Otitis Media With EffusionNCT05915078
Evaluation of Outcomes Following In-office Tympanostomy Using the Tula® System: a Prospective, Multi-center Registry
An observational study of Otitis Media With Effusion and Acute Otitis Media, run by Smith & Nephew, Inc. at 6 sites in United States.
Trial summary
This prospective, single-arm, multicenter registry is being conducted to collect real world post-market data from patients aged from 6 months to 17 years of age who are undergoing an in-office ear tube placement procedure (tympanostomy) using the Tula® System. Read more about this study
- Who is it for?
- Ages 6 months to 17 years
- Conditions the study is for
- Otitis Media With Effusion, Acute Otitis Media, Otitis Media
- What is being tested?
- Iontophoresis and tube placement
- How many people
- 200 participants
- Where
- 6 sitesUnited States
- Study dates
- 15 Jun 2023to 30 Jun 2027
- How long will I take part?
- 2 Years
- Phase
- Observational
- Are there results?
- Not yet: the study is under way
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 6 months to 17 years
- All sexes
- No healthy volunteers
- Child
Study population: Participating centers will invite eligible patients ages 6 months to 17 years of age indicated for tympanostomy to participate in the Registry
Who may be able to join
- Patients ages 6 months through 17 years of age (inclusive) at time of tympanostomy in-office using the Tula® System
- Patients who are candidates for in-office tube placement using the Tula System according to the System Instructions For Use
Who cannot join
- Patients who are wards are not included
Trial locations and contacts
6 sites in 1 country. Contact the study team or a site near you to ask about taking part.
6 sites in 1 country
United States6 sites, 6 recruiting
- Recruiting
Regional Otolaryngology Head and Neck Associates
Cherry Hill, New Jersey, 08034
Megan Morgan
Ryan D Walker, MD
- Recruiting
Advanced ENT and Allergy
Louisville, Kentucky, 40220
Jennifer Leonard, 502-893-0159 ext. 1185, jleonard@advancedentandallergy.com
Colin A Neumann, MD
- Recruiting
Rutgers Robert Wood Johnson Medical School
New Brunswick, New Jersey, 08901
Kelvin M Kwong
Kelvin M Kwong, MD
- Recruiting
Columbia University Vagelos College of Physicians and Surgeons
New York, New York, 10032
Lawrence Lustig, MD
- Recruiting
Ogden Clinic - Professional Center North
Ogden, Utah, 84403
Ashley Erickson
Douglas K Anderson, MD
- Recruiting
Peak Pediatric Ear, Nose and Throat
Provo, Utah, 84604
Jordan C Schramm
Jordan C Schramm, MD
About this study
Official title: Evaluation of Clinical and Health Economic Outcomes Following In-office Tympanostomy Using the Tula® System: a Prospective, Multi-center Registry
This prospective, single-arm, multicenter registry is being conducted to collect real world post-market data from patients aged from 6 months to 17 years of age who are undergoing an in-office ear tube placement procedure (tympanostomy) using the Tula® System. The Registry will include up to 20 centers in the US and up to 200 patients for the initial evaluation.
The FDA-approved Tula System includes the Tula Iontophoresis System (IPS) with TYMBION™ otic anesthetic for local anesthesia of the ear drum and the Tula Tube Delivery System (TDS) for ear tube placement. Clinical research established the safety, efficacy and tolerability of this system for in-office procedures in the pediatric population. Patients will be treated and evaluated according to standard medical care. Outcome data is collected up to 6 months following extrusion or removal of their tube(s).
- Conditions
- Otitis Media With Effusion, Acute Otitis Media, Otitis Media
- Being tested
- Iontophoresis and tube placement
- Keywords
- Otitis media, pediatric, tympanostomy, office procedure, local anesthesia
- Medical subject headings
- Otitis Media with Effusion, Otitis Media
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Iontophoresis and tube placementCombination product
Iontophoretic delivery of TYMBION™ otic anesthetic using the Tula Iontophoresis System and tube insertion using the Tula Tube Delivery System
| Study group | Role | What they receive |
|---|---|---|
| Tula Tympanostomy | Patients undergoing in-office tympanostomy using the Tula® System Receives: Combination Product: Iontophoresis and tube placement |
What is being measured
The primary outcome is the main question the study is designed to answer.
