ClinicalTrials.gg
CompletedNCT03295864MCotoUpdated Sep 9, 2021

Arnold Chiari Malformation: the Otological Assessment as an Objective Criteria for Surgical Treatment

An interventional study of Multifrequency tympanometry at Inclusion and Multifrequency tympanometry 6 month after surgery in Arnold-Chiari Malformation, Type 1, sponsored by University Hospital, Bordeaux. Completed at 1 site in France. Open to participants aged 18 Years to 60 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2021-09-09.

Sponsored by University Hospital, Bordeaux · Not applicable, Interventional, and Diagnostic

Phase
Not applicable
Study type
Interventional
Enrollment
49
Allocation
Non-randomized
Ages
18 Years to 60 Years
Sex
All
01

Study summary

The aim of this study is to compare the value of multifrequency tympanometry between patients with surgical indication of treatment for a Chiari type I malformation and healthy volunteers.

Read the detailed description

Prevalence of Chiari type I malformation in population is between 0.1% and 0.5%. Chiari type I malformation is responsive in perturbation of the cerebro spinal fluid flow at the cranio-cervical junction. Those perturbations caused headaches, and various otological symptoms (dizziness, tinnitus, vertigo, nystagmus, hypoacousis...). The surgical treatment consists in an occipital craniotomy to restore the cerebro spinal fluid flow at the cranio-cervical junction. Symptoms are due to increasing of the pressure in the cerebellar fossa. 81% of the patients with Chiari type 1 malformation suffer of sub clinical otological perturbations especially alteration of the vestibular test.

In the literature, hearing performance could be normalized after posterior fossa decompression. Furthermore, the multifrequency tympanometry measurement and particularly the width of conductance tympanograms at 2 kHz shows that variations of the cerebro spinal fluid pressure have consequences on the pressure of the perilymph.

Investigator's hypothesis is that tympanometry (conductance) could be an effective test to show the variation of the cerebro spinal fluid pressure.

02

Conditions studied

  • Arnold-Chiari Malformation, Type 1

Keywords

  • Arnold-Chiari Malformation, Type 1
  • Multifrequency tympanometry
  • Inner ear pressure
03

In context

Arnold-Chiari Malformation

34 studies on the registry are indexed under Arnold-Chiari Malformation; 10 are open to participants now.

This study's enrollment of 49 is close to the median of 45 across 18 interventional studies indexed under Arnold-Chiari Malformation.

Browse Arnold-Chiari Malformation studies →

Lead sponsor

University Hospital, Bordeaux is the lead sponsor of 806 studies on the registry; 197 are open to participants now.

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

04

Who can participate

Ages eligible
18 Years to 60 Years
Sexes eligible
All
Accepts healthy volunteers
Yes

Eligibility criteria

Inclusion criteria:

  • Chiari type I malformation proved at MRI or CT-scan with an indication of cranio cervical decompression.
  • Patients between 18 and 60 years old.
  • Patient should benefit of the national health care system
  • Agreement of the patient

Inclusion criteria for healthy volunteers:

  • Between 18 and 60 years old.
  • Free of otologic pathology
  • Benefit of the national health care system
  • Agreement of the volunteers

Exclusion criteria:

  • Acute hydrocephaly
  • Other type of Chiari disease (induced...)
  • Medical history of neurosurgery
  • for MRI
  • Cophosis
  • Chronic otitis
  • Medical history of ontological surgery
  • Tympanic perforation
  • Disturbance of tonal audiometry with air bone more than 20dB in 4 frequencies with abolition of stapedial reflex
  • Pregnant women or nursing women
  • Protected adults by French laws

Exclusion criteria for healthy volunteers:

  • Medical history of neurosurgery
  • Cophosis
  • Chronic otitis
  • Medical history of ontological surgery
  • Tympanic perforation
  • Disturbance of tonal audiometry with air bone more than 20dB in 4 frequencies with abolition of stapedial reflex
  • Pregnant women or nursing women
  • Medical history of Chiari malformation
  • Chronic headaches or neck pain
  • Protected adults by French laws
Terms in these criteria, in plain language(1)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Contraindication

A reason a treatment, test or procedure should not be given to a particular person, such as an allergy, another illness or a medicine they take.

