Evaluation of the High Frequency Digit Triplet Test in Cystic Fibrosis

NCT ID: NCT02252601

Last Updated: 2016-04-12

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

UNKNOWN

Clinical Phase

NA

Total Enrollment

388 participants

Study Classification

INTERVENTIONAL

Study Start Date

2015-01-31

Brief Summary

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The purpose of this study is to find out whether the High Frequency Digit Triplet test can be used to screen patients with cystic fibrosis for hearing loss in conditions of health and pulmonary exacerbation. It is also designed to find out the youngest age at which a child can perform the test, the prevalence of hearing loss in a CF population and the prevalence of genetic mutations known to be associated with hearing loss in the same population.

Detailed Description

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Patients will be identified from the clinic list of four Cystic Fibrosis centres (Nottingham University Hospitals NHS (National Health Service) Trust, adults and children, West Midlands Adult Cystic Fibrosis Centre and Birmingham Children's Hospital).

In the first work stream patients 11 years old and over will answer some hearing screening questions and an ear examination and tympanogram. They will then have the new test (the High Frequency Digit Triplet, HFDT, test), the standard tests (Pure tone audiogram (PTA) including high frequencies, Distortion Product Otoacoustic Emissions) and then repeat the new test to look for order effect. These will be compared to validate the HFDT as a screening tool for hearing loss.

In the second work stream the investigators are looking to see if the test is feasible when a patient is unwell and about to start a course of IV antibiotics. The patients will have the same tests as in work stream 1 (though the high-frequency PTA may be modified if they are too unwell to complete it). They will then have the tests repeated at the next clinic visit (approximately 6-8 weeks later).

In the third work stream children aged 5-10 years will have the same tests. This is to discover the youngest age at which the HFDT test can reliably be performed. To ensure that the CF condition does not itself affect the ability to perform the test the investigators will compare CF children to healthy control children the same age.

The investigators will take blood and saliva samples from CF patients to look for mutations in mitochondrial genes which are known to be associated with aminoglycoside induced hearing loss.

Conditions

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Cystic Fibrosis Sensorineural Hearing Loss

Study Design

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Allocation Method

NON_RANDOMIZED

Intervention Model

SINGLE_GROUP

Primary Study Purpose

SCREENING

Blinding Strategy

NONE

Study Groups

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Well patients aged 11 and over

Will have the HFDT test compared to the gold standard (the Pure tone Audiogram) as well as other tests that have previously been suggested as a screening test for ototoxicity.

Group Type EXPERIMENTAL

HFDT test

Intervention Type OTHER

Pure tone Audiogram

Intervention Type OTHER

Acute exacerbation aged 11 and over

Will have the HFDT test compared to the gold standard (the Pure tone Audiogram) as well as other tests that have previously been suggested as a screening test for ototoxicity at the beginning of a course of IV antibiotics and at their convalescent clinic visit.

Group Type EXPERIMENTAL

HFDT test

Intervention Type OTHER

Pure tone Audiogram

Intervention Type OTHER

Children with CF aged 5-10 years

Will have the HFDT test compared to the gold standard (the Pure tone Audiogram) as well as other tests that have previously been suggested as a screening test for ototoxicity.

Group Type EXPERIMENTAL

HFDT test

Intervention Type OTHER

Pure tone Audiogram

Intervention Type OTHER

Healthy Control Children age 5-10 years.

Will have the HFDT test compared to the gold standard (the Pure tone Audiogram) as well as other tests that have previously been suggested as a screening test for ototoxicity.

Group Type ACTIVE_COMPARATOR

HFDT test

Intervention Type OTHER

Pure tone Audiogram

Intervention Type OTHER

Interventions

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HFDT test

Intervention Type OTHER

Pure tone Audiogram

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

Work stream 1

* A diagnosis of CF, confirmed by genotype or sweat test, with characteristic clinical features.
* Aged 11 years and over.
* Informed consent. For age 11 to 18 years, consent will be sought from both the parent and young person (provided the young person is competent).

Work stream 2

• As above but the participant has a pulmonary exacerbation (as defined by Fuch's criteria) requiring intravenous antibiotics.

Work stream 3

* As for work stream 1, defined above.
* CF patients aged 5-10 years
* Healthy control children aged 5-10 years.
* Informed consent from parent with assent from the child.

Genetic Testing

* Informed consent
* Diagnosis of CF as above

Exclusion Criteria

* None. In individuals with a hearing aid, we will perform PTA and HFDT tests without the aid.
* Individuals found to have conductive deafness after randomisation will be fully assessed for this prior to continuing with the study.
Minimum Eligible Age

5 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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Nottingham University Hospitals NHS Trust

OTHER

Sponsor Role collaborator

Heart of England NHS Trust

OTHER

Sponsor Role collaborator

Birmingham Women's and Children's NHS Foundation Trust

OTHER

Sponsor Role collaborator

University of Nottingham

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Alan Smyth, MD

Role: PRINCIPAL_INVESTIGATOR

The University of Nottingham

Locations

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Birmingham Children's Hospital NHS Foundation Trust

Birmingham, , United Kingdom

Site Status RECRUITING

Heart of England NHS Foundation Trust

Birmingham, , United Kingdom

Site Status RECRUITING

Nottingham University Hospitals NHS Trust

Nottingham, , United Kingdom

Site Status RECRUITING

Countries

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United Kingdom

Central Contacts

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Sally Palser, BMBS

Role: CONTACT

+ 44 115 823 0618 ext. 30618

Facility Contacts

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Jane Clarke

Role: primary

+44 121 333 8208

Edward Nash

Role: primary

+44 121 424 1669

Alan Smyth, MD

Role: primary

+ 44 115 823 0612

Other Identifiers

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PB-PG-0213-30055

Identifier Type: OTHER_GRANT

Identifier Source: secondary_id

3D-CF

Identifier Type: -

Identifier Source: org_study_id

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