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RecruitingNCT05946577AURACCOUpdated Aug 13, 2026

Association Between Tinnitus and Hearing Loss in Locally Advanced Head and Neck Cancer Treated by Radiotherapy Alone or With Chemotherapy: a Prospective and Multicenter Study

An observational study in Head Cancer and Neck Cancer, sponsored by Assistance Publique - Hôpitaux de Paris. Recruiting at 1 site in France. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-08-13.

Sponsored by Assistance Publique - Hôpitaux de Paris · Observational

From the registry’s dates

  • Started Mar 2023; still recruiting 3 years 8 months later.
Study type
Observational
Model
Cohort
Time perspective
Prospective
Enrollment
140
Ages
18 Years and older
Sex
All
01

Study summary

The aim of the AURACCO study is to evaluate the association between the onset of tinnitus and hearing loss in patients with locally advanced head and neck cancer treated by concomitant chemoradiotherapy or exclusive radiotherapy

Read the detailed description

Radiotherapy with or without concomitant chemotherapy is the standard of care for patients diagnosed with locally advanced head and neck cancer.

This treatment is associated with many side effects, especially tinnitus and hearing loss affecting patients' quality of life. Theses toxicities are due to chemotherapy and radiotherapy, with a synergic effect.

The effects of chemoradiotherapy on hearing loss are already well documented but very limited data are available on the onset of tinnitus.

Currently, no study established a correlation between tinnitus and hearing loss after treatment by chemoradiotherapy or exclusive radiotherapy. The main question we aim to answer is whether the development of tinnitus during treatment can be a precursor to hearing loss?

Clinical data will be collected prospectively in 4 centers in Paris (Hôpital Tenon, Hôpital La Pitié-Salpêtrrière, Hôpital Saint-Louis and Hôpital Européen Georges Pompidou) to collect :

  • Patient data :
  • Birth date (age at diagnosis)
  • Tobacco use (active : yes/no, quantity in pack-year)
  • Alcohol use (active : yes/no, quantity in g/day)
  • Sex
  • Disease data :
  • Primitive site (oral cavity, nasopharynx, oropharynx, larynx, sinus, salivary gland, carcinoma with unknown primitive)
  • Histological type
  • HPV status
  • TNM stage
  • Data at diagnosis
  • Treatment data :
  • Post-operative situation (yes/no)
  • Radiotherapy dose received and number of fraction
  • Mean and max doses received in Gy on the right and left cochleas
  • Other otototoxic treatment taken during radiotherapy
  • Evaluation data :
  • Tinnitus evaluation (using SOMA-LENT criteria)
  • Audiogram with measures at 0,25, 0,5,

    1, 2, 4, 6, 8, 10 and 12,5 kHz

  • Check for hearing "microloss"
  • If tinnitus present : acouphénométrie
  • If hearing aid fitting indication : APHAB (Abbreviated Profile of Hearing Aid Benefit) questionnaire
02

Conditions studied

  • Head Cancer
  • Neck Cancer

Keywords

  • Head and neck cancer
  • HNSCC
  • Undifferentiated nasopharyngeal cancer
  • UCNT
  • Salivary gland cancer
  • Radiotherapy
  • Chemoradiotherapy
  • Radiochemotherapy
  • Chemotherapy
  • Cisplatin
  • Ototoxicity
  • Tinnitus
  • Hearing loss
03

In context

Head and Neck Neoplasms

2,710 studies on the registry are indexed under Head and Neck Neoplasms; 594 are open to participants now.

This study's planned enrollment of 140 is above the median of 100 across 502 observational studies indexed under Head and Neck Neoplasms.

Browse Head and Neck Neoplasms studies →

Lead sponsor

Assistance Publique - Hôpitaux de Paris is the lead sponsor of 3,592 studies on the registry; 1,033 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
Sampling method
Non-probability sample

Study population

Patients followed in Hôpital Tenon, Hôpital Pitié-Salpétrière, Hôpital Saint-Louis or Hôpital Européen Georges Pompidou for a histological diagnosis of locally advanced head and neck cancer with an indication for concomitant chemoradiotherapy or exclusive radiotherapy.

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

  • Patient with locally advanced or post-operative ENT cancer with high risk of recurrence
  • Patient ≥ 18 years
  • Absence of prior chemotherapy or radiotherapy
  • Patient eligible for chemotherapy with cisplatin according to the standard regimen: radiotherapy delivering 60-70 Gy in 30-35 fractions spread over 6 to 7 weeks associated with chemotherapy with cisplatin 100 mg/m2 every 3 weeks (i.e. at week 1, 4 and 7)
  • Patient ineligible for cisplatin chemotherapy receiving:

    • Either exclusive radiotherapy (age > 70 years, : renal failure, patient wearing a device): radiotherapy delivering 60-70 Gy in 30-35 fractions spread over 6 to 7 weeks.
    • either chemoradiotherapy with a chemotherapy protocol different from the standard scheme (due to a contraindication to cisplatin): radiotherapy delivering 60-70 Gy in 30-35 fractions spread over 6 to 7 weeks associated with non-standard chemotherapy ototoxic (cetuximab or carboplatin-5FU)

Exclusion criteria

Exclusion Criteria:

  • Tinnitus grade ≥ 2 according to the SOMA-LENT scale
  • Patient fitted for hearing disorders
  • Significant cognitive disorders that may compromise the performance of the various assessments
  • Patients treated with weekly cisplatin
  • Patient's refusal to participate in research
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

Observational model
Cohort
Time perspective
Prospective
Enrollment
140 participants (estimated)
Patient registry
No

Groups and cohorts

  • Patients treated by chemoradiotherapy with high dose of cisplatin

    radiotherapy 60-70 Gy in 30-35 fractions with concomitant chemotherapy by cisplatin 100 mg/m2 every 3 weeks (week 1, 3 and 7)

  • Patients treated with exclusive radiotherapy or radiotherapy with non-ototoxic chemotherapy

    patient ineligible for chemotherapy with cisplatin: * exclusive radiotherapy: 60-70 Gy in 30-35 fractions * radiotherapy with a non-ototoxic chemotherapy (due to contraindication to cisplatin): 60-70 Gy in 30-35 fractions

06

What researchers measure

Primary outcomes

  1. Association between the onset of tinnitus and hearing loss at 3 months after treatment

    Evaluation of the tinnitus on each ear. Hearing loss is defined as a loss of more than 20 dB compared to the measurement made at inclusion

    Time frame: 3 months after treatment

Secondary outcomes

  1. Tinnitus incidence

    According to Subjective, Objective, Management, Analytic- Late Effects Normal Tissue scales :SOMA-LENT scale (grade 1 to 4).

    Time frame: at inclusion, at 3 weeks, at 6 weeks, 3 months after treatment, 6 months, 12 months and 18 months

  2. Hearing loss incidence

    audiogram with measures at 0,25, 0,5, 1, 2, 4, 6, 8, 10 and 12,5 kHz

    Time frame: at inclusion, at 3 weeks, 6 weeks, 3 months after treatment, 6 months, 12 months and 18 months

  3. Association between the onset of tinnitus and/or hearing loss and quality of life

    Evaluation quality of life (Tinnitus Handicap Inventory)

    Time frame: at inclusion, at 3 weeks, 6 weeks, 3 months after treatment, 6 months, 12 months and 18 months

  4. Association between the onset of tinnitus and/or hearing loss and quality of life

    Evaluation quality of life: EVA intensity and discomfort

    Time frame: at inclusion, at 3 weeks, 6 weeks, 3 months after treatment, 6 months, 12 months and 18 months

  5. Association between the onset of tinnitus and/or hearing loss and quality of life

    Evaluation quality of life: EQ-5D-5L questionnaire

    Time frame: at inclusion, at 3 weeks, 6 weeks, 3 months after treatment, 6 months, 12 months and 18 months

  6. Evolution of hearing disorders (tinnitus and/or hearing loss)

    using SOMA-LENT criteria and audiogram

    Time frame: at inclusion, at 3 weeks, 6 weeks, 3 months after treatment, 6 months, 12 months and 18 months

  7. Association between radiotherapy dose received on the cochlea and the onset of tinnitus

    mean dose and max dose

    Time frame: 3 months after treatment

  8. Association between radiotherapy dose received on the cochlea and hearing loss

    mean dose and max dose

    Time frame: 3 months after treatment

  9. Association between cisplatin dose received and the onset of tinnitus and/or hearing loss

    dose in mg/m2

    Time frame: 3 months after treatment

  10. Quality of life after hearing aid fitting in patients requiring hearing aid during/after treatment

    APHAB (Abbreviated Profile of Hearing Aid Benefit) questionnaire

    Time frame: at 3 weeks, 6 weeks, 3 months after treatment, 6 months, 12 months and 18 months

07

Study locations

1 of 1 sites recruiting
  • Radiotherapy Oncology Service TENON Hospital
    Paris, 75020, France
    Recruiting
08

References and documents

Individual participant data

Plan to share: Undecided

No publications or documents are linked to this record.

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Aug 13, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT05946577
Responsible party
Sponsor
First posted
Jul 14, 2023
Start date
Mar 9, 2023
Primary completion
Jul 9, 2027 (estimated)
Completion
Mar 9, 2029 (estimated)
Last update
Aug 13, 2026

Study contacts

Florence HUGUET, MD, PhD
Contact
Florence.huguet@aphp.fr
0033 (0) 1 56 01 62 10
Rafik NEBBACHE, Resident
Contact
Rafik.nebbache@aphp.fr
Florence HUGUET, MD, PhD
principal investigator · Assistance Publique - Hôpitaux de Paris

Oversight

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

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