ClinicalTrials.gg
Active, not recruitingNCT06285812OTO-MATICUpdated May 12, 2026

Otitis Treatment With OtoSight™ - Modification of Antibiotic Treatment Intervention in Children

An observational study in Otitis Media Acute, sponsored by PhotoniCare, Inc.. Active, not recruiting at 7 sites in United States. Open to participants aged 6 Months to 17 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2026-05-12.

Sponsored by PhotoniCare, Inc. · Observational

From the registry’s dates

  • Primary completion was expected by Jun 2026, 5 months ago, but the record still lists the study as active, not recruiting.
Study type
Observational
Model
Cohort
Time perspective
Other
Enrollment
700
Ages
6 Months to 17 Years
Sex
All
01

Study summary

A pragmatic, mixed-method trial is to show the ability of OtoSight to change management of the pediatric patient presenting with ear pain in a way that improves patient outcomes and reduces costs.

Read the detailed description

Mixed method, multi-center, pragmatic, cluster-randomized effectiveness-implementation investigation focused on pediatric subjects presenting with ear complaints at the office setting.

For the prospective randomized component, eligible clinicians at a given site will be randomized to one of two groups: the OtoSight intervention group or the usual care control group. There will be three (3) periods of post-intervention assessment: 10 days (optional), 6 months, and 12 months.

Eligible subjects will be automatically enrolled (or invited to enroll) in the clinical trial and will receive information. Because this is a non-interference design, frontline care clinicians randomized to either arm will be asked to: (1) assess the presence or absence of fluid in the middle ear; (2) record a diagnosis; and (3) treat the patient as they would according to the information available to them.

A separate retrospective historical matched control arm will also be conducted to analyze potential Hawthorne effect at a subset of collaborating practices or healthcare systems. Randomization of clinicians (and not children) will decrease contamination in the usual practice group (i.e., so clinicians are not asked to flip between intervention and usual care practices).

02

Conditions studied

  • Otitis Media Acute

Keywords

  • Otitis Media with Effusion
  • Ear Infection
  • Optical Coherence Tomography
  • Otitis Media
  • Machine Learning
03

In context

Otitis Media

241 studies on the registry are indexed under Otitis Media; 32 are open to participants now.

This study's planned enrollment of 700 is above the median of 150 across 57 observational studies indexed under Otitis Media.

Browse Otitis Media studies →

Lead sponsor

PhotoniCare, Inc. is the lead sponsor of 3 studies on the registry; none are open to participants now.

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

04

Who can participate

Ages eligible
6 Months to 17 Years
Sexes eligible
All
Accepts healthy volunteers
Yes
Sampling method
Non-probability sample

Study population

Any pediatric patient between 6 months and 17 years of age scheduled for an office visit with ear-related complaints, deemed suitable for otoscopy assessment.

Eligibility criteria

For the Prospective Subjects

Inclusion Criteria:

  • Pediatric subjects between 6 months and 17 years of age
  • Pediatric subjects presenting for an office visit with ear-related pain (otalgia)/otic complaints/earache indicative of potential Otitis Media with Effusion (OME) or Acute Otitis Media (AOM)
  • Pediatric subjects where otoscopy would traditionally be indicated
  • Pediatric subjects whose parents or legally authorized representative (LAR) have signed an

Exclusion Criteria:

  • The parent or guardian who attends visits does not speak the same language as their physician
  • Pediatric subjects enrolled in another clinical trial
  • Pediatric subjects with:
  • Signs of severe chronic illness (e.g., immunodeficiency, congenital heart disease, encephalopathy, pulmonary disease other than asthma, and disorder of the ear, nose and throat) or any illness or condition that, in the opinion of the investigator, would prohibit the subject from participating in the trial
  • Anatomical conditions that would affect their ability to undergo an otoscopy.

For the Retrospective Case Match Controls

Inclusion Criteria:

  • Pediatric subjects between 6 months and 17 years of age (\< 18 years old).
  • Index visit took place 11 - 25 months prior to the Treatment match's Baseline Visit.
  • Index visit was for an ear-related chief complaint.
  • An otoscopic exam was completed at index visit.
  • Subjects have a follow up visits (telehealth included) in the time period between the index visit and firstTreatment subject's enrollment date.
Terms in these criteria, in plain language(2)

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.

