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Cerumen ImpactionEARNCT07834593

Performance, Safety and Participant Satisfaction Regarding A-CERUMEN® Medical Devices Used for the Removal of Earwax.

A study testing Unidose cerumenolytic solution and Spray cerumenolytic solution in people with Cerumen Impaction and Earwax Impaction, run by Laboratoires Gilbert at 3 sites in France.

Not yet recruiting

Opening soon. The study is approved but enrolment has not started yet. Sites may already take enquiries.

Sites and contacts
Official record
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Trial summary

The ear canal - or external auditory meatus - is lined with skin that contains ceruminous glands. Cerumen - or earwax - is a combination of epithelial cells, dust, foreign bodies, as well as the secretions of the sebaceous glands and apocrine glands. Read more about this study

Who is it for?
Ages 3 years and older
Conditions the study is for
Cerumen Impaction, Earwax Impaction, Earwax Plug
What is being tested?
Unidose cerumenolytic solution and Spray cerumenolytic solution
Type of treatment
Medical device
Could I receive a placebo?
No, everyone receives an active treatment
How many people
80 participants
Where
3 sitesFrance
Study dates
15 Oct 2026to 22 May 2027
Phase
Interventional
Are there results?
Not yet: the study is under way

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 3 years and older
  • All sexes
  • No healthy volunteers
  • Child, Adult, Older adult

Who may be able to join

  • Adults (including pregnant and breastfeeding women) or children aged 3 years and older, in accordance with the IFU;
  • Presence of earwax excess or an earwax plug in the external ear canal (only one ear included even if both are affected), confirmed by a score ≥2 according to the obstruction scale and without damage to the eardrum.
  • Subject willing and able to comply with the study requirements throughout the study period (and the parent for the child), including returning for a follow-up visit at the study site between Day 5 and Day 7.
  • Subject having daily access to internet to complete the online questionnaires.
  • Subject able to understand verbal and written local language and in capacity to fill-in questionnaire by himself (or the parent for child).
  • Subject who has been informed and has signed the informed consent form (or the parent for the child).
  • Subject enrolled in a social security program (Art. L1121-8-1 of the CSP).

Who cannot join

  • Contraindications specified in each device's instructions for use:
  • In case of history of a damaged or perforated eardrum1,
  • In case of otitis,
  • subject with tympanostomy tubes (also called grommets) at the time of inclusion,
  • In case of damaged skin of the ear canal.
  • Known hypersensitivity or allergy to any of the investigational device's components.
Show all 17Show fewer
  • History of ear infection (suppurative otitis media, otitis interna, mastoiditis) within the 2 months prior to enrollment, or an otitis externa within the 2 weeks prior to enrollment.
  • Severe inner ear disorders or non-infectious ear conditions that may compromise participant safety, at the investigator's discretion.
  • For the ear assessed in the study: Use within 5 days prior to inclusion of an ear solution containing solvents that act on earwax and may have a prolonged effect.
  • For the ear assessed in the study: Use of A-CERUMEN® device (whatever the form) within 5 days prior to inclusion.
  • Participation in another clinical trial or currently in the exclusion period of another clinical trial.
  • Previous participation in this study.
  • Presence of a condition or abnormality (social or psychological disorders, anticipated poor compliance, or inability to communicate) or use of a medication by the subject that, in the investigator's opinion, would compromise the subject's safety or the quality of the data; or that would prevent compliance with follow-up requirements.
  • Vulnerable subject, with the exception of minors over 3 years of age and pregnant and breastfeeding women listed in inclusion criterion No. 1, pursuant to Articles 64, 66 of Regulation (EU) 2017/745 on medical devices and Articles L.1121-5, L.1121-6, L.1121-8 of the Public Health Code (France):
  • Parturient women,
  • Subject deprived of liberty, hospitalized without consent, or admitted to a health or social care facility for purposes other than research,
  • Adults under protective supervision (guardianship, curatorship).

Trial locations and contacts

3 sites in 1 country. Contact the study team or a site near you to ask about taking part.

France3 sites
  • CHU Amiens Picardie

    Amiens, 80054

    Sandrine Soriot-Thomas, Dr, +33(0)3 22 08 79 97, Soriot-Thomas.Sandrine@chu-amiens.fr

    Sandrine Soriot-Thomas, Dr

  • CHU de Brest - Hôpital Morvan

    Brest, 29609

    Rémi Marianowski, Pr, +33(0)2 98 22 35 51, remi.marianowski@chu-brest.fr

    Rémi Marianowski, Pr

  • Hôpital Gabriel-Montpied

    Clermont-Ferrand, 63000

    Gisèle Pickering, Pr, +33(0)4 73 17 84 18, gisele.pickering@uca.fr

    Elise Sortais, Dr

Other trials in France

About this study

Official title: Post-Market Clinical Follow-Up to Assess the Performance, Safety and Participant Satisfaction Regarding A-CERUMEN® Medical Devices Used for the Removal of Earwax.