Procedure Success
Count (and percentage) of patients with successful placement of Tula Tympanostomy Tubes in all indicated ears in an office procedure
Measured: Day of procedure (day 0)
Secondary outcomes (12)
Tolerability (physician reported)
Count (and percentage) of patients that tolerated the procedure acceptably as determined by physician's observation.
Measured: Day of procedure (day 0)
Tolerability (parent reported) - anesthesia
Count (and percentage) of patients whose parents strongly agree or agree with the statement 'My child tolerated the anesthesia process well'
Measured: Day of procedure (day 0)
Tolerability (parent reported) - procedure
Count (and percentage) of patients whose parents strongly agree or agree with the statement 'The tube placement portion of the procedure was tolerable for my child'.
Measured: Day of procedure (day 0)
Recovery (physician reported)
Count (and percentage) of patients who recovered once back with parent, or prior to leaving the clinic, following procedure completion as determined by physician's observation.
Measured: Day of procedure (day 0)
Recovery (parent reported)
Count (and percentage) of patients who returned to normal activities immediately following the procedure.
Measured: Day of procedure (day 0)
Anesthesia effectiveness - patients
Count (and percentage) of patients who completed iontophoresis with adequate anesthesia for tube placement in all treated ears as determined by the physician's evaluation of tympanic membrane anesthesia
Measured: Day of procedure (day 0)
Anesthesia effectiveness - ears
Count (and percentage) of ears that completed iontophoresis with adequate anesthesia for TT placement as determined by the physician's tympanic membrane anesthesia evaluation.
Measured: Day of procedure (day 0)
Tula Tympanostomy Tube retention
Count (and percentage) of patients at the first post-operative visit in which a Tula Tympanostomy Tube was successfully placed, with presence of the Tula Tympanostomy Tube across the tympanic membrane
Measured: 1 month post procedure
Parent satisfaction (informed)
Count (and percentage) of patients whose parents strongly agree or agree with the survey question:
'I felt well informed and prepared to help me/my child complete the procedure'
Measured: 1 month post-procedure
Parent satisfaction (siblings)
Count (and percentage) of patients whose parents strongly agree or agree with the survey question:
'If my child had a sibling who needed ear tubes, I would choose this procedure in the office instead of going under general anesthesia in the operating room'
Measured: 1 month post-procedure
Overall parent satisfaction
Count (and percentage) of patients whose parents strongly agree or agree with the survey question:
'Overall, I am very satisfied with the in-office ear tube procedure'
Measured: 1 month post-procedure
Parent satisfaction (recommendation)
Count (and percentage) of patients whose parents strongly agree or agree with the survey question:
'I would recommend this procedure to family/friends who have children who need ear tubes'
Measured: 1 month post-procedure
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted22 Jun 2023
- Study start15 Jun 2023
- Primary completion30 Mar 2025 (estimated)
- Study completion30 Jun 2027 (estimated)
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for Otitis Media With EffusionStudies of the same condition, open and under way.
- More trials run by Smith & Nephew, Inc.The sponsor's other registered studies.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Observational
- Observational model
- Cohort
- Time perspective
- Prospective
- Enrolment
- 200 participants (estimated)
- Target duration
- 2 Years
Sponsor and investigators
- Lead sponsor
- Smith & Nephew, Inc.
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT05915078
- Sponsor's protocol ID
- Tula Registry
- Status last verified
- Jul 2024
- First submitted
- 13 Jun 2023
- Last updated
- 23 Jul 2024
- Results posted
- No
- Data monitoring committee
- No
- FDA-regulated drug
- Yes
- FDA-regulated device
- Yes
Study at a glance
From the registry record, last updated by the sponsor on 23 Jul 2024. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Evaluation of Clinical and Health Economic Outcomes Following In-office Tympanostomy Using the Tula® System: a Prospective, Multi-center Registry
- ClinicalTrials.gov ID
- NCT05915078
- Acronym / sponsor ID
- Tula Registry
- Conditions
- Otitis Media With Effusion, Acute Otitis Media, Otitis Media
- Keywords
- Otitis media, pediatric, tympanostomy, office procedure, local anesthesia
- Study type
- Observational
- Recruitment status
- Recruiting
- Enrolment
- 200 participants (estimated)
- Lead sponsor
- Smith & Nephew, Inc.Industry (pharma, biotech, devices)
- Study start
- 15 Jun 2023 (actual)
- Primary completion
- 30 Mar 2025 (estimated)
- Study completion
- 30 Jun 2027 (estimated)
- First posted
- 22 Jun 2023 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
This prospective, single-arm, multicenter registry is being conducted to collect real world post-market data from patients aged from 6 months to 17 years of age who are undergoing an in-office ear tube placement procedure (tympanostomy) using the Tula® System. The Registry will include up to 20 centers in the US and up to 200 patients for the initial evaluation.
