Protection From Cisplatin Ototoxicity by Lactated Ringers
Study Details
Study Description
Brief Summary
The purpose of this study is to determine if Lactated Ringer's solution is effective in patients undergoing chemotherapy with cisplatin for head and neck cancer in regards to cisplatin-induced hearing loss.
Condition or Disease | Intervention/Treatment | Phase |
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Phase 1 |
Detailed Description
About one-third of people who have been given Cisplatin, as part of their chemotherapy treatment, develop hearing loss. The purpose of this study is to determine if some degree of hearing loss can be prevented by use of Lactated Ringer's solution in the middle ear. To study this, patients will use drops in their ears; Lactated Ringer's will be placed in one ear and an inactive saline solution will be placed in the other. Ofloxacin, an eardrop antibiotic will be placed in each ear at the same time. Each participant will receive a hearing evaluation before each dose of Cisplatin and another evaluation 2 to 4 weeks after the final treatment.
Study Design
Arms and Interventions
Arm | Intervention/Treatment |
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Placebo Comparator: 1 Each patient will receive a bottle containing normal saline and 0.03% ofloxacin. |
Drug: Normal Saline and 0.3% ofloxacin
The patient will be instructed to place one dropper full of solution in the external auditory canal. The bottle will be marked right or left ear and are only to be used in the designated ear. The drops will be administered at the start time, 30 minutes after chemotherapy starts and hourly for 4 hours after infusion.
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Experimental: 2 Each patient will receive a bottle containing Lactated Ringer's solution and 0.03% ofloxacin. |
Drug: Lactated Ringer's with 0.03% Ofloxacin
The patient will be instructed to place one dropper full of solution in the external auditory canal. The bottle will be marked right or left ear. The drops will be administered at the start time, 30 minutes after chemotherapy starts and hourly for 4 hours after infusion.
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Outcome Measures
Primary Outcome Measures
- Pre-treatment audiogram will be compared with the post treatment audiogram. The differences between the two will be calculated and compared to the differences in the opposite ear. [Patients will be enrolled in the study for 4-6 weeks from the initiation of therapy]
Eligibility Criteria
Criteria
Inclusion Criteria:
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Patients with cancer to be treated with cisplatin.
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Patients expected to receive a minimum of 3 rounds of chemotherapy.
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Patients receiving a minimum dose of cisplatin of 70 mg/m2
Exclusion Criteria:
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Patients who have had middle ear surgery.
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Patients who have active external or middle ear disease
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Patients who have preceding pure tone average of >40 dB HL
Contacts and Locations
Locations
Site | City | State | Country | Postal Code | |
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1 | University of Oklahoma Health Sciences Center | Oklahoma City | Oklahoma | United States | 73104 |
Sponsors and Collaborators
- University of Oklahoma
Investigators
- Principal Investigator: Wayne Berryhill, MD, University of Oklahoma
Study Documents (Full-Text)
None provided.More Information
Publications
None provided.- Lactated Ringers - Berryhill