The ear canal - or external auditory meatus - is lined with skin that contains ceruminous glands. Cerumen - or earwax - is a combination of epithelial cells, dust, foreign bodies, as well as the secretions of the sebaceous glands and apocrine glands. Cerumen is part of the external ear defense mechanisms against foreign bodies and infectious agents, lubricating and cleaning the ear canal. Cerumen production is a normal and protective process for the ear canal. Cerumen is naturally removed through the renewal of the skin in the external auditory meatus, and through the chewing movements of the jaw. Nonetheless, earwax plug - defined as an accumulation of cerumen - is a frequent occurrence across all age groups, with notably higher rates in vulnerable populations. Causes of earwax plug comprise attempts to remove wax, as well as ear canal deformity. It also has been suggested that ear cleaning with cotton buds, particularly when the external ear canal is wet, might be one of the important causes of cerumen impaction. Earwax plug leads to hearing loss that is easily treatable but can have significant cognitive and social consequences. They can also delay the diagnosis of certain ear conditions, such as ear infections, which can lead to medical complications and have economic implications. Effective treatment options for earwax plug include cerumenolytic agents (water-based agents, oil-based agents, surfactant-based agents), irrigation with or without cerumenolytic pre-treatment, and manual removal. Inappropriate treatment options include cotton-tipped swabs, ear candling, olive oil drops or sprays, and non-chewing diets. A-CERUMEN® devices correspond to cerumenolytic agents' products composed of surfactant-based agents. Although all the available data points towards a good performance and safety profile of the devices under evaluation, the clinical data surrounding the devices under evaluation is based on only one or two studies and there is currently no data available on A-CERUMEN® devices for the pediatric patient population, or on pregnant and breastfeeding women. To address this gap, LABORATOIRES GILBERT plans in the Clinical Evaluation Report (CER) a confirmatory clinical trial to collect further data in the adult population and data in the pediatric population, pregnant and breastfeeding women for the devices under evaluation. The Instructions for Use (IFU) should be updated in accordance with the findings of this study. In this context, LABORATOIRES GILBERT promotes a Post-Market Clinical Follow-Up (PMCF) study to assess independently performance, safety and patient satisfaction of A-CERUMEN® Spray and A-CERUMEN® Unidose devices. This PMCF study must include pediatric population and pregnant/breastfeeding women.

Being tested
Unidose cerumenolytic solution, Spray cerumenolytic solution
Keywords
earwax, earwax plug, cerumen

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Unidose cerumenolytic solutionDevice

    Also called A-CERUMEN® unidose

    A-CERUMEN® unidose with Physiodose® (as rinsing agent) for earwax excess removal during 4 days (8 applications)

  • Spray cerumenolytic solutionDevice

    Also called A-CERUMEN® spray

    A-CERUMEN® spray with Physiodose® (as rinsing agent) for earwax excess removal during 4 days (8 applications)

Study groups in NCT07834593
Study groupRoleWhat they receive
A-CERUMEN® unidoseExperimentalExternal ear cleaning solution in unidose container. Physiodose® will be used as rinsing solution after A-CERUMEN unidose application.
Receives: Device: Unidose cerumenolytic solution
A-CERUMEN® sprayExperimentalExternal ear cleaning solution, auricular spray. Physiodose® will be used as rinsing solution after A-CERUMEN spray application.
Receives: Device: Spray cerumenolytic solution

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Extent of earwax clearance using A-CERUMEN® Spray

    The primary outcome is the change in ear canal obstruction score measured before and after treatment, assessed by a blinded investigator using photographs of the ear canal. Ear canal obstruction is evaluated using a 5-point ear canal obstruction scale ranging from 0 (no obstruction, 0-2% of eardrum obscured) to 4 (severe obstruction, 76-100% of eardrum obscured). Higher scores indicate a worse outcome (greater obstruction).

    Measured: From enrollment to the end of treatment at 5-7 days

  2. Extent of earwax clearance using A-CERUMEN® Unidose

    The primary outcome is the change in ear canal obstruction score measured before and after treatment, assessed by a blinded investigator using photographs of the ear canal. Ear canal obstruction is evaluated using a 5-point ear canal obstruction scale ranging from 0 (no obstruction, 0-2% of eardrum obscured) to 4 (severe obstruction, 76-100% of eardrum obscured). Higher scores indicate a worse outcome (greater obstruction).