Clinically significant

Judged by the study doctor to matter for your health or for the study. It is a doctor’s decision, so ask the study team if you are unsure whether something counts.

05

Study design

Observational model
Cohort
Time perspective
Other
Enrollment
700 participants (estimated)
Patient registry
No

Groups and cohorts

  • Standard of Care #1

    Prospective Randomized Control Trial (RCT)

  • OtoSight #1

    Prospective Randomized Control Trial (RCT)

    Device: OtoSight Middle Ear Scope

  • OtoSight #2

    Case and provider match

    Device: OtoSight Middle Ear Scope

  • Standard of Care #2

    Retrospective case and provider matched controls

Interventions

  • DeviceOtoSight Middle Ear Scope

    Subjects will be evaluated with the OtoSight Middle Ear Scope

06

What researchers measure

Primary outcomes

  1. Change the clinician rate of antibiotic prescriptions

    Antibiotic stewardship

    Time frame: Baseline to 12 month Follow Up

  2. Change the number of antibiotic rounds per patient

    Antibiotic stewardship

    Time frame: Baseline to 12 month Follow Up

  3. Change costs associated with management of pediatric patients presenting with ear-related pain

    Change in overall costs

    Time frame: Baseline to 21 month Follow Up

Secondary outcomes

  1. Change in unnecessary antibiotic prescriptions

    Change in unnecessary antibiotic prescriptions based on reported diagnosis and treatment recommendations of providers

    Time frame: Baseline to 12 month Follow Up

  2. Change in prescription adherence

    Change in prescription adherence

    Time frame: Baseline to 12 month Follow Up

  3. Change in antibiotic prescription rate when fluid not present

    Change in antibiotic prescriptions rate when fluid is not present based on reported treatment recommendations of providers

    Time frame: Baseline to 12 month Follow Up

  4. Improve patient outcomes

    Change in progression to recurrent AOM (rAOM) based on tracking provider diagnoses

    Time frame: Baseline to 12 month Follow Up

  5. Change medical resource utilization

    Change in follow-up visit frequency, ENT (Ear, Nose, and Throat) referral frequency

    Time frame: Baseline to 30 days Follow Up

  6. Change unnecessary medical intervention

    Change in amount of unnecessary medical intervention (e.g., tympanostomy tube surgeries) based on tracking provider treatment recommendations and diagnoses

    Time frame: Baseline to 12 month Follow Up

  7. Impact clinician confidence

    Change in clinician confidence scores reported on Provider CRF

    Time frame: Baseline to 12 month Follow Up

  8. Impact caregiver satisfaction

    Change in clinician satisfaction scores reported on Provider CRF

    Time frame: Baseline to 12 month Follow Up

  9. Change in Health-related Quality of Life (HQoL)

    Change in HQoL scores reported on the OMO-22 and OM-6

    Time frame: Baseline to 12 month Follow Up

07

Study locations

7 sites
08

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

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

Started Jan 2024 (actual). Primary completion is estimated for Jun 2026, 29 months after the start.

Of 22 observational studies under Otitis Media, half reached primary completion within 24 months of starting (the median), counting those still running; a quarter within 18 and three quarters within 67. This study's planned 29 months is above that.

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

Registered
Feb 1, 2024
First posted
Feb 29, 2024
StartActual
Jan 10, 2024
Primary completionEst.
Jun 2026
CompletionEst.
Jul 2026
Last update
May 12, 2026
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 May 12, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT06285812
Lead sponsor
PhotoniCare, Inc.
Collaborators
TTi Health Research & Economics
Responsible party
Sponsor
First posted
Feb 29, 2024
Start date
Jan 10, 2024
Primary completion
Jun 2026 (estimated)
Completion
Jul 2026 (estimated)
Last update
May 12, 2026

Oversight

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

Not currently enrolling

This study is active, not recruiting, as verified in Apr 2026. 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