Cedars-Sinai Medical Center
Intranasal nasal steroid sprays are the mainstay of treatment for chronic Eustachian tube dysfunction despite having little supportive evidence in the literature. A novel, commercially available nasal spray delivery system is available now for fluticasone that improves its delivery to the nasopharynx. The hypothesis of this study is that fluticasone using the novel spray system is effective for Eustachian tube dysfunction (ETD).
BACKGROUND AND RATIONALE Eustachian tube dysfunction (ETD) can be a symptom of allergic rhinitis, non-allergic rhinitis, or chronic rhinosinusitis. However, it can also be a separate entity with patients displaying no other symptoms of the previously mentioned diseases. There is currently no FDA- approved medication specifically for eustachian tube dysfunction, but most otolaryngologists, allergists, and primary care physicians employ multiple different over-the-counter and prescription medications for its treatment. Most common are oral and topical antihistamines, nasal steroid sprays, topic…
Inclusion Criteria: * Age greater than or equal to 18 years old, \<80 years old * Chronic Eustachian tube dysfunction defined as: * Symptoms in one or both ears \> 3 months AND * ETDQ-7 score \>14.5 AND * Type B, C, or As tympanometry * Female subjects of childbearing potential must have a negative urine pregnancy test at screening and throughout the study duration. Exclusion Criteria: * Age \<18 years old * Known history of otologic surgery (excluding myringotomy or myringotomy tubes) * Use of any additional intranasal medication * Tympanic membrane perforation * Adhesive otitis med…
Patients will use two sprays in each nostril twice a day for 6 weeks and additional 6 weeks (open label).
The Placebo is made of the following ingredients: Purified Water, Microcrystalline Cellulose RC-591, Dextrose, Anhydrous, EDTA Disodium Dihydrate, Benzalkonium Chloride Solution 50%, Polysorbate 80 (Tween 80, HP-LQ-(MH)), Sodium Hydroxide, and Hydrochloric Acid. Patients will use two sprays in each nostril twice a day
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