Clinical Trials Logo

Clinical Trial Details — Status: Recruiting

Administrative data

NCT number NCT06285812
Other study ID # 000003
Secondary ID
Status Recruiting
Phase
First received
Last updated
Start date January 10, 2023
Est. completion date May 30, 2024

Study information

Verified date February 2024
Source PhotoniCare, Inc.
Contact Madeleine M. Martine, MA
Phone 6517283403
Email mad.martine0223@gmail.com
Is FDA regulated No
Health authority
Study type Observational

Clinical Trial Summary

A pragmatic, mixed-method trial is to show the ability of OtoSight to change management of the pediatric patient presenting with ear pain in a way that improves patient outcomes and reduces costs.


Description:

Mixed method, multi-center, pragmatic, cluster-randomized effectiveness-implementation investigation focused on pediatric subjects presenting with ear complaints at the office setting. For the prospective randomized component, eligible clinicians at a given site will be randomized to one of two groups: the OtoSight intervention group or the usual care control group. There will be three (3) periods of post-intervention assessment: 10 days (optional), 6 months, and 12 months. Eligible subjects will be automatically enrolled (or invited to enroll) in the clinical trial and will receive information. Because this is a non-interference design, frontline care clinicians randomized to either arm will be asked to: (1) assess the presence or absence of fluid in the middle ear; (2) record a diagnosis; and (3) treat the patient as they would according to the information available to them. A separate retrospective historical matched control arm will also be conducted to analyze potential Hawthorne effect at a subset of collaborating practices or healthcare systems. Randomization of clinicians (and not children) will decrease contamination in the usual practice group (i.e., so clinicians are not asked to flip between intervention and usual care practices).


Recruitment information / eligibility

Status Recruiting
Enrollment 700
Est. completion date May 30, 2024
Est. primary completion date May 30, 2024
Accepts healthy volunteers Accepts Healthy Volunteers
Gender All
Age group 6 Months to 17 Years
Eligibility Inclusion Criteria: - Pediatric subjects between 6 months and 17 years of age - Pediatric subjects presenting for an office visit with ear-related pain (otalgia)/otic complaints/earache indicative of potential Otitis Media with Effusion (OME) or Acute Otitis Media (AOM) - Pediatric subjects where otoscopy would traditionally be indicated - Pediatric subjects whose parents or legally authorized representative (LAR) have signed an informed consent Exclusion Criteria: - The parent or guardian who attends visits does not speak the same language as their physician - Pediatric subjects enrolled in another clinical trial - Pediatric subjects with: - Signs of severe chronic illness (e.g., immunodeficiency, congenital heart disease, encephalopathy, pulmonary disease other than asthma, and disorder of the ear, nose and throat) or any clinically significant illness or condition that, in the opinion of the investigator, would prohibit the subject from participating in the trial - Anatomical conditions that would affect their ability to undergo an otoscopy.

Study Design


Related Conditions & MeSH terms


Intervention

Device:
OtoSight Middle Ear Scope
Subjects will be evaluated with the OtoSight Middle Ear Scope

Locations

Country Name City State
United States Cyn3rgy Research Gresham Oregon
United States Carolina ENT Orangeburg South Carolina
United States Trillim Health Rochester New York
United States Children's National Hospital Washington District of Columbia

Sponsors (2)

Lead Sponsor Collaborator
PhotoniCare, Inc. TTi Health Research & Economics

Country where clinical trial is conducted

United States, 

Outcome

Type Measure Description Time frame Safety issue
Primary Change the clinician rate of antibiotic prescriptions Antibiotic stewardship Baseline to 12 month Follow Up
Primary Change the number of antibiotic rounds per patient Antibiotic stewardship Baseline to 12 month Follow Up
Primary Change costs associated with management of pediatric patients presenting with ear-related pain Change in overall costs Baseline to 21 month Follow Up
Secondary Change in unnecessary antibiotic prescriptions Change in unnecessary antibiotic prescriptions based on reported diagnosis and treatment recommendations of providers Baseline to 12 month Follow Up
Secondary Change in prescription adherence Change in prescription adherence Baseline to 12 month Follow Up
Secondary Change in antibiotic prescription rate when fluid not present Change in antibiotic prescriptions rate when fluid is not present based on reported treatment recommendations of providers Baseline to 12 month Follow Up
Secondary Improve patient outcomes Change in progression to recurrent AOM (rAOM) based on tracking provider diagnoses Baseline to 12 month Follow Up
Secondary Change medical resource utilization Change in follow-up visit frequency, ENT (Ear, Nose, and Throat) referral frequency Baseline to 30 days Follow Up
Secondary Change unnecessary medical intervention Change in amount of unnecessary medical intervention (e.g., tympanostomy tube surgeries) based on tracking provider treatment recommendations and diagnoses Baseline to 12 month Follow Up
Secondary Impact clinician confidence Change in clinician confidence scores reported on Provider CRF Baseline to 12 month Follow Up
Secondary Impact caregiver satisfaction Change in clinician satisfaction scores reported on Provider CRF Baseline to 12 month Follow Up
Secondary Change in Health-related Quality of Life (HQoL) Change in HQoL scores reported on the OMO-22 and OM-6 Baseline to 12 month Follow Up
See also
  Status Clinical Trial Phase
Recruiting NCT05353569 - Coherent Optical Detection of Middle Ear Disease N/A
Completed NCT04722770 - Clinical Development of Deep Learning for the OtoSight