The FDA-approved Tula System includes the Tula Iontophoresis System (IPS) with TYMBION™ otic anesthetic for local anesthesia of the ear drum and the Tula Tube Delivery System (TDS) for ear tube placement. Clinical research established the safety, efficacy and tolerability of this system for in-office procedures in the pediatric population. Patients will be treated and evaluated according to standard medical care. Outcome data is collected up to 6 months following extrusion or removal of their tube(s).
Study design
- Observational model
- Cohort
- Time perspective
- Prospective
- Target follow-up
- 2 Years
- Number of arms
- 1
| Arm | Type | Receives |
|---|---|---|
| Tula Tympanostomy | – | Combination Product: Iontophoresis and tube placementPatients undergoing in-office tympanostomy using the Tula® System |
Who may qualify
- Ages
- 6 months to 17 years
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Child
- Study population
- Participating centers will invite eligible patients ages 6 months to 17 years of age indicated for tympanostomy to participate in the Registry
Key inclusion criteria (2 listed)
- Patients ages 6 months through 17 years of age (inclusive) at time of tympanostomy in-office using the Tula® System
- Patients who are candidates for in-office tube placement using the Tula System according to the System Instructions For Use
Key exclusion criteria (1 listed)
- Patients who are wards are not included
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| Iontophoresis and tube placementIontophoretic delivery of TYMBION™ otic anesthetic using the Tula Iontophoresis System and tube insertion using the Tula Tube Delivery System | Combination product | Tula Tympanostomy |
Primary outcome
Procedure Success
Time frame: Day of procedure (day 0)
Count (and percentage) of patients with successful placement of Tula Tympanostomy Tubes in all indicated ears in an office procedure
12 secondary outcomes
Tolerability (physician reported)
Time frame: Day of procedure (day 0)
Tolerability (parent reported) - anesthesia
Time frame: Day of procedure (day 0)
Tolerability (parent reported) - procedure
Time frame: Day of procedure (day 0)
Recovery (physician reported)
Time frame: Day of procedure (day 0)
Recovery (parent reported)
Time frame: Day of procedure (day 0)
Anesthesia effectiveness - patients
Time frame: Day of procedure (day 0)
Anesthesia effectiveness - ears
Time frame: Day of procedure (day 0)
Tula Tympanostomy Tube retention
Time frame: 1 month post procedure
Parent satisfaction (informed)
Time frame: 1 month post-procedure
Parent satisfaction (siblings)
Time frame: 1 month post-procedure
Overall parent satisfaction
Time frame: 1 month post-procedure
Parent satisfaction (recommendation)
Time frame: 1 month post-procedure
Results and safety
This study is still under way. Results are not available in the source record yet.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 23 Jul 2024.
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part.
6 sites in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
An observational study of Otitis Media With Effusion and Acute Otitis Media, run by Smith & Nephew, Inc. at 6 sites in United States.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 2 inclusion and 1 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: looking for participants now, as of the sponsor's last update on 23 Jul 2024. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 6 sites in United States. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
Are results available for this study?
This study is still under way. Results are not available in the source record yet.
How can a doctor refer a patient or contact the research team?
Contact Catherine E Whittall, BsC, Ph.D (+44 7841 868997, catherine.whittall@smith-nephew.com), or a site near the patient. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Procedure Success (time frame: Day of procedure (day 0)). It is what the study was designed to measure, not a finding.
Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 23 Jul 2024.