Title

Four Arm Safety & Efficacy With Antipyrine and Benzocaine Otic Solution in Children With Acute Otitis Media
A Four-arm, Randomized, Double-blind, Active and Placebo Controlled Study to Determine the Safety and Efficacy of a Combination Antipyrine and Benzocaine Otic Solution Compared With Antipyrine Otic Solution Alone, Benzocaine Otic Solution Alone and to Placebo Otic Solution to Relieve Pain Symptoms in Children With Acute Otitis Media.
  • Phase

    Phase 2
  • Study Type

    Interventional
  • Intervention/Treatment

    antipyrine benzocaine ...
  • Study Participants

    112
The primary objective is to compare the effect of treatment with a combination of ear solutions on the reduction of pain symptoms at 1 hour after dosing in children with acute otitis media.
Reduction of pain symptoms will be measured by using the Face, Legs, Activity, Cry, Consolability Scale (FLACC) and the Faces pain Scale Revised (FPS-R).
Study Started
Nov 30
2013
Primary Completion
Sep 30
2014
Study Completion
Sep 30
2014
Results Posted
Aug 31
2018
Last Update
Aug 31
2018

Drug Antipyrine and Benzocaine otic solution

antipyrine 54 mg and benzocaine 14 mg

Drug Antipyrine Otic Solution

Antipyrine 54 mg and glycerine dehydrated to 1.0 mL

Drug Benzocaine Otic Solution

benzocaine 14 mg and glycerine dehydrated to 1.0 mL

Drug Placebo Otic solution

Placebo otic solution will be glycerin that is dehydrated

Antipyrine and Benzocaine Otic solution Experimental

antipyrine 54 mg and benzocaine 14 mg. Apply drops along the wall of the ear canal until filled and repeating every 3 hours for 24 hours unless the subject is sleeping

Antipyrine Otic Solution Active Comparator

Antipyrine 54 mg and glycerine dehydrated to 1.0 mL. Apply drops along the wall of the ear canal until filled and repeating every 3 hours for 24 hours unless the subject is sleeping

Benzocaine Otic Solution Active Comparator

benzocaine 14 mg and glycerine dehydrated to 1.0 ml. Apply drops along the wall of the ear canal until filled and repeating every 3 hours for 24 hours unless the subject is sleeping

Placebo Placebo Comparator

Placebo otic solution will be glycerin that is dehydrated . Apply drops along the wall of the ear canal until filled and repeating every 3 hours for 24 hours unless the subject is sleeping

Criteria

Inclusion Criteria:

Clinical Diagnosis of Acute Otitis Media
Moderate to severe pain
Normally active and in good health as determined by the PI
Parent or legal guardian consent
Caregiver available to complete diaries during study

Exclusion Criteria:

History of or current Perforated tympanic membrane
Tympanostomy tubes
Acute or chronic otitis externa
seborrheic dermatitis
Received any otic topical or systemic antibiotic within 14 days of enrollment
Receiving medication on a chronic basis for pain
Known hypersensitivity to investigational product.
clinical significant mental illness as determined by the PI
Exposed to another investigational agent within 30 days before study entry. Any condition the PI believed will interfere with the ability to comply with all study procedures
History of glucose 6-phosphate dehydrogenase deficiency
History or currently anemic
Congenital methemoglobinemia
Recent history of acute gastroenteritis within 14 days of enrollment

Summary

Antipyrine and Benzocaine Otic Solution

Antipyrine Otic Solution

Benzocaine Otic Solution

Placebo

All Events

Event Type Organ System Event Term Antipyrine and Benzocaine Otic Solution Antipyrine Otic Solution Benzocaine Otic Solution Placebo

Face, Legs, Activity, Cry, Consolability Scale (FLACC) or Faces Pain Scale Revised (FPS-R)

The FLACC was completed by the caregiver to assess pain intensity for subjects aged 2 months to less than 5 years. The FLACC consists of five domains that are rated as 0, 1, or 2 (total scores range from 0 to 10). A lower score indicates lower level of pain. The FPS-R was completed by the subject aged 5 to 12 years. For this assessment, the subject selected the pain intensity by using faces that show increasing discomfort. Total scores range from 0 to 10. A lower score indicates lower level of pain.

