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TerminatedNCT04226456Updated Oct 24, 2023

Intratympanic Administration of N-acetylcysteine for Protection of Cisplatin-induced Ototoxicity

A Phase 4 interventional study of N-acetyl cysteine in Ototoxic Hearing Loss, Ototoxic Hearing Loss, Bilateral and Ototoxicity, sponsored by Centre Hospitalier Universitaire Saint Pierre. Terminated at 1 site in Belgium. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2023-10-24.

Sponsored by Centre Hospitalier Universitaire Saint Pierre · Phase 4, Interventional, and Prevention

Why this study was terminated
poor recruitment
Phase
Phase 4
Study type
Interventional
Enrollment
19
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

Study summary

The purpose of this study is to assess the efficacity of N-acetylcystein against Cisplatin-induced ototoxicity.

Read the detailed description

This is a monocentric, randomized, controlled, open label phase IV superiority trial.

After signing the informed consent form and upon the confirmation of the patient eligibility, patients will be randomized 1:1 to the experimental arm (NAC + Cisplatin) or the standard arm (Cisplatin).

The primary objective of this trial is to evaluate the protecting effect of Lysomucil® 10% against Cisplatin-induced ototoxicity. In this case, we will evaluate its effect through the transtympanic administration in both ears.

02

Conditions studied

  • Ototoxic Hearing Loss
  • Ototoxic Hearing Loss, Bilateral
  • Ototoxicity
  • Tinnitus
03

In context

Ototoxicity

49 studies on the registry are indexed under Ototoxicity; 15 are open to participants now.

This study's enrollment of 19 is below the median of 47 across 33 interventional studies indexed under Ototoxicity.

Browse Ototoxicity studies →

Lead sponsor

Centre Hospitalier Universitaire Saint Pierre is the lead sponsor of 78 studies on the registry; 12 are open to participants now.

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

04

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

  • ≥ 18-year-old
  • Patients suffering from a neoplastic disease for which treatment protocol includes Cisplatin.

Exclusion criteria

Exclusion Criteria:

  • Women of pregnant or with intention to become pregnant within the trial duration
  • Women who are breastfeeding
  • Pathological findings on otoscopy that do not allow safe intratympanic drug delivery.
  • Conductive hearing loss > 20dBHL
  • Meniere disease
  • Medical history of sudden hearing loss
  • Sensoryneural Hearing loss (SNHL) with mean ≥ 40dbHL Pure Tonal Audiometry (PTA)
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.

Childbearing potential

Able to become pregnant: from the first period until menopause, unless permanently unable to through surgery (removal of the womb, or of both ovaries or both fallopian tubes).

Criteria for people of childbearing potential usually ask for a negative pregnancy test and for contraception during the study and for a time after it.

05

Study design

Phase
Phase 4
Primary purpose
Prevention
Allocation
Randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
19 participants (actual)

Study arms

  • No intervention
    Control

    Standard arm (Arm A): Cisplatin from 70 to 100 mg/m2 intravenous (IV) once for 3 to 7 cycles +/- Radiotherapy (depending on the type and the severity of the neoplastic disease) Dosis and number of Cisplatin cycles are determined by the oncologist depending on type and severity of neoplastic disease.

  • Experimental
    N-acetylcysteine

    Experimental arm (Arm B): * 0.4 to 1 ml of NAC 10% through intratympanic injection (ITI) from 40 to 60 minutes maximum prior to each Cisplatin cycle. * Cisplatin from 70 to 100 mg/m2 intravenous (IV) once for 3 to 7 cycles +/- Radiotherapy (depending on the type and the severity of the neoplastic disease) Dosis and number of Cisplatin cycles are determined by the oncologist depending on type and severity of neoplastic disease.

    Drug: N-acetyl cysteine

Interventions

  • Injection of a 10% solution of N-acetylcysteine through transtympanic injection in both ears

    Also known as: Lysomucil 10%

06

What researchers measure

Primary outcomes

  1. Apparition of ototoxicity

    the apparition of ototoxicity as defined by the International Common Terminology Criteria for Adverse Events (CTCAE), version 5: * A Threshold shift of 15 - 25 decibel (dB) averaged at 2 contiguous test frequencies in at least one ear * and/or the apparition of a tinnitus (not previously present).

    Time frame: 6 month after last injection

Secondary outcomes

  1. Evaluate the apparition of ototoxicity defined by the inclusion of high frequency audiometry (Tune Grading System)

    the apparition of ototoxicity as defined by the International Common Terminology Criteria for Adverse Events (CTCAE), version 5: * A Threshold shift of 15 - 25 dB averaged at 2 contiguous test frequencies in at least one ear * and/or the apparition of a tinnitus (not previously present).

    Time frame: 6 month after last injection

  2. Hearing quality of life: Evaluation of the Impact of Hearing Loss in Adults ERSA

    Evaluation of the Impact of Hearing Loss in Adults (ERSA) For each question, the score of 0 means maximal difficulties, the sore of 10 means ideal situation Formulation is uniform, with no inversions: 0 always corresponds to maximal difficulty and 10 to an ideal situation, so that the lower the score the greater the impact of hearing loss on quality of life. Maximum score is 200 for respondents in work and 150 for those not in work or in retirement.

    Time frame: 6 month after last injection

  3. Hearing quality of life: Tinnitus Handicap Index (THI)

    Tinnitus Handicap Index (THI) score Range : 0 to 100. Higher scores mean a worse outcome.

    Time frame: 6 month after last injection

07

Study locations

1 site
  • CHU Saint-Pierre
    Brussels, 1000, Belgium
08

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Oct 24, 2023, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
09

Registry details

Key details

Study ID
NCT04226456
Lead sponsor
Centre Hospitalier Universitaire Saint Pierre
Responsible party
Sponsor
First posted
Jan 13, 2020
Start date
Jul 10, 2021
Primary completion
May 3, 2023
Completion
Sep 3, 2023
Last update
Oct 24, 2023

Study contacts

Gaëtan Cavelier, MD
principal investigator · Centre Hospitalier Universitaire Saint Pierre

Oversight

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

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This study is terminated, as verified in Feb 2023. You cannot join it, but the record below documents what was studied.

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Discussion

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Studies of the drug tested here: Acetylcysteine

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