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This is a phase Ⅲ, multicenter, randomized, evaluator-blinded, parallel-group, active-controlled study to assess the efficacy and safety of ciprofloxacin 0.3% plus fluocinolone acetonide 0.025% otic solution vs ciprofloxacin 0.3% otic solution in the treatment of AOE, and to assess the pharmacokinetic properties in 12 selected adult subjects. Eligible subjects will be randomized at 1:1 ration to either the treatment arm or control arm. All subject will receive 7 consecutive days of either ciprofloxacin 0.3% plus fluocinolone acetonide 0.025% otic solution or ciprofloxacin 0.3% otic solution alone. The main objectives are to assess the efficacy and safety of ciprofloxacin 0.3% plus fluocinolone acetonide 0.025% otic solution in the treatment of AOE, and to assess the plasma concentration of ciprofloxacin and fluocinolone acetonide after multiple doses of test drug in 12 adult subjects, and evaluate the PK parameters.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| ciprofloxacin 0.3% plus fluocinolone acetonide 0.025% | Experimental | Warm the otic solution by holding the vial in the hands for 1 to 2 minutes. Twist off the vial cap. Tilt the subjects' head to one side to keep the affected ear up. Instill the content of 1 vial in the ear (0.25mL). Gently pull the outer ear lobe upward and outward to allow the solution to flow into the ear canal. Keep the subjects' head tilted sideways for approximately 5 minutes to allow the drug time to penetrate the ear. Use twice daily (every 12±1h , morning and evening) for 7 consecutive days. |
|
| ciprofloxacin 0.3% | Active Comparator | Warm the otic solution by holding the vial in the hands for 1 to 2 minutes. Twist off the vial cap. Tilt the subjects' head to one side to keep the affected ear up. Instill the content of 1 vial in the ear (0.25mL). Gently pull the outer ear lobe upward and outward to allow the solution to flow into the ear canal. Keep the subjects' head tilted sideways for approximately 5 minutes to allow the drug time to penetrate the ear. Use twice daily (every 12±1h, morning and evening) for 7 consecutive days |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Ciprofloxacin-Fluocinolone Acetonide, 0.3%-0.025% Otic Solution | Drug | 0.25mL/vial, each vial contains 0.75mg of ciprofloxacin and 0.0625mg of fluocinolone acetonide. |
|
| Measure | Description | Time Frame |
|---|---|---|
| Clinical cure | The proportion of patients who have all symptoms scored as 0. Treatment failure is defined as any symptoms scored > 0.
None(0), Mild(1), Moderate(2), Severe(3). | 15 days after first dose |
| Measure | Description | Time Frame |
|---|---|---|
| Microbiological cure | Microbiological response will be classified as Eradicated, Presumed Eradicated, Persistence, Presumed Persistence, Partial Eradication, Superinfection and Reinfection. Microbiological cure rate is defined as the percentage of patients who achieve the eradication and presume eradication. | 8 and 15 days after first dose |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Yasheng Yuan, M.D | Contact | 13585586213 | yuanyasheng@163.com |
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Eye & Ent Hospital of Fudan University | Shanghai | 200031 | China |
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| Type | Date | Date Unknown |
|---|---|---|
| Release | Jun 12, 2026 | |
| Reset | Jul 8, 2026 |
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| Release Date | Unrelease Date | Unrelease Date Unknown | Reset Date | MCP Release Number |
|---|---|---|---|---|
| Jun 12, 2026 | Jul 8, 2026 |
| ID | Term |
|---|---|
| D002939 | Ciprofloxacin |
| D012996 | Solutions |
| ID | Term |
|---|---|
| D024841 | Fluoroquinolones |
| D042462 | 4-Quinolones |
| D015363 | Quinolones |
| D011804 | Quinolines |
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| Ciprofloxacin 0.3% solution | Drug | 0.4mL/vial, each vial contains 1.2mg ciprofloxacin |
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| Overall therapeutic cure |
Overall therapeutic cure will only be assessed among subjects whose microbiological culture are positive at baseline. Overall therapeutic cure is defined as the percentage of patients who achieve both clinical cure and microbiological cure. |
| 8 and 15 days after first dose |
| Clinical cure | same as primary outcome measure | 8 days after first dose |
| Change in clinical improvement | The percentage of patients whose any symptoms (swelling, otorrhea, tenderness) is improved ≥1 grade, compared to the first day | 8 and 15 days after first dose |
| change in each of Signs and Symptoms | The percentage of patients whose each of signs and symptoms (swelling, otorrhea or tenderness) is improved ≥1 grade, compared to the first day | 8 and 15 days after first dose |
| Change in Granulation Tissue | Granulation tissue will be scored as either 1=present or 0=absent. Improve rate of granulation tissue is defined as the percentage of patients whose granulation tissue in external ear canal at baseline is absent on 8 and 15 days after first dose | 8 and 15 days after first dose |
| Change in ear pain | Pain improvement is defined as ear pain improved ≥1 grade on 8 and 15 days after first dose, compared to the first day. | 8 and 15 days after first dose |
| Time to end of ear pain | Time to end of ear pain is the interval (in days) between the first dose of the study medication and the day of the cessation of the ear pain in the evaluable ear and will not recur until the end of the study. Time to end of ear pain in the whole group. | 8 and 15 days after first dose |
| D006574 |
| Heterocyclic Compounds, 2-Ring |
| D000072471 | Heterocyclic Compounds, Fused-Ring |
| D006571 | Heterocyclic Compounds |
| D004364 | Pharmaceutical Preparations |