Effectiveness of Intratympanic Methylprednisolone Injections Compared to Placebo for Vertigo Attacks in Meniere's Disease: A Multicenter, Double-Blinded, Randomized Trial
Led by Leiden University Medical Center · Updated on 2023-12-04
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39 weeks
Total Duration
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L
Leiden University Medical Center
Lead Sponsor
Z
ZonMw: The Netherlands Organisation for Health Research and Development
Collaborating Sponsor
AI-Summary
What this Trial Is About
Researchers are investigating the treatment of Meniere's disease, an inner ear disorder causing vertigo attacks, tinnitus, and hearing loss. The study aims to compare the effects of intratympanic injections of the adrenal cortical hormone methylprednisolone against placebo injections. This multicenter, double-blinded, randomized trial seeks to provide clearer evidence on the effectiveness of methylprednisolone for managing vertigo attacks over one year.
Participants will receive either methylprednisolone injections at a dose of 62.5 mg/ml or placebo saline injections directly into the middle ear. Each participant will receive two injections, spaced 14 days apart. Follow-up visits are scheduled at six and twelve months, with telephone check-ins at three and nine months to monitor progress and collect data.
Throughout the study, participants will be assessed for changes in vertigo frequency, hearing loss, tinnitus severity, quality of life, and use of escape medications. Safety and adverse events will be recorded daily over the year. Additional measurements will include cost-effectiveness and overall function. The total participation lasts one year, with regular evaluations to track treatment impact and participant well-being.
CONDITIONS
Brief Title
The Effecttiveness of Intratympanic Methylprednisolon Injections Compared to Placebo in the Treatment of Vertigo Attacks in Meniere's Disease
Who Can Participate
Age: 18Years - 100Years
All Genders
Healthy Volunteers
Eligibility Criteria
You may qualify if you...
Adults aged over 18 years at the start of the trial
Diagnosed with unilateral, definite Meniere's disease according to established diagnostic criteria
Experienced at least 4 vertigo attacks in the last 6 months
Willing to follow daily trial medications and attend follow-up assessments
You will not qualify if you...
Diagnosis of bilateral Meniere's disease
Severe disability or serious illness that may affect treatment or follow-up
Active neuro-otologic disorders that mimic Meniere's disease
Otitis media with effusion confirmed by tympanogram
Intratympanic corticosteroid injections within the past 6 months
Previous intratympanic gentamicin treatment or ear surgery for Meniere's disease
Pregnant or nursing women
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Your Study Journey
Screening
Duration - 2 to 4 weeks
Participants are screened for eligibility to participate in the trial.
1 visit (in-person)
Treatment
Duration - 14 days
Participants receive intratympanic injections of either methylprednisolone or placebo to treat vertigo attacks associated with Meniere's disease.
2 injection visits over 14 days
Follow-up
Duration - 12 months
Participants attend follow-up visits and receive telephone calls to monitor effectiveness, safety, and quality of life after treatment.
2 in-person visits at 6 and 12 months; 2 telephone follow-ups at 3 and 9 months
The effectiveness of intratympanic injections with methylPREDnisolon versus placebo in the treatment of vertigo attacks in MENière's disease (PREDMEN trial): a study protocol for a phase-3 multicentre, double-blinded, randomised, placebo-controlled trial.
Maud Martina Emilie Boreel, Babette van Esch, Tjard R Schermer...