Treatment of Meniere's Disease With Migraine Medications
The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Know the risks and potential benefits of clinical studies and talk to your health care provider before participating. Read our disclaimer for details. |
ClinicalTrials.gov Identifier: NCT05582837 |
Recruitment Status :
Recruiting
First Posted : October 17, 2022
Last Update Posted : October 17, 2022
|
- Study Details
- Tabular View
- No Results Posted
- Disclaimer
- How to Read a Study Record
Condition or disease | Intervention/treatment | Phase |
---|---|---|
Ménière | Drug: nortriptyline + topiramate | Phase 4 |
Study Type : | Interventional (Clinical Trial) |
Estimated Enrollment : | 100 participants |
Allocation: | Randomized |
Intervention Model: | Parallel Assignment |
Intervention Model Description: | Participants will be assigned to a study group by chance (like a coin flip) rather than by a medical decision made by the researchers. There are two arms in the study (treatment group which consists of nortriptyline + topiramate, control group which consist of hydrochlorothiazide plus triamterene with placebo), and participants enrolling in the trial will be randomly assigned in a 1:1 fashion to one of the arms. The participant will remain in the same arm for the duration of the study (8 weeks). There may be multiple participants in each arm who are undergoing the study at the same time (parallel model). |
Masking: | Triple (Participant, Investigator, Outcomes Assessor) |
Masking Description: | No masking: care provider |
Primary Purpose: | Treatment |
Official Title: | Treatment of Meniere's Disease With Nortriptyline-Topiramate Stepwise Regimen: A Randomized Double-Blinded Clinical Trial |
Actual Study Start Date : | August 1, 2022 |
Estimated Primary Completion Date : | August 2024 |
Estimated Study Completion Date : | August 2024 |
Arm | Intervention/treatment |
---|---|
Experimental: nortriptyline + topiramate
Nortriptyline (starting dose 7.5 mg) plus Topiramate (starting dose 10 mg) with appropriate dosage increase as necessary
|
Drug: nortriptyline + topiramate
nortriptyline (7.5mg) + topiramate (10mg) taken 1x per day and escalate weekly as needed for 8 weeks |
Active Comparator: hydrochlorothiazide + triamterene + placebo
hydrochlorothiazide (starting dose 25 mg) plus triamterene (starting dose 37.5 mg) with placebo being added in case of a dosage increase
|
Drug: nortriptyline + topiramate
nortriptyline (7.5mg) + topiramate (10mg) taken 1x per day and escalate weekly as needed for 8 weeks |
- Subjective improvement of Meniere's Disease [ Time Frame: 8 weeks ]The primary outcome variable is derived from the validated Meniere's Disease Outcome Questionnaire (MDOQ) with 18 multiple-choice questions to compare quality of life before and after treatment. The question multiple choices are rated on a scale from 0 to 4 where the higher score indicates the higher quality of life. For each patient, the sum of his/her answers is divided (and x100) by the maximum possible scores for the pre-treatment questions and the post-treatment questions, separately. The outcome measure is the absolute change from pre- to post-treatment scores. Two-sample t test will be used to compare the outcome variable between the two treatment groups.
- Visual analog scale (VAS) [ Time Frame: 8 weeks ]Subjective improvement in tinnitus loudness severity based on a visual analog scale (VAS). The VAS is scored from 0 to 10, with a higher score representing an increased severity of tinnitus.
- Perceived Stress Scale (PSS) [ Time Frame: 8 weeks ]Subjective improvement in stress based on perceived stress scale (PSS). The PSS is scored from 0 to 40, with higher scores indicating higher perceived stress.
- Sleep Quality Index (SQI) [ Time Frame: 8 weeks ]Subjective improvement in sleep quality based on sleep quality index (SQI). The SQI is scored from 0 to 21, with higher scores indicating worse quality of sleep.
- Dizziness handicap index (DHI) [ Time Frame: 8 weeks ]Subjective improvement in dizziness handicap index (DHI). There is a maximum score of 100 (28 points for physical, 36 points for emotional and 36 points for functional) and a minimum score of 0. The higher the score, the greater the perceived handicap due to dizziness.