    Measured: From enrollment to the end of treatment at 5-7days

Secondary outcomes (24)
  1. Percentage of participants with complete earwax clearance using A-CERUMEN® Spray

    Percentage of participants (or ears) achieving complete clearance of earwax, defined as an ear canal obstruction score of 0 after treatment, assessed by a blinded investigator based on photographs of the ear canal.

    Measured: From enrollment to the end of treatment at 5-7days

  2. Percentage of participants with at least one grade reduction in obstruction score using A-CERUMEN® Spray

    Percentage of participants (or ears) with a reduction of at least one grade in the ear canal obstruction score, assessed by a blinded investigator based on photographs of the ear canal.

    Measured: From enrollment to the end of treatment at 5-7 days

  3. Percentage of participants with complete earwax clearance using A-CERUMEN® Unidose

    Percentage of participants (or ears) achieving complete clearance of earwax, defined as an ear canal obstruction score of 0 after treatment, assessed by a blinded investigator based on photographs of the ear canal.

    Measured: From enrollment to the end of treatment at 5-7days

  4. Percentage of participants with at least one grade reduction in obstruction score using A-CERUMEN® Unidose

    Percentage of participants (or ears) with a reduction of at least one grade in the ear canal obstruction score, assessed by a blinded investigator based on photographs of the ear canal.

    Measured: From enrollment to the end of treatment at 5-7 days

  5. Number of adverse device events using A-CERUMEN® Spray

    Total number of adverse device events (ADEs) reported during the study period.

    Measured: From enrollment to the end of treatment at 5-7days

  6. Number of device deficiencies using A-CERUMEN® Spray

    Total number of device deficiencies (DDs) reported during the study period.

    Measured: From enrollment to the end of treatment at 5-7 days

  7. Percentage of participants with at least one adverse device event using A-CERUMEN® Spray

    Percentage of participants who experienced at least one adverse device event (ADE) during the study period.

    Measured: From enrollment to the end of treatment at 5-7 days

  8. Number of adverse device events using A-CERUMEN® Unidose

    Total number of adverse device events (ADEs) reported during the study period.

    Measured: From enrollment to the end of treatment at 5-7days

  9. Number of device deficiencies using A-CERUMEN® Unidose

    Total number of device deficiencies (DDs) reported during the study period.

    Measured: From enrollment to the end of treatment at 5-7 days

  10. Percentage of participants with at least one adverse device event using A-CERUMEN® Unidose

    Percentage of participants who experienced at least one adverse device event (ADE) during the study period.

    Measured: From enrollment to the end of treatment at 5-7 days

  11. Daily change in earwax-related symptom intensity using A-CERUMEN® Spray

    Daily change in the intensity of earwax-related symptoms (irritation, clogged sensation, ringing/tinnitus, hearing loss, itching, pain, tingling, swelling) in participants who were symptomatic at inclusion. Evaluated using an 11-point numeric rating scale ranging from 0 (absence of symptom) to 10 (very intense symptom). Higher scores indicate a worse outcome (greater symptom intensity).

    Measured: Daily from enrollment to the end of treatment at 5-7days

  12. Percentage of participants with earwax symptom relief after using A-CERUMEN® Spray

    Percentage of participants reporting relief of earwax-related symptoms at the end of treatment.

    Measured: At the end of treatment (5-7 days)

  13. Percentage of participants requiring further intervention for earwax removal after using A-CERUMEN® Spray

    Percentage of participants requiring an additional medical or mechanical intervention to remove earwax after treatment with A-CERUMEN®.

    Measured: At the end of treatment (5-7 days)

  14. Daily change in earwax-related symptom intensity using A-CERUMEN® Unidose

    Daily change in the intensity of earwax-related symptoms (irritation, clogged sensation, ringing/tinnitus, hearing loss, itching, pain, tingling, swelling) in participants who were symptomatic at inclusion. Evaluated using an 11-point numeric rating scale ranging from 0 (absence of symptom) to 10 (very intense symptom). Higher scores indicate a worse outcome (greater symptom intensity).

    Measured: Daily from enrollment to the end of treatment at 5-7 days

  15. Percentage of participants with earwax symptom relief after using A-CERUMEN® Unidose

    Percentage of participants reporting relief of earwax-related symptoms at the end of treatment.

