Trial Outcomes & Findings for Antioxidation Medication for Noise-induced Hearing Loss (NCT NCT00552786)

NCT ID: NCT00552786

Last Updated: 2010-07-27

Results Overview

The hearing threshold level (HL) at high frequency (HF) by pure-tone audiometry (PTA) was defined as the average of HLs at 3k,4k,6kHz for each ear examined. A total of four hearing assessments by PTA were completed for each formulation period on the 1st day pre- and post-shift, and the 14th day pre- and post-shift. The amount of temporary threshold change was calculated by subtracting the pre-shift hearing threshold from the post-shift hearing threshold at each frequency.

Recruitment status

COMPLETED

Study phase

PHASE2

Target enrollment

53 participants

Primary outcome timeframe

A total of four hearing assessments were completed for each formulation period on the 1st day pre- and post-shift, and the 14th day pre- and post-shift

Results posted on

2010-07-27

Participant Flow

Participants recruited between November 2007 and January 2008.

A total of 60 workers voluntarily participated in this study. However, 6 workers had preexisting hearing loss of \>50 dBA at high frequency and 1 worker accidentally turned off the noise monitoring device. These 7 participants were excluded from the analysis. The 53 workers who satisfactorily completed the study.

Participant milestones

Participant milestones
Measure
N-acetylcysteine (NAC) First, Then Placebo
Formulation NAC (1200 mg/day, 14 days) (Actein, Synmosa Corp., Taiwan) in the first intervention period and Placebo (a tablet of identical taste and odor to the NAC agent) in the second intervention period (after washout period).
Placebo First, Then N-acetylcysteine (NAC)
Placebo in the first intervention period and Formulation NAC in the second intervention period (after washout period).
First Intervention
STARTED
25
28
First Intervention
Medication and Hearing Evaluation
25
28
First Intervention
COMPLETED
25
28
First Intervention
NOT COMPLETED
0
0
Washout Period of 2 Weeks
STARTED
25
28
Washout Period of 2 Weeks
COMPLETED
25
28
Washout Period of 2 Weeks
NOT COMPLETED
0
0
Second Intervention
STARTED
25
28
Second Intervention
COMPLETED
25
28
Second Intervention
NOT COMPLETED
0
0

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Antioxidation Medication for Noise-induced Hearing Loss

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
N-acetylcysteine (NAC) First, Then Placebo
n=25 Participants
Formulation NAC (1200 mg/day, 14 days) (Actein, Synmosa Corp., Taiwan) in the first intervention period and Placebo (a tablet of identical taste and odor to the NAC agent) in the second intervention period (after washout period).
Placebo First, Then N-acetylcysteine (NAC)
n=28 Participants
Placebo in the first intervention period and Formulation NAC in the second intervention period (after washout period).
Total
n=53 Participants
Total of all reporting groups
Age, Categorical
<=18 years
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0.0 Participants
n=5 Participants
Age, Categorical
Between 18 and 65 years
25 Participants
n=5 Participants
28 Participants
n=7 Participants
53.0 Participants
n=5 Participants
Age, Categorical
>=65 years
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0.0 Participants
n=5 Participants
Age Continuous
40.0 years
STANDARD_DEVIATION 11.6 • n=5 Participants
42.1 years
STANDARD_DEVIATION 9.6 • n=7 Participants
41.1 years
STANDARD_DEVIATION 10.5 • n=5 Participants
Sex: Female, Male
Female
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0.0 Participants
n=5 Participants
Sex: Female, Male
Male
25 Participants
n=5 Participants
28 Participants
n=7 Participants
53.0 Participants
n=5 Participants
Region of Enrollment
Taiwan
25 participants
n=5 Participants
28 participants
n=7 Participants
53.0 participants
n=5 Participants

PRIMARY outcome

Timeframe: A total of four hearing assessments were completed for each formulation period on the 1st day pre- and post-shift, and the 14th day pre- and post-shift

Population: Intent to treat analysis including only participants who had at least one post-baseline assessment.

The hearing threshold level (HL) at high frequency (HF) by pure-tone audiometry (PTA) was defined as the average of HLs at 3k,4k,6kHz for each ear examined. A total of four hearing assessments by PTA were completed for each formulation period on the 1st day pre- and post-shift, and the 14th day pre- and post-shift. The amount of temporary threshold change was calculated by subtracting the pre-shift hearing threshold from the post-shift hearing threshold at each frequency.

Outcome measures

Outcome measures
Measure
N-acetylcysteine (NAC)
n=53 Participants
Formulation NAC (1200 mg/day, 14 days) (Actein, Synmosa Corp., Taiwan) administered in either first intervention period or second intervention period.
Placebo
n=53 Participants
Placebo administered once daily in either first intervention period or second intervention period.
Temporary Threshold Shift Measurement by Pure Tone Audiometry (A Total of Four Hearing Assessments Were Completed for Each Formulation Period on the 1st Day Pre- and Post-shift, and the 14th Day Pre- and Post-shift)
3.4 decibels
Standard Deviation 2.3
2.7 decibels
Standard Deviation 2.1

SECONDARY outcome

Timeframe: A total of four hearing assessments were completed for each formulation period on the 1st day pre- and post-shift, and the 14th day pre- and post-shift

Population: Intent to treat analysis including only participants who had all 4 post-baseline assessments (measurements at beginning of 1st and 2nd intervention periods and end of 1st and 2nd intervention periods).

Distortion product otoacoustic emissions (DPOAE) is an objective measure to assess the cochlear changes. DPOAE response threshold at high frequency (HF) was defined as the average of response levels (dB SPL) at 3k,4k,6kHz for each ear examined. A total of four hearing assessments by DPOAE were completed for each formulation period on the 1st day pre- and post-shift, and the 14th day pre- and post-shift. The amount of DPOAE temporary threshold change was calculated by subtracting the pre-shift DPOAE response threshold from the post-shift DPOAE response threshold at each frequency.

Outcome measures

Outcome measures
Measure
N-acetylcysteine (NAC)
n=53 Participants
Formulation NAC (1200 mg/day, 14 days) (Actein, Synmosa Corp., Taiwan) administered in either first intervention period or second intervention period.
Placebo
n=53 Participants
Placebo administered once daily in either first intervention period or second intervention period.
Temporary Threshold Changes Measurement by Distortion Product Otoacoustic Emissions (DPOAE) (A Total of Four Hearing Assessments Were Completed for Each Formulation Period on the 1st Day Pre- and Post-shift, and the 14th Day Pre- and Post-shift)
-0.85 decibels (dB SPL)
Standard Deviation 1.1
-0.89 decibels (dB SPL)
Standard Deviation 0.9

Adverse Events

N-acetylcysteine (NAC)

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Placebo

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Adverse event data not reported

Additional Information

Dr. Yue-Liang Guo

National Taiwan University

Phone: +886-2-33228216

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place