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    Clinical Trial Results:
    Triamcinolone levels in cochlear perilymph

    Summary
    EudraCT number
    2017-002377-19
    Trial protocol
    AT  
    Global end of trial date
    30 Jun 2021

    Results information
    Results version number
    v1(current)
    This version publication date
    09 Feb 2024
    First version publication date
    09 Feb 2024
    Other versions
    Summary report(s)
    Manuscript

    Trial information

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    Trial identification
    Sponsor protocol code
    1456/2017
    Additional study identifiers
    ISRCTN number
    -
    US NCT number
    NCT03248856
    WHO universal trial number (UTN)
    -
    Sponsors
    Sponsor organisation name
    Abteilung für Hals-, Nasen- und Ohrenkrankheiten MUW, AKH Wien
    Sponsor organisation address
    Spitalgasse 23, Vienna, Austria,
    Public contact
    HNO Ambulanz 8J, Abteilung für Hals-, Nasen- und Ohrenkrankheiten MUW, AKH Wien, valerie.dahm@meduniwien.ac.at
    Scientific contact
    HNO Ambulanz 8J, Abteilung für Hals-, Nasen- und Ohrenkrankheiten MUW, AKH Wien, valerie.dahm@meduniwien.ac.at
    Paediatric regulatory details
    Is trial part of an agreed paediatric investigation plan (PIP)
    No
    Does article 45 of REGULATION (EC) No 1901/2006 apply to this trial?
    No
    Does article 46 of REGULATION (EC) No 1901/2006 apply to this trial?
    No
    Results analysis stage
    Analysis stage
    Final
    Date of interim/final analysis
    30 Apr 2021
    Is this the analysis of the primary completion data?
    Yes
    Primary completion date
    30 Mar 2020
    Global end of trial reached?
    Yes
    Global end of trial date
    30 Jun 2021
    Was the trial ended prematurely?
    No
    General information about the trial
    Main objective of the trial
    Primary Objective Demonstrate absorption of Triamcinolone acetonide in cochlear perilymph in comparison to dissemination to the blood circulation after intratympanic application
    Protection of trial subjects
    Case report forms will be copied and stored separately. Data will be double-checked and saved in an excel sheet on a computer to which only study personel has access to. Patients will be randomly assigned a three-digit number and the further data analysis will be carried out anonymously.
    Background therapy
    -
    Evidence for comparator
    -
    Actual start date of recruitment
    02 Oct 2017
    Long term follow-up planned
    No
    Independent data monitoring committee (IDMC) involvement?
    No
    Population of trial subjects
    Number of subjects enrolled per country
    Country: Number of subjects enrolled
    Austria: 40
    Worldwide total number of subjects
    40
    EEA total number of subjects
    40
    Number of subjects enrolled per age group
    In utero
    0
    Preterm newborn - gestational age < 37 wk
    0
    Newborns (0-27 days)
    0
    Infants and toddlers (28 days-23 months)
    0
    Children (2-11 years)
    0
    Adolescents (12-17 years)
    0
    Adults (18-64 years)
    35
    From 65 to 84 years
    5
    85 years and over
    0

    Subject disposition

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    Recruitment
    Recruitment details
    -

    Pre-assignment
    Screening details
    Patients scheduled for cochlear implantation will be asked to participate in the study. Inclusion and exclusion criteria will be evaluated at the ent outpatients department. If patients fulfill inclusion and exclusion criteria and consent to the study is given a reevaluation on day 0 will be carried out. If the second evaluation has a positive o

    Period 1
    Period 1 title
    Study patients (overall period)
    Is this the baseline period?
    Yes
    Allocation method
    Randomised - controlled
    Blinding used
    Not blinded

    Arms
    Are arms mutually exclusive
    Yes

    Arm title
    Group 1
    Arm description
    (TAC, 10 mg/mL, 24 h before sampling)
    Arm type
    Active comparator

    Investigational medicinal product name
    Triamcinolone acetonide
    Investigational medicinal product code
    Other name
    Pharmaceutical forms
    Solution for injection
    Routes of administration
    Intratympanic use
    Dosage and administration details
    intratympanic 10mg/ml

    Arm title
    Group 2
    Arm description
    (TAC, 40 mg/mL, 24 h before sampling)
    Arm type
    Active comparator

    Investigational medicinal product name
    Triamcinolone acetonide
    Investigational medicinal product code
    Other name
    Pharmaceutical forms
    Solution for injection
    Routes of administration
    Intratympanic use
    Dosage and administration details
    intratympanic 40mg/ml

