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Protective Effect of N-acetylcysteine Against From Ototoxicity

Phase 2
Completed
Conditions
Hearing Loss, Extreme
Interventions
Registration Number
NCT01271088
Lead Sponsor
TC Erciyes University
Brief Summary

Peritonitis is currently one of the leading complications of continuous ambulatory peritoneal dialysis (CAPD). Aminoglycosides and vancomycin are used in the treatment of CAPD peritonitis despite their potential risk for ototoxicity. NAC is a molecule used in the treatment and prophylaxis of many diseases related to oxidative stress. The aim of this study was to examine whether ototoxicity due to antibiotics used in the treatment of CAPD peritonitis can be prevented by N-acetylcysteine

Detailed Description

NAC, a thiol-containing antioxidant because of this,we want to investigate antioxidant status.

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
60
Inclusion Criteria
  • End-stage renal disease
  • Undergoing continuous ambulatory peritoneal dialysis as a renal replacement therapy
  • Developing the first continuous ambulatory peritoneal dialysis related peritonitis episode
Exclusion Criteria
  • Being treated with aminoglycoside antibiotics and vancomycine within the previous 3 months
  • Detection of mechanical occlusion of external ear
  • Having signs of disturbed integrity of tympanic membrane on otoscopy or tympanometry
  • History of a continuous ambulatory peritoneal dialysis related peritonitis

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
N-acetylcysteineN-acetylcysteineN-acetylcysteine: Experimental N-acetylcysteine 600 mg twice daily + vancomycine and/or amikacin
ControlN-acetylcysteineVancomycine and/or amikacin alone
Primary Outcome Measures
NameTimeMethod
Threshold hearing levels4 weeks

Ototoxicity was defined as an increase in the auditory threshold by at least 20 dB at any one test frequency, or at least 10 dB at any two adjacent frequencies, or loss of response at three consecutive frequencies between the baseline and follow-up studies in the worse ear.

Secondary Outcome Measures
NameTimeMethod

Trial Locations

Locations (1)

Erciyes University

🇹🇷

Kayseri, Turkey

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