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Not yet recruitingNCT07777302Updated Nov 10, 2026

EarFlo: A Non-Invasive Treatment for Otitis Media With Effusion & Eustachian Tube Dysfunction in Adults

An interventional study of EarFlo Device in Otitis Media With Effusion (OME), Eustachian Tube Dysfunction and Otitis Media With Effusion, sponsored by Philip Perez. Not yet recruiting at 4 sites in United States. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-11-10.

Sponsored by Philip Perez · Not applicable, Interventional, and Treatment

Updated Nov 10, 2026Start date movedGo to Updates ↓
Phase
Not applicable
Study type
Interventional
Enrollment
100
Allocation
Not applicable
Ages
18 Years and older
Sex
All
01

Study summary

This study evaluates the use of the EarFlo device in adults with clinically confirmed Eustachian tube dysfunction and/or otitis media with effusion. The purpose of the study is to assess the safety, tolerability, and short-term effects of device use on ear pressure symptoms and middle ear function.

Participants will complete a brief symptom questionnaire, undergo routine ear examinations and testing, and use the EarFlo device once during a clinic visit. Ear examination and testing will be repeated after device use to evaluate any short-term changes. This study involves a single study visit and does not include any surgical or invasive procedures.

Read the detailed description

Otitis media with effusion (OME) is a condition characterized by the presence of fluid in the middle ear and may occur in both children and adults. Eustachian tube dysfunction (ETD) is commonly associated with OME and may contribute to symptoms such as ear fullness, pressure, muffled hearing, and discomfort due to impaired ventilation of the middle ear.

The EarFlo device is designed to promote Eustachian tube opening during swallowing. The EarFlo device has been previously evaluated in pediatric populations with otitis media with effusion and is FDA-cleared for its intended use.This study aims to evaluate the safety, tolerability, and short-term effects of the EarFlo device in an adult population diagnosed with OME and/or ETD.

This is a prospective, single-visit, non-randomized interventional study evaluating the safety, tolerability, and short-term effects of the EarFlo device in adults with otitis media with effusion (OME) and/or Eustachian tube dysfunction (ETD). The study focuses on short-term changes in subjective symptoms and objective middle ear findings following a single supervised use of the device in a clinical setting.

Eligible participants will attend one study visit. At baseline, participants will complete a validated symptom questionnaire and undergo routine otologic evaluation, including otoscopic examination and tympanometry, as clinically appropriate. Otoscopic images of the tympanic membrane and middle ear will be captured prior to device use.

Participants will then receive instruction on proper use of the EarFlo device from trained study personnel. The device will be used once during the visit while the participant drinks a liquid of their choice. Device use is noninvasive and does not involve surgical procedures or sedation.

Following device use, participants will repeat middle ear assessments, including tympanometry and otoscopic examination. Post-use otoscopic images will be captured and compared with baseline images. Otoscopic images will be reviewed and categorized as improved or not improved by a physician who is blinded to the timing of image acquisition (pre- or post-device use).

The primary objectives of this study are to evaluate the safety, tolerability, and short-term effects of the EarFlo device in adults and to obtain preliminary estimates of its short-term effects on ear pressure symptoms and middle ear findings following a single supervised use. As a single-arm pilot study, the findings are intended to inform the design of future controlled studies. No long-term follow-up is required.

02

Conditions studied

  • Otitis Media With Effusion (OME)
  • Eustachian Tube Dysfunction
  • Otitis Media With Effusion

Keywords

  • OME
  • ETD
  • Otitis Media with Effusion
  • Eustachian Tube Dysfunction
  • EarFlo
  • Noninvasive Device
  • Middle Ear Function
  • Ear Pressure symptoms
  • autoinflation
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 100 is above the median of 80 across 61 interventional studies indexed under Otitis Media with Effusion.

Browse Otitis Media with Effusion studies →

Lead sponsor

This is the only study on the registry with Philip Perez as lead sponsor.

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

  • Adults aged 18 years and older.
  • Adults with confirmed Otitis Media with Effusion (OME) diagnosis with clinical assessment.
  • Adults with confirmed dilatory ETD (Eustachian Tube Dysfunction) on clinical assessment.
  • Willingness to refrain from initiating new treatments for OME/ETD (e.g., new surgical or device treatments, tympanostomy tubes) during the study period. Standard care will not be refrained if needed.

Exclusion criteria

Exclusion Criteria:

  • Presence of acute otitis media, ear infection, or otorrhea within the past 4 weeks.
  • Any medical, psychiatric, or cognitive condition that, in the opinion of the investigators, would interfere with study participation or compliance.
  • Inability to use the EarFlo device as instructed (e.g., due to severe nasal obstruction, craniofacial anomalies, or neuromuscular disorders).
  • Recent eye, ear or nose surgeries or ear trauma. (\<4 weeks)
05

Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
100 participants (estimated)

Study arms

  • Experimental
    EarFlo Intervention Arm

    Participants in this single arm will undergo baseline assessments, use the EarFlo device once during a clinic visit, and complete post-use assessments to evaluate short-term changes in ear symptoms and middle ear function.

    Device: EarFlo Device

Interventions

  • DeviceEarFlo Device

    The EarFlo device is a non-invasive, cup-based device used during swallowing to help equalize middle ear pressure. By delivering a controlled puff of air through the nose during swallowing, it assists Eustachian tube opening to relieve negative middle ear pressure. Participants will use the device once during a single clinic visit while drinking water or a beverage of their choice. No surgery or invasive procedures are involved.

    Also known as: Earflo (Model EF001)

06

What researchers measure

Primary outcomes

  1. Change in middle ear pressure and compliance measured by tympanometry following single use of the EarFlo device

    Change in middle ear pressure measured using tympanometric peak pressure (daPa) immediately before and immediately after a single supervised in-clinic use of the EarFlo device. Tympanometric peak pressure values will be compared to evaluate short-term changes in middle ear function. More positive values indicate improved middle ear pressure equalization.

    Time frame: Immediately before EarFlo device use (baseline) and immediately after EarFlo device use (post-intervention) during the single study visit

  2. Blinded otoscopic image assessment of middle ear effusion before and after EarFlo device use

    Otoscopic images obtained immediately before and immediately after EarFlo device use will be independently reviewed by a blinded physician. Images will be classified as improved or not improved based on predefined evidence of middle ear effusion and tympanic membrane appearance.

    Time frame: Immediately before EarFlo device use (baseline) and immediately after EarFlo device use (post-intervention) during the single study visit

Secondary outcomes

  1. Incidence, severity, and relatedness of adverse events

    Safety and tolerability of the EarFlo device in Adults will be assessed based on the number and percentage of participants experiencing adverse events. Adverse events will be summarized according to incidence, severity, and relationship to the EarFlo device or study procedure.

    Time frame: From initiation of EarFlo device use through the end of the single study visit, up to 30 minutes.

07

Study locations

4 sites
08

References and documents

Publications

  • Hura N, Soto MJ, Lalwani Z, Oldakowska I, Oldakowski M, Bumbak P, Santa Maria PL. A novel autoinflation device for persistent pediatric otitis media with effusion: A prospective single-arm cohort study. Am J Otolaryngol. 2026 Jul-Aug;47(4):104862. doi: 10.1016/j.amjoto.2026.104862. Epub 2026 Jun 12. PubMed 42296786 ↗

Individual participant data

Plan to share: No — There is no current plan to share individual participant data (IPD). Any future data sharing would require separate review and approval and would be conducted in accordance with institutional policies and applicable regulations.

09

Updates

1 registry update since Sep 25, 2026
Start date
Aug 27, 2026→Nov 20, 2026
Nov 10, 2026
Show all 1 update
  1. Nov 10, 2026
    Start date Aug 27, 2026→Nov 20, 2026
    + 1 other change: verification date

From the registry record's own update history. This site started tracking changes on Sep 25, 2026; for anything earlier, see the record history on ClinicalTrials.gov ↗

10

Registry details

Key details

Study ID
NCT07777302
Lead sponsor
Philip Perez
Collaborators
Earflo Inc.
Responsible party
Philip Perez (Assistant Professor, University of Pittsburgh) — Sponsor-investigator
First posted
Aug 20, 2026
Start date
Nov 20, 2026 (estimated)
Primary completion
Nov 30, 2027 (estimated)
Completion
May 15, 2028 (estimated)
Last update
Nov 10, 2026

Study contacts

Zarna P Lalwani, BDS, MPH
Contact
zpl5@pitt.edu
Philip L Perez, MD
principal investigator · University of Pittsburgh

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 not yet recruiting, as verified in Nov 2026. You cannot join it, but the record below documents what was studied.

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