05

Study design

Phase
Not applicable
Primary purpose
Diagnostic
Allocation
Non-randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
49 participants (actual)

Study arms

  • Experimental
    Patients with Chiari type 1 malformation

    Tympanometry measurement at inclusion and 6 months after surgery

    Diagnostic Test: Multifrequency tympanometry at Inclusion · Diagnostic Test: Multifrequency tympanometry 6 month after surgery

  • Experimental
    Healthy volunteers

    Tympanometry measurement at inclusion. Every healthy volunteer will be match with a patient for his age and his BMI (body mass index).

    Diagnostic Test: Multifrequency tympanometry at Inclusion

Interventions

  • Diagnostic testMultifrequency tympanometry at Inclusion

    Multifrequency tympanometry measurement and particularly width of conductance tympanograms at 2 kHz will be performed for both group at inclusion

  • Diagnostic testMultifrequency tympanometry 6 month after surgery

    Multifrequency tympanometry measurement and particularly width of conductance tympanograms at 2 kHz will be performed 6 months after surgery for Chiari type I malformation patient

06

What researchers measure

Primary outcomes

  1. Width of conductance tympanograms at 2 kHz measurement

    Time frame: Inclusion

Secondary outcomes

  1. Multifrequency tympanometry

    Time frame: Inclusion and 6 months after surgery for patients with an indication of surgical management for a Chiari type I malformation

  2. Resonance frequency

    Time frame: Inclusion and 6 months after surgery for patients with an indication of surgical management for a Chiari type I malformation

  3. Audiometric parameters

    Time frame: Inclusion and 6 months after surgery for patients with an indication of surgical management for a Chiari type I malformation

  4. Otological symptoms

    Time frame: Inclusion and 6 months after surgery for patients with an indication of surgical management for a Chiari type I malformation

  5. Pain measurement with Headache Impact Test

    Time frame: Inclusion and 6 months after surgery for patients with an indication of surgical management for a Chiari type I malformation

  6. Cerebro spinal fluid pressure of the cranio cervical junction

    Time frame: Inclusion and 6 months after surgery for patients with an indication of surgical management for a Chiari type I malformation

07

Study locations

1 site
  • CHU de Bordeaux
    Bordeaux, 33076, France
08

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Ran from Dec 2017 to primary completion in Feb 2020, 25 months.

Of 16 interventional studies with no phase under Arnold-Chiari Malformation, half reached primary completion within 25 months of starting (the median), counting those still running; a quarter within 10 and three quarters within 59. This study's 25 months is close to that.

How these figures are worked out, and which studies are left out of them.

Registered
Sep 14, 2017
First posted
Sep 28, 2017
StartActual
Dec 20, 2017
Primary completionActual
Feb 17, 2020
CompletionActual
Feb 17, 2020
Last update
Sep 9, 2021
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Sep 9, 2021, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
09

Registry details

Key details

Study ID
NCT03295864
Responsible party
Sponsor
First posted
Sep 28, 2017
Start date
Dec 20, 2017
Primary completion
Feb 17, 2020
Completion
Feb 17, 2020
Last update
Sep 9, 2021

Study contacts

Antoine BENARD, MD
study chair · USMR - CHU de Bordeaux

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Sep 2021. You cannot join it, but the record below documents what was studied.

Follow this study

Get an email when the registry record changes — status, dates, results — or when someone posts here.

Sign in to follow

Discussion

Questions and observations about this study, from anyone following it. Not medical advice, and not a channel to the study team — their contact details are on the registry record.

Sign in to join the discussion. Reading takes no account; posting does. You choose a display name, and a pseudonym is the default.

Nothing here yet. If you are running this trial, taking part in it, or weighing whether to, this is the place to say so.

Start the discussion