- Tinnitus Functional Index (TFI) [ Time Frame: 8 weeks ]Subjective improvement from baseline in tinnitus symptoms as measured by Tinnitus Functional Index (TFI). The TFI is scored from 0% to 100%, with higher scores indicating a more negative impact of tinnitus.
- Meniere's Disease Outcomes Questionnaire (MDOQ) [ Time Frame: 8 weeks ]Subjective improvement in Meniere's Disease Outcomes Questionnaire (MDOQ). To measure the quality of life in patients with Ménière's disease and to assess quality-of-life outcomes.
- Patient Health Questionnaire (PHQ) [ Time Frame: 8 weeks ]Subjective improvement in depression symptoms based on patient health questionnaire (PHQ). The PHQ is scored from 0 to 27, with a higher score indicating increased depression severity.
Choosing to participate in a study is an important personal decision. Talk with your doctor and family members or friends about deciding to join a study. To learn more about this study, you or your doctor may contact the study research staff using the contacts provided below. For general information, Learn About Clinical Studies.
Ages Eligible for Study: | 25 Years to 85 Years (Adult, Older Adult) |
Sexes Eligible for Study: | All |
Accepts Healthy Volunteers: | No |
Inclusion Criteria:
- Patients with active or frequent Meniere's Disease.
- Male or female between the ages of 25 to 85 years.
- Subject must be compliant with the medication and attend study visits.
- Must be able to read and write in the English language to provide consenting.
Exclusion Criteria:
- Pregnancy will result in automatic exclusion from the study. A urine pregnancy test to rule out pregnancy for all women who are of childbearing potential.
- Subjects with history of surgery for Meniere's Disease.
- Subject with history of an adverse reaction to medication being prescribed.
- Subject suffers from a medical condition or has history that may be concerning to the investigator's clinical opinion.
- Subjects with psychosis.
- Subjects with neurological neoplasm.
- All contraindications for the medications which prevent subjects from randomization will be considered as exclusion criteria.
To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.
Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT05582837
Contact: Hamid R Djalilian | (800) 263-9547 | hdjalili@hs.uci.edu | |
Contact: Mehdi Abouzari | (714) 509-6096 | mabouzar@hs.uci.edu |
United States, California | |
University of California, Irvine Medical Center ENT Clinic (Pavilion 2) | Recruiting |
Orange, California, United States, 92868 | |
Contact: Hamid R Djalilian, MD 800-263-9547 hdjalili@hs.uci.edu | |
Contact: Mehdi Abouzari, MD, PhD 714-509-6096 mabouzar@hs.uci.edu | |
Principal Investigator: Hamid R Djalilian, MD | |
Sub-Investigator: Mehdi Abouzari, MD, PhD |
Responsible Party: | Hamid Djalilian, Professor, Neurotology and skull base surgery, University of California, Irvine |
ClinicalTrials.gov Identifier: | NCT05582837 |
Other Study ID Numbers: |
2021-6445 |
First Posted: | October 17, 2022 Key Record Dates |
Last Update Posted: | October 17, 2022 |
Last Verified: | October 2022 |
Studies a U.S. FDA-regulated Drug Product: | Yes |
Studies a U.S. FDA-regulated Device Product: | No |
Product Manufactured in and Exported from the U.S.: | No |
Meniere's Disease, medication, randomized, trial, migraine |
Meniere Disease Endolymphatic Hydrops Labyrinth Diseases Ear Diseases Otorhinolaryngologic Diseases Topiramate Nortriptyline Anticonvulsants Hypoglycemic Agents Physiological Effects of Drugs |
Antidepressive Agents, Tricyclic Antidepressive Agents Psychotropic Drugs Adrenergic Uptake Inhibitors Neurotransmitter Uptake Inhibitors Membrane Transport Modulators Molecular Mechanisms of Pharmacological Action Adrenergic Agents Neurotransmitter Agents |