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Not yet recruitingNCT05545345Updated Sep 19, 2022

Adjuvant Adenoidectomy for the Treatment of Chronic OME in Children

An interventional study of tympanostomy tube placement and adenoidectomy in Otitis Media With Effusion in Children, sponsored by Eye & ENT Hospital of Fudan University. Not yet recruiting. Open to participants aged 4 Years to 12 Years. Per ClinicalTrials.gov, last updated 2022-09-19.

Sponsored by Eye & ENT Hospital of Fudan University · Not applicable, Interventional, and Treatment

From the registry’s dates

  • Primary completion was expected by Sep 2025, 1 year 2 months ago, but the record still lists the study as not yet recruiting.
Phase
Not applicable
Study type
Interventional
Enrollment
380
Allocation
Randomized
Ages
4 Years to 12 Years
Sex
All
01

Study summary

This study aims to verify the efficacy of adjuvant adenoidectomy for children with chronic OME who become candidates for tympanostomy tube placement, and explore potential factors associated with the efficacy of adjuvant adenoidectomy.

Read the detailed description

Otitis media with effusion is a common condition in children, and tympanostomy tube placement is the first-line treatment for those who requires surgical interventions. Adenoidectomy proves to be helpful to children over 4 years old, but the risks of adjuvant surgery is believed to somehow offset its benefits. This study is meant to verify if concurrent adenoidectomy provides extra benefits in resolving MEE, reducing AOM, and improving hearing and patients' quality of life to children who become candidates for TT.

02

Conditions studied

  • Otitis Media With Effusion in Children

Keywords

  • Otitis media with effusion
  • tympanostomy tube placement
  • adjuvant adenoidectomy
  • hearing outcome
03

In context

Otitis Media with Effusion

88 studies on the registry are indexed under Otitis Media with Effusion; 17 are open to participants now.

This study's planned enrollment of 380 is above the median of 80 across 61 interventional studies indexed under Otitis Media with Effusion.

Browse Otitis Media with Effusion studies →

Lead sponsor

Eye & ENT Hospital of Fudan University is the lead sponsor of 126 studies on the registry; 70 are open to participants now.

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

04

Who can participate

Ages eligible
4 Years to 12 Years
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

    1. Children 4-12 years of age.
    1. Diagnosed with chronic OME. Diagnostic criteria: I. Middle ear effusion detected by otoscopy; II. Type B or C tympanograms; III. Symptoms/signs of OME persisted for >3 months;
    1. Documented hearing loss ≥20dB (average threshold of 500Hz, 1000Hz and 2kHz in pure tone audiometry).
    1. Adenoid hypertrophy (A/N ratio> 0.5 in lateral radiography of the nasopharynx).
    1. given by the patients and their guardians.

Exclusion criteria

Exclusion Criteria:

  1. Cleft palate or other systemic disorders.
  2. Patients are diagnosed with other nose, sinuses or ear diseases that are eligible for surgical treatment.
  3. Patients are diagnosed with OSAHS, tonsil hypertrophy ≥II° or scheduled for tonsillectomy.
  4. History of tympanostomy tube placement.
  5. Infection of the upper respiratory tract or acute rhinosinusitis over the past 7 days.
  6. Sensorineural hearing loss.
  7. Other situations that the investigators find unsuitable for the trial.
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.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

05

Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Single (Outcomes assessor)
Enrollment
380 participants (estimated)

Study arms

  • Active comparator
    TT

    Participants only receive tympanostomy tube placement.

    Procedure: tympanostomy tube placement

  • Experimental
    Ad+TT

    Participants will receive tympanostomy tube placement and concurrent adenoidectomy.

    Procedure: tympanostomy tube placement · Procedure: adenoidectomy

Interventions

  • Proceduretympanostomy tube placement

    An incision will be made in the the tympanic membrane, through which a ventilation tube will be inserted.

  • Procedureadenoidectomy

    The adenoid is resected transorally under a 70° endoscope with microdebrider or coblator until torus tubarius and choanae are completely revealed.

06

What researchers measure

Primary outcomes

  1. Recurrence rate

    Rate of OME recurrence

    Time frame: 1 year after tube removal

  2. Rate of repeated tube placement

    proportion of patients who need repeated tube insertion

    Time frame: 1 year after tube removal

Secondary outcomes

  1. AOM attacks

    The number of acute otitis media attacks

    Time frame: 1 year after tube removal

  2. Otorrhea

    Rate of Otorrhea

    Time frame: 2 years after tube insertion

  3. Pure tone audiometry

    Change of pure tone audiometry thresholds compared with baseline

    Time frame: 2 years after tube insertion

  4. Otitis Media-6 and Pediatric Sleep Questionnaire

    Change of questionnaire score. Otitis Media-6 score ranges from 6 to 42, and higher scores mean worse outcomes. Pediatric Sleep Questionnaire score ranges from 0 to 22, and higher scores mean worse outcomes.

    Time frame: 2 years after tube insertion

  5. Complications

    Complications related to interventions of this study

    Time frame: 2 years after tube insertion

  6. Costs of OME-related visits and treatment

    Medical expenses associated with OME

    Time frame: Through study completion, an average of 2 years

07

Study locations

No study locations are listed for this record.

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

Start is estimated for Sep 2022; primary completion for Sep 2025, 36 months later.

Of 16 interventional studies with no phase under Otitis Media with Effusion, half reached primary completion within 48 months of starting (the median), counting those still running; a quarter within 10 and three quarters within 65. This study's planned 36 months is below that.

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

Registered
Aug 4, 2022
First posted
Sep 19, 2022
StartEst.
Sep 2022
Primary completionEst.
Sep 2025
CompletionEst.
Sep 2025
Last update
Sep 19, 2022
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 19, 2022, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
09

Registry details

Key details

Study ID
NCT05545345
Responsible party
Sponsor
First posted
Sep 19, 2022
Start date
Sep 2022 (estimated)
Primary completion
Sep 2025 (estimated)
Completion
Sep 2025 (estimated)
Last update
Sep 19, 2022

Study contacts

Huiqian Yu, PhD
Contact
yhq925@163.com
86-13636423139
Fangzhou Yu, MD
Contact
13301050317@fudan.edu.cn
86-18321719732

Oversight

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

Not currently enrolling

This study is not yet recruiting, as verified in Sep 2022. You cannot join it, but the record below documents what was studied.

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