Preventing ear trauma during hyperbaric oxygen therapy with pseudoephedrine
Official title: Pseudoephedrine Prophylaxis for Prevention of Middle Ear Barotrauma in Hyperbaric Oxygen Therapy
Run by John Muir Health · NCT05697328 · Data updated 2026-11-12
This study is testing if taking pseudoephedrine can help prevent ear problems in people receiving hyperbaric oxygen therapy.
Quick facts
| Study type | Interventional |
|---|---|
| Ages | 18 Years and up |
| Sex | All |
| Enrollment | 90 (estimated) |
| Sponsor | John Muir Health Academic / other |
| Locations | 1 site (Walnut Creek, California) |
| Status | Recruiting |
| Started | January 31, 2023 |
| Main results expected | July 2026 |
| Study ends | July 2026 |
| Registry record updated | August 27, 2025 |
| Trial ID | NCT05697328 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Ideal candidates are new patients aged 18 to 80 who require hyperbaric oxygen therapy and can swallow a pill.
✕Probably not a fit
Patients with contraindications to pseudoephedrine or those requiring immediate hyperbaric therapy may not benefit from this study.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
This research investigates whether pseudoephedrine can prevent middle ear trauma in patients undergoing hyperbaric oxygen therapy (HBOT). Participants will take either a pseudoephedrine pill or a placebo before their HBOT session. Their ears will be examined before and after the therapy, and they will report any ear pain experienced. The study aims to determine the effectiveness of pseudoephedrine in reducing ear-related complications during HBOT.
Why it matters
Potential benefit: If successful, this study could help reduce the incidence of ear trauma in patients receiving hyperbaric oxygen therapy.
How similar studies have gone: While the use of pseudoephedrine in this context is novel, similar studies on preventing barotrauma have shown varying degrees of success.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion Criteria: * New patient requiring HBOT (either inpatient or outpatient) * Age greater than or equal to 18 years and less than 80 years * Fluent in English * Full decision capacity * Able and medically cleared to swallow a pill Exclusion Criteria: * Enrollment would delay hyperbaric therapy more than 30 minutes in patients with emergent indications (example: Central Retinal Arterial Occlusion, Carbon Monoxide, Air Gas Embolism) * Contraindication to pseudoephedrine (monoamine oxidase inhibitors (MAOI) use, pregnancy, glaucoma, heart disease, allergy to drug class) * Systolic Blood Pressure \>160 * Diastolic Blood Pressure \> 90 * Heart Rate \>100 * Decongestant/antihistamine/pseudoephedrine/nasal steroid/oxymetazoline use within 12 hours. * Prisoner * Intubated * Unable to swallow oral medications
Where it's running
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John Muir Health
Walnut Creek, California, United States Recruiting
Study contacts
- Principal investigator: Jacinta Showers, RN — John Muir Health
- Study coordinator: Jacinta Showers, RN
- Email: jacinta.showers@johnmuirhealth.com
- Phone: 9259473212
Similar studies
Other studies for the same condition or treatment. Recruiting studies are listed first.
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Serial Eustachian tube equalization maneuvers during hyperbaric oxygen therapy
This will test whether doing a series of Eustachian tube equalization maneuvers during the first hyperbaric oxygen session can prevent middle ear barotrauma in patients who can perform the maneuvers.
-
Exploring biomarkers and lung damage in ARDS patients
This study is trying to see if certain signs in the lungs and blood can help identify ARDS patients, especially those with COVID-19, who are at risk of lung damage from treatment, so that doctors can better manage their care.
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Using imaging to assess risk of lung injury in ARDS patients
This study is testing if using advanced imaging can help doctors spot lung problems early in patients with acute respiratory distress syndrome (ARDS) to better manage their care.
How to take part
- Review the eligibility criteria above with your treating physician.
- Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
- Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.