76 Participants Needed

Balloon Dilation for Eustachian Tube Dysfunction

Recruiting at 1 trial location
JW
JL
MA
Overseen ByMohammad Aleinati, MD
Age: 18+
Sex: Any
Trial Phase: Academic
Sponsor: University of Calgary
No Placebo GroupAll trial participants will receive the active study treatment (no placebo)

What You Need to Know Before You Apply

What is the purpose of this trial?

This trial explores whether balloon dilation of the eustachian tube, using the Stryker XprESS LoProfile ENT dilation system, can effectively treat eustachian tube dysfunction, which causes ear pain, pressure, and muffled hearing. Participants will receive either the balloon dilation treatment or a simulated procedure. Researchers aim to determine if the actual procedure is more effective than the simulation. They also seek to identify which types of patients benefit most from the treatment and confirm its safety. Individuals with persistent ear issues for over three months, despite using nasal sprays or steroids, might be suitable candidates for this study. As an unphased trial, this study offers a unique opportunity to contribute to medical research and potentially find relief from persistent ear issues.

Will I have to stop taking my current medications?

The trial information does not specify whether you need to stop taking your current medications. However, it mentions that symptoms should persist despite using nasal steroid sprays or systemic steroids, suggesting you might continue these treatments if they are not effective.

What prior data suggests that balloon dilation of the eustachian tube is safe?

Research has shown that using a balloon to widen the eustachian tube is generally safe for treating related problems. Studies have found that many patients experience relief after the procedure. For example, the Valsalva maneuver, a test for ear pressure, showed improvement in 80-98% of patients.

Side effects are rare. In one report, a patient underwent the procedure without any issues. Another study found that balloon dilation is a safe choice with few problems reported, indicating that the treatment is usually well-tolerated.

Overall, current evidence supports the safety of balloon dilation for eustachian tube issues. Participants considering this procedure in clinical trials can feel reassured by these findings.12345

Why are researchers excited about this trial?

Balloon dilation for Eustachian tube dysfunction is unique because it offers a minimally invasive way to directly address blockages in the Eustachian tube. Traditional treatments usually involve medications like decongestants or surgery, which can be more invasive and come with longer recovery times. This procedure uses the Stryker XprESS LoProfile ENT dilation system to gently expand the Eustachian tube, potentially improving function with less discomfort and quicker recovery. Researchers are excited about this method because it could provide faster relief with fewer side effects, making it a promising alternative for those struggling with chronic ear issues.

What evidence suggests that balloon dilation is effective for eustachian tube dysfunction?

Research has shown that using a balloon to widen the eustachian tube can effectively treat related problems. One study found that 80–98% of patients experienced easier pressure balance in their ears, which is crucial for comfort. Additionally, 73–98% of patients reported symptom improvement. Tests measuring eardrum movement showed better results in over 50% of patients from the start to six weeks post-treatment. In this trial, participants will either undergo balloon dilation of the eustachian tube or a sham procedure. These findings suggest balloon dilation is a promising option for those with eustachian tube issues.24678

Who Is on the Research Team?

JL

Justin Lui, MD, FRCSC

Principal Investigator

University of Calgary

Are You a Good Fit for This Trial?

This trial is for individuals with persistent eustachian tube dysfunction who haven't improved after using nasal sprays or decongestants, or those experiencing barotitis media symptoms regularly. Participants must have documented ear drum movement issues and a history of related symptoms like ear pain, pressure, hearing changes, tinnitus, or vertigo.

Inclusion Criteria

I have had ear pain, pressure, hearing issues, or tinnitus for over 3 months.
ETDQ7 ≥ 2.1 at enrollment
My ear symptoms improved within 3 days after treatment.
See 4 more

Timeline for a Trial Participant

Screening

Participants are screened for eligibility to participate in the trial

2-4 weeks
1 visit (in-person)

Treatment

Participants are randomly assigned to undergo either balloon dilation of the eustachian tube or a placebo procedure

1 day
1 visit (in-person)

Follow-up

Participants repeat assessments and questionnaires over four follow-up appointments at 6, 24, and 52 weeks after the procedure

52 weeks
4 visits (in-person)

Optional Crossover

Participants in the placebo group are offered the option to cross-over into the BDET group at 6 weeks post-procedure

6 weeks

What Are the Treatments Tested in This Trial?

Interventions

  • Balloon dilation of eustachian tube (Stryker XprESS LoProfile ENT dilation system)
  • Sham procedure
Trial Overview The study tests if balloon dilation of the eustachian tube is more effective than a sham (placebo) procedure in treating eustachian tube dysfunction. Patients will be randomly assigned to one of the procedures and followed up with various assessments over a year.
How Is the Trial Designed?
2Treatment groups
Experimental Treatment
Placebo Group
Group I: Balloon dilation of eustachian tubeExperimental Treatment1 Intervention
Group II: Sham procedurePlacebo Group1 Intervention

Find a Clinic Near You

Who Is Running the Clinical Trial?

University of Calgary

Lead Sponsor

Trials
827
Recruited
902,000+

Citations

Efficacy of Balloon Dilation of the Eustachian Tube in ...This study is being conducted to learn more about a procedure, balloon dilation of the eustachian tube, in treating patients with eustachian tube ...
Eustachian tube balloon dilationValsalva results improved in 80–98% of patients, overall subjective symptoms in 73–98%, and otoscopic results in 90% [19]. Tympanometry and tubomanometry, on ...
3.pubmed.ncbi.nlm.nih.govpubmed.ncbi.nlm.nih.gov/32482125/
Eustachian Tube Balloon Dilation: A Systematic Review ...From baseline to 6 weeks, 53.0% of patients had improvement in tympanograms (P < .001). At the long-term point (3-12 months), 50.5% of patients ...
XprESS ENT dilation systemThe Audion ET dilation system is a balloon dilation device specifically designed for the Eustachian tube to treat adults (18+) with eustachian tube dysfunction.
Clinical and Economic Evidence for Balloon Dilation for the ...Twenty-three prospective or retrospective single-arm studies have evaluated efficacy and safety outcomes of Eustachian tube balloon dilation in over 1600.
XprESS® ENT Dilation SystemThe XprESS ENT Dilation System is intended to remodel or recreate the sinus outflow tract and dilate the Eustachian tube by transnasal balloon dilation. The.
MAUDE Adverse Event Report: STRYKER INSTRUMENTS-A ...It was reported that the patient underwent bilateral eustachian tube balloon tuboplasty/dilatation with no complications.
Adverse Events and Subsequent Management Associated ...Overall, balloon dilation to address chronic ETD is a safe and effective treatment option for patients. Relatively few complications were ...
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