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CTRI Number  CTRI/2025/03/081991 [Registered on: 07/03/2025] Trial Registered Prospectively
Last Modified On: 06/03/2025
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Drug 
Study Design  Other 
Public Title of Study   TO COMPARE THE EFFICACY OF ACETIC ACID EAR DROPS VERSUS CIPROFLOXACIN EAR DROPS IN ACHIEVING DRY EARS IN ACTIVE TUBOTYMPANIC CHRONIC OTITIS MEDIA AN OBSERVATIONAL COMPARITIVE STUDY, IN , TERTIARY CARE CENTRE, SOUTH INDIA 
Scientific Title of Study   TO COMPARE THE EFFICACY OF ACETIC ACID EAR DROPS VERSUS CIPROFLOXACIN EAR DROPS IN ACHIEVING DRY EARS IN ACTIVE TUBOTYMPANIC CHRONIC OTITIS MEDIA 
Trial Acronym  NIL 
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  KARTHIKA RAJENDRAN 
Designation  POST GRADUATE 
Affiliation  SRM Medical College Hospital and Research Centre 
Address  DEPARTMENT OF ENT SRM MEDICAL COLLEGE HOSPITAL AND RESEARCH CENTRE POTHERI CHENGALPATTU
Department of ENT SRMIST
Kancheepuram
TAMIL NADU
603203
India 
Phone  9567452328  
Fax    
Email  Karthikarajendran1996@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  A. GRAHALAKSHMI 
Designation  ASSISTANT PROFESSOR 
Affiliation  SRM Medical College Hospital and Research Centre 
Address  DEPARTMENT OF ENT SRM MEDICAL COLLEGE HOSPITAL AND RESEARCH CENTRE POTHERI CHENGALPATTU
DEPARTMENT OF ENT SRM MEDICAL COLLEGE HOSPITAL AND RESEARCH CENTRE POTHERI CHENGALPATTU
Kancheepuram
TAMIL NADU
603203
India 
Phone  7598438590  
Fax    
Email  graha710@gmail.com  
 
Details of Contact Person
Public Query
 
Name  A. GRAHALAKSHMI 
Designation  ASSISTANT PROFESSOR 
Affiliation  SRM Medical College Hospital and Research Centre 
Address  DEPARTMENT OF ENT SRM MEDICAL COLLEGE HOSPITAL AND RESEARCH CENTRE POTHERI CHENGALPATTU
DEPARTMENT OF ENT SRM MEDICAL COLLEGE HOSPITAL AND RESEARCH CENTRE POTHERI CHENGALPATTU
Kancheepuram
TAMIL NADU
603203
India 
Phone  7598438590  
Fax    
Email  graha710@gmail.com  
 
Source of Monetary or Material Support  
SELF 
 
Primary Sponsor  
Name  KARTHIKA RAJENDRAN 
Address  KARTHIKA NAVAIKULAM PO NAVAIKULAM 
Type of Sponsor  Other [OTHERS (SELF)] 
 
Details of Secondary Sponsor  
Name  Address 
NIL  NIL 
 
Countries of Recruitment     India  
Sites of Study  
No of Sites = 1  
Name of Principal Investigator  Name of Site  Site Address  Phone/Fax/Email 
KARTHIKA RAJENDRAN  SRM MEDICAL COLLEGE HOSPITAL AND RESEARCH CENTRE  Department of ENT S.R.M NAGAR , POTHERI, KATTANKULATHUR,CHENGALPATTU DISTRICT
Chennai
TAMIL NADU 
9567452328

