Efficacy and Safety of Once-Daily Ciprodexa Otic Foam Compared to Twice-daily Ciprodex Ear Drops in Acute Otitis Externa
- Conditions
- Otitis ExternaOtorhinolaryngologic DiseasesEar DiseasesOtitis
- Interventions
- Drug: Ciprodexa Otic Foam
- Registration Number
- NCT01359098
- Lead Sponsor
- Otic Pharma
- Brief Summary
The purpose of this study is to assess the Safety and Efficacy of Ciprodexa Foam (0.3% Ciprofloxacin, 0.1% Dexamethasone Otic Foam), used once-a-day for 7 days for the treatment of Acute Diffuse Otitis Externa, compared to Ciprodex otic suspension used twice daily for 7 days.
- Detailed Description
Acute otitis externa (AOE) is defined as a diffuse inflammation of the external ear canal, which may also involve the pinna and/or the tympanic membrane. AOE is one of the most common infections encountered by otolaryngologists, pediatricians and family physicians. Diagnosis of AOE requires rapid onset (generally within 48 hours) of symptoms and signs of ear canal inflammation which includes: A) otalgia (often severe), itching or fullness, sometimes accompanied by reduced hearing or jaw pain; B) tenderness of the tragus and/or pinna; and C) diffuse ear canal edema with or without erythema, sometimes accompanied by ear discharge (otorrhea).
Recruitment & Eligibility
- Status
- COMPLETED
- Sex
- All
- Target Recruitment
- 100
- Aged 3 years to 80 years old.
- Have a clinical diagnosis of Acute Otitis Externa based on clinical observation and of presumed bacterial origin.
- Intact tympanic membrane
- Unilateral disease
- Known allergy or sensitivity to Ciprofloxacin or other quinolones.
- Clinical Diagnosis of chronic suppurative otitis media (CSOM), acute otitis media (AOM), involvement of middle ear effusion (MEE).
- Patient has the non intact tympanic membrane.
- Patient has a serious underlying disease.
- Patients with known history of immune dysfunction/deficiency and those receiving immunosuppressive therapy.
- Patients with history of Diabetes mellitus.
- Patients with more than 80% of the ear canal occluded.
- Pregnant or lactating patients.
- Overt fungal Acute Otitis Externa.
- Local ear canal abnormalities such as abscess, granulation or polyps.
- Congenital abnormalities of the external auditory canal or obstructive bony exostosis in the treated ear.
- Mastoid or other suppurative non-infectious ear disorder (e.g. cholesteatoma) in the treated ear.
- Seborrheic dermatitis or other dermatological conditions of the external auditory canal which would complicate evaluation.
- Current Infection requiring systemic antimicrobial therapy.
- Current or previous use of topical or oral antibiotics (within 3 days) or long-acting antibiotics (within 7 days).
- Current enrollment in an investigational drug or device study or participation in such a study within 30 days of entry into this study.
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- PARALLEL
- Arm && Interventions
Group Intervention Description Ciprodex Otic Suspension Ciprodex Otic Suspension Ciprodex Sterile Otic Solution (Alcon, Inc.) Ciprodexa Otic Foam Ciprodexa Otic Foam Ciprodexa Otic Foam (0.3% Ciprofloxacin, 0.1% Dexamethasone otic foam)
- Primary Outcome Measures
Name Time Method Clinical cure [lack of need of additional therapy] Between Day 8 and Day 14 [e.g. 7 days after completion of treatment] that lasts 7 days Clinical cure \[lack of need of additional therapy\] confirmed by significant reduction or absence of the disease symptoms a) Otalgia/ear pain, b) tenderness with movement of pinna, c) edema/ear canal occlusion and d) ear discharge/otorrhea
- Secondary Outcome Measures
Name Time Method Otalgia/ear pain At Visit 1, [Day 1 ,Baseline visit], at Visit 2 [Day 3 - Day 4, during treatment] and at Visit 3 Test-of-cure [Day 8 to Day 14] Ear pain as reported by the patient
Inflammation/ear edema At the test-of-cure visit [Day 8 to Day 14] Ear discharge/otorrhea At the test-of-cure visit [Day 8 to Day 14] tenderness with movement of pinna At the test-of-cure visit [Day 8 - Day 14]
Trial Locations
- Locations (7)
HaEmek Medical Center
🇮🇱Afula, Israel
Soroka Medical Center
🇮🇱Beer Sheva, Israel
Wolfson Medical Center
🇮🇱Holon, Israel
Meir Medical Center
🇮🇱Kfar Saba, Israel
Clalit Health Services - Raziel Clinic
🇮🇱Natania, Israel
Maccabi Healthcare Services (H.M.O.)
🇮🇱Tel Aviv, Israel
Sourasky Medical Center (Ichilov)
🇮🇱Tel Aviv, Israel
HaEmek Medical Center🇮🇱Afula, Israel