Randomised trial of treatment of chronic suppurative otitis media (CSOM) in Kenyan children

ISRCTN ISRCTN86106121
DOI https://doi.org/10.1186/ISRCTN86106121
Protocol serial number N/A
Sponsor Liverpool School of Tropical Medicine (UK)
Funder Thrasher Research Fund (USA)
Submission date
25/11/2008
Registration date
17/12/2008
Last edited
16/05/2022
Recruitment status
No longer recruiting
Overall study status
Completed
Condition category
Ear, Nose and Throat
Prospectively registered
Protocol
Statistical analysis plan
Results
Individual participant data
Record updated in last year

Plain English summary of protocol

Not provided at time of registration

Contact information

Dr Ian Mackenzie
Scientific

Liverpool School of Tropical Medicine
Liverpool
L3 5QA
United Kingdom

Phone +44 (0)151 705 3144
Email macken34@liv.ac.uk

Study information

Primary study designInterventional
Study designDouble blind, two-group comparative randomised placebo controlled trial
Secondary study designRandomised controlled trial
Study type Participant information sheet
Scientific titleTreatment of chronic suppurative otitis media (CSOM) in Kenyan children: a double blind, two-group comparative randomised placebo controlled trial
Study acronymCOMIGS
Study objectivesThe addition of oral zinc sulphate supplements (20 mg elemental zinc/day) to current best treatment (aural antibiotics instilled after ear cleaning) is more effective than current best treatment alone in time to resolution of chronic suppurative otitis media (CSOM) in children.
Ethics approval(s)Pending as of 25/11/2008:
1. University of Nairobi Ethics Committee: submitted 18/11/2008
2. Liverpool School of Tropical Medicine Ethics Committee: submitted 20/11/2008
Health condition(s) or problem(s) studiedChronic suppurative otitis media (CSOM)
Intervention1. Six weeks of weekly oral zinc sulphate supplement (20 mg) together with 10 days of aural ciprofloxacin 0.3% ear drops
2. Six weeks of weekly oral placebo together with 10 days of aural ciprofloxacin 0.3% ear drops
Intervention typeSupplement
Primary outcome measure(s)

Healing of the tympanic membrane at 42 days with no evidence of perforation on otoscopy, tympanometry or the Rinne Test has changed from negative to positive.

Key secondary outcome measure(s)

1. Resolution of aural discharge
2. Any change of 10 decibels or more over the speech frequencies
3. Safety profiles of the two treatments

Children will be reviewed at 6, 10 and 16 weeks.

Completion date01/02/2010

Eligibility

Participant type(s)Patient
Age groupChild
Lower age limit5 Years
SexAll
Target sample size at registration432
Key inclusion criteria1. Aged 5 years or older, either sex
2. Presence of purulent aural discharge for 14 days or longer
3. Presense of pus in the external ear canal on otoscopy
4. Perforation of the tympanic membrane
Key exclusion criteria1. Treated for ear infection or received antibiotics for any other disease in the previous 2 weeks
2. Other ear problems, e.g. pre-exiting ear disease or anatomical abnormalities
3. Foreign body or ear wax that is not able to be removed
4. Known allergy to study drugs
Date of first enrolment01/02/2009
Date of final enrolment01/02/2010

Locations

Countries of recruitment

  • United Kingdom
  • England
  • Kenya

Study participating centre

Liverpool School of Tropical Medicine
Liverpool
L3 5QA
United Kingdom

Results and Publications

Individual participant data (IPD) Intention to shareNo
IPD sharing plan summary
IPD sharing planNot provided at time of registration

Study outputs

Output type Details Date created Date added Peer reviewed? Patient-facing?
Participant information sheet Participant information sheet 11/11/2025 11/11/2025 No Yes

Editorial Notes

16/05/2022: No publications found, all search options exhausted, study status unverified.