
Interventional
Enrollment
152
Allocation
Randomized
Ages
18 Years and older
Sex
All
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Study summary

In otosclerosis, one of the tiny bones of the middle ear is unable to move normally. Sounds cannot be transferred to the inner ear and a conductive hearing loss ensues. The disorder is usually treated by an operation where the bone is replaced by a prosthesis. This restores hearing at low sound frequencies. At high frequencies, surgery is less effective. The smaller effect at high frequencies is probably caused by surgically induced inner ear damage.

Animal studies have shown that the drug acetylcysteine can protect the inner ear against damage. It is not known whether the drug has similar effects in humans. This study will assess the efficacy of acetylcysteine in patients undergoing surgery for otosclerosis.

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Conditions studied

  • Otosclerosis

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03

In context

Otosclerosis

25 studies on the registry are indexed under Otosclerosis; 5 are open to participants now.

This study's enrollment of 152 is above the median of 32 across 11 interventional studies indexed under Otosclerosis.

Browse Otosclerosis studies →

Lead sponsor

Karolinska University Hospital is the lead sponsor of 278 studies on the registry; 54 are open to participants now.

Counted across the registry records on this site, refreshed daily.

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Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • Otosclerosis where surgery is planned
  • Air / bone gap larger than 20 dB
  • Normal middle ear status

Exclusion criteria

Exclusion Criteria:

  • Hypersensitivity to acetylcysteine
  • Deafness on the other ear
  • Stapedotomy previously performed on the ear
  • Pregnancy
  • Asthma
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Study design

Phase
Phase 4
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Quadruple (Participant, Care provider, Investigator, Outcomes assessor)
Enrollment
152 participants (actual)

Study arms

  • Active comparator
    1

    Drug: Acetylcysteine

  • Placebo comparator
    2

    Drug: Placebo (NaCl)

Interventions

  • 150 mg / kg body weight. Drug is dissolved in NaCl to a final volume of 300 mL. This volume is infused starting one hour prior to surgery, and continued 1 hour after the end of surgery.

  • DrugPlacebo (NaCl)

    300 mL 0.9% NaCl

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What researchers measure

Primary outcomes

  1. Hearing thresholds

    Time frame: one year

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Study locations

3 sites
  • Karolinska University Hospital Huddinge
    Huddinge, SE-141 86, Sweden
  • Karolinska University Hospital, Dept. of Otorhinolaryngology
    Stockholm, SE-171 76, Sweden
  • Academic Hospital
    Uppsala, SE-75185, Sweden
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References and documents

Publications

  • Bagger-Sjoback D, Stromback K, Hakizimana P, Plue J, Larsson C, Hultcrantz M, Papatziamos G, Smeds H, Danckwardt-Lilliestrom N, Hellstrom S, Johansson A, Tideholm B, Fridberger A. A randomised, double blind trial of N-Acetylcysteine for hearing protection during stapes surgery. PLoS One. 2015 Mar 12;10(3):e0115657. doi: 10.1371/journal.pone.0115657. eCollection 2015. PubMed 25763866 ↗
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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Sep 11, 2013, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT00525551
Responsible party
Anders Fridberger (Dr., Karolinska University Hospital) — Principal investigator
First posted
Sep 6, 2007
Start date
Sep 2007
Primary completion
Apr 2013
Completion
Apr 2013
Last update
Sep 11, 2013

Study contacts

Dan Bagger-Sjoback, M.D.,Ph.D.
study chair · Karolinska University Hospital
Anders Fridberger, M.D.,Ph.D.
principal investigator · Karolinska Institutet

Oversight

Data monitoring committee
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Sep 2013. You cannot join it, but the record below documents what was studied.

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Studies of the drug tested here: Acetylcysteine

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