Simple nasal spray may prevent hearing loss in cancer survivors
NCT ID NCT07189572
First seen Jun 27, 2026 · Last updated Jun 27, 2026
Summary
This study tests whether a steroid nasal spray can prevent fluid buildup in the middle ear, a common side effect of radiation therapy for nasopharyngeal cancer. About 168 adults who are about to start radiation will use either the spray or a placebo for 12 months. The goal is to see if this simple, non-invasive treatment can reduce ear fullness and hearing loss, improving quality of life without the need for ear tubes.
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Study facts
What this study's own registry entry says, in plain language.
- Phase
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Phase 3
Large-scale testing in a bigger group. Usually the last step before a treatment can be approved.
- Participants
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About 168 people
The number the study aims to enrol. It can still change while the study runs.
- Expected to start
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Oct 2025
An estimate. Start dates often move.
- Expected to finish
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Oct 2027
An estimate. End dates often move.
- Lead sponsor
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Other sponsor
The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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18 to 75 years
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
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Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: * Pathologically confirmed nasopharyngeal carcinoma scheduled for curative intensity-modulated radiation therapy (IMRT), with or without concurrent chemotherapy. * Age between 18 and 75 years. * No previous history of head and neck radiotherapy. * Intact tympanic membranes bilaterally at baseline, with no history of middle ear surgery (including tympanostomy tube placement). * Willing to comply with all study procedures, including nasal spray use, audiological examinations, and follow-up visits. * No use of systemic or topical corticosteroids, antihistamines, or decongestants within 14 days prior to randomization. * All inclusion criteria must be met for participation Exclusion Criteria: * Diagnosed with complete conductive hearing loss or ossicular chain fixation. * Scheduled to undergo tympanostomy tube placement, tympanotomy, or other middle ear surgery prior to randomization. * Unlikely to complete the 12-month follow-up (e.g., planned relocation, poor compliance). * Presence of respiratory conditions requiring treatment with nasal corticosteroids. * Known allergy or hypersensitivity to nasal corticosteroids (especially triamcinolone acetonide or its excipients). * History of severe mental illness, cognitive impairment, or substance abuse that may affect compliance. * Pregnant or lactating women, or women of childbearing potential unwilling to use effective contraception. * Participation in other investigational drug clinical trials within the past 3 months. * Deemed unsuitable for the trial by the investigator (e.g., severe septal deviation, chronic rhinosinusitis requiring systemic treatment, or poorly controlled diabetes). * Any subject who meets any of the above exclusion criteria at baseline will be excluded from the study.
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
How to take part
Only the study team decides who joins. These are the ways to reach them.
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The official record
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A doctor treating you
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Other studies related to the condition(s) this trial covers.
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