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Trial of alternative regimens in glue ear treatment - effectiveness of surgery for otitis media with effusion in 3.5-7 year olds using multiple developmental and economic measures combined with classical clinical measures
ISRCTN ISRCTN35793977
DOI 10.1186/ISRCTN35793977
ClinicalTrials.gov identifier
EudraCT number
Public title Trial of alternative regimens in glue ear treatment - effectiveness of surgery for otitis media with effusion in 3.5-7 year olds using multiple developmental and economic measures combined with classical clinical measures
Scientific title
Acronym TRIAL
Serial number at source E203/85
Study hypothesis To assess the benefit of the three main treatments for Otitis Media with Effusion (OME), i.e. Ventilation tube insertion alone, Ventilation tube insertion plus adenoidectomy, Observation + medical management- in terms of:
1. The impact upon the child's life including hearing ability, general health, behaviour and quality of life
2. The relative cost effectiveness of treatment to the NHS particularly in terms of additional benefit conferred by adenoidectomy
Lay summary Not provided at time of registration
Ethics approval Not provided at time of registration
Study design Randomised controlled trial
Countries of recruitment United Kingdom
Disease/condition/study domain Hearing research
Participants - inclusion criteria Children aged 3.5-7 years having had no previous ear or adenoid surgery, having B+B or B+C2 tympanograms and a bilateral average hearing threshold greater than 20 dB, plus an air-bone gap greater than 10 dB HL.
Participants - exclusion criteria Children with severe general disease, cranio-facial abnormalities, sensori-neural losses, parents with language or literacy problems. A few children are also excluded if a consultant feels it would be unethical to randomise them into the study.
Anticipated start date 01/04/1994
Anticipated end date 01/12/1997
Status of trial Completed
Patient information material
Target number of participants 590
Interventions 1. Ventilation tube insertion alone
2. Ventilation insertion plus adenoidectomy
3. Observation + medical management
Primary outcome measure(s) Clinical measures - Otoscopy, audiometry, tympanometry and questionnaire measures, (hearing and predictive factors, general health, economic impact, behavioural assessment and quality of life)
Secondary outcome measure(s) Not provided at time of registration
Sources of funding Medical Research Council (MRC) (UK)
Trial website
Publications 1. 2001 protocol in http://www.ncbi.nlm.nih.gov/pubmed/11678951
2. 2012 results in http://www.ncbi.nlm.nih.gov/pubmed/22443163
Contact name Professor  MP  Haggard
  Address Institute of Hearing Research
University Park
  City/town Nottingham
  Zip/Postcode NG7 2RD
  Country United Kingdom
  Email
Sponsor Medical Research Council (MRC) (UK)
  Address 20 Park Crescent
  City/town London
  Zip/Postcode W1B 1AL
  Country United Kingdom
  Tel +44 (0)20 7636 5422
  Fax +44 (0)20 7436 6179
  Email clinical.trial@headoffice.mrc.ac.uk
  Sponsor website: http://www.mrc.ac.uk
Date applied 17/10/2000
Last edited 19/09/2012
Date ISRCTN assigned 17/10/2000
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