Karthikarajendran1996@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
INSTITUTIONAL ETHICS COMMITTEE  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: H661||Chronic tubotympanic suppurative otitis media,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Intervention  ACETIC ACID EAR DROPS  2% ACETIC ACID EAR DROPS WILL BE ADMINISTERED TO THE PATIENT AS A PART OF STUDY .SINEC ACETIC ACID EAR DROPS HELP TO ACHIEVE ACIDIC PH IN EAR AND ALSO HELPS TO DISTROY THE BIOFILMS. THUS ACETIC ACID HELPS TO PREVENT THE ANTIBIOTIC RESISTANCE DUE TO THE REPEATED USAGE OF ANTIBIOTIC EAR DROPS. 
Comparator Agent  Ciprofloxacin 0.3% , 2 drops as topical, drops twice a day   CIPROFLOXACIN 0.3% CONCENTRATION AS TOPICAL FORM IN ACHIEVING DRY EARS IN ACTIVE TUBOTYMPANIC CHRONIC OTITIS MEDIA. USED TWICE A DAY , DOSAGE 2DROPS EACH TIME.CIPROFLOXACIN EAR DROPS BEING AN ANTIBIOTIC EAR DROPS ON FREQUENT USAGE CAUSES RESISTANCE AND ALSO ASSOCIATED WITH BIOFILM FORMATION. 
 
Inclusion Criteria  
Age From  15.00 Year(s)
Age To  60.00 Year(s)
Gender  Both 
Details  Both males and females,
15-60 years
Patients with unilateral active tubotympanic chronic otitis media with symptoms more than 4 weeks.
Both outpatients and inpatients will be included.
 
 
ExclusionCriteria 
Details 
Patients with Atticoantral types of CSOM disease, cholesteatoma or with marginal perforation of the tympanic membrane.
Immunocompromised individuals.
Dry ear with CSOM. .
Serous Otitis Media.
CSOM with otomycosis.
CSOM with vertigo.
Patient on systemic antibiotics or any topical ear drop preparation preceding 2 weeks in group of patients selected for irrigation with acetic acid.

 
 
Method of Generating Random Sequence    
Method of Concealment    
Blinding/Masking    
Primary Outcome  
Outcome  TimePoints 
acetic caid ear drops in efficient in achieving dry ears in chronic otitis media than ciprofloxacin ear drops  study will be conducted for a period of 2 years 
 
Secondary Outcome  
Outcome  TimePoints 
To eliminate antibiotic resistance due to repeated usage  To eliminate antibiotic resistance due to repeated usage 
To evaluate the role of acetic acid application in obtaining dry ears in CSOM.
To corelate the efficacy of acetic acid application with microbiological culture sensitivity reports .
 
study will be conducted for a period of 2 years. 
 
Target Sample Size   Total Sample Size="94"
Sample Size from India="94" 
Final Enrollment numbers achieved (Total)= "Applicable only for Completed/Terminated trials"
Final Enrollment numbers achieved (India)="Applicable only for Completed/Terminated trials" 
Phase of Trial   N/A 
Date of First Enrollment (India)   15/04/2025 
Date of Study Completion (India) Applicable only for Completed/Terminated trials 
Date of First Enrollment (Global)  15/04/2025 
Date of Study Completion (Global) Applicable only for Completed/Terminated trials 
Estimated Duration of Trial   Years="2"
Months="0"
Days="0" 
Recruitment Status of Trial (Global)   Not Yet Recruiting 
Recruitment Status of Trial (India)  Not Yet Recruiting 
Publication Details   N/A 
Individual Participant Data (IPD) Sharing Statement

Will individual participant data (IPD) be shared publicly (including data dictionaries)?  

Response - NO
Brief Summary  
The study is on the role of topical acetic acid in comparision with topical ciprofloxacin ear drops in achieving dry ears in chronic otitis media. The hypothesis of study is  topical acetic acid administration is more effective than topical antibiotics in achieving dry ears in active tubotympa nic type of chronic otitis media. The aim is to compare the efficacy of aural clensing with acetic acid irrigation and topical ciprofloxacin in medical management of active COM tubotympanic type. The objective of study is to evaluate the role of acetic acid application in obtaining dry ears  and to correlate the efficacy of acetic acid application with microbiological culture sensitivity reports.The study will be conducted for a period of 2 years.Patient included in the present study will be distributed in to two groups, group A will recievw topical treatment, irrigation with acetic acid and aural toiletting, group B patients will be treated with topical ciprofloxacin ear drops.Patient will be observed for 2 weeks and at end of 7 th day and 14th day patient will be assessed.                                       
 
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