About this trial
This randomized controlled trial aims to compare the effectiveness of 2% acetic acid ear drops with 0.3% ciprofloxacin ear drops in the medical management of chronic suppurative otitis media (CSOM). The study will be conducted among adults aged 18 to 70 years attending the Otorhinolaryngology Department of Dr. Ruth K.M. Pfau Civil Hospital, Karachi. Participants will be randomly allocated to receive either 2% acetic acid or 0.3% ciprofloxacin ear drops three times daily for one month. Treatment effectiveness will be assessed by achievement of a dry ear and improvement in otological symptom score.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Age 18-70 years
Either sex
Persistent, non-foul-smelling ear discharge for ≥3 months
Tubotympanic type chronic suppurative otitis media
Disqualifiers
Immunocompromised patients
External auditory canal pathology
Ear malignancy
Known hypersensitivity to acetic acid or ciprofloxacin
Trial design
Parallel
Treatments tested in this trial
Acetic Acid 2% Ear Drops
Drug2% acetic acid ear drops, 3 drops administered into the affected ear three times daily for one month. Participants will self-administer the assigned medication after appropriate instructions.
Ciprofloxacin 0.3% Otic Solution
Drug0.3% ciprofloxacin otic solution, 3 drops administered into the affected ear three times daily for 30 days. Participants will self-administer the medication after appropriate instructions.
Treatment groups
Trial outcomes
Primary outcomes
Dry ear status after 30 days.
Proportion of participant with a dry ear: defined as absence of moisture or ear discharge on clinical examination with an otological symptom score of ≤2 after 30 days of initial treatment.
Secondary outcomes
Ear discharge status
Presence and severity of ear discharge assessed clinically at each follow-up visit
Otological symptom score
Otological symptoms of patient like reduction of discharge , ear itching and other study specified symptoms assessed using the predefined otological symptom score.
Treatment adherence and tolerability
Treatment adherence assessed by partcipant-reported use of the study medication , and tolerability assessed by recording adverse symptoms or local reactions asssociated with the treatment.
ear discharge status at followup.
Presence or absence of ear discharge on clinical examination following completion of treatment period.
Sponsors and contacts
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