    Arm title
    Group 3
    Arm description
    (TAC, 10 mg/mL, 1 h before sampling)
    Arm type
    Active comparator

    Investigational medicinal product name
    Triamcinolone acetonide
    Investigational medicinal product code
    Other name
    Pharmaceutical forms
    Solution for injection
    Routes of administration
    Intratympanic use
    Dosage and administration details
    intratympanic 10mg/ml

    Arm title
    Group 4
    Arm description
    -
    Arm type
    Active comparator

    Investigational medicinal product name
    Triamcinolone acetonide
    Investigational medicinal product code
    Other name
    Pharmaceutical forms
    Solution for injection
    Routes of administration
    Intratympanic use
    Dosage and administration details
    intratympanic 40mg/ml

    Number of subjects in period 1
    Group 1 Group 2 Group 3 Group 4
    Started
    10
    10
    10
    10
    Completed
    10
    10
    10
    10

    Baseline characteristics

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    Baseline characteristics reporting groups
    Reporting group title
    Study patients
    Reporting group description
    -

    Reporting group values
    Study patients Total
    Number of subjects
    40 40
    Age categorical
    Units: Subjects
        In utero
    0 0
        Preterm newborn infants (gestational age < 37 wks)
    0 0
        Newborns (0-27 days)
    0 0
        Infants and toddlers (28 days-23 months)
    0 0
        Children (2-11 years)
    0 0
        Adolescents (12-17 years)
    0 0
        Adults (18-64 years)
    35 35
        From 65-84 years
    5 5
        85 years and over
    0 0
    Gender categorical
    Units: Subjects
        Female
    20 20
        Male
    20 20

    End points

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    End points reporting groups
    Reporting group title
    Group 1
    Reporting group description
    (TAC, 10 mg/mL, 24 h before sampling)

    Reporting group title
    Group 2
    Reporting group description
    (TAC, 40 mg/mL, 24 h before sampling)

    Reporting group title
    Group 3
    Reporting group description
    (TAC, 10 mg/mL, 1 h before sampling)

    Reporting group title
    Group 4
    Reporting group description
    -

    Primary: TRiamcinolone levels

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    End point title
    TRiamcinolone levels
    End point description
    End point type
    Primary
    End point timeframe
    single measurement
    End point values
    Group 1 Group 2 Group 3 Group 4
    Number of subjects analysed
    10
    10
    10
    10
    Units: microgram(s)/microlitre
        number (not applicable)
    46.4
    96.8
    396.4
    329.4
    Attachments
    Untitled (Filename: Dahm V 2021 Evaluation of Levels of Triamcinolone Acetonide in Human Perilymph and Plasma After Intratympanic Application in Patients Receiving Cochlear Implants A Randomized Clinical Trial.pdf)
    Statistical analysis title
    statistical analysis
    Comparison groups
    Group 2 v Group 3 v Group 4 v Group 1
    Number of subjects included in analysis
    40
    Analysis specification
    Post-hoc
    Analysis type
    other
    P-value
    < 0.05
    Method
    ANOVA
    Parameter type
    Median difference (final values)
    Confidence interval
         level
    95%
         sides
    2-sided
         lower limit
    -
         upper limit
    -
    Variability estimate
    Standard deviation

    Adverse events

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    Adverse events information [1]
    Timeframe for reporting adverse events
    No adverse events reported
    Assessment type
    Non-systematic
    Dictionary used for adverse event reporting
    Dictionary name
    MedDRA
    Dictionary version
    1
    Frequency threshold for reporting non-serious adverse events: 5%
    Notes
    [1] - There are no non-serious adverse events recorded for these results. It is expected that there will be at least one non-serious adverse event reported.
    Justification: No serious adverse events have been reported for intratympanic injection of triamcinolone acetonide

    More information

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    Substantial protocol amendments (globally)

    Were there any global substantial amendments to the protocol? No

    Interruptions (globally)

    Were there any global interruptions to the trial? No

    Limitations and caveats

    Limitations of the trial such as small numbers of subjects analysed or technical problems leading to unreliable data.
    None reported
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    The status and protocol content of GB trials is no longer updated since 1 January 2021. For the UK, as of 31 January 2021, EU Law applies only to the territory of Northern Ireland (NI) to the extent foreseen in the Protocol on Ireland/NI. Legal notice
    As of 31 January 2023, all EU/EEA initial clinical trial applications must be submitted through CTIS . Updated EudraCT trials information and information on PIP/Art 46 trials conducted exclusively in third countries continues to be submitted through EudraCT and published on this website.

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