Comparison of the Effectiveness of Oral and Intratympanic Corticosteroid Treatments in Patients Diagnosed With Sudden Sensorineural Hearing Loss
Key facts
- Who runs it
- Dr. Lutfi Kirdar Kartal Training and Research Hospital
- Where
- Istanbul, TürkiyeSee the site
- Trial code
- Status
- Recruiting
- Phase
- Phase 4
- People taking part
- 214 people, planned
- Started
- 25 Dec 2024
- Expected to end
- 10 Sept 2028
- Type of study
- Interventional, 2 groupsOne group gets an existing treatment, for comparison.
- Treatments tested
- Methylprednisolone (drug)
- Dexamethasone
- Record updated
- 1 September 2026
Who can take part
- Age
- 18 years to 80 years
- Sex
- Women and men
- Healthy volunteers
- Cannot take part
The registry criteria, word for word
Show all 13 criteriaShow less
Who can take part
- 18 years of age and older
- Unilateral sudden sensorineural hearing loss that developed within 72 hours and has lasted for 14 days or less
- Affected side PTA (500-100-2000-4000hz) should be over 50dB
- Affected side should be at least 30dB lower than healthy side in 3 frequencies
- Hearing should be symmetrical according to patient's statement before sensorineural hearing loss
- If used, steroid use should be less than 10 days
- Cerebellar and vestibular examination should be normal
Who cannot take part
- Having a history of previous hearing loss, fluctuating hearing or Meniere's disease, chronic inflammatory or suppurative ear disease or cholesteatoma, otosclerosis
- Patients diagnosed with tuberculosis or receiving prophylactic tuberculosis treatment, diabetes mellitus, rheumatological patients, those with atherosclerotic disease, serious psychiatric patients, those receiving chemotherapy, radiotherapy or immunosuppressant treatment, pancreatitis patients, HIV, hepatitis C and B patients, those with chronic renal failure, substance abusers, those with active herpetic lesions, severe osteoporosis patients, those with hearing loss within 4 weeks after general anesthesia, those with a history of head and neck cancer
- Having a history of hearing-related surgery other than a ventilation tube
- Having a history of physical-barotrauma
- Being under 18 or over 80
- Presence of structural or retrocochlear pathology in the examination and imaging that would explain the unilateral hearing loss
Check if you might fit
Answer for yourself. This is not a decision: only the study team can say whether you can take part.
- Are you between 18 and 80 years old?
Where in Türkiye
- Dr Lütfi Kırdar City HospitalIstanbul, TürkiyeContact: Koray IslekTaking people
About the trial
What the trial wants to find out
The goal of this clinical trial is to learn which one works to treat better in patients with sudden sensorineural hearing loss, oral or intratympanic corticosteroid treatment.
Read full original descriptionShow less
The main question it aims to answer is:
Which corticosteroid treatment is more effective in patients with sudden sensorineural hearing loss, oral or intratympanic?
* In our study, it was planned to divide the treatment schemes compared into two groups. Group 1 included patients who received oral methylprednisolone treatment daily for 2 weeks (48 mg for the first 7 days, 32 mg for the following 2 days, 16 mg for the 2 days, and 8 mg for the last 3 days). Group 2 included patients who received intratympanic 8 mg/2 ml dexamethasone every other day, totally 4 doses. * Visit the clinic after diagnose in first week, second week, first month and second month for checkups and tests ( temporal MR, odimetric results)
The 2 groups in the trial
- oral methylprednisolone treatmentExisting treatment, for comparison
Group 1 included patients who received oral methylprednisolone treatment daily for 2 weeks (48 mg for the first 7 days, 32 mg for the following 2 days, 16 mg for the 2 days, and 8 mg for the last 3 days).
Treatment: Methylprednisolone (drug)
- intratympanic dexamethasone treatmentExisting treatment, for comparison
Group 2 included patients who received intratympanic 8 mg/2 ml dexamethasone every other day, totally 4 doses.
Treatment: Dexamethasone
Questions to ask the study team
- How often do I need to come in, and for how long each time?
- Are travel costs paid?
- Can I keep my own doctor?
- What happens if I want to stop?
Contact the study team: see the registry record → Contacts and Locations
Print a page for my doctorData and sources
- Registry record
- Listed on ClinicalTrials.gov.
- Fit questions
- Built from NCT06968507, who can take part
- Record updated
- 1 September 2026