About this trial
This study is a prospective, randomized pilot study. To verify safety and efficacy of intracochlear injection of glucocorticoid through the round window membrane in patients with total sudden sensorineural hearing loss safety and efficacy in total sudden sensorineural hearing loss patients as an early salvage therapy.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
None
Disqualifiers
None
Trial design
Parallel
Treatments tested in this trial
intracochlear triamcinolone acetonide injection
Drugintracochlear triamcinolone acetonide injection of through the round window membrane
intracochlear injection of dexamethasone through the round window membrane
Drugintracochlear injection of dexamethasone sodium phosphate through the round window membrane
intracochlear dexamethasone injection and intratympanic dexamethasone injection
Drugintracochlear dexamethasone sodium phosphate injection of through the round window membrane, intratympanic dexamethasone sodium phosphate injection through the tympanic membrane
intratympanic dexamethasone injection
Drugintratympanic dexamethasone sodium phosphate injection (10mg/ml) through tympanic membrane,once every other day, for a total of 4 injections.
Treatment groups
Trial outcomes
Primary outcomes
Change from Baseline in pure tone audiometry (PTA)
hearing capacity of thresholds (PTA)
Change from Baseline in auditory brainstem response (ABR)
hearing capacity of thresholds (ABR)
Change from Baseline in auditory steady state response (ASSR)
hearing capacity of thresholds (ASSR)
Change from Baseline in speech Discrimination Scores
hearing capacity of thresholds (speech Discrimination Scores)
Secondary outcomes
change from baseline in tinnitus handicap inventory
The THI questionnaire includes functional, emotional, and catastrophic subscales. It consists of 25 questions. The total score is calculated by adding up the scores for all questions and classifying the severity of tinnitus as no handicap (0-16), mild handicap (18-36), moderate handicap (38-56), and severe handicap (58-100).
change from baseline in dizziness handicap inventory
The 25-item self-report Dizziness Handicap inventory (DHI) validated questionnaire that assesses functional, emotional and physical domains. Responses are graded 0 (no), 2 (sometimes) or 4 (yes) with higher scores indicating greater impact of dizziness maximum and maximum score of 100 points (15 minutes).
change from baseline in quality of life score
Quality of life questionnaire will be measured to compare the change in individual's health-related quality of life using face to face Interview for the scores. Higher scores mean better functioning or fewer symptoms.
Sponsors and contacts
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Eye & ENT Hospital of Fudan University
Lead sponsor
Shanghai Zhongshan Hospital
Collaborator
Shanghai Jiao Tong University Affiliated Sixth People's Hospital
Collaborator
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