    Measured: At the end of treatment (5-7 days)

  16. Percentage of participants requiring further intervention for earwax removal after using A-CERUMEN® Unidose

    Percentage of participants requiring an additional medical or mechanical intervention to remove earwax after treatment with A-CERUMEN®.

    Measured: At the end of treatment (5-7 days)

  17. Overall participant satisfaction with A-CERUMEN® Spray

    Overall participant (or parent) satisfaction regarding the treatment, assessed via the ePRO satisfaction questionnaire. Evaluated using an 11-point numeric rating scale ranging from 0 (not at all satisfied) to 10 (totally satisfied). Higher scores indicate a better outcome (greater satisfaction).

    Measured: At the end of treatment or no later than Visit 2 (up to 7 days)

  18. Ease of use and handling of A-CERUMEN® Spray and flushing method

    Participant (or parent) reported ease of handling, flushing effectiveness, and flushing practicality, assessed via the ePRO satisfaction questionnaire. Evaluated using 5-point Likert scales ranging from 1 (very difficult/poor) to 5 (very easy/good). Higher scores indicate a better outcome (greater ease/effectiveness/convenience).

    Measured: At the end of treatment or no later than Visit 2 (up to 7 days)

  19. Percentage of participants willing to reuse A-CERUMEN® Spray

    Percentage of participants (or parents) reporting they would reuse the product in case of earwax plugs, assessed via a binary question (yes/no) in the ePRO satisfaction questionnaire.

    Measured: At the end of treatment or no later than Visit 2 (up to 7 days)

  20. Overall participant satisfaction with A-CERUMEN® Unidose

    Overall participant (or parent) satisfaction regarding the treatment, assessed via the ePRO satisfaction questionnaire. Evaluated using an 11-point numeric rating scale ranging from 0 (not at all satisfied) to 10 (totally satisfied). Higher scores indicate a better outcome (greater satisfaction).

    Measured: At the end of treatment or no later than Visit 2 (up to 7 days)

  21. Ease of use and handling of A-CERUMEN® Unidose and flushing method

    Participant (or parent) reported ease of handling, flushing effectiveness, and flushing practicality, assessed via the ePRO satisfaction questionnaire. Evaluated using 5-point Likert scales ranging from 1 (very difficult/poor) to 5 (very easy/good). Higher scores indicate a better outcome (greater ease/effectiveness/convenience).

    Measured: At the end of treatment or no later than Visit 2 (up to 7 days)

  22. Percentage of participants willing to reuse A-CERUMEN® Unidose

    Percentage of participants (or parents) reporting they would reuse the product in case of earwax plugs, assessed via a binary question (yes/no) in the ePRO satisfaction questionnaire.

    Measured: At the end of treatment or no later than Visit 2 (up to 7 days)

  23. Adherence to A-CERUMEN® Spray treatment

    Number of A-CERUMEN® Spray applications administered during the treatment period (recommended usage: 2 applications per day for 4 days; target total: 8 applications).

    Measured: From enrollment to the end of treatment at 5-7 days

  24. Adherence to A-CERUMEN® Unidose treatment

    Number of A-CERUMEN® Single-dose applications administered during the treatment period (recommended usage: 2 applications per day for 4 days; target total: 8 applications).

    Measured: From the enrollment to the end of treatment at 5-7 days

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted22 Sep 2026
  2. Study start15 Oct 2026 (estimated)
  3. Primary completion22 May 2027 (estimated)
  4. Study completion22 May 2027 (estimated)

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase N/A
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Model description
Randomized, non-comparative, 2 parallel groups, single-blind, prospective, multicenter clinical investigation
Masking
Single blind
Who is masked
Outcomes assessor
Enrolment
80 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT07834593
Sponsor's protocol ID
2026-A00953-48
Acronym
EAR
Status last verified
Sep 2026
First submitted
10 Sep 2026
Last updated
25 Sep 2026
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No: No individual participant data sharing is planned.

Questions about this trial

What is this clinical trial studying?

A study testing Unidose cerumenolytic solution and Spray cerumenolytic solution in people with Cerumen Impaction and Earwax Impaction, run by Laboratoires Gilbert at 3 sites in France.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 7 inclusion and 17 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: opening soon, as of the sponsor's last update on 25 Sep 2026. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 3 sites in France. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

This study is still under way. Results are not available in the source record yet.

How can a doctor refer a patient or contact the research team?

Contact Ophélie FLAGEUL (+33(0)223061113, o.flageul@slbpharma.com), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Extent of earwax clearance using A-CERUMEN® Spray (time frame: From enrollment to the end of treatment at 5-7 days). The study lists 2 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 25 Sep 2026.

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