Antipyrine and Benzocaine Otic Solution

-4.3
units on a scale (Mean)
Standard Deviation: 3.43

Antipyrine Otic Solution

-5.0
units on a scale (Mean)
Standard Deviation: 2.82

Benzocaine Otic Solution

-4.6
units on a scale (Mean)
Standard Deviation: 2.97

Placebo

-4.9
units on a scale (Mean)
Standard Deviation: 2.13

Face, Legs, Activity, Cry, Consolability Scale (FLACC) or Faces Pain Scale Revised (FPS-R)15 Min Post First Dose

The relative change from baseline in pain intensity as measured by changes in FLACC scores or FPS-R scores between baseline and 15 and 30 minutes, and 3, 6, 12, 24, 36, 48, 60, and 72 hours after first dose. The FLACC was completed by the caregiver to assess pain intensity for subjects aged 2 months to less than 5 years. The FLACC consists of five domains that are rated as 0, 1, or 2 (total scores range from 0 to 10). A lower score indicates lower level of pain. The FPS-R was completed by the subject aged 5 to 12 years. For this assessment, the subject selected the pain intensity by using faces that show increasing discomfort. Total scores range from 0 to 10. A lower score indicates lower level of pain.

Antipyrine and Benzocaine Otic Solution

-3.6
units on a scale (Mean)
Standard Error: 0.48

Antipyrine Otic Solution

-3.6
units on a scale (Mean)
Standard Error: 0.54

Benzocaine Otic Solution

-3.4
units on a scale (Mean)
Standard Error: 0.51

Placebo

-3.8
units on a scale (Mean)
Standard Error: 0.51

Face, Legs, Activity, Cry, Consolability Scale (FLACC) or Faces Pain Scale Revised (FPS-R) 30 Min Post First Dose

The relative change from baseline in pain intensity as measured by changes in FLACC scores or FPS-R scores between baseline and 15 and 30 minutes, and 3, 6, 12, 24, 36, 48, 60, and 72 hours after first dose. The FLACC was completed by the caregiver to assess pain intensity for subjects aged 2 months to less than 5 years. The FLACC consists of five domains that are rated as 0, 1, or 2 (total scores range from 0 to 10). A lower score indicates lower level of pain. The FPS-R was completed by the subject aged 5 to 12 years. For this assessment, the subject selected the pain intensity by using faces that show increasing discomfort. Total scores range from 0 to 10. A lower score indicates lower level of pain.

Antipyrine and Benzocaine Otic Solution

-3.9
units on a scale (Mean)
Standard Error: 0.45

Antipyrine Otic Solution

-4.3
units on a scale (Mean)
Standard Error: 0.51

Benzocaine Otic Solution

-4.4
units on a scale (Mean)
Standard Error: 0.49

Placebo

-4.8
units on a scale (Mean)
Standard Error: 0.48

Face, Legs, Activity, Cry, Consolability Scale (FLACC) or Faces Pain Scale Revised (FPS-R) 3 Hour Post First Dose

The relative change from baseline in pain intensity as measured by changes in FLACC scores or FPS-R scores between baseline and 15 and 30 minutes, and 3, 6, 12, 24, 36, 48, 60, and 72 hours after first dose. The FLACC was completed by the caregiver to assess pain intensity for subjects aged 2 months to less than 5 years. The FLACC consists of five domains that are rated as 0, 1, or 2 (total scores range from 0 to 10). A lower score indicates lower level of pain. The FPS-R was completed by the subject aged 5 to 12 years. For this assessment, the subject selected the pain intensity by using faces that show increasing discomfort. Total scores range from 0 to 10. A lower score indicates lower level of pain.

Antipyrine and Benzocaine Otic Solution

-3.4
units on a scale (Mean)
Standard Error: 0.47

Antipyrine Otic Solution

-3.9
units on a scale (Mean)
Standard Error: 0.53

Benzocaine Otic Solution

-3.8
units on a scale (Mean)
Standard Error: 0.50

Placebo

-3.5
units on a scale (Mean)
Standard Error: 0.50

Face, Legs, Activity, Cry, Consolability Scale (FLACC) or Faces Pain Scale Revised (FPS-R) 6 Hours Post First Dose

The relative change from baseline in pain intensity as measured by changes in FLACC scores or FPS-R scores between baseline and 15 and 30 minutes, and 3, 6, 12, 24, 36, 48, 60, and 72 hours after first dose. The FLACC was completed by the caregiver to assess pain intensity for subjects aged 2 months to less than 5 years. The FLACC consists of five domains that are rated as 0, 1, or 2 (total scores range from 0 to 10). A lower score indicates lower level of pain. The FPS-R was completed by the subject aged 5 to 12 years. For this assessment, the subject selected the pain intensity by using faces that show increasing discomfort. Total scores range from 0 to 10. A lower score indicates lower level of pain.

Antipyrine and Benzocaine Otic Solution

-3.4
units on a scale (Mean)
Standard Error: 0.50

Antipyrine Otic Solution

-4.0
units on a scale (Mean)
Standard Error: 0.56

Benzocaine Otic Solution

-3.9
units on a scale (Mean)
Standard Error: 0.54

Placebo

-3.8
units on a scale (Mean)
Standard Error: 0.54

Face, Legs, Activity, Cry, Consolability Scale (FLACC) or Faces Pain Scale Revised (FPS-R) 12 Hours Post First Dose

The relative change from baseline in pain intensity as measured by changes in FLACC scores or FPS-R scores between baseline and 15 and 30 minutes, and 3, 6, 12, 24, 36, 48, 60, and 72 hours after first dose. The FLACC was completed by the caregiver to assess pain intensity for subjects aged 2 months to less than 5 years. The FLACC consists of five domains that are rated as 0, 1, or 2 (total scores range from 0 to 10). A lower score indicates lower level of pain. The FPS-R was completed by the subject aged 5 to 12 years. For this assessment, the subject selected the pain intensity by using faces that show increasing discomfort. Total scores range from 0 to 10. A lower score indicates lower level of pain.

Antipyrine and Benzocaine Otic Solution

-3.9
units on a scale (Mean)
Standard Error: 0.53

Antipyrine Otic Solution

-4.3
units on a scale (Mean)
Standard Error: 0.60

Benzocaine Otic Solution

-4.1
units on a scale (Mean)
Standard Error: 0.57

Placebo

-4.0
units on a scale (Mean)
Standard Error: 0.57

Face, Legs, Activity, Cry, Consolability Scale (FLACC) or Faces Pain Scale Revised (FPS-R) 24 Hours Post First Dose

The relative change from baseline in pain intensity as measured by changes in FLACC scores or FPS-R scores between baseline and 15 and 30 minutes, and 3, 6, 12, 24, 36, 48, 60, and 72 hours after first dose. The FLACC was completed by the caregiver to assess pain intensity for subjects aged 2 months to less than 5 years. The FLACC consists of five domains that are rated as 0, 1, or 2 (total scores range from 0 to 10). A lower score indicates lower level of pain. The FPS-R was completed by the subject aged 5 to 12 years. For this assessment, the subject selected the pain intensity by using faces that show increasing discomfort. Total scores range from 0 to 10. A lower score indicates lower level of pain.

Antipyrine and Benzocaine Otic Solution

-5.5
units on a scale (Mean)
Standard Error: 0.42

Antipyrine Otic Solution

-4.4
units on a scale (Mean)
Standard Error: 0.48

Benzocaine Otic Solution

-4.2
units on a scale (Mean)
Standard Error: 0.46

Placebo

-4.6
units on a scale (Mean)
Standard Error: 0.46

Face, Legs, Activity, Cry, Consolability Scale (FLACC) or Faces Pain Scale Revised (FPS-R) 36 Hours Post First Dose

The relative change from baseline in pain intensity as measured by changes in FLACC scores or FPS-R scores between baseline and 15 and 30 minutes, and 3, 6, 12, 24, 36, 48, 60, and 72 hours after first dose. The FLACC was completed by the caregiver to assess pain intensity for subjects aged 2 months to less than 5 years. The FLACC consists of five domains that are rated as 0, 1, or 2 (total scores range from 0 to 10). A lower score indicates lower level of pain. The FPS-R was completed by the subject aged 5 to 12 years. For this assessment, the subject selected the pain intensity by using faces that show increasing discomfort. Total scores range from 0 to 10. A lower score indicates lower level of pain.

Antipyrine and Benzocaine Otic Solution

-5.5
units on a scale (Mean)
Standard Error: 0.42

Antipyrine Otic Solution

-4.6
units on a scale (Mean)
Standard Error: 0.48

Benzocaine Otic Solution

-4.4
units on a scale (Mean)
Standard Error: 0.46

Placebo

-5.5
units on a scale (Mean)
Standard Error: 0.45

Face, Legs, Activity, Cry, Consolability Scale (FLACC) or Faces Pain Scale Revised (FPS-R) 48 Hours Post First Dose

The relative change from baseline in pain intensity as measured by changes in FLACC scores or FPS-R scores between baseline and 15 and 30 minutes, and 3, 6, 12, 24, 36, 48, 60, and 72 hours after first dose. The FLACC was completed by the caregiver to assess pain intensity for subjects aged 2 months to less than 5 years. The FLACC consists of five domains that are rated as 0, 1, or 2 (total scores range from 0 to 10). A lower score indicates lower level of pain. The FPS-R was completed by the subject aged 5 to 12 years. For this assessment, the subject selected the pain intensity by using faces that show increasing discomfort. Total scores range from 0 to 10. A lower score indicates lower level of pain.

Antipyrine and Benzocaine Otic Solution

-5.4
units on a scale (Mean)
Standard Error: 0.37

Antipyrine Otic Solution

-5.3
units on a scale (Mean)
Standard Error: 0.42

Benzocaine Otic Solution

-4.7
units on a scale (Mean)
Standard Error: 0.40

Placebo

-5.9
units on a scale (Mean)
Standard Error: 0.40

Face, Legs, Activity, Cry, Consolability Scale (FLACC) or Faces Pain Scale Revised (FPS-R) 60 Hours Post First Dose

The relative change from baseline in pain intensity as measured by changes in FLACC scores or FPS-R scores between baseline and 15 and 30 minutes, and 3, 6, 12, 24, 36, 48, 60, and 72 hours after first dose. The FLACC was completed by the caregiver to assess pain intensity for subjects aged 2 months to less than 5 years. The FLACC consists of five domains that are rated as 0, 1, or 2 (total scores range from 0 to 10). A lower score indicates lower level of pain. The FPS-R was completed by the subject aged 5 to 12 years. For this assessment, the subject selected the pain intensity by using faces that show increasing discomfort. Total scores range from 0 to 10. A lower score indicates lower level of pain.

Antipyrine and Benzocaine Otic Solution

-5.4
units on a scale (Mean)
Standard Error: 0.33

Antipyrine Otic Solution

-5.4
units on a scale (Mean)
Standard Error: 0.37

Benzocaine Otic Solution

-5.4
units on a scale (Mean)
Standard Error: 0.36

Placebo

-6.2
units on a scale (Mean)
Standard Error: 0.36

Face, Legs, Activity, Cry, Consolability Scale (FLACC) or Faces Pain Scale Revised (FPS-R) 72 Hours Post First Dose

The relative change from baseline in pain intensity as measured by changes in FLACC scores or FPS-R scores between baseline and 15 and 30 minutes, and 3, 6, 12, 24, 36, 48, 60, and 72 hours after first dose. The FLACC was completed by the caregiver to assess pain intensity for subjects aged 2 months to less than 5 years. The FLACC consists of five domains that are rated as 0, 1, or 2 (total scores range from 0 to 10). A lower score indicates lower level of pain. The FPS-R was completed by the subject aged 5 to 12 years. For this assessment, the subject selected the pain intensity by using faces that show increasing discomfort. Total scores range from 0 to 10. A lower score indicates lower level of pain.

Antipyrine and Benzocaine Otic Solution

-5.9
units on a scale (Mean)
Standard Error: 0.29

Antipyrine Otic Solution

-5.9
units on a scale (Mean)
Standard Error: 0.33

Benzocaine Otic Solution

-5.4
units on a scale (Mean)
Standard Error: 0.32

Placebo

-6.1
units on a scale (Mean)
Standard Error: 0.32

Total

112
Participants

Age, Continuous

4.2
years (Mean)
Standard Deviation: 3.41

Ethnicity (NIH/OMB)

Race (NIH/OMB)

Region of Enrollment

Sex: Female, Male

Overall Study

Antipyrine and Benzocaine Otic Solution

Antipyrine Otic Solution

Benzocaine Otic